Workplace Clinics and Employer Managed Healthcare

Mike La Penna started his career in healthcare as an emergency medical technician when he was still in high school. He has worked in several support roles within the healthcare field during his college years while earning a BA in economics from Western University. After a stink as a faculty member at a community college in Michigan, he became Executive Director for the Southwest Michigan Emergency Medical Services Agency, which developed and coordinated pre-hospital care and emergency services for an eight-county region. He has been a hospital administrator and he has managed healthcare programs that range from ambulatory care and outreach services to healthcare cooperatives and shared service corporations. His volunteer work includes serving as the Board Chair of the American Red Cross Kalamazoo Chapter, the Chairman of the Kalamazoo County Overall Economic Development Council, and co-founding that region’s American Heart Association chapter. Mike holds a MBA with a specialty interest in Healthcare Administration from the University of Chicago. His healthcare consulting firm, The La Penna Group, was founded in 1986 and serves hospital and physician group clients across the country. The firm also has developed several ambulatory care sites and service models for health systems and industry and municipal clients that incorporate the ideas in this book. Mike is regularly called upon to speak at national meetings regarding the healthcare industry and on financial issues affecting healthcare providers and their relationships with business and industry. He is a routine contributor to publications such as Medical Economics and Crain’s, and he has been quoted in Modern Healthcare, The Wall Street Journal, and numerous other national publications. He is the author of Workplace Clinics and Employer Managed Healthcare: A Catalyst for Cost Savings and Improved Productivity, CRC Press (2010).

Foreword: Ford Brewer, MD, Medical Director, Toyota Manufacturing of North America, Inc.; Preface; Acknowledgements; Chapter 1: Introduction: Workplace On-Site Healthcare as a Catalyst for Cost Savings and Improved Productivity; Chapter 2: Company Planning for Healthcare and Employees’ Participation in the Planning and in the "Plan"; Chapter 3: The Myth of the Company Doctor; Chapter 4: Components and Complements to On-Site Healthcare: Planning to Plan; Chapter 5: The On-Site Program: What and Who Are In and Out? Why?; Chapter 6: Cost Savings, Cost Avoidance, and Confidence Levels; Chapter 7: The Quest for a Dependable Return on Investment: Claims Analysis; Chapter 8: The Quest for a Dependable Return on Investment: Key Assumptions and Drivers; Chapter 9: The Quest for a Dependable Return on Investment: Benefit and Program Design; Chapter 10: The Healthcare "Buy": Determine What to Purchase by First Fighting Out What Not to Purchase; Chapter 11: Electronic Medical Records, Personal Electronic Health Records, the Medical Home, and the Medical Homeless; Chapter 12: Legal Issues: Contracting and Regulatory Challenges; Chapter 13: Working with Hospitals Rather than against Them; Chapter 14: Utilizing Local Physicians as the Primary Care Anchors; Chapter 15: Pharmacy, Pharmacy Benefit Managers, and Other Mysteries; Chapter 16: Employees, Consumerism, and the Illusion of Choice; Chapter 17: Ambulatory Care Nuts and Bolts: Site Design and Function; Chapter 18: Workforce and Population Analysis: Prevention, Intervention, Wellness, Disease Management, and the Care Management Team; Chapter 19: Special Situations and Some Solutions (Middlemen, Brokers, Third-Party Administrators, and Consultants); Chapter 20: Working with the Vendors: The Request for Proposal and Its Application to the Development Process; Chapter 21: Political and Functional Barriers to Establishing an On-Site Medical Service; Chapter 22: Involving Other Businesses as Customers of the On-Site Program; Chapter 23: The Future of On-Site Services and the On-Site Industry; Appendix A: On-Site References and Reading List; Appendix B: Claims Request (Complete Listing); Appendix C: Pro Forma Example; Appendix D: On-Site Provider Listing; Appendix E: Workplace On-Site Program Consultant and Resources