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Home My WebLink AboutPackets - Council Packets (199) Healthy Employees are are Productive Employees. On-Site Healthcare Clinic Program Frances Ducar, FNP-C 1 6/3/2016 2 Healthcare System is Broken Wellness & Preventative care have been placed on the backburner Patients seek treatment in CRISIS, already have a disease state. Employer’s cost and claims rising Supply of PCP dwindling, employees are waiting longer for limited appointment times. Diagnostic tests are unnecessary or redundant, lack of electronic medical records, care coordination. Clinical guidelines may not be followed. Care is fragmented & not coordinated. Traditional medicine is reimbursed by visit and not for QUALITY outcomes 6/3/2016 3 ILLNESS IS PREVENTABLE 70% of illness is preventable The leading cause of death in the US and Arizona are all related to lifestyle: Heart Disease, Cancer & Stroke Yet little is spent on wellness & prevention: health expenditures are for evident illness (disease) An ounce of prevention is worth a pound of cure! ON-SITE healthcare clinics detect illness early and prevent further chronic illness, some cure. 6/3/2016 4 Wellness Programs On-Site Health Risk Assessment with Age Appropriate Labs Obesity in the Workplace, Nutritional Programs On-site. Obesity is Oro Valley #1 risk factor per Biometric results. Stress and Anxiety Management in the Workplace Smoking Cessation Programs Direct Partnership with The Wellness Council of AZ Employee Fitness and Wellness Ideas Health Coaching, Wellness Coaching Health Promotion and Wellness Program Collaborate programs & refer employees back & forth 6/3/2016 5 Preventative Care On-Site On-Site Screening Off-site Screening Age-appropriate routine screenings, labs Annual physicals, well care Blood pressure Weight, BMI Cholesterol Vision Hearing Diabetes Lab order for mammogram Colonoscopy Bone density Radiology Immunizations Prenatal visits and screenings $99.00 CT lung screening for smokers $99.00 CT Coronary Artery scans DISEASE MANAGEMENT ON-SITE 6/3/2016 6 On-Site Healthcare: More than Colds, Flus, and Urgent Care HCS Nurse Practitioners practice pro-active, not reactive care. Extremely high standards of care. NO, Duplicated diagnostic testing. Unique partnerships with top specialists in Arizona. Unbeatable speed scheduling patients with specialists when needed Cash pay contracts with top Radiology Vendor, Simon Medical Imaging, Sonora Quest & US Healthworks. On-Site Phlebotomist and Biometric Finger Stick Testing Available 6/3/2016 7 Why are HCS On-Site Clinics Unique? Clinic & Services 100% customizable to fit client’s needs. Existing office space can be utilized or build out of existing space for minor costs. Fixed pricing monthly for clinic services regardless of utilization. Staff hand picked to fit clients culture. Unbeatable speed scheduling patients with top specialists in Arizona. Extremely low medical supply costs & initial start up costs. Heavily discounted lab and radiology services available. Urgent Care Visits used as a gateway to disease management. Pro-active, not reactive, care. Continuing presence & participation by HCS in on-site health events for our clients. 6/3/2016 Once clinic is set up, med supplies are typically less than $2000 per year. 8 On-Site Clinic Utilization Our clients experience an average of 85% employee participation after 2 years on-site. Wellness & preventative care visits Follow up medical visits Urgent care Disease management Our average client demographic is 76.39% male employees Our average patient age is 40.3 years old 6/3/2016 9 Town of Oro Valley Employee Snapshot 62.8% of employees male 43.8 years average age of employees 271 total employees on plan Based on biometrics, key issues are obesity, hypertension, and hyperlipidemia 6/3/2016 10 On-Site Clinic Savings with decreased ER claims Current HCS clients experience 35.8% reduction in ER utilization after on-site clinic implemented. The Town of Oro Valley average ER visit cost is over $500.00 per visit. Current clients have ER claims 20.2% lower than the national average. With HCS on-site it has been demonstrated with clients claim reduction: Fewer catastrophic ER claims Fewer emergency surgeries Hospital time has been planned for surgeries and not crisis. Typical HCS clients experience annual healthcare savings of several hundred thousand dollars 6/3/2016 11 The Town of Oro Valley On-site Wellness Clinic Family Nurse Practitioner on-site 2 days a week for 12 hours Licensed Practical Nurse on-site 1 day a week for 6 hours. Monday & Wednesday FNP 9am-3pm on-site Thursday’s LPN 9am-3pm on-site Friday phlebotomist 7:30-9:30 on-site FNP assess, diagnosis, treat, prescriptions, radiology, order labs. LPN works under direction of the FNP, injections, wellness programs. Medical triage off- site Monday-Friday 9:00AM-4:30PM LPN will work directly with Andrea from the Wellness Council. LPN & Andrea refer to the FNP on-site for medical needs. 6/3/2016 12 6/3/2016 Oro Valley On-Site Wellness Center Weekly Schedule 28 FNP patients weekly & 15 LPN patients weekly 13 Strategies for On-Site Success Lead by example Designate a Company Wellness Leader On-site Health Screening Opportunities Annual Physical Activity Campaign “Lunch and Learn” seminars monthly Quarterly Health Newsletter Implementing Healthy Policies and Procedures Build trusting relationships with on-site healthcare providers. 6/3/2016 14 Strategies to Improve Wellness, Preventive Care and Disease Management Incorporate a full age appropriate preventative lab draw or biometric finger stick and HRA for screening Continue to incentivize participation in lab draw Labs should be annual, appropriate screenings for age Require a follow up lab review appointment be made at the on-site clinic in order to receive incentive. This can not only increase clinic participation, but it also helps to direct the patient’s care. 6/3/2016 15 What Wellness programs have you had the greatest success with among your employees? April 2014 Issue Dodge Earnhardt Earnhardt Auto Centers has offered its employees onsite healthcare through an onsite healthcare program since October 2007. The decision to offer this benefit to our employees has proven to be one of the wisest business decisions we have ever made. We are particularly impressed with the convenience this offers to our employees. The service provider we use, Healthcare Solutions Centers, offers same-day appointments, quick diagnoses, no co-pay and medication onsite. The ability of our employees to get timely, inexpensive medical treatment has increased not only morale but also productivity. All of the nurse practitioners at our clinics are highly respected by our employees for their medical knowledge and caring attitude. The company also helps coordinate our wellness programs that include flu shot clinics, onsite mammograms and a health fair that offers free biometric screenings, health risk assessments and follow-up appointments with the nurse practitioners. Employees who participate can receive bonuses that include gift cards and monthly reductions in their insurance premiums. It’s a very cost-effective healthcare program for companies like ours and is a benefit that is greatly appreciated by our employees. Dodge Earnhardt is in the third generation of the Earnhardt family automobile business, founded in 1951 by his grandfather, . 6/3/2016 16 Your Future On-Site Clinic 6/3/2016 17 “A Winning Team” HEALTHCARE SOLUTIONS CENTERS, LLC HEALTHY EMPLOYEES ARE PRODUCTIVE EMPLOYEES 18