Doris Konicki - Academia.edu (original) (raw)

Papers by Doris Konicki

Research paper thumbnail of FAST TRACK ARTICLE Health and Productivity as a Business Strategy

Objective: The objective of this study is to assess the magnitude of health-related lost producti... more Objective: The objective of this study is to assess the magnitude of health-related lost productivity relative to medical and pharmacy costs for four employers and assess the business implications of a “full-cost” approach to managing health. Methods: A database was developed by integrating medical and pharmacy claims data with employee self-report productivity and health information collected through the Health and Work Performance Questionnaire (HPQ). Information collected on employer business measures were combined with this database to model health-related lost productivity. Results: 1) Health-related productivity costs were more than four times greater than medical and pharmacy costs. 2) The full cost of poor health is driven by different health conditions than those driving medical and pharmacy costs alone. Conclusions: This study demonstrates that Integrated Population Health & Productivity Management should be built on a foundation of Integrated Population Health & Productiv...

Research paper thumbnail of Interaction of Health Care Worker Health and Safety and Patient Health and Safety in the US Health Care System

Journal of Occupational and Environmental Medicine

Research paper thumbnail of Advancing Value-Based Medicine

Journal of Occupational and Environmental Medicine, 2017

Research paper thumbnail of Global Trends in Occupational Medicine

Journal of Occupational and Environmental Medicine, 2017

Research paper thumbnail of Tracking the Market Performance of Companies That Integrate a Culture of Health and Safety: An Assessment of Corporate Health Achievement Award Applicants

Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine, 2016

The aim of this study was to assess the hypothesis that stock market performance of companies ach... more The aim of this study was to assess the hypothesis that stock market performance of companies achieving high scores on either health or safety in the Corporate Health Achievement Award (CHAA) process will be superior to average index performance. The stock market performance of portfolios of CHAA winners was examined under six different scenarios using simulation and past market performance in tests of association framed to inform the investor community. CHAA portfolios out-performed the S&P average on all tests. This study adds to the growing evidence that a healthy and safe workforce correlates with a company's performance and its ability to provide positive returns to shareholders. It advances the idea that a proven set of health and safety metrics based on the CHAA evaluation process merits inclusion with existing measures for market valuation.

Research paper thumbnail of Medication Adherence, Comorbidities, and Health Risk Impacts on Workforce Absence and Job Performance

Journal of Occupational and Environmental Medicine American College of Occupational and Environmental Medicine, Jun 1, 2011

To understand impacts of medication adherence, comorbidities, and health risks on workforce absen... more To understand impacts of medication adherence, comorbidities, and health risks on workforce absence and job performance. Retrospective observational study using employees' medical/pharmacy claims and self-reported health risk appraisals. Statin medication adherence in individuals with Coronary Artery Disease was significant predictor (P < 0.05) of decreasing absenteeism. Insulin, oral hypoglycemic, or metformin medication adherence in type 2 diabetics was significant (P < 0.05) predictor of decreasing job performance. Number of comorbidities was found as significant (P < 0.5) predictor of absenteeism in five of nine subsamples. Significant links (P < 0.05) between high health risks and lower job performance were found across all nine subsamples. Results suggest integrated health and productivity management strategies should include an emphasis on primary and secondary prevention to reduce health risks in addition to tertiary prevention efforts of disease management and medication management.

Research paper thumbnail of Integrating health and safety in the workplace: how closely aligning health and safety strategies can yield measurable benefits

Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine, 2015

To better understand how integrating health and safety strategies in the workplace has evolved an... more To better understand how integrating health and safety strategies in the workplace has evolved and establish a replicable, scalable framework for advancing the concept with a system of health and safety metrics, modeled after the Dow Jones Sustainability Index. Seven leading national and international programs aimed at creating a culture of health and safety in the workplace were compared and contrasted. A list of forty variables was selected, making it clear there is a wide variety of approaches to integration of health and safety in the workplace. Depending on how well developed the culture of health and safety is within a company, there are unique routes to operationalize and institutionalize the integration of health and safety strategies to achieve measurable benefits to enhance the overall health and well-being of workers, their families, and the community.

Research paper thumbnail of Exploring national surveillance for health-related workplace absenteeism: lessons learned from the 2009 influenza A pandemic

Disaster medicine and public health preparedness, 2013

During the 2009 influenza A (H1N1) virus pandemic, the Centers for Disease Control and Prevention... more During the 2009 influenza A (H1N1) virus pandemic, the Centers for Disease Control and Prevention did a pilot study to test the feasibility of using national surveillance of workplace absenteeism to assess the pandemic's impact on the workplace to plan for preparedness and continuity of operations and to contribute to health awareness during the emergency response. Population-based and sentinel worksite approaches were used. Monthly measures of the 1-week prevalence of health-related absenteeism among full-time workers were estimated using nationally representative data from the Current Population Survey. Enhanced passive surveillance of absenteeism was conducted using weekly data from a convenience sample of sentinel worksites. Nationally, the pandemic's impact on workplace absenteeism was small. Estimates of 1-week absenteeism prevalence did not exceed 3.7%. However, peak workplace absenteeism was correlated with the highest occurrence of both influenza-like illness and in...

Research paper thumbnail of Medical Evacuations From Oil Rigs off the Gulf Coast of the United States From 2008 to 2012

Journal of Occupational and Environmental Medicine, 2014

Objective: To identify reasons for air medical evacuations from oil rigs/platforms. Methods: Retr... more Objective: To identify reasons for air medical evacuations from oil rigs/platforms. Methods: Retrospective review of data of medical calls from 102 rigs/platforms in the US Gulf Coast from 2008 through 2012 with specific analysis of medevacs. Results: On average, 1609 total calls per year relating to illness or injury on the 102 oil rigs/platforms with 4% to 7% requiring medical air evacuation. On average, 77% of medevacs were for nonoccupational medical injury or illness. Conclusions: Illness, not occupational injuries, is identified as the major reason for medical evacuations from oil rigs. Heart disease is the leading cause of chronic health conditions resulting in a medevac.

Research paper thumbnail of Health and Productivity as a Business Strategy

Journal of Occupational and Environmental Medicine, 2007

The objective of this study is to assess the magnitude of health-related lost productivity relati... more The objective of this study is to assess the magnitude of health-related lost productivity relative to medical and pharmacy costs for four employers and assess the business implications of a "full-cost" approach to managing health. A database was developed by integrating medical and pharmacy claims data with employee self-report productivity and health information collected through the Health and Work Performance Questionnaire (HPQ). Information collected on employer business measures were combined with this database to model health-related lost productivity. 1) Health-related productivity costs were more than four times greater than medical and pharmacy costs. 2) The full cost of poor health is driven by different health conditions than those driving medical and pharmacy costs alone. This study demonstrates that Integrated Population Health & Productivity Management should be built on a foundation of Integrated Population Health & Productivity Measurement. Therefore, employers would reveal a blueprint for action for their integrated health and productivity enhancement strategies by measuring the full health and productivity costs related to the burdens of illness and health risk in their population.

Research paper thumbnail of Authorsʼ Response

Journal of Occupational and Environmental Medicine, 2007

Research paper thumbnail of Workplace Health Protection and Promotion

Journal of Occupational and Environmental Medicine, 2011

... Hymel, Pamela A. MD; Loeppke, Ronald R. MD; Baase, Catherine M. MD; Burton, Wayne N. MD; Hart... more ... Hymel, Pamela A. MD; Loeppke, Ronald R. MD; Baase, Catherine M. MD; Burton, Wayne N. MD; Hartenbaum, Natalie P. MD; Hudson, T. Warner MD; McLellan, Robert K. MD; Mueller, Kathryn L. MD; Roberts, Mark A. MD; Yarborough, Charles M. MD; Konicki, Doris L. MHS ...

Research paper thumbnail of Measurement and Quantification of Presenteeism

Journal of Occupational and Environmental Medicine, 2007

To the Editor: The recent article by Loeppke et al (Health and Productivity as a Business Strateg... more To the Editor: The recent article by Loeppke et al (Health and Productivity as a Business Strategy 1 ) highlights a topic of growing interest in the health management community: the measurement, quantification, and economic impact of lost productivity. Although we agree ...

Research paper thumbnail of Health-Related Workplace Productivity Measurement: Adding to the List

Journal of Occupational and Environmental Medicine, 2003

An establishment of health-related productivity measurements and critical evaluation of health-re... more An establishment of health-related productivity measurements and critical evaluation of health-related productivity tools is needed. An expert panel was created. A literature search was conducted to identify health-related productivity measurement tools. Each instrument was reviewed for: 1) supporting scientific evidence (e.g., reliability and validity); 2) applicability to various types of occupations, diseases, and level of severity of disease; 3) ability to translate data into a monetary unit; and 4) practicality. A modified Delphi technique was used to build consensus. The expert panel recommended absenteeism, presenteeism, and employee turnover/replacement costs as key elements of workplace health-related productivity measurement. The panel also recommended that productivity instruments should: 1) have supporting scientific evidence, 2) be applicable to the particular work setting, 3) be supportive of effective business decision-making, and 4) be practical. Six productivity measurement tools were reviewed. The panel recommended necessary elements of workplace health-related productivity measurement, key characteristics for evaluating instruments, and tools for measuring work loss. Continued research, validation, and on-going evaluation of health-related productivity instruments are needed.

Research paper thumbnail of Establishing a Research Agenda in Health and Productivity

Journal of Occupational and Environmental Medicine, 2004

The pace and pressure of America's workplace is at an all-time high. Mergers, do... more The pace and pressure of America's workplace is at an all-time high. Mergers, downsizings, technology explosions, market swings, demographic shifts, and information overload add up to a complex workplace with a host of new issues for both employers and the employees. The quality of ...

Research paper thumbnail of Advancing Workplace Health Protection and Promotion for an Aging Workforce

Journal of Occupational and Environmental Medicine, 2013

To explore issues related to the aging workforce, including barriers to integrating health protec... more To explore issues related to the aging workforce, including barriers to integrating health protection and promotion programs, and provide recommendations for best practices to maximize contributions by aging workers. Workgroups reviewed literature and case studies to develop consensus statements and recommendations for a national approach to issues related to older workers. Consensus statements and actions steps were identified for each of the Summit goals and call-to-action statements were developed. A national dialogue to build awareness of integrated health protection and promotion for the aging workforce is needed. Workers will benefit from improved health and performance; employers will realize a more engaged and productive workforce; and the nation will gain a vital, competitive workforce.

Research paper thumbnail of The Link Between Workforce Health and Safety and the Health of the Bottom Line

Journal of Occupational and Environmental Medicine, 2013

To test the hypothesis that comprehensive efforts to reduce a workforce&a... more To test the hypothesis that comprehensive efforts to reduce a workforce's health and safety risks can be associated with a company's stock market performance. Stock market performance of Corporate Health Achievement Award winners was tracked under four different scenarios using simulation and past market performance. A portfolio of companies recognized as award winning for their approach to the health and safety of their workforce outperformed the market. Evidence seems to support that building cultures of health and safety provides a competitive advantage in the marketplace. This research may have also identified an association between companies that focus on health and safety and companies that manage other aspects of their business equally well. Companies that build a culture of health by focusing on the well-being and safety of their workforce yield greater value for their investors.

Research paper thumbnail of Medication Adherence, Comorbidities, and Health Risk Impacts on Workforce Absence and Job Performance

Journal of Occupational and Environmental Medicine, 2011

To understand impacts of medication adherence, comorbidities, and health risks on workforce absen... more To understand impacts of medication adherence, comorbidities, and health risks on workforce absence and job performance. Retrospective observational study using employees' medical/pharmacy claims and self-reported health risk appraisals. Statin medication adherence in individuals with Coronary Artery Disease was significant predictor (P < 0.05) of decreasing absenteeism. Insulin, oral hypoglycemic, or metformin medication adherence in type 2 diabetics was significant (P < 0.05) predictor of decreasing job performance. Number of comorbidities was found as significant (P < 0.5) predictor of absenteeism in five of nine subsamples. Significant links (P < 0.05) between high health risks and lower job performance were found across all nine subsamples. Results suggest integrated health and productivity management strategies should include an emphasis on primary and secondary prevention to reduce health risks in addition to tertiary prevention efforts of disease management and medication management.

Research paper thumbnail of FAST TRACK ARTICLE Health and Productivity as a Business Strategy

Objective: The objective of this study is to assess the magnitude of health-related lost producti... more Objective: The objective of this study is to assess the magnitude of health-related lost productivity relative to medical and pharmacy costs for four employers and assess the business implications of a “full-cost” approach to managing health. Methods: A database was developed by integrating medical and pharmacy claims data with employee self-report productivity and health information collected through the Health and Work Performance Questionnaire (HPQ). Information collected on employer business measures were combined with this database to model health-related lost productivity. Results: 1) Health-related productivity costs were more than four times greater than medical and pharmacy costs. 2) The full cost of poor health is driven by different health conditions than those driving medical and pharmacy costs alone. Conclusions: This study demonstrates that Integrated Population Health & Productivity Management should be built on a foundation of Integrated Population Health & Productiv...

Research paper thumbnail of Interaction of Health Care Worker Health and Safety and Patient Health and Safety in the US Health Care System

Journal of Occupational and Environmental Medicine

Research paper thumbnail of Advancing Value-Based Medicine

Journal of Occupational and Environmental Medicine, 2017

Research paper thumbnail of Global Trends in Occupational Medicine

Journal of Occupational and Environmental Medicine, 2017

Research paper thumbnail of Tracking the Market Performance of Companies That Integrate a Culture of Health and Safety: An Assessment of Corporate Health Achievement Award Applicants

Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine, 2016

The aim of this study was to assess the hypothesis that stock market performance of companies ach... more The aim of this study was to assess the hypothesis that stock market performance of companies achieving high scores on either health or safety in the Corporate Health Achievement Award (CHAA) process will be superior to average index performance. The stock market performance of portfolios of CHAA winners was examined under six different scenarios using simulation and past market performance in tests of association framed to inform the investor community. CHAA portfolios out-performed the S&P average on all tests. This study adds to the growing evidence that a healthy and safe workforce correlates with a company's performance and its ability to provide positive returns to shareholders. It advances the idea that a proven set of health and safety metrics based on the CHAA evaluation process merits inclusion with existing measures for market valuation.

Research paper thumbnail of Medication Adherence, Comorbidities, and Health Risk Impacts on Workforce Absence and Job Performance

Journal of Occupational and Environmental Medicine American College of Occupational and Environmental Medicine, Jun 1, 2011

To understand impacts of medication adherence, comorbidities, and health risks on workforce absen... more To understand impacts of medication adherence, comorbidities, and health risks on workforce absence and job performance. Retrospective observational study using employees' medical/pharmacy claims and self-reported health risk appraisals. Statin medication adherence in individuals with Coronary Artery Disease was significant predictor (P < 0.05) of decreasing absenteeism. Insulin, oral hypoglycemic, or metformin medication adherence in type 2 diabetics was significant (P < 0.05) predictor of decreasing job performance. Number of comorbidities was found as significant (P < 0.5) predictor of absenteeism in five of nine subsamples. Significant links (P < 0.05) between high health risks and lower job performance were found across all nine subsamples. Results suggest integrated health and productivity management strategies should include an emphasis on primary and secondary prevention to reduce health risks in addition to tertiary prevention efforts of disease management and medication management.

Research paper thumbnail of Integrating health and safety in the workplace: how closely aligning health and safety strategies can yield measurable benefits

Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine, 2015

To better understand how integrating health and safety strategies in the workplace has evolved an... more To better understand how integrating health and safety strategies in the workplace has evolved and establish a replicable, scalable framework for advancing the concept with a system of health and safety metrics, modeled after the Dow Jones Sustainability Index. Seven leading national and international programs aimed at creating a culture of health and safety in the workplace were compared and contrasted. A list of forty variables was selected, making it clear there is a wide variety of approaches to integration of health and safety in the workplace. Depending on how well developed the culture of health and safety is within a company, there are unique routes to operationalize and institutionalize the integration of health and safety strategies to achieve measurable benefits to enhance the overall health and well-being of workers, their families, and the community.

Research paper thumbnail of Exploring national surveillance for health-related workplace absenteeism: lessons learned from the 2009 influenza A pandemic

Disaster medicine and public health preparedness, 2013

During the 2009 influenza A (H1N1) virus pandemic, the Centers for Disease Control and Prevention... more During the 2009 influenza A (H1N1) virus pandemic, the Centers for Disease Control and Prevention did a pilot study to test the feasibility of using national surveillance of workplace absenteeism to assess the pandemic's impact on the workplace to plan for preparedness and continuity of operations and to contribute to health awareness during the emergency response. Population-based and sentinel worksite approaches were used. Monthly measures of the 1-week prevalence of health-related absenteeism among full-time workers were estimated using nationally representative data from the Current Population Survey. Enhanced passive surveillance of absenteeism was conducted using weekly data from a convenience sample of sentinel worksites. Nationally, the pandemic's impact on workplace absenteeism was small. Estimates of 1-week absenteeism prevalence did not exceed 3.7%. However, peak workplace absenteeism was correlated with the highest occurrence of both influenza-like illness and in...

Research paper thumbnail of Medical Evacuations From Oil Rigs off the Gulf Coast of the United States From 2008 to 2012

Journal of Occupational and Environmental Medicine, 2014

Objective: To identify reasons for air medical evacuations from oil rigs/platforms. Methods: Retr... more Objective: To identify reasons for air medical evacuations from oil rigs/platforms. Methods: Retrospective review of data of medical calls from 102 rigs/platforms in the US Gulf Coast from 2008 through 2012 with specific analysis of medevacs. Results: On average, 1609 total calls per year relating to illness or injury on the 102 oil rigs/platforms with 4% to 7% requiring medical air evacuation. On average, 77% of medevacs were for nonoccupational medical injury or illness. Conclusions: Illness, not occupational injuries, is identified as the major reason for medical evacuations from oil rigs. Heart disease is the leading cause of chronic health conditions resulting in a medevac.

Research paper thumbnail of Health and Productivity as a Business Strategy

Journal of Occupational and Environmental Medicine, 2007

The objective of this study is to assess the magnitude of health-related lost productivity relati... more The objective of this study is to assess the magnitude of health-related lost productivity relative to medical and pharmacy costs for four employers and assess the business implications of a "full-cost" approach to managing health. A database was developed by integrating medical and pharmacy claims data with employee self-report productivity and health information collected through the Health and Work Performance Questionnaire (HPQ). Information collected on employer business measures were combined with this database to model health-related lost productivity. 1) Health-related productivity costs were more than four times greater than medical and pharmacy costs. 2) The full cost of poor health is driven by different health conditions than those driving medical and pharmacy costs alone. This study demonstrates that Integrated Population Health & Productivity Management should be built on a foundation of Integrated Population Health & Productivity Measurement. Therefore, employers would reveal a blueprint for action for their integrated health and productivity enhancement strategies by measuring the full health and productivity costs related to the burdens of illness and health risk in their population.

Research paper thumbnail of Authorsʼ Response

Journal of Occupational and Environmental Medicine, 2007

Research paper thumbnail of Workplace Health Protection and Promotion

Journal of Occupational and Environmental Medicine, 2011

... Hymel, Pamela A. MD; Loeppke, Ronald R. MD; Baase, Catherine M. MD; Burton, Wayne N. MD; Hart... more ... Hymel, Pamela A. MD; Loeppke, Ronald R. MD; Baase, Catherine M. MD; Burton, Wayne N. MD; Hartenbaum, Natalie P. MD; Hudson, T. Warner MD; McLellan, Robert K. MD; Mueller, Kathryn L. MD; Roberts, Mark A. MD; Yarborough, Charles M. MD; Konicki, Doris L. MHS ...

Research paper thumbnail of Measurement and Quantification of Presenteeism

Journal of Occupational and Environmental Medicine, 2007

To the Editor: The recent article by Loeppke et al (Health and Productivity as a Business Strateg... more To the Editor: The recent article by Loeppke et al (Health and Productivity as a Business Strategy 1 ) highlights a topic of growing interest in the health management community: the measurement, quantification, and economic impact of lost productivity. Although we agree ...

Research paper thumbnail of Health-Related Workplace Productivity Measurement: Adding to the List

Journal of Occupational and Environmental Medicine, 2003

An establishment of health-related productivity measurements and critical evaluation of health-re... more An establishment of health-related productivity measurements and critical evaluation of health-related productivity tools is needed. An expert panel was created. A literature search was conducted to identify health-related productivity measurement tools. Each instrument was reviewed for: 1) supporting scientific evidence (e.g., reliability and validity); 2) applicability to various types of occupations, diseases, and level of severity of disease; 3) ability to translate data into a monetary unit; and 4) practicality. A modified Delphi technique was used to build consensus. The expert panel recommended absenteeism, presenteeism, and employee turnover/replacement costs as key elements of workplace health-related productivity measurement. The panel also recommended that productivity instruments should: 1) have supporting scientific evidence, 2) be applicable to the particular work setting, 3) be supportive of effective business decision-making, and 4) be practical. Six productivity measurement tools were reviewed. The panel recommended necessary elements of workplace health-related productivity measurement, key characteristics for evaluating instruments, and tools for measuring work loss. Continued research, validation, and on-going evaluation of health-related productivity instruments are needed.

Research paper thumbnail of Establishing a Research Agenda in Health and Productivity

Journal of Occupational and Environmental Medicine, 2004

The pace and pressure of America's workplace is at an all-time high. Mergers, do... more The pace and pressure of America's workplace is at an all-time high. Mergers, downsizings, technology explosions, market swings, demographic shifts, and information overload add up to a complex workplace with a host of new issues for both employers and the employees. The quality of ...

Research paper thumbnail of Advancing Workplace Health Protection and Promotion for an Aging Workforce

Journal of Occupational and Environmental Medicine, 2013

To explore issues related to the aging workforce, including barriers to integrating health protec... more To explore issues related to the aging workforce, including barriers to integrating health protection and promotion programs, and provide recommendations for best practices to maximize contributions by aging workers. Workgroups reviewed literature and case studies to develop consensus statements and recommendations for a national approach to issues related to older workers. Consensus statements and actions steps were identified for each of the Summit goals and call-to-action statements were developed. A national dialogue to build awareness of integrated health protection and promotion for the aging workforce is needed. Workers will benefit from improved health and performance; employers will realize a more engaged and productive workforce; and the nation will gain a vital, competitive workforce.

Research paper thumbnail of The Link Between Workforce Health and Safety and the Health of the Bottom Line

Journal of Occupational and Environmental Medicine, 2013

To test the hypothesis that comprehensive efforts to reduce a workforce&a... more To test the hypothesis that comprehensive efforts to reduce a workforce's health and safety risks can be associated with a company's stock market performance. Stock market performance of Corporate Health Achievement Award winners was tracked under four different scenarios using simulation and past market performance. A portfolio of companies recognized as award winning for their approach to the health and safety of their workforce outperformed the market. Evidence seems to support that building cultures of health and safety provides a competitive advantage in the marketplace. This research may have also identified an association between companies that focus on health and safety and companies that manage other aspects of their business equally well. Companies that build a culture of health by focusing on the well-being and safety of their workforce yield greater value for their investors.

Research paper thumbnail of Medication Adherence, Comorbidities, and Health Risk Impacts on Workforce Absence and Job Performance

Journal of Occupational and Environmental Medicine, 2011

To understand impacts of medication adherence, comorbidities, and health risks on workforce absen... more To understand impacts of medication adherence, comorbidities, and health risks on workforce absence and job performance. Retrospective observational study using employees' medical/pharmacy claims and self-reported health risk appraisals. Statin medication adherence in individuals with Coronary Artery Disease was significant predictor (P < 0.05) of decreasing absenteeism. Insulin, oral hypoglycemic, or metformin medication adherence in type 2 diabetics was significant (P < 0.05) predictor of decreasing job performance. Number of comorbidities was found as significant (P < 0.5) predictor of absenteeism in five of nine subsamples. Significant links (P < 0.05) between high health risks and lower job performance were found across all nine subsamples. Results suggest integrated health and productivity management strategies should include an emphasis on primary and secondary prevention to reduce health risks in addition to tertiary prevention efforts of disease management and medication management.