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Corporate Health Achievement Award ACOEM May 2, 2010 Josette - - PowerPoint PPT Presentation
Corporate Health Achievement Award ACOEM May 2, 2010 Josette - - PowerPoint PPT Presentation
Corporate Health Achievement Award ACOEM May 2, 2010 Josette Boukhalil, MD, MPH Corporate Medical Director Employee Health Services Private, not-for-profit, health care system Employing more than 13,000 - the regions largest employer
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BAPTIST HOSPITAL DOCTORS HOSPITAL HOMESTEAD HOSPITAL MARINERS HOSPITAL SOUTH MIAMI HOSPITAL URGENT CARE CENTERS
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Mission
The mission of Baptist Health is to improve the health and well-being
- f individuals, and to promote the sanctity and preservation of life, in the
communities we serve. Baptist Health is a faith-based organization guided by the spirit of Jesus Christ and the Judeo-Christian ethic. We are committed to maintaining the highest standards of clinical and service excellence, rooted in the utmost integrity and moral practice. Consistent with its spiritual foundation, Baptist Health is dedicated to providing high-quality, cost-effective, compassionate healthcare services to all, regardless of religion, creed, race or national origin, including, as permitted by its resources, charity care to those in need.
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Values
People Compassion Excellence Integrity and Transparency Belief Stewardship
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EMPLOYEE HEALTH SERVICES
Maribeth Rouseff Assistant Vice President Employee Health & Wellness Advantage Madeline Rodriguez
Administrative Assistant (.9)
Nicholas Flo
Fit Testing Tech (.9)
Kathy Christofferson
Pre-employment R.N. (.9)
Ronnie Baker EH Tech (.9) Maria Lori Ortiz EH Tech (.9) Linda Ford- Plummer
Secretary (.9)
Kathleen Blackwood R.N. (.5) Leo Francis Secretary (.9) Jorge Patino EH Tech (.9) Clare Solarzano R.N. (.9) Carmel Cahill R.N. (.5) Claudia Ramirez EH Tech (.9) Aleyda Millan EH Tech (.9) Gwen Young A.R.N.P. (1.0) Thinh H. Tran, M.D. Chief Medical Officer Crystal Banks Clerk 5 (.9) PRE-EMPLOYMENT BHM / BHE SOUTH MIAMI DOCTORS HOMESTEAD MARINERS BOS / CORP HOSPITAL HOSPITAL HOSPITAL HOSPITAL Bernadine Hall A.R.N.P. (1.0) Regine Narchet R.N. (.5) Jan Kolb R.N. (.5) Marlene Appleby EH Tech (.9) Karen Sperling, R.N. Corporate Administrative Director Josette Bou-Khalil, M.D. Corporate Medical Director Princess Stanislaus
Pre-employment R.N. (.9)
Dawn Taylor
Pre-employment Physical Assistant (.9)
Marie Andrieux
Pre-employment Physical Assistant (.9)
Annie Abernathy L.P.N. (.2) Chris Stephenson A.R.N.P. (1.0) Luz Regalado EH Tech (.9) Jeanette Fallin Pool R.N. (.5) Javier Daley A.R.N.P. (1.0) Cheyenne Shiver EH Tech (.9) Elizabeth Fernandez A.R.N.P. (1.0) Karen Lynn A.R.N.P. (.5) Revised 03/10 VACANT R.N. (.9)
- D. Wayne Brackin
Executive VP and Chief Operating Officer Brian E. Keeley President and Chief Executive Office
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Employee Health Services
Employee Care Hours Pre-employment Physicals WC Management Safe Patient Handling Return to Work/Fitness for Duty Annual Evaluations Surveillance Ergonomic Evaluations
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Employee Care Hours FY ‘09
EHS Visits Sick Visits WC PE Phys
Flu Vaccine
PPD Fit testing Fitness for duty
WC Premium
# of visits
20,065 5,402 2,214 11,158 10,700 8,137 3,249 N/A
Cost per visit
$100 $75 $120 $25 $30 $40 $100 N/A
Savings
$2.0M $405,150 $265,680 $278,950 $321,000 $325,480 $324,900 $12.3M
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“We need to invent some kind of Health and safety procedure to go with this thing “
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Workers’ Compensation
Self insured Significant Savings To BHSF Cost Effective Case Management Aggressive Job Modification And Return To Work For Injured Employees Containment Of WC Cost
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Workers' Compensation Incidence
Between fiscal year FY06 and FY08 the reported Workers' Compensation cases decreased by 50%. The medical only claims dropped by 77%. Indemnity cases dropped by 25%.
50 100 150 200 250 FY06 FY07 FY08 FY09
Indeminty Medical Total
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Workers’ Compensation Cost
Baptist Health South Florida FY06 FY07 FY08 FY09 Workers' Compensation Cases 205 145 88 118 Average Cost per Case $ 1,326 $ 1,275 $ 2,089 $ 5,931 Annual State Payment for Workers’ Compensation Fund $ 323,940 $ 283,285 $ 221,687 $ 200,357 Average Lost days per Case 11.2 6.6 6.1 24.5
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Benchmarking
Workers Compensation Measures as Compared to 2009 EMPAQ Comparative Data
Measure 2008 Data Healthcare Mean Size Mean Annual Claim Incidence per 100 FTEs .8 5.3 5.4 WC Cost per FTE $ 92 $ 236 $ 492 New Indemnity Claim Percentage 45.5%
24% 27.5%
WC Cost per Closed Claim $ 10,968
$ 6,635 $ 9,158
WC Cost per Active Claim $ 6,813
$ 5,262
$ 7,204
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Safe Patient Handling
500 1000 1500 2004 2005 2006 2007 2008 2009
57.3% Reduction in OSHA Lost/Restricted Work Days
Lost Days Modified Duty Days Total Days
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Ergonomic Evaluation of Environmental Services
Safety issues identified include using the wastebasket as a step stool.
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Ergonomic Evaluation of Environmental Services
First Shift Staff had
- verflowing Linen when
they arrived to work in the AM. More Linen is used on Monday, Wednesday and Friday and is not routinely changed on Tuesday and Thursday for patients with a longer length of stay.
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Ergonomic Evaluation of Environmental Services
Risk factor: Flexion/Extension & Abduction/Rotation of the shoulder Risk factor: Flexion/Extension of the forearm/elbow
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Ergonomic Evaluation of Environmental Services
Awkward/extreme posture and high frequency when wiping vertical surfaces; wringing the rags and using the mop wringer Repetitive wringing the cleaning rags used and manipulating the rag to wipe curved surfaces such as bed rails
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Ergonomic Evaluation of Environmental Services
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Ergonomic Evaluation of Environmental Services
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Sharp Injuries
FY 2006 FY 2007 FY 2008 FY 2009
158 143 93 79 Per 1000 Pt days = 4.8 Per 1000 Pt days = 4.5 Per 1000 Pt days = 2.9 Per 1000 Pt days =1.8
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Health Promotion and Wellness
Health Risk Assessment and Screening WT Management Initiatives Employee Pharmacy Smoking Cessation and Tobacco Free Campuses Free Medical Care
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Weight Management Initiatives
Wt Watchers at Work Winning at Wt Loss Ten in Ten Families Step Up The Pediatric Wt loss Program Ask a Dietitian Trans Fat Free Wellness Advantage Meals Wellness Vending Free Walking Classes Free Fitness Centers Corporate Run
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Mona Lisa Spring Water
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Smoking Cessation Programs
Triumph Mayo Clinic Tobacco Quit Line Florida Quit for Life Line American Lung Association 12 Steps Online Resources Stop Smoking Reimbursement Physician Referral Services Counseling from Wellness Advantage
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Triumph Smoking Program
BHM 3 months 6 months 9 months 1 year Group 1 7/9 (78%) 4/9 (44%) 4/9 (44%) 3/9 (33%) Group 2 3/6 (50%) 3/6 (50%) 3/6 (50%) 3/6 (50%) Group 3 7/9 (77%) 5/9 (56%) 4/9 (44%) 3/9 (33%) Group 4 7/13 (54%) IN PROGRESS SMH 3 months 6 months 9 months 1 year Group 1 6/6 (100%) 4/6 (67%) 4/6 (67%) 4/6 (67%) Group 2 6/7 (85%) 5/7 (71%) 5/7 (71%) 5/7 (71%) Group 3 11/12 (91.6%) HH 3 months 6 months 9 months 1 year Group 1 4/4 (100%) 4/4 (100%) 4/4 (100%) 3/4 (75%)
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Wellness Advantage
Health Check Participants 2005 - 2009
500 1000 1500 2000 2500 3000 3500 FY05 FY06 FY07 FY08 FY09 Total HC
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2005 - 2009 Personal Wellness Profiles
500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000 FY05 FY06 FY07 FY08 FY09 Tot al PWP
Wellness Advantage
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HTN Pilot Program
150 144 138 155 126 160 140 162 170 120 155 136 92 96 82 88 84 90 86 90 98 84 100 88 135 130 120 168 135 133 124 136 155 134 130 138 80 92 82 88 91 74 88 80 95 86 86 90 130 130 132 140 114 140 120 130 136 120 124 126 82 90 96 80 80 90 82 80 87 82 84 82
50 100 150 200
Participant L Participant K Participant J Participant I Participant H Participant G Participant F Participant E Participant D Participant C Participant B Participant A
BP 12 Diastolic BP 12 Systolic BP 6 Diastolic BP 6 Systolic BP 1 Diastolic BP 1 Systolic
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HTN Pilot Program
130 144 136 164 152 148 128 150 158 165 134 104 152 96 98 90 96 86 92 88 100 100 80 100 74 90 110 120 108 130 140 115 120 118 136 130 128 118 130 85 80 80 90 86 72 85 74 90 86 78 80 80 120 126 132 128 140 120 131 133 80 84 84 86 80 78 80 85
50 100 150 200
Participant Y Participant X Participant W Participant V Participant U Participant T Participant S Participant R Participant Q Participant P Participant O Participant N Participant M
BP 12 Diastolic BP 12 Systolic BP 6 Diastolic BP 6 Systolic BP 1 Diastolic BP 1 Systolic
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Future
Leadership Support Integration of Health and Safety Initiatives Culture of Wellness Environmental Stewardship Benchmarking Continuous Improvement in education and injury prevention Continuous Protection against Health Hazards in the work environment.
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