School Business Affairs July-August 2019

14 JULY/AUGUST 2019 | SCHOOL BUSINESS AFFAIRS costs over the costs for the same services in the local marketplace. Since opening The Bridge, the district has saved $1.88 for every dollar invested in the clinic. It has also gained financial benefits with regard to more productiv- ity; we estimate that the district has saved $135,000 per year in substitute costs for those teachers who could be seen at the clinic and return to their jobs on the same day. Finally, there is an important large (but non-spend- able) result. The independent healthcare company that manages The Bridge annually reviews chronic conditions that were identified and then addressed with appropri- ate treatment. Cost avoidance is then extrapolated using national data. Our estimated cost avoidance for chronic conditions now under treatment has been more than $1 million in each of our three years of operation. The district has saved an estimated $135,000 per year in substitute teacher costs. Again, this isn’t money that can be redirected imme- diately. But if this outcome holds true, the school district will accrue less cost over time, and district employees will have more money in their pockets. Moreover, their projected quality of life will have improved! Good for All We have learned many lessons since beginning our jour- ney over The Bridge to a successful work-site clinic. We have bumps, bruises, and scrapes, but we also have a wonderful clinic to help us heal! As a chief financial officer, I’ve often made the case for an initiative that would lead to savings for our school district. Many times, such initiatives were necessary to balance the budget. In the case of The Bridge Health Center, I can stand before our employees and offer them improved access to and quality of healthcare, and real savings. Good for employees + good for the district bud- get = good for students. Charles Brazeale is assistant superintendent for business and technology for the City of St. Charles School District, St. Charles, Missouri. Email: The district has conclusive data showing that employees are more engaged in their health and are taking better care of themselves. ASBO HEALTHCARE RESOURCES The Affordable Care Act Toolkit is comprehensive guide created in partnership with American Fidelity Assurance Company and AASA. The toolkit helps school district leaders understand the ACA’s myriad healthcare provisions as the law affects K–12 employers. (Note: This toolkit was updated in June 2018 to reflect changes to the healthcare law from the 2017 Tax Cuts and Jobs Act, 2018 Bipartisan Budget Act, and 2018 Consolidated Appropriations Act.). Download it at Press%20Room/ACA-Toolkit.pdf