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5 Community/Population Health as an Intentional Business Strategy
Pages 39-48

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From page 39...
... Fikry Isaac, the vice president for Global Health Services at Johnson & Johnson, discussed the company's commitment to improving population health through global reach with a regional focus. Charles Yarborough, the director of medical strategies at Lockheed Martin, described how the company selects sites for its outreach efforts and assesses outcomes for modifiable determinants of health.
From page 40...
... The approach is to add value to existing programs, such as offering a 2-week executive management program for Head Start administrators. There are also health literacy programs for Head Start families that educate the families about managing their children's illnesses at home and avoiding unnecessary hospital visits.
From page 41...
... Another program, Accelerating a Better You, focuses on the overall well-being of employees and their families, helping them to achieve a series of lifestyle changes that will help them to get healthy and stay healthy.4 Yarborough said that this is a cultural shift in how Lockheed Martin views its employees' health and wellness. Lockheed Martin has dozens of company sites across the country, and Yarborough described the method used to select the sites for the various outreach efforts as well as a report card to assess achievement levels for modifiable determinants of health.
From page 42...
... Persuadability scores for each site take into account eight health actions: pedometer use, disease management, flu shot participation, biometrics, preventive examinations, cardiovascular exercise, nutrition, and stress management. Scores are determined using decision trees and regression analyses of de-identified data.5 The second key site criterion is the potential health benefit relative to the average prospective health care cost for each site's employees.
From page 43...
... and that are predicted to have higher health care costs in the coming year (meaning they offer the most potential benefit from an intervention)
From page 44...
... . Site Report Cards As part of the Lockheed Martin HealthWorks employee health plan, employees and their spouses complete a voluntary and confidential wellbeing assessment.
From page 45...
... Generally, male and female employees were similar he said, except for health care, where men, not unsurprisingly, got more D and F grades. Yarborough said that charts like these are very useful when talking to site managers about what actions are needed at the local level.
From page 46...
... A challenge for the surrounding community in engaging local employers, however, is that many of the company employees do not actually live in the community. Isaac suggested that part of the problem is that there is no framework to help match businesses' interests and expertise with community interests and needs.
From page 47...
... . Yarborough said he has been studying the costs associated with low-back pain and knee pain in employees and spouses, both the health care costs and the loss-of-productivity costs.
From page 48...
... Impact on Health Care Costs José Montero of the New Hampshire Division of Public Health Services raised the issue of financing health promotion and community engagement activities and analyzing the benefit of these programs not just in savings to the company, but in outcomes that could enhance the c ­ompany's health insurance purchasing power. Isaac responded that J ­ohnson & Johnson has not incorporated its health and wellness programs into its benefit planning, and it does not use the health plan as the delivery arm for its wellness programs.


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