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58 Cards in this Set
- Front
- Back
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Core Functions of Clinical Risk Management |
1. Identify Health Risk 2. Reduce Health Risk 3. Ensure Supportive Culture |
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Identify Health Risk |
Biometric Screenings/Physicals |
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Reducing Health Risk |
Behavior changing programs |
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Supportive culture |
supportive company policies |
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Metabolic Syndrome Factors |
1. HDL Cholesterol 2. Triglycerides 3. Fasting Glucose 4. Waist Circumference 5. Blood Pressure |
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HDL Cholesterol- Metabolic Syndrome |
Male: <40 Female: <50 |
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Triglycerides- Metabolic Syndrome |
>150 |
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Fasting Glucose- Metabolic Syndrome |
>100 |
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Waist Circumference- Metabolic Syndrome |
Male: >40 Female: >35 |
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Blood Pressure- Metabolic Syndrome |
>130/85 |
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Metabolic Syndrome: Diabetes Likelihood |
7x more likely |
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Metabolic Syndrome: Heart disease likleihood |
3x more likely |
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Metabolic Syndrome: Stroke likelihood |
2x more likely |
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Metabolic syndrome: health care spent |
4x amount spent |
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Metabolic syndrome: absences |
2x amount days missed |
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Metabolic syndrome a disease? |
not a disease, predictor of disease |
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3 Year plan: |
1. start off slow, only require screening for employee. 2. next year employee and spouse less than two biometric indicators 3. 3rd year less than two biometric indicators and tobacco free |
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Morbidly Obese: BMI |
>40 |
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Morbidly obese: Med claim cost |
191% |
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morbidly obese: workers comp cost |
755% |
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morbidly obese: missed time |
1194% |
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Business Impact |
Use*Price=Cost |
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Which directly impact? Use, price, or cost |
Directly impact the uses
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What is health Promotion? |
science and art to move toward a state of optimal health |
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AJHP |
Michael O'Donnel, SPISE MODEL |
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Welcoa |
David Hunnicut Seven benchmarks |
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IHPM |
Sean Sullivan |
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WorkWell |
Lincoln area wellness Governor's Award |
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Welcom |
Becky Dorn |
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Three Rationales For worksite wellness |
1. Reducing cost 2. Increase Productivity 3. Improve corporate image |
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Cost: Rationale |
1. Insurance 2. Turnover 3. productivity 4. workers comp |
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Image: Rationale |
1. Attracting and retaining employees
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2 reasons fail to improve health |
1. poorly motivated Fix: incentives 2. limited access to resources Fix: cost-free access to best resources
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3 Types health assessment |
1. Health Risk Appraisal Self-reported, uncontrolled 2. Biometric Screening 3. Health Interest Survey What are you interested in? |
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Stages of change |
1. Precontemplation 2. Contemplation 3. Preperation 4. Action 5. Maintenance |
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precontemplation |
never: needs information |
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contemplation |
someday: needs consultation |
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preperation |
30 days, soon: needs opportunities
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action |
changed for less than 6 months, now: needs feedback |
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maintenance |
over 6 months, forever: needs support |
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what year was hipaa |
1996, final regulations in 2013 |
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three types of wellness programs |
1. participatory 2. health contingent- outcomes based 3. health contingent- activity based |
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5 hipaa health contingent requirements |
1. can qualify once/year 2. cannot exceed 30% coverage, unless tobacco, then 50% 3. avail. to all similar individuals 4. reasonably health designed 5. disclose other means of qualifying |
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Fully ensured |
bundled, fixed premium by number of employees -not rewarded if have a good year, not hurt by bad year |
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self-funded |
pay claim by claim -hurt by bad year, cheaper for good year |
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levels of intervention |
1. awareness -information 2. education -information and guidance 3. behavior change -information and sustained guidance
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SPISE |
Social Physical Intellectual Spiritual Emotional |
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4 p's of marketing |
product price place promotion |
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product |
programs, services |
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price |
participants costs or obligations |
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promotion |
getting word out, making it appealing
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place |
where and when |
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three budget types |
1. personnel 2. operating 3. capital
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Welcoa's 7 benchmarks |
1. senior level support 2. wellness committee 3. data collection 4. operating plan 5. intervention 6. supportive environment 7. evaluation |
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welness committee: welcoa benchmark |
5-10 members appropriate representation across fields varying healths selected, not volunteered
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supportive environment: welcoa benchmark |
supportive policies supportive physical features
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4 incentive questions |
1. what's worth incentivizing 2. how much accountability 3. what's the right form of incentive 4. how much should the incentive be worth |
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evaluating success of program |
1. health insurance cost 2. workers comp cost 3. productivity- sick days 4. biometric risk- metabolic syndrome 5. program participation |
