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Successful Strategies to Increase Employee Utilization of Health Benefits. Cancer Screening at Caterpillar. Michael Taylor MD FACP Medical Director for Health Promotion Caterpillar Inc June 18, 2009. Caterpillar Inc. Self-Insured 150,000 covered lives $650M annual spend on health care
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Successful Strategies to Increase Employee Utilization of Health Benefits
Cancer Screening at Caterpillar Michael Taylor MD FACP Medical Director for Health Promotion Caterpillar Inc June 18, 2009
Caterpillar Inc Self-Insured 150,000 covered lives $650M annual spend on health care Average age of employee 41 Annual turnover <10%
Best Return Better Return Minimal Return Risk/CostSharing Healthy & productive workforce Quality Productivity as a Business Advantage
Health Promotion Program Health Risk Assessment* Online tools* Health Promotion exams* Food Services Management
Health Promotion Program Tobacco cessation program Onsite health coaches* Lifestyles for Health Work.Life.Solutions
Principles of screening Follow expert guidelines for recommendations Remove all financial barriers Measure participation Track outcomes Screen for cervical, breast and colon cancer
Cervical Cancer Screening Age 18-65, 46% have been screened in 3 yrs 55 new cancers in 2008 Prevalence 7/1000
Breast Cancer Screening For age >40, 60% screened in last 2 yrs 2711 active cases Prevalence 49/1000 Incidence declined by 46%* in last 4 yrs *not yet validated
Colorectal Cancer Screening 38% of those eligible have been screened On average, 228 new cases in each of last 5 yrs Quality improvement program started July 2007
New approach with MDs and hospitals Agree on quality measures Composite quality measure – 8 factors Global fee paid to hospital Pilot in our major Illinois markets
Composite measure8 measures Appropriate indication for screening Appropriate patient selection (ASA class) Document cecum reached Void of serious complications
Composite measure8 measures Assess quality of bowel prep Withdrawal time recorded Polyp type and size reported-7 parameters Appropriate follow-up recommendation
Quality measures Need to achieve all 8 measures Currently, 50% of exams meet composite 10-80% range Will become basis for tiered payments
Quality measures Composite measured for all colonoscopies Implement process for all Public reporting Outcomes based P4P