EARLY DETECTION, SCREENING, AND MANAGEMENT OF CHRONIC KIDNEY DISEASE AMONG ACTIVELY EMPLOYED – AN INTEGRATED POPULATION HEALTH MANAGEMENT APPROACH
Author(s)
Harshman R1, Naim A2, Carter J1, Richerson G1, Nair KV31Southern Company/Georgia Power, Atlanta, GA, USA, 2Centocor Ortho Biotech Services, LLC, Horsham, PA, USA, 3University of Colorado, Aurora, CO, USA
OBJECTIVES: The employer burden of CKD in terms of lost productivity, short and long term disability use, and high total health care costs has been well-documented and warrants an employer-sponsored population health management program to improve the health and lives of the workforce. Georgia Power Company (GPC) has implemented a chronic care management program aimed at early identification, disease awareness, and counseling of employees through on-site screenings. METHODS: Individuals are offered voluntary participation in the CKD management program with their PCPs and nephrologists depending upon their risk and CKD stage. Health outcomes including, clinical, resource utilization, and self-reported health status and productivity are compared pre- and post- program implementation. RESULTS: Preliminary results at the 6-month mark show that: a) 2,589 employees were screened, 638 (25%) met program criteria for participation and 110 (17.2%) agreed to participate in the study; b) among the current enrollees, 17% have diabetes and 51% have hypertension; c) mean eGFR rates are 61.27, and HbA1C levels of 7.7, and a mean BMI of 30.5 indicating a population at high risk for developing CKD; d) participants reported missing on average 10.5 hours/week due to their CKD; and e) baseline total health care expenditures were $19,776 per member per year indicating a high cost population as well. CONCLUSIONS: CKD is a high-cost disease for GPC. Resources invested in creating novel CKD management programs to identify, raise awareness, and manage CKD are a worthwhile investment for employers.
Conference/Value in Health Info
2011-05, ISPOR 2011, Baltimore, MD, USA
Value in Health, Vol. 14, No. 3 (May 2011)
Code
PUK20
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Health Care Research
Disease
Urinary/Kidney Disorders