Workplace Clinics and Employer Managed Healthcare: A Catalyst for Cost Savings and Improved Productivity, 1st Edition (Paperback) book cover

Workplace Clinics and Employer Managed Healthcare

A Catalyst for Cost Savings and Improved Productivity, 1st Edition

By A. Michael LaPenna

Productivity Press

278 pages | 51 B/W Illus.

Purchasing Options:$ = USD
Paperback: 9781420092448
pub: 2009-12-23
Hardback: 9781138443075
pub: 2017-07-27
eBook (VitalSource) : 9780429250453
pub: 2017-07-27
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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.


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

Table of Contents

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

Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Human Resources & Personnel Management
BUSINESS & ECONOMICS / Management Science
BUSINESS & ECONOMICS / Quality Control
BUSINESS & ECONOMICS / Industries / Service Industries
LAW / Medical Law & Legislation
MEDICAL / Administration
MEDICAL / Health Care Delivery