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Critique

2004 Koop Award Winner

UAW-GM LifeSteps Health Promotion Program

The following are verbatim remarks made by the reviewers:

Program Strengths

A

  • Large, regular ad intensive, evaluation-oriented program
  • UAW and GM leaderships involved
  • HRA with tailored profiles, audio library, health book
  • Onsite screening at two sites
  • Savings to cost 1.2-3.7
  • 78% participation
  • University of Michigan evaluation – D. Eddington
  • Eighteen publications
  • Number of total risks reduced x savings per risk = cost savings

B

  • Well designed program containing intervention components that are evidence-based
  • Intensive program delivered at two sites
  • Good participation rates
  • Well established and long-standing program supported by management and the union
  • Evidence of program growth and expansion
  • Good data on specific risk prevalence for the intensive site populations

C

  • Comprehensive program with tremendous outreach to employees, spouses and retiree population
  • Significant support by both management as well as union leaders
  • Well designed and sustained program
  • Data supports high participation rates, health risk reduction as well as savings to cost (ROI)
  • Well evidenced based and long term research with publication of program outcomes
  • Corporate risk score

D

  • Large # of enrollees/participants – 78%
  • Has a full comprehensive program – HRA, screening, with interventions across the health continuum
  • Outside ROI evaluation with documented outcomes
  • Uses Population Health Management Model
  • Risks decreases, costs down

E

  • Model program and results

F

  • This program has many impressive features, the most significant of which are the collaborative manner in which the program has been developed and managed by the UAW and GM, and the extensive data collection and management  which has been shared with the profession and lead to a number of conceptual breakthroughs.

G

  • Long standing collaboration between GM and the University of Michigan/Eddington as a research team.
  • To date, there are 18 peer review publications with several of major innovation and significance.
  • Participation is trending upward (but still relatively low – see below).
  • There are methodological limitations to a number of the 18 studies that have been published but that is outweighed by the quantity, quality, and duration of the joint GM and U of Michigan program and research effort.
  • Potential to reach a large and highly visible workforce.