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Developing Partnerships Between Healthcare and Business

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Title: Developing Partnerships Between Healthcare and Business


1
Developing Partnerships Between Healthcare and
Business
The Lowndes County Partnership for Health
  • Together we can make a difference

2
Mark WilsonVice President Director of Human
ResourcesLangdale Industries229-333-2557
Presented by
John SparksExecutive DirectorLowndes County
PartnershipFor Health229-245-0020
August 22, 2006
3
Developing Partnerships Between Healthcare and
Business
Individual Community
Individual Employer
Regional Communities
State Network of Communities
4
The Langdale Company (1894)
  • 112 Year Old Family Business
  • Self Insured with 1200 Employees
  • Identified Health Plan Cost Problems Since 1990
  • Double Digit Cost Increases
  • Lack of Credible Data

5
The Langdale Company (1894)
  • Problem Double-digit Health Care Cost
    Increases
  • 2000 PEPY Cost Trending to 6,400
  • Solution Self Administer Claims Access to
    Data
  • Wellness and Disease Management
  • Network Savings, Education and Incentives
  • Results PEPY Cost Held Level for 6 Years

Per Employee Per Year
6
The Langdale Company (1894)
  • 2000 5,500 (Self Administered in 8/2000)
  • 2001 4,950
  • 2002 5,621
  • 2003 5,142
  • 2004 5,545
  • 2005 5,231
  • 2005 PPO Cost for State of Georgia Approximately
    7,000 PEPY (William Mercer Survey)

7
The Langdale Company (1894)
  • Access to Paid Claims Data Critical
  • Evaluate Plan Cost Drivers
  • Negotiate Areas that Most Impact the Plan
  • Langdale Co-Founder of Partnership for Health
  • Langdale Forest Products First Well Workplace
    Program
  • Develop Wellness and Chronic Disease Prevention
    Programs

8
Developing Partnerships Between Healthcare and
Business
February 10, 2005 meeting of the National
Governors Association

Just as they did with welfare reform a decade
ago, states can once again play a lead role in
driving change. Through demonstration projects in
partnership with the private sector, states can
illustrate the benefits of large-scale system
reforms.
The paper called for the establishment of a
National Health Care Innovations Fund to support
large-scale demonstrations emphasizing
cost-effectiveness and quality improvements in
the health care system.
9
Developing Partnerships Between Healthcare and
Business
Individual Community
Individual Employer
Regional Communities
State Network of Communities
10
Lowndes County Partnership for Health
  • Problem Access to care, chronic disease, rising
    costs
  • No single stakeholder can solve
  • Solution Enhance communication and resource
    channel
  • Leverage synergy
  • Results Improved preventive care
  • Improved access to care
  • Collaborative problem solving approach
  • Transforming health of Lowndes County and
    surrounding area
  • Educated Consumers

11
Lowndes County Partnership for Health
  • Excerpt from letter written by Mr. Joseph Parker,
    President of Georgia Hospital Association to
  • Mr. Tom Williams, CEO, Healthcare Research, Inc.
    dated July 30, 1996.
  • Based on almost four years of experience with
    the Community Decision Making Program, we have
    seen the need to adapt and change the original
    program model. The Georgia Hospital
    Association is currently working with the
    administrative staff at South Georgia Medical
    Center and other community leaders in the Lowndes
    County area to organize and implement a
    demonstration Partnership for Health program. The
    expected result is a replicable model which can
    easily be adopted by communities across the
    state.

12
Community Decision Making Model
Leadership Group
Health Council
Community Action Team
Community Action Team
Community Action Team
13
Lowndes County Partnership for Health
Board of Directors
Executive Dir.
Staff
Executive Committee
Program Development
Board Development
Resource Development
Financial Management
Marketing
14
Lowndes County Partnership for Health
Hospitals Public Health Health Care
Providers Industry School Systems University City
Government County Government Faith
Community Other Organizations
15
Lowndes County Partnership for Health
  • History
  • 1996 Planning/Start-up Grant (35,000
    Healthcare Research)
  • 1997 Incorporated 501(c)(3)
  • 1997 Community Health Needs Assessment
  • 1998 Small CVD Initiatives
  • 1999 Wellness Initiatives in Businesses,
    Churches, and Schools (531,000 HRSA
    Grant)
  • 2001 Well City Initiative (258,000 from local
    Hospitals)
  • 2002 Well City Diabetes Initiative (571,000
    HRSA Grant)

16
Lowndes County Partnership for Health
  • History
  • 2003 MedBank (110,000 from local Hospitals)
  • 2003 Obesity Task Force (12,500 Planning
    grant from Public Health Chronic
    Disease Program)
  • 2004 Partnership Cancer Fund (Local
    Fundraising)
  • 2005 Uninsured Committee Formed
  • 2005 Partnership Health Center Planning Begun
  • (17,500 from Georgia Department of
    Community Health)
  • 2006 Disease Management Project with the
    Langdale Company (Part of 145,000 Grant
    from Healthcare Georgia Foundation)

17
Lowndes County Partnership for Health
Wellness Center Physical Activity,
Nutrition Smoking Cessation, Stress Management
Wellness Business, Churches, Schools
MedBank
Obesity Task Force
Church Wellness Council
Uninsured/Underinsured
Lowndes County Partnership for Health
Disease Management
Cancer Fund
Insurance Products
Free Clinic
Community Access
18
Developing Partnerships Between Healthcare and
Business
  • Some Lessons Learned
  • Carefully consider and adopt wellness model
  • Collaboration brings communication which
    decreases conflict between payers and providers
  • Always consider the bottom line (ROI)

19
Developing Partnerships Between Healthcare and
Business
Individual Community
Individual Employer
Regional Communities
State Network of Communities
20
Developing Partnerships Between Healthcare and
Business
The Lowndes County Partnership for Health
  • Together we can make a difference
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