Lori Rolando, MD, MPH, FACOEM Assistant Professor Medicine Mary Yarbrough, MD, MPH, FACOEM, FACPM Associate Professor of Medicine April 9, 2014
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
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
Health & Wellness Mission Engage employees with innova2ve programs that maximize produc2vity and well- being.
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
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
Physical Work Environment Pa,ent Handling Injuries Reduced through Ergonomics Programs
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
Psychosocial Work Environment Reduc'ons in Inability to Cope With Stress 14% 12% 10% 8% 6% 4% 2% 0% 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012* 2013*
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
Bronze Health Risk Assessment Silver Wellness Actions + Health Risk Assessment Gold Social Connection + Wellness Actions + Health Risk Assessment
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
Awareness
Mo,va,on & Skill Building
Opportuni,es
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
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
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
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 $0 2009 2010 2011 2012 Vanderbilt $8,609 $8,557 $8,488 $8,879 2013 TW NBGH $9,197 $9,933 $10,728 $11,457 2012 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 2009 2011 cost using gross trend from survey - SullivanCoNer HighRoads Hospital Survey: Backed into 2011 cost using average PPO trend from 2011 to 2012 24
Evalua,on: Peer- Reviewed Publica,ons and Awards Mobilize Improve Assemble Evaluate Assess Do Priori,ze Plan
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
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
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