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Health net presentation_at_asse_meeting_oct_01_2006
- 1. Prepared for Valley Coastal ASSE Chapter
October 17, 2006
9,945 to 1:
Efficiency, Consistency, and Reach
in Injury Prevention
- 2. © Copyright 2006, Remedy Interactive 800.776.5545
Agenda
• Introductions
• Customer Challenges
• The Approach
• Health Net’s Injury
Prevention Program
• Other Examples
• Q & A
- 3. © Copyright 2006, Remedy Interactive 800.776.5545
The Challenges
Compliance (regulatory and internal): cumbersome
and time-consuming to track enterprise-wide
Customer Challenges
Workers’ Compensation: costs not controlled
Risk Prediction:
…difficult to proactively identify
where next injuries will be
…difficult to quantify and
compare exposures across geographies
and jobs
Program Management: efficiencies difficult to
achieve on a national or global scale
- 4. © Copyright 2006, Remedy Interactive 800.776.5545
Remedy Interactive Is in the Business of…
Remedy Interactive
Reduces Enterprise Risk
With Software Solutions that
Automate Injury Prevention Programs
Resulting in
Dramatically Decreased
Workers’ Compensation Costs
What We Do
- 5. © Copyright 2006, Remedy Interactive 800.776.5545
A Vision for What Could Be
How the World is Changing
Today Tomorrow
Cost Containment Cost Prevention
Loss Based/Retrospective Exposure-based/Prospective
Know about Jobs Know about People
Paper/Inefficient Sharing Digital/Easy Sharing
Locally Optimized Enterprise-wide
- 6. © Copyright 2006, Remedy Interactive 800.776.5545
A Vision for What Could Be
How the World is Changing
Today
Cost Containment
Loss Based/Retrospective
Know about Jobs
Locally Optimized
Paper/Inefficient Sharing
Tomorrow
Cost Prevention
Exposure-based/Prospective
Know about People
Enterprise-wide
Digital/Easy Sharing
- 7. © Copyright 2006, Remedy Interactive 800.776.5545
Approach: Addressing the Complex Enterprise
How We Are Different : Unique Approach and Methodology
- 8. © Copyright 2006, Remedy Interactive 800.776.5545
Identify exposures
Unique Methodology
Mitigate risk, tactically and
strategically
Discover trends with advanced
analytic tools for quick and
informed decision making
Unique Approach and Methodology
A Logic Engine powers the
System. You define the set of
rules; no two enterprises have
same set of rules. Through
these rules, you will:
- 9. © Copyright 2006, Remedy Interactive 800.776.5545
An Overview of Health Net
The Company:
• ~ 9,945 associates at over 150 sites
• One of the largest managed health care systems in the US
• Providing group, individual, Medicare, Medicaid, TRICARE, MHN,
employee assistance program (EAP), HMO, POS, and PPO health
benefits services in 27 states
• Serving over 6.6 million people
• $12 billion in annual revenues
Our Mission sets our course.
To help people be healthy, secure and comfortable.
Health Net Case Study
- 10. © Copyright 2006, Remedy Interactive 800.776.5545
Goal #1: Market
... anticipate, understand and respond to customer needs...
Goal #2: Product
... satisfy our customers
Goal #3: Associate Experience
... create the best climate, provide the best tools ...
Goal #4: Customer Experience
... dedicate ourselves to a standard of excellence ...
Goal #5: Health Care Coordination
... promote better outcomes ...
Goal #6: Efficiency
... provide efficient, simple and high quality administrative services ...
Goal #7: Execution
... build excellent business systems and processes ...
Our Corporate Goals Guide Our Safety Strategy
- 11. © Copyright 2006, Remedy Interactive 800.776.5545
How Has Health Net Used the OES?
The Situation:
• Large call center populations
• High risk and high incident rates
• High interest in being better able to prioritize; high interest in
determining risk
• Performance expectations of the call centers caused logistical
challenges for software rollout
• Many employees with work restrictions; no good solution in place to
manage these employees
- 12. © Copyright 2006, Remedy Interactive 800.776.5545
How Has Health Net Used the OES?
The Solution:
• Strategic rollout meets the logistical needs of Health Net
• All Specific automated communication are copied to supervisors
• Employees with Work Restrictions receive Work Pattern Optimization
Tool
• On-line training can be tracked and assist with workers’ comp cases
The Results:
• Remedy Interactive is adaptable to customer's processes
• Success with the staged rollout led Health Net to expand
use of the OES to the entire enterprise
• The last stage of rollout was to all employees and this year
participation is mandatory
• 41% Reduction in high risk population in first four months
• 67% Reduction in high risk population in about 18 months
• To date -- 86% of employees are participants
- 13. © Copyright 2006, Remedy Interactive 800.776.5545
Invite Email for Assessment
How Has Health Net Used the OES?
The Solution:
Sent first to
divisions
with the
highest
estimated
risk levels.
Rollout was
automated,
and call
centers
were
chosen for
the first
rollout.
- 14. © Copyright 2006, Remedy Interactive 800.776.5545
How Has Health Net Used the OES?
Completing a Baseline Assessment
The Solution:
Employees
complete an
assessment,
providing details
about their work,
behavior and
habits.
- 15. © Copyright 2006, Remedy Interactive 800.776.5545
30 Day Profile Update Email
How Has Health Net Used the OES?
The Solution:
Employees also
receive
automated
feedback /
reassessments.
Those individuals
with high risk
receive a 30 and
60 day
reassessment
after initial entry
into the System.
- 16. © Copyright 2006, Remedy Interactive 800.776.5545
What Results is Health Net Achieving?
The Results:
41% reduction in
high risk in the
first 4 months
Reducing Risk of Injury
- 17. © Copyright 2006, Remedy Interactive 800.776.5545
What Results is Health Net Achieving?
The Results:
70%+ reduction
in high risk
employees
88% of
employees are
low and
moderate risk
8500+
participants
Reducing Risk of Injury
- 18. © Copyright 2006, Remedy Interactive 800.776.5545
Other Examples
• Hewlett Packard Company
• Chevron
• Pacific Gas & Electric
- 19. © Copyright 2006, Remedy Interactive 800.776.5545
Insightful Comparisons to: Prioritize, Act, Share
Organization Status
Report
Customize criteria
selections
Easily view information
multiple ways by
individual, task, job,
department, division,
etc.
Compare relative risk
- 20. © Copyright 2006, Remedy Interactive 800.776.5545
Insightful Comparisons to: Prioritize, Act, Share
Employee Summary
Understand the
primary causes of an
individual’s risk
Update a risk
summary to maintain
real-time risk
information
- 21. © Copyright 2006, Remedy Interactive 800.776.5545
Insightful Comparisons to: Prioritize, Act, Share
Issue Frequency
Report
Predict which actions
will yield the greatest
risk reduction
Uncover the most
common issues across
the organization
Understand which
issues have identified
solutions
- 22. © Copyright 2006, Remedy Interactive 800.776.5545
Key Takeaways
There is a better way to manage MSD injury prevention than the
way most companies do today
Technology allows tremendous reach and can enable actions
that make a difference
Measure your results through process metrics and
outcome metrics
- 23. © Copyright 2006, Remedy Interactive 800.776.5545
Kim Weiss Lopez
klopez@remedyinteractive.com
415-332-6433
Afsoun Rahimian
afsoun.rahimian@healthnet.com
818-676-8879