GE's Healthy Worksite Initiative and NBGH Purchaser's Guide Employer Toolkit (Text Version) Slide presentation from the AHRQ 2009 conference On September 15, 2009, Adam Malinoski and Mark Russo made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (7.7 MB) (Plugin Software Help).Slide 1General Electric CompanyGE's Healthy Worksite Initiative & NBGH Purchaser's Guide Employer Toolkit"The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet, and in the cause and prevention of disease."-Thomas A. EdisonAdam MalinoskiMark Russo Slide 2We are GEWe are a global infrastructure, finance, and media company taking on the world's toughest challenges.InfrastructureGE Energy Infrastructure $39B / 22%GE Technology Infrastructure $46B / 25%GE Consumer & Industrial $12B / 7%FinanceGE Capital $67B / 37%MediaNBC Universal $17B / 9%2008 Revenues / % of total revenues Slide 3Our StrategyBe GlobalConnect locally, scale globallyDrive InnovationLead with technology and content innovationBuild RelationshipsGrow customer and partner relationships worldwideLeverage StrengthsUse GE's size, expertise, financial capability, and brand Slide 4Headcount Growth in Emerging Markets... 24% by 2010A map with percentages for some countries.Latin America 21,000Canada 11,000SE Asia 12,000Japan 8,000India 14,000China 12,000EMEA / Russia 106,000AU/NZ 7,000U.S. 159,000 (46%)% of EEs outside of U.S. varies by Business.from 14% to 85%40% of employees at clinic sites. will be ~30% by 2010 Slide 5Health & Wellness Programs @ GEEmployee EducationHealthy WorksitesOur Foundation: Health by Numbers Slide 6GE's Health by Numbers program focuses on controllable health factorsNBGH Purchaser's Guide conditions/factors addressed: Obesity, Diabetes, Healthy Diet, Tobacco Use, Heart Disease, StressGE's program: Health by Numbers 0 5 10 25Targets the most critical and controllable factors that affect a person's overall health and well-being:Engage employees to achieve and maintain optimal health Slide 7Health by Numbers (HBN) 0 5 10 25 is:ChallengesEducation & CommunicationOther Programs Slide 8Healthy Worksite Survey (HWS)Stay Healthy: HBN 0 5 10 25Continue to encourage and support employees' pursuit of a healthy lifestyle.Safe & Healthy WorksiteAdding a site assessment survey, Drive improvements: 9 Questions.Three focus areas: Tobacco Use 30 pts.Nutrition 30 pts.Physical Activity 30 pts.Each focus area has 3 levels of engagement Communicate 4 pts.Connect 8 ptsCommit 18 pts.Total: 30How it works:Sites >= 100 Employees EligibleParticipation optional, but scoredAnnual metrics: “In the last 12 months...”Web-based survey, quarterly reporting(e.g. HBN Challenge) Slide 9Worksite changes start with the GE Toolkits for site managersAudience: HR Managers, Plant Managers, Site Coordinators, Health Services StaffGuidelines and resources are outlined in 3 steps: Communicate, Connect and CommitLinks Managers directly to resources via a collaboration communityGlobal Resources (9 base languages) Slide 10GE quick-start guides highlight tools from the Purchaser's GuideNBGH Purchaser's Guide:“Approaches to healthy lifestyle are paired with Worksite based activation, preventative services, EAP and Work Life services.”GE Healthy Worksite Toolkit FrameworkStep 1: CommunicateEducate your employees through communication to improve their health habits.Tobacco Quit linesPosters and internet resourcesWorksite NewslettersStep 2: ConnectEngage your employees by connecting them with health & wellness programs.EAP/Work LifeCommunity Guide- CDC Stairwell programHBN ChallengesStep 3: CommitMake fundamental, lasting changes in worksite practices.Worksite Smoking BansHealthy Cafeteria & VendingFitness Centers Slide 11GE leveraged NBGH resources to support HWS ToolkitsIMAGE: Healthy Worksite Healthy Eating Toolkit – Healthy Choices from NBH (Vending, Catering and Dining Facility Assessment)IMAGE: Healthy Worksite Physical Activity Toolkit – NBGH Best Practice Documents (2) Slide 12The Guide to Community Preventive Services the basis for several HWS resourcesSnapshot of Section 6 in the Guide to Preventive Resources – Highlighting the Guide to Community Preventive Services Slide 13Healthy Worksite examplesCommunity Guide Recommendations that may Complement Clinical Preventive Services Recommended in the Purchaser's Guide – SECTION 6Obesity - Page 7Use of point of decision prompts to increase stair use Worksite programs combining nutrition and physical activityTobacco Use - Page 7Develop media campaigns and use with interventions Implement smoking bans or restrictionsHealthy Worksite and Health by Numbers 0 5 10 25CDC StairWell Program Health by Numbers Challenges Healthy Cafeterias and Vending MachinesMarketing materials promoting tobacco cessation Tobacco-free worksite- goal for Level III Slide 14Educating our Employees—Healthcare 101Benchmarking: NBGH Purchaser's GuideHealth Plan HRAsEmployee feedbackEmployer BenchmarkingContent: US/GE Healthcare CostsActive Consumer Choosing the best MD and HospitalWellness ProgramPreventive Screenings BP, Cholesterol, Mammogram, Colon CancerGlobal version, “Health Basics”, rolling out this Fall Slide 15Preventive ScreeningIncrease preventive screening rates. drive accountability to worksites Used purchasers guide to develop & refine definitionsSet targets.side-by-side view of NCQA State of Health Care Quality and HP2010 invaluableAssessed GE's baseline performanceMade site-level data visible, readily availableGoal: reduce variability, improve performance in bottom quartileImage (top left): Snapshot from the table displayed on page 477 of “A Purchaser's Guide to Clinic Preventive Services.” Image not meant to be read, just meant as a reminder of the crosswalk table provided in the guide. Table has the following columns: Categories (in this case “cancer” is the category listed), Purchaser's Guide Recommendations, USPSTF Recommendation, HEDIS 2007 Measures, NCQA 2006 State of Health Care Quality and Healthy People 2010.Image (lower right): This is a bar chart showing the distribution of colon cancer screening percentages by GE worksite. No y-axis labels. Each bar is a representation of the number of GE worksites at the screening level listed. The data points on the x-axis that are labeled are: 47.5, 55.0, 62.5, 70.0 and 77.5. The curve is a representation of the distribution. A red vertical line is drawn slightly at 57.0 and represents the bottom quartile of sites. Chart lists the following data points: Mean: 64; Range: 45 – 81; LQ: 57 Slide 16healthymagination Slide 17Healthcare has reached a tipping pointHealthcare industry in the U.S. has traditionally led innovation and exported globallyEnormous pressure on government to reduce costs—current model is unsustainable given "demographic" shiftsAdministrators looking to improve quality, lower cost, and reduce variation in care... patients want quality and coverageMany new healthcare models emerging on a global basisNew solutions are required Slide 18Ecomagination....for a healthier planet+Healthymagination... for healthier people=GE for a better world... for generations to come Slide 19ContactAdam MalinoskiLeader, Health and Wellness Programs3135 Easton TurnpikeFairfield, CT 06828203-373-3741Adam.Malinoski@ge.comMark RussoProject Manager, Health and Productivity1 River Road, Building 5-6 WestSchenectady, NY 12345518-388-7923Mark.A.Russo@ge.com Current as of December 2009 Internet Citation: GE's Healthy Worksite Initiative and NBGH Purchaser's Guide Employer Toolkit (Text Version). December 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2009/malinsoki-russo/index.html