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Corporate Health
Achievement Award
ACOEM
May 2, 2010
Josette Boukhalil, MD, MPH
Corporate Medical Director
Employee Health Services
Private, not-for-profit, health care system
Employing more than 13,000 - the
region’s largest employer
Five acute care hospitals
27 business sites within 150-mile radius
Six employee health offices
Wellness Advantage
BAPTIST
HOSPITAL
DOCTORS
HOSPITAL
HOMESTEAD
HOSPITAL
MARINERS
HOSPITAL
SOUTH MIAMI
HOSPITAL
URGENT CARE
CENTERS
Mission
The mission of Baptist Health is to improve the health and well-being
of individuals, and to promote the sanctity and preservation of life, in the
communities we serve. Baptist Health is a faith-based organization
guided by the spirit of Jesus Christ and the Judeo-Christian ethic. We are
committed to maintaining the highest standards of clinical and service
excellence, rooted in the utmost integrity and moral practice.
Consistent with its spiritual foundation, Baptist Health is dedicated to
providing high-quality, cost-effective, compassionate healthcare services
to all, regardless of religion, creed, race or national origin, including, as
permitted by its resources, charity care to those in need.
Values
People
Compassion
Excellence
Integrity and Transparency
Belief
Stewardship
EMPLOYEE HEALTH
SERVICES
Maribeth Rouseff
Assistant Vice President Employee Health &
Wellness Advantage
Madeline RodriguezAdministrative Assistant (.9)
Nicholas Flo Fit Testing Tech (.9)
Kathy Christofferson Pre-employment R.N. (.9)
Ronnie Baker
EH Tech (.9)
Maria Lori Ortiz
EH Tech (.9)
Linda Ford-
PlummerSecretary (.9) Kathleen
Blackwood
R.N. (.5)
Leo Francis
Secretary (.9)
Jorge Patino
EH Tech (.9)
Clare Solarzano
R.N. (.9)
Carmel Cahill
R.N. (.5)
Claudia Ramirez
EH Tech (.9)
Aleyda Millan
EH Tech (.9)
Gwen Young
A.R.N.P. (1.0)
Thinh H. Tran, M.D.
Chief Medical Officer
Crystal Banks
Clerk 5 (.9)
PRE-EMPLOYMENT BHM / BHE SOUTH MIAMI DOCTORS HOMESTEAD MARINERS
BOS / CORP HOSPITAL HOSPITAL HOSPITAL HOSPITAL
Bernadine Hall
A.R.N.P. (1.0)
Regine Narchet
R.N. (.5)
Jan Kolb
R.N. (.5)
Marlene Appleby
EH Tech (.9)
Karen Sperling, R.N.
Corporate Administrative
Director
Josette Bou-Khalil, M.D.
Corporate Medical
Director
Princess Stanislaus Pre-employment R.N. (.9)
Dawn Taylor Pre-employment Physical
Assistant (.9)
Marie Andrieux Pre-employment Physical
Assistant (.9)
Annie Abernathy
L.P.N. (.2)
Chris Stephenson
A.R.N.P. (1.0)
Luz Regalado
EH Tech (.9)
Jeanette Fallin
Pool R.N. (.5)
Javier Daley
A.R.N.P. (1.0)
Cheyenne
Shiver
EH Tech (.9)
Elizabeth
Fernandez
A.R.N.P. (1.0)
Karen Lynn
A.R.N.P. (.5)
Revised 03/10
VACANT
R.N. (.9)
D. Wayne Brackin
Executive VP and Chief Operating Officer
Brian E. Keeley
President and Chief Executive Office
Employee Health Services
Employee Care Hours
Pre-employment Physicals
WC Management
Safe Patient Handling
Return to Work/Fitness for Duty
Annual Evaluations
Surveillance
Ergonomic Evaluations
Employee Care Hours FY ‘09
EHS
Visits
Sick
Visits
WC PE Phys Flu
VaccinePPD Fit
testing
Fitness
for duty
WC
Premium
# of
visits20,065 5,402 2,214 11,158 10,700 8,137 3,249 N/A
Cost
per visit$100 $75 $120 $25 $30 $40 $100 N/A
Savings
$2.0M $405,150 $265,680 $278,950 $321,000 $325,480 $324,900 $12.3M
“We need to invent some kind of Health and safety procedure to go with this thing “
Workers’ Compensation
Self insured
Significant Savings To BHSF
Cost Effective Case Management
Aggressive Job Modification And Return
To Work For Injured Employees
Containment Of WC Cost
Workers' Compensation Incidence
Between fiscal year FY06 and FY08 the reported Workers' Compensation
cases decreased by 50%. The medical only claims dropped by 77%.
Indemnity cases dropped by 25%.
0
50
100
150
200
250
FY06 FY07 FY08 FY09
Indeminty
Medical
Total
Workers’ Compensation Cost
Baptist Health South Florida FY06 FY07 FY08 FY09
Workers' Compensation
Cases205 145 88 118
Average Cost per Case $ 1,326 $ 1,275 $ 2,089 $ 5,931
Annual State Payment for
Workers’ Compensation
Fund
$ 323,940 $ 283,285 $ 221,687 $ 200,357
Average Lost days per Case 11.2 6.6 6.1 24.5
Benchmarking
Workers Compensation Measures as
Compared to 2009 EMPAQ Comparative Data
Measure 2008 Data Healthcare Mean Size Mean
Annual Claim
Incidence per 100
FTEs.8 5.3 5.4
WC Cost per FTE $ 92 $ 236 $ 492
New Indemnity Claim
Percentage 45.5% 24% 27.5%
WC Cost per Closed
Claim $ 10,968 $ 6,635 $ 9,158
WC Cost per Active
Claim $ 6,813 $ 5,262 $ 7,204
Safe Patient Handling
0
500
1000
1500
2004 2005 2006 2007 2008 2009
57.3% Reduction in OSHA
Lost/Restricted Work Days
Lost Days Modified Duty Days Total Days
Ergonomic Evaluation of
Environmental Services
Safety issues
identified include
using the
wastebasket as a
step stool.
Ergonomic Evaluation of
Environmental Services
First Shift Staff had
overflowing Linen when
they arrived to work in the
AM.
More Linen is used on
Monday, Wednesday and
Friday and is not routinely
changed on Tuesday and
Thursday for patients with
a longer length of stay.
Ergonomic Evaluation of
Environmental Services
Risk factor:
Flexion/Extension &
Abduction/Rotation of
the shoulder
Risk factor:
Flexion/Extension of
the forearm/elbow
Ergonomic Evaluation of
Environmental Services
Awkward/extreme posture and high frequency when wiping vertical surfaces; wringing the rags and using the mop wringer
Repetitive wringing the cleaning rags used and manipulating the rag to wipe curved surfaces such as bed rails
Ergonomic Evaluation of
Environmental Services
Ergonomic Evaluation of
Environmental Services
Sharp Injuries
FY 2006 FY 2007 FY 2008 FY 2009
158 143 93 79
Per 1000 Pt days
= 4.8
Per 1000 Pt days
= 4.5
Per 1000 Pt days
= 2.9
Per 1000 Pt days
=1.8
Health Promotion and Wellness
Health Risk Assessment and Screening
WT Management Initiatives
Employee Pharmacy
Smoking Cessation and Tobacco Free
Campuses
Free Medical Care
Weight Management Initiatives
Wt Watchers at Work
Winning at Wt Loss
Ten in Ten
Families Step Up
The Pediatric Wt loss Program
Ask a Dietitian
Trans Fat Free
Wellness Advantage Meals
Wellness Vending
Free Walking Classes
Free Fitness Centers
Corporate Run
Mona Lisa
Spring Water
Smoking Cessation Programs
Triumph
Mayo Clinic Tobacco Quit Line
Florida Quit for Life Line
American Lung Association 12 Steps
Online Resources
Stop Smoking Reimbursement
Physician Referral Services
Counseling from Wellness Advantage
Triumph Smoking ProgramBHM 3 months 6 months 9 months 1 year
Group 1 7/9 (78%) 4/9 (44%) 4/9 (44%) 3/9 (33%)
Group 2 3/6 (50%) 3/6 (50%) 3/6 (50%) 3/6 (50%)
Group 3 7/9 (77%) 5/9 (56%) 4/9 (44%) 3/9 (33%)
Group 4 7/13 (54%) IN PROGRESS
SMH 3 months 6 months 9 months 1 year
Group 1 6/6 (100%) 4/6 (67%) 4/6 (67%) 4/6 (67%)
Group 2 6/7 (85%) 5/7 (71%) 5/7 (71%) 5/7 (71%)
Group 3 11/12 (91.6%)
HH 3 months 6 months 9 months 1 year
Group 1 4/4 (100%) 4/4 (100%) 4/4 (100%) 3/4 (75%)
Wellness AdvantageHealth Check Participants 2005 - 2009
0
500
1000
1500
2000
2500
3000
3500
FY05 FY06 FY07 FY08 FY09
Tot al HC
2005 - 2009 Personal Wellness Profiles
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
5,000
FY05 FY06 FY07 FY08 FY09
Tot al PWP
Wellness Advantage
HTN Pilot Program
150
144
138
155
126
160
140
162
170
120
155
136
92
96
82
88
84
90
86
90
98
84
100
88
135
130
120
168
135
133
124
136
155
134
130
138
80
92
82
88
91
74
88
80
95
86
86
90
130
130
132
140
114
140
120
130
136
120
124
126
82
90
96
80
80
90
82
80
87
82
84
82
0 50 100 150 200
Participant L
Participant K
Participant J
Participant I
Participant H
Participant G
Participant F
Participant E
Participant D
Participant C
Participant B
Participant A
BP 12 Diastolic
BP 12 Systolic
BP 6 Diastolic
BP 6 Systolic
BP 1 Diastolic
BP 1 Systolic
HTN Pilot Program
130
144
136
164
152
148
128
150
158
165
134
104
152
96
98
90
96
86
92
88
100
100
80
100
74
90
110
120
108
130
140
115
120
118
136
130
128
118
130
85
80
80
90
86
72
85
74
90
86
78
80
80
120
126
132
128
140
120
131
133
80
84
84
86
80
78
80
85
0 50 100 150 200
Participant Y
Participant X
Participant W
Participant V
Participant U
Participant T
Participant S
Participant R
Participant Q
Participant P
Participant O
Participant N
Participant M
BP 12 Diastolic
BP 12 Systolic
BP 6 Diastolic
BP 6 Systolic
BP 1 Diastolic
BP 1 Systolic
Future
Leadership Support
Integration of Health and Safety Initiatives
Culture of Wellness
Environmental Stewardship
Benchmarking
Continuous Improvement in education and injury
prevention
Continuous Protection against Health Hazards in
the work environment.
Please Visit us Online at:
www.Baptisthealth.net