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Union Pacific Railroad (UPRR) has five new outcome data sets since 1994. Primarily, we demonstrated a decrease in lifestyle related claims over five years. In 1990, our Lifestyle Claims Analysis (‘how many health care dollars are spent on lifestyle habits?’) revealed that 29% of our claims were related to lifestyle. The same question was examined in 1995, and these results showed 24% of our claims were related to lifestyle. In summary, data suggest a 5% reduction in lifestyle related claims over five years, which converts to a $2 million savings in lifestyle related health care costs. Moreover, it should be noted that the craft with the greatest participation in our programs has the lowest cost per employee related to lifestyle. Integrating our health promotion program within our Disability Management Department has been one our most successful integration efforts. We have numerous joint projects underway that incorporate health/fitness into our Return-to-Work process. The Medical Quality Assurance (MQA) process designed by the disability management group, has demonstrated its success. In short, MAQ applies the best medical practices to our Return-to-Work process. Over the last eight years, this program has saved physician visits and lost work days. A program connected to MQA is our vocational rehabilitation program. Returning injured employees back to meaningful employment is the goal of our vocational program. An issue receiving increased attention in the transportation industry is fatigue. Our department conducted a pilot study among trainmen to help them address fatigue by making behavioral lifestyle changes. Conservatively, the projected benefit:cost ration from this program is $3.23:1. Due to these results our top management approved the continuation of this program and other fatigue management initiatives. Project Health Track, our cardiovascular risk reduction program, continues to demonstrate positive results. Due to positive results reported in 1994, we expanded our program system-wide. The projected benefit:cost ratio since we began system-wide delivery is reported at $4.53:1. Other evaluation results from this program are reported on page 6.
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