1. Strategic Planning for Health Management
& Implementation of a Scorecard
Jennifer Lovequist, MA, CIC®
Lead Wellness Program Coordinator
May 8, 2012

2. DTE Energy
• DTE Energy Co. is a Detroit-based, diversified energy company
involved in the development and management of energy-related
businesses and services nationwide.
• DTE Energy has more than 10,000 diverse and dispersed
employees in utility and non-utility subsidiaries involved in a
wide range of energy-related businesses.
25
6
75%

3. Long, Healthy History

4. Opportunities Abound!
Total Medical and Drug Costs per Enrollee by HRA Risk
2009 (annualized)
$8,000
$7,000
$6,000
$5,000
$4,000
$3,000
$2,000
$1,000
$-
E - 439 S - 109 E - 1384 S - 626 E - 1225 S - 733 E - 2777 S - 2192
High Risk Moderate Risk Low Risk Non-Participants

5. Engagement Matters
We serve with our energy, the lifeblood DTE Energy Purpose
of communities and the engine of progress.
Highly Engaged
Employees
Ensure that DTE has an
extremely engaged, high quality
workforce where each
employee willingly brings their
energy and focus to their job
every day.
EYL Purpose
Empower all individuals to live with high
energy, good health and passion for life.

6. Energize Your Life Mission
Empower all individuals to live with high energy,
good health and passion for life.
In support of this mission, the following is our True North:
• 100% of employees, retirees and their spouses are compliant on age-
appropriate recommended preventive screening
• 100% of employees, retirees and their spouses participate in one or more
Health and Wellness programs each year
• 100% of our employee and spouse population is considered low-risk for
chronic health conditions that can be avoided through good health practices
• 100% of our employee and spouse population falls within the normal range
for key biometrics (blood pressure, glucose, cholesterol, BMI)

7. Priority: Connect and communicate with
employees, retirees and their families
• IN Charge newsletter
– Nuts & Bolts of Health Care
• Updated EYL Website
• Lunch and Learns
• Webinars
• EYL Take Charge Blog
• Asset Health
7

8. Priority: Develop a Healthy Culture
• POWER PICK
• Cafes
• Power Plate
• C-Store
• Vending Machines
• High Energy Health
• EYL Ambassador Program
• EYL Expedition
• Fitness and physical activity
resources
– Two Exercise Physiologists
– Walking Paths
– Move Well
– WTI
8

9. Priority: Encourage Personal Accountability
• Healthy Living Program
• See a physician for an annual
physical
• Complete the RedBrick Health
Assessment
• Participate in a RedBrick Health
phone coaching program or
track physical activity if
recommended
• Evive Preventive Screening &
Condition Management
Reminders
• Tailored programs to fit the
needs of the business units
and populations
9

10. Priority: Provide Support and Guidance
• Subsidize access to Weight
Watchers® programs 50%
• Corporate Discount Program
• RedBrick Health
• Support Groups
10

11. How do we measure the
impact of the programs?

12. Pulling it all together…
• Health Plans
• RedBrick Health
• Evive Health
• Asset Health
• EYL Onsite
• DCM
• Requisite Communications
• Weight Watchers
• Truven

13. Measurement Opportunities
Process Measures Impact / Outcome Measures
Leading Indicators Lagging Indicators
• Participation • Utilization
• Satisfaction • Costs
• Engagement • Biometric measures
• Response Rates
• Completions

14. Why Create a Dashboard?
Wanted to answer the following:
– Where are the opportunities?
• What are our major health issues?
• Who has these issues, how are they unique and how do we find
them?
• What health issues are contributing most to our health care costs?
• What are our cost trends overall and based on risk status?
• How does our self-insured population differ from fully-insured?
– Who are the audiences?
• Benefits Leaders
• Wellness and Health Promotion team
• Senior Leaders
• Employees

15. Health & Productivity Management Dashboard

16. Health & Productivity Management Dashboard
• Enrollment Overview • Continuum of Care
• Cost Overview • Chronic Episodes
• Age Cost Distribution • Factors Contributing to Trend
• Health Assessment Population Overview • Cost and Use Comparison
• Health Coaching Population Overview • Absenteeism for HA Participants (self-report)
• Screening and Compliance Rates • Biometric Comparisons
• Top Ten Conditions by Total Cost • HA and Coaching Participation
• High Cost Patients • Cost by Health Assessment Risk
• Participation Rates

17. Top Ten Conditions

18. High Cost Patients
High Cost Patients (HCP) Active and Pre65
Incurred in 12 months ending: Oct '10 Oct '11 % Change
High Cost Patients 639 658 -3%
Net Pay Med and Rx $36.9 $36.4 1%
% of Total Population 4% 3% 0%
% of Total Net Pay 44% 42% 1%
Net Pay Per Employee per Year with HCP $12,729 $12,125 5%
Net Pay Per Employee per Year excl HCP $7,576 $7,353 3%
3%
over $24,999.99
42
%
58
$0 - $24,999.99
%
97%
% of Total Population % of Total Net Payment

19. How do we know if we are WINNING?

20. Health and Wellness Scorecard
• Health Assessment Completion
• Health Screening Completion
• Completion of Onsite Education Activities
• Biometric Comparison to Norms
• Screening Compliance Rates
• Utilization Trend
• DTE Specific Gallup Question

21. Health & Wellness Scorecard
Active Employees & Spouses
Health Screening Completion

22. Health & Wellness Scorecard
Biometric Comparison to Norms
• Biometrics we monitor:
– BMI
– Cholesterol
– Glucose
– Blood pressure
2012 Target: ≥ 1% Positive Annual Migration

23. Health & Wellness Scorecard
Screening Compliance Rates
• Rates we monitor:
– Asthma medication management
– Diabetes HbA1c testing
– Colon cancer screening
– Cholesterol screening after CAD event
– General cholesterol screening
– Mammogram

24. Health & Wellness Scorecard
Healthcare Utilization Trend
Paid Claims Through June 2012

25. Health & Wellness Scorecard
Additional Metrics

26. Director Level Reports

27. Developing A Winning Scorecard
• Aligned with program goals / objectives
• Actionable
• Important and interesting to stakeholders
• Supportive of our Core Values

28. Questions?
Jennifer Lovequist – lovequistj@dteenergy.com