Project management presentation

1. THE HIDDEN COST OF CLINICAL RISK A Project Planning & Management Presentation By Mary Fischer

2. Cost Drivers AdministrativeFriction DiseaseProduction Time Money

3. Metabolic Risk Factors • A large waistline or abdominal obesity. • A high triglyceride level a type of fat found in the blood. • A low HDL cholesterol level or sometimes called good cholesterol. • High blood pressure causes blood to push or force blood through your system putting pressure on your arteries. • High fasting blood sugar which can lead to diabetes.

4. Pressure on the Employer’s Doorstep U.S. Health Status Gov’t Cost Shifting ProduceDisease MedicalProviders Price Utilization Variable Quality Network Employer Employer

5. Assumptions of Company Sponsored Wellness Initiatives • All participants will be open and honest regarding participation. • All participants understand and are aligned with organizational goals. • All participants will seek guidance for adverse behaviors that impact companies health care costs by quitting smoking, implementing a exercise program, and participating in a diet program to address obesity factors.

6. Assumptions of Theory • Strong awareness of task importance and value • Focus first on team or organizational goals before self interests • Activation higher-order needs

7. Success Measures • Lower business insurance premium costs. • Less medical and work comp claims. • Image • Better employee attendance.

8. Understanding Your Pressure . Reduce Use x Price = Cost • Lower cost per unit • Lower service intensity

9. Clusters of Risk Can Create a Toxic Recipe High waist circumference High blood pressure Low HDL (good) cholesterol High blood sugar High triglycerides 7xmore likely to get diabetes 3xmore likely to get heart disease 2xmore likely to have a stroke 4xhigher medication spend 2xmore lost work days Metabolic Syndrome We can reverse MetS and produce less disease

10. Wellness Impact on Costs and Productivity Indirect Impact • Behavior change challenges • Health education • Participation-based events • Health fairs • Safety fairs Direct Impact • Results-based screening • Health care advocacy • Formal stretching • Targeted interventions • Onsite medical How are you applying your resources?

11. Wellness Audit • Management Support • Senior level and mid level • Not just financial support, but active support • Infrastructure • Meaningful data collection • Results based strategic plan • Dedicated staff and resources • Culture • Effective communication • Opportunities for employee feedback • Supportive policies and link to benefits

12. 2002-2009 HMA Total Annual Premium Cost

13. Therapy & Human Considerations • Change in Lifestyle • Weight Loss in Obese Persons • Increased Physical Activity • Change in Lifestyle • Use of Drugs With Diabetic, High Cholesterol, and Hypertension in Persons • Use of an Employee Assistance Program for Help in Tackling Unhealthy Habits or Addictions • Spiritual Wellness is Encouraged • Focus on Holistic Healing

14. Cost of Doing Business • Metabolic Syndrome Costs Employers in Lost Productivity and Increasing Costs of Benefits • Metabolic Syndrome Can be Reversed With Corporate and Personal Wellness and Lifestyle Initiatives. • Use Resources

15. Bibliography • Reid, Beau. Personal Interview 20 FEB 2014. • Holmes Murphy Seven Year Data and Analysis. “Wellness Team”. 19 FEB 2014 • Duke University Study and CDC’s Division of Diabetes Translation. National Diabetes Surveillance System http://www.cdc.gov/diabetes/statistics