Many employers invest in components of healthcare management – health risk assessments, disease management, wellness programming, case management, coaching, and so on – only to be disappointed with the results.
In a recent study with one rural manufacturing employer...
baseline emergency department (ED) utilization prior to opening their worksite health and wellness clinic was 74.7/100 employees.
At roughly 700 employees for all three shifts, they were experiencing about 523 visits to the emergency room, many of which were admitted for observation. When you multiply this by the average cost of an adult ED visit ($2900) the annual average spend on emergency visits was approximately $1,516,700. At the end of the first year, utilization was reduced to 42.4/100 for an approximate ED savings of $656,000. Utilization was further reduced to 32.3/100 in year two, for additional savings of $861,000 compared with baseline.
The Emergency Department (ED) is often considered the ‘front door’ to a hospital and is a major center of operations. Rural EDs disproportionately account for patient volumes, expenses, revenues, risk and quality when compared to larger urban and suburban hospitals. At the same time, observation admissions for this employer (at an average cost of $10,000 per admission) were also reduced by about 70%. While this is significant, one should also take into consideration that the costs for admissions are significantly higher in the rural setting.

Together with our sister subsidiaries that focus on clinical management and physician and allied health employment contracting, MHI Wellness uses a wealth of experience, physician workflow design knowledge, worksite health, wellness and occupational medicine coupled with clinic management know-how to design the most efficient, onsite health and wellness exam room possible. Our designs are intended to be fluid yet fit into a 10x15 workspace and to accept the emergence of electronic medical records (EMR) and other technologies as they unfold.
Call us to perform a claims assessment on your ED and Observation Admissions utilization. From that information, we'll perform a high level feasibility study to provide you a back of the envelope estimate of how much your organization would benefit from a worksite health and wellness center, and estimate ROI.
1. iVantage: 2011 National Rural Emergency Department Study, http://www.ivantagehealth.com/2011-national-rural-emergency-department-study-2/; DOI: 4/4/2012.

