Employer-Public Health Opportunities to Improve Population Health: CDC’s 6|18 Initiative Webinar

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00:05 Lisa Erck: Good afternoon.
Thank you so much for joining us this afternoon
so that developing public private partnerships
to improve employee health and population health webinar.
00:13 I would like to introduce my colleague Christa Singleton
who is the senior medical advisor with the Centers
for Disease Control and Prevention (CDC).
She's going to share with you her insight
and kick off our presentation.
Christa, thank you for joining us today.
00:27 Christa Singleton: Good afternoon, everyone.
00:31 Keeping America safe, healthy, and secure is critical
to building a healthy workforce, a healthy economy,
and to building healthy communities.
00:41 CDC is well known for its scientific expertise around new
and reccurring infectious diseases.
00:48 It may not be as well-known that CDC
and our state and local public health colleagues have immense
expertise in developing evidence-based interventions
that affect the health conditions
and behaviors of their communities.
01:04 As our country's healthcare system continues
to transform and explore new access and payment models,
in 2015 and 2016 01:14 CDC began to explore opportunities
to improve access, quality, and the utilization
of evidence-based prevention interventions that have both.
And I'll stress the keyword both - health and cost impact.
01:34 That exploration resulted in the creation
of the 6 18 Initiative, which is an effort to help purchasers -
and by purchasers we mean employers - 01:45 Payers,
both public and private,
and healthcare providers spend smarter
and better invest in population health.
These interventions are evidence-based interventions
01:59 that can be used, particularly for employers,
to support their employee population health.
02:05 Our work at CDC in the early days
of the 6 18 framework was
with pairing public health departments
with Medicaid departments.
02:14 And over the last year we have started a deeper dive
into a deeper and richer engagement
into the employer perspective to further fill
out the 6 18 Initiative.
02:25 Why employers might you ask?
As over 55% of the country receives their health insurance,
and therefore their access to health care
from employer sponsored health insurance,
02:37 We CDC have realized the opportunity
to help build upon public's health insure
and assure public health role to partner with the private sector,
particularly with employers
to improve population health in their communities.
02:54 For our state and local health departments today,
we hope that you will find concrete
and operational recommendations to help advance your work
with the private sectors.
03:04 For employers, employer collaboratives,
and private sector entities with us today,
we hope that you will find the public health partnerships
examples today of interest and an opportunity
to build upon further 03:18 Public Health population
collaboration in your area.
Our agenda today will highlight the importance
of developing health department/employer partnerships
using the health and cost framework
of the 6 18 Initiative.
03:34 We look forward to hearing,
not only hearing 03:36 Examples from our colleagues
at Leavitt Partners, the St. Louis Business Health Coalition.
The Missouri Department of Health and Senior Services,
but examples from those of you in attendance as well.
03:48 With that, and I turn to my colleague Chris Miles
with Leavitt Partners to begin our presentation, Chris.
03:54 Chris Miles: Thank you very much, Christa.
03:56 Really appreciate that.
Why don't we go ahead and start by talking about the importance
of state health department/employer
partnerships.
04:07 Employers are key stakeholders
who can positively impact population health via their
employees, dependence, and the broader community
with state health department support.
04:19 Cultivating relationships and partnerships
between public health and the private sector is critical
to enhancing, not just the 04:26 wellbeing of employees,
04:28 but the community and population as a whole.
The reach of improved employer health is broad -
a few examples: 04:37 On-site
or near-site clinics increase access to care in some cases,
for the employees and dependents at that employer,
and at other times are open
to the larger population beyond just employees.
04:52 With respect to transportation,
some employers offer financial incentives
around transportation reimbursement,
for example subsidized bus and train passes.
05:04 With respect to food, some employers may offer access
to healthy meals to take home to their broader family.
05:13 And from a housing perspective,
employers have implemented initiatives to help employees
with down payments for homes, how to create a budget
to save for a first home.
05:26 And we know that these social factors can affect
life-long wellbeing.
This presentation will lay
out why state health departments may want to partner
with businesses, how to find them, and what to communicate.
05:45 Developing cross sector partnerships is key
to changing health outcomes and improving the vitality
of the community and workforce.
05:55 State health departments and employers are all
in the health business.
Employers may not naturally identify as such, but they are
because it is to their competitive advantage.
06:13 Employers often measure their business financials,
which are impacted by insurance costs,
productivity satisfaction, retention, and engagement.
06:25 For example, a national business group
on health Optum Survey highlighted that employees
who reported high wellbeing scores reported higher levels
of job performance than those who had fair, or poor wellbeing.
06:43 Improving health, safety, and wellbeing,
is good for business, good for employees,
and good for the community.
06:56 With the cost of benefits increasing,
employers may be likely to react positively
to state health department initiatives and recommendations.
07:06 A Leavitt Partners 2018 survey indicated that 90%
of employers believe emphasizing wellness
and prevention will contain costs.
07:17 What types of programs might those be?
Well according to the National business group on health,
58% of large employers provided access to health
and lifestyle coaching through telehealth services in 2018,
07:32 with 9% adding this service in 2019.
Large employers are also directly contracting with ACOs
and high-performance networks, which increased from 3%
in 2018 to 11% in 2019.
07:50 Employers may benefit from the types
of health care costs containment
and employee wellbeing strategies
that state health departments can provide.
08:00 The advent of value-based care
and increasing healthcare premiums and out
of pocket costs are on the top of many employers minds,
which makes them interested in addressing wellness.
08:14 Self-funded employers, which are those
that are financially responsible for the health care claim costs
of their employees 08:22and eligible dependents,
are generally larger organizations
and usually have access to claims data
and are better positioned to be able to assess the impact
of programs on prevalence, risk factors, etc. 08:38
Yet many do not have the capacity or expertise
to effectively implement evidence-based strategies
to improve employee health,
which is where state health departments can assist.
08:54 For example, corporate social responsibility
initiatives are a possible means of engaging employers
on this topic, in addition to the direct
and indirect financial benefits they receive.
09:10 Employees report, however,
that they do not have consistent access to services
that could help them manage their health.
09:21 CDC's 6 18 Initiative offers resources and framing
for state health departments to use with employers
to help them meet the needs of their workforce and community.
Additional resources may be found
in the customizable slide deck for state health departments,
available on the CDC 6 18 website.
09:45 Now let's go ahead and talk
about state health department outreach to employers.
10:02 Leveraging existing connections to employers
and business influencers may help state departments
develop relationships.
10:11 Knocking on doors and targeting employers one
by one is tedious and may not be an efficient use of resources.
10:19 Whereas work through business influencers,
like business groups on health or HR associations in addition
to brokers and consultants, have the power to impact
and affect purchase decisions of others and/or
with employers as members.
They are excellent resources.
10:45 In addition, business coalitions will allow you
to reach out to many employers simultaneously rather
than multiple one-off efforts, and can help spread the word
about your work and initiatives.
11:05 State health departments have a number of opportunities
to align themselves with local employers proactively.
11:12 For example, including them as partners
in funding opportunities directly
or soliciting their participation
in state health departments strategic planning
and collaborative.
11:23 Community Based partners may also have connections
to local industry, and hospitals
and health system should not be overlooked, both as employers,
but also as general collaborators.
11:35 Employers may be particularly receptive
for additional support, resources,
and work product examples that might be able to be leveraged.
11:48 Now let's talk about some strategies for consideration
in communicating with employers.
11:56 When communicating with employers, it's critical
to make your case by framing your content in a way
that is compelling to your audience
to help improve its impact.
12:06 This framing should include data that is
as customized and relevant as possible in terms
of the employer's industry, employee demographics,
and geographic location.
12:18 Key takeaways, as opposed
to a more academic style approach, will likely resonate,
as will using infographics and brief direct language.
12:34 Use an outreach format that is familiar to employers.
12:42 Understand what drives the decision
of your audience using clear and concise language,
executive summaries, visual such as infographics,
metrics that matter to employers.
12:59 It's also really important that we look
for internal connections to local employers
and business influencers.
For example, are there specific ways
to 13:12 Are there specific ways to interact
with those local employers and businesses?
13:19 Does the state health department already have
relationships that are in effect
that could help with that initiative?
13:29 Are there internal connections
with the state health department?
Are there existing councils or work groups with representation
from employers for previously funded projects?
13:43 Data should be really relevant
to the employers (as previously mentioned)
from the industry demographics
and geographic location perspective.
13:59 Important is to use statistics
that are highly relevant to the employer at hand, specifically
when communicating with employers.
You want to make sure that the content is compelling
in a way Glenn Studebaker 14:14 The content is displayed
in a way that's compelling to your audience
to help improve the impact.
14:22 This framing should include data that is
as customized and relevant as possible,
in terms of the employers industry, employee demographics,
and geographic location.
14:34 Key takeaways, as opposed
to a more academic style approach, will likely resonate,
as will as using infographics and brief direct language.
14:51 As we talked about,
make sure that the outreach format is familiar to employers
through the clear and concise language, executive summaries,
visuals, and metrics that matter to employers.
15:07Let's take a look at an example.
Here we are looking at geographic and age specific data
for Nashville residents.
15:16 With this data,
state health departments can customize messaging
for Nashville residents
and employers based upon average employee age
and assumed dependent age.
15:28 Nashville residents with an average age
of 46 scored higher in adult obesity and smoking,
and had more hypertension and depression
as chronic conditions.
15:40 Those with an average age of 33 scored higher
in physical activity and adult obesity,
and had more chronic depression and hypertension and asthma.
15:51 Both groups had some commonalities,
but the rankings were different, potentially leading
to different priorities at employers,
depending on their employees' population's average age.
16:04 So state health departments may want
to ask employers what their average age is
of their population in order
to customize the materials appropriate,
or this is a great first question to ask
in starting the conversation with employers.
16:26 Using data and/or case studies focused on topics
of interest to employers will increase the persuasiveness
of your presentation, 16:35 as well as citing case studies
that are from an analogous industry.
For example, food and beverage in the first row,
geography as in the Midwest in the second example,
and/or workforce demographics in the third example on this slide.
16:55 Let's take a look at the dark blue quote.
17:01 Here we say case studies should not just be success
stories, but also include the what didn't work pieces too.
That came from a large national employer 17:14 in regards
to what makes an effective case study.
Again target case studies from analogous employers to ensure
that the information is as relevant
as possible to that employer.
17:27 6 18 has these resources available across a handful
of employer types, highlighting not just successes,
but challenges employers have faced
and how they overcame them.
17:43 State health departments can inform employee outreach
materials, adding local level and regional data,
as well as an estimated impact on employer healthcare costs.
17:55 Think about what tools you have developed or need
to develop for other grants and deliverables.
Can you repurpose them for employers?
18:05 Can you do the same for existing resources internally
or resource materials the employers themselves may have?
Let's take a look at the quote on this page.
This is from a large Midwestern US based company.
18:21 "Make sure the word is out there so that those
who need the support know about the support."
And later on, at the end of the quote, they say,
"If you could figure out how to communicate
with all our participants, we would be really excited."
18:40 Now let's talk about available 6 18 resources.
18:49 CDC developed the 6 18 Initiative to improve health
and control healthcare costs by collaborating with partners,
such as employers and insurers,
to translate evidence into actions.
19:02 The program targets six common conditions and reaching
out to employers about these resources can help inform their
wellness programming decisions and keep them engaged
in ongoing chronic disease management.
19:17 CDC also offers Work@Health.
This "train the trainer" training is a CDC sponsored
program that provides coaches with the knowledge and tools
to train employers on evidence-based strategies
to improve employee health.
19:33 The curriculum emphasizes the foundational elements
of building an infrastructure to support employee health
and wellbeing and paves the way
for other evidence based interventions
such as those outlined in the 618 Initiative.
19:53 Additionally, the 6 18 group
at CDC has created a presentation template
for state health departments to customize
to their employer audience and for use
within their state and locale.
20:05 There are three key sections:
chronic disease background, the importance of employers
in improving health, and available 6 18 resources.
But the key to making this presentation as compelling
as possible is to incorporate local data,
information, and experience.
20:26 And whenever possible include disease specific topics
that you know are of interest to your audience
and relevant to that employer.
Or if you don't know the employer, to their industry.
20:45 Finally, the 6 18 Initiative is developing case
studies to generate employer interest and serve as ideas
for improving employee health.
20:55 These case studies will highlight not just successes,
but also the challenges faced
and how they were overcome by each organization.
They will be laid out in an easy to interpret
and digestible one-page format and include key takeaways
for easy distillation of the information.
21:18 To recap our takeaways -
state health department employer partnerships may have a mutually
beneficial impact on population health
and indirect healthcare costs.
21:30 Leveraging existing connections to employers
and business influencers may help state health departments
develop relationships.
21:38 Communication that is relevant, compelling,
and whenever possible tailored to the industry, geography,
and demographics of the employer may help improve
messaging impact.
21:51 Resources are available through CDC 6 18 Initiative,
as well as the CDC Work@Health program,
and the CDC Workplace Health Resource Center.
22:02 And a reminder
that additional resources mentioned earlier
in this presentation may be found
in the customizable slide deck for state health departments,
also on the CDC 6 18 website.
22:19 Now let's go to Lauren Remspecher
at the St. Louis Area Business Health Coalition
to share her perspective
of public/ payer partnerships, Lauren.
22:34 Good afternoon.
22:36 My name is Lauren Remspecher
and I am the Senior Director, Member Engagement
and Communications, for the St. Louis Area Business
Health Coalition.
22:43 And I'm so pleased to join you this afternoon
to share our experience
as a nonprofit representing employers within the region.
22:51 And how we have worked with our state health department
as well as many regional partners to advance our efforts
and supporting employers in their chronic disease needs.
23:04 And Lisa, I believe I can share my screen.
If someone else stops there sharing session.
If you can allow me to take the reins.
23:14 Lisa Erck: Yes, absolutely.
We will be turning it over to you as a presenter momentarily.
Thanks, Susan.
23:33 Okay, wonderful.
23:36 So for those of you who may not be familiar
with a business health coalition environment, I wanted to start
with a quick overview of these organizations
and how we're structured on a national basis.
23:48 The St. Louis Area Business Health Coalition is a
member of a larger national organization called the National
Alliance of Healthcare Purchaser Coalitions.
23:56 It is a nonprofit purchaser-led organization
that has both a national and regional structure.
And as you look at the map here,
24:04 while we are located primarily in the Missouri
and Midwest region, there are many other states represented.
So for those of you who may not be in the Midwest,
I encourage you to visit the National Alliance website
and find the contact information
for your local business coalition in your state.
24:21 For the St. Louis Area Business Health Coalition,
a quick overview of our history.
We were founded in 1982.
And as I said, we're a nonprofit membership association primarily
for large self-insured employers.
24:34 Our mission is to support those organizations
in not only improving the wellbeing of their employees,
24:41 but also enhancing the quality and overall value
of their significant investments in health benefits.
We have grown now to service over 70 local
and national employers and I've included our website link
on the screen if any of you would like to learn more
about our organization specifically.
25:01 The services and benefits that we provide
to employers are varied, as you can see outlined
on this screen - everything from education and networking event
to group purchasing offer offerings.
25:11 But for today's presentation, I'd like to focus
in on our workplace wellbeing resources
and health improvement efforts,
which specifically aligned nicely
with the CDC 6 18 Initiative.
25:24 First, I'd like to start by reviewing our Healthy Hearts
at Work program, which is centered
on controlling high blood pressure.
25:32 This program was created in the year 2012 in partnership
with the Missouri Heart Disease and Stroke Prevention Program.
25:40 Some of you might be familiar
with other efforts nationally happening in this area,
supported by funding through the CDC.
25:47 This was developed as a free program for employers
with a specific emphasis on those that were located in
or employing residents in the city of St. Louis, 25:56 as well
as those in the St. Louis County area that had a high risk
for cardiovascular disease.
26:02 The ultimate goal of this program was
to improve blood pressure control amongst working adults
26:07 by focusing on increasing education
and awareness amongst employees about high blood pressure,
risk factors, symptoms,
and lifestyle contributions to the disease.
26:19 Identifying cases of uncontrolled high blood pressure
and getting them to physician or nurse outreach for follow up.
And then encouraging specific worksite policies
that can support wellbeing around nutrition, exercise,
and stress management.
26:36 As we heard earlier, one of the key challenges
that employers are facing are their ability
to communicate with their employees.
26:43 So we attempted to take out that barrier
by producing a campaign box that has a number
of ready-made materials that employers can then implement
within their workplace.
26:56 Inside this box, which we delivered
to individual worksites, are stanchion banners, floor mats,
posters, and other physical tools that can be used
to increase awareness and catch the eyes of employees.
27:08 In addition to these physical materials,
we also have a variety of email messages
and electronic resources that employees can be connected
to via their computer or internet
or other online channels
that may be available to the employer.
27:25 These again, being produced with the stroke
and heart disease prevention program,
have evidence-based strategies included within them
and education that aligns nicely with the CDC's programs.
27:38 We also like to encourage
that blood pressure monitoring be included as a piece
of the Healthy Hearts At Work campaign.
And this can take several different options:
27:48 We have self monitoring, which we can encourage employees
and connect them to local pharmacies,
healthcare locations, grocery stores 27:58
that may have a blood pressure monitor or machine on site
or a nurse that can take their reading.
We also in some cases are able
to offer home blood pressure monitors and the form
of a raffle prize to participants
that are included within this program.
28:14 Additionally, for those employers that have the funding
and resources available, we encourage them
to host an onsite blood pressure clinic during the campaign week.
28:23 We partner with the visiting Nurses Association
of Greater St. Louis to do this.
28:28 And it includes the opportunity for employees
to be screened at their worksite,
receive educational counseling from a nurse, 28:34 and then
for those that do have an at-risk
or high number receive appropriate follow up either
through their employer resources or the nurse
or 28:43 primary care physician that they are seeing.
Finally, we also have produced what we call the cardio
benefits tool.
28:50 This is an educational outline of the medical
and pharmacy benefits that can support heart health.
So looking at things like preventive screenings,
that may be covered through the Affordable Care Act.
29:02 The co-pays and estimated out of pocket for medications
that are commonly used for hypertension control,
as well as other opportunities that the employee may use
and connecting with their benefit and wellbeing resources
through their employer.
29:16 From an evaluation standpoint,
we have implemented this in about 20 employers since 2012,
covering 76 distinct worksite locations
and over 4000 employees have been reached.
29:28 You can see we've also had a significant ability
to offer blood pressure tracks
and then we are conducting both pre- and post-test surveys
to understand changes
in participant knowledge and barriers.
You can see the results from those participating
in the program have indicated fewer barriers
to getting blood pressure checked, 29:48 higher confidence
in speaking to their doctor and asking the right questions,
increased knowledge of blood pressure risk factors
and symptoms, and then an overall greater readiness
to change some of those significant lifestyle factors
that can contribute to high blood pressure
in the first place.
30:05 Moving on to our next campaign opportunity the St.
Louis Antibiotic Resistance Can Harm program is focused
on improving appropriate antibiotic use.
30:15 This collaborative effort was established in 2001
as a part of the St. Louis Area Business Health Coalition 30:22
along with our local College of Pharmacy.
We work with those advanced year students as well
as research faculty and professors
within that organization.
30:30 The Missouri Department of Health
and Senior Services offers both funding and expertise
from the public health perspective.
And then we have several local pharmaceutical professionals
that in their spare time have participated,
because they're passionate about this topic.
30:45 One of the resources we offer
through this program is a healthcare table,
again another opportunity to communicate
and increase awareness amongst employees.
30:53 For this we give students at the St. Louis College
of Pharmacy the opportunity to attend
and provide on-site education.
31:00 This includes our educational
"Does This Bug Need A Drug?"
game as well as some free giveaways
that I'll describe in a moment.
31:07 Upon going through the educational conversation
with the student, we do ask participants
to complete a survey.
31:14 Our most recent survey results show
that we're having a very high success rate
and increasing knowledge about different factors contributing
to antibiotic resistance,
as well as people feeling more confident in their ability
to use antibiotics appropriately.
31:28 The giveaways that I mentioned earlier, are a cold
and flu treatment kit.
So for those that might be dealing with a virus
and are unable to use an antibiotic.
31:38 It gives them some symptom treaters and other tools
that can be used to help with their illness.
31:45 Attached to each one of these,
we also include a pamphlet,
which includes educational information
about 31:50 the difference between bacteria and viruses,
how antibiotics should be used
and what illnesses they are appropriate for, and for those
with a virus, how they can go
about treating their illness in a better manner.
32:05 This is also information that was pulled directly
from some of the CDC websites and we do refer
that on the pamphlet so that people can visit that website
for additional information if they want to learn more.
32:16 We've also adapted this into a Lunch
and Learn opportunity for those organizations
that perhaps don't have a health fair or want more
of an in-depth educational option for their employees.
32:26 And again covers very similar topics to those
within the pamphlet, but we found this works really well
and giving employees the opportunity to have a question
and answer period, and get specific support
from a researcher or professor
at the St. Louis College of Pharmacy.
32:41 And finally our communication tool kit.
This was something we put together, specifically
with the employer audience in mind.
32:47 It builds the business case
around why they should be focused on antibiotic resistance
and how it impacts their workplaces.
32:53 We've included sample educational
and communication materials in the form of newsletter
and social media content.
We've outlined some specific illness prevention practices
that they can share with their employees,
such as washing hands, staying home when you're sick,
33:10 offering vaccines and making sure
that people are getting age appropriate vaccinations.
33:15 We also play a heavy emphasis
on health benefits strategies.
So looking specifically at things
like the national Choosing Wisely campaign, which focuses
on 33:25 informing patients with the right questions
to ask their physician, such as "Is this antibiotic necessary
and appropriate for my condition?"
33:34 Locally, we have a great resource called choose well
as to which is a website that provides quality information
for healthcare providers and hospitals
in the St. Louis region.
33:46 It does include several specific metrics
around appropriate antibiotic use, and we encourage employers
to share this information with their employees 33:55
so that they can select the providers and hospitals
that are following those stewardship
practices appropriately.
34:01 Healthcare associated infections are also a major
concern for employers.
34:06 We encourage them to look
at their healthcare claims information to understand those
that might be impacting their population
and how frequently it's happening.
34:14 And again, connect them and their employees
to safety information for local hospitals about the prevalence
of these different infections.
34:20 And then finally, we offer some cautionary information
about telemedicine, which we know has been a really great
access tool for a lot of employees
and the primary care environment 34:30 but has contributed
to some overuse of inappropriate antibiotics.
And so again, ensuring that the vendors
that employers are working
with our following evidence-based practices
and that employees know the right questions to ask
when they're dealing with those providers.
34:46 Our most recent campaign that we've undertook is
around type 2 diabetes.
This is an employer led initiative which we kicked off
at the end of 2018 with our planning process 34:57
and will continue through our 2020 year.
We're focused on preventing, better managing,
and reversing type 2 diabetes amongst employees
and family members.
35:07 And we've undertaken a number
of community partnerships to do this.
We have two employer co-chairs for the initiative:
Anheuser-Busch and Bi-State Development.
35:15 We have three campaign sponsors,
including the Missouri Department of Health
and Senior Services and then we've connected
with local community organizations,
including the American Diabetes Association
and the Gateway Region YMCA to support our efforts.
35:30 Although this campaign does focus on more
than just the prevention of diabetes, I did want to focus
in on that particular topic and strategy area
for today's conversation.
35:39 We've broken out some of the strategies that we recommend
to employers in three distinct buckets.
35:45 First being building knowledge amongst their
employees, their leadership, and their HR and benefit teams.
35:51 We have provided them with educational tools
around risk factors and preventive lifestyle tips
for prediabetes and screening guidelines.
We also created a communication toolkit,
which we debuted during Diabetes Awareness Month this
past November.
36:06 For deciphering the data and understanding that a lot
of employers, though they may have access
to data do not quite understand how to use it
or get the appropriate reporting.
36:16 We are connecting them with national
and regional benchmarks for commercial claims data
and public health data.
36:23 The CDC diabetes scorecard is a good example with that.
We're also working
with a regional commercial claims database
to pull some of these benchmarks.
36:32 Additionally, we've provided some guidance
around how they can get this information
from their own claims data feeds 36:38 Or vendors
that they may be working with specifically focused
on prediabetes screening and prevalence
within their own populations.
36:45 And then finally taking action.
We've emphasized the need to share the risk test tools
that are available for screening people for prediabetes.
36:55 The American Diabetes Association has been a great
partner and getting us a unique URL to do that.
37:01 We also encourage employers
to offer low cost accessible screening opportunities,
whether that be in the form
of an onsite biometric screening 37:08 or connecting people
with their primary care provider for prediabetes
and diabetes information.
37:15 We've also connected employers
with the CDC-certified diabetes prevention programs
and done a national request for information
to outline the specific programs that are available
on the space 37:27 and those that meet the criteria
that the CDC has set forth.
We're hopeful that moving into this year will be able
to establish some more group purchasing arrangements and
or direct employer contracts with some of those providers.
And then finally, looking at the 37:42 workplace environment
and culture that can support a healthy lifestyle,
again coming back to some things around nutrition, exercise,
and preventive care practices.
37:53We do have a website specifically for this campaign,
and I've outlined the some of the tools
and resources here to the left.
I encourage you all to take a look.
If you would like to start accessing some
of those materials and learn more.
38:07 And then finally, with my last couple of minutes I want
to talk about our experience with the Work@Health program.
We were one of the first organizations to be trained
as a facilitator for this training led 38:20 initiative,
which was created by the CDC to promote skills
and education amongst employers on how to implement, evaluate,
and sustain work site while being programs.
38:32 I have to thank the Missouri Council for Activity
and Nutrition and the Missouri Department of Health
and Senior Services, who have both provided funding
and resource support to make this possible.
We offer this training annually to Missouri employers.
38:45 And we have evidence-based practices here outlined
in the eight different modules that we cover
as a part of this training.
38:53 For those of you who aren't familiar with it,
I encourage you to reach out to the CDC to learn more
and to also connect and see
if there are local facilitators available in your region
who may be able to offer a training
for local organizations.
39:08 I've left my contact information here,
I welcome any questions at the end of this webinar as well
as all of you to reach out via email,
should you like to learn more about our organization
or how we are engaging in these public and private partnerships.
Thank you.
39:24 Lisa Erck: Lauren, thank you so much
for that fabulous presentation
and for really sharing your expertise and your guidance
into the specific efforts that you offer across your state.
39:32 I'd like to turn over the microphone to Glenn,
who is with the Bureau of Chronic Disease Prevention
at the Missouri Department of Health and Human Services.
39:41 And Glenn is really going to share his expertise
and guidance with us and bring this entire presentation
to a statewide perspective to talk
about the different partners he's been able to bring
in in public private partnership.
Glenn, thank you so much for joining us today.
39:55 Glenn Studebaker: Thank you very much.
Glad to be with everyone today and glad to provide a little bit
of information about what we're doing in the State of Missouri
and how we're trying to work with employers in the state.
40:11 There are three main organizations that we're working
with right now in the state -
The St. Louis Business Health Coalition is one of them,
the Mid-America Coalition on Health Care is an organization
in the Kansas City area of Missouri,
and then the Missouri State Capital of the Society
of Human Resource Managers (MOSHRM) is another organization
that we've been working with.
40:38 Trying to reach employers, finding the organizations
that they can, that they're participating in
and have a common interest in what we're talking about is one
of the keys to success in this area.
I'm trying to find ways to work together
to achieve common goals.
41:04 The St. Louis Business Health Coalition,
Lauren's talked about Defeat Diabetes SPL
and Healthy Hearts That Work.
Those are different pieces that have been in place
for a while we're doing it.
We're using some of our 1515 funding to work
with Defeat Diabetes SPL campaign an sponsor that
and to work on the Healthy Hearts at Work,
because we're working on, hopefully,
putting together some information on that.
41:33 Could go back on the state perspective slide I'll talk a
little bit more about the Mid-American Coalition there.
The Mid-American Coalition on Health Care.
We're working with them.
They've done some pretty extensive surveys and stuff.
41:48 Find out what's going on in that area,
what employers are putting in place to send a lot
of information about what's going
on with diabetes in that area.
Mainly our surveys there have been focused on diabetes.
42:05 There's a we'd like to exhibit with them
and all their meetings for their annual meetings that they have,
they have about three different meetings during the year
when we participate.
42:19 One to two of those a year, currently.
42:25 And then MOSHRM group.
We exhibit at their statewide annual conference and try
to help them as much as we as we can,
trying to promote diabetes prevention program
and our FMVP programs that we have going
on for employers in Missouri.
And now we can go ahead and go to a local perspective slide.
42:56 And the St. Louis County Health Department 43:01 as one
of our partners in our local area along
with St. Louis City Health Department down.
We got involved with those two organizations
when we put together our 1817 grants.
43:16 Our grant focuses on the St. Louis area
and those two public health partners were very important
for that 1817 grant and they do have different functions
and things that they provide in that program.
You can see here 43:34 The St. Louis County Health Department
has a training center working
with community-based community health workers.
43:42 There's a referral system management that they're working
on as well as a directory for lifestyle change programs.
43:55 We are working on a project
with St. Louis County Health Coalition where they're working
with us to identify people for testimonials 44:04
that have been through lifestyle change programs
and we're working in collecting video testimonial
with those folks as well and that was helpful.
I mean, the St. Louis County Health Department is contracted
withWashington University and slew in order
to 44:25 meet the evaluation goal
that we have for that 1817 grant.
44:37 St. Louis City is doing something different for us.
They're working on a PR X program.
They also do referrals to lifestyle change programs.
44:47 But they have a different function.
And we found that that's usually a pretty good idea
when we're working with a different public health partners
for everybody to have a little bit different role.
Also mentioned the Gateway Region Y, 45:01 they're one
of our main providers with diabetes prevention program
in the St. Louis area and they've been key to our work
with the St. Louis Business Health Coalition as well.
45:13 They're a big part of our 1817 as well as our 1815 work,
the CDC funds and we appreciate the funding
that they provide on that.
And they're working on at the Ys on providing the VPP program
and Healthy Heart Ambassador program,
but they're also doing telehealth integration,
that's been a part of that.
45:38 They've been able to get a community health worker
at the Ys who helps with the process
of getting people processed
in into the correct lifestyle change programs and help
with that whole process as well.
45:54 That's the main thing is about the state perspective
and a local perspective that I had that I wanted to share.
I know we're going to be doing questions and answers.
So if you have any questions, feel free to ask
if you have something you want to know about.
46:10 Lisa Erck: Yes, absolutely.
Thank you so much Glenn, and thank you Christa,
and thank you Chris, and thank you, Lauren.
We are going to open up the presentation to questions
and answers from our panelists.
46:22 We have a few different modes that you can use,
first and foremost, you can enter your question
into the chat feature directly to the panelists
and we will find all those questions directly
to the individual who's appropriate to answer.
Or you can raise your hand and we will unmute you
and you can ask your question directly.
46:40 So I will start off with the first question that has come
in and we always get this question.
"Will the slides be made available?"
46:46 So yes, we will be sending out a PDF version of the slides
from today's presentation to everybody
who registered for the webinar.
So you will be receiving those as well as future information
about additional resources.
47:01 Any other questions for our panelists?
47:20 Wonderful.
So we have a question that came in from Sarah from Washington,
and she was asking regarding the referral system used
by the St. Louis County Health Department what system are you
using and how can employers participate?
Lauren, can I direct that question to you?
Or Glenn? 47: 40 Lauren: I'm not sure I understand
from a referral standpoint.
Is this for a specific program?
47:54 Glenn: This is Glenn
and I can probably speak to it a little bit.
47:59 The referral system that's in place, we're still working
with identifying which ones they're going to utilize.
There are some systems that have been put in place,
they're already there.
We put an extensive place in.
We did a process called a "journey mapping process"
that was done to identify what all processes were there.
48:23 And we built - another partner that has been integral
to this is the Integrated Health Network from St. Louis,
they've been an integral part and they participate
in that referral process as well as the FQHCs in the area.
48:41 and they are doing different process
that community health workers help to get people
into our lifestyle change programs and most
of the referral systems that they're using are
about getting people into the lifestyle change program.
48:58 But there's different referral systems -
it's not a one system right now we're looking at trying
to create an overarching system
that has not totally come to fruition yet.
49:11 Does that help?
49:16 Lisa Erck: Yes, absolutely.
And why don't I go ahead, Susan, if we want to unmute Sarah Eve,
so that she can ask any additional clarifying questions
to Glenn.
49:33 Sarah Eve should be unmuted.
49:34 Sarah Eve: Yeah, I don't have any additional questions
that that was the information I was looking for.
Thank you.
49:41 Lisa Erck: Wonderful, thank you.
Glenn. 49:53 Sarah Eve: My question had to do
with in our state, we 49:59 we have a connection
with our Office of the Insurance commissioner
that can give us pathway
to reach the commercial health plan center state.
50:13 And I'm wondering, because I know this presentation was
focused more on employers than the health plans
that serve them, but I guess I'm just wondering
if there's any advice for us as we head down that pathway,
more specifically looking at SMBP and DPP.
50:44 Lisa Erck: Great.
Could I direct that question to one of our panelists?
50:52 Chris Miles: Lisa this is Chris Miles.
I can, I can take a stab at that.
Sarah, you know the best way usually
to involve the insurance plans is really to 51:05 you know,
find a contact that's responsible
for population health at the plan and initiate conversations
with them to really understand you know, the the programs
that they're currently covering 51:20
And what criteria they're using for the coverage determination
from that perspective, but usually working
with the individuals at the
at the plan directly is 51:32 candidly, the,
the most direct route to go.
51:36 Sarah Eve: Great, thank you much.
51:39 Christa Singleton: Sarah.
This is also a Christa Singleton from CDC,
some of the experience we have learned,
which is why we turned our attention
to the employer sponsored health plans.
51:48 One lesson we learned is that it is important
to better understand which book of business
or which product line one is targeting.
So, for example, if you are looking at the coverage
of self-measured blood pressure self-monitoring blood pressure -
52:08 First decide, are you looking
at the larger commercial accounts
for the employer is the one that is actually the payer
and then is then go to that health plan.
And so the employer, then you target the employer,
who tells the health plan I want this as a covered benefit.
52:27 If you decide you're targeting more health plans
that deal with Medicaid, then that's a different conversation.
So that's one piece, determining the book of business
or the product lines and a second step.
52:40 is to look at the pain points
so to speak for that health plan.
If that health plan, for example,
is looking at 52:50 improving the performance of its members
in the high blood pressure arena, then perhaps rather
than come to them to say, we want you to cover the cost
of a blood pressure cuff.
53:03 Engage them in conversation and say we would
like to engage with you
as to how we can improve the hypertension performance
of your health plan.
53:12 And the cuff as well as monitor, as well as support
that goes with it and what opportunities can you go
from there.
When we in public health tend to come at a device or thing rather
than address where the pain point
of the health plan is 53:30 we're not as successful.
So those are just some recommendations of things
that we have learned is to meet them where they are
and then it's a lot more engaging conversation.
53:41 Sarah Eve: Thank you so much.
53:47 Lisa Erck: Thank you, Chris.
And thank you, Christa.
Are there any other questions that have come in?
53:53 Again, you can feel free to add those to the chat box,
or you can raise your hand and we will unmute you
to ask the question directly.
54:03 Christa Singleton: Lisa.
This is Christa, I had a question for Glenn he mentioned
in his slides about the work
with the human resources organization
and in Chris Miles's presentation she suggested 54:14
going to some of these larger gatherings,
rather than employer by employer.
What types of messaging or approach did you use glad
when you went to the human resource groups?
54:27 Glenn Studebaker: Yeah, we took messaging and talking
about our diabetes prevention program.
54:33 We kind of adapted some that we had used
with some doctors' offices and things.
But we had created some brochures for the population
about the diabetes prevention program
and we've done some 54:48 places,
ways that they could order information
about risk tesks and things like that.
54:56 And distributed data information to them.
Talking to them, we spent a lot of time.
55:03 at different conferences that they had talking to them
about 55:10 what it was, and how it would be helpful to them.
They all work on 55:17 Not all human relations people work
on benefits, but there's a good number of them that do 55:23
and that's a big interest of that whole group.
So they're curious as to how it might be helpful to them
in their employer that they're working with
and how it may save them money and what we'll do for them.
So we targeted along those lines in how we help them
and with costs and try to give them some information on that.
But we have some general information that we hand out,
that they take as well so.
55:49 Hope that answered your question.
55:51 Christa Singleton: Yes, thank you.
55:56 Lisa Erck: Great.
We probably have time for one more question before we wrap up
and share you with you more information about the tools
and resources that you will have made available to you
after this presentation.
56:10 Looks like Lara Wayland has her hand raised.
56:15 Laura, I can allow you, unmute you here.
56:33 Lisa Erck: Yes, the question
from Laura specifically is about.
Will the, in addition to the PDF
of the slides will the recipients also receive a copy
of the recording from today's presentation?
And the answer to both is yes.
56:48 Everybody who registered
for today's webinar will get a copy in PDF form of all
of the slides from today's presentation.
In addition, we will be making the recording
of today's presentation available on the 6 18 website.
57:06 Thank you, Lauren.
57:18 Wonderful.
So with that we will be making a copy
of the PDF available to you.
You will also have a link directly
to the recording from today's webinar.
57:28 And we also mentioned several tools and resources
that are in development that we will be sharing with you
in the next couple of months.
57:35 The first is a customizable slide deck
that state health departments will be able to use
in their direct outreach to employers.
57:43 This is a slide deck that you will be able to customize
and add in your specific information
about local resources about local providers
about local employers and other information
as you deem appropriate.
57:58 We will also be sharing
with you upcoming copies of the case studies.
Those will also be added to the 6 18 website.
58:07 We hope that these tools
and resources will not only help you in your outreach
to employers, but hopefully provide you
with many different examples of public-private partnerships
that can really partner together to be fruitful
and to join forces to advance employee and population health.
58:26 We thank you so much for joining us today.
58:29 And we absolutely encourage you to continue
to partner together to advance employee and population health.
58:37 Thank you very much for your time.
Thank you to all of our panelists today
for your expertise and wisdom.
Thank you for sharing your stories.
58:46 And thank you, specifically for helping us
to see the tools and resources that we can use
to move us forward in impacting public health.
Have a wonderful day, and we'll talk to you soon.
Thank you.