Upload
shon-ford
View
216
Download
1
Tags:
Embed Size (px)
Citation preview
Health Improvement ProgramsHealth Improvement ProgramsSolutions 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.
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
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.
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
Programs Available
Asthma
Congestive Heart Failure
Diabetes
Health Improvement ProgramsHealth Improvement Programs
Health Improvement ProgramsHealth Improvement Programs
Why These Conditions? All of these three diseases are highly prevalent,
costly and have modifiable risk factors
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
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
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
Health Improvement ProgramsHealth Improvement Programs
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
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