Exhibit_B_-_2020-2021_Premise_AnnualReport_City_ofSt._Cloud.pdf
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- Solicitation number
- 2024-007
- Issued by
- Polk County, Florida
About this file
This document is an annual report for the City of St. Cloud's employee health center, prepared by Premise Health for the report period of September 1, 2020 to August 31, 2021. The report provides a comprehensive overview of health services, including health center utilization, clinical metrics, wellness programs, and patient satisfaction for city employees. Key highlights include 4,230 total appointments, 782 unique patients, and a 71% employee participation rate in annual health assessments.
The financial overview shows total client costs of $355,111, which represents a 10.2% decrease from the previous year. The health center generated significant cost savings, with $270,448 in marketplace savings and $1,073,450 in potential costs avoided through proactive health management. Patient satisfaction was exceptionally high, with a 96% recommendation rate and a Net Promoter Score of 87. The report details various health risk conditions discovered, including diabetes, high cholesterol, hypertension, and obesity, with targeted wellness care plans addressing these areas. The data suggests the health center provides comprehensive, cost-effective healthcare services for City of St. Cloud employees.
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ANNUAL REPORT
5500 Maryland Way | Suite 120 | Brentwood, TN 37027
PRIVATE & CONFIDENTIAL
City of St. Cloud
Report Period: 9/1/2020 - 8/31/2021
ANNUAL REPORT SUMMARY
Report Period: 9/1/2020 - 8/31/2021
$158.43
MARKET VISIT COST
$74.21 -14.9% ↓
HEALTH CENTER VISIT COST
$358,612 0.10% ↑
BUDGET PROJECTION NEXT 12 MONTHS
$355,111 -10.2% ↓
TOTAL CLIENT COST
484 -2.6% ↓
AVERAGE EMPLOYEES
HEALTH CENTERFINANCIAL REPORT AHA & WELLNESS
$270,448
MARKETPLACE SAVINGS
$192.08
COPAY SAVINGS/PATIENT
66.7% -4.8% ↓
UTILIZATION
113.4% 19.2% ↑
EMPLOYEE PARTICIPATION
4,230 2.1% ↑
APPOINTMENTS
782 13.8% ↑
TOTAL UNIQUE PATIENTS
KEPT APPOINTMENT
4,215 (99.6%)
NO SHOW
15 (0.4%)
APPOINTMENT STATUS
Diagnoses Medications Labs
6,001
2,376 4,368
CLINICAL
431 8.3% ↑
ANNUAL HEALTH PARTICIPANTS
Employee
Dependents
71% EMPLOYEE PARTICIPATION
Instances
Potential Costs Avoided $1,073,450
HEALTH RISK CONDITION DISCOVERED
Total Contacts
Unique Patient
Patient Programs 119
DISEASE MANAGEMENT AND WELLNESS
PATIENT FEEDBACK
My experiences have always been of exceptional quality. The care provided by Dr Mary an..
Absolutely perfect is how they are doing .
All good
All good 10
PATIENT EVALUATIONS
How likely is it that you would recommend the CareHere Health Center/Clinic to a family member or co‐worker?
Recommend %
96% Net Promoter Score
FINANCIAL REPORT OVERVIEW
Report Period: 9/1/2020 - 8/31/2021
484 -2.6%
AVERAGE EMPLOYEES
$355,111 -10.2% ↓
TOTAL CLIENT COST
5.4 -9.9% ↓
APPOINTMENTS/PATIENT
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
$4 0, $3 8, $3 6, $4 2, $4 0, $3 7, $3 4, $3 9, $3 5, $3 5, $3 8, $3 9, Total Client Cost
BY MONTH
$40,920 (12%)
$252,734 (71%)
$58,525 (16%)$2,931 (1%)
Distribution of Cost
COST PER GROUP
Fixed Fee
Telehealth Income
2,931
252,734
Fixed Fee $60.38
COST PER APPOINTMENT
Lab Analysis
Vaccines $2,599 -4.2% ↓
$55,926 80.3% ↑
Labs & Supplies $13.82
COST PER APPOINTMENT
Medications $40,920 19.5% ↑
Medications $9.66
COST PER APPOINTMENT
$74.21 -14.9% ↓
HEALTH CENTER VISIT COST
$158.43
MARKET VISIT COST
Health Center Office Cost Market Office Cost
$417,882
$670,159
Marketplace Comparison
$252,277
a) Office Visit & Lab
b) Medication
c) Productivity $190,530 $17,537 $252,910
Cost Avoidance Summary
$460,978
Notes:
a) Office Visit is $139,364 and Lab is $113,547. Lab is based on 66% savings compared to marketplace cost.
b) Based on 30% savings compared to marketplace cost.
c) Based on 3 hours lost time for marketplace visit at $15/hour.
d) Medical Out-Of-Pocket Savings
e) Prescription Out-Of-Pocket Savings
Co-Pay Patient Savings $192.08
$23,760
$126,450
Patient Savings
$150,210
Notes:
d) PCP Medical Out-Of-Pocket is $30 * 4,215 Kept Appointments used.
e) Prescription Tier 1 Out-Of-Pocket is $10 * 2,376 Medications dispensed.
Program Services $252,734 0.00% →
Budget Projection Next 12 Months
358,612 0.10% ↑
b) Supplies/Labs/Misc $60,866 4.00% ↑
c) Medications $45,012 10.00% ↑
Notes:
b) 12 Month Projection assumes 4.0% increase for Supplies/Labs.
c) 12 Month Projection assumes 10.0% increase for Medications
Labs & Supplies Medications Fixed Fee Telehealth Income
HEALTH CENTER OVERVIEW
Report Period: 9/1/2020 - 8/31/2021
3,170 (75%)
1,060 (25%)
4,230 Appointments
Distribution of Appointments
BY RELATIONSHIP
5 AM 7 AM 8 AM 9 AM 10 A..11 A..12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 10 PM
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Appointments
BY WEEKDAY/HOUR
Sun Mon Tue Wed Thu Fri Sat
100%
65% 67% 72%
69% 69%
38%
830 843 792 854 798 1201
1 2 3 4 5 6 7 8 9 10 11-19 >=20
51 35 34 26 28 28 4741 7
40 34 27 29 29
Appointment Frequency
BY DIAGNOSIS TYPE
Employee Dependents
233549 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
Appointment Trend
BY MONTH
66.7% -4.8% ↓
UTILIZATION
4,230 2.1% ↑
APPOINTMENTS
6,340 7.3% ↑
CAPACITY
782 13.8% ↑
UNIQUE PATIENTS
0.4% -69.4% ↓
NO SHOW
0 188
Dependents Employee
FY 2020 FY 2021
Chronic Acute
CLINICAL OVERVIEW
Report Period: 9/1/2020 - 8/31/2021
6,001 40.3%↑
DIAGNOSIS
2,376 8.9%↑
MEDICATIONS
4,368 41.7% ↑
LABS
Disorders of lipoprotein metabolism and other lipidemias
Oth symptoms and signs involving the circ and resp sys
Elevated blood glucose level
Vitamin Deficiency
Allergic rhinitis
Hypertension
Headache
Obesity
Fatigue
Cough
Diagnosis
BY TOP 10
51%49%
Dispensed Cost Avg Cost Avg Cost/Day of Therapy
$0.21$14.89$35,3802,376
FLUTICASONE PROPIONATE
(Allergic Rhinitis)
LISINOPRIL
(Hypertension)
ATORVASTATIN CALCIUM
(High cholesterol)
LORATADINE
(Antihistamine)
CHOLECALCIFEROL (VITAMIN D3)
(Vitamin D)
LOSARTAN POTASSIUM
(High blood pressure)
OMEPRAZOLE
(Acid reflux)
LEVOTHYROXINE SODIUM
(Thyroid)
ALBUTEROL SULFATE
(Asthma)
IBUPROFEN
(Pain, fever, inflammation)
Medications
BY TOP 10
63Albumin/Creatinine Rat
Vitamin D, 25-Hydroxy
HIV Ag/Ab with Reflex
CBC With Differential
Prostate-Specific Ag, SARS-CoV-2, NAA
Hemoglobin A1c
HCV Antibody
AHA
TSH
Labs
BY TOP 10
Qty Total Cost Avg Cost
$12.80$55,9264,368
Current Prior
Current Prior
Acute Chronic Acute Hyperlipidemia Hypertension
Other Chronic Current Prior
AHA SUMMARY
Report Period: 9/1/2020 - 8/31/2021
431 8.3% ↑
ANNUAL HEALTH ASSESSMENTS
71% ↑
EMPLOYEE PARTICIPATION
HEALTH RISK CONDITIONS DISCOVERED
$1,073,450
POTENTIAL COSTS AVOIDED
Body Mass Index (BMI)
Glucose, Serum
Hemoglobin A1C
Systolic Blood Pressure
Diastolic Blood Pressure
T. Chol/HDL Ratio
Total Cholesterol
Triglycerides
23%
70%
72%
64%
65%
65%
74%
75%
27%
20%
30%
25%
21%
20%
14%
49%
30%
10%
14%
11%
8%
6%
6%
AHA Biometric Risk Levels
Current Prior Variance %
3.3%334345
Employee Annual Health Assessments
Current Prior
71.3% 67.2%
Employee Participation
Sep OctNovDecJanFebMarAprMayJun JulAug
Condition LabTest Criteria Instances Projected Cost Avoided per Instance
Potential Cost Now Under Management
Diabetes Glucose, Serum >= 105
High Cholesterol Total Cholesterol>= 200
Hypertension Systolic Blood
Pressure >= 140
Marker for Prostate Cancer
Prostate Specific Antigen, Serum
>= 4
Obesity Body Mass Index
(BMI)
>= 30
$576,882$10,68354
$35,872$94438
$200,556$7,42827
$127,710$42,5703
$132,430$1,61582
Health Risk Conditions Discovered Unique Patients: 167 Potential Costs Avoided: $1,073,450
Current Prior
At Risk Moderate Normal
WELLNESS OVERVIEW
Report Period: 9/1/2020 - 8/31/2021
281 -73.1% ↓
TOTAL CONTACTS
82 -71.3% ↓
UNIQUE PATIENTS
119 -79.6% ↓
PATIENT PROGRAMS
Cholesterol Management
Weight Management Stan..
Diabetes Management Stan..
Pre-Diabetes Management Stan..
Tobacco Cessation
Stress Management
Healthy Eating
Healthy Body and Mind
Physical Activity Management
Hypertension
Asthma
Medication Therapy
Wellness Care Plans
E-mail Phone Call Wellness Track Assigned per Provider
Face-to-Face
Wellness Team Contact Types
Total Contacts
Unique Patient
Health Coach CareHere Connect
Patient Programs
PATIENT SATISFACTION SURVEY
Report Period: 9/1/2020 - 8/31/2021
0 2 5 6 7 8 9 10
19 23 2 1 4 2 4
Total Survey Responses: 326
1. How likely is it that you would recommend the CareHere Health Center/Clinic to a family member or co‐worker?
Recommend %
96% Net Promoter Score
11%89%
2. Is the CareHere health center your first stop for an illness, health concern or wellness visit?
AppointmentAvailability
Convenience
CostSavings
QualityOfCare
76%
90%
97%
83%
19%
14%
8%
4%
3. How would you rate the CareHere health center & team in the following areas?
Poor Fair Average Good Excellent
My experiences have always been of exceptional quality. The care provided by Dr Mary and assistant Yadi has always been great. They are thorough and caring. I have never felt rushed and my needs and concerns have always gotten full attention and resolution . They are both caring and empathetic and always remember who we are. They are both a great asset to this community and to your business. I look forward to the quality care I receive from both Y..
Absolutely perfect is how they are doing .
All good
All good
All is good, City needs to continue to give good health programs to our employees to include the Dependents of each employee. Many health programs/events (Example: Weight Watchers) can only be used by FT employees. We need to incorporate all! Thanks
All staff went above and beyond to help me with my needs including contacting a specialist to help set up an appointment when I was unable to establish contact with the office staff. They set the example for how all doctors offices should operate and care for their patients.
Always a great experience
Always a great experience the atmosphere is always in high spirits genuine and caring the staff are the most amazing people and it shows
Always a great job! 10
4. How are we doing?
NPS, Net Promoter Score, is a patient loyalty and satisfaction index. 0-6 Detractors, 7-8 Passives, 9-10 Promoters. NPS = Promoters minus Detractors. The creators of NPS label scores of 0+ Good, 25+ Very Good, 50+ Excellent, 75+ World Class
No Yes
Patient Satisfaction 0 to 10 and Null values
FINANCIAL REPORT DETAIL
Report Period: 9/1/2020 - 8/31/2021
Program Services
Lab Analysis
Medications
Telehealth Income
Vaccines
Grand Total -10.2%
-4.2%
-12.5%
19.5%
80.3%
-22.0%
($40,374)
($115)
($419)
$6,674
$24,901
($71,416)
$395,485
$2,714
$3,350
$34,246
$31,025
$324,150
355,111
2,599
2,931
40,920
55,926
252,734
Current Prior Variance Variance %
Average Employees -2.6%-13497484
Appointments/Patient -9.9%-0.66.05.4
Appointments 2.2%924,1424,234
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