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June 18-19, 2009 Sponsored by | Hyatt Regency Chicago Steve Priddy Vice President Human Resource Administration FedEx (Retired) Creating a Culture of Health Within Your Organization: A Transformational Business Imperative Sean Sullivan, JD CEO CULTIVATING CHANGE WITH CULTURAL INFLUENCES • • • • • Shared Values Cultural Norms Cultural Touch Points Peer Support Work Climate SHARED VALUES • • • • • • Reduce Health Risks Control Costs of Health Care Deliver Peak Performance Achieve Work/Life Balance Enhance Teamwork and Morale Improve Corporate Image CULTURAL NORMS • Roles of Leaders – Articulate shared vision of health and productivity – Serve as effective role models by visible participation – Align rewards and policies to support employee health • Roles of Health Workers – Coordinate resources that support employee health – Communicate in consumer-friendly terms – Empower employees to be proactive in their own health CULTURAL TOUCH POINTS • • • • • • Modeling Rewards and Recognition Recruitment and Selection Orientation and Training Rites, Symbols and Rituals Communication PEER SUPPORT • • • • • Establishing Trust and Openness Setting Goals Eliminating Barriers Working Through Relapse Celebrating Success WORK CLIMATE • Three Climate Factors Determine if the Culture Can Support Employee Health Improvement – Sense of Community – Shared Vision – Positive Focus • Health and Productivity Initiatives Can Be Organized to Enhance the Work Climate Creating a Culture of Health at Pitney Bowes Brent Pawlecki, MD, MMM Pitney Bowes June 18, 2009 Corporate Medical Director Pitney Bowes 85-plus year legacy Fortune 500 company $6.3 billion leading mailstream technology solutions provider Global team of more than 35,000 employees Presence in more than 130 countries worldwide More than 2 million customers 11 The Cost of Ill Health—research Roughly 25% of employer direct medical care costs are attributable to modifiable health risk factors in employees • • • • • • • • • • Sedentary lifestyle Excess alcohol use Poor nutrition Smoking Depression Stress High Blood Pressure Overweight High cholesterol High blood glucose Anderson, Whitmer, Goetzel, et. al. 2000 12 The Culture of Health Health Care Strategy Health Care University Healthy, Engaged, Productive Employees Emergency and Pandemic Planning 13 The Culture of Health 14 The Culture of Health The health of the organization begins with its people Value-based benefit design • To realize total value, understand total costs • Higher costs don’t always mean higher value • Health begins and ends with the individual • Avoid barriers to effective treatment Prevention Carrots over sticks 15 Health Benefit – pharmacy “Traditional” Rx Benefit Tier 1 Most generic drugs 10% Coinsurance Tier 2 Most preferred brand name drugs, including those for: • Asthma • Diabetes • Hypertension 30% Coinsurance Tier 3 Non-preferred brand name drugs, including those for: • Asthma • Diabetes • Hypertension 50% Coinsurance New Rx Access Benefit Tier 1 Most generic drugs and all brand name drugs for: • Asthma • Diabetes • Hypertension 10% Coinsurance Targeted conditions • • • • • Asthma Diabetes Hypertension Hormonal cancer drugs Anti-convulsants Tier 2 Most preferred brand name drugs 30% Coinsurance Tier 3 Non-preferred brand name drugs 50% Coinsurance For patients with Diabetes and/or postmyocardial infarct: • Beta blockers • Statins • ACE inhibitors 16 Health Benefit – onsite medical clinics Staffing Low-level care / High touch Assist navigation of complex health system Integrated Quality Accredited: local health plans and AAAHC Every clinic encounter is a teaching opportunity 17 Health Care University Mission: To provide employees with the environment, the tools, and the motivation to enhance their health and well-being. Health Care University 19 Emergency Preparedness Building: Holding Systems: Up People: Up Smoke, water damage Power, water disruption Area evacuation Bomb threat Building: Down Systems: Down People: Holding Fire Explosion Building: Up Systems: Holding People: Down Pandemic Hurricane Flood 20 The Culture of Health — major initiatives Smoke-free campuses Preventive care Automatic External Defibrillators Personal health record Surgical readiness program End of Life issues: Planning for the Future Walkstations 21 The Culture of Health 10000 Changes implemented 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 1996 1997 1998 1999 2000 2001 2002 Benchmark 2003 2004 2005 2006 2007 2008 PB 22 Sponsored by