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WellCert® Certification Save the Date: June 13-14th Level 1: Certified Wellness Program CoordinatorLarry Chapman, MHP, CWPChapman Institute L o n g f e l lo w B E N E F I T S
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Today’s ProgramPromoting Preventive Care in the Workplace Presented by: Pamela Santin, MS Senior Wellness Consultant Blue Cross Blue Shield of MA Eleana Conway, MS, RN, CS-FNPManager, Health Improvement Program Lahey Clinic Medical Center L o n g f e l lo w B E N E F I T S
Wellness @ Lahey:Promoting Preventive Care Eleana M. Conway, MS, RN, CS-FNP Health Improvement Program, Manager
Wellness is a Journey; Not aDestination Health is more that not getting sick or hurt- it is about a experiencing an overall higher quality of life. As stewards of health, we at Lahey, have a responsibility to promote wellness, as well as, treat illness. We are embracing the future of healthcare by taking the lead to create a culture of health for members of our community.
Promoting Preventive Care in theWorkplace In todays fast-paced, digitally driven world, and in the face of difficult economic times, individuals are not taking the time to focus upon simple preventive health principles Our Treating you Right pledge applies to our patients, colleagues and community. We encourage all to pursue a healthy lifestyle by providing diverse wellness programs and serving as a direct link between improved health and lifestyle changes- so that no one has to face it alone. It’s the right thing to do- but there is also science behind it.
Reasons for Offering HealthImprovement Programs The current ROI of health and wellness initiatives is distributed fairly evenly with a median between 2:1 and 3:1. Wellness programs: Improve the health of colleagues and reduce absenteeism/presenteeism Improve employee morale and productivity Provide a positive example to the community
Why Wellness? Wellness initiatives are a strategic imperative for hospitals that want to be sustainable in the new world order of healthcare. Healthy People 2020 provides a national framework and set of important goals for the health of our nation. The Affordable Care Act of 2010 (ACA) builds on the Healthy People framework to establish the National Prevention, Health Promotion and Public Health Council, which will coordinate and lead the activities of more than a dozen federal agencies.7 The ACA also includes various incentives to promote employee health and wellness programs.
Lahey’s Health Improvement ProgramGoals: Reduce health care costs. Assess outcomes and ROI. Engage ALL colleagues in health and wellness as well as high-risk populations and men. Move toward a “culture of health” rather than a program-by-program approach. Offer programs and services emphasizing awareness, prevention, and positive health behavior change. Foster a campus environment supportive of a healthy lifestyle.
Colleague Benefits Preventative Care Covered @ 100% No copay Earned Time for Screenings Education Wellness Series
Earned Time For Colonoscopy During the month of March (colorectal cancer month) to inform and educate colleagues about this cancer. Colorectal cancer is the second leading cause of cancer deaths. By some estimates, 60 percent of those deaths could be avoided with appropriate, early screening. olonoscopy is considered by many physicians to be the “gold standard” screening test, because with it, doctors can remove precancerous polyps. Weekly paid colleagues will receive four (4) hours of Earned Time when they have a medically necessary colonoscopy anytime between March 1 and May 31, 2012.
Wellness Series Topics Time Management Oral Health Cholesterol Adult Vaccinations Organizing Your Portion Control/Kariotis Physical Therapy Seasonal Emergencies Home & Office Managing Stress Gastroesophageal Reflux Bullying Role-play Mens Health During Difficult Times DiseaseDistracted Driving & Metabolic Adolescence Holiday Safety Healthy CookingSyndrome Mindfulness Meditation Power of a Smile You are what you eat Parenting Blood Pressure - Change Management Bed Bugs connection to healthy Strokes heart Identifying Elder Financial Colorectal Cancer Exercise, Joint Health & Immunizations Abuse Awareness Back Pain Work Space Clutter Financial Planning Foot Health Awareness Nutrition Stroke Know your numbers A good nights sleep Skin Disease Money Harmony in DASH/Kariotis Aging Parents Ergonomics Turbulant Times Emergency Preparedness Food Labeling Ergonomics Asthma in the home
Risk Reduction Offerings Physical Inactivity Fitness Centers ShapeUp Walk at Work Poor Nutrition and Obesity Cafeteria Best Practices Community Supported Agriculture Create Your Weight Weight Watchers Tobacco Treatment Tobacco Treatment Program
Fitness Centers Fitness club reimbursement, which provides up to $150 reimbursement per year for membership in a health club New Colleague Fitness Center Classes: Pilates, Yoga, Zumba, Tap Dancing
ShapeUp ShapeUp is an online platform that encourages colleagues to team up and get healthy within the framework of a fun and friendly competition. A virtual, private social network just for Lahey. Safe and secure, HIPAA compliant, and only our colleagues have access. Feedback has been positive.
Health Challenges Ready, Set Go! Outcomes: Engagement: Total Registered Employees:1,331 Percent of Eligible 21.6% (1,331/6174) Cumulative Steps Walked 262,258,741 steps Cumulative Exercise Minutes 931,858 minutes Net Weight Change 1,614 lbs lost Flex Your Food A six-week nutrition challenge that helps increase nutritional knowledge and selection of healthy options at meals.
3rd Annual Spring Walks! CEO and other senior leaders participated in both events. Educational opportunities. Stretching session Dermatology ShapeUp Weight Watchers Encouraged to bring sneakers and eco- friendly bottle of water to stay hydrated.
Cafeteria Best Practices “Did you Know Campaign…” the sodium content of common foods? starting your day with breakfast helps to boot your energy? we use reduced calorie mayonnaise? baked chips are offered at reduced price? healthy foods come in a rainbow of colors? what is a portion? how many calories….? the sugar content…?
Community Supported Agriculture atLahey Lahey colleagues have an opportunity to participate in a program that supports healthy eating through weekly deliveries of fruits and vegetables to the Clinic by signing up for a Community Supported Agriculture (CSA) share from the World PEAS Cooperative.
Create Your Weight Adult weight management program offered multiple times annually. Mixed patient/colleague, as well as, colleague exclusive groups. Payroll Deduction with full reimbursement for “successful completion.” Deep discounts for additional participant for both patients and colleagues.
Weight Watchers Partnering with Weight Watchers (WW) is in line with our mission of creating a culture of health here at Lahey. WW will offer Lahey colleagues tools to help them lose weigh in a sustainable way by promoting a healthier lifestyle and relationship with food. Lahey will subsidize WW “Monthly Pass” to support colleagues in attending WW meetings in the workplace or in the community, as well as, access to an online platform to utilize WW solutions at home.
Tobacco Treatment Tobacco treatment is emerging as a necessary component in health care. Tobacco use is the single most important preventable cause of death and disability and accounts for more than 435,000 deaths each year1 Tobacco use also creates a substantial cost to Lahey Clinic, our colleagues and their family members. More than 70% of people who smoke want to quit, however; few succeed without help. 2 Tobacco treatment Significantly increase success rates. Other than immunization, is the most cost-effective prevention intervention for adults. Is ideally offered during hospitalization to promote the patient’s medical recovery 1. Centers for Disease Control and Prevention. Annual smoking-attributable mortality, years of potential life lost, and economic costs—United States, 1995–1999. Morbidity and Mortality Weekly Report 2002;51(14); 300–03.
Tobacco Treatment Developing a comprehensive Tobacco Treatment Program to reliably and consistently address this important public health issue organization wide. Staffing 1.25 Advance Practice Nurses 1.0 Tobacco Treatment Specialist Tim Wu, MD supervising MD
Looking Ahead1. Continue to serve as a role model of health for the community.2. Continue to foster a Culture of Health for all members of the Lahey community.3. Provide a variety of program offerings.4. Track participation and outcomes.5. Measure for ROI.6. Consider Positive and Negative Incentives.7. Include a health risk assessment (HRA) and biometric screening in all hospital wellness programs8. Implement Health Coaching
Eleana M. Conway, MS, RN, CS- FNP 41 Mall Road, Burlington, MA 01805 Office:781-744-2513 Eleana.M.Conway@lahey.org
Strategies to IncreasePreventive Care
Promoting Prevention Regular Check-ups for Every Member of Your Family •Establishing relationship with PCP •Stay well •Find problems earlyBlue Cross Blue Shield of Massachusetts 37
National Account Results 5 months after mailing → 750 members had PCP visit •255 had mammogram → 2 breast cancers diagnosed •224 had colonoscopy → 7 colon cancers found • 86 cervical cancer screenings → •362 vaccinations given → •102 had diabetes screening → 74 new diagnoses •138 had prostate cancer screening → 4 prostate cancers diagnosedBlue Cross Blue Shield of Massachusetts 38
Measurable Outcomes Let the data be your guide! HEDIS measures ColonoscopyBlue Cross Blue Shield of Massachusetts 39
Know the Barriers Is this really how I want to • Prep celebrate my • Embarrassment birthday? • Cost • Fear of the unknown • I feel fine • I forgotBlue Cross Blue Shield of Massachusetts 40
Screening Incentive Results Expanded program in 2011 to include spouses 90% ↑ participation 63% ↑ mammogram 41% ↑ colonoscopy 100% ↑ health screening Cost: .16% of total medical claimsBlue Cross Blue Shield of Massachusetts 41
The Future of Incentives •Gift Cards •Paid Day Off •FSA or HSA Dollars •Premium Contribution Differential (designed to be cost neutral)Blue Cross Blue Shield of Massachusetts 42
Incentive Strategy Short Term Long Term •Plan design •Access to quality care •Information & Education •Culture shiftBlue Cross Blue Shield of Massachusetts 43
The Wellness Payoff •Improved health •Improved morale •Reduced absenteeism •Reduced disability •Increased productivity •Lower workers’ comp. •Lower healthcare costs for employer and employee!Blue Cross Blue Shield of Massachusetts 44