THR Healthiest Employers by Connie Wright
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Transcript of THR Healthiest Employers by Connie Wright
2011 Speaker Series
Sponsors:
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Benefits Training Becoming One of the Healthiest Workplaces in DFW!
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Texas Health Resources
• One of the largest faith-based, non-profit health care
delivery systems in the United States
• Formed in 1997 by joining Harris Methodist Health
System, Arlington Memorial Hospital and Presbyterian
Healthcare Resources
• Operates in the 16 counties of north central Texas
serving a community of over 6.2 million people
• Includes 24 acute-care and short-stay hospitals that
are owned, operated, joint-ventured or affiliated
– More than 4,100 licensed hospital beds
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Texas Health Resources
• THR Mission
– To improve the health of the people in the communities we
serve
• THR Vision
– Texas Health Resources, a faith-based organization joining
with physicians, will be the health care system of choice
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Texas Health Resources’ Workforce
• Over 19,400 Employees – 80% female
– Approximately 90% are benefit eligible
– Over 32,000 medical plan members
• 2010 Work Force Indicators – 88.7% employee retention
– 72.6% satisfaction with benefits (77th percentile nationally)
– Employees work 24/7
– Clinical workforce spend most of their time nurturing
• Financials – Salary and benefits cost in excess of $1.4B including over
$130M spent on medical benefits alone
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Ounce of Prevention is Worth a Pound of Cure
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What Percentage of Medical Costs are Driven by Behavior?
• Costs of cardiovascular disease will exceed $1 Trillion
per year by 2030
• Type 2 Diabetes is expected to cost $500 Billion per year
by 2020
• Social networks important in influencing health behaviors
– Smoker in social network 20% more likely to quit if another in
network quits
– Obesity risk increases by 57% if a friend is obese
• The environment needs to support behavior change
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A Culture of Health
• What: Common Elements of Successful Wellness Program
– Role modeling of healthy behaviors from top leadership
– Incentives for desired behavior
– Alignment of cafeteria food options
– Access to fitness programs/facilities
• The Why: Medical Plan Costs Up, Employee Satisfaction
Down, Alignment with Mission
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Use of Data to Drive Decisions /Measure Results
• Data warehouse facilitates our approach
– Sources of data
• Health and pharmacy claims
• EAP participation
• Health assessment values
• Lab values
• Disability claims
• Workers’ compensation claims
– Criteria for program measures
• Supports our critical success factors
• Optimizes health outcomes
• Directs plan design decisions
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Culture of Health: A Business Strategy
• Health promotion - comprehensive, integrated
business strategy
• Not enough to focus on the sickest 10%, just as
important to keep the healthy people healthy
• Three main things that affect employee health:
exercise, eating right and smoking
• Focus on the intrinsic value of health, rather than on
doing something to get an incentive – do it for quality
of life
• Having a culture of health means ensuring your health
promotion programs are not one size fits all
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Total Health
• Texas Health Resources’ benefit programs are called
Total Health because we care about employees: body,
mind & spirit
• Mission: To optimize the health and productivity of
our employees and their families while managing
future health plan costs, offering a competitive
benefits package and maintaining high employee
satisfaction
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Texas Health Program Overview • Support from Sr. Leaders
– Doug Hawthorne: “We must never lose sight of the fact that
our employees are a very real part of our Mission to improve
our own health. If we’re not healthy ourselves, we miss an
opportunity to lead by example.”
• Team Competition
• Cafeteria & Catering have healthy choices
• Vending Machines: Balanced Choices
• Onsite Fitness centers
• Smoke Free Campus
• Be Healthy
• Disease & Case Management
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Be Healthy 2011
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Feature Activities
Be Aware Helps you find out about your health
status and learn how to improve your
health and reduce your risks of serious
illness
Online Health Assessment ($100 award)
Be Healthy Basics ($50 award)
Preventive/Wellness Exam ($100 award)
Cancer Screenings ($25 award)
Health Fairs
Be Proactive Provides tools to enable you make
changes in your life that can lead to
positive results and help you become
healthier
Maternity Support Program ($100 award)
Healthy Back Program ($50 award)
Diabetes Management Program
Free & Clear Tobacco Cessation Program
Employee Assistance Program
Be Inspired Helps you get the support you need
to take charge of your health
Weight Watchers
Health Coaches
Onsite Fitness Centers
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Communication, Communication, Communication
• New Employee Orientation
• Intranet
• Screen Savers
• Onsite TV Monitors
• Monthly Newsletter
• Quarterly Newsletter Mailed to Homes
• Flyers for Weight Watchers, Health Fairs, Key
Messages
• Social Media – Yammer
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Health Assessment Participation
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Trends After Inception of Plan
54% 52%64% 65% 70% 69%
54%
•Healthy People 2010 Target (70%)
•Thomson Norm (48%)
•100%
•0%
•50%
29% 27%37% 41%
50% 48%
26%
•Healthy People 2010 Target (50%)
•100%
•0%
•50%
19%
44% 47% 50%38%
49%48%
•100%
•0%
•50%
•Prostate Cancer Screening Rates
22%
53%
77% 78%90%
78%
53%
•Healthy People 2010 Target (90%)
•Thomson Norm (40%)
•100%
•0%
•50%
•Cervical Cancer Screening Rates
•Thomson Norm (30%)
•Mammogram Screening Rates •Colon Cancer Screening Rates
*2010 is incomplete as based on claims incurred as of September 2010 and paid as of December 2010
•2004 •2005 •2006 •2007 •2008 •2009 •2010
•Thomson Norm (20%)
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Optimize Health
Decrease of prevalence of most risks factors on the most recent Health Assessment
Shift in overall risk factors over last 4 years
67%
22%
11%
68.0%
20.0%
9.5%
69.4%
21.6%
9.0%
72.1%
20.0%
7.9%
0%
10%
20%
30%
40%
50%
60%
70%
80%
0 - 2 Risks 3 - 4 Risks 5+ Risks
2008
2009
2010
2011
•Percent of Employees at Risk based on Health Assessment
*Based on claims incurred as of September 2010 and paid as of December 2010
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Optimize Health
A shift in overall risk factors is very important because our data shows that risk factors do impact utilization
As we are able to shift risk, our costs will decrease
Utilization
10,147
13,593
16,613
1,800
5,429
171
8,346
1,957
5,930
249
8,652
2,183
8,362
304
5,696
Office Visits/1,000 ER Visits/1,000 OP Lab Svcs/1,000 OP Radiology
Svcs/1,000
Rx Scripts/1,000
Low Risk Moderate Risk High Risk
Medical and Rx cost Per Member Per Month (PMPM)
$2,681
$3,397
$3,965
Low Risk Moderate Risk High Risk
*Based on claims incurred as of September 2010 and paid as of December 2010
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Bottom Line Results
• Costs since 2003 have increased by 19% versus 8%
per year like other employers, saving us millions
• Based on Towers Watson Health Care Survey, our
PEPY cost is 10% less than other comparable
healthcare employers
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Questions?
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