Texas Instruments (TI) is a semiconductor company with 43,000 employees in 25 countries worldwide. TI is the world leader in digital signal processing solutions, the technologies that make the digital world possible.
Health Promotion (Personal Health Management) is one dimension of TI’s multi-dimensional Health Excellence initiative. Health and well-being are the key enabling factors that provide the vitality and stamina employees (TIers) need to achieve and sustain superior performance results.
Program Description
Narrative Description of Program
Texas Instruments (TI) is a semiconductor company with 43,000 employees in 25 countries worldwide. TI is the world leader in digital signal processing solutions, the technologies that make the digital world possible.
Health Promotion (Personal Health Management) is one dimension of TI's multi-dimensional Health Excellence initiative. Health and well-being are the key enabling factors that provide the vitality and stamina employees (TIers) need to achieve and sustain superior performance results. TI's Health Excellence strategy has forged the efforts of Health Promotion, Benefits, Texins, EAP, Work/Life, Time Loss Management, and Occupational Health into a unified integrated team with the common goals:
- Lead in shaping a work environment and culture that supports and enhances personal accountability for health, well-being and performance success.
- Create a differentiated benefit plan that attracts and retains the brightest and best employees, and drives organizational behavior norms.
- Develop a fully integrated personal health management model to deliver information and support resources at the time and point of need to employees and families.
Health Promotion programs span the full personal health management spectrum. Key elements addressed are demand and disease management, health risk management and performance enhancement to optimize well-being and functional capability. The strategic intent is to provide integrated health enhancement services that enable TIers to achieve their personal best in health, work performance and quality of life.
Priorities and initiatives are driven by business needs. On-line medical and pharmacy claims, disability and worker's compensation data, demographics, public health trends, risk data and TIer measured care-abouts are analyzed and used to set our Health Excellence business goals and action plans.
To provide access to all TIers and family members at the point of need and readiness we have designed multiple delivery channels which include telephonic, internet, scheduled home mailings, nationwide provider networks and on-site programs and resources.
Contact Summary
| General Information | |
|---|---|
| Program Name | Health Excellence - Personal Health Management |
| Company Name and Address | Texas Instruments, Inc.Health Benefits7839 Churchill Way, MS 3905
Dallas, TX 75251 |
| Contact Person | Marsha McCabeDirector, Health Promotion |
| Program Information | |
| Program Category | Worksite, Chronic disease, Integrated Systems of Care |
| Year begun | 1995 |
| Total number of individual participants | Program specific |
| Number of currently actively enrolled | Program specific |
| Access to Program | Employees, dependents, retirees, at-risk |
| Cost per participant per year | Program SPecific |
| Program targeted at Healthy People 2000 goals |
Yes |
| Program goals (in priority order) | (1) Optimize worker well-being and performance(2) Improve health status through risk reduction(3) Improve appropriate number of healthcare services
(4) Control health benefit costs |
Evaluation Summary
Texas Instrument’s self-insured; self-administered health plan design has promoted shared accountability and kept health care costs below medical CPI and national averages. Per capita cost per employee for TI was $2,861 as compared to the national average of $3,980 for 1996. TI divested several of its business groups in 1997. Total U.S. employee population was reduced to 19,000 from 35,000. Health care cost for 1997 rose 7.3%. Increased utilization is correlated to the divestitures as a response to this business decision. Increased 3-year rolling average cost for 95-97 was impacted primarily by the elevation of costs in 1997.
Our demand management initiatives have demonstrated improved health consumer and self-care decision-making skills. Utilization of the Healthwise Self-Care Handbook reference has reached 67% of total population. Survey results indicate projected savings for avoided doctor and ER visits of $2M. Informed Choice, our 24-hour nurse counseling service, has demonstrated an ROI of 3.25:1 for services provided in 1997. Contract to date avoided costs for use of medical care services is estimated at $1.5M. Estimated lost-on-the-job time saved for 1997 is 264 days and $42K.
Preventive health screening is integrated into our TI health plan with no deductible, no co-pay. On-site preventive health screening services provided from 1995 – 1997 have referred a total of 2,052 males and females for diagnostic follow up. Numerous participants have experienced life saving benefits resulting from early detection of cancer and cardiovascular disease. Savings accrued from 1995-1997 on-site services, contracted below negotiated rates with network providers, have totaled $294K.
Our smoking cessation support service for 1995 – 1996 achieved a documented 27% and 26% quit success rate for respective years measured at one-year follow-up. Results for 1995 and 1996 participants produced a 3.45:1 ROI.
Our Employee Assistance Program offers brief counseling support of 1-5 months to assess and resolve personal problems. Utilization of solution-based face-to face counseling for 1997 was 5.5%. Of those seeking counseling services 58% presented for emotional stress and 25% for relationship issues. Treatment outcome measures to assess emotional health improvement yielded significant results at the .01 confidence interval. Results showed participants attribute improvement in their mental health and well being to the psychological treatment they received from EAP and referred mental health counseling.
Our worksite flu immunization program is targeted at reducing lost work time by reducing the incidence of flu for all site populations. To reach this goal a target threshold of 36% penetration of site populations was set and surpassed in 1997 with 6,954 employees participating. Published research findings demonstrated this intervention to achieve 43% fewer sick days, 25% fewer episodes of upper respiratory illness and $47 savings for every employee immunized.
Evaluation Documentation
Critique
This program has goals of shaping a work environment and culture that supports and enhances personal accountability for health, creates a differentiated benefit plan that attracts and obtains the brightest and best employees, and includes a fully integrated personal health management model. Through the Healthwise self-care handbook the program has reached 67% of the total population. Projected savings for doctor and emergency room visits total two million dollars yearly. The nurse-counseling service (Informed Choice) has demonstrated an ROI of 3.25 to 1 for 1997.
Specific Comments Included: The program includes retirees and dependents and targets high-risk individuals. Needs and support across the health continuum are addressed. A self-care book and a nurse line are used. ROI appears to be 3-4:1, with cost reduction using outside controls quite well documented. The program is provided to 19,000 employees with encouraging results, partly due to a specific focus on self-care. The EAP program had significant improvements in treatment outcome measures. Worksite flu immunization achieved 36% penetration. A premium for tobacco users is an unusual feature. More appropriate measures of medical care use appear to occurring among TI members.
Reservations Included: Survey outcomes were not perfectly validated and the call center survey technique overestimates the effect. The reduction of the employee population from 35,000 to 19,000 may have had effects on some of the data. Savings cannot be linked to any particular part of the intervention and secular effects seem probable. Some results are projected.