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 region’s largest employer Five acute care hospitals 27 business sites within 150-mile radius Six employee health offices Wellness Advantage

BAPTIST DOCTORS HOMESTEAD HOSPITAL HOSPITAL HOSPITAL MARINERS SOUTH MIAMI URGENT CARE HOSPITAL HOSPITAL CENTERS

Mission The mission of Baptist Health is to improve the health and well-being of 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.

Values People Compassion Excellence Integrity and Transparency Belief Stewardship

Brian E. Keeley President and Chief Executive Office E MPLOYEE H EALTH S ERVICES D. Wayne Brackin Executive VP and Chief Operating Officer Thinh H. Tran, M.D. Chief Medical Officer Maribeth Rouseff Assistant Vice President Employee Health & Wellness Advantage Madeline Rodriguez Karen Sperling, R.N. Josette Bou-Khalil, M. D. Administrative Assistant (.9) Corporate Administrative Corporate Medical Director Director Nicholas Flo Fit Testing Tech (.9) PRE-EMPLOYMENT BHM / BHE SOUTH MIAMI DOCTORS HOMESTEAD MARINERS BOS / CORP HOSPITAL HOSPITAL HOSPITAL HOSPITAL Elizabeth Chris Stephenson Javier Daley Karen Lynn Princess Stanislaus Fernandez Pre-employment R.N. (.9) Gwen Young Bernadine Hall A.R.N.P. (1.0) A.R.N.P. (1.0) A.R.N.P. (.5) A.R.N.P. (1.0) A.R.N.P. (1.0) A.R.N.P. (1.0) Cheyenne Marlene Appleby Jeanette Fallin Kathy Christofferson Shiver EH Tech (.9) Pool R.N. (.5) Regine Narchet Clare Solarzano Pre-employment R.N. (.9) EH Tech (.9) R.N. (.5) R.N. (.9) Linda Ford- Luz Regalado VACANT Plummer Claudia Ramirez EH Tech (.9) R.N. (.9) Kathleen Secretary (.9) EH Tech (.9) Carmel Cahill Blackwood R.N. (.5) R.N. (.5) Jan Kolb Aleyda Millan R.N. (.5) EH Tech (.9) Annie Abernathy Jorge Patino L.P.N. (.2) EH Tech (.9) Ronnie Baker EH Tech (.9) Leo Francis Crystal Banks Secretary (.9) Clerk 5 (.9) Maria Lori Ortiz EH Tech (.9) Dawn Taylor Pre-employment Physical Assistant (.9) Marie Andrieux Pre-employment Physical Revised 03/10 Assistant (.9)

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

Employee Care Hours FY ‘09 Flu WC EHS Sick WC PE Phys PPD Fit Fitness Vaccine Premium Visits Visits testing for duty # 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

“ We need to invent some kind of Health and safety procedure to go with this thing “

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

Workers' Compensation Incidence 250 200 150 Indeminty Medical 100 Total 50 0 FY06 FY07 FY08 FY09 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%.

Workers’ Compensation Cost Baptist Health South Florida FY06 FY07 FY08 FY09 Workers' Compensation 205 145 88 118 Cases Average Cost per Case $ 1,326 $ 1,275 $ 2,089 $ 5,931 Annual State Payment for Workers’ Compensation $ 323,940 $ 283,285 $ 221,687 $ 200,357 Fund Average Lost days per Case 11.2 6.6 6.1 24.5

Benchmarking Workers Compensation Measures as Compared to 2009 EMPAQ Comparative Data Measure 2008 Data Healthcare Mean Size Mean Annual Claim Incidence per 100 .8 5.3 5.4 FTEs WC Cost per FTE $ 92 $ 236 $ 492 New Indemnity Claim 24% 27.5% 45.5% Percentage WC Cost per Closed $ 6,635 $ 9,158 $ 10,968 Claim WC Cost per Active $ 5,262 $ 6,813 $ 7,204 Claim

Safe Patient Handling 57.3% Reduction in OSHA Lost/Restricted Work Days 1500 1000 500 0 2004 2005 2006 2007 2008 2009 Lost Days Modified Duty Days Total Days

Ergonomic Evaluation of Environmental Services Safety issues identified include using the wastebasket as a step stool.

Ergonomic Evaluation of Environmental Services First Shift Staff had overflowing 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.

Ergonomic Evaluation of Environmental Services Risk factor: Flexion/Extension & Abduction/Rotation of the shoulder Risk factor: Flexion/Extension of the forearm/elbow

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

Ergonomic Evaluation of Environmental Services

Ergonomic Evaluation of Environmental Services

Sharp Injuries FY 2006 FY 2007 FY 2008 FY 2009 158 143 93 79 Per 1000 Pt days Per 1000 Pt days Per 1000 Pt days Per 1000 Pt days = 4.8 = 4.5 = 2.9 =1.8

Health Promotion and Wellness Health Risk Assessment and Screening WT Management Initiatives Employee Pharmacy Smoking Cessation and Tobacco Free Campuses Free Medical Care

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

Mona Lisa Spring Water

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

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%)

Wellness Advantage Health Check Participants 2005 - 2009 3500 3000 2500 2000 Total HC 1500 1000 500 0 FY05 FY06 FY07 FY08 FY09

Wellness Advantage 2005 - 2009 Personal Wellness Profiles 5,000 4,500 4,000 3,500 3,000 2,500 Tot al PWP 2,000 1,500 1,000 500 0 FY05 FY06 FY07 FY08 FY09

HTN Pilot Program 82 126 90 Participant A 138 88 136 84 124 86 Participant B 130 100 155 82 120 BP 12 Diastolic 86 Participant C 134 84 120 BP 12 Systolic 87 136 95 Participant D 155 98 170 BP 6 Diastolic 80 130 80 Participant E 136 BP 6 Systolic 90 162 82 120 88 BP 1 Diastolic Participant F 124 86 140 90 BP 1 Systolic 140 74 Participant G 133 90 160 80 114 91 Participant H 135 84 126 80 140 88 Participant I 168 88 155 96 132 82 Participant J 120 82 138 90 130 92 Participant K 130 96 144 82 130 80 Participant L 135 92 150 0 50 100 150 200

HTN Pilot Program 85 133 80 Participant M 130 90 152 80 131 80 Participant N 118 74 104 78 120 78 Participant O 128 100 134 BP 12 Diastolic 80 140 86 Participant P 130 80 165 BP 12 Systolic 86 128 90 Participant Q 136 100 158 BP 6 Diastolic 84 132 74 Participant R 118 100 BP 6 Systolic 150 84 126 85 Participant S 120 BP 1 Diastolic 88 128 80 120 72 BP 1 Systolic Participant T 115 92 148 86 Participant U 140 86 152 90 Participant V 130 96 164 80 Participant W 108 90 136 80 Participant X 120 98 144 85 Participant Y 110 96 130 0 50 100 150 200

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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