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Bill Margalis, Director of Administrative Services
Lake County Board of Commissioners
Maximizing
Wellness Dollars
Return on
Investment
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1.Statistics
2.What Drives Cost
3.Wellness Programs: The Keys
4.Lake County Wellness
5. R.O.I.
6.Questions
Discussion Points
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The High Cost of Diet and Inactivity
Related Diseases Cancer $172 billion
Coronary Heart Disease $130 billion
Obesity $117 billion
Diabetes $132 billion
Stroke $ 51 billion
High Blood Pressure $ 50 billion
Osteoporosis $ 17 billion
That’s almost $700 billion in annual healthcare costs
that could be in some part prevented!
Healthcare Statistics: National
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$62 billion spent on healthcare in Ohio annually
– 1% of people use 30% of health care dollars
75% of all deaths in Ohio are preventable through diet, exercise, and not smoking
33% of Ohio adults do not participate in regular exercise
60% of Ohioan’s are considered
overweight
Nearly $1 of every $5 spent on health care in the USA is for a person with diabetes. (Obesity is causing a rapid increase in type 2 diabetes)
Healthcare Statistics: Ohio
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What Drives Health Care Costs? $1.8 trillion is spent per year in the United States on health care. By 2015, the cost is expected to reach $4.0 trillion 80% of Chronic Disease is lifestyle driven CDC estimates if all physically inactive Americans became active we would save $77 billion annually in medical costs As a nation we spend less than 2% of our health care expenditures on population-based prevention activities
Total Cost
of Care
Preventable
Illnesses
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What Drives Health Care Costs? The indirect costs of poor health can be two to three times the direct medical costs
Approximately 39 million workdays are lost each year in the U.S. due to obesity related illnesses alone
Poor health on the job leads to inefficiency on the job
Productivity losses related to personal and family health problems can cost $1,685 per employee per year
Bottom
Line
Presenteeism
Absenteeism
Poor Health
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Why Invest in Wellness? Treating employee healthcare as an investment, rather than a cost, can yield long- term dividends. – In the past 10 years, the annual
return on investment for Wellness programs has been as much as $6 saved for every $1 spent, doubling the return on investment of earlier programs.
Fit employees are more productive employees with fewer sick days, fewer accidents, higher morale, and lower job turnover.
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Wellness Programs: The Keys
1. Predict
Identify
individuals who
will benefit the
most from help
and intervention
3. Support and Communication
Provide implementation and engagement
support at the worksite and continual
feedback on the effectiveness of the program
2. Engage
Employ tools and
incentive programs
to encourage every
individual to
participate at some
level
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Keys to an Effective Program
Step One: Prediction Establish a Wellness Committee
– Include all departments both bargained
and non-bargained
– Provide information that is easy to
understand
– Meet regularly
Data Assessment
– Review and share your
aggregate claims data with the
committee. Make sure they
understand the cost and the
need to participate
– Cater to your audience Health Screening
– Coordination is Key!
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Keys to an Effective Program
Step Two: Engagement
Administration Buy-In
– Commitment from the Commissioners
– Financial Investment
Allocate Internal Funds
Seek Vendor Support through the RFP Process
Hunt for Free Resources
Set Goals
– Clear and Easy to Understand
– Make them measurable
– Prioritize the Actions and Start Small!
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Keys to an Effective Program
Step Two: Engagement Cont’d
Identify Incentives
- Gauge your population to see what works
Cash
Gift cards
Premium Reduction/Penalty
Be Creative
- Design programs that everyone can participate
in
- Brand the Program
- Provide a calendar of events
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Keys to an Effective Program
Step Three: Communication
Communicate, Communicate, Communicate! – Regular Wellness Committee Meetings - Posters of Events
– Surveys & Evaluations - Local Media
– Email Lists
– Recognition
Be Willing to Fail and Learn
– Not everything will work. When it doesn’t, find something that fits within your culture
Stress Confidentiality!
– All information collected in the course of the wellness initiative is held in strict confidence
– Reporting should only be done on an aggregate and blind basis except when results are given to the individual
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Publicity and Communication
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Lake County Board of Commissioners
D.I.Y. Wellness Program
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Getting Started The County discussed and developed its
program over 12 months before the health fair
was conducted in 2007
– The wellness committee was convened from
all departments and bargaining units five
months prior to the health screening to insure
proper communication
A cash incentive of $50.00 was approved for completion of the health screen and the Health Risk Assessment (HRA)
The County partnered with its local community hospital, Lake Health System to assist in the screening process
The County solicited all of its insurance providers to address content at the fair and donate raffle prizes at each screening site
Email blasts, Web page and posters along with word-of mouth were used to communicate
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The County is very spread out with diverse areas to cover
– Eight different locations based on departments and number of employees were chosen as sites
– Privacy is critical, we needed to make sure employees were comfortable with the process
Time Frame: The health screenings are conducted over 4 weeks including catch up days for those that could not attend
– Used a call 24/7 appointment line to minimize wait times at the sites
– Early morning sessions were used for 3rd shift employees (i.e. sheriffs dept)
Screening sessions included:
– Hgt./Wt., BMI, Waist measurement - Blood Pressure
– Non-fasting finger stick blood test - Flu Shots
Blood Sugar
Total Cholesterol/HDL Ratio
The Screening
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Participation
In 2007 60% of the population participated (702 out of
1,163 employees on health plan)
In 2011 79% of population participated (893 out of 1,138)
Employees receive immediate results at the fair and are
able to discuss them with a nurse counselor
Within two weeks, employees receive a Health Risk
Report mailed to the individuals home and outlined
health risk factors and made recommendations
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Basic Program Development
Aggregate Reports are reviewed by the County and the Wellness Committee to determine a course of action
Programs in place with significant results
– On-site Pilates, Zumba, Power Fusion, Yoga classes, Fitness 101,10,000 steps program
– Over 800 participants were given pedometers and walking maps
– Biggest Loser Weight Loss Challenge
- Over 200 participants Annually
On-site mammography screenings
Free Generic medications for cholesterol, hypertension, diabetes, asthma
Free Diabetes classes, Smoking, Weight Loss Classes
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Results of Five Year Program
(HRA’s, Health Fairs) Healthy employees staying healthy
More employees with primary care physician
Preventative screenings have increased
Increase in percentage of those in desirable range of cholesterol
Higher percentage of those with normal hypertension
Higher percentage of those with normal glucose levels
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Questions?