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What Does Your Employee Health Balance Sheet Look Like?

By DrScott – Posted on January 21, 2014 on www.compassphs.com

What is the most expensive item on your statement of revenue and expenses every month? Employee payroll tops the list for almost every company, with health benefits landing in the second or third position depending on whether you are in manufacturing (raw materials often in second place), or a service industry.

Now, how carefully do you manage employee costs? Cost of raw materials? What about health costs? When I ask this question of most CEOs and CFOs the answer is consistent – on employees and raw materials they are meticulous, but they don’t feel like there is much they can do when it comes to health benefits.

Really? As we have examined in these blogs, there is A LOT that they can do. In fact, given the high cost of health benefits it would not surprise me if soon companies will not have to add “Employee Health & Wellbeing” to their Balance Sheet. How? Well, disease doesn’t appear in a person overnight – it takes years, and if detected early it can be cured or slowed dramatically. Why don’t we slow or prevent disease progression?

The “I Feel Fine” Syndrome lulls us into a false sense of security (as we discussed in the last 4 blogs). But this is not inevitable – identified and handled properly, costs stay down, employees stay at work, and families keep their mothers and fathers.

Smart venture capital firms like Blackstone have already figured this out and established companies like Equity Health to get control of this issue. Imagine buying a company, putting in place proactive solutions, and dropping the cost of your number 2 or 3 spend by 10 – 30% in the first 36 months consistently. Regardless of how much the rest of the company performs, you already have created significant shareholder value.

So what will the Balance Sheet say? No one knows exactly, but an educated guess includes:

Assets:

Employee Health (Assets = lower costs relative to average employee of $X)

  • % of Employees

Healthy Employees : $3,000/employee

  • 15%

Employees with Chronic Conditions well managed : $1,400/employee

  • 8%

Liabilities:

Employee health (Liabilities = higher costs relative to average employee)

  • % of Employees

Employees with poor physical fitness <$500/employee>

  • Unknown

Employee with unknown health status <$1,400/employee>

  • 57%

Employees with uncontrolled Chronic Conditions <$3,200/employee>

  • 14%

Employees with Serious Illness <$19,000/employee>

  • 6%

So let’s take a company with 1000 employees paying on average $5000 per year for health benefits. This calculation would be a net negative of <$798,000> on the balance sheet. Getting biometrics, age and gender screenings along with active primary care involvement would shift this from a net negative on the balance sheet to a break even on the balance sheet. It would also reduce health care costs by over $60,000 per month. This approach is logical and attractive both from a financial and employee well-being standpoint. However, it takes experience and competent systems to achieve.

Tremendous opportunity to make very significant differences for your employee’s health and well-being exists. Designing systems that help your employees keep their Seven Numbers at goal will add years to their life and life to their years. Thank you for following this series. Please let us know if you have thoughts or stories of how you are accomplishing this in your companies.

How is Your New Year’s Resolution Coming? This Year it is Time to Succeed!

By DrScott – Posted on January 14, 2014 on www.compassphs.com

First in the How to Switch On Your Employees Series

What is your New Year’s resolution? If you are like most Americans, the resolution will be given up by Super Bowl weekend and things will be back to status quo. But what if things were different this year? What if you succeeded and lost that weight, got in shape, or saved that money? What if 2014 became the year to get things done in a way you have never experienced before? What would you have to do differently in 2014 compared to previous years?

The science of change management, which is what we are speaking about, has come a long way in the past 5 years and it’s time to incorporate these discoveries into achieving our goals.

Let’s start by asking: is knowing what to do enough? As a weight loss expert who has helped hundreds of people lose weight, it is clear that there are many patients who can literally recite encyclopedic knowledge on calorie balance, exercise, food labels, and the latest best seller’s strategy on effective weight loss, but they don’t lose a pound. They know what to do, but are not doing what they know.

Maybe the key is to create or overcome strong emotional issues. In the patients mentioned above, often a life event preceded the significant weight gain. When this occurs there is no question that getting in touch with “what happened” and re-framing the experience in a more empowering and less threatening way makes a difference. However, often there was no preceding trauma or the traumatic experience was resolved through beneficial and significant counseling but no weight loss occurred, suggesting that attention to emotional issues may not be enough by itself.

Perhaps the environment makes the key difference. One Compass client discovered their employees gain, on average, over twenty pounds of weight in the first year they are working in certain departments (and this is not muscle weight – it is good old fashion fat). Employees are not allowed to be out of their seats more than 5 minutes an hour, they are rewarded with food when they achieve performance goals, birthdays are celebrated corporately with large cakes and free soft drinks (there are over 500 employees – more than one birthday per day on average), and long work days are common, leading many to work 10 or more hours a day minimizing the time for non-essential out of work activities like exercise.

Challenging environments are not just created at work. At home, the refrigerator often contains soft drinks, cabinets contain potato chips and cookies are baked and shared as a sign of love. Nutritious food is difficult to find and more expensive than fast food. Unfortunately, many obese children and adults do not have the resources to access nutritious food. So perhaps the reason we fail so frequently is that we are not looking at the bigger picture. Some combination of these factors work together to block our change efforts. What are the results if you address two or three of these issues at the same time? In the next blog, we will look at the interaction between these factors and at what the research is telling us about making sure we win this year with our New Year resolutions!

Exciting Update from GOH Medical-New Clinic Merge!

Important Update from GOH Medical Practice
Dear patients and friends:My dream has been to provide timely, state of the art, proactive, convenient primary care to add years to your life and life to your years by empowering you to take control of your health.  To accomplish this takes significant resources. GOH (Game of Health) Medical has tried to do this as a solo physician practice for the past 4 years with mixed results – and so it is time to evolve.The question was which group do I associate with to bring you outstanding care?  Fortunately, I had access to a huge database to research and find the best medical group.  Working with the team at Compass PHS, we created a Value formula to identify the best primary care doctors in North Texas.  We looked at quality, safety, service and cost – 21 variables in all, to identify The Premier Providers.

A group of practices use team based, outcome-oriented, evidence-based medicine to care for patients.  Some have received the NCQA Patient Centered Medical Home designation.  After this analysis, it was my job to get to know these practices. In doing so, Dr. Chrisette Dharma and Southwest Family Medicine Associates (SFMA) were discovered as the #1 doctors in this analysis. Her new, state of the art office is located halfway between my current office in Dallas and Irving. SFMA has the ability to do online appointments, extended office hours and Saturday appointment availability, all major insurances accepted, and provides extensive imaging, lab, travel medicine and other services.

It is with great excitement to tell you that effective January 1st 2015, I will be moving GOH Medical’s practice to SFMA to join their team and see patients.  Our team includes Nurse Practitioner Angela Kemp, Dr. Asa Hadwell to make sure you get great musculoskeletal care, and our new lifestyle coaching team who will offer you support on weight loss, smoking cessation, and staying with your 2015 health goals.  We will be working with Dr. Dharma and her excellent team of physicians at SFMA to make sure you get the best care possible.

The Park Cities MedSpa, Concierge, Women’s Health & BioTE bio-identical hormone practice will remain at the current GOH Medical location in the Preston Tower. The providing team here includes Celia Dolinta (DNP-Women’s Health), Jill Ethridge, Brandi Padilla (Medical Esthetician) and Cheryl Reinhart (NP). All other medical patients will be seen at SFMA.  To make an appointment at the SWFMA location, please call the direct number below, or you may use our current number and press option #3.

If you have any questions, please contact Lauren Kirschner before Jan 1st atLauren@gohmedical.com.

I look forward to seeing you soon!

Scott Conard, MD

Southwest Family Medicine Associates
8877 Harry Hines Blvd
Dallas, TX 75235
214-393-2940

Free at Last, Free At Last, Thank God I am Free At Last. Time to head home (the Medical Home)

I am overjoyed (and greatly relieved) that I can now report that I am a “free agent.” I met with Dr Stoltz last Thursday and, at this point, I am no longer associated with Medical Edge or Texas Health Physician Group and will not be opening an office with them.

So it is time to get down to brass tacks and figure out what we are going to do.  As all of you who know me well appreciate I am absolutely committed to

“Adding years to the life and life to the years of individuals, corporations, systems and nations to empower intuitive wellness.”

There will be two aspects of this pursuit for me – clinical practice and creating an Accountable Care System that empowers the Accountable (or Activated) Patient.

In the clinical practice I am committed to finding and growing old with a group of patients who too are committed to living a great life – reaching 100 years of age with vitality and joy.

What does not work for me in the practice is running in and out of rooms 15 minutes at a time until I am exhausted.  This model does not work – the American Healthcare System has proven this without a doubt.  So here are some basic to consider;

  1. One on one, face to face visits will be necessary for part of the time.  But guiding, directing, supporting, and coordinating the effort is as or more important to the process of attaining intuitive wellness.
  2. Creating a medical home with opportunities like group visits, on line visits, telephonic care, and having other members of the team like dietitians, exercise specialists, social workers, pharmacists available to us are also vital.
  3. Working with a great physicians assistant and/or nurse practitioner (and at some point additional doctors) as a part of the team will add tremendous value to the practice.
  4. Finally, the freedom to speak with the specialist or go to the visit when it could/would contribute greatly to your health cannot happen when I am running room to room but may be vital at times to your health.

So now we start building a new model.  The first thing is building the team to get the logistics of starting a practice accomplished.  Not glamorous but necessary.  let’s start with one foundational person; an organized, capable, motivated individual with some healthcare background (possibly an MA or nurse) who would like to run with the ball and create this enterprise.   Do you know this person?  If so, asap please send me their contact information to drscott@scottconard.com

Secondly, this individual will need some help.  Would anyone be willing to volunteer to help with basic tasks ranging from filling out forms to running errands?  It will take a village to create the ideal medical practice for our community, but and now we have the green light for go and we can proceed!

I miss you and look forward to seeing you soon in our new facility.

Dr Scott

A Select Group

Would you be interested in joining a small group, say 200 – 500 people that focus on living life in a positive proactive way to insure their well being?  The more feedback and input received the more it feels like having a team looking out for you, using insurance but not shy about recommending additional resources, activities and events might be the ticket.  Let me know what you think.

 

Dr Scott