| ConXus Profile v2.4.1 |
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| Available: September 21, 2009 |
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| Overview |
| ConXus Profile v2.4.1 provides a Wellness Score for each completed health risk assessment. This Wellness Score replaces the Current Health Risk in the Member Report and Provider Report. |
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| The Current Health Risk is still calculated and stored in the database and is available in the Data Export File and as an option within the HRA Comparison Report. |
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| A Wellness Score has been calculated and stored for existing HRAs for all prior versions of ConXus Profile, allowing comparison to prior results. |
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| Note: This release contains no changes to the Health Risk Assessment questionnaire. |
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| Upgrade Timeline and Process |
| ConXus Profile v2.4.1 (English and Spanish) is available for upgrade from September 21, 2009. Please contact PDHI Client Services to request detailed technical documentation and to schedule your upgrade. |
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| Description of Enhancements |
The Wellness Score is calculated from sixteen modifiable risk factors. These risk factors are:
| Lifestyle: |
Eating habits
Physical activity
Stress
Alcohol use
Tobacco use
Substance use
Motor vehicle safety
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| Biometrics: |
BMI
Waist circumference
Blood pressure
Total cholesterol
HDL cholesterol
Fasting blood sugar
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| Health status: |
Self-rating of health
Sick days
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| Health management: |
Compliance with recommended preventive screenings
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| Non-modifiable risk factors, such as age, and personal or family medical history, are not included in the calculation, so all participants have the potential to achieve a perfect wellness score. These non-modifiable risk factors are used in calculating the Chronic Conditions Impact and Future Disease Risk Scores also included in the health risk assessment. |
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| Calculation of the Wellness Score |
| Each lifestyle, biometric, and health status factor is scored as follows: |
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| Risk |
Score |
| Healthy |
2 |
| Moderate risk, Incomplete |
1 |
| High risk |
0 |
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| Note: Incomplete risk factors occur when biometric results are self-reported as unknown, or when incomplete paper questionnaires are loaded. |
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| Preventive screenings vary by age and gender, so are scored using the percentage of screenings for which the user is eligible that are on target: |
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| Risk |
On-Target Percentage |
Score |
| Healthy |
>=66% |
2 |
| Moderate risk, Incomplete |
34 - 65% |
1 |
| High risk |
<=33% |
0 |
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| A total score is calculated by adding the scores from each of these 16 risk factors. The result is then normalized to provide a Wellness Score in the range 33 to 100, where a score of 100 indicates that all risk factors are healthy -- optimum health behavior. |
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| Note: If a user improves one of these 16 risk factors from high risk to moderate risk or from moderate risk to healthy, then his/her wellness score will increase by two points. |
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| The Wellness Score is assigned to a risk group and color-coded within the Member Report summary table as follows: |
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| 80 or higher |
Healthy (green) |
| 70 to 79 |
Moderate risk (yellow) |
| Less than 70 |
High risk (red) |
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| Analysis of HRAs within the ConXus database from multiple clients gives a distribution of wellness scores approximately as follows: |
| 80 or higher (Healthy) |
60% |
| 70 to 79 (Moderate risk) |
30% |
| Less than 70 (High risk) |
10% |
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| About 10% of this population has a wellness score of 90 or higher, representing those with the healthiest behaviors. |