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  • 00:05 Lisa Erck: Good afternoon.

  • Thank you so much for joining us this afternoon

  • so that developing public private partnerships

  • to improve employee health and population health webinar.

  • 00:13 I would like to introduce my colleague Christa Singleton

  • who is the senior medical advisor with the Centers

  • for Disease Control and Prevention (CDC).

  • She's going to share with you her insight

  • and kick off our presentation.

  • Christa, thank you for joining us today.

  • 00:27 Christa Singleton: Good afternoon, everyone.

  • 00:31 Keeping America safe, healthy, and secure is critical

  • to building a healthy workforce, a healthy economy,

  • and to building healthy communities.

  • 00:41 CDC is well known for its scientific expertise around new

  • and reccurring infectious diseases.

  • 00:48 It may not be as well-known that CDC

  • and our state and local public health colleagues have immense

  • expertise in developing evidence-based interventions

  • that affect the health conditions

  • and behaviors of their communities.

  • 01:04 As our country's healthcare system continues

  • to transform and explore new access and payment models,

  • in 2015 and 2016 01:14 CDC began to explore opportunities

  • to improve access, quality, and the utilization

  • of evidence-based prevention interventions that have both.

  • And I'll stress the keyword both - health and cost impact.

  • 01:34 That exploration resulted in the creation

  • of the 6 18 Initiative, which is an effort to help purchasers -

  • and by purchasers we mean employers - 01:45 Payers,

  • both public and private,

  • and healthcare providers spend smarter

  • and better invest in population health.

  • These interventions are evidence-based interventions

  • 01:59 that can be used, particularly for employers,

  • to support their employee population health.

  • 02:05 Our work at CDC in the early days

  • of the 6 18 framework was

  • with pairing public health departments

  • with Medicaid departments.

  • 02:14 And over the last year we have started a deeper dive

  • into a deeper and richer engagement

  • into the employer perspective to further fill

  • out the 6 18 Initiative.

  • 02:25 Why employers might you ask?

  • As over 55% of the country receives their health insurance,

  • and therefore their access to health care

  • from employer sponsored health insurance,

  • 02:37 We CDC have realized the opportunity

  • to help build upon public's health insure

  • and assure public health role to partner with the private sector,

  • particularly with employers

  • to improve population health in their communities.

  • 02:54 For our state and local health departments today,

  • we hope that you will find concrete

  • and operational recommendations to help advance your work

  • with the private sectors.

  • 03:04 For employers, employer collaboratives,

  • and private sector entities with us today,

  • we hope that you will find the public health partnerships

  • examples today of interest and an opportunity

  • to build upon further 03:18 Public Health population

  • collaboration in your area.

  • Our agenda today will highlight the importance

  • of developing health department/employer partnerships

  • using the health and cost framework

  • of the 6 18 Initiative.

  • 03:34 We look forward to hearing,

  • not only hearing 03:36 Examples from our colleagues

  • at Leavitt Partners, the St. Louis Business Health Coalition.

  • The Missouri Department of Health and Senior Services,

  • but examples from those of you in attendance as well.

  • 03:48 With that, and I turn to my colleague Chris Miles

  • with Leavitt Partners to begin our presentation, Chris.

  • 03:54 Chris Miles: Thank you very much, Christa.

  • 03:56 Really appreciate that.

  • Why don't we go ahead and start by talking about the importance

  • of state health department/employer

  • partnerships.

  • 04:07 Employers are key stakeholders

  • who can positively impact population health via their

  • employees, dependence, and the broader community

  • with state health department support.

  • 04:19 Cultivating relationships and partnerships

  • between public health and the private sector is critical

  • to enhancing, not just the 04:26 wellbeing of employees,

  • 04:28 but the community and population as a whole.

  • The reach of improved employer health is broad -

  • a few examples: 04:37 On-site

  • or near-site clinics increase access to care in some cases,

  • for the employees and dependents at that employer,

  • and at other times are open

  • to the larger population beyond just employees.

  • 04:52 With respect to transportation,

  • some employers offer financial incentives

  • around transportation reimbursement,

  • for example subsidized bus and train passes.

  • 05:04 With respect to food, some employers may offer access

  • to healthy meals to take home to their broader family.

  • 05:13 And from a housing perspective,

  • employers have implemented initiatives to help employees

  • with down payments for homes, how to create a budget

  • to save for a first home.

  • 05:26 And we know that these social factors can affect

  • life-long wellbeing.

  • This presentation will lay

  • out why state health departments may want to partner

  • with businesses, how to find them, and what to communicate.

  • 05:45 Developing cross sector partnerships is key

  • to changing health outcomes and improving the vitality

  • of the community and workforce.

  • 05:55 State health departments and employers are all

  • in the health business.

  • Employers may not naturally identify as such, but they are

  • because it is to their competitive advantage.

  • 06:13 Employers often measure their business financials,

  • which are impacted by insurance costs,

  • productivity satisfaction, retention, and engagement.

  • 06:25 For example, a national business group

  • on health Optum Survey highlighted that employees

  • who reported high wellbeing scores reported higher levels

  • of job performance than those who had fair, or poor wellbeing.

  • 06:43 Improving health, safety, and wellbeing,

  • is good for business, good for employees,

  • and good for the community.

  • 06:56 With the cost of benefits increasing,

  • employers may be likely to react positively

  • to state health department initiatives and recommendations.

  • 07:06 A Leavitt Partners 2018 survey indicated that 90%

  • of employers believe emphasizing wellness

  • and prevention will contain costs.

  • 07:17 What types of programs might those be?

  • Well according to the National business group on health,

  • 58% of large employers provided access to health

  • and lifestyle coaching through telehealth services in 2018,

  • 07:32 with 9% adding this service in 2019.

  • Large employers are also directly contracting with ACOs

  • and high-performance networks, which increased from 3%

  • in 2018 to 11% in 2019.

  • 07:50 Employers may benefit from the types

  • of health care costs containment

  • and employee wellbeing strategies

  • that state health departments can provide.

  • 08:00 The advent of value-based care

  • and increasing healthcare premiums and out

  • of pocket costs are on the top of many employers minds,

  • which makes them interested in addressing wellness.

  • 08:14 Self-funded employers, which are those

  • that are financially responsible for the health care claim costs

  • of their employees 08:22and eligible dependents,

  • are generally larger organizations

  • and usually have access to claims data

  • and are better positioned to be able to assess the impact

  • of programs on prevalence, risk factors, etc. 08:38

  • Yet many do not have the capacity or expertise

  • to effectively implement evidence-based strategies

  • to improve employee health,

  • which is where state health departments can assist.

  • 08:54 For example, corporate social responsibility

  • initiatives are a possible means of engaging employers

  • on this topic, in addition to the direct

  • and indirect financial benefits they receive.

  • 09:10 Employees report, however,

  • that they do not have consistent access to services

  • that could help them manage their health.

  • 09:21 CDC's 6 18 Initiative offers resources and framing

  • for state health departments to use with employers

  • to help them meet the needs of their workforce and community.

  • Additional resources may be found

  • in the customizable slide deck for state health departments,

  • available on the CDC 6 18 website.

  • 09:45 Now let's go ahead and talk

  • about state health department outreach to employers.

  • 10:02 Leveraging existing connections to employers

  • and business influencers may help state departments

  • develop relationships.

  • 10:11 Knocking on doors and targeting employers one

  • by one is tedious and may not be an efficient use of resources.

  • 10:19 Whereas work through business influencers,

  • like business groups on health or HR associations in addition

  • to brokers and consultants, have the power to impact

  • and affect purchase decisions of others and/or

  • with employers as members.

  • They are excellent resources.

  • 10:45 In addition, business coalitions will allow you

  • to reach out to many employers simultaneously rather

  • than multiple one-off efforts, and can help spread the word

  • about your work and initiatives.

  • 11:05 State health departments have a number of opportunities

  • to align themselves with local employers proactively.

  • 11:12 For example, including them as partners

  • in funding opportunities directly

  • or soliciting their participation

  • in state health departments strategic planning

  • and collaborative.

  • 11:23 Community Based partners may also have connections

  • to local industry, and hospitals

  • and health system should not be overlooked, both as employers,

  • but also as general collaborators.

  • 11:35 Employers may be particularly receptive

  • for additional support, resources,

  • and work product examples that might be able to be leveraged.

  • 11:48 Now let's talk about some strategies for consideration

  • in communicating with employers.

  • 11:56 When communicating with employers, it's critical

  • to make your case by framing your content in a way

  • that is compelling to your audience

  • to help improve its impact.

  • 12:06 This framing should include data that is

  • as customized and relevant as possible in terms

  • of the employer's industry, employee demographics,

  • and geographic location.

  • 12:18 Key takeaways, as opposed

  • to a more academic style approach, will likely resonate,

  • as will using infographics and brief direct language.

  • 12:34 Use an outreach format that is familiar to employers.

  • 12:42 Understand what drives the decision

  • of your audience using clear and concise language,

  • executive summaries, visual such as infographics,

  • metrics that matter to employers.

  • 12:59 It's also really important that we look

  • for internal connections to local employers

  • and business influencers.

  • For example, are there specific ways

  • to 13:12 Are there specific ways to interact

  • with those local employers and businesses?

  • 13:19 Does the state health department already have

  • relationships that are in effect

  • that could help with that initiative?

  • 13:29 Are there internal connections

  • with the state health department?

  • Are there existing councils or work groups with representation

  • from employers for previously funded projects?

  • 13:43 Data should be really relevant

  • to the employers (as previously mentioned)

  • from the industry demographics

  • and geographic location perspective.

  • 13:59 Important is to use statistics

  • that are highly relevant to the employer at hand, specifically

  • when communicating with employers.

  • You want to make sure that the content is compelling

  • in a way Glenn Studebaker 14:14 The content is displayed

  • in a way that's compelling to your audience

  • to help improve the impact.

  • 14:22 This framing should include data that is

  • as customized and relevant as possible,

  • in terms of the employers industry, employee demographics,

  • and geographic location.

  • 14:34 Key takeaways, as opposed

  • to a more academic style approach, will likely resonate,

  • as will as using infographics and brief direct language.

  • 14:51 As we talked about,

  • make sure that the outreach format is familiar to employers

  • through the clear and concise language, executive summaries,

  • visuals, and metrics that matter to employers.

  • 15:07Let's take a look at an example.

  • Here we are looking at geographic and age specific data

  • for Nashville residents.

  • 15:16 With this data,

  • state health departments can customize messaging

  • for Nashville residents

  • and employers based upon average employee age

  • and assumed dependent age.

  • 15:28 Nashville residents with an average age

  • of 46 scored higher in adult obesity and smoking,

  • and had more hypertension and depression

  • as chronic conditions.

  • 15:40 Those with an average age of 33 scored higher

  • in physical activity and adult obesity,

  • and had more chronic depression and hypertension and asthma.

  • 15:51 Both groups had some commonalities,

  • but the rankings were different, potentially leading

  • to different priorities at employers,

  • depending on their employees' population's average age.

  • 16:04 So state health departments may want

  • to ask employers what their average age is

  • of their population in order

  • to customize the materials appropriate,

  • or this is a great first question to ask

  • in starting the conversation with employers.

  • 16:26 Using data and/or case studies focused on topics

  • of interest to employers will increase the persuasiveness

  • of your presentation, 16:35 as well as citing case studies

  • that are from an analogous industry.

  • For example, food and beverage in the first row,

  • geography as in the Midwest in the second example,

  • and/or workforce demographics in the third example on this slide.

  • 16:55 Let's take a look at the dark blue quote.

  • 17:01 Here we say case studies should not just be success

  • stories, but also include the what didn't work pieces too.

  • That came from a large national employer 17:14 in regards

  • to what makes an effective case study.

  • Again target case studies from analogous employers to ensure

  • that the information is as relevant

  • as possible to that employer.

  • 17:27 6 18 has these resources available across a handful

  • of employer types, highlighting not just successes,

  • but challenges employers have faced

  • and how they overcame them.

  • 17:43 State health departments can inform employee outreach

  • materials, adding local level and regional data,

  • as well as an estimated impact on employer healthcare costs.

  • 17:55 Think about what tools you have developed or need

  • to develop for other grants and deliverables.

  • Can you repurpose them for employers?

  • 18:05 Can you do the same for existing resources internally

  • or resource materials the employers themselves may have?

  • Let's take a look at the quote on this page.

  • This is from a large Midwestern US based company.

  • 18:21 "Make sure the word is out there so that those

  • who need the support know about the support."

  • And later on, at the end of the quote, they say,

  • "If you could figure out how to communicate

  • with all our participants, we would be really excited."

  • 18:40 Now let's talk about available 6 18 resources.

  • 18:49 CDC developed the 6 18 Initiative to improve health

  • and control healthcare costs by collaborating with partners,

  • such as employers and insurers,

  • to translate evidence into actions.

  • 19:02 The program targets six common conditions and reaching

  • out to employers about these resources can help inform their

  • wellness programming decisions and keep them engaged

  • in ongoing chronic disease management.

  • 19:17 CDC also offers Work@Health.

  • This "train the trainer" training is a CDC sponsored

  • program that provides coaches with the knowledge and tools

  • to train employers on evidence-based strategies

  • to improve employee health.

  • 19:33 The curriculum emphasizes the foundational elements

  • of building an infrastructure to support employee health

  • and wellbeing and paves the way

  • for other evidence based interventions

  • such as those outlined in the 618 Initiative.

  • 19:53 Additionally, the 6 18 group

  • at CDC has created a presentation template

  • for state health departments to customize

  • to their employer audience and for use

  • within their state and locale.

  • 20:05 There are three key sections:

  • chronic disease background, the importance of employers

  • in improving health, and available 6 18 resources.

  • But the key to making this presentation as compelling

  • as possible is to incorporate local data,

  • information, and experience.

  • 20:26 And whenever possible include disease specific topics

  • that you know are of interest to your audience

  • and relevant to that employer.

  • Or if you don't know the employer, to their industry.

  • 20:45 Finally, the 6 18 Initiative is developing case

  • studies to generate employer interest and serve as ideas

  • for improving employee health.

  • 20:55 These case studies will highlight not just successes,

  • but also the challenges faced

  • and how they were overcome by each organization.

  • They will be laid out in an easy to interpret

  • and digestible one-page format and include key takeaways

  • for easy distillation of the information.

  • 21:18 To recap our takeaways -

  • state health department employer partnerships may have a mutually

  • beneficial impact on population health

  • and indirect healthcare costs.

  • 21:30 Leveraging existing connections to employers

  • and business influencers may help state health departments

  • develop relationships.

  • 21:38 Communication that is relevant, compelling,

  • and whenever possible tailored to the industry, geography,

  • and demographics of the employer may help improve

  • messaging impact.

  • 21:51 Resources are available through CDC 6 18 Initiative,

  • as well as the CDC Work@Health program,

  • and the CDC Workplace Health Resource Center.

  • 22:02 And a reminder

  • that additional resources mentioned earlier

  • in this presentation may be found

  • in the customizable slide deck for state health departments,

  • also on the CDC 6 18 website.

  • 22:19 Now let's go to Lauren Remspecher

  • at the St. Louis Area Business Health Coalition

  • to share her perspective

  • of public/ payer partnerships, Lauren.

  • 22:34 Good afternoon.

  • 22:36 My name is Lauren Remspecher

  • and I am the Senior Director, Member Engagement

  • and Communications, for the St. Louis Area Business

  • Health Coalition.

  • 22:43 And I'm so pleased to join you this afternoon

  • to share our experience

  • as a nonprofit representing employers within the region.

  • 22:51 And how we have worked with our state health department

  • as well as many regional partners to advance our efforts

  • and supporting employers in their chronic disease needs.

  • 23:04 And Lisa, I believe I can share my screen.

  • If someone else stops there sharing session.

  • If you can allow me to take the reins.

  • 23:14 Lisa Erck: Yes, absolutely.

  • We will be turning it over to you as a presenter momentarily.

  • Thanks, Susan.

  • 23:33 Okay, wonderful.

  • 23:36 So for those of you who may not be familiar

  • with a business health coalition environment, I wanted to start

  • with a quick overview of these organizations

  • and how we're structured on a national basis.

  • 23:48 The St. Louis Area Business Health Coalition is a

  • member of a larger national organization called the National

  • Alliance of Healthcare Purchaser Coalitions.

  • 23:56 It is a nonprofit purchaser-led organization

  • that has both a national and regional structure.

  • And as you look at the map here,

  • 24:04 while we are located primarily in the Missouri

  • and Midwest region, there are many other states represented.

  • So for those of you who may not be in the Midwest,

  • I encourage you to visit the National Alliance website

  • and find the contact information

  • for your local business coalition in your state.

  • 24:21 For the St. Louis Area Business Health Coalition,

  • a quick overview of our history.

  • We were founded in 1982.

  • And as I said, we're a nonprofit membership association primarily

  • for large self-insured employers.

  • 24:34 Our mission is to support those organizations

  • in not only improving the wellbeing of their employees,

  • 24:41 but also enhancing the quality and overall value

  • of their significant investments in health benefits.

  • We have grown now to service over 70 local

  • and national employers and I've included our website link

  • on the screen if any of you would like to learn more

  • about our organization specifically.

  • 25:01 The services and benefits that we provide

  • to employers are varied, as you can see outlined

  • on this screen - everything from education and networking event

  • to group purchasing offer offerings.

  • 25:11 But for today's presentation, I'd like to focus

  • in on our workplace wellbeing resources

  • and health improvement efforts,

  • which specifically aligned nicely

  • with the CDC 6 18 Initiative.

  • 25:24 First, I'd like to start by reviewing our Healthy Hearts

  • at Work program, which is centered

  • on controlling high blood pressure.

  • 25:32 This program was created in the year 2012 in partnership

  • with the Missouri Heart Disease and Stroke Prevention Program.

  • 25:40 Some of you might be familiar

  • with other efforts nationally happening in this area,

  • supported by funding through the CDC.

  • 25:47 This was developed as a free program for employers

  • with a specific emphasis on those that were located in

  • or employing residents in the city of St. Louis, 25:56 as well

  • as those in the St. Louis County area that had a high risk

  • for cardiovascular disease.

  • 26:02 The ultimate goal of this program was

  • to improve blood pressure control amongst working adults

  • 26:07 by focusing on increasing education

  • and awareness amongst employees about high blood pressure,

  • risk factors, symptoms,

  • and lifestyle contributions to the disease.

  • 26:19 Identifying cases of uncontrolled high blood pressure

  • and getting them to physician or nurse outreach for follow up.

  • And then encouraging specific worksite policies

  • that can support wellbeing around nutrition, exercise,

  • and stress management.

  • 26:36 As we heard earlier, one of the key challenges

  • that employers are facing are their ability

  • to communicate with their employees.

  • 26:43 So we attempted to take out that barrier

  • by producing a campaign box that has a number

  • of ready-made materials that employers can then implement

  • within their workplace.

  • 26:56 Inside this box, which we delivered

  • to individual worksites, are stanchion banners, floor mats,

  • posters, and other physical tools that can be used

  • to increase awareness and catch the eyes of employees.

  • 27:08 In addition to these physical materials,

  • we also have a variety of email messages

  • and electronic resources that employees can be connected

  • to via their computer or internet

  • or other online channels

  • that may be available to the employer.

  • 27:25 These again, being produced with the stroke

  • and heart disease prevention program,

  • have evidence-based strategies included within them

  • and education that aligns nicely with the CDC's programs.

  • 27:38 We also like to encourage

  • that blood pressure monitoring be included as a piece

  • of the Healthy Hearts At Work campaign.

  • And this can take several different options:

  • 27:48 We have self monitoring, which we can encourage employees

  • and connect them to local pharmacies,

  • healthcare locations, grocery stores 27:58

  • that may have a blood pressure monitor or machine on site

  • or a nurse that can take their reading.

  • We also in some cases are able

  • to offer home blood pressure monitors and the form

  • of a raffle prize to participants

  • that are included within this program.

  • 28:14 Additionally, for those employers that have the funding

  • and resources available, we encourage them

  • to host an onsite blood pressure clinic during the campaign week.

  • 28:23 We partner with the visiting Nurses Association

  • of Greater St. Louis to do this.

  • 28:28 And it includes the opportunity for employees

  • to be screened at their worksite,

  • receive educational counseling from a nurse, 28:34 and then

  • for those that do have an at-risk

  • or high number receive appropriate follow up either

  • through their employer resources or the nurse

  • or 28:43 primary care physician that they are seeing.

  • Finally, we also have produced what we call the cardio

  • benefits tool.

  • 28:50 This is an educational outline of the medical

  • and pharmacy benefits that can support heart health.

  • So looking at things like preventive screenings,

  • that may be covered through the Affordable Care Act.

  • 29:02 The co-pays and estimated out of pocket for medications

  • that are commonly used for hypertension control,

  • as well as other opportunities that the employee may use

  • and connecting with their benefit and wellbeing resources

  • through their employer.

  • 29:16 From an evaluation standpoint,

  • we have implemented this in about 20 employers since 2012,

  • covering 76 distinct worksite locations

  • and over 4000 employees have been reached.

  • 29:28 You can see we've also had a significant ability

  • to offer blood pressure tracks

  • and then we are conducting both pre- and post-test surveys

  • to understand changes

  • in participant knowledge and barriers.

  • You can see the results from those participating

  • in the program have indicated fewer barriers

  • to getting blood pressure checked, 29:48 higher confidence

  • in speaking to their doctor and asking the right questions,

  • increased knowledge of blood pressure risk factors

  • and symptoms, and then an overall greater readiness

  • to change some of those significant lifestyle factors

  • that can contribute to high blood pressure

  • in the first place.

  • 30:05 Moving on to our next campaign opportunity the St.

  • Louis Antibiotic Resistance Can Harm program is focused

  • on improving appropriate antibiotic use.

  • 30:15 This collaborative effort was established in 2001

  • as a part of the St. Louis Area Business Health Coalition 30:22

  • along with our local College of Pharmacy.

  • We work with those advanced year students as well

  • as research faculty and professors

  • within that organization.

  • 30:30 The Missouri Department of Health

  • and Senior Services offers both funding and expertise

  • from the public health perspective.

  • And then we have several local pharmaceutical professionals

  • that in their spare time have participated,

  • because they're passionate about this topic.

  • 30:45 One of the resources we offer

  • through this program is a healthcare table,

  • again another opportunity to communicate

  • and increase awareness amongst employees.

  • 30:53 For this we give students at the St. Louis College

  • of Pharmacy the opportunity to attend

  • and provide on-site education.

  • 31:00 This includes our educational

  • "Does This Bug Need A Drug?"

  • game as well as some free giveaways

  • that I'll describe in a moment.

  • 31:07 Upon going through the educational conversation

  • with the student, we do ask participants

  • to complete a survey.

  • 31:14 Our most recent survey results show

  • that we're having a very high success rate

  • and increasing knowledge about different factors contributing

  • to antibiotic resistance,

  • as well as people feeling more confident in their ability

  • to use antibiotics appropriately.

  • 31:28 The giveaways that I mentioned earlier, are a cold

  • and flu treatment kit.

  • So for those that might be dealing with a virus

  • and are unable to use an antibiotic.

  • 31:38 It gives them some symptom treaters and other tools

  • that can be used to help with their illness.

  • 31:45 Attached to each one of these,

  • we also include a pamphlet,

  • which includes educational information

  • about 31:50 the difference between bacteria and viruses,

  • how antibiotics should be used

  • and what illnesses they are appropriate for, and for those

  • with a virus, how they can go

  • about treating their illness in a better manner.

  • 32:05 This is also information that was pulled directly

  • from some of the CDC websites and we do refer

  • that on the pamphlet so that people can visit that website

  • for additional information if they want to learn more.

  • 32:16 We've also adapted this into a Lunch

  • and Learn opportunity for those organizations

  • that perhaps don't have a health fair or want more

  • of an in-depth educational option for their employees.

  • 32:26 And again covers very similar topics to those

  • within the pamphlet, but we found this works really well

  • and giving employees the opportunity to have a question

  • and answer period, and get specific support

  • from a researcher or professor

  • at the St. Louis College of Pharmacy.

  • 32:41 And finally our communication tool kit.

  • This was something we put together, specifically

  • with the employer audience in mind.

  • 32:47 It builds the business case

  • around why they should be focused on antibiotic resistance

  • and how it impacts their workplaces.

  • 32:53 We've included sample educational

  • and communication materials in the form of newsletter

  • and social media content.

  • We've outlined some specific illness prevention practices

  • that they can share with their employees,

  • such as washing hands, staying home when you're sick,

  • 33:10 offering vaccines and making sure

  • that people are getting age appropriate vaccinations.

  • 33:15 We also play a heavy emphasis

  • on health benefits strategies.

  • So looking specifically at things

  • like the national Choosing Wisely campaign, which focuses

  • on 33:25 informing patients with the right questions

  • to ask their physician, such as "Is this antibiotic necessary

  • and appropriate for my condition?"

  • 33:34 Locally, we have a great resource called choose well

  • as to which is a website that provides quality information

  • for healthcare providers and hospitals

  • in the St. Louis region.

  • 33:46 It does include several specific metrics

  • around appropriate antibiotic use, and we encourage employers

  • to share this information with their employees 33:55

  • so that they can select the providers and hospitals

  • that are following those stewardship

  • practices appropriately.

  • 34:01 Healthcare associated infections are also a major

  • concern for employers.

  • 34:06 We encourage them to look

  • at their healthcare claims information to understand those

  • that might be impacting their population

  • and how frequently it's happening.

  • 34:14 And again, connect them and their employees

  • to safety information for local hospitals about the prevalence

  • of these different infections.

  • 34:20 And then finally, we offer some cautionary information

  • about telemedicine, which we know has been a really great

  • access tool for a lot of employees

  • and the primary care environment 34:30 but has contributed

  • to some overuse of inappropriate antibiotics.

  • And so again, ensuring that the vendors

  • that employers are working

  • with our following evidence-based practices

  • and that employees know the right questions to ask

  • when they're dealing with those providers.

  • 34:46 Our most recent campaign that we've undertook is

  • around type 2 diabetes.

  • This is an employer led initiative which we kicked off

  • at the end of 2018 with our planning process 34:57

  • and will continue through our 2020 year.

  • We're focused on preventing, better managing,

  • and reversing type 2 diabetes amongst employees

  • and family members.

  • 35:07 And we've undertaken a number

  • of community partnerships to do this.

  • We have two employer co-chairs for the initiative:

  • Anheuser-Busch and Bi-State Development.

  • 35:15 We have three campaign sponsors,

  • including the Missouri Department of Health

  • and Senior Services and then we've connected

  • with local community organizations,

  • including the American Diabetes Association

  • and the Gateway Region YMCA to support our efforts.

  • 35:30 Although this campaign does focus on more

  • than just the prevention of diabetes, I did want to focus

  • in on that particular topic and strategy area

  • for today's conversation.

  • 35:39 We've broken out some of the strategies that we recommend

  • to employers in three distinct buckets.

  • 35:45 First being building knowledge amongst their

  • employees, their leadership, and their HR and benefit teams.

  • 35:51 We have provided them with educational tools

  • around risk factors and preventive lifestyle tips

  • for prediabetes and screening guidelines.

  • We also created a communication toolkit,

  • which we debuted during Diabetes Awareness Month this

  • past November.

  • 36:06 For deciphering the data and understanding that a lot

  • of employers, though they may have access

  • to data do not quite understand how to use it

  • or get the appropriate reporting.

  • 36:16 We are connecting them with national

  • and regional benchmarks for commercial claims data

  • and public health data.

  • 36:23 The CDC diabetes scorecard is a good example with that.

  • We're also working

  • with a regional commercial claims database

  • to pull some of these benchmarks.

  • 36:32 Additionally, we've provided some guidance

  • around how they can get this information

  • from their own claims data feeds 36:38 Or vendors

  • that they may be working with specifically focused

  • on prediabetes screening and prevalence

  • within their own populations.

  • 36:45 And then finally taking action.

  • We've emphasized the need to share the risk test tools

  • that are available for screening people for prediabetes.

  • 36:55 The American Diabetes Association has been a great

  • partner and getting us a unique URL to do that.

  • 37:01 We also encourage employers

  • to offer low cost accessible screening opportunities,

  • whether that be in the form

  • of an onsite biometric screening 37:08 or connecting people

  • with their primary care provider for prediabetes

  • and diabetes information.

  • 37:15 We've also connected employers

  • with the CDC-certified diabetes prevention programs

  • and done a national request for information

  • to outline the specific programs that are available

  • on the space 37:27 and those that meet the criteria

  • that the CDC has set forth.

  • We're hopeful that moving into this year will be able

  • to establish some more group purchasing arrangements and

  • or direct employer contracts with some of those providers.

  • And then finally, looking at the 37:42 workplace environment

  • and culture that can support a healthy lifestyle,

  • again coming back to some things around nutrition, exercise,

  • and preventive care practices.

  • 37:53We do have a website specifically for this campaign,

  • and I've outlined the some of the tools

  • and resources here to the left.

  • I encourage you all to take a look.

  • If you would like to start accessing some

  • of those materials and learn more.

  • 38:07 And then finally, with my last couple of minutes I want

  • to talk about our experience with the Work@Health program.

  • We were one of the first organizations to be trained

  • as a facilitator for this training led 38:20 initiative,

  • which was created by the CDC to promote skills

  • and education amongst employers on how to implement, evaluate,

  • and sustain work site while being programs.

  • 38:32 I have to thank the Missouri Council for Activity

  • and Nutrition and the Missouri Department of Health

  • and Senior Services, who have both provided funding

  • and resource support to make this possible.

  • We offer this training annually to Missouri employers.

  • 38:45 And we have evidence-based practices here outlined

  • in the eight different modules that we cover

  • as a part of this training.

  • 38:53 For those of you who aren't familiar with it,

  • I encourage you to reach out to the CDC to learn more

  • and to also connect and see

  • if there are local facilitators available in your region

  • who may be able to offer a training

  • for local organizations.

  • 39:08 I've left my contact information here,

  • I welcome any questions at the end of this webinar as well

  • as all of you to reach out via email,

  • should you like to learn more about our organization

  • or how we are engaging in these public and private partnerships.

  • Thank you.

  • 39:24 Lisa Erck: Lauren, thank you so much

  • for that fabulous presentation

  • and for really sharing your expertise and your guidance

  • into the specific efforts that you offer across your state.

  • 39:32 I'd like to turn over the microphone to Glenn,

  • who is with the Bureau of Chronic Disease Prevention

  • at the Missouri Department of Health and Human Services.

  • 39:41 And Glenn is really going to share his expertise

  • and guidance with us and bring this entire presentation

  • to a statewide perspective to talk

  • about the different partners he's been able to bring

  • in in public private partnership.

  • Glenn, thank you so much for joining us today.

  • 39:55 Glenn Studebaker: Thank you very much.

  • Glad to be with everyone today and glad to provide a little bit

  • of information about what we're doing in the State of Missouri

  • and how we're trying to work with employers in the state.

  • 40:11 There are three main organizations that we're working

  • with right now in the state -

  • The St. Louis Business Health Coalition is one of them,

  • the Mid-America Coalition on Health Care is an organization

  • in the Kansas City area of Missouri,

  • and then the Missouri State Capital of the Society

  • of Human Resource Managers (MOSHRM) is another organization

  • that we've been working with.

  • 40:38 Trying to reach employers, finding the organizations

  • that they can, that they're participating in

  • and have a common interest in what we're talking about is one

  • of the keys to success in this area.

  • I'm trying to find ways to work together

  • to achieve common goals.

  • 41:04 The St. Louis Business Health Coalition,

  • Lauren's talked about Defeat Diabetes SPL

  • and Healthy Hearts That Work.

  • Those are different pieces that have been in place

  • for a while we're doing it.

  • We're using some of our 1515 funding to work

  • with Defeat Diabetes SPL campaign an sponsor that

  • and to work on the Healthy Hearts at Work,

  • because we're working on, hopefully,

  • putting together some information on that.

  • 41:33 Could go back on the state perspective slide I'll talk a

  • little bit more about the Mid-American Coalition there.

  • The Mid-American Coalition on Health Care.

  • We're working with them.

  • They've done some pretty extensive surveys and stuff.

  • 41:48 Find out what's going on in that area,

  • what employers are putting in place to send a lot

  • of information about what's going

  • on with diabetes in that area.

  • Mainly our surveys there have been focused on diabetes.

  • 42:05 There's a we'd like to exhibit with them

  • and all their meetings for their annual meetings that they have,

  • they have about three different meetings during the year

  • when we participate.

  • 42:19 One to two of those a year, currently.

  • 42:25 And then MOSHRM group.

  • We exhibit at their statewide annual conference and try

  • to help them as much as we as we can,

  • trying to promote diabetes prevention program

  • and our FMVP programs that we have going

  • on for employers in Missouri.

  • And now we can go ahead and go to a local perspective slide.

  • 42:56 And the St. Louis County Health Department 43:01 as one

  • of our partners in our local area along

  • with St. Louis City Health Department down.

  • We got involved with those two organizations

  • when we put together our 1817 grants.

  • 43:16 Our grant focuses on the St. Louis area

  • and those two public health partners were very important

  • for that 1817 grant and they do have different functions

  • and things that they provide in that program.

  • You can see here 43:34 The St. Louis County Health Department

  • has a training center working

  • with community-based community health workers.

  • 43:42 There's a referral system management that they're working

  • on as well as a directory for lifestyle change programs.

  • 43:55 We are working on a project

  • with St. Louis County Health Coalition where they're working

  • with us to identify people for testimonials 44:04

  • that have been through lifestyle change programs

  • and we're working in collecting video testimonial

  • with those folks as well and that was helpful.

  • I mean, the St. Louis County Health Department is contracted

  • withWashington University and slew in order

  • to 44:25 meet the evaluation goal

  • that we have for that 1817 grant.

  • 44:37 St. Louis City is doing something different for us.

  • They're working on a PR X program.

  • They also do referrals to lifestyle change programs.

  • 44:47 But they have a different function.

  • And we found that that's usually a pretty good idea

  • when we're working with a different public health partners

  • for everybody to have a little bit different role.

  • Also mentioned the Gateway Region Y, 45:01 they're one

  • of our main providers with diabetes prevention program

  • in the St. Louis area and they've been key to our work

  • with the St. Louis Business Health Coalition as well.

  • 45:13 They're a big part of our 1817 as well as our 1815 work,

  • the CDC funds and we appreciate the funding

  • that they provide on that.

  • And they're working on at the Ys on providing the VPP program

  • and Healthy Heart Ambassador program,

  • but they're also doing telehealth integration,

  • that's been a part of that.

  • 45:38 They've been able to get a community health worker

  • at the Ys who helps with the process

  • of getting people processed

  • in into the correct lifestyle change programs and help

  • with that whole process as well.

  • 45:54 That's the main thing is about the state perspective

  • and a local perspective that I had that I wanted to share.

  • I know we're going to be doing questions and answers.

  • So if you have any questions, feel free to ask

  • if you have something you want to know about.

  • 46:10 Lisa Erck: Yes, absolutely.

  • Thank you so much Glenn, and thank you Christa,

  • and thank you Chris, and thank you, Lauren.

  • We are going to open up the presentation to questions

  • and answers from our panelists.

  • 46:22 We have a few different modes that you can use,

  • first and foremost, you can enter your question

  • into the chat feature directly to the panelists

  • and we will find all those questions directly

  • to the individual who's appropriate to answer.

  • Or you can raise your hand and we will unmute you

  • and you can ask your question directly.

  • 46:40 So I will start off with the first question that has come

  • in and we always get this question.

  • "Will the slides be made available?"

  • 46:46 So yes, we will be sending out a PDF version of the slides

  • from today's presentation to everybody

  • who registered for the webinar.

  • So you will be receiving those as well as future information

  • about additional resources.

  • 47:01 Any other questions for our panelists?

  • 47:20 Wonderful.

  • So we have a question that came in from Sarah from Washington,

  • and she was asking regarding the referral system used

  • by the St. Louis County Health Department what system are you

  • using and how can employers participate?

  • Lauren, can I direct that question to you?

  • Or Glenn? 47: 40 Lauren: I'm not sure I understand

  • from a referral standpoint.

  • Is this for a specific program?

  • 47:54 Glenn: This is Glenn

  • and I can probably speak to it a little bit.

  • 47:59 The referral system that's in place, we're still working

  • with identifying which ones they're going to utilize.

  • There are some systems that have been put in place,

  • they're already there.

  • We put an extensive place in.

  • We did a process called a "journey mapping process"

  • that was done to identify what all processes were there.

  • 48:23 And we built - another partner that has been integral

  • to this is the Integrated Health Network from St. Louis,

  • they've been an integral part and they participate

  • in that referral process as well as the FQHCs in the area.

  • 48:41 and they are doing different process

  • that community health workers help to get people

  • into our lifestyle change programs and most

  • of the referral systems that they're using are

  • about getting people into the lifestyle change program.

  • 48:58 But there's different referral systems -

  • it's not a one system right now we're looking at trying

  • to create an overarching system

  • that has not totally come to fruition yet.

  • 49:11 Does that help?

  • 49:16 Lisa Erck: Yes, absolutely.

  • And why don't I go ahead, Susan, if we want to unmute Sarah Eve,

  • so that she can ask any additional clarifying questions

  • to Glenn.

  • 49:33 Sarah Eve should be unmuted.

  • 49:34 Sarah Eve: Yeah, I don't have any additional questions

  • that that was the information I was looking for.

  • Thank you.

  • 49:41 Lisa Erck: Wonderful, thank you.

  • Glenn. 49:53 Sarah Eve: My question had to do

  • with in our state, we 49:59 we have a connection

  • with our Office of the Insurance commissioner

  • that can give us pathway

  • to reach the commercial health plan center state.

  • 50:13 And I'm wondering, because I know this presentation was

  • focused more on employers than the health plans

  • that serve them, but I guess I'm just wondering

  • if there's any advice for us as we head down that pathway,

  • more specifically looking at SMBP and DPP.

  • 50:44 Lisa Erck: Great.

  • Could I direct that question to one of our panelists?

  • 50:52 Chris Miles: Lisa this is Chris Miles.

  • I can, I can take a stab at that.

  • Sarah, you know the best way usually

  • to involve the insurance plans is really to 51:05 you know,

  • find a contact that's responsible

  • for population health at the plan and initiate conversations

  • with them to really understand you know, the the programs

  • that they're currently covering 51:20

  • And what criteria they're using for the coverage determination

  • from that perspective, but usually working

  • with the individuals at the

  • at the plan directly is 51:32 candidly, the,

  • the most direct route to go.

  • 51:36 Sarah Eve: Great, thank you much.

  • 51:39 Christa Singleton: Sarah.

  • This is also a Christa Singleton from CDC,

  • some of the experience we have learned,

  • which is why we turned our attention

  • to the employer sponsored health plans.

  • 51:48 One lesson we learned is that it is important

  • to better understand which book of business

  • or which product line one is targeting.

  • So, for example, if you are looking at the coverage

  • of self-measured blood pressure self-monitoring blood pressure -

  • 52:08 First decide, are you looking

  • at the larger commercial accounts

  • for the employer is the one that is actually the payer

  • and then is then go to that health plan.

  • And so the employer, then you target the employer,

  • who tells the health plan I want this as a covered benefit.

  • 52:27 If you decide you're targeting more health plans

  • that deal with Medicaid, then that's a different conversation.

  • So that's one piece, determining the book of business

  • or the product lines and a second step.

  • 52:40 is to look at the pain points

  • so to speak for that health plan.

  • If that health plan, for example,

  • is looking at 52:50 improving the performance of its members

  • in the high blood pressure arena, then perhaps rather

  • than come to them to say, we want you to cover the cost

  • of a blood pressure cuff.

  • 53:03 Engage them in conversation and say we would

  • like to engage with you

  • as to how we can improve the hypertension performance

  • of your health plan.

  • 53:12 And the cuff as well as monitor, as well as support

  • that goes with it and what opportunities can you go

  • from there.

  • When we in public health tend to come at a device or thing rather

  • than address where the pain point

  • of the health plan is 53:30 we're not as successful.

  • So those are just some recommendations of things

  • that we have learned is to meet them where they are

  • and then it's a lot more engaging conversation.

  • 53:41 Sarah Eve: Thank you so much.

  • 53:47 Lisa Erck: Thank you, Chris.

  • And thank you, Christa.

  • Are there any other questions that have come in?

  • 53:53 Again, you can feel free to add those to the chat box,

  • or you can raise your hand and we will unmute you

  • to ask the question directly.

  • 54:03 Christa Singleton: Lisa.

  • This is Christa, I had a question for Glenn he mentioned

  • in his slides about the work

  • with the human resources organization

  • and in Chris Miles's presentation she suggested 54:14

  • going to some of these larger gatherings,

  • rather than employer by employer.

  • What types of messaging or approach did you use glad

  • when you went to the human resource groups?

  • 54:27 Glenn Studebaker: Yeah, we took messaging and talking

  • about our diabetes prevention program.

  • 54:33 We kind of adapted some that we had used

  • with some doctors' offices and things.

  • But we had created some brochures for the population

  • about the diabetes prevention program

  • and we've done some 54:48 places,

  • ways that they could order information

  • about risk tesks and things like that.

  • 54:56 And distributed data information to them.

  • Talking to them, we spent a lot of time.

  • 55:03 at different conferences that they had talking to them

  • about 55:10 what it was, and how it would be helpful to them.

  • They all work on 55:17 Not all human relations people work

  • on benefits, but there's a good number of them that do 55:23

  • and that's a big interest of that whole group.

  • So they're curious as to how it might be helpful to them

  • in their employer that they're working with

  • and how it may save them money and what we'll do for them.

  • So we targeted along those lines in how we help them

  • and with costs and try to give them some information on that.

  • But we have some general information that we hand out,

  • that they take as well so.

  • 55:49 Hope that answered your question.

  • 55:51 Christa Singleton: Yes, thank you.

  • 55:56 Lisa Erck: Great.

  • We probably have time for one more question before we wrap up

  • and share you with you more information about the tools

  • and resources that you will have made available to you

  • after this presentation.

  • 56:10 Looks like Lara Wayland has her hand raised.

  • 56:15 Laura, I can allow you, unmute you here.

  • 56:33 Lisa Erck: Yes, the question

  • from Laura specifically is about.

  • Will the, in addition to the PDF

  • of the slides will the recipients also receive a copy

  • of the recording from today's presentation?

  • And the answer to both is yes.

  • 56:48 Everybody who registered

  • for today's webinar will get a copy in PDF form of all

  • of the slides from today's presentation.

  • In addition, we will be making the recording

  • of today's presentation available on the 6 18 website.

  • 57:06 Thank you, Lauren.

  • 57:18 Wonderful.

  • So with that we will be making a copy

  • of the PDF available to you.

  • You will also have a link directly

  • to the recording from today's webinar.

  • 57:28 And we also mentioned several tools and resources

  • that are in development that we will be sharing with you

  • in the next couple of months.

  • 57:35 The first is a customizable slide deck

  • that state health departments will be able to use

  • in their direct outreach to employers.

  • 57:43 This is a slide deck that you will be able to customize

  • and add in your specific information

  • about local resources about local providers

  • about local employers and other information

  • as you deem appropriate.

  • 57:58 We will also be sharing

  • with you upcoming copies of the case studies.

  • Those will also be added to the 6 18 website.

  • 58:07 We hope that these tools

  • and resources will not only help you in your outreach

  • to employers, but hopefully provide you

  • with many different examples of public-private partnerships

  • that can really partner together to be fruitful

  • and to join forces to advance employee and population health.

  • 58:26 We thank you so much for joining us today.

  • 58:29 And we absolutely encourage you to continue

  • to partner together to advance employee and population health.

  • 58:37 Thank you very much for your time.

  • Thank you to all of our panelists today

  • for your expertise and wisdom.

  • Thank you for sharing your stories.

  • 58:46 And thank you, specifically for helping us

  • to see the tools and resources that we can use

  • to move us forward in impacting public health.

  • Have a wonderful day, and we'll talk to you soon.

  • Thank you.

00:05 Lisa Erck: Good afternoon.

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