Biometric Screenings 101 An overview of onsite biometric screening basics, the importance of biometric screenings as a part of any wellness program, and potential ROI associated with biometric screenings. 1
About Me. Jason Morgese President ehealthscreenings Over 16 years of experience in the Health and Wellness industry. Education and background in Kinesiology/Exercise Science, started me off in the Health Club Industry, managing health clubs, designing fitness centers. The last 8 specifically focusing on onsite preventative wellness screenings through mobile CT scans, ultrasound screenings, and blood work. Prior to founding ehealthscreenings, I was Vice President - HealthCheckUSA, and was instrumental in developing all aspects of their wellness screening division. My main objectives as it pertains to ehealthscreenings it to continue to innovate new and exciting ways of improving the biometric screening processes, and to continue to deliver the nation s leading preventative health screening program. 2
Who is ehealthscreenings? ehealthscreenings is the nation s leading provider of comprehensive wellness screening services. We specialize in the facilitation of on-site biometric data collection and transfer for third party administrators, wellness providers, Fortune 1000 companies, Disease Management, and EAP s. Currently headquartered in San Antonio, Texas, ehealthscreenings has a national network of several thousand lab locations, 200 affiliated office locations, and over 5,000 paramedical staff members. Our mission is to make people aware of undetected health problems through health screenings and encourage them to seek follow up care with their health care professional. Normal results can be used to compare with future testing. Screenings are our specialty! We make the process simple for you and your organization. 3
Onsite Biometric Screening Basics 1. What is a biometric screening? 2. What type of screenings are common? 3. Venipuncture or finger stick advantages and disadvantages. 4. Best practices for getting employees to participate. 5. Top things that you should look for in a biometric screening company. 4
What is a Biometric Screening? A biometric screening is a short health examination that can help to determine the risk level of a person for certain diseases and medical conditions and help to establish a health baseline. A typical screening will take place in about 10-15 minutes, and consist of a blood draw (finger stick or venipuncture) and other basic biometrics (BP, Height, Weight, and BMI, etc). Results are put into comprehensive reports for the employee and an aggregate for the company. 5
What type of screenings are common? Blood Finger Stick Screenings Full Lipid plus Glucose (Total cholesterol, HDL, LDL, Triglycerides, Glucose) Total Cholesterol, HDL, Glucose (aka non fasting test) Venipuncture Screenings Full Lipid plus Glucose (Total cholesterol, HDL, LDL, VLDL, Total/HDL, Triglycerides, Glucose Chemistry Panel (30 tests) Heart Function: Total Cholesterol, HDL, LDL, Triglycerides, LDL/HDL Ratio, Total/HDL Ratio, Estimated CHD Risk, VLDL Diabetes: Glucose Kidney Tests: BUN, Creatinine, BUN/Creatinine Ratio Liver Tests: Alkaline Phosphatase, ALT (SGPT), AST (SGOT), Bilirubin, Total, LDH, GGT Muscle & Bone: Calcium, Phosphous Proteins: Total Protein, Albumin, Globulin, A/G Ratio Electrolytes & Minerals: Sodium, Potassium, Chloride, Carbon Dioxide Gout: Uric Acid Anemia: Iron. 6
Additional Biometrics Most Common Add-Ons Blood Pressure Height /Weight BMI Calculation Waist Circumference Waist/Hip Body Fat Metabolic Syndrome Great for Health Fairs, not great for screenings Vision Tests Hearing Tests Osteoporosis Sit and Reach 7
Venipuncture vs. Finger Stick Venipuncture Testing The venipuncture procedure is the collection of blood from the arm. Advantages: Faster to administer Get more for your money - less expensive More accurate processed by the same labs as your local hospital or physician. More upgrade options PSA, Thyroid, HbA1c, CRP, Nicotine When it comes to identifying health risks via blood, it is the gold standard of the industry. Disadvantages: A bit more invasive Takes 3-5 days to receive results Finger Stick Testing Collection of blood through the finger, via a spring activated lancet Advantages: Immediate results A bit less invasive Disadvantages: No upgrade options Results are less accurate. Less value. Harder to transfer data. Less flexibility when planning screenings. 8
Employee Participation Offering the right incentives, getting upper level management to buy in and educating your employees on the benefits of wellness are some of the most important things you can do when introducing a new wellness program. Offer Incentives! Companies with the greatest participation tend to be the ones that offer the most appealing incentives. Premium Reductions, FSA incentives, Prescription Incentives Get Management on Board! Managers that have a favorable impression of worksite wellness programs, or seem interested, should be approached to start a wellness and health planning team. This will help foster a positive social atmosphere for a new worksite wellness program. Educate the Employees! It is equally important to seek out positive attitudes within all levels of the employee ranks. Big Brother - some employees have the misconception that their test results will be shared with management or the insurance company. High health risk employees suffering from chronic diseases are often disinterested in wellness programs. They need to realize that participation in the program can mean the difference between a high health risk status and a moderate to low health risk status 9
Top things to look for in a screening company. 1. Specialize in onsite screenings 2. National network and quality control measures in place. 3. Qualified staff that have gone through all of the appropriate background and license checks. 4. Provide a wide variety of testing capabilities. Both finger stick and venipuncture. 5. Lab connectivity, SSO, and data transfer capabilities. 6. Great reporting capabilities both for the employee and aggregate for the company. 7. Customization Capabilities. 8. Online scheduling system for online scheduling, sending out reminders, allowing for online reporting, data storage, tracking sign up progress. 10
Lab Connectivity / SSO / Data Transfer Access to the raw data allows the ability to create user friendly reports. Affords the ability to export data easily. CSV and Pipe Format as a standard. Completed SSO integrations. 11
12 Reporting Capabilities
13 Customization Capabilities
Gives clients the power to manage multiple screenings easily and efficiently!! On-line scheduling Email Reminders of Date / Time of Appointment On-Line Results Display On-line Results Storage Data Transmission to Third Parties Customizable and Private Label Opportunities Track sign up progress Online Scheduling System www.ehealthscreenings.com/scheduler 14
The Importance of Biometric Screenings? 1. Establishing a Baseline. 2. HRA s cant do it alone. 3. Claims data is reactive. 4. Quantifiable Data, Powerful Data. 15
Establishing A Baseline 1 st step in any wellness program should be to establish a baseline on the employee population through biometric screenings. Cant figure out where you need to go, until you understand where you are. Identify any areas of immediate risk. Needed to track future progress with for each employee and the company. 16
HRA s cant do it alone. In the past the best way to screen an employee population was with Health Risk Questionnaires. HRQ s are a great tool, but don t provide real concrete data. HRQ s only enforce what an employee already knows about themselves. Biometric screenings can help uncover unknown conditions. 17
Claims Data Reactive not Proactive By the time claims data is referenced, the employee is already ill, the problem is already there. Good for managing costs, but the goal is too avoid costs. 18
Biometrics is Quantifiable/Powerful Information gathered from biometric screenings is concrete information that can identify specific problems. Can truly help to measure the progress of a wellness program from year to year. Help to further stratify employees into specific programs. Powerful data that can instill the will to change in the participant, and that s the main goal. 19
ROI and Wellness Programs Wellness programs according to Welcoa can have an ROI of 1:1.5 1:7.0 depending on how involved the program is. Screening are a great tools, but they are not enough. It takes a complete wellness model to really drive ROI. Screening information needs to be used as a basis for programming Coaching, Disease Management, EAP, Lifestyle Changes Biometric Screenings/HRA Retesting Immediate Preventing major disease and/or catastrophic medical events can equate to dramatic savings. Example of Potential Medical Claims Costs: Long term Keep low risk healthy, move high risk and moderate down. Healthy happy employees are more productive, take fewer sick days, have lower health care costs, and perform at higher levels. Diabetes $11,074 Prostate Cancer $48,575 Heart Attack $45,832 Stroke $16,777 20
Questions? 1. Employees will want to know what will be done with their bio-metric screening information. What should I tell them? 2. What information will you report to my employer and will my employer be able to identify me? 3. What criteria are you going to use to determine how healthy I am? (BMI, weight, BP?) 4. If my bio-metric screening information is given to my employer, could my insurance premiums be raised? 5. Am I required to complete bio-metric screening? Can an employer require this? If I refuse, will there be a consequence? 6. Will my scores result in me being referred or required to participate in some sort of health program? 7. Is there an incentive to having my bio-metric screening done? 8. Who does the biometric screening? 9. Do I have to do the biometric screening on my own time or during work hours? 10. I already had my BMI, cholesterol, BP, weight taken at my last MD appt can I just forward that information to whoever is collecting the information? 11. Will I be given a document with all of my biometric results for my own personal records? 12. I feel like this is a big brother move by my employer, can I refuse to have any biometric testing done? 13. Where is my personal information stored? Electronic records or paper? 14. Will there be other co-workers in the room when my testing is being done? 15. What will the biometric screening measure? 16. When will the biometric test results be ready? 21