Return on investment ROI in KY
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Transcript of Return on investment ROI in KY
Achieving a Return on Investment with Worksite Wellness
Teresa Lovely CHESKentucky Cabinet for Health & Family Services
Kentucky Chamber of Commerce
Cabinet for Health and Family Services
It’s About Reducing Our Health Risks
Reducing health risks =
Lower health care costs
Cabinet for Health and Family Services
Cost of Single Risk Factor
-6%6%
7%
9%11%
11%25%
26%45%
75%
-20% 0% 20% 40% 60% 80%
Eating Habits
Alcohol
Cholesterol
Exercise
BP
Seat Belts
Obesity
Smoking
Stress
Depression
Percent Higher Annual Health Costs
HERO Study
Larry Chapman , Summex, slide, October 1998 issue of the JOURNAL of OCCUPATIONAL and ENVIRONMENTAL MEDICINE, (Goetzel, Anderson, Whitmer, et.al., JOEM, (40) (10). October 1998; 1-12).
http://www.the-hero.org/research.htm
Cabinet for Health and Family Services
Cabinet for Health and Family Services
Cabinet for Health and Family Services
Proof Positive
Multi-component Strong Very Strong
Medical Self Care Very Strong Very Strong
High risk intervention Very Strong Very Strong
Tobacco use Strong Moderate
Hypertension control Very Strong Strong
Program Type Alter Behavior Reduce Costs
(Proof Positive, L. Chapman, 1999)
Cabinet for Health and Family Services
Latest ROI Research• City of N. Littlerock
– AAOHN J (2004) – 29% reduction in W. C.
• City of Enschede– OE Med (2004)– 20.3% reduction in sick leave absenteeism
• General Motors– JOEM (2002)– C/B ratio 1:2.3 (STD & LTD)
• Chrysler– JUOEH (2003)– Participation showed “dose related response on medical costs
• GlaxoSmithKline– JOEM (2003)– C/B ratio 1:6.13
Cabinet for Health and Family Services
What determines ROI ?• Starting point• Level and nature of interventions • Quality of incentives• Use of high participation strategies• Organization’s current culture• Quality of implementation• Quality of measurement methods(Source: Chapman, Summex)
Cabinet for Health and Family Services
Strategies to Enhance ROI• Individual interventions• Looks at health and productivity measures• Strong incentives• Include spouses• Annual HRA and follow-up• Address mental health issues• Link wellness to a consumer health plan
design(Source: L. Chapman, Summex, WELCOA)
Cabinet for Health and Family Services
Keys to Achieving ROI• High participation
• Greater intensity of interventions
• Works in any setting or size
• Annual Health risk assessment
• More comprehensive higher ROI
(L. Chapman, Summex, WELCOA)
Cabinet for Health and Family Services
Comprehensive Program DefinitionHealthy People 2010• Screening program. • Health education for employees. • Supportive social and physical environments.• Integration of the program into the organization’s
structure.• Linkage to related programs such as EAP.Partnership for Prevention (national membership organization) adds: • Follow up interventions in place to support behavior
change.• Evaluation and improvement process to enhance
program’s effectiveness
Cabinet for Health and Family Services
Organizational Keys to Achieving ROI
• Management vision and support
• Senior level “wellness champion”
• Vision passed down through all levels
• Grassroots” wellness champion”
• Health connected to what the organization does – goals
• Organization mission and wellness program mission should overlap
(Goetzel, WELCOA, Results Oriented, 2002)
Cabinet for Health and Family Services
A Higher Return on Investment
• Design and implementation will determine success and impact in reducing health-related costs. ROI
• Results oriented NOT activity oriented
• Must impact the utilization of health care
• Participation is key.
Source: Larry Chapman, Summex, WELCOA
Cabinet for Health and Family Services
Achieving High Participation
• Use incentives (even small ones)• Program fits needs• Promote! Promote! Promote!• Be visible• Make it fun and innovative• Remember the personal touch and
make it convenient
Cabinet for Health and Family Services
Kentucky Company Example
• Every year team sets goals
• 50% of team must participate
• All teams that achieve 100% as a team gets award
• $50 Individual award
N a m e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ U n i t _ _ _ _ _ _ _ _ T e a m _ _ _ _ _ _ _
R u l e s :1 . 5 0 % o f t h e w o r k t e a m m u s t b e i n c l u d e d i n o r d e r t o q u a l i f y a s a w e l l n e s s t e a m .2 . M e m b e r s o f t h e t e a m w i l l b e a b l e t o m a k e u p p o i n t s f o r o t h e r m e m b e r s , b u t a n y o n e
t h a t i s n o t 0 0 % a s a n i n d i v i d u a l w i l l n o t r e c e i v e t h e t e a m a w a r d .3 . B l o o d T e s t a n d H R A b o o k l e t a r e m a n d a t o r y f o r e v e r y p a r t i c i p a n t .4 . M a x i m u m p o i n t s a n i n d i v i d u a l c a n a c h i e v e i s 5 , 0 0 0 . T h e m i n i m u m i s 2 , 5 0 0 .
P o i n t s G o a l
5 0 0 _ _ _ _ _ C h o l e s t e r o l i n r a n g e
7 5 0 _ _ _ _ _ C o m p l e t e M e d i c a l P h y s i c a l
7 5 0 _ _ _ _ _ C o n s u l t a t i o n – ( i n c l u d e s B P , B o d y C o m p . , a n d W / H i n w e l l n e s s o f f i c e )
2 5 0 _ _ _ _ _ B l o o d P r e s s u r e i n r a n g e ( < 1 4 0 / 9 0 )
2 5 0 _ _ _ _ _ B o d y C o m p o s i t i o n i n r a n g e ( a c c o r d i n g t o W e l l n e s s O f f i c e )
2 5 0 _ _ _ _ _ W a i s t a n d H i p M e a s u r e m e n t i n r a n g e ( a c c o r d i n g t o W e l l n e s s O f f i c e )
7 5 0 _ _ _ _ _ F i t n e s s T e s t ( i n c l u d e s a e r o b i c t e s t , f l e x i b i l i t y , g r i p s t r e n g t h , p u s h - u p s , a n d
c r u n c h e s )
2 5 0 _ _ _ _ _ A e r o b i c E x e r c i s e i n r a n g e ( t e s t e d i n W e l l n e s s O f f i c e )
2 5 0 _ _ _ _ _ S t r e n g t h e n i n g E x e r c i s e i n r a n g e ( t e s t e d i n W e l l n e s s O f f i c e )
5 0 0 _ _ _ _ _ N o T o b a c c o U s e
5 0 0 _ _ _ _ _ N o o r L o w A l c o h o l U s e
S p o u s e P a r t i c i p a t i o n
R u l e : M u s t h a v e B l o o d w o r k t u r n e d i n t o W e l l n e s s O f f i c e a n d f i l l o u t H R A b o o k l e t t op a r t i c i p a t e .2 5 0 _ _ _ _ _ H R A B o o k l e t
2 5 0 _ _ _ _ _ B l o o d w o r k
2 5 0 _ _ _ _ _ B l o o d P r e s s u r e i n R a n g e ( < 1 4 0 / 9 0 )
2 5 0 _ _ _ _ _ N o T o b a c c o U s e
T o t a l _ _ _ _ _ T o t a l A m o u n t o f P o i n t s S i g n e d u p f o r
I p l a n o n c o m p l e t e i n g t h e s e h e a l t h g o a l s b y 1 2 / 3 1 / 0 3 .
S i g n a t u r e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D a t e _ _ _ _ _ _ _ _ _ _
Team Wellness Goals
Cabinet for Health and Family Services
Example Kentucky Company
1098 56
147
609680
798 803 853
-5050
150250350450550650750850950
'97 '98 '99 '00 '01 '02 '03 '04 '05
Individuals
Team Health Goals Met
Cabinet for Health and Family Services
Example Kentucky Company
49
79 85 8393 99.6 99 97
0102030405060708090
100
'97 '98 '99 '00 '01 '02 '03 '04
% Completed
Health Risk Assessment Participation
Cabinet for Health and Family Services
Strategic and comprehensive process to address risks
Address needs and wants of participants
Convenient and uses the personal touch
Worksite Wellness gets the most results when …..…
Cabinet for Health and Family Services
Get Healthy Kentucky•
gethealthyky.gov
Cabinet for Health and Family Services
CDC Worksite Program Tools
• Stairwell• Garden Market• Cost calculators• Toolkits • Quick resources• Credible useful resource linkshttp://www.cdc.gov/nccdphp/dnpa/hwi/index.htm
A “one-stop shopping” location for program resources.
Cabinet for Health and Family Services
Wellness Councils of America • Free Resources
– Special reports– Interviews– Presentations– Case Studies– ROI information– Surveys and Samples– Incentive programs
Cabinet for Health and Family Services
Partnership for a Fit Kentucky• www.fitky.org• Worksite wellness toolkit• Strategies that work• Regional coalitions• Worksite wellness coalitions
Links
Cabinet for Health and Family Services
QUESTIONS?