1st Edition

Workplace Clinics and Employer Managed Healthcare A Catalyst for Cost Savings and Improved Productivity

By A. Michael LaPenna Copyright 2009
    278 Pages 51 B/W Illustrations
    by Productivity Press

    280 Pages
    by Productivity Press

    Workplace Clinics and Employer Managed Healthcare: A Catalyst for Cost Savings and Improved Productivity is not another diatribe on the national healthcare problem. Instead, it is a book about what is possible. Mike LaPenna shares with readers the actual experiences of those self-funded employers who are moving healthcare access on-site and directly managing all aspects of their own healthcare delivery system. With the candor he is known for, LaPenna:

    • Examines both the big issues and the nuts and bolts concerns that companies and their employees face
    • Demonstrates the importance of employee participation in the planning
    • Covers when and how to work with hospitals, pharmacies and other vendors

    Much is made about turning healthcare delivery into a system that incentivizes wellness rather than profits from illness. This is the one path that assures such an outcome. There are no manuals to help your company achieve this goal, only the lessons to be learned from those who have walked the path. This book shares those lessons with you.

    Introduction: Workplace On-Site Healthcare as a Catalyst for Cost Savings and Improved Productivity
    Company Planning for Healthcare and Employees’ Participation in the Planning and in the "Plan"
    The Myth of the Company Doctor
    Components and Complements to On-Site Healthcare:Planning to Plan
    The On-Site Program: What and Who Are In and Out? Why?
    Cost Savings, Cost Avoidance, and Confidence Levels
    The Quest for a Dependable Return on Investment: Claims Analysis
    The Quest for a Dependable Return on Investment: Key Assumptions and Drivers
    The Quest for a Dependable Return on Investment: Benef t and Program Design
    The Healthcare "Buy": Determine What to Purchase by First Figuring Out What Not to Purchase
    Electronic Medical Records, Personal Electronic Health
    Records, the Medical Home, and the Medical Homeless
    Legal Issues: Contracting and Regulatory Challenges
    Working with Hospitals Rather than against Them
    Utilizing Local Physicians as the Primary Care Anchors
    Pharmacy, Pharmacy Benefit Managers, and Other Mysteries
    Employees, Consumerism, and the Illusion of Choice
    Ambulatory Care Nuts and Bolts: Site Design and Function
    Workforce and Population Analysis: Prevention, Intervention, Wellness, Disease Management,and the Care Management Team
    Special Situations and Some Solutions (Middlemen, Brokers, Third-Party Administrators, and Consultants)
    Working with Vendors: The Request for Proposal and Its Application to the Development Process
    Political and Functional Barriers to Establishing an On-Site Medical Service
    Involving Other Businesses as Customers of the On-Site Program
    The Future of On-Site Services and the On-Site Industry

    Book References and Interviews
    Claims Request (Complete Listing)
    Pro Forma Example
    On-Site Provider Listing
    Workplace On-Site Program Consultants and Resources


    A. Michael LaPenna

    If there is one key idea to take from this book it is that the ‘on-site clinic’ is a catalyst that allows all other programming to ‘work better’ and to be more coordinated and internally complementary. … Mr. La Penna’s book outlines the many aspects of how to think about an on-site program and how to implement one, once the decision is made. These features alone recommend the book as a valuable reference but there are other parts of the book which address important tangents and support programs which complement the employer sponsored on-site clinic. The underlying premise is that the employer must first start, as Toyota did, with planning and design. Hopefully, this book will give those who are embarking on this process a much needed road map.
    —From the Foreword by Ford Brewer, M.D., Medical Director, Toyota Motor Manufacturing of North America

    A smart book for intelligent, broad-based healthcare delivery, Workplace Clinics delivers practical proven approaches to corporate healthcare, especially creating and supporting wellness. ... for us, the most credible and useful piece of this foundation guide is Appendix D, the On-side Provider Listing that includes a partial list of workplace healthcare sites visited and/or sampled by the author.
    Blue Heron Journal, November 2013