Health Services Value Proposition
1
WDPR Drivers’ Wellbeing Pilot Overview Pamela Hymel MD, MPH, FACOEM April 2017
2
Health Services Value Proposition
Past
Reactive Treatment Center
Past
Strategic Partner to Safety, Risk Management, Operations
Proactive Solutions to Present Improve Baseline Health
Vision
Optimum Health & Performance of All Cast Members
3
Scope of Services Occupational Medicine Services
Occupational Health
Medical Surveillance EAP Physical Therapy Health Coaching Risk Management Safety Integration
Population Health Strategy and Design with innovative engagement opportunities for Cast & Family Personal Health Management Resources & Tools
Wellbeing
Sports & Fitness Resources Guest Service Recovery Guest Health
First Aid Services and Assistance Operations, Safety, Risk Management Integration Safety & Wellbeing Support
DOT Medical Exam Restrictions and Accommodations International Travel Immunizations and Advice Public Health Support Vaccine Clinics
Health Administration
3
4
Meet the Team
5
Wellness Intervention for Commercial Drivers • Initiative for higher risk cast members in our commercial driver population • Approximately 2000 cast members need a commercial driver’s license • Focus on improving overall health and wellbeing • Evaluation of underlying health issues that are specifically addressed during a DOT exam
6
Pilot Program Overview • Proactive outreach to drivers with increased risk factors who are due for a DOT physical examination in the next 3 – 6 months • Dedicated Health Services nurse will develop and support an individual care management plan for each pilot participant, including: • Coordinating referrals to Cigna health coaches (registered nurse or dietitian) • Coordinating referrals to additional wellness resources (onsite Cast Fitness, EAP, LifeCare, Health Advocate) • Facilitating an appointment with an athletic trainer for a physical conditioning program • Coordinating follow-up appointments/lab work required by Health Services prior to their upcoming DOT physical • Additional proactive referrals for drivers who need follow up sleep evaluations • Worked with medical plan administrator to enable Health Services physicians to make direct referrals to sleep specialists
7
Pilot Program Overview • Measurement criteria defined • engagement/participating rates • health outcomes/improvement • one year and two year cards issued • Periodic updates to leadership team on engagement
DOT Process Flow
8
Stratification of population based on risks
Identification of drivers with DOT cards expiring in 3-6 months in ranked order
Nurse review of the chart and outlines a care plan
Nurse engages Cast Member on the phone
Nurse calls CM
No answer, leave up to 2 messages
Based on health background, review documents to bring to HS and make appropriate referrals
Review care plan with CM and document Refer to Health Coaching Recheck/follow up call no longer than 30 days
Close open items 2 weeks prior to 45 days from the card expiration date
Make onsite appointment in HMS for health coaching (at Health Services)
Generate a referral and create an order for non-Health Services location coaching or telephonic coaching
9
Integration with Partners
10
11
DOT Medical Examination
12
DOT Medical Examination
13
Continuing the Journey • Health Services nurse going to “safety rides” with bus operations leaders • Continue active out reach and stories of success • Review overall program stats at year end to determine whether to continue
WDPR Drivers’ Wellbeing Pilot Overview Pamela Hymel MD, MPH, FACOEM April 2017
2
Health Services Value Proposition
Past
Reactive Treatment Center
Past
Strategic Partner to Safety, Risk Management, Operations
Proactive Solutions to Present Improve Baseline Health
Vision
Optimum Health & Performance of All Cast Members
3
Scope of Services Occupational Medicine Services
Occupational Health
Medical Surveillance EAP Physical Therapy Health Coaching Risk Management Safety Integration
Population Health Strategy and Design with innovative engagement opportunities for Cast & Family Personal Health Management Resources & Tools
Wellbeing
Sports & Fitness Resources Guest Service Recovery Guest Health
First Aid Services and Assistance Operations, Safety, Risk Management Integration Safety & Wellbeing Support
DOT Medical Exam Restrictions and Accommodations International Travel Immunizations and Advice Public Health Support Vaccine Clinics
Health Administration
3
4
Meet the Team
5
Wellness Intervention for Commercial Drivers • Initiative for higher risk cast members in our commercial driver population • Approximately 2000 cast members need a commercial driver’s license • Focus on improving overall health and wellbeing • Evaluation of underlying health issues that are specifically addressed during a DOT exam
6
Pilot Program Overview • Proactive outreach to drivers with increased risk factors who are due for a DOT physical examination in the next 3 – 6 months • Dedicated Health Services nurse will develop and support an individual care management plan for each pilot participant, including: • Coordinating referrals to Cigna health coaches (registered nurse or dietitian) • Coordinating referrals to additional wellness resources (onsite Cast Fitness, EAP, LifeCare, Health Advocate) • Facilitating an appointment with an athletic trainer for a physical conditioning program • Coordinating follow-up appointments/lab work required by Health Services prior to their upcoming DOT physical • Additional proactive referrals for drivers who need follow up sleep evaluations • Worked with medical plan administrator to enable Health Services physicians to make direct referrals to sleep specialists
7
Pilot Program Overview • Measurement criteria defined • engagement/participating rates • health outcomes/improvement • one year and two year cards issued • Periodic updates to leadership team on engagement
DOT Process Flow
8
Stratification of population based on risks
Identification of drivers with DOT cards expiring in 3-6 months in ranked order
Nurse review of the chart and outlines a care plan
Nurse engages Cast Member on the phone
Nurse calls CM
No answer, leave up to 2 messages
Based on health background, review documents to bring to HS and make appropriate referrals
Review care plan with CM and document Refer to Health Coaching Recheck/follow up call no longer than 30 days
Close open items 2 weeks prior to 45 days from the card expiration date
Make onsite appointment in HMS for health coaching (at Health Services)
Generate a referral and create an order for non-Health Services location coaching or telephonic coaching
9
Integration with Partners
10
11
DOT Medical Examination
12
DOT Medical Examination
13
Continuing the Journey • Health Services nurse going to “safety rides” with bus operations leaders • Continue active out reach and stories of success • Review overall program stats at year end to determine whether to continue
