In the last post, I discussed some of the outcomes one should look for when selecting a prevention program for your employees. Drs. Ron Loeppke, Dee Edington and Sami Beg recently published a study titled Impact of The Prevention Plan on Employee Health Risk Reduction in Population Health Management (Volume 13, Number 5, 2010) looking at The Prevention Plan and results from the 1st year of its implementation.
For information about Population Health Management or to order a subscription you can click here. Below is a brief description of the journal from the website:
This authoritative peer-reviewed journal, Population Health Management, reflects the expanding scope of health care management and quality. The Journal delivers a comprehensive, integrated approach to the field of population health and provides information designed to improve the systems and policies that affect health care quality, access, and outcomes, thereby improving the health of an entire population.
The Study looked at 2,606 individuals who completed one year of The Prevention Plan at three employer groups, using Dr. Edington’s Natural Flow model as well as other measures. Particpants completed a health risk appraisal, biometrics and lab tests at baseline and then again at the end of the year. Some of the results were as follows:
The blue column shows participants grouped into the three risk levels as defined by the Natural Flow model at baseline (Low: 0-2 high risks, Moderate: 3-4 high risks, High: 5 or more high risks). The red column shows the expected movement of those particpants during the first year. As expected according to Dr. Edington’s work, individuals will naturally gain more risks and the “flow” will be from a lower risk to a higher risk level. The green column shows the actual movement for the 2,606 participants during the first year. Members participating in The Prevention Plan showed a substantial movement from the high and moderate risk levels to lower risk levels. In fact there was a net increase in the number of low risk individuals. If you’ll recall from the previous post, which discussed Dr. Edington’s book Zero Trends, the key to bending trend is to keep the healthy people healthy. In this study, 87% of the low risk individuals at baseline remained low risk at the end of the year. This compares with a Natural Flow of 70% remaining low risk.
When looked at with more granularity, 10 of the 15 individual risks were impacted as follows:
Here too one can see substantial reductions in individual risks. Other than the HDL reduction, all had a P value of 0.02 or lower.
Many studies have documented that health risks are a precursor to health costs, therefore a reductions in risks, or creating a healthier population should ultimately lead to reductions in costs and improvements in productivity as well.
To download a copy of the study, the summary and/or a supplement to the journal titled Preventive Medicine: A Ready Solution for a Health Care System in Crisis click here.