1. © 2013 Riverside Corporate Wellness. All rights reserved.1 2016 POLICIES THAT SUPPORT WELLNESS CULTURE AT LHI

2. A collaborative effort that maximizes outcomes Consistent methodologies for outcomes that can be understood by the general public Cost crisis is addressed with health, wellness and social behavior change Individuals are more responsible and active in their roles in health care Relationships, new ideas and collaboration are valued Goals provide for a prevention-centered, cost- effective, transparent and outcomes-oriented model Focus is on quality of life and dimensions of health Goes beyond illness prevention and chronic disease management WORKPLACE WELLNESS CULTURE Health Wellness Social Behavior

3. 2006 2007 2008 2009201020112012 EVOLUTION OF A CULTURE 2006 | Health Fair Introduced educational component, included spouses. LHI had less than 300 employees. 2008 | Alternative Therapy Added our first Alternative Therapist 2010 | New Services Added chiropractic, therapeutic yoga and second massage therapist. 2007 | Fitness Facility Added a fully staffed, 1,200 square foot facility for employees and spouses. 2009 | New Fitness Facility RCW moves to new fitness facility (current location) at nearly 12,000 square feet. 2012 | Primary Care Opened primary care clinic for employees, spouses and dependents at no cost

4. To diminish the health and lifestyle risks of employees and their families, while motivating them to make their health a priority Committed to the creation and implementation of programs that will encourage and better each employee’s overall health Encourages employees to be stewards of their own health, and provides the educational tools and resources to empower employees MISSION & VISION Mission To create a corporate cultural environment that motivates employees to make healthy lifestyle choices, maintains safety and enhances productivity Is a regional leader in corporate health promotion and an employer of choice Provides equal and readily accessible opportunities for all employees to develop healthy patterns of daily living To be known as an innovative developer of responsible and feasible corporate wellness programs Vision

5. The Wellness Home The Wellness Home is an extension of comprehensive wellness programming. This concept aligns with LHI‘s business model which assures that members of the United States Armed Forces are “fit for duty.“ Fit for Duty CORPORATE PARTNER

6. SYNCHRONIZED BENEFIT GOALS Improve employee and family health, and create a well culture Strengthen current employee health and wellness programming Increase retention and recruitment efforts as a “employer of choice” Health care cost savings for corporations and employees

7. UNIQUE BENEFITS MODEL Fully Integrated Behavioral Health Wellness TimeNutrition Sciences Increased Access & Hours Convenience Employee, spouse, legal domestic partner, dependents

8. USING WELLNESS BENEFITS FitnessEducation Alternative Therapy Primary Care Clinic Collaboration

9. Highlights 12,000 square foot fitness facility Group exercise Personal training and fitness coaching Meditation and Mindfulness Higher education collaboration USING WELLNESS BENEFITS Fitness

10. Highlights Health and nutrition Brown bag lunches and spot topics RCW Fit Kids Tobacco cessation (NEW POLICY) Annual Health expo Widespread community collaboration and sharing USING WELLNESS BENEFITS Education

11. Highlights Massage therapy Physical therapy Chiropractic care Independent contractors and community involvement Nutrition and dietetics USING WELLNESS BENEFITS Alternative / Integrative Therapies

12. Highlights NP and PA with MD collaboration Available 52 hours per week Behavioral health specialist Certified Health Education Specialist/BSI Registered Nurse Triage Outreach Midwife USING WELLNESS BENEFITS Primary Care Clinic Collaboration (1/3)

13. A personal care provider with a collaborating physician trained to provide first contact, continuous and comprehensive care; A health care team of individuals at the practice level who collectively take responsibility for the ongoing wellness of patients; A health care provider who is reponsible for providing for health care needs in all stages of life, or arranging care with other qualified professionals; Coordinated care across all elements of the health care system facilitated by IT and HIE in a culturally appropriate manner. USING WELLNESS BENEFITS Provided at No Cost to Employees. Primary Care Clinic Collaboration (2/3) Available to employee, spouse (partner) and dependents to age 26

14. Treatment of minor injuries Simple sutures, mole or skin tag removal, cryotherapy for skin lesions Care referral to desired provider in any system Behavioral health specialist Full lab with phlebotomy and processing Point of care testing USING WELLNESS BENEFITS Full Scope of Primary Care Wellness Home Clinic Services Primary Care Clinic Collaboration (3/3) Immunizations Full radiology services and PACS Fitness facility to include a more comprehensive physical readiness; exercise prescription and follow-up, Impact testing Health promotion Disease management and longitudinal primary care On location drug testing

15. Benefits of Partnership Removing barriers to care Innovation and new care models Strengthening employer partnerships System growth USING WELLNESS BENEFITS Health System Perspective +

16. Advantages of Contracting Locally Established resources and infrastructure Known and trusted care provider Clinical integration Competitive pricing Coordinated care USING WELLNESS BENEFITS Employer Perspective +

17. Unique Factors and Challenges Confidentiality Balancing acute and primary care Coordinating care with outside providers Appealing to all eligible members USING WELLNESS BENEFITS Operations Perspective +

18. Questions?