We Constructed Goals (2004) 4/24/2014. Wellness Adventure: The Journey of the Town of Mount Pleasant

Transcription

1 Wellness Adventure: The Journey of the Town of Mount Pleasant Meghan Kelly Human Resource Officer May 1, 2014 So, you want to start a Wellness Program? We Constructed Goals (2004) Increase Awareness of Health and Save Lives Financial Security of the Family Maintain Integrity of the Health Insurance Program Save Taxpayers Money Increase Workplace Production Project a Positive Public Relation Image 1

2 Commitment: Emotional & Financial Buy-in We made multiple presentations to Council Rick Gantt, Gallagher Benefit Services, Wellness Consultant did presentations as well Employee Wellness Committee (20+ Members) Funding Dedicated Wellness line item in the Town s budget Some expenses came from the health insurance budget At first we were warm and fuzzy. (2005) Free products and Services Pedometers Small Workout Bags T-shirts with the Wellness Logo Whole Foods Tours Healthy Magazines in all Break Rooms and Satellite Offices Flu Shots Logo Contest 2

3 Fitness Programs On-site Employee Fitness Center (open 24/7) Torturous Tues & Thurs Walking Wednesday Fitness Friday Pilates Barre Zumba Yoga Aerobics 6:30AM Workouts at the Track (Police Pre- Academy) Cross Fit Renovated Locker Rooms Lesson Learned: Men don t mind sweating at lunch, but womendo. Nutrition Programs Nutritionist/Reg. Dietician Personal Coaching Group Sessions Six-month Program Weight Watchers at Work Biggest Winner Contest Dr. Ann Kulze Lecture Vending Machine Strategy Posters Paycheck Stuffers Dave Ramsey: Core Financial Wellness 3

4 Lunch & Learn Topics (2008) Exercise 101: The Basics Stress Management Skin Cancer Men s Health Women's Health Avoiding Holiday Wt. Gain Basic Budgeting & Overview of the Economy Mike Veeck Set Yourself Up for Success Heart Health Allergies Reading the Labels on Organic and Whole Foods Aging Gracefully Healthy Eating: Seafood OTC Medications Intestinal Health Back & Neck Health Sleep Deprivation More L&L Topics Managing Your Weight from 9:00-5:00 Retirement Life Balance Fruits & Veggies Ergonomics Dental Health Surviving the Winter Eye Health Avoiding Injuries Proper Skin Care Active Release Technique Time Management Common Sense for Your Dollars & Cents Joint Issues Eat Local When to Go to the ER Managing Change Calories & Stress Points Program Exercise in the Employee Fitness Center, Track, Satellite Offices, Recreation Department Activities, On-site Exercise Classes, etc. Charity Runs, Walks, etc. (more points on long events) Group/Team Exercise (at least four employees) Bike to Work Participate in Weight Management Classes or Contests Successfully Quit Smoking for One Year Attend Education Sessions 4

5 Prizes 50Points: 100Points: $10 Gift Cards $50 Visa Gift Card (various) $50 Toward a Rec. Dept. Pedometer Activity $50 GC to Any MP Store Water Bottle Blood Pressure Monitor Stop Watch Chs Cnty Parks Gold Pass Two RiverDogs 30 Minute Massage GC Tickets Fred Astaire Dance Package 150Points: Day Off ipod Wii Fit $100 to any MP Store Navigation System Digital Camera Lesson Learned: Build It And They Will Come Not in This Case Employee Wellness Committee Formed in December 2007 Met Monthly Over 20 Employees Each Department Represented Drove the Activities Fall 2011 Met Biweekly to Discuss GASB 45 Met for Multiple Months Reshaped Retiree Insurance Criteria for 1/1/13 Discussed Current Health Plan s Sustainability Lesson Learned: Employee Buy-in Doesn t Always Work 5

6 Know Your Numbers Phase I (2008 & 2009) Health Screenings in Town Gymnasium Employees Participating Receive 20% Discount on Insurance 90% Participation Rate Goal: Save a Life Two Public Services Employees Sent to ER Immediately One went to ICU, Received a Blood Transfusion Went on to Change to a Healthy Lifestyle Employee Wellness Center (2009) On-site Clinic Monday Friday, 8:00-12:00 Nurse Practitioner & Medical Assistant Functions: Annual Health Risk Assessments (no longer in the gym) Disease Management Acute Care Can Write Prescriptions when Appropriate Goal: Accentuate Care from PCP with Health Coach NP Lesson Learned: Growing Pains Hurt Add Spouses & Disease Management Phase II ( ) Employees and Spouses Must Have an HRA to Receive 20% Discount Initially 85% Participation, fell to 51 in 2012% Layered with Disease Management Benefits Free Rx and Supplies for Diabetics Since 2006 Added Rx for High Blood Pressure and Cholesterol Lesson Learned: People Lined Up to Join DM Program for the Benefit but We Did Not RequireThem to Do Anything for Continued Rx/Supplies 6

7 Three-Part Test Phase III (2012 for 1/1/13) Health Insurance: Healthy Lifestyle Plan Basic Plan HLP is Half the Cost of the BP Premium Copay Deductible Coinsurance OOP Max Tobacco Surcharge (7/1/13) HLP Requirements Employee & Spouse Get an HRA in Employee s Birth Month (still); AND If Diagnosed with the below, must join DM High Blood Pressure High Cholesterol Diabetes Obesity (Body Fat %); AND Age-Appropriate Prevention Telephonic Appt. for Spouses 92% Participation Kickin & Screamin BMI vs. Body Fat Lessons Learned The Carrot Wasn t as Effective as the Stick People Don t Like to be Told They Are Obese The Scale Doesn t Lie Teachers Don t Have Time for Telephonic Appointments People Don t Read Paycheck Stuffers Some Adults Aren t Accountable for Their Actions People Didn t Want to Listen to a NP when They Have a Physician 7

8 Where We Are Today The Healthcare System is Broken We Need a Paradigm Shift Employees Need to Be Wise Consumers There are Ways to Take Charge of Your Healthcare If This Doesn t Work, We ll Move to an HSA Be A Wise Consumer (January 2013) In the Tri-County Area, Facility Charges Range from: MRI spine, brain: $1,800 to $430 COLONOSCOPY: $5,561 to $897 CT head: $1,600 to $300 KNEE ARTHROSCOPY w/ REPAIR: $16,000 to $2,700 Lesson Learned: Price Does Not Equal Quality Medical Advocate Program Establish guidelines for the minimum volume of that exact proceduredone annually Review physician s complicationrates, mortality rates, length-of-stay, as indicators Examine malpractice suits & disciplinary actions Explore physician education, license and Board Certifications Address the location of the facilities where they have admission rights and the network reimbursement fee structure Confirm the physician is available and remains in network, with a call to their office 8

9 Incentives to Use MAP It Does No Good If No One Calls If participants work with MAP, they receive incentives: $25 if you call MAP $125 if you take the advice of MAP for an outpatient procedure Excludes x-rays, ultrasounds, lab work, and urgent care facilities $250 if you take the advice of MAP for an inpatient procedure Lesson Learned: People Love MAP! They Feel Empowered. Bonus: MAP saved $59,810 in the First Six Months Our Newest Journey is Beginning Expanded EWC to 8:00 5:00 Monthly Saturday Clinic Hours Off-site Office in North Charleston Male Physician on Board Since November 2013 Double-Certified: Family Practice and Pediatrics Finalizing Recruitment of a Female Physician Lesson Learned: Recruitment has Taken Much Longerthan Expected Bonus: People LOVE Our New Doc! 9

10 Questions? Meghan Kelly (843)