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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"