North Carolina Supplemental Cardiovascular Disease Prevention Project: Design and Objectives

1
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2
U.S. Health Care as a Percentage of the GDP
Today 16 of GDP
US Military uses 3.2
3
(No Transcript)
4
Infant Mortality
2001, General Accounting Office, 2004
5
Life Expectancy in the World
WHO, 2004
6
Life Expectancy in the World
Japan
U.S.
WHO, 2004
7
(No Transcript)
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Employer Health Benefits 2005 Annual Survey
9
Bureau of Labor Statistics
10
U.S. Health Care as a Percentage of the GDP
Today 16 of GDP
11
U.S. Health Care as a Percentage of the GDP
12
U.S. Health Care as a Percentage of the GDP
13
U.S. Health Care as a Percentage of the GDP
14
U.S. Health Care as a Percentage of the GDP
15
Doctor Day, January 1, 2226
16
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Health Care Costs for Each Person
Centers for Medicare and Medicaid Services
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Health Care Costs for Each Person
7490
Centers for Medicare and Medicaid Services
19
XZY company-1000 covered lives
20
XZY company-1000 covered lives
21
XZY company-1000 covered lives
Impact of Wellness
Impact of all other cost drivers
22

• Pharmaceutical companies
• Canada
• Malpractice and law suits
• High tech equipment
• Medical profession salaries
• Administration
• Waste/fraud
• Poor lifestyles

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Nobody spends someone else's money as carefully
as he spends his own
Milton Friedman
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A Few Facts About Health Care

• The cost health care will continue to rise
• All health care costs are paid by individuals

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Portion of Total Health Care Costs Caused by
Chronic Diseases
27
The Bottom Line
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
28
Obesity Trends Among U.S. Adults1985
29
Obesity Trends Among U.S. Adults1986
30
Obesity Trends Among U.S. Adults1987
31
Obesity Trends Among U.S. Adults1988
32
Obesity Trends Among U.S. Adults1989
33
Obesity Trends Among U.S. Adults1990
34
Obesity Trends Among U.S. Adults1991
35
Obesity Trends Among U.S. Adults1992
36
Obesity Trends Among U.S. Adults1993
37
Obesity Trends Among U.S. Adults1994
38
Obesity Trends Among U.S. Adults1995
39
Obesity Trends Among U.S. Adults1996
40
Obesity Trends Among U.S. Adults1997
41
Obesity Trends Among U.S. Adults1998
42
Obesity Trends Among U.S. Adults1999
43
Obesity Trends Among U.S. Adults2000
44
Obesity Trends Among U.S. Adults2001
No Data lt10 1014
1519 2024 25
45
Obesity Trends Among U.S. Adults2002
(BMI ?30, or 30 lbs overweight for 54 person)
No Data lt10 1014
1519 2024 25
46
Obesity Trends Among U.S. Adults2003
No Data lt10 1014
1519 2024 25
47
Obesity Trends Among U.S. Adults2004
No Data lt10 1014
1519 2024 25
48
Obesity Trends Among U.S. Adults2004
No Data lt10 1014
1519 2024 25
49
Obesity Trends Among U.S. Adults2005
No Data lt10 1014
1519 2024 2529
30
50
Obesity Trends Among U.S. Adults2006
No Data lt10 1014
1519 2024 2529
30
51
Percent of adults who are overweight or obese
67
2/3 of adults are overweight or obese
52
Percent of adults who are overweight or obese
81
53
Excess Body Weight and Reduction of Lifespan
-3.1
-3.3
-5.8
-7.1
Ann Intern Med. 200313824-32
54
What about employees?
55
Weight Status of Full-time Employees (males)
N45,687 Finkelstein, AJHP, 2005
56
Weight Status of Full-time Employees (Females)
N45,687 Finkelstein, AJHP, 2005
57
Weight and Increased Health Care Costs
N45,687 Finkelstein, AJHP, 2005
58
Weight and Increased Absenteeism(days)
N45,687 Finkelstein, AJHP, 2005
59
Weight and Increased Absenteeism(dollars/yr)
N45,687 Finkelstein, AJHP, 2005
60
Obesity and Odds of Workplace Injuries
Finkelstein, AJHP 2007
61

• 554
• more in health care costs for obese employees

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• 9.1
• of health care costs are due to excessive weight

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Diabetes Among Adults in the U.S.,BRFSS 1990
64
Diabetes Among Adults in the U.S.,BRFSS 1992
65
Diabetes Among Adults in the U.S.,BRFSS 1994
66
Diabetes Among Adults in the U.S.,BRFSS 1996
67
Diabetes Among Adults in the U.S.,BRFSS 1997
68
Diabetes Among Adults in the U.S.,BRFSS 1998
69
Diabetes Among Adults in the U.S.,BRFSS 1999
70
Diabetes Among Adults in the U.S.,BRFSS 2000
71
Diabetes Among Adults in the U.S.,BRFSS 2001
72
Diabetes and Reduction in Lifespan
-14.3 yrs
-11.6 yrs
JAMA 20032901884-1890
73
Lifetime Risk of Diabetes for Children Born in
2000
49
Venkat Narayan, JAMA 20032901884
74
Percent of Chronic Diseases That Are Caused by
Poor Lifestyle
91
82
71
70
Sources Stampfer, 2000 Platz, 2000 Hu, 2001
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How did we get this way?
76
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5-a-day 1 million
Food Marketing 25 Billion
78
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Texas Double Whopper
81
(No Transcript)
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The Bottom Line
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
83
Employee Health
84
Typical Employee Distribution
30
50
20
85
Typical Employee Cost Distribution
15 of Employees 85 of Costs
85 of Employees 15 of Costs
86
Typical Employee Cost Distribution
59 of next years cost group
87
Employee Health
88
Health and Productivity Management (HPM)
89
1,500-3,500 in Excess Claims for Each
Additional Health Risk
Source Dee Edington, Health Management Research
Center
90
Average 2003 Medical Care Costs
N1,706
Source StayWell Health Management
91
Average 1997-1999 Medical Care Costs
N43,687
Source StayWell Health Management
92
Days Absent in 2003
N941
Source StayWell Health Management
93
Percent with Workers Comp Claims in 2003
N23,916
Source StayWell Health Management
94
Percent with STD Claims in 2004
N23,916
Source StayWell Health Management
95
Fairview Health Services
-13
-2
15
N3,577
Source StayWell Health Management
96
DaimlerChrysler/UAW National Wellness Program
-4.0
0.0
4.0
N5,390
Source StayWell Health Management
97
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Return on Investment (ROI)
32 studies
14 studies
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Losses in Productivity How much did health
problems limit you in the amount of work you
could do?
N6,358
Source StayWell Health Management
100
Productivity losses

Presenteeism
Absenteeism

unable to concentrate poor quality of
interpersonal communication the need to repeat a
job work more slowly
101
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Value of Lost Productivity
Your Annual Health Care Costs
3 X
103
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Why Should I Care?
Morbidity
Lifespan in years
76
0
critical illness
Ann Intern Med, 2003139455-459
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Morbidity
Lifespan in years
0
?
76
86
critical illness
106
End of Life Benefits
Morbidity
Lifespan in years
10-20 Years
Morbidity
Lifespan in years
107
End of Life Benefits
Morbidity
Lifespan in years
108
End of Life Benefits
Morbidity
Lifespan in years
109
End of Life Benefits
Morbidity
Lifespan in years
110
End of Life Benefits
Morbidity
Lifespan in years
111
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