WWCMA Mtg May 15, 2012

1. L o n g f e l lo w
B E N E F I T S

2. Agenda
• Introductions and Welcome
• WWCMA Announcements
• Program – Promoting Preventive Care in
the Workplace

3. Thank You!
in kind contribution:
Meeting space

4. Thanks to our Sponsors
Gold Level Sponsor
Silver Level Sponsor
Bronze Level Sponsor
L o n g f e l lo w
B E N E F I T S

5. Sponsorship Opportunities
• Numerous opportunities for visibility for
health promotion related organizations
• Sponsorship levels start at $2,000.
• Includes:
– Event admissions
– Visibility at all WWCMA events
– Logo on all WWCMA marketing materials
– All member benefits
– Much more…
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B E N E F I T S

6. Membership Now Open!
Join today!
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B E N E F I T S

7. Membership Benefits
• Free Monthly Educational Meetings and Networking
• Member-Only and Employer-Only Networking Events
• Online Subscription to American Journal of Health
Promotion (AJHP)
• Member Resources Directory
• Career Development Job Postings
• Monthly E -Newsletter & Content from monthly programs
• Workplace Awards Program Update (Coming Soon!)
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B E N E F I T S

8. Current Members
L o n g f e l lo w
B E N E F I T S

9. WellCert® Certification
Save the Date: June 13-14th
Level 1:
Certified Wellness
Program Coordinator
Larry Chapman, MHP, CWP
Chapman Institute
L o n g f e l lo w
B E N E F I T S

10. Summer Soiree
Members, Sponsors, WellCert Participants
Poolside at the Hotel Indigo
Newton, MA
Wednesday, June 13 6-8pm

11. WWCMA First Annual Conference
Save the Date: Wednesday, September 19th
Dee Edington, Ph.D John Auerbach, MBA
University of Michigan, Health Research Center Commissioner, MA Department of Public Health
Author – “Zero Trends

12. Marketing and Communications
wwcma.org
LinkedIn Group
@WorkWellMA

13. Today’s Program
Promoting Preventive Care
in the Workplace
Presented by:
Pamela Santin, MS
Senior Wellness Consultant
Blue Cross Blue Shield of MA
Eleana Conway, MS, RN, CS-FNP
Manager, Health Improvement Program
Lahey Clinic Medical Center
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B E N E F I T S

14. Wellness @ Lahey:
Promoting Preventive Care
Eleana M. Conway, MS, RN, CS-FNP
Health Improvement Program, Manager

15. Wellness is a Journey; Not a
Destination
 Health is more that not getting sick or hurt- it is
about a experiencing an overall higher quality of
life.
 As stewards of health, we at Lahey, have a
responsibility to promote wellness, as well as,
treat illness.
 We are embracing the future of healthcare by
taking the lead to create a culture of health for
members of our community.

16. Promoting Preventive Care in the
Workplace
 In today's fast-paced, digitally driven world, and
in the face of difficult economic times,
individuals are not taking the time to focus upon
simple preventive health principles
 Our Treating you Right pledge applies to our
patients, colleagues and community.
 We encourage all to pursue a healthy lifestyle by
providing diverse wellness programs and serving as a
direct link between improved health and lifestyle changes-
so that no one has to face it alone.
 It’s the right thing to do- but there is also science
behind it.

17. Reasons for Offering Health
Improvement Programs
 The current ROI of health and wellness
initiatives is distributed fairly evenly with a
median between 2:1 and 3:1.
 Wellness programs:
 Improve the health of colleagues and reduce
absenteeism/presenteeism
 Improve employee morale and productivity
 Provide a positive example to the community

18. Why Wellness?
 Wellness initiatives are a strategic imperative for
hospitals that want to be sustainable in the new
world order of healthcare.
 Healthy People 2020 provides a national framework
and set of important goals for the health of our nation.
 The Affordable Care Act of 2010 (ACA) builds on the
Healthy People framework to establish the National
Prevention, Health Promotion and Public Health
Council, which will coordinate and lead the activities of
more than a dozen federal agencies.7
 The ACA also includes various incentives to promote
employee health and wellness programs.

19. Lahey’s Health Improvement Program
Goals:
 Reduce health care costs.
 Assess outcomes and ROI.
 Engage ALL colleagues in health and wellness as
well as high-risk populations and men.
 Move toward a “culture of health” rather than a
program-by-program approach.
 Offer programs and services emphasizing awareness,
prevention, and positive health behavior change.
 Foster a campus environment supportive of a
healthy lifestyle.

20. Colleague Benefits
 Preventative Care Covered @ 100%
 No copay
 Earned Time for Screenings
 Education
 Wellness Series

21. Earned Time For Colonoscopy
 During the month of March (colorectal
cancer month) to inform and educate
colleagues about this cancer.
 Colorectal cancer is the second leading cause of
cancer deaths.
 By some estimates, 60 percent of those deaths could
be avoided with appropriate, early screening.
 olonoscopy is considered by many physicians to be
the “gold standard” screening test, because with it,
doctors can remove precancerous polyps.
 Weekly paid colleagues will receive four (4)
hours of Earned Time when they have a
medically necessary colonoscopy anytime
between March 1 and May 31, 2012.

22. Wellness Series Topics
Time Management Oral Health Cholesterol Adult Vaccinations
Organizing Your
Portion Control/Kariotis Physical Therapy Seasonal Emergencies
Home & Office
Managing Stress Gastroesophageal Reflux
Bullying Role-play Mens Health
During Difficult Times Disease
Distracted Driving & Metabolic
Adolescence Holiday Safety Healthy Cooking
Syndrome
Mindfulness Meditation Power of a Smile You are what you eat Parenting
Blood Pressure -
Change Management Bed Bugs connection to healthy Strokes
heart
Identifying Elder Financial Colorectal Cancer Exercise, Joint Health &
Immunizations
Abuse Awareness Back Pain
Work Space Clutter Financial Planning Foot Health Awareness Nutrition
Stroke Know your numbers A good night's sleep Skin Disease
Money Harmony in
DASH/Kariotis Aging Parents Ergonomics
Turbulant Times
Emergency Preparedness
Food Labeling Ergonomics Asthma
in the home

23. Risk Reduction Offerings
 Physical Inactivity
 Fitness Centers
 ShapeUp
 Walk at Work
 Poor Nutrition and Obesity
 Cafeteria Best Practices
 Community Supported Agriculture
 Create Your Weight
 Weight Watchers
 Tobacco Treatment
 Tobacco Treatment Program

24. Fitness Centers
 Fitness club reimbursement, which provides up to
$150 reimbursement per year for membership in a
health club
 New Colleague Fitness Center
 Classes: Pilates, Yoga, Zumba, Tap Dancing

25. ShapeUp
 ShapeUp is an online platform that encourages colleagues to
team up and get healthy within the framework of a fun and
friendly competition.
 A virtual, private social network just for Lahey.
 Safe and secure, HIPAA compliant, and only our
colleagues have access.
 Feedback has been positive.

26. Health Challenges
 Ready, Set Go!
 Outcomes: Engagement:
 Total Registered
Employees:1,331
 Percent of Eligible 21.6%
(1,331/6174)
 Cumulative Steps Walked
262,258,741 steps
 Cumulative Exercise Minutes
931,858 minutes
 Net Weight Change 1,614 lbs lost
 Flex Your Food
 A six-week nutrition challenge that
helps increase nutritional
knowledge and selection of healthy
options at meals.

27. 3rd Annual Spring Walks!
 CEO and other senior
leaders participated in
both events.
 Educational
opportunities.
 Stretching session
 Dermatology
 ShapeUp
 Weight Watchers
 Encouraged to bring
sneakers and eco-
friendly bottle of water
to stay hydrated.

28. Cafeteria Best Practices
 “Did you Know Campaign…”
 the sodium content of common foods?
 starting your day with breakfast helps to boot your
energy?
 we use reduced calorie mayonnaise?
 baked chips are offered at reduced price?
 healthy foods come in a rainbow of colors?
 what is a portion?
 how many calories….?
 the sugar content…?

29. Community Supported Agriculture at
Lahey
 Lahey colleagues have an opportunity to
participate in a program that supports healthy
eating through weekly deliveries of fruits and
vegetables to the Clinic by signing up for a
Community Supported Agriculture (CSA) share
from the World PEAS Cooperative.

30. Create Your Weight
 Adult weight management program offered
multiple times annually.
 Mixed patient/colleague, as well as, colleague exclusive
groups.
 Payroll Deduction with full reimbursement for
“successful completion.”
 Deep discounts for additional participant for both
patients and colleagues.

31. Weight Watchers
 Partnering with Weight Watchers (WW) is in line with our mission
of creating a culture of health here at Lahey.
 WW will offer Lahey colleagues tools to help them lose weigh in a
sustainable way by promoting a healthier lifestyle and relationship
with food.
 Lahey will subsidize WW “Monthly Pass” to support colleagues in
attending WW meetings in the workplace or in the community, as
well as, access to an online platform to utilize WW solutions at
home.

32. Tobacco Treatment
 Tobacco treatment is emerging as a necessary component in health
care.
 Tobacco use is the single most important preventable cause of death
and disability and accounts for more than 435,000 deaths each year1
 Tobacco use also creates a substantial cost to Lahey Clinic, our
colleagues and their family members.
 More than 70% of people who smoke want to quit, however; few
succeed without help. 2
 Tobacco treatment
 Significantly increase success rates.
 Other than immunization, is the most cost-effective prevention
intervention for adults.
 Is ideally offered during hospitalization to promote the patient’s
medical recovery
1. Centers for Disease Control and Prevention. Annual smoking-attributable mortality, years of potential life lost, and
economic costs—United States, 1995–1999. Morbidity and Mortality Weekly Report 2002;51(14); 300–03.

33. Tobacco Treatment
 Developing a comprehensive Tobacco Treatment Program to reliably
and consistently address this important public health issue
organization wide.
 Staffing
 1.25 Advance Practice Nurses
 1.0 Tobacco Treatment Specialist
 Tim Wu, MD supervising MD

34. Looking Ahead
1. Continue to serve as a role model of health for the
community.
2. Continue to foster a Culture of Health for all members of
the Lahey community.
3. Provide a variety of program offerings.
4. Track participation and outcomes.
5. Measure for ROI.
6. Consider Positive and Negative Incentives.
7. Include a health risk assessment (HRA) and biometric
screening in all hospital wellness programs
8. Implement Health Coaching

35. Eleana M. Conway, MS, RN, CS- FNP
41 Mall Road,
Burlington, MA 01805
Office:781-744-2513
Eleana.M.Conway@lahey.org

36. Strategies to Increase
Preventive Care

37. Promoting Prevention
Regular Check-ups for Every Member of Your Family
•Establishing relationship with PCP
•Stay well
•Find problems early
Blue Cross Blue Shield of Massachusetts 37

38. National Account Results
5 months after mailing → 750 members had PCP visit
•255 had mammogram → 2 breast cancers diagnosed
•224 had colonoscopy → 7 colon cancers found
• 86 cervical cancer screenings →
•362 vaccinations given →
•102 had diabetes screening → 74 new diagnoses
•138 had prostate cancer screening → 4 prostate cancers diagnosed
Blue Cross Blue Shield of Massachusetts 38

39. Measurable Outcomes
Let the data be your guide!
HEDIS measures
Colonoscopy
Blue Cross Blue Shield of Massachusetts 39

40. Know the Barriers
Is this really
how I want to • Prep
celebrate my • Embarrassment
birthday? • Cost
• Fear of the unknown
• I feel fine
• I forgot
Blue Cross Blue Shield of Massachusetts 40

41. Screening Incentive Results
Expanded program in 2011 to include spouses
90% ↑ participation
63% ↑ mammogram
41% ↑ colonoscopy
100% ↑ health screening
Cost: .16% of total medical claims
Blue Cross Blue Shield of Massachusetts 41

42. The Future of Incentives
•Gift Cards
•Paid Day Off
•FSA or HSA Dollars
•Premium Contribution Differential
(designed to be cost neutral)
Blue Cross Blue Shield of Massachusetts 42

43. Incentive Strategy
Short Term Long Term
•Plan design
•Access to quality care
•Information & Education
•Culture shift
Blue Cross Blue Shield of Massachusetts 43

44. The Wellness Payoff
•Improved health
•Improved morale
•Reduced absenteeism
•Reduced disability
•Increased productivity
•Lower workers’ comp.
•Lower healthcare costs for employer and employee!
Blue Cross Blue Shield of Massachusetts 44

45. L o n g f e l lo w
B E N E F I T S