Lori Rolando, MD, MPH, FACOEM Assistant Professor Medicine Mary Yarbrough, MD, MPH, FACOEM, FACPM Associate Professor of Medicine April 9, 2014

Transcription

1 Lori Rolando, MD, MPH, FACOEM Assistant Professor Medicine Mary Yarbrough, MD, MPH, FACOEM, FACPM Associate Professor of Medicine April 9, 2014

2 Mission University 10 Schools Medical Center Public Policy Ins,tute First Amendment Center Educa,on Research Pa,ent Care Medical Center Hospital Children s Hospital Psychiatric Hospital The Vanderbilt Clinics School of Medicine School of Nursing People 4,102 faculty 20,924 staff 12,795 students

3 Leadership Support Ø for excellence Ø to recruit and retain the best Ø for responsible use of resources Measures of Responsible Use Controlled health care costs Health Plan Workers Compensa,on Maximize produc,vity Minimize Absenteeism Presenteeism Maximize Reten,on Customer sa,sfac,on Safety compliance Chancellor Nicholas Zeppos

4 Health & Wellness Mission Engage employees with innova2ve programs that maximize produc2vity and well- being.

5 Avenues of Influence for a Healthy Workplace Physical Work Environment Psychosocial Work Environment Personal Health Resources Enterprise Community Involvement Reproduced from Healthy Workplaces: A model for action from the WHO

6 Hazards Infec,ous Exposures Accidents Ergonomic Injuries Other Job- Related Exposures Programs Ergonomics Biological Safety Physical Chemical Psychological Impact Exposure/injury Control Employee Safety Compliance Produc,vity Workers' Compensa,on Cost Control Physical Work Environment

7 Physical Work Environment Pa,ent Handling Injuries Reduced through Ergonomics Programs

8 Hazards Work Demands Long Hours Erra,c Schedules Lack of Sleep Cri,cal Incidents Programs Employee Assistance Program Faculty & Physician Wellness Nurse Wellness Organiza,onal Resilience Impact Ability to Cope Job Performance Work/Life Balance Psychosocial Work Environment

9 Psychosocial Work Environment Reduc'ons in Inability to Cope With Stress 14% 12% 10% 8% 6% 4% 2% 0% * 2013*

10 Most Costly Condi,ons Modifiable Behaviors Diabetes Coronary Artery Disease Hypertension Dyslipidemia Obesity Cancer Asthma Arthri,s Allergies Sinusi,s Health Failure COPD Chronic Kidney Disease Depression Back Pain Smoking Physical Inac,vity Poor Diet Excessive Alcohol Consump,on Poor Standard of Care Compliance Poor Stress Management Insufficient Sleep Lack of Health Screening Personal Health Resources World Economic Forum. The new discipline of workplace wellness: Enhancing

11 Bronze Health Risk Assessment Silver Wellness Actions + Health Risk Assessment Gold Social Connection + Wellness Actions + Health Risk Assessment

12 Comprehensive Programming * Health Awareness Mo,va,on Skill Building Opportuni,es * Michael O Donnell s AMSO Framework to Guide the Development of Effective Health Promotion Programs

13 Awareness

14 Mo,va,on & Skill Building

15 Opportuni,es

16 Integra,ng With Providers Centers of Excellence Confiden,al Employee Health Portals Electronic Medical Record Two- way Electronic Communica,on with Employees and Providers Employees Workplace Wellness Providers Primary Care Providers

17

18

19

20

21

22 Impact on Targeted Healthy Lifestyle Characteris,cs Not improved Stress Nutri,on & food choices Program Success Smoking Stayed the Same Improved P P P Obesity P Ac,vity/Exercise P P

23 Social Connec,on Provider Partnerships Peer Groups Family Resources & Programs Community Partnerships Enterprise Community Involvement Parent Survey Value Added: Job Sa,sfac,on and Produc,vity 100% - contributes to job sa,sfac,on

24 Vanderbilt: Lower Health Cost than Benchmarks Vanderbilt 2013 TW NBGH 2012 Sullivan Cotter $12,000 $10,000 $8,000 $6,000 $4,000 $2,000 $ Vanderbilt $8,609 $8,557 $8,488 $8, TW NBGH $9,197 $9,933 $10,728 $11, Sullivan Cotter $10,919 $11,651 Note: Costs are unadjusted for plan design, geography, family size and demographics - Towers Watson (TW) Na2onal Business Group on Health (NBGH): backed into cost using gross trend from survey - SullivanCoNer HighRoads Hospital Survey: Backed into 2011 cost using average PPO trend from 2011 to

25 Evalua,on: Peer- Reviewed Publica,ons and Awards Mobilize Improve Assemble Evaluate Assess Do Priori,ze Plan

26 Our Most Important Stakeholders Our Employees Sharing mindfulness with my colleagues has been very rewarding. We are able to support each other and remind one another to be mindful in difficult moments. - Jillian I logged 8,288,392 steps using Start! Physical Ac,vity Tracker in 2013! - Daniel I lost 65 pounds, 48.5 inches, and 14% body fat! - Lara Beth Exercise is a non- nego,able element of my daily schedule. Dr. Fazio

27 Avenues of Influence Requires Leaders, Evalua,on, Worker Involvement Physical Work Environment Mobilize Improve Assemble Psychosocial Work Environment Evaluate Leadership engagement ETHICS & VALUES Worker involvement Assess Personal Health Resources Do Priori,ze Plan Enterprise Community Involvement Reproduced from Healthy Workplaces: A model for action from the WHO

28 Merci Grazie