What is the Impact of Biometric Screening

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What is the Impact of Biometric Screening?
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Overview

• Pros and Cons of biometric screening
• Using evidence to plan screening programs
• Important considerations
• What to do after biometric dust settles

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Mortality Rate of Chronic Living
100
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Age and Risk Drive Cost
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Costs for Each Person (2009)
8,160
Centers for Medicare and Medicaid Services
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Costs for Each Person (2018)
13,100
8,160
Centers for Medicare and Medicaid Services
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Who is at risk?
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Well
Risk
Urgent
Disease
25
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Well
Risk
Disease
Urgent
5
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Well
Risk
Urgent
Disease
60
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Well
Risk
Urgent
Disease
10
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Which group costs the most?
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Well
Risk
Urgent
Disease
25
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How do you identify them?
Claims
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Helping this group is called
Disease Management
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Disease
25
59 Turnover
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How do you identify them?
A Witch Hunt
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Which group WILL cost the most?
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Well
Risk
Urgent
Disease
60
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How do you identify them?
Screening
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Andrew Sykes
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Designing a Screening Program
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Designing a Screening Program
Behavior
Screening
Claims
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Designing a Screening Program

• The Community Guide
• http//thecommunityguide.org/index.html
• US Preventive Services Task Force
• http//www.ahrq.gov/CLINIC/uspstfix.htm
• Prevent.org
• http//www.prevent.org/ncpp/

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Doing a Screening Program

• Assess Risk
• http//www.thecommunityguide.org/worksite/ahrf.ht
  ml
• BMI and Blood Pressure http//www.ahrq.gov/clinic
  /uspstf/uspsobes.htm http//www.ahrq.gov/clinic/us
  pstf/uspshype.htm
• Use data with age sex to recommend screenings
• Cancer screening (mammography) for women 40
  http//www.ahrq.gov/clinic/uspstf/uspsbrca.htm
• Diabetes screening for asymptomatic adults with
  sustained BP gt 135/80
• http//www.ahrq.gov/clinic/uspstf/uspsdiab.htm
• Elevated lipid screening for men 35, and women
  20 and men 20-34 with at least one risk factor
  http//www.ahrq.gov/clinic/uspstf/uspschol.htm

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Which Should I Do?

• BMI or Something fancy?
• Finger stick or venipuncture

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When the Dust Settles
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What is the typical approach?

• Biometric
• Biometric
• HRA
• High Risk Coaching
• Hip Hip Hooray!

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Who Needs Help Adopting and Maintaining Healthy
Behaviors?
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Who Needs Help Adopting and Maintaining Healthy
Behaviors?
Everybody
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The Seventh Report of the Joint National
Committee on Prevention, Detection, Evaluation,
and Treatment of High Blood Pressure (2003)
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The Seventh Report of the Joint National
Committee on Prevention, Detection, Evaluation,
and Treatment of High Blood Pressure (2003)
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The Seventh Report of the Joint National
Committee on Prevention, Detection, Evaluation,
and Treatment of High Blood Pressure (2003)
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Most of the rise in spending is associated with
the doubling of obesity and changes in the
treatment of people with risk factors
Lancet 2007 370 192938
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Lifestyle Causes Chronic Disease
Sources Stampfer, 2000 Platz, 2000 Hu, 2001
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The Cause Behind the Cause
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
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Change Culture
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Moving the Needle By Maximizing Participation
Join us for our next webinar

• Friday, Dec 4th at 11 am ET

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Questions?