Know the Assessment Product Workplace Solutions Assessment Certification Training Jeff Cross, MPH Employer Initiative Product Manager Workplace Solutions Assessment: Training Objectives 1. Know the employer Best Practices for chronic disease prevention 2. Know the business case for chronic disease prevention 3. Know the goals of using WS Assessment and key features of the product 4. Know each step of WS Assessment product delivery: Recruit, Survey, Report, and Present Workplace Solutions Assessment: Snapshot What is it? A tool for ACS staff to survey employer cancer control & wellness practices, and recommend evidence-based strategies to improve employee health behaviors. Employer Consulting: Nationwide Strategy Previously, ACS had multiple employer consulting products Jan ’05, Nationwide workgroup proposed a two-tier approach using parts of existing materials and data from GW pilot project. The two new products are: Workplace Solutions Assessment Solutions Consulting Workplace Assessment available nationwide. Five divisions currently field testing Consulting. Assessment v. Consulting Assessment Consulting Recruit: Any size employer Recruit: Large employers, access to decision-maker Survey: 20 questions, yes/no, asks about Best Practices only Survey: 50 questions, yes/no, multiple response, and comments field. Asks about Best Practice and related/supportive activities Reporting: Basic feedback: current standings listed, recommendations described, effectiveness & generic ROI estimates cited Support: additional ACS products and materials Reporting: “Enhanced feedback” current practices scored, recommendations described and ranked, ‘supportive’ practices that may facilitate implementation of Best Practices Advantages: quick, easy to deliver, creates cross-selling opportunities Support: Solution Sets (including company-specific ROI, etc.) WPS Assessment: Features • Prevention focus: preventing cancer means preventing other chronic diseases, too • Evidence-based: The Community Guide • Web-based tool to auto-generate feedback reports • Free and available to ALL employers WPS Assessment: Achieving Mission Impact Assessment Employer Practices Employee Behaviors Outcomes • Benefits • ↓ Tobacco use • ↓ Cancer • Policies • ↑ Physical activity • ↓ Chronic disease • Programs • Healthier eating • ↑ Health • Tracking • ↑ Preventive care • Controlled costs • Communication • ↑ Productivity Best Practice Risk Effect on Risk Factor Benefits Policies Programs Q# Product Add coverage for cancer screening CPS 10-15% absolute increase in cancer screening 1 Gold Standard, GYST Add coverage for cancer treatment CPS Access to cancer clinical trials, increase in utilization of effective treatment 1 Gold Standard Add coverage for tobacco cessation Tob NRT: 20-30% utilization, ~15% cessation rate 2 Gold Standard Send preventive care reminders CPS Promotes and encourages employees and their providers to get preventive care and avert expensive late stage treatment costs. 3 Gold Standard Track delivery of preventive care CPS Monitoring and reporting feedback to doctors improves provision of preventive care by 40-60%. 4 Gold Standard, GYST Ban tobacco use at worksites Tob Reduces amount smoked and eliminates tobacco smoke (ETS) exposure 5 Post use-the-stairs reminder signs PA 54% increases in stair use (routine activity) 11 POD Enhance access for physical activity PA 25% increase in adherence to physical activity guidelines 10 POD Subsidize healthy food choices Nut. 35% increase in fruit & vegetable consumption 6-9 Meeting Well Implement sun protection policy Sun 30% increase in use of sun protection 12-14 Sponsor a tobacco quit-line Tob 25-35% quit rates. Also increase cessation attempts. 15-17 Quitline, Fresh Start Support a weight control program BMI Participant weight loss 5-25 lbs 20 NuPA Offer a physical activity program PA 10-30% increase in participants meeting PA guidelines. 18-19 Active for Life Tracking: survey employee health behaviors Promotion: Promote the use of preventive care benefits, policies, and programs WPS Assessment: Evidence Sources Where do the Best Practices come from? U.S. Task Force on Community Preventive Services http://www.thecommunityguide.org What is the Community Guide? “The Community Guide summarizes what is known about the effectiveness, economic efficiency, and feasibility of interventions to promote community health and prevent disease.” “The Task Force on Community Preventive Services makes recommendations…based on the evidence gathered in the rigorous and systematic scientific reviews of published studies…” WPS Assessment: Business Case for Prevention Why should employers care? Labor Costs Are Huge in the U.S. Health Care: A Huge Part of Labor Costs Chronic Diseases: A Huge Part of Health Care And Don’t Forget Productivity WPS Assessment: Business Case for Prevention For employers, chronic diseases are key… Cancer leading cause of death among working age adults. Chronic diseases 40% of health expenditures, nationally; 25-35% of employerpaid expenditures Chronic diseases = 70% of all U.S. deaths 68% of morbidity and mortality is preventable Also: Absenteeism, job performance, safety/workers comp., life insurance, retiree benefits, liability, human capital, corporate image… WPS Assessment: Business Case for Prevention Preventive care is often missing… Mammogram 80 Pap 79 Prostate 72 Colorectal 68 Cholesterol 57 Flu Vaccine 55 Smoking Meds, Counsel 10 OTC Nicotine Replace 6 0 20 40 60 80 Percent Source: Partnership for Prevention Survey of Employers, 2001 data 100 WPS Assessment: Business Case for Prevention Prevention is Missing at Worksites… Immunizations 20 BP 11 Fitness 11 Cholesterol 8 Mammogram 6 Smoking cessation 5 0 5 10 15 20 Percent Source: Partnership for Prevention Survey of Employers, 2001 data 25 WPS Assessment: Business Case for Prevention Prevention Strategies Minimize Costs Reduce occurrence of chronic disease Avert high-cost claims for treatment Enhance productivity & work climate Use healthcare/wellness dollars wisely Workplace Solutions Assessment: Product Delivery Cycle Recruit Survey Report Present - Companies (not sites) - All employers eligible - Seek company decision-makers 1. Create Company Profile: Enter # employees and sites, contact info 2. Survey Company: Enter company responses Time: 30min – 1 hour 3. Prepare Report: Click to create, proof & customize 4. Submit Report: upload final, edited version - Send Report + Response Sheet - Incl. Best Practices, CFF, ACS Screen. Guidelines (opt.) - “Report-back” presentation (opt.) Time: Variable Time: 1 hr. 4 Online Steps Time: 1 hr WPS Assessment: Recruit Prospecting ALL employers are eligible Consider: Health Insurance Workforce (older, longer tenure) Timing (HR availability) Potential gains Who to Contact Company decision-makers Human Resources (VP, Dir) Benefits (Manager) CMO (medical officer) WPS Assessment: Recruit What to walk away with… Commitment to participate from knowledgeable company rep. in all key steps/mtgs. Plan of Action: client involvement, timeline (next meeting) Clear Expectations: client knows what kind of feedback to expect (recommendations) WPS Assessment: Recruit What’s involved in the Assessment process? • Survey: “The first step is to complete the Assessment survey. It’s just 20 question and requires about 30 minutes. You and others familiar with your company’s health benefits, policies, and programs may respond.” • Analysis: “Once the survey is complete, we’ll compare what your company is doing to our Best Practices. This will allow us to identify specific evidence-based opportunities for improving employee health at your company.” • Feedback: “Within a week, I will send you a Recommendations Report. That report will contain a concise overview of specific costeffective prevention opportunities. It will also point out where ACS can help.” WPS Assessment: Recruit How Will Assessment Help My Company? • Control health care costs: Assessment targets your single biggest cost-driver—chronic disease • Improve employees’ health behaviors: Assessment will help align your company’s benefits, policies, and programs so they consistently encourage the healthy behaviors that you want employees to adopt. • Provide proven strategies: For instance, there are a lot of physical activity programs to consider—some better than others. The Assessment Recommendations Report will spec-out which features to look for—based on research findings from the U.S. Preventive Services Task Force. WPS Assessment: Staff Tool www.acsworkplacesolutions.com Certification Training required before username and password issued Welcome Click here! Find support materials here WPS Assessment: Getting Started Step One: Create Company Profile WPS Assessment: Create Company Profile • • Asks for • # U.S. employees • # worksites • Primary company contact Can be modified later Step Two: Survey Company Be sure you’re surveying the correct company Also available as .pdf on Resources Page Only Staff will enter responses WPS Assessment: Conduct Survey Survey Format • 20 yes/no questions about Best Practices • Offer in-person, by phone, or electronically • About 30 mins. to administer • Respondent needs to have basic knowledge of benefits and company practices • Hyperlinked terms WPS Assessment: Conduct Survey • In-person is best • Company-level survey (not worksite) • For multiple sites or health plans, ask do ALL follow sites/plans follow best practice • Yes/No troubles, consider: – Is it implemented in all applicable places? – Does it reach maximum number of employees? • Take notes Step Three: Prepare Report Save as WORD document and edit prior to step 4 WPS Assessment: Prepare Report Report Format • 5-7 page, management-ready Recommendations Report. • Exec. Summary • Purpose, Process • Business case • Recognizes Best Practices in-place • Calls-out Best Practice opportunities • Introduces other ACS products WPS Assessment: Prepare Report Click! (Get a response sheet, too) Must Do’s: • Format & Proofread • Upload final report Optional: Tailoring (insert company-specific details and/or creative implementation ideas) Include Sell Sheets, Best Practices list, Cancer Facts & Figures, ACS Screening & Early Detection Guidelines Step Four: Submit Report Will search your files for the edited and formatted version of your report WPS Assessment: Deliver Recommendations Presentation Format (model) • In-person “report-back” • Review recommendations, show where ACS can help, take questions • Overall Goal: implementation of Best Practice & mission support • Focus: relationship development & crossselling WPS Assessment: Deliver Recommendations Not an Expert? • • • PowerPoint hand-out (use samples, talking points) Set the Tone (“opportunities” vs. “recommendations”) Be the connector, not the guru Or skip presenting Remember, this is your tool to help build employer relationships Additional Resources Additional Support Workplace Solutions Assessment: Get Started! Congratulations! You are Assessment certified. URL, Log-in, and Password will be emailed by end of this week EI mailbox for questions and suggestions