# Presentation: 018127

## Health Care – It’s Not Just Chicken Feed

**Health Care – It’s Not Just Chicken Feed**

- National Prevention Summit
-  US Department of Health and Human Services
- Washington, D.C.     October 26, 2006
- Roger C. Merrill, M.D.
- Chief Medical Officer

## HIP 
Perdue’s “Health Improvement Program”

**Perdue’s “Health Improvement Program”**

## Three HIP Objectives

- Eliminate lifestyle risk factors
- Systematically manage controllable disease
- Establish an ‘Environment of Health’

## HIP - Perdue’s Health Improvement Program

- HIP was designed to:
- Measure the health status of our population (something few others have done)
- Intervene in those high- target health areas that represent high-dollar expenditures
- Attack the cost side of the health equation by reducing demand for expensive services for complicated disease consequences
- Use the QIP (Quality Improvement Process) model to improve health

## HIP Pilot

- Health Risk appraisal was administered; it includes 19 questions relating to diet, exercise, screening testing, health habits, etc.
- 5 biometric measurements were obtained: BP, height/ weight, and blood for cholesterol panel, fasting blood sugar, and cotenine

## HIP Pilot

- These data points are entered into a proprietary database which produces...

## HIP Pilot

- A “Personal Plan for Health” based on the individual’s actual (not assumed) health risks
- Aggregated data by plant or Company on health risks, number and % of undiagnosed and uncontrolled risks, such as blood pressure, diabetes, and others

## Personal Scorecard

**Personal Scorecard**

## HIP Pilot

- 2,240 folks at 6 geographic locations included in the pilot
- Up to 85% of plant associates participated
- All had Health Risk Appraisal with biometrics
- Half (“A” Plants) had regular intensive nursing intervention on controllable diseases/risk factors throughout the period

## HIP Pilot

- Note that the “control” plants - those without intensive nursing intervention – had programs similar to the best companies in the US: Health risk appraisals, personal explanation of risk factors, and suggested lifestyle changes

## HIP Pilot

- Anticipated Results:
- We agreed in advance that a 5-10% improvement in measured risk status in the 5 HIP focus areas [Blood Pressure, Cholesterol, Exercise, Tobacco, Weight] would be our success threshold
- These 5 areas are causative in >50% of Medical Plan expenditures at Perdue

## HIP Pilot

- Actual Results:
- The “control” plants (designated “HIP Pilot B”) showed a 2% decrease in unhealthy risk scores
- “A” plants demonstrated a 25% reduction in unhealthy risks

## Slide 13

## HIP Pilot, continued...

- With the results of the pilot in hand, the program was extended to 12 plants the next year, and to the entire Company in the current year

## Gertrude Stein once said, “A difference to be a difference has to make a difference” 

## So What? 

-  Results:
- Our 4-year inflation rate is (–3%) per year
- Cost per employee is 1⁄2 the national average ($3500 vs. $7400...)

## Slide 17

## Slide 18

## HIP Conclusions

- We have demonstrated that we can substantially improve the health of a blue collar working population in the clinical areas that have the most long-term consequence
- These improvements directly impact direct and indirect cost and misery of ill health

## Health Care – It’s Not Just Chicken Feed

**Health Care – It’s Not Just Chicken Feed**

- National Prevention Summit
-  US Department of Health and Human Services
- Washington, D.C.     October 26, 2006
- Roger C. Merrill, M.D.
- Chief Medical Officer