Exhibit_C_-_2019-2020_CareHere_-_Annual_Report_City_of_St._Cloud_V2.1.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 CareHere, a Premise Health company, covering the report period from September 1, 2019 to August 31, 2020. The report provides a comprehensive overview of the on-site health center's performance, including health center utilization, clinical services, wellness programs, and patient satisfaction. Key metrics show 4,138 total appointments with 687 unique patients, a 70% utilization rate, and 95% employee participation. The health center served 497 average employees, with 329 employees and 65 dependents participating in annual health assessments.
Financially, the total client cost was $395,485, representing a 15.6% increase from the proposal. The health center generated significant cost savings, including $298,346 in marketplace savings and $209.90 in copay savings per patient. The report highlights 202 health risk conditions discovered, with potential costs avoided estimated at $1,192,199. Patient satisfaction was exceptionally high, with a 96% recommendation rate and a Net Promoter Score of 86. The wellness program included 1,035 total contacts across various health management areas such as cholesterol, diabetes, weight management, and stress management. The report also includes a 2021 health strategy focused on diabetes management, with specific interventions and goals for improving patient outcomes.
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ANNUAL REPORT
5500 Maryland Way Suite 400 | Suite 350 | Brentwood, TN 37027
PRIVATE & CONFIDENTIAL
City of St. Cloud
Report Period: 9/1/2019 - 8/31/2020
ANNUAL REPORT SUMMARY
Report Period: 9/1/2019 - 8/31/2020
$155.85
MARKET VISIT COST
$87.30
HEALTH CENTER VISIT COST
$400,259 1.2% ↑
BUDGET PROJECTION NEXT 12 MONTHS
$395,485 15.6% ↑
TOTAL CLIENT COST
AVERAGE EMPLOYEES
HEALTH CENTERFINANCIAL REPORT AHA & WELLNESS
$298,346
MARKETPLACE SAVINGS
$209.90
COPAY SAVINGS/PATIENT
70.0%
UTILIZATION
95.0%
EMPLOYEE PARTICIPATION
4,138 145.1% ↑
APPOINTMENTS
TOTAL UNIQUE PATIENTS
KEPT APPOINTMENT
4,090 (98.8%)
NO SHOW
48 (1.2%)
APPOINTMENT STATUS
Diagnoses Medications Labs
4,224 2,150 3,082
CLINICAL
ANNUAL HEALTH PARTICIPANTS
Employee
Dependents
66% EMPLOYEE PARTICIPATION
Instances
Potential Costs Avoided $1,192,199
HEALTH RISK CONDITION DISCOVERED
Total Contacts
Unique Patient
Patient Programs 578
1,035
DISEASE MANAGEMENT AND WELLNESS
PATIENT FEEDBACK
First in the door Jadi is very friendly ,knowledgable and efficiently accommodating. Her c..
A joy to have care like this. Keep up the good work.
All is well, although I would like to be able to get my allergy shots scheduled online with Yar..
All staff is so polite and courteous along with caring about you. 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
Page 1 of 9 V2 12/10/2020
FINANCIAL REPORT OVERVIEW
Report Period: 9/1/2019 - 8/31/2020
AVERAGE EMPLOYEES
$395,485 15.6% ↑
TOTAL CLIENT COST
6.0 49.5% ↑
APPOINTMENTS/PATIENT
Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
$1 0, $3 0, $3 1, $3 7, $3 2, $4 0, $3 9, $3 5, $3 3, $3 4, $3 3, $3 6, Total Client Cost
BY MONTH
$324,150 (82%)
$34,246 (9%)
$33,738 (9%)$3,350 (1%)
Distribution of Cost
COST PER GROUP
Fixed Fee
Telehealth Income
$3,350
$324,150
Fixed Fee $79.14
COST PER APPOINTMENT
Lab Analysis
Vaccines $2,714
$31,025
Labs & Supplies $8.15
COST PER APPOINTMENT
Medications $34,246
Medications $8.28
COST PER APPOINTMENT
$87.30
HEALTH CENTER VISIT COST
$155.85
MARKET VISIT COST
Health Center Office Cost Market Office Cost
$361,238
$644,907
Marketplace Comparison
$283,669
a) Office Visit & Lab
b) Medication
c) Productivity $186,210
$14,677
$283,669
Cost Avoidance Summary
$484,556
Notes:
a) Office Visit is $220,679 and Lab is $62,989. 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 $209.90
$21,500
$122,700
Patient Savings
$144,200
Notes:
d) PCP Medical Out-Of-Pocket is $30 * 4,090 Kept Appointments used.
e) Prescription Tier 1 Out-Of-Pocket is $10 * 2,150 Medications dispensed.
Budget Projection Next 12 Months
400,259 1.2% ↑
a) Supplies/Labs/Misc $35,088 4.00% ↑
b) Medications $37,671 10.00% ↑
Program Services $327,500 0.00% →
Notes:
a) 12 Month Projection assumes 4.0% increase for Supplies/Labs.
b) 12 Month Projection assumes 10.0% increase for Medications
Labs & Supplies Medications Fixed Fee Telehealth Income
Page 2 of 9 V2 12/10/2020
HEALTH CENTER OVERVIEW
Report Period: 9/1/2019 - 8/31/2020
3,037 (73%)
1,101 (27%)
4,138 Appointments
Distribution of Appointments
BY RELATIONSHIP
7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM
Sun
Mon
Tue
Wed
Thu
Fri
Sat
9110193102
Appointments
BY WEEKDAY/HOUR
Sun Mon Tue Wed Thu Fri Sat
100%
68% 70% 74%
72% 71%
40% 810 828 745 863 820 711
1 2 3 4 5 6 7 8 9 10 11-19 >=20
40 42 28 32
14 17
37 27 13 4
48 44
28 32
15 17
Appointment Frequency
BY DIAGNOSIS TYPE
Employee Dependents
215472 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
Appointment Trend
BY MONTH
70.0%
UTILIZATION
4,138 145.1% ↑
APPOINTMENTS
5,914
CAPACITY
UNIQUE PATIENTS
1.2%
NO SHOW
0 193 Dependents Employee
FY 2020
Chronic Acute
Page 3 of 9 V2 12/10/2020
CLINICAL OVERVIEW
Report Period: 9/1/2019 - 8/31/2020
4,224
DIAGNOSIS
2,150
MEDICATIONS
3,082
LABS
Disorders of lipoprotein metabolism and other lipidemias
Acute upper resp infections of multiple and unsp sites
Elevated blood glucose level
Vitamin Deficiency
Acute pharyngitis
Allergic rhinitis
Hypertension
Diabetes
Obesity
Cough
Diagnosis
BY TOP 10
55%45%
Dispensed Cost Avg Cost Avg Cost/Day of Therapy
$0.19$13.50$29,0212,150
FLUTICASONE PROPIONATE
(Allergic Rhinitis)
CHOLECALCIFEROL (VITAMIN D3)
(Vitamin D)
LORATADINE
(Antihistamine)
LISINOPRIL
(Hypertension)
ATORVASTATIN CALCIUM
(High cholesterol)
ALBUTEROL SULFATE
(Asthma)
AMLODIPINE BESYLATE
(Hypertension, CAD)
MONTELUKAST SODIUM
(Asthma)
IBUPROFEN
(Pain, fever, inflammation)
LOSARTAN POTASSIUM
(High blood pressure)
Medications
BY TOP 10
Vitamin D, 25-Hydroxy
Beta Strep Gp A Cultur
Urine Culture, Routine
CBC With Differential
Prostate-Specific Ag, SARS-CoV-2, NAA
Hemoglobin A1c
TSH+Free T4
AHA
TSH
Labs
BY TOP 10
Qty Total Cost Avg Cost
$10.07$31,0253,082
Current Prior
CurrentAcute Chronic Acute Hyperlipidemia Hypertension
Other Chronic Current Prior
Page 4 of 9 V2 12/10/2020
AHA SUMMARY
Report Period: 9/1/2019 - 8/31/2020
ANNUAL HEALTH ASSESSMENTS
66%
EMPLOYEE PARTICIPATION
HEALTH RISK CONDITIONS DISCOVERED
$1,192,199
POTENTIAL COSTS AVOIDED
Body Mass Index (BMI)
Glucose, Serum
Systolic Blood Pressure
Diastolic Blood Pressure
T. Chol/HDL Ratio
Total Cholesterol
Triglycerides
Hemoglobin A1C
20%
77%
62%
66%
62%
69%
70%
71%
32%
27%
23%
23%
26%
13%
21%
48%
23%
11%
11%
15%
17%
5%
8%
AHA Biometric Risk Levels
Employee Annual Health Assessments
Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
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
$747,810$10,68370
$34,928$94437
$274,836$7,42837
$42,570$42,5701
$92,055$1,61557
Health Risk Conditions Discovered Unique Patients: 167 Potential Costs Avoided: $1,192,199
At Risk Moderate Normal
Page 5 of 9 V2 12/10/2020
WELLNESS OVERVIEW
Report Period: 9/1/2019 - 8/31/2020
1,035
TOTAL CONTACTS
UNIQUE PATIENTS
PATIENT PROGRAMS
Cholesterol
Healthy Eating
Diabetes
Weight Management
Prediabetes Management
Stress Management
Tobacco Cessation
Hypertension Management
Physical Activity
Healthy Body and Mind
Insomnia Health Sleep Management
Exercise
MNT - RDs only
133122
Wellness Care Plans
Phone Call E-mail Wellness Track Assigned per Provider
Wellness Team Contact Types
Total Contacts
Unique Patient
Health Coach CareHere Connect
Patient Programs
Page 6 of 9 V2 12/10/2020
Page 7 of 9 V2 12/10/2020
PATIENT SATISFACTION SURVEY
Report Period: 9/1/2019 - 8/31/2020
3 4 5 7 8 9 10
14 151 1 4 6
Total Survey Responses: 235
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
10%90%
2. Is the CareHere health center your first stop for an illness, health concern or wellness visit?
AppointmentAvailability
Convenience
CostSavings
QualityOfCare
81%
94%
97%
83%
16%
15%
6%
3%
3. How would you rate the CareHere health center & team in the following areas?
Fair Average Good Excellent
First in the door Jadi is very friendly ,knowledgable and efficiently accommodating. Her compassion and concern is unmatched anywhere else I've been.
It is always with pleasure that I look forward to seeing her.
The new to us Dr. shares the same qualities as Jadi , but as a physician , she has an expertise and thoroughness that makes me very comfortable in shari..
A joy to have care like this. Keep up the good work.
All is well, although I would like to be able to get my allergy shots scheduled online with Yari. In addition it would make sense if I can get my 60 mg of Cymbalta generic from the clinic. I take them for chronic pain from Fibromyalgia and Osteoarthritis.
All staff is so polite and courteous along with caring about you.
Although transitioning to new care providers is difficult I'm grateful for you continuing to employ my nurse Yari as I gi frequently and can always count on her. Building my relationship with Mary and that is coming along too.
Always there with a smile and help for whatever is going on I love them
An excellent facility.
Arrived a bit early and staff was all prepared, went smoothly, no issues
Awesome 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
Page 8 of 9 V2 12/10/2020
FINANCIAL REPORT DETAIL
Report Period: 9/1/2019 - 8/31/2020
Appointments/Patient 49.5%2.04.06.0
Lab Analysis
Medications
Telehealth Income
Vaccines
Fixed Fee -5.3%($18,061)$342,211$324,150
$2,714
$3,350
$34,246
$31,025
Appointments 145.1%2,4501,6884,138
Current Proposal Variance Variance % Employees 17.8%75.0422.0497.0
Total Client Cost 15.6%$53,274$342,211$395,485
Page 9 of 9 V2 12/10/2020
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