Focus Areas 

Depression

Issues:

• Alcohol abuse
• Drug abuse
• Misdiagnosis
• Mistreatment
• Stress (including organizational stress)

Practices:

Best Local

Corporate

• Alcohol, drug and other intoxicants (ADI) policy
• Employee Assistance Program (overcome fragmentation, monitor quality)
• Call "value option"
• Disease management

Additional Best

• Education
• Stress management training
• "Hours of work"

Women's & Infants' Health

Issues:

• Low-birth-weight babies
• Breast cancer
• Cervical cancer
• Pregnancy and lifestyles
• Osteoporosis
• Anemia
• Menopause

Practices:

Best Local

• Reproductive hazard counseling

Corporate

• Prenatal care, education/plan arrangements
• 1-800 number
• Mammograms

Additional Best

• Local mammogram screening
• Local pap screenings
• Community Initiatives

Trauma & Injury Prevention (off the job)

Issues:

• Home safety
• Driving safety
• Ergonomics
• Recreation safety
• Alcohol abuse/recreation/driving
• Return-to-work programs

Practices:

Best Local

• Seatbelt observation

Corporate

• Infant car seats

Additional Best

• I can't believe I did that
• Safety calendars
• Bike helmets/bike rodeos
• Recreational safety initiatives
• Case management guidelines

Suggested

• Space distancers
• Sleep deprivation/driving
• Broader driver safety program

Cardiovascular Accident Prevention

Issues:

• Risk-factor reduction
• Rx compliance (e.g., blood-pressure prescription)
• Less costly diagnostics
• Less costly prescriptions

Practices:

Best Local

• Health risk appraisals

Corporate

• Smoking cessation
• Wellness physicals

Additional Best

• Walking programs
• Cafeteria arrangements
• Cholesterol & blood pressure Screenings
• Exercise arrangements
• Community initiatives
• Health fairs
• Nutrition
• Weight management

Suggested

• Selected cardiovascular programs
• Diagnostic and prescription protocol

Diabetes

Issues:

• Modify risk factors facilitating onset of NIDD
• Monitor health plan performance on diabetes management protocol
• Prevent costly and disabling complications of diabetes
  • Blindness
  • Renal failure
  • Amputations
  • Need for kidney transplant or dialysis

Practices:

Best Local

• Glucose screening and diabetes education

Additional Best

• Community initiatives
• Link to nutrition and exercise programs
• Cholesterol & blood pressure screenings
• Prevention of complications programs
• Health fairs
• Weight management

Suggested

• Monitor health plan diabetes protocols
• Diagnostic and prescription protocol
• 1-800 disease-management number
• Active follow-up of at-risk individuals via "health calls"