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FirstHealth Center for Health and Fitness
Total Health Change Initiative
Carol G. MillerHPAA 233
August 10, 2000
FirstHealth Center for Health and Fitness
Total HealthTotal Health
Physical
AssessmentNutrition
Counseling
Exercise
Counseling
FirstHealth Center for Health and Fitness
Formula for SuccessInitial Appointments= 1 Day
Counseling = 1 Week of Eval
Improve Appt. Tracking-ACT
Cost
FirstHealth Center for Health and Fitness
Initiative Impact
Improve Convenience
Improve Quality
Decrease Cost
Member Satisfaction/
Retention
Vision Fulfillment
$$$Generation
FirstHealth Center for Health and FitnessPast Process
• No Service Structure
• Appointments by walk in
• No Policy & Procedure
• No Schedule
FirstHealth Center for Health and FitnessPresent Process
Schedules
Physiologist
Dietician
Physician
FirstHealth Center for Health and FitnessPresent Process
Day 1- Health Eval.
1-6 Weeks Later- Treadmill
1-2 Weeks Later- Exercise Counseling
1-3 Months- Nutrition Counseling
1st
2nd
3rd
FirstHealth Center for Health and FitnessPresent Process
Total Health Expenses
$73.00
$34.00
$0.00
$10.00
$20.00
$30.00
$40.00
$50.00
$60.00
$70.00
$80.00
Labor Supplies
• Per member charges
• Labor - result of multiple appointments & extra admin. work
• Could expense be less?
FirstHealth Center for Health and FitnessProposed Process
• Less lab breakdown & preparation
• Less travel time- medical and dietary staff
Total Health Expenses
$63.00
$34.00
$0.00
$10.00
$20.00
$30.00
$40.00
$50.00
$60.00
$70.00
$80.00
Labor Supplies
• Less administrative work - ACT
YES!!!!!!!!!!!!!
FirstHealth Center for Health and Fitness
End Result
Improved Member Retention
& Service Quality
FirstHealth Center for Health and FitnessProposed Process
Blood Work/Snack
Health Evaluation Stress TestQuestionnaire
Exercise Jumpstart
(New Arrival)
Schedule counseling/
Lunch
(New Arrival)
Nutrition Evaluation
(New Arrival)
8am
8:15 910
10:30
(New Arrival)11
12
Last nutrition evaluation
4
Nutrition Evaluations
1,2,3
FirstHealth Center for Health and Fitness
What Changed ?
Appt. Tracking Method
Coworker Attitude
Communication
FirstHealth Center for Health and Fitness
What worked ?
Member surveys
VisionFulfillment
Total Health Improvement
Personal Network
Ability
Largest Reward
FirstHealth Center for Health and FitnessWhat
worked ?
Initial intended goals-•Improve Convenience•Improve Service Quality•Decrease Cost of Service Delivery
IMPROVE SERVICE QUALITY
FirstHealth Center for Health and FitnessWhat did not
work ?
Staff Scheduling
MAJOR CHEESE ISSUE
1 Day Service Delivery
(Most Difficult)
FirstHealth Center for Health and Fitness
Next Steps-Department Status Quo
Personally Open to other professional opportunities