4. The challenge Good governance includes: Social responsibility Caring for the sick Protection of risk Includes mitigation of health related losses
5. The challenge Only 16% of SA citizens have health insurance Contributions for a family of 4, 1980’s : 7% of wage 1990’s : 14% of wage 2000’s : 20% of wage 2007 : 30% of wage Mandatory National Health Insurance will be a reality by 2012
6. Current solutions Mid-1980s Wellness Council of America formed in face of rising health costs WELCOA represents more than 3 000 employer groups collectively employing millions WELCOA’s purpose to provide information resources to employer groups Wealth of experience (30 years+) for RSA to draw on
7. Current solutions In-house clinics Resident or outsourced health professionals Wellness Days WELCOAresearch shows: “most critical factor is knowing the facts”
8. Current solutions Most current arrangements Don’t provide the data (WELCOA’s critical factor for success) Can’t relate poor health to productivity Don’t know disease types, prevalence and changing profile across entire workforce Don’t reveal effectiveness of particular treatment types on changing profiles Can’t show patient compliance with treatment regimes Unable to reveal ROI on healthcare spend No proof that internal healthcare resources/clinics are effective/efficient
9. Current Solutions WELCOA research reveals $1.5 - $12 : $1 ROI for health improvement investments Mercer study shows $3 : $1 ROI, also underpinned by US national average
11. Health Improvement Programme Given that: Lifestyle accounts for 50% of health status Lifestyle accounts for 60% - 75% of health costs 50% with chronic disease don’t adhere to treatment protocol Health Improvement Programme focuses on lifestyle change and treatment compliance
12. Health Improvement Programme WELCOA Benchmarks for improving Wellness in employer groups 1.Capturing CEO support 2.Creating cohesive Wellness teams 3.Collecting data to drive health efforts 4.Carefully crafting an operating plan 5.Choosing appropriate interventions 6.Creating a supportive environment 7.Carefully evaluating outcomes
13. Health Improvement Programme Top level support Management Structure Relationship between Health Improvement Programme & WELCOA Benchmarks Data to direct efforts Craft operating plan Select intervention Supportive environment Evaluate outcomes
14. Health Improvement Programme Distribute Action Request Upload Treatment Protocol Patient Complies with Action Request Adjust Treatment Patient Uploads Data Live Reporting
15. Health Improvement Programme Unique benefits through combining technology with healthcare Provides comprehensive live reporting Drives treatment compliance Ensures lifestyle changes become habitual Reveals highest potential for ROI Integrates management decision with HIP design
