Olin Corporation Olin Corporation Brass & Winchester Divisions - - PowerPoint PPT Presentation

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Olin Corporation Olin Corporation Brass & Winchester Divisions - - PowerPoint PPT Presentation

Oct 15, 2022 414 likes •729 views

Olin Corporation Olin Corporation Brass & Winchester Divisions Brass & Winchester Divisions History of Olin History of Olin Olin Medical Department Olin Medical Department Model Practice Programs Model Practice Programs 1. On-

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SLIDE 1

Olin Corporation Olin Corporation Brass & Winchester Divisions Brass & Winchester Divisions

History of Olin History of Olin Olin Medical Department Olin Medical Department Model Practice Programs Model Practice Programs 1. 1. On On-

  • site Primary Care

site Primary Care

  • Evolution of the Concept

Evolution of the Concept

  • Implementation Challenges

Implementation Challenges

  • Clinical Perspective

Clinical Perspective

  • Key Measurements

Key Measurements

2. 2. Diabetes Management Diabetes Management

  • Innovative approaches

Innovative approaches

  • Quality Outcomes

Quality Outcomes

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SLIDE 2

The Olin Story The Olin Story

  • Founded 1892 in East Alton,

Founded 1892 in East Alton, Illinois as a Powder Illinois as a Powder Manufacturing Company, the Manufacturing Company, the East Alton site is the current East Alton site is the current home of the Winchester and home of the Winchester and Brass Divisions Brass Divisions

  • Olin today is a major

Olin today is a major industrial company with industrial company with annual sales of annual sales of approximately 2.5 billion approximately 2.5 billion

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SLIDE 3

The Olin Story The Olin Story

The Brass Division is an Industry Leader in the The Brass Division is an Industry Leader in the production of high production of high-

  • performance copper alloys

performance copper alloys

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SLIDE 4

The Olin Story The Olin Story

Winchester produces Winchester produces small, medium and small, medium and large caliber large caliber ammunition for law ammunition for law enforcement, military enforcement, military and sport applications and sport applications

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SLIDE 5

The Olin Story The Olin Story

  • Headquartered in Clayton,

Headquartered in Clayton, Missouri Missouri

  • 6000 Employees Worldwide

6000 Employees Worldwide

  • Approximately 3600 located

Approximately 3600 located at the original site in East at the original site in East Alton, Illinois Alton, Illinois

  • Heavily Unionized Workforce

Heavily Unionized Workforce

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SLIDE 6

On On-

  • site Primary Care:

site Primary Care: Evolution of the Concept Evolution of the Concept

Brass and Winchester Divisions Represent a Brass and Winchester Divisions Represent a Challenging Work Environment Challenging Work Environment

Double digit increases in Double digit increases in annual health care costs annual health care costs 30% Smokers 30% Smokers 70% Overweight 70% Overweight 57% do not exercise 57% do not exercise 55% of employees have a 55% of employees have a chronic disease chronic disease

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SLIDE 7

On On-

  • site Primary Care:

site Primary Care: Evolution of the Concept Evolution of the Concept

Directed to develop a strategy to control health care costs Benchmarking trips to identify corporate best practices

Primary Care – based upon sufficient patient numbers Data Warehouse - key to understanding the drivers of health care costs and an important tool for measuring outcomes

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SLIDE 8

On On-

  • site Primary Care:

site Primary Care: factors favoring success factors favoring success

  • Concentration of employees at the East

Alton facility (approximately 3600 employees)

  • Existing On-Site Occupational Medicine

Clinic; 82% of employees visited the clinic at least once in 2005

  • Good Company / Union relations
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SLIDE 9

On On-

  • site Primary Care

site Primary Care

Established July 2004 as a benefit for employees, spouses and pre-65 year old retirees* Non-occupational and Primary Care accounted for 45% of Medical Department visits in 2005

*Spouses and retirees required to be a participant in an Olin health plan

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SLIDE 10

The Challenges of Implementing The Challenges of Implementing On On-

  • Site Primary Care

Site Primary Care

  • Challenges Associated with

implementing primary care in a busy Occupational Health clinic:

Jamie McEvers, BSN, COHN-S Manager Clinic Services

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SLIDE 11

Olin Medical Department Olin Medical Department

Established in 1940s to provide care for injured workers Staffed by RN’s, OHN’s, NP, Wellness Coordinator, Medical Assistants & MD Current Activities also include:

OSHA medical surveillance Wellness Programs Disability Management (STD, LTD, WC) Primary Care 2000 4000 6000 8000 10000 12000 14000 16000 18000 20000 01 03 04 05 Visits

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SLIDE 12

The Challenges of Integrating Primary The Challenges of Integrating Primary Care into an existing Occupational Health Care into an existing Occupational Health Clinic Clinic

  • Staffing Issues
  • Medical Records
  • Confidentiality
  • CPT / ICD-9 Coding
  • Communication
  • Growing the Practice

Referrals out of existing Occupational Medicine Programs Voluntary Health Risk Appraisals Walk-Ins

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SLIDE 13

On On-

  • site Primary Care Services

site Primary Care Services

Free On-site Services include: Exam Laboratory Radiology Dietitian Consults EAP Specialty Services: Optometry Podiatry Physical Therapy Physiatry

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SLIDE 14

Current Clinic Enrollees Current Clinic Enrollees

45% Female 55% Male 77% Employees

Hourly 85% Salary 15%

20% Spouse 3% Retirees

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SLIDE 15

Prevalence of Disease within the Prevalence of Disease within the Clinic Enrollees Clinic Enrollees

  • Hypertension 29%
  • Hyperlipidemia 23%
  • Diabetes 10%
  • GERD 10%
  • Depression 6%
  • Osteoarthritis 5%
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SLIDE 16

Primary Care Practice in an Primary Care Practice in an Industrial Setting Industrial Setting

Key elements of a successful clinical practice Mindy Bingham, MSN, APRN, BC

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SLIDE 17

TIME TIME

  • Time To Talk With

Patients to Obtain a Good History

  • Time to Assess
  • Time to Teach & Validate

Patient Understanding

  • Time to Answer

Questions

  • Time to Hand Hold &

Reassure

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SLIDE 18

THE PERSONAL TOUCH THE PERSONAL TOUCH

  • Make Appointments to

Consultants for the Patients

  • Follow-up Phone calls to

check Progress/Improvement

  • Copy of Lab and Letter of

Explanation with all Lab results

  • Personal Hospitalist
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SLIDE 19

CONVENIENCE CONVENIENCE FACTOR FACTOR SAVES LIVES SAVES LIVES

  • DM with no Rx for 2 Years, Now comes in

for Quarterly Visits

  • Sore Throat? Had No Provider, Came In

because we were Convenient

  • UTI? Persistent Hematuria, Free Second

Opinion

  • “Mild Chest Pain, but I’m sure it is

Nothing!”

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SLIDE 20

Primary Care Practice Primary Care Practice Key Measures Key Measures

  • Financial results
  • Employee satisfaction

data

  • Clinical outcomes
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SLIDE 21

Outcomes: Cost Effectiveness Outcomes: Cost Effectiveness

  • Evaluated 5 Months of Clinical Data

Evaluated 5 Months of Clinical Data

  • Noted reasons for Primary Care Visits

Noted reasons for Primary Care Visits

  • Computed Olin

Computed Olin’ ’s costs for those Services had s costs for those Services had they been rendered by community providers (net they been rendered by community providers (net discounts and co discounts and co-

  • pays)

pays)

  • Identified actual costs of those services

Identified actual costs of those services (laboratory charges, X (laboratory charges, X-

  • rays, Salaries for 2.5 FTE

rays, Salaries for 2.5 FTE positions, etc.) positions, etc.)

  • Annualized the difference, which represented

Annualized the difference, which represented cost avoided by providing on cost avoided by providing on-

  • site services...

site services... $777,000.00 $777,000.00

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SLIDE 22

Primary Care Outcomes Primary Care Outcomes All Service Categories All Service Categories October 2004 October 2004 – – September 2005 September 2005

Clinic Enrollees

$217 $374 $348

$0 $50 $100 $150 $200 $250 $300 $350 $400

Age/Gender Adjusted, Paid PEPM net of $30K

Yes NO HDMS Benchmark

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SLIDE 23

Average Covered Charge per Episode of Care

$120 $108 $100 $79 $0 $20 $40 $60 $80 $100 $120 Routine Medical Examination Pharyngitis Community Provider On-Site Clinic Provider

Primary Provider identified through ETG logic

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SLIDE 24

Outcomes: Employee Surveys Outcomes: Employee Surveys

Satisfaction Surveys are distributed to Satisfaction Surveys are distributed to individuals upon registering with the Medical individuals upon registering with the Medical Department receptionist. The proportion of Department receptionist. The proportion of responses rated responses rated “ “good good” ” or

  • r “

“excellent excellent” ” is is indicated for each question: indicated for each question:

  • Were you helped within 15 minutes or less? .....................

Were you helped within 15 minutes or less? .................................................. .............................89% 89%

  • Was the nursing staff courteous and helpful?

Was the nursing staff courteous and helpful? …………… …………….............................. ..............................96% 96%

  • Did you feel the nursing staff was knowledgeable about your prob

Did you feel the nursing staff was knowledgeable about your problem? ........ lem? ........96% 96%

  • Did the medical professional seeing you spend enough time with y

Did the medical professional seeing you spend enough time with you?

  • u? ……

……96% 96%

  • Would you recommend this office to your coworkers for care?

Would you recommend this office to your coworkers for care? ………… …………....... .......95% 95%

  • Would you return to this office for future care?

Would you return to this office for future care?………………………………… …………………………………. .96% 96%

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SLIDE 25

Outcomes: Time Outcomes: Time

Average Wait Time Average Wait Time……… ……….. ..… …8.2 minutes 8.2 minutes. . The average total time that elapsed from The average total time that elapsed from registration to the completion of the registration to the completion of the examination and discharge from the clinic. examination and discharge from the clinic.

  • Primary Care

Primary Care………… …………. .…… ……36 minutes 36 minutes

  • All other visits

All other visits……………… ………………28 minutes 28 minutes

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SLIDE 26

HEDIS Effectiveness of Care HEDIS Effectiveness of Care Measures Measures

66.8% 87.1%

Controlling High Blood Pressure

49% 89.8%

Colorectal Cancer Screening

64.7% 95.3%

Cervical Cancer Screening

73.4% 85.7%

Breast Cancer Screening Commercial Health Plans Olin Clinic Enrollees Measure

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SLIDE 27

Diabetes Management : Diabetes Management : Innovative Approaches Innovative Approaches

Access database

To identify patients for appointment reminder calls Summarizes outcome metrics for quarterly performance reviews Diabetic Care flow sheet in patient charts Routine and Specialty Evaluations on-site Targeted Physician lead educational programs

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SLIDE 28

HEDIS Effectiveness of Care Measures HEDIS Effectiveness of Care Measures

52.0% 12% 92%

Microalbuminuria test

51.0% 40% 76%

Eye Exam

40.2% NA 58%

LDL-C < 100mg/dl

91.0% 49% 100%

LDL-C Screening

30.7% NA 21%

HbA1C > 9%

86.5% 31% 100%

HbA1C test

Commercial Health Plans Local Community Providers Olin Clinic Enrollees Measure

Comprehensive Diabetes Care

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SLIDE 29

Conclusions Conclusions

  • On

On-

  • site primary care services are well

site primary care services are well-

  • received by Olin employees

received by Olin employees

  • On

On-

  • site primary care does not compromise

site primary care does not compromise patient privacy or confidentiality patient privacy or confidentiality

  • On

On-

  • site primary care can be performed within

site primary care can be performed within measurable standards of quality measurable standards of quality

  • On

On-

  • site primary care is a convenient and

site primary care is a convenient and cost cost-

  • effective alternative to community

effective alternative to community medical care for employees, family members, medical care for employees, family members, and retirees. and retirees.