Abstract
CONTENTS
FORUM 12 EDUCATIONAL TRACKS
Introduction
The following pages of Population Health Management present abstracts from The Forum 12 and the International Symposium on Wellness & Chronic Care. Each of the 5 tracks showcased presentations that focused on accountability, value, and model replicability in order to provide attendees with proven, evidence-based population health management strategies, tools, and programs.
The presentations were, in all, a reflection of the current paths of industry leaders and innovators, as they position population health management to add value to the emerging physician-guided and collaborative models, while continuing to emphasize the importance of wellness and prevention. The other noticeable trend was the interconnection of those 2 universes, which was apparent, for instance, in the Collaborative Strategies track in which population health strategies, patient engagement and empowerment tools, primary care, community health, and mobile technologies meshed to provide a sneak preview of a better future for health care.
Several presentations explored the latest evidence in support of coordinated, population-based care and showcased how population health management put forth best practices in wellness, prevention, and chronic care. Again, the focus was on cost savings and effective strategies that bring about good outcomes and risk reduction for employers as well as for Medicare and Medicaid populations. The program represented an outlook of coordinated delivery of care from all key stakeholders and throughout the continuum of care: plan design, targeted programs, clinical solutions, public health policy, and community systems.
The Forum 12 introduced a juried awards format, in which a panel of health care and industry experts selected 1 presentation from each track to receive the CCA Outstanding Leadership in Population Health Award. The awarded abstracts and presenters are spotlighted on the following page.
The preconference event, International Symposium on Wellness & Chronic Care, explored the globally competitive marketplace for wellness and care management and provided replicable strategies and frameworks that could apply across diverse care settings, regulatory environments, and cultural conceptions of health care. With the health care consumer as the center, experts from companies and associations doing business across borders brought to bear the role of innovation and technology, and the need for continuous rethinking of the research frameworks to take into account the rapid movements in health care and the increasing demands for a clear demonstration of value.
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2012 Outstanding Leadership in Population Health Awards
Care Continuum Alliance (CCA) presented the 2012 Outstanding Leadership in Population Health Awards to 8 researchers from Alere, Apixio, Krames StayWell, Oregon Health and Science University, Silverlink, Sun Health, and U.S. Preventive Medicine for their contributions to the population health management industry.
CCA announced the awards at the closing plenary session of The Forum 12. The association has presented its widely recognized industry awards since 1999. This year, along with its customary peer-reviewed process, CCA implemented a juried format in which panels of experts selected 1 presentation from each of 5 categories, and the posters exhibition.
In each of the Forum's 5 program tracks, a panel of judges selected 1 presentation to receive the 2012 Outstanding Leadership in Population Health Award. The judges, all health care and industry experts, were: Pamela Allweiss, MD, MPH, Centers for Disease Control and Prevention; Robert Berenson, MD, The Urban Institute; Suzanne Felt-Lisk, Mathematica Policy Research; Christine C. Ferguson, JD, George Washington University; Janhavi Kirtane, U.S. Department of Health and Human Services; Paulo Machado, Health Innovation Partners; Marcia Nielsen, PhD, MPH, Patient Centered Primary Care Collaborative; Jerry Noyce, Health Enhancement Research Organization; John Robitscher, MPH, National Academy of Chronic Disease Directors; Abby Rosenthal, MPH; Joachim Roski, PhD, Booz, Allen & Hamilton, Inc.; Jaan Sidorov, MD, FACP, CMCE; Alan Spielman, URAC; and Marshall Votta, Leverage Health Solutions.
The work of the 2012 awardees showcases how far the population health management industry has come. The recognized research offers concrete proof of concept and value of population health management programs, innovations, and initiatives.
The awards recipients and categories are:
Leveraging the Tools of Technology with the Power of Prevention
The research provides insight into the converging trends of preventive medicine and new technology. It identifies the potential opportunities and challenges of wireless health and evaluates the potential for wireless health technology in the delivery of preventive medicine for more effective population health management.
Sun Health: Innovative Partnerships for Community Health
The work showcases how a community-based organization is leveraging innovative partnerships and unique service models to promote healthful living and independence among local residents. It offers a review of the community-based health and wellness strategy developed in partnership with hospitals and extended care providers; identifies best practices and specific tools community programs can use to improve health, wellness, and independence, while activating patients in self-management of their health; and illustrates proven outcomes measures employed to evaluate community health programs.
Home Blood Pressure Monitoring Improves Medication Adherence and Blood Pressure
This research discusses how a pilot program integrating home blood pressure monitoring into a CAD management program enhanced patient and physician insight and overall health outcomes. It examines a pilot program that provided home blood pressure monitoring to 859 high-acuity commercial health plan members to reinforce physician office treatment for CAD, while explaining how home blood pressure monitoring was integrated into an existing CAD condition management program. It also reinforces the value of home blood pressure monitoring in the diagnosis and ongoing management of hypertension.
Beyond the Predictive Model: Identifying Readmission Risk Factors
This published work examines the effectiveness of hospital readmission predictive models and the alternatives to these types of tools. It reviews the results of a recently published Journal of the American Medical Association article studying the effectiveness of risk prediction models for hospital readmission. The work also analyzes a program that included communication with patients after discharge and found that 29% of those who responded had gaps in care; and identifies best practices for identifying and triaging those at highest risk of readmissions using predictive models, technology, and clinical resources. The work can be reviewed at: Kansagara D, Englander H, Salanitro A, et al. Risk prediction models for hospital readmission: a systematic review. JAMA. 2011; 306(15):1688–1698.
Using Big Data Analytics to Optimize Clinical Care Pathways
This work discusses the role of “Big Data” analytics to unlock insights about actions for optimal care outcomes. This research identifies 3 key challenges in using patient clinical data for quality and outcomes improvement; showcases how Big Data analytics techniques are applied to effectively use multi-modal patient data; and reviews 3 care scenarios, including hospital admissions, that can be mapped and optimized using data-driven insights.
How Do Consumers Make Health Care Decisions? New Research to Aid Member Engagement Strategies
The research presented uses the insights from consumer research to help design effective health communication and engagement programs. Has health care reform impacted perceptions and behaviors? If so, how? This work contributes to a better understanding of health care consumers, their perceptions, expectations, what motivates them, and how they prefer to seek/access health information. It applies the insights to improve the effectiveness of communications programs and engagement strategies.
Forum 12 Educational Tracks
Forum Track 1: Advancing Wellness
Employers and federal and state policy makers have turned to wellness and prevention as key ingredients in the recipe for improving health and quality of life and reducing preventable health care costs—especially those associated with chronic disease. The Forum 12 showcased evidence-based strategies to improve health in the workplace and other settings and to raise engagement for optimal outcomes.
Leveraging the Tools of Technology with the Power of Prevention
Dr. Loeppke provided insight into the converging trends of preventive medicine and new technology and identified the potential opportunities and challenges of wireless health. Attendees gained knowledge about the rapidly changing wireless health landscape and evaluated the potential for wireless health technology in the delivery of preventive medicine for more effective population health management.
The Impact of a Medicare Advantage Fitness Program on Physical and Emotional Health and Activity Impairment
This session demonstrated improvements in seniors' health and functioning through participation in a fitness center benefit with age-appropriate, socially-supportive fitness classes. Attendees explored how social and physical activity can work together to create a sustained impact on physical and emotional health. Dr. Coberley compared the health and functioning of program participants to a matched national sample over 3 years and evaluated the additional benefits of maintaining regular participation over time among program members.
Play or Pay: Value-Based Benefit Designs Drive Union Engagement
This session examined how an iconic US company successfully replaced its traditional benefits program with an innovative combination of value-based insurance design and wellness. Attendees gained an understanding of how to use value-based insurance design to drive engagement in wellness programs. The presenter identified strategies to successfully engage employees with differing work classifications (eg, union vs. management) and in dispersed locations, as well as analyzed how a combination of value-based designs and wellness can improve clinical risk factors and reduce health care cost trends.
Value of an Integrated Weight Management Program at an Employer Worksite
In this session, attendees gained insight into the pros and cons and design issues regarding the setting of worksite weight management programs, approaches to improving engagement, and the measurement of outcomes. The presenters identified the weight management program setting best suited for a particular employer environment and enabled attendees to determine which engagement strategies might be employed to obtain buy-in. The session also defined appropriate selection criteria and measurement metrics for an employer-sponsored weight management program.
Inspiration, Innovation, and Integration: Embracing a Three-I'd Giant
This presentation examined the growth and development of a wellness culture at a macroscopic level. The roles and rules of engagement for key decision makers/stakeholders as well as enrolled health plan members are being defined. Organizations can formulate their own P4 (predictive, preventive, participatory, and personalized) platform and strategy, and design programs with a focus on the desired results and outcomes: healthier engaged members, providers promoting wellness rather than just treating illness, and more appropriate use of health care resources.
Forum Track 2: Collaborative Strategies
New health care delivery and payment models—the patient-centered medical home, accountable care, community-based health teams—are driving new opportunities for wellness and care management to support physicians and other providers. Attendees learned how population health management fits in this rapidly changing care delivery landscape.
Sun Health: Innovative Partnerships for Community Health
In this session, attendees gained insights on a community-based organization leveraging innovative partnerships and unique service models to promote healthful living and independence among local residents. The presenters reviewed a community-based health and wellness strategy developed in partnership with hospitals and extended care providers and identified best practices and specific tools community programs can use to improve health, wellness, and independence, while activating patients in self-management of their health. The session illustrated proven outcomes measures employed to evaluate community health programs.
Decisions, Decisions: How Supporting Patients in Medical Choices Improves Care
Research shows that fewer than 50% of patients can answer basic questions about their conditions and treatment options. This session defined what constitutes true shared decision-making support in the context of many industry variations. Attendees learned how 1 physician practice has implemented a shared decision-making program and changed patient and physician culture. Shared decision-making can impact quality, cost, and patient and physician satisfaction.
Collaboration between a Health System and a Community Pharmacy Chain to Reduce Readmissions
This session examined how a collaborative care model can reduce readmission rates, increase patient satisfaction, and lower net costs. The presenters summarized evidence-based components of collaborative care models involving hospital systems and community pharmacies and identified methods to improve care by expanding clinical roles within a health care team. Collaborative models involving pharmacies and hospital systems were evaluated using a range of quantitative methods.
Comprehensive Care Management in the Patient-Centered Medical Home
This session applied effective concepts from the care management model to patient-centered medical homes. Ms. Hochart summarized the integration of behavioral/medical health screening assessment, stratification, and comprehensive care management interventions in the patient-centered medical home and demonstrated the impact of interventions on cost and utilization achieved using comprehensive, integrated care management. Keys to success for integrated care management in a patient-centered medical home and lessons learned were identified.
Enabling Statewide Medical Homes: Year 1 Results and Lessons
A statewide health plan-provider collaboration is enabling transition from a traditional telephonic care management model to a patient-centered medical home (PCMH) model through high-intensity care management. Attendees gained insight into the transition of NC State Health Plan's 550,000 members to a PCMH model in an effort to impact member health and disease progression. The presenters identified barriers and solutions to the successful transition from telephonic to a community-based population health management model, and an evaluation framework for the PCMH transition. Early results were summarized, including a 33.7% care gap closure, 81% engagement of members targeted for care management, and improvements in 20 of 27 clinical outcomes measures.
Forum Track 3: Expanding the Evidence
Population health management builds its knowledge base through rigorous research and peer review. Presenters examined the latest evidence in support of coordinated, population-based care, and attendees discovered how population health management advances best practices in wellness, prevention, and chronic care.
A Pregnancy Management Program on Birth Outcomes in Managed Medicaid
In this session, attendees gained an understanding of the important areas of focus needed to improve population birth outcomes. The presenters defined the barriers to prenatal management in the Medicaid population and emphasized the importance of early identification of pregnant women and their risk factors. Key components to designing a successful prenatal program for the Medicaid population were identified.
Employer Medical Cost Savings from Web-Based Wellness Program Participation
This session examined the components of a quasi-experimental, pre-post, treatment-comparison evaluative model to determine the effectiveness of employer-based wellness programs. Dr. Williams compared participants and nonparticipants in a wellness program utilizing demographic-, disease-, and risk-based factors. Attendees learned how to determine a methodology using generalized linear models to study changes in costs and utilization for participants compared with nonparticipants. Various cost factors associated with evaluating program effectiveness were identified, such as inpatient, outpatient, and professional.
Beyond the Predictive Model: Identifying Readmission Risk Factors
This session examined the effectiveness of hospital readmission predictive models and the alternatives to these types of tools. Presenters discussed results of a recently published Journal of the American Medical Association article studying the effectiveness of risk prediction models for hospital readmission. A program that included communication with patients after discharge found that 29% of those who responded had gaps in care. Presenters identified best practices for identifying and triaging those at highest risk of readmissions using predictive models, technology, and clinical resources.
An Application of Kernel-Based Versus One-to-One Propensity Score Matching for a Nonexperimental Causal Study: Example from a Disease Management Program Evaluation
In this session, attendees gained an understanding of the limitations of program evaluation methods while gaining confidence in implementing rigorous evaluation methods. Dr. Berg discussed the “evaluation problem” and how it is mitigated by randomized experiments and matched analysis, and explained a methodology that can be used to evaluate health care service innovations without a randomized experiment. Attendees compared an empirical example of kernel-based matching to one-to-one propensity score matching.
Potential Medicare Savings Through Prevention and Risk Reduction
This session examined how population health and wellness programs can dramatically reduce Medicare spending. Dr. Rula discussed the fiscal problems facing Medicare as a result of chronic disease and reviewed results from a recently published study modeling the impact of various risk-reduction scenarios on annual and 10-year Medicare spending. Attendees explored approaches to prevent or reduce risk accumulation and create cost savings.
Forum Track 4: Innovations in Care
The rising prevalence of chronic conditions, the constraints on health care spending, and the emphasis of policy makers on accountability and performance demand innovative approaches and “outside the box” thinking. These sessions prove how population health management advances novel solutions to complex problems.
The Role of Mindfulness in Health Care
In this session, attendees gained insight on how “Mindfulness” can play a role in reducing stress and improving health outcomes. Mr. Coppola presented a solid foundation on what Mindfulness is and the forms it takes, as well as the role Mindfulness plays as an alternative delivery method. Attendees learned how a mind-body stress reduction study has reduced health risks.
A Community Health Dashboard for Lay Health Workers in Faith-Based Organizations
In this session, attendees gained insight into health improvement from the confluence of consumers and lay health workers within a faith-based social network context. The benefits and challenges to utilizing information technology (IT)-facilitating tools for both program participants and lay health workers were identified. Attendees previewed how customized health IT can strengthen health promotion and outcomes occurring within existing social networks, including faith-based organizations, and discovered how these activities can complement and integrate to support core primary care physician-patient and medical home-population care objectives.
Development and Evaluation of an Online Asthma Self-Management Game for Children
In this session, attendees discovered the importance of using health behavior change theory with game design to achieve desired outcomes. Ms. Schroeder explained the rationale for developing an online asthma self-management game for children ages 5 to 10 and examined how instructional design and theoretically based messaging were combined with game mechanics to increase children's learning experiences. Results of a randomized controlled trial involving a national sample of 311 child-parent pairs were analyzed and proved the efficacy of the asthma intervention.
Provider-Led Strategies for Population Health Management Success
This session showcased the impact of applying a population health management strategy within a primary care setting. Organizations can enhance clinical outcomes and strengthen patient relationships by extending the reach of the provider to patients beyond the walls of his or her office. Attendees gained an understanding of strategies to lower the overall cost of care by improving population health and quality outcomes. Presenters identified gaps in care and opportunities to provide care and develop treatment plans through automated interventions and implementation strategies.
Using Big Data Analytics to Optimize Clinical Care Pathways
Big data analytics can unlock insights about actions for optimal care outcomes. Dr. Schulte identified 3 key challenges in using patient clinical data for quality and outcomes improvement. Big data analytics techniques can be applied to effectively use multimodal patient data. Attendees reviewed 3 care scenarios, including hospital admissions, that can be mapped and optimized using data-driven insights.
Forum Track 5: Measuring Value
Evaluation and feedback are critical components of the population health management model. Evidence-based measurement strategies make possible the feedback loop that drives refinements and progressive improvements in wellness and care management.
Implications and Impact of Alternative and Multiple Risk Adjustment Strategies
As providers struggle to show value and savings, this analysis provided practical evidence to sort out the impact of alternative and multiple risk adjustment approaches. Attendees compared the relative impact of various approaches to population risk adjustment on financial outcomes and examined the implications of applying multiple levels of risk adjustment. The optimal “apples to apples” balance was investigated, ranging from no-risk adjustment to over-risk adjustment of cost outcomes.
Nurse Line Measurement: Identifying the Impact on Claims and Costs
This session evaluated nurse line outcomes gathered from 316 organizations and more than 7 million individuals to identify their impact on medical and pharmacy claims and costs. Dr. Serxner defined the methods and conceptual model of using patient compliance as a value measurement approach for nurse triage programs and demonstrated methodology for savings calculation, statistic-based case-mix adjustment, and compliance tracking. Organizations can organize a campaign that employs best practices to drive nurse line awareness, utilization, and compliance.
Home Blood Pressure Monitoring Improves Medication Adherence & Blood Pressure
A pilot program integrating home blood pressure monitoring into a coronary artery disease (CAD) management program can enhance patient and physician insight and overall health outcomes. Dr. Norman examined a pilot program that provided home blood pressure monitoring to 859 high-acuity commercial health plan members to reinforce physician office treatment for CAD. Attendees gained an understanding of how home blood pressure monitoring was integrated into an existing CAD condition management program and discussed the value of home blood pressure monitoring in the diagnosis and ongoing management of hypertension.
Reevaluating Expectations for Financial Impact of Population Health Management Programs
In this session, attendees learned how to approach financial impact research with a more critical eye to methods and the amount of time it takes for these outcomes to emerge. Dr. Grossmeier synthesized recently published studies and other literature reviews on the financial impact of health management programs. Based on the employer case study, attendees identified the leading measures of value, in addition to return on investment, that must support any evaluation of financial impact.
A New Look at Measuring Quality
In this session, attendees learned how to identify high-performing providers and practices and uncover immediately addressable gaps in quality care with more accuracy and efficiency than current methods. The presenters explained how current diabetes quality measures don't accurately identify quality or account for findings from recent clinical trials and demonstrated how the use of combinations of biomarkers, and clinical and pharmacy data can produce clinically useful subclassifications of biomarkers and patients. Organizations can conduct an audit using this new approach to identify quickly addressable quality gaps and promote improved clinical care.
2nd International Symposium on Wellness & Chronic Care
The second International Symposium on Wellness & Chronic Care, a preconference event colocated with The Forum 12, explored the globally competitive marketplace for wellness and care management, and delivered practical strategies that apply across diverse care settings and cultures. Speakers shared experiences on the design, development, and deployment of population-based programs from points around the globe and discussed approaches to program operation and evaluation common to all countries and regions.
Setting the Stage with the International Consumer Perspective on Health Care
Health care consumers are “neither patient nor patients. They are consumers.” Attendees gained an understanding of the consumer view of health care based on a 12-country study of attitudes and behaviors. The presenters compared health care consumers' attitudes and behaviors and examined consumer engagement in health care and international differences in perspective. Attendees learned how to decode health care consumerism—will consumerism translate into a high-performing, consumer-centered system of care?
A Current Snapshot of Population Health Support in Japan: From Disease Prevention Through Clinical Intervention
Health support programs can be designed to meet both the specific needs of employers and national health goals. Annual company physical exams can be used as a front end to accompany health support programs. National health goals can be implemented at the local level through both private and public sector programs. Health support in the local community can be used to improve the quality of life of the elderly.
Program Design, Development, and Operation for an International Employer
This session identified the business objective for implementing health and wellness programs and distinguished differences in business objectives in employee health programs per location or country. Organizations can establish return on investment expectations including location, time frames, and financial accountability, and develop SMART (specific, measurable, attainable, realistic, and timely) goals and program deliverables for each location or country.
Integrated Care in Europe
In health care, the realization of an optimistic prognosis against pessimistic ones depends on current innovations in diagnostic and cost-effective treatment approaches being widely adopted in clinical practice. This task requires a robust scientific platform, intelligent political regulations, and creation of new guidelines to advance current health care systems. How do we estimate the overall impact of personalized medicine and adopt innovative approaches in health care systems, while promoting early/predictive diagnostics, targeted preventive measures, and individualized patient treatment on a global scale? We need to involve a scientific forum for professionals to discuss this topic. The main objectives of these efforts are to mark the stakeholders in the field, to consolidate professional groups, and to elaborate on expert recommendations of how to optimize approaches for cost-effective health care focused on the patient.
Case Study: Development, Evaluation, and Reimbursement Pathway of a Multi-Technology Diabetes Telemedicine Solution
This session synthesized the results of several clinical trials in France that demonstrate clinical and medico-economic effectiveness for the management of type 1 diabetes. Attendees gained an understanding of the design of a mobile and cloud-based diabetes management solution for patients and health care professionals. Mr. Leurent identified strategies for market clearance of software medical device solutions in the current regulatory landscape and evaluated clinical, medical, and economic results of a diabetes telemedicine solution on the path toward reimbursement.
Technology-driven Delivery and Evaluation of a Successful Integrated Care Program in Spain
This session applied these approaches to successfully deploy technology enabling highly integrated care delivery: leverage existing disparate technologies and connect fragmented care delivery organizations. Attendees incorporated best practices to understand how clinical data can be usefully integrated over a wide range of facilities and organizations and across multiple health care information technology systems. Organization-specific strategies and options can be developed for a technical architecture that bridges multiple silos while delivering value to frontline clinicians. The model created in Spain can be applied to care coordination efforts within the context of the US health care system as well as others around the globe.
Poster Exhibition
The premier poster exhibition in population health management provided a unique platform for visual reports on current evaluations, trends, and innovations in wellness, prevention, and chronic care management.
Best Practice Elements of Mobile Healthcare Consumer Interactions and Experience
This poster presented an intelligent channel management strategy to better reach and interact with health care consumers. It described the effectiveness of interaction channels, including automated voice and text, and the most effective channels for reaching specific demographic and socioeconomic populations. Further, it defined notifications and Web applications, describing their utility in patient education.
Multichannel Outreach Helps Identify and Close Gaps in Care
Increasing adherence helps improve outcomes from chronic diseases, which ultimately can yield medical cost offsets for health plans and members. This poster described the development and implementation of a multichannel communications program to engage members, as well as the selection criteria for targeting members to receive multichannel outreach. Attendees learned how to determine cost savings from improved fill rates and medication adherence.
How Do You Achieve 30% Reduction in Hospital Readmissions?
The interventions most likely to reduce readmissions include review of treatment plans, education of patients to monitor and manage their symptoms, and education on healthy living. This poster described the clinical, analytical, and operational components of a telephonic case management program with the main objective to reduce hospital readmissions. It also described the statistical modeling and methods used to adjust self-selection bias between the participants in the program and nonparticipants. Attendees learned how to identify the type of case manager interventions most likely to reduce hospital readmissions.
Using Honest Signals-Based Psychological Sensing Systems to Improve Engagement and Detection of Comorbid Depression in Behavior Change Programs
Organizations can improve the health and well-being of their populations with real-time call center and mobile-based psychological sensing systems. The Honest Signals platform assesses cues in an individual's natural speech and social behavior to provide accurate, noninvasive monitoring to support more timely intervention. Attendees learned how to provide reliable, scalable, automatic, and continuous analysis that measures depression risk and patient engagement in real time, and how to address the high cost of chronic disease and its intersection with present difficulties and inefficiencies in detecting and treating mental health problems.
Using Peer Support Whole Health Coaches and Technology Solutions to Improve Health Outcomes
This poster applied whole health coaching as a best practice. Attendees gained an understanding of the core concepts of peer coaching in promoting behavioral health care engagement, the key information technology tools and resources to support engagement and health promotion, and the role of social media in supporting mental health and well-being.
Does Text Messaging-Based Engagement Improve Clinical and Financial Outcomes?
Organizations can use text messaging to turbocharge Healthcare Effectiveness Data and Information Set (HEDIS) scores, member communications, care transitions, and disease management. This poster helped attendees summarize text messaging programs to date, their results, and full potential. Further, it demonstrated how to develop the plan required to run a text messaging pilot and run a successful HEDIS outreach program within a Medicaid managed care organization.
Feasibility and Acceptance of a Telehealth Intervention to Promote Self-Management in a Population with Serious Mental Illness and Chronic Comorbidities
This poster provided the basis of support for implementing telehealth for patients with chronic illnesses, lessening morbidity through promotion of daily in-home interaction and supporting self-care strategies. It discussed treatment barriers and explained how daily in-home, interaction-supporting, self-care strategies can promote healthy behaviors and lessen morbidity in patients with comorbid depression. The future impact of telehealth on patients with multiple chronic illnesses was addressed.
Quality Care Improvement Utilizing an IVR-Based Diabetes Program
Increased interactive engagement with members translates into improved compliance scores and reduced cost for the health plan. This poster explained how to dramatically increase engagement levels for diabetic members along with monitoring their condition, compliance, and comprehension of evidence-based care guidelines. Attendees applied care management to all risk levels of diabetics (low, medium, and high risk) and learned how to significantly impact HEDIS measures and utilization improvements through a comprehensive, integrated care management approach.
Hidden Value: Health, Safety, and Financial Improvements through Pharmacist Intervention
Pharmacists are well positioned to collaborate with patients and other providers to drive improvement in many Star Ratings measures through medication therapy management (MTM) services and targeted interventions. This poster described the purpose of MTM and the core elements of what is included in an MTM service. Attendees identified the types of measures that can be computed from an MTM program. Pharmacists have the ability to influence patient behavior and sustain behavioral change.
How Do Consumers Make Health Care Decisions? New Research to Aid Member Engagement Strategies
Consumer research provides insights to help design effective health communication and engagement programs. Attendees gained an understanding of whether/how health care reform has impacted perceptions and behaviors, as well as a better understanding of health care consumers, their perceptions, expectations, what motivates them, and how they prefer to seek/access health information. These insights can be applied to improve the effectiveness of communication programs and engagement strategies.
Reducing Lost Workdays After Work-Related Injuries – The Utilization of Athletic Trainers in a Health System Transitional Work Program
This poster demonstrated the value of hiring athletic trainers (ATs) to assist in returning employees to work in conjunction with a transitional work program. A definition of athletic trainer was provided, including their specialties, and examples of how ATs increase productivity and reduce workers' compensation costs were listed. Further, the poster described how ATs can lower costs for an organization.
Holistic Employee Health: Psychological Stress in a Work Environment and its Impact on Physiological Health and Well-being
International research regarding workplace psychological stress and impact on physiological health provides insight into the importance of holistic workplace psychological health approaches and strategies that improve employee health and well-being. Attendees were able to better understand determinants of workplace physiological stress and to identify specific physiological conditions resulting from psychological stress in a work environment. Organizations can implement targeted workplace health strategies that measurably improve employee psychological and physiological health and well-being.
Assessing a Public-Private Resource on Diabetes and Worksite Issues for Continuous Improvement and Impact
Companies can implement diabetes worksite wellness programs to suit their organizational environment by adapting and using tools from