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…Of getting it right!
People think this site is all about “outing” scoundrels, but we’re just presenting facts, usually in the form of screen shots, that can’t be denied. That’s why none of the organizations or people “profiled” have ever sued us, despite our entreaties. However, sometimes the facts are actually good, and we want to recognize that too.
For this posting let’s set aside policy/economics issues and just focus on on-site execution of screenings. I attended a Health Advocate biometric screening which was being held in my neighborhood, to attract potential customers, meaning the attendees were comped but had been invited on the hopes that they would set up a screening event. The first thing they got right was the list of tests. The manager on site, Rich Prall, listed the usual tests. I then asked what other tests they had available. As you know, many vendors “profiled” on this site push completely inappropriate tests, that even if they were free would cause more harm than good. We have three more vendors in the queue too, each worse than the previous one in pushing tests that the US Preventive Services Task Force specifically says not to do.
Mr. Prall listed the same bunch of tests that the USPSTF recommends not doing, but then volunteered without being prompted that the right answer was indeed for an employer not to do them. (“If you do them at all, it should be at the doctor’s office. What’s an employer going to do about your potassium level, anyway?”) So Mr. Prall was willing to sacrifice revenues for integrity. Literally, this is the first time we’ve seen that happen. What Mr. Prall was appropriately shying away from, other vendors call their “Gold” or “Platinum” packages.
Next, I did some height/weight stuff. They had a device that measures body fat (and BMI, which of course is a bit squirrelly as a measure, but leave that aside for now). The body fat measurement was almost 20%. I am usually 2-3 points lower. It could have been the inaccuracy of the machine or perhaps because this winter’s weather has crimped my workout routine, but I expressed a little concern. The screener said: “Actually as you get older (I’m 59), you want to have a little body fat.” That is, once again, the right answer,an answer which shockingly few vendors are aware of.
Finally, I did the fingerstick. The screener explained it all very thoroughly, understood the distinction between fasting and non-fasting, and did everything quite well. Unlike Vik’s experience with Provant’s six-week delay, he ran the numbers right on the spot.
Even though a finger-stick is not particularly accurate, my values were what they usually are, except cholesterol. My cholesterol, at 127, was 30 points lower than usual. I expressed concern that a cholesterol value could be too low, and the screener said he didn’t know what too low was, but didn’t think it was an issue at 127.
So I googled it, and indeed there is a “too low,” but it is south of 127. Apparently people with too-low cholesterol tend to do impulsively self-destructive things, like attempt suicide or drive recklessly. I’ve never done anything particularly impulsive/self-destructive, unless one counts running this blog. So, once again, the Health Advocate person was right. That was 3 in a row, which might be a record for wellness vendors.
I could have talked to a counselor about the numbers but there was a bit of a line to get into these private areas, and in any event, I was so pleased with these guys that I didn’t want to risk bursting my balloon with one more conversation. (Nor have I visited their website to see if they make wacky ROI claims. Let me just live the moment, please…)
So I idenitifed myself (I hadn’t misrepresented myself earlier–remember, Vik and I are in the “integrity segment” of the market — but I just hadn’t given the full story) and congratulated them on best-in-class job of screening.
Literally every other vendor on this site could learn a lot from Health Advocate. I know I did.