Find & Manage Your Patient Assistance Programs
Estimated patient savings $600,000,000.00
Johns Hopkins Medicine

Johns Hopkins Medicine On-Site Employee Health and Wellness Centers has provided on-site health care and wellness medicine services for over sixteen years. The Division has a growing number of employers with work-sites in over eighteen (18) states. (see graph)

These centers provide another level to manage medical costs by focusing on:

  • Front line assessment and treatment of injuries / illness
  • Delivery of wellness and prevention services
  • Development of local health care strategy
  • Support of safety initiatives

Key Services

  • Selecting, credentialing and providing malpractice insurance for mid-level providers (NPs/PAs)
  • Insuring the continuous provision of high quality medical care
  • Providing ongoing assessment of cost benefit ratios

Electronic Patient Record System Recruitment

Johns Hopkins has an extensive nurse practitioner and physician assistant recruiting network. This network identities mid-level providers with strong clinical and excellent interpersonal skills. Successful candidates are then interviewed by the client to determine if the provider is a good fit for the organization. Once this has been established, the candidate who meets the standards set by the client and Johns Hopkins is hired and trained in occupational care management techniques.

Quality Assurance

Johns Hopkins insures that all mid-level providers practice high quality medical care through the use of a proprietary program within an electronic patient record (EPR) system to do so. All diagnostic and treatment data generated by the mid-level providers, such as clinic notes, treatment plans, etc., are entered into the EPR as patients are seen. A subset of this information is abstracted daily and reviewed by practitioners at Johns Hopkins. Any deviations from accepted medical practices are flagged and mid-level providers are informed of these immediately and corrections to their practices are made. In the nine years Hopkins has been using the EPR System, there have only been a handful of instances where an improvement clinical care could be made.

Assessments of Benefits to Clients

To access the cost benefit ratio or return on investment (ROI) of on-site occupational medicine services. Johns Hopkins has created a web based platform that continuously monitors each mid-level provider's performance in this domain. This web interface is imbedded into the electronic patient record software and ROI calculated as patients are seen. Each of its clients utilizes a slightly different approach to calculating the ROI. However, the common feature of all calculations revolves around the difference in the expense of the on-site mid-level provide versus the cost medical services in the local community. These data are reviewed monthly to determine how success for the program is in reducing medical care costs for the client.

Services - Customized To Each Client Needs

  • Advise and treat non-occupational and occupational illness and injury (non-life threatening).
  • Provide referrals to primary care physician or specialist as needed
  • Provide general medical advice to the patients as needed
  • Provide crisis management, intervention, or dispense mediation as needed
  • Write prescriptions as are needed
  • Provide patient support and patient case management for illness and injury
  • Coordinate second opinions for employees absent due to illness, workers' comp or disability
  • Coordinate and plan health education seminars and general wellness events to include exercise programs, lunch and learns, newsletters of health fairs
  • Perform on-site physical assessments as required by employer
  • Monthly ROI calculations and analyses
  • Dispense over the counter and prescription medications with pre-established standing orders as needed

Return Investment Analysis

  • The mid level provider inputs the employee visit date in the electronic medical record system, capturing visit date, visit type, encounter type, and intervention type.
  • This information is transmitted and saved in a data warehouse, where batch-job query procedures run based on defined criteria and feed into a customized template worksheet.
  • Once the visit activity is summarized based on the specified criteria, the results are grouped and costs assigned based on the type of encounter or visit transmitted and supplies into a report for management presentation purposes.
  • The report calculates a client's site ROI based on the operational costs of the site and the cost savings.
  • For example, depending on the "Drug Testing" encounter type (i.e. random), a pre-defined savings for collection fee is defined using a $33 as national average. The cost savings is multiplied by the quantity of encounters deriving a total cost savings for the occupational visit. Once all the occupational health encounter-type total cost savings are summarized (i.e. labor savings), the report calculates a ROI based on the cost of an employee using the on-site location versus an off-site clinic.

A Statement From Ed Bernacki, MD, MPH

We add value to employers because employers pay the healthcare costs and salaries of their employees. We treat illness and injuries in an expeditious manner which decreases healthcare costs to the employer (and employees, if they pay for a portion of the premium) and reduces the amount of time away from work by employees for illness related absences.

The return on investment (ROI) for our service is greatest when we care for 400 or more working aged individuals (employed by one or more employers). Traditionally we have offered our services to single employers, but believe that our model of care will work equally as well with a number of employers utilizing an onsite clinic proximate to their work places. The ROI is the highest, of course, if the employer pays for health and disability insurance, as well as workers compensation. It can also be of tremendous assistance to employees who pay for much of their medical insurance themselves (i.e., they save the money, not their employer) or employees who are between plans.

Contact a Representative Today

Mailing Address Rex C. Bowden
Executive Director, Inc.
11608 Darryl Drive
Baton Rouge, LA 70815
Contact Email [email protected]
Phone (225) 273-2754
Savings Calculator
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* Actual costs may vary by requirements of Client. Final contracted price is based on filling your specific needs.
Points of Pride
For the eighteenth consecutive year, Johns Hopkins Hospital has been ranked the Number One hospital in the United States by U.S. News & World Reports
Johns Hopkins School of Medicine is ranked one of the top two medical schools in the country
Johns Hopkins medical scientists receive more federal research support each year than their counterparts at other American medical schools
19 current or former School of Medicine scientists have received Nobel Prizes
34 School of Medicine faculty, fellows or alumni have received the Lasker Award (the 'American Nobel')
20 members of the School of Medicine's current faculty have been elected to the National Academy of Sciences
11 School of Medicine faculty members have been selected as elite Howard Hughes Medical Institute investigators
Awarded $150,000/ year grant by Andrew Family Charitable Foundation to fund an initiative aimed at reducing the incidence of illness and injury in healthcare workers and patients
Edward J. Bernacki, MD, MPH
30 years experience in managing occupational health and safety programs (manufacturing, health care, oil + gas). Author of multiple peer-reviewed scientific publications.
Amy S. Alfriend, RN, COEH/CM
20 years experience in managing occupational health programs
David M. Baron, MBA
11 years experience as technology and business manager / consultant
Clients (Past/Present)
Occupational Medicine Services
Pepsi Bottling Group
Middle River Aircraft Systems
Cytec Engineered Materials
Becton Dickinson Corporation
Hughes Network Systems
Dean Foods
Lockheed Martin Corporation
Millennium Inorganic Chemicals
Domino Sugar
General Motors
Osiris Therapeutics
Organization of American States
Bechtel Corporation
Pepsi Bottling Group
Marriott Corporation
Andrew Family Foundation
Alcohol, Tobacco & Firearms
Cleveland Clinic
Louisiana Workers' Compensation Corporation
Caterpillar Corporation
Pactiv Corporation
Virginia Commonwealth University
Chevron Texaco Corporation
Travelers Insurance
US Postal Service
National Oceanic and Atmospheric Association
Cornell University
Key Operational Points
Recruit and credential occupational health professionals (in collaboration with the clients)
Provide malpractice insurance
Continuously monitor quality of care
Continuously assess performance
Continuously design programs to improve performance (medical care and service provision)
Day-to-Day Management
Physician preceptor - local
Electronic Patient Record System Maintenance
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