Workplace Clinics and Employer Managed Healthcare : A Catalyst for Cost Savings and Improved Productivity

Workplace Clinics and Employer Managed Healthcare: A Catalyst for Cost Savings and Improved Productivity is not another diatribe on the national healthcare problem. Instead, it is a book about what is possible. Mike LaPenna shares with readers the actual experiences of those self-funded employers who are moving healthcare access on-site and directly managing all aspects of their own healthcare delivery system. With the candor he is known for, LaPenna: Examines both the big issues and the nuts and bolts concerns that companies and their employees face Demonstrates the importance of employee participation in the planning Covers when and how to work with hospitals, pharmacies and other vendors Much is made about turning healthcare delivery into a system that incentivizes wellness rather than profits from illness. This is the one path that assures such an outcome. There are no manuals to help your company achieve this goal, only the lessons to be learned from those who have walked the path. This book shares those lessons with you.

"If there is one key idea to take from this book it is that the ‘on-site clinic’ is a catalyst that allows all other programming to ‘work better’ and to be more coordinated and internally complementary. … We are buying health care without any clear understanding of how to value health care. We need to take a step back and ask ourselves, as we have with many other production inputs, whether we can simply make it better than we can buy it. …

"Mr. La Penna’s book outlines the many aspects of how to think about an on-site program and how to implement one, once the decision is made. These features alone recommend the book as a valuable reference but there are other parts of the book which address important tangents and support programs which complement the employer sponsored on-site clinic. The underlying premise is that the employer must first start, as Toyota did, with planning and design. Hopefully, this book will give those who are embarking on this process a much needed road map."

—From the Foreword by Ford Brewer, M.D., Medical Director, Toyota Motor Manufacturing of North America

The advent of organizations considering an on-site approach to the delivery of health care services increases in direct proportion to the rising of health care costs. This volume is a how-to manual on the design and implementation of an on-site program and presents the challenges and benefits of such a system. Topics discussed include hospital and specialty contracting; employee choice concerns; cost control; ancillary services such as pharmacy, lab work, physical therapy; workers compensation; quality vs. value analysis; and other considerations. An extended case study follows the implementation of a program from inception to introduction.

Introduction : workplace on-site healthcare as a catalyst for cost savings and improved productivity Company planning for healthcare and employees' participation in the planning and in the "plan" The myth of the company doctor Components and complements to on-site healthcare : planning to plan The on-site program : what and who are in and out? Why? Cost savings, cost avoidance, and confidence levels The quest for a dependable return on investment : claims analysis The quest for a dependable return on investment : key assumptions and drivers The quest for a dependable return on investment : benefit and program design The healthcare "buy" : determine what to purchase by first figuring out what not to purchase Electronic medical records, personal electronic health records, the medical home, and the medical homeless Legal issues : contracting and regulatory challenges Working with hospitals rather than against them Utilizing local physicians as the primary care anchors Pharmacy, pharmacy benefit managers, and other mysteries Employees, consumerism, and the illusion of choice Ambulatory care nuts and bolts : site design and function Workforce and population analysis : prevention, intervention, wellness, disease management, and the care management team Special situations and some solutions (middlemen, brokers, third-party administrators, and consultants) Working with the vendors : the request for proposal and its application to the development process Political and functional barriers to establishing an on-site medical service Involving other businesses as customers of the on-site program The future of on-site services and the on-site industry. Introduction : workplace on-site health care as a catalyst for cost Savings and improved productivity Company planning for healthcare and employees' participation in the planning and in the "plan" The myth of the company doctor Components and complements to on-site healthcare : planning to plan The on-site program, what and who are in and out? Why? Cost savings, cost avoidance, and confidence levels The quest for a dependable ROI/claims analysis The quest for a dependable ROI/key assumptions and drivers The quest for a dependable ROI/benefit and program design The healthcare "buy": determine what to purchase by first figuring out what not to purchase EMR's, PEHR's, the medical home, and the medical homeless Legal issues : contracting and regulatory challenges Working with hospitals rather than against them Utilizing local physicians as the primary care anchors Pharmacy, PBM's and other mysteries Employees, consumerism, and the illusion of choice Ambulatory care "nuts and bolts" : site design and function Work force and population analysis : prevention, intervention, wellness, disease management, and the care management team Special situations and some solutions (middlemen, brokers, TPA's, consultants) Working with vendors : the RFP and its application to the development process Political and functional barriers to establishing an on-site medical service Involving other businesses as customers of the on-site program The future of on-site services and the on-site industry. "Workplace Clinics and Employer Managed Healthcare is not another diatribe on the national healthcare problem. Instead it is a book about what is possible. A. Michael LaPenna shares with readers the actual experiences of those self-funded employers who are moving healthcare access on-site and directly managing all aspects of their own healthcare delivery system. With the candor he is know for, LaPenna examines both the big issues and the nuts and bolts concerns that companies and their employees face; demonstrates the importance of employee participation in the planning; covers when and how to work with hospitals, pharmacies and other vendors. Much is made about turning healthcare delivery into a system that incentivizes wellness rather than profits from illness. This is the one path that assures such an outcome. There are not manuals to help your company achieve this goal, only the lessons to be learned from those who have walked the path. This book shares those lessons with you."--Back cover A how-to manual on the design and implementation of an on-site program. It discusses topics including hospital and specialty contracting; employee choice concerns; cost-control; ancillary services such as pharmacy, lab testing, physical therapy, and imaging; workers compensation issues; and, benefits consultants.