1. Health Improvement Programs  Solutions for Stanford Hospital & Clinics  & Lucile Packard Children’s Hospital

2. Health Improvement Programs Improve Quality Of Care For Employees  Employers want their employees and their covered dependents to understand how to live to their fullest potential.

3. Health Improvement Programs Why Do Employers Need Disease Management Programs?  Disease Management Programs help manage the disease and control the cost  Companies see Disease Management Programs as part of the solution to rising costs

4. Health Improvement Programs What Is the Impact Of Lost Productive Time (LPT) From Illness?  Every year, on average, an employee in the U.S. workforce loses 115 productive work hours due to a health condition or to care for an ill dependent  The total cost to employers in lost productive time for all conditions is in the range of $2,000 per employee per year Stewart WF et al. J Occup Environ Med. 2003;45:1234-1246.

5. Health Improvement Programs Blue Cross’ Health Improvement Programs Help Employees With Chronic Conditions  Take better care of themselves or their dependents  May decrease health care costs in the long run

6. Programs Available  Asthma  Congestive Heart Failure  Diabetes Health Improvement Programs

7. Why These Conditions?  All of these three diseases are highly prevalent, costly and have modifiable risk factors

8. Health Improvement Programs Health Improvement Programs (HIPs) Focus On The Following Key Areas  Medication non-adherence  Poor dietary habits  Lack of physical activity  Smoking  Stress  Lack of self-management skills with related equipment

9. Health Improvement Programs Why Don’t People Do What They Should?  Based on our experience, persons with chronic conditions experience the following common barriers to good self-care -Feel isolated with condition -Try not to think about condition -Avoid seeing the doctor (fears condition/treatment) -Feel angry and frustrated with self -Feel overwhelmed, defeated and hopeless by condition -Worry about future health -Have the “We’re all going to die anyway” mentality -Because of previous efforts, the individual is convinced their condition cannot be controlled -Feel life stresses, especially financial

10. Health Improvement Programs Blue Cross’ Health Improvement Programs  Bridge the gap between the care employees get from their providers and healthy lifestyle behavior changes -Help employees with chronic conditions take better care of themselves or their dependents -May reduce health care costs in the long run -Are uniquely situated to help employers address the costs of lost productive time

11. Health Improvement Programs

12.  Interdisciplinary health professional team Health Improvement Programs -Availability of “warm transfers” or referrals from/to Case Management, Nurse On-Demand Information Line, Pharmacy or Behavioral Health departments Led by a RN Health Coach Respiratory Therapist Social Worker Registered Dietitian Exercise Physiologist Health Educator

13. Health Improvement Programs Blue Cross’ HIP Programs  Designed and developed by a seasoned team of disease management professionals  At the forefront of the Disease Management industry with innovative Health Coaching Model -An interdisciplinary behavioral approach with capability to address multiple chronic conditions  A panel of physicians, who sit on the Disease Management Steering Committee, oversee all clinical components of the programs