DMAA: The Care
Continuum Alliance
701 Pennsylvania Ave. NW
Suite 700
Washington, DC 20004
(202) 737-5980
dmaa@dmaa.org
www.dmaa.org

National Association
of Manufacturers
1331 Pennsylvania Ave. NW
Washington, DC 20004
(202) 637-3000
manufacturing@nam.org
www.nam.org

What if you could avoid hiring your next injury? What if you could expedite return to work for those off work with objective, defensible decision support for the physician? This session will illustrate real-world solutions to significantly reduce occupational injuries and disabilities, and manage return to work through objective measurement of the physical requirements to perform safe work. Harley-Davidson Motor Co. incorporates function testing for post-offer employment testing and post-injury management of occupational illness and injury. This program integrates sophisticated job demand analysis with clinical assessment of physical functions to evaluate an individual's ability to perform the specific physical demands of a job or group of jobs. Early program results will be shared, as well as projections on future results and the overall impact on Harley-Davidson's health and wellness programs.

Connie Miller, MED, CDMS, CCM, is vice president of business development with BTE Technologies Inc. She has worked with employers and payers across industries on solutions to improve workplace injury, disability and manage safe and productive return to work.

Caroline O'Connell is the occupational health lead for Harley-Davidson Motor Co. She has been with Harley-Davidson for 13 years and is the liaison between corporate and manufacturing sites for development, implementation and management of programs and processes related to health and wellness.

Tuesday, Sept. 9, 10:15 - 11:45 a.m.
CASE STUDY SPOTLIGHTS

Alcoa's employee benefit strategy uses a combination of health care vendors and their respective care management programs. Over the past five years, these strategies have included site-specific pilots to identify best practices that could be rolled out to other factory locations. The pilots focused on bringing wellness to the sites through a broad variety of initiatives, including working with food vendors to improve choices, health risk assessments and health coaches at onsite events. Hear about Alcoa's strategy, its focus on creating a culture of wellness, real-world applications and specific examples of outcomes from the various pilots and strategies. Measures included rigorously analyzed financial outcomes, member satisfaction, health risk assessments participation rates and rates of clinical tests and treatments for employees with chronic diseases.

Brenda Barlek is manager of health and welfare at Alcoa, the world's leading producer and manager of primary aluminum, fabricated aluminum and alumina facilities. She has more than 20 years experience in health, welfare and benefits.

Robert Muscalus, DO, is a medical director with Highmark Blue Cross Blue Shield. He has a degree in economics from William & Mary College, as well as a degree from the Philadelphia College of Osteopathic Medicine. Board certified in family medicine, Dr. Muscalus was an assistant professor at the Pennsylvania State University School of Medicine and the physician general for the Commonwealth of Pennsylvania.

David Wennberg, MD, MPH, is the president and COO of Health Dialog Analytic Solutions and also serves as chief science and products officer for Health Dialog. In addition to these roles, he is a member of the Primary Project Team of the Dartmouth Atlas Working Group at the Dartmouth Institute for Health Policy and Clinical Practice.

What can the business community do to help decrease the increasing costs of health care? In 2004, the Iowa Business Council asked that question and partnered with the Iowa Hospital Association to analyze whether Toyota's production system, the Lean Methodology, could be applied to health care. Today, more than 50 percent of the health care groups in Iowa have applied the Lean principles and are experiencing significant improvements in quality, cost containment and the delivery of patient care. Learn how to create a vision and tactical execution plan for introducing the Lean Methodology into health care, measure the effectiveness of the plan and develop a transition plan from the business to the health care community.

Vincent W. Newendorp, BS, is vice president of administration for Vermeer Corp., a leading agricultural, construction, environmental and industrial equipment manufacturing company. He has worked at Vermeer for 30 years and is responsible for human resources and corporate continuous improvement and quality. He most recently served as chair for the Lean in Health Care Committee, sponsored by the Iowa Business Council.

Employers purchase a broad array of benefits and services to foster a culture of health for their workforce community. This presentation will describe the use of onsite wellness coaching as an adjunct to existing health benefits. Wellness coaching is an intervention that has been recently demonstrated to improve health. Learn how one employer's care improvement strategy impacted the health of the workforce. Health improvements resulting from this program will be presented.

Patti Clavier is manager of the Health for Life Wellness Program at Intel Corp.

Raymond Fabius MD, FACPE, is strategic advisor to the president of the Health & Wellness Division for Walgreens.

Allan Khoury, MD, PhD, is chief medical officer for Take Care Health Systems.

Deloitte recently surveyed a cross-section of more than 3,000 Americans to elicit their behaviors, attitudes and unmet needs across five zones of consumer activity: self-directed care, traditional health services, non-traditional health services, financing and information seeking. Six archetypes of consumer were identified, including "content and compliant," "sick and savvy," "online and onboard," "out and about," "casual and cautious" and "shop and save." Although health insurance use and satisfaction with most domains of the health system were relatively high, there were a number of major findings with implications for the future of health management. Trust in physicians remains high, but willingness to use new models of care, including convenient care clinics and medical tourism, is growing quickly. Consumers are likely to seek health information from their physicians, and cost and quality information from their health plans. Finally, financial preparation and understanding of health needs remains inadequate. Assimilating these findings and trends will be important in delivering successful and meaningful health management programs in the future.

Christopher L. Vojta, MD, MBA, is a director with Deloitte Consulting LLP. With more than 10 years experience in health care and medical management, he also is board-certified in internal medicine and geriatrics. Previously, he has served as vice president of business development for UnitedHealth Group's Evercare and vice president of medical affairs at CIGNA's Intracorp.

Wednesday, Sept. 10, 11 a.m. - 12:30 p.m.
CASE STUDY SPOTLIGHTS

This session will explore two innovations to improve program impact: rapid identification and outreach through real-time pharmacy claims; and financial barriers to medication adherence through selective drug co-pay reduction. The timing of initial patient engagement is critical to optimizing the success of disease management programs. Learn about the effectiveness of a patient-outreach process driven off pharmacy claims, resulting in engagement within days of important clinical events, and at times of heightened patient receptivity and need. Observational and prospective studies show that selectively reducing the cost disincentive, value-based insurance drug benefit design, improves appropriate chronic medication use. Understand the state of value-based insurance drug benefit design and hear about the second-year results for a national employer health plan whose first program year showed improved adherence in a controlled study.

Richard A. Feifer, MD, MPH, FACP, is vice president of clinical program development for Medco Health Solutions Inc. He graduated from Brown University and the University of Pennsylvania School of Medicine, and earned his master's in health services management from Columbia University. He is a board-certified internist with ongoing patient care responsibilities.

Iver A. Juster, MD, is senior vice president of health outcomes for ActiveHealth Management Inc. Trained in family medicine and informatics, Dr. Juster focuses on clinical and financial outcomes, study design, clinical care plans and health economic modeling. He has designed, executed and presented or published numerous economic and clinical outcomes studies.

Noreen F. Orbach, PhD, is managing director for health and welfare services for the General Board of Pension and Health Benefits, United Methodist Church. She leads the health and welfare plans, which cover more than 60,000 participants. She received her doctorate from the University of Illinois.