Slide # |
Title & Content |
1 |
Health Care – It's Not Just Chicken Feed National Prevention Summit
US Department of Health and Human Services
Washington, D.C. October 26, 2006
Roger C. Merrill, M.D.
Chief Medical Officer
(image: Perdue Chicken logo)
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2 |
HIP Perdue's "Health Improvement Program"
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3 |
Three HIP Objectives
- Eliminate lifestyle risk factors
- Systematically manage controllable disease
- Establish an 'Environment of Health'
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4 |
HIP - Perdue's Health Improvement Program
- HIP was designed to:
- Measure the health status of our population (something few others have done)
- Intervene in those high-target health areas that represent high-dollar expenditures
- Attack the cost side of the health equation by reducing demand for expensive services for complicated disease consequences
- Use the QIP (Quality Improvement Process) model to improve health
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5 |
HIP Pilot
- Health Risk appraisal was administered; it includes 19 questions relating to diet, exercise, screening testing, health habits, etc.
- 5 biometric measurements were obtained: BP, height/weight, and blood for cholesterol panel,
fasting blood sugar, and cotinine
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6 |
HIP Pilot
- These data points are entered into a proprietary database which produces…
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7 |
HIP Pilot
- A "Personal Plan for Health" based on the individual's actual (not assumed) health risks
- Aggregated data by plant or Company on health risks, number and % of undiagnosed and uncontrolled risks, such as blood pressure, diabetes, and others
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8 |
Personal Scorecard
(image: Personal Scorecard)
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9 |
HIP Pilot
- 2,240 folks at 6 geographic locations included in the pilot
- Up to 85% of plant associates participated
- All had Health Risk Appraisal with biometrics
- Half ("A" Plants) had regular intensive nursing intervention on controllable diseases/risk factors throughout the period
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10 |
HIP Pilot
- Note that the "control" plants - those without intensive nursing intervention – had programs similar to the best companies in the US: Health risk appraisals, personal explanation of risk factors, and suggested lifestyle changes
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HIP Pilot
Anticipated Results:
- We agreed in advance that a 5-10% improvement in measured risk status in the 5 HIP focus areas [Blood Pressure, Cholesterol, Exercise, Tobacco, Weight] would be our success threshold
- These 5 areas are causative in >50% of Medical Plan expenditures at Perdue
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12 |
HIP Pilot
Actual Results:
- A. The "control" plants (designated "HIP Pilot B") showed a 2% decrease in unhealthy risk scores
- B. "A" plants demonstrated a 25% reduction in unhealthy risks
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13 |
HIP Pilot Plants Results 2004-2005
Wendy Duncan
Pilot Location
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Scored Focus
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%bad Ph1
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%bad Ph2
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%improvement
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A Plants
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Tobacco
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23%
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21%
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9%
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B Plants
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Tobacco
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32%
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30%
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6%
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A Plants
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BP
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10%
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3%
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70%
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B Plants
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BP
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14%
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15%
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-6%
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A Plants
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Cholesterol
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10%
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8%
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20%
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B Plants
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Cholesterol
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13%
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11%
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15%
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A Plants
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Exercise
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70%
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41%
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42%
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B Plants
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Exercise
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67%
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63%
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6%
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A Plants
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Weight
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53%
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49%
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8%
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B Plants
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Weight
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60%
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57%
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5%
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(image: "It's HIP to be fit" logo)
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14 |
HIP Pilot, continued…
With the results of the pilot in hand, the program was extended to 12 plants the next year, and to the entire Company in the current year
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15 |
Gertrude Stein once said, "A difference to be a difference has to make
a difference"
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16 |
So What?
Results:
- Our 4-year inflation rate is (–3%) per year
- Cost per employee is ½ the national average ($3500 vs. $7400…)
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17 |
(image: bar graph titled "Annual Medical Plan Cost to Perdue")
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18 |
(image: bar graph titled "Annual Net Medical Plan Cost per Covered Associate")
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HIP Conclusions
- We have demonstrated that we can substantially improve the health of a blue collar working population in the clinical areas that have the most long-term consequence
- These improvements directly impact direct and indirect cost and misery of ill health
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20 |
Health Care – It's Not Just Chicken Feed National Prevention Summit
US Department of Health and Human Services
Washington, D.C. October 26, 2006
Roger C. Merrill, M.D.
Chief Medical Officer
(image: Perdue Chicken logo)
|