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Health Improvement Programs Solutions for Stanford Hospital & Clinics & Lucile Packard Children’s Hospital

Health Improvement Programs Solutions for Stanford Hospital & Clinics & Lucile Packard Children’s Hospital

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Page 1: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement ProgramsSolutions for Stanford Hospital & Clinics

& Lucile Packard Children’s Hospital

Page 2: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

Improve Quality Of Care For Employees Employers want their employees and their

covered dependents to understand how to live to their fullest potential.

Page 3: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

Why Do Employers Need Disease Management Programs?

Disease Management Programs help manage the disease and control the cost

Companies see Disease Management Programs as part of the solution to rising costs

Page 4: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

What Is the Impact Of Lost Productive Time

(LPT) From Illness?

Every year, on average, an employee in the U.S. workforce loses 115 productive work hours due to a health condition or to care for an ill dependent

The total cost to employers in lost productive time for all conditions is in the range of $2,000 per employee per year

Stewart WF et al. J Occup Environ Med. 2003;45:1234-1246.

Page 5: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

Blue Cross’ Health Improvement Programs

Help Employees With Chronic Conditions Take better care of themselves or

their dependents May decrease health care costs in the long run

Page 6: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Programs Available

Asthma

Congestive Heart Failure

Diabetes

Health Improvement ProgramsHealth Improvement Programs

Page 7: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

Why These Conditions? All of these three diseases are highly prevalent,

costly and have modifiable risk factors

Page 8: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

Health Improvement Programs (HIPs) Focus

On The Following Key Areas Medication non-adherence Poor dietary habits Lack of physical activity Smoking Stress Lack of self-management skills with

related equipment

Page 9: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

Why Don’t People Do What They Should? Based on our experience, persons with chronic

conditions experience the following common barriers to good self-care- Feel isolated with condition- Try not to think about condition- Avoid seeing the doctor (fears condition/treatment)- Feel angry and frustrated with self- Feel overwhelmed, defeated and hopeless by condition- Worry about future health- Have the “We’re all going to die anyway” mentality- Because of previous efforts, the individual is convinced their

condition cannot be controlled- Feel life stresses, especially financial

Page 10: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

Blue Cross’ Health Improvement Programs Bridge the gap between the care employees

get from their providers and healthy lifestyle behavior changes- Help employees with chronic conditions take better care of

themselves or their dependents- May reduce health care costs in the long run- Are uniquely situated to help employers address the costs of

lost productive time

Page 11: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

Page 12: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Interdisciplinary health professional team

Health Improvement ProgramsHealth Improvement Programs

- Availability of “warm transfers” or referrals from/to Case Management, Nurse On-Demand Information Line, Pharmacy or Behavioral Health departments

Led by a RN Health CoachLed by a RN

Health Coach

Respiratory Therapist

Respiratory Therapist

Social WorkerSocial Worker

Registered Dietitian

Registered Dietitian

Exercise Physiologist

Exercise Physiologist

Health Educator

Health Educator

Page 13: Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

Health Improvement ProgramsHealth Improvement Programs

Blue Cross’ HIP Programs Designed and developed by a seasoned team of

disease management professionals At the forefront of the Disease Management

industry with innovative Health Coaching Model- An interdisciplinary behavioral approach with capability

to address multiple chronic conditions

A panel of physicians, who sit on the Disease Management Steering Committee, oversee all clinical components of the programs