City of Goodyear Wellness Clinic January 9, 2014 Goodyear Wellness Clinic Overview Clinic opened 2008 Approximately 1100 sq. ft. Open six days per week Monday through Saturday 8:00 A.M. to noon M,T,Th, F, S 8:00 A.M. to 5:00P.M. Wg Open to all employees spouses and dependents - Free of Charge Virtual Tour Services Currently Offered Routine medical services Physical examinations and annual checkups Preventative health care and screenings Immunizations and allergy treatments Point of care and sample collection Accident and injury Workers compensation and occupational injury treatment Prescribe medication Health education and consultation Chronic disease management Nutrition and weight management education and treatment Clinic Utilization 1st & 2nd Quarter (calendar year) Visits Compared to Capacity Visits Per Day Average 700 624 600 561 25 500 20 400 15 300 297 290 312 300 264 311 312 312 21.6 13.5 11.2 10.2 12.0 8.0 10 254 207 5 200 0 100 Mon 0 Monday Tuesday Wednesday Total Visits Thursday Friday Tue Wed Thur Saturday Capacity Data does not include Workers Comp visits which total 110 for the 1st and 2nd Quarter. Fri Sat Patient Care/Demographics Loss Run Reporting Running 12 Month Experience Total Claims $600,000 $500,000 $400,000 $300,000 $200,000 $100,000 Billed Premium Breakeven Analysis Based on Primary Care Doctors Visits Average Plan Cost per Office Visit $118 $450,000 $426,560 $400,000 $350,000 $326,560 $300,000 $250,000 Cost of Clinic Operation $226,560 Savings to Plan $200,000 $150,000 $121,186 $100,000 $50,000 $0 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Lessons Learned Coordinate with Insurance Provider(s) Earlier Integration of Wellness Program Primary Care Provider Health Risk Assessments Establish scalable & flexible policies and agreements Hours of operation Appointment -vs- walk-in Use of clinic policies High utilizers (4-5%) Patient discharge procedures and protocols Develop ROI/Cost Benefit Metrics Phase in Approach Prescription Dispensary How are we doing and where are we going? January 2014 - RFP for a Clinic Provider Develop a long-term Clinic Strategy Connected to our Human Capital Plan Scalable and Flexible Cost Containment and Wellness Main Focus Clinic as a Center for Organizational Health Tower Watson’s 2012 On-Site Clinic Survey Top reasons for establishing and continuing onsite health centers Questions