Cost Analysis of a Nurse-Managed Workplace Wellness and Primary Care Program for Foodservice Workers

2.50
Hdl Handle:
http://hdl.handle.net/10755/308345
Category:
Abstract
Type:
Presentation
Title:
Cost Analysis of a Nurse-Managed Workplace Wellness and Primary Care Program for Foodservice Workers
Author(s):
Moss, Angela M
Lead Author STTI Affiliation:
Gamma Phi
Author Details:
Angela M Moss, MSN, BSN, APN-BC, RN, angela_moss@rush.edu
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Problem:  Workplace wellness and primary care clinics staffed by advanced practice nurses are emerging as an efficient venue to promote health, manage acute and chronic illness, and improve morale among employees.  This model has been shown to reach otherwise underserved, high risk populations and improve employee health outcomes, but validating the cost/benefits of onsite programs is necessary to justify government and employer financial investment.

Purpose:  The purpose was to conduct  a cost analysis of services provided by a nurse practitioner in a worksite health clinic, and compare it to the company’s out-of-pocket costs for similar health insurance claims within the same timeframe.

Methodology:    This was a cross-sectional, descriptive secondary analysis.  Encounter data from all company employees who utilized the worksite health clinic or who generated a company health insurance claim for offsite primary care services from January 1, 2011 to December 31, 2011 were collected and analyzed using descriptive and correlational statistics.  The average employee salaries and the annual overhead costs of the workplace clinic were also analyzed. 

Findings:  In the worksite clinic, 450 visits were logged from August 1, 2011 to December 31, 2011 with an average cost per encounter of $47.82.  During the same period, 814 offsite procedural insurance claims were filed and because the company is self-insured, the total out-of-pocket cost to the company was $50,606.77.  If these procedures had been performed in the onsite clinic, the out-of-pocket cost to the company would have been $23,814.36. 

Implications:  Considering the rising costs of healthcare, employers are motivated to curb healthcare spending.  Additionally, government agencies are interested in supporting access points to primary care for low-income, underserved populations.  Study findings suggests that onsite nurse-managed wellness and primary care services are a promising and innovative way employers can save on healthcare costs while also supporting a healthy and productive workforce.

Keywords:
cost effectiveness; nurse managed health care; nurse pracitioner
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleCost Analysis of a Nurse-Managed Workplace Wellness and Primary Care Program for Foodservice Workersen_GB
dc.contributor.authorMoss, Angela Men_GB
dc.contributor.departmentGamma Phien_GB
dc.author.detailsAngela M Moss, MSN, BSN, APN-BC, RN, angela_moss@rush.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308345-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b>Problem:  </b>Workplace wellness and primary care clinics staffed by advanced practice nurses are emerging as an efficient venue to promote health, manage acute and chronic illness, and improve morale among employees.  This model has been shown to reach otherwise underserved, high risk populations and improve employee health outcomes, but validating the cost/benefits of onsite programs is necessary to justify government and employer financial investment. <b></b><p><b>Purpose:</b>  The purpose was to conduct  a cost analysis of services provided by a nurse practitioner in a worksite health clinic, and compare it to the company’s out-of-pocket costs for similar health insurance claims within the same timeframe. <p><b>Methodology:  </b>  This was a cross-sectional, descriptive secondary analysis.  Encounter data from all company employees who utilized the worksite health clinic or who generated a company health insurance claim for offsite primary care services from January 1, 2011 to December 31, 2011 were collected and analyzed using descriptive and correlational statistics.  The average employee salaries and the annual overhead costs of the workplace clinic were also analyzed.  <p><b>Findings:  </b>In the worksite clinic,<b> </b>450 visits were logged from August 1, 2011 to December 31, 2011 with an average cost per encounter of $47.82.  During the same period, 814 offsite procedural insurance claims were filed and because the company is self-insured, the total out-of-pocket cost to the company was $50,606.77.  If these procedures had been performed in the onsite clinic, the out-of-pocket cost to the company would have been $23,814.36.  <b></b><p><b>Implications:  </b>Considering the rising costs of healthcare, employers are motivated to curb healthcare spending.  Additionally, government agencies are interested in supporting access points to primary care for low-income, underserved populations.  Study findings suggests that onsite nurse-managed wellness and primary care services are a promising and innovative way employers can save on healthcare costs while also supporting a healthy and productive workforce.en_GB
dc.subjectcost effectivenessen_GB
dc.subjectnurse managed health careen_GB
dc.subjectnurse pracitioneren_GB
dc.date.available2013-12-19T17:30:06Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:06Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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