Barbara Smisko, MS, CSP

Transcription

1 Striving to Attain the Healthiest Workforce in Health Care: Kaiser Permanente s Vision and Strategy International Symposium to Advance Total Worker Health Barbara Smisko, MS, CSP

2 Objectives Understand the vision and strategic priorities of Kaiser Permanente s comprehensive, integrated approach to total worker health Understand targeted metrics and specific projects being undertaken to achieve results Understand initial impacts of the approach Physical Health 2 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

3 National Business Group on Health Award 3 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

4 Our People Are Important Kaiser Permanente is widely recognized as a leader in health care quality and prevention, and we fully understand the importance of providing our 18,000 physicians and 175,000 employees with the support and inspiration they need to live healthier lives. Our commitment to workforce health has a direct impact on the health and well-being of our physicians and employees, which in turn helps ensure that we are able to consistently provide our members and the communities we serve with the high-quality care and service they expect from Kaiser Permanente. Bernard J. Tyson, Chairman and CEO 4 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

5 National Employee Safety, Health and Wellness Employee Assistance Program Environmental Health and Safety Environmental Stewardship Workplace Safety Workforce Wellness Integrated Disability Management

6 To establish a workplace environment that supports the Total Health of our employees and physicians, and inspires a culture that is characterized by joy, meaningful work, and connection to each other, our members, and the communities we serve Vision

7 Realizing the Vision: 5 Strategic Priorities Resilience and Emotional Well Being Safe and Healthy Work Environment Productive Internal Relationships Environmental Stewardship Physical Health October , Kaiser 2014 Foundation Health Plan, Inc. For internal use only.

8 Resilience and Emotional Well Being Enable employees and physicians to achieve a high level of resilience and emotional well being to reduce stressors at work and in life Work Plan Focus: Develop employee and manager education and awareness tools Define an effective depression management program Refer all Integrated Disability Management cases to EAP 8 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

9 Safe and Healthy Work Environment Achieve a work environment in which employees and physicians are physically and psychologically safe and healthy Work Plan Focus: National Workplace Safety Plan Regional Workplace Safety Plans Emphasis on Slip/Trip/Fall and Ergonomics Technical expertise on chemicals 9 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

10 Productive Internal Relationships Support a workplace where there is productive collaboration, effective partnering, and employees and physicians work together on shared interests related to safety, health, wellness and the environment Work Plan Focus: Develop tools for relationship success factors, emotional intelligence, conflict management, mindfulness Share Ways to Connect (instant recess, healthy potlucks, personal check-ins) 10 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

11 Environmental Stewardship Engage employees and physicians in reducing environmental contributors to disease through organized actions at the individual, group, and community levels Work Plan Focus: Actions clinicians can do to improve ecological health Use KP s book on Environmental Stewardship as a catalyst for providing connections between KP staff and their communities Promote walking, bicycling, and mass transit 11 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

12 Physical Health Ensure access, provide education and resources, and reinforce activities and behaviors that motivate employees to maintain optimum physical health Work Plan Focus: Culture of Wellness Catered Food Policy Physical Activity Programs Quarterly Spotlight Programs Increase focus on wellness and emotional well-being programs 12 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

13 Metrics and Tools

14 Workforce Wellness Scorecard HWF Engagement & Participation Participation Rates Q1-Q # Enrolled Rate Target Total Health Assessment 0,000 % % YE 2012 KP Walk! 0,000 % N/A Thrive Across America 0,000 % N/A Mix It Up 0,000 % Maintain Don t Gain 0,000 % N/A YE 2010 YE 2011 YE 2012 KP.org % % % Wellness Coaching Q1-Q # with 1 # with 2 Encounter Encounters Healthy Eating - - Weight Management - - Reduce Stress - - Physical Activity - - Tobacco Cessation - - Total - - Healthy Living Program Completed Q1-Q # Enrolled % Balance 0.0 % Breathe 0.0 % Nourish 0.0 % Relax 0.0 % Care for Your Health 0.0 % Pain Care 0.0 % Back Care 0.0 % Diabetes Care 0.0 % Overcoming Depression 0.0 % Overcoming Insomnia 0.0 % # of Employees Participating 0.0 % Workplace Culture %Fav KP supports healthy/ % % % % balanced life (Ppl Pulse) Employee Assistance Program %Fav Total Services Utilization % % % % Overall Client Satisfaction Workforce Wellness Scorecard Population Profile Demographics YE 2010 YE 2011 July 2013 # Employees 00,000 00,000 Average Age 00.0 yrs 00.0 yrs % Female 0.0% 0.0% Average Tenure 0.0 yrs 0.0 yrs Ethnicity: Asian % % African American % % Hawaiian/Pacific Islander % % Latino % % Native American Indian % % White % % Other % % Population Health Risks Prevention Lifestyle Risk YE 2009 YE 2010 YE 2011 YE 2012 Body Mass Index (BMI): >25 % % % % Tobacco Use: % of smokers % % % % Cholesterol: >200 % % % % Blood Pressure: >140/ 90 % % % % Year End 2010 Year End 2011 Year End 2012 KP BMk YE2012 PIH-Chronic Condition % %Cost % %Cost % %Cost % %Cost Diabetes % % % % % % % % Depression % % % % % % % % Coronary Artery Disease % % % % % % % % Heart Failure % % % % % % % % Asthma % % % % % % % % Back Pain % % % % % % % % >2 Major chronic condition % % % % % % % % 1 Major chronic condition % % % % % % % % Screening YE 2009 YE 2010 YE 2011 YE 2012 KP BMk YE2012 Breast Cancer % % % % % Cervical Screening % % % % % Colorectal Screening % % % % % x Flu Vaccination % % % x Region Name Financial Impact Utilization (per 1,000 members) Jan-Dec Jan-Dec Release Date 9/27/ KP BMk Category Total Inpatient (days) Total Outpatient (visits) Emergency Room (visits)^ Pharmacy (scripts/mbr/yr) Jan-Dec 2012 Lost Days and Lost Productivity YE 2010 YE 2011 YE 2012 Q1-Q Selective Lost Work Days/ Productive FTEs FMLA/ State Leave: Sick Workers Comp FMLA/ State Leave: PTO/Vac Sick, Short-Term Dis, LOA % Recovered Lost Time 0.0% 0.0% 0.0% 0.0%* *Formula has changed, read notes page 3. Workplace Safety PYE PYE PYE PYTD Injury rate per 100 FTEs (accepted claims) Note: PYE 2011 runs from Q Q PYE 2012 runs from Q Q PYTD 2013 runs from Q Q BLS Ave = 3.3 ^ ER visits are a subset of Outpatient visits. KP BMk Kaiser Permanente Benchmark, which is the Regionally Adjusted Average for all KP Commercial membership. The KP Benchmark includes KP data. BLS Av Bureau of Labor Statistics average adjusted rate for Hospital-based regions. Note: Data reflected in this scorecard are those most current as of August Note: The recommended age range for breast cancer screening changed in 2010 to include women years of age (the prior age range was years). This change is reflected in the 2009 and 2010 metrics. Note: KP Walk! and Thrive Across America reflect cumulative totals since the program s inception. 14 Kaiser Permanente All Rights Reserved.

15 Strategic Priorities Dashboard Insert Blank Harvey Ball Dashboard 15 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

16 Culture of Health Survey A random sample of employees were asked how well Kaiser Permanente is doing to create a workplace that promotes health and wellness, and supports employees to be their healthy best. 1. The leaders in my organization are role models for health. 2. Kaiser Permanente provides an environment that supports health and wellness. 3. Kaiser Permanente recognizes employees and physicians for practicing healthy behaviors. 4. Kaiser Permanente does a good job of informing employees and physicians about progress towards our workforce wellness goals. 5. My immediate supervisor encourages me to take care of my health. 6. The people I work with trust that Kaiser Permanente will make decisions to support the health and well-being of employees and physicians. 7. The people I work with encourage each other to take care of their health. 16 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

17 Initial Results

18 Strategic Priority Accomplishments IDM program referrals to EAP Workforce Wellness materials/resources integrated into IDM communications Education series on psychological safety in the workplace Workforce Wellness events attended/supported by EAP staff Increase overall food spending on sustainable food Enterprise-wide Food Purchased for Meetings and Events policy Total Health Incentive Plan Slip/Trip/Fall Prevention Program 18 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

19 Early Trends on Key Metrics Employees on disabilityrelated leave Injury Rate Health Biometrics October , Kaiser 2014 Foundation Health Plan, Inc. For internal use only.

20 Early Trends on Key Metrics Chronic Conditions Healthy Living Programs Participation Sustainable Food October , Kaiser 2014 Foundation Health Plan, Inc. For internal use only.

21 Culture of Health Results Correlate with Safety, Attendance, and Customer Satisfaction Lower Injury Rates Less Lost Work Time Departments with High Culture of Health Results Higher Customer Satisfaction Rates

22 Program Summary Leadership commitment and modeling exists at the highest level Consider the whole person not just the worker Inter-locking departments create synergies 22 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.

23 Questions 23 October 20, Kaiser Foundation Health Plan, Inc. For internal use only.