Title: North Carolina Supplemental Cardiovascular Disease Prevention Project: Design and Objectives
1(No Transcript)
2U.S. Health Care as a Percentage of the GDP
Today 15 of GDP
US Military uses 3.2
3(No Transcript)
4Infant Mortality
2001, General Accounting Office, 2004
5Life Expectancy in the World
WHO, 2004
6Life Expectancy in the World
Japan
U.S.
WHO, 2004
7U.S. Health Care as a Percentage of the GDP
Today 15 of GDP
8U.S. Health Care as a Percentage of the GDP
9U.S. Health Care as a Percentage of the GDP
10U.S. Health Care as a Percentage of the GDP
11U.S. Health Care as a Percentage of the GDP
12Doctor Day, January 1, 2226
13(No Transcript)
14- Pharmaceutical companies
- Canada
- Malpractice and law suits
- High tech equipment
- Medical profession salaries
- Administration
- Waste/fraud
- Poor lifestyles
15No cost transparency
16- Managed care un-coupled the cost of consumption
from the act of consumption.
...nobody spends somebody elses money as
wisely or as frugally as he spends his
own. Milton Friedman
Economist and recipient of the 1976 Nobel
Memorial Prize for economic science
17DVD Players
18Lasik Surgery
19Portion of Health Care Caused by Preventable
Chronic Diseases
20Employer Health Benefits 2005 Annual Survey
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23A Few Facts About Health Care
- The cost health care will continue to rise
- All health care costs are paid by individuals
- Lower health care cost for companies and
individuals is a function of shifting who pays a
greater portion
24The Bottom Line
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
25Obesity Trends Among U.S. Adults1985
26Obesity Trends Among U.S. Adults1986
27Obesity Trends Among U.S. Adults1987
28Obesity Trends Among U.S. Adults1988
29Obesity Trends Among U.S. Adults1989
30Obesity Trends Among U.S. Adults1990
31Obesity Trends Among U.S. Adults1991
32Obesity Trends Among U.S. Adults1992
33Obesity Trends Among U.S. Adults1993
34Obesity Trends Among U.S. Adults1994
35Obesity Trends Among U.S. Adults1995
36Obesity Trends Among U.S. Adults1996
37Obesity Trends Among U.S. Adults1997
38Obesity Trends Among U.S. Adults1998
39Obesity Trends Among U.S. Adults1999
40Obesity Trends Among U.S. Adults2000
41Obesity Trends Among U.S. Adults2001
No Data lt10 1014
1519 2024 25
42Obesity Trends Among U.S. Adults2002
(BMI ?30, or 30 lbs overweight for 54 person)
No Data lt10 1014
1519 2024 25
43Obesity Trends Among U.S. Adults2003
No Data lt10 1014
1519 2024 25
44Obesity Trends Among U.S. Adults2004
No Data lt10 1014
1519 2024 25
45Obesity Trends Among U.S. Adults2004
No Data lt10 1014
1519 2024 25
46Obesity Trends Among U.S. Adults2005
No Data lt10 1014
1519 2024 2529
30
47Percent of adults who are overweight or obese
67
2/3 of adults are overweight or obese
48Percent of adults who are overweight or obese
81
49Percent of Chronic Diseases That Are Caused by
Poor Lifestyle
91
82
71
70
Sources Stampfer, 2000 Platz, 2000 Hu, 2001
50National prevalence of health risks
80
78
CDC, BRFSS, 2002
51How did we get this way?
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535-a-day 1 million
Food Marketing 25 Billion
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55(No Transcript)
56Texas Double Whopper
57(No Transcript)
58Typical Employee Distribution
30
50
20
59Typical Employee Cost Distribution
15 of Employees 85 of Costs
85 of Employees 15 of Costs
60Typical Employee Cost Distribution
59 of next years cost group
61Health and Productivity Management (HPM)
621,500-3,500 in Excess Claims for Each
Additional Health Risk
Source Dee Edington, Health Management Research
Center
63Average 2003 Medical Care Costs
N1,706
Source StayWell Health Management
64Average 1997-1999 Medical Care Costs
N43,687
Source StayWell Health Management
65Days Absent in 2003
N941
Source StayWell Health Management
66Percent with Workers Comp Claims in 2003
N23,916
Source StayWell Health Management
67Percent with STD Claims in 2004
N23,916
Source StayWell Health Management
68The Bottom Line
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
691. Show the connection between health and
productivity
- Present the evidence that supports worksite
health promotion activities
70Evidence That SupportsWorksite Health Promotion
Activities
- David Anderson, Ph.D. StayWell Health Management
71Return on Investment (ROI)
32 studies
14 studies
722. Expand the definition of productivity
- Not just measuring widgets
- Service oriented work
- Presenteeism and absenteeism
733. Highlight current expenditures directed at
health and productivity management programs
- medical benefits
- short and long term disability
- workers compensation
- disease management
- demand management
- absence management
- human resources
- employee relations
- staff recruitment and training
- employee assistance programs
- work/life
- organizational development
- health promotion
7410,000
3,000
Indirect Costs
13,000
MEDSTAT Group
754. Compare yourself to norms and best practices
76Leading by Example
775. Commit to collaborate
- No more silos
- Form a wellness committee
- Work across departments
- Safety
- Medical
- EAP
- Facilities
- Benefits, etc
786. Support Worksite Health Promotion Efforts
79Successful Programs
- Educate / create awareness
- Motivate
- Build skills
- Change the employees environment
80Educate (Why and What)
- Create individual awareness
- Create organizational awareness and support
- Create buzz
81- Letter from Leaders
- Flyers
- Posters
- Email notifications
- Television/video programs
- Books
- Payroll stuffers
- Internet sites
- Magazines
- Lunch and learns
- Special speakers
- Newsletters
82Motivate
- Use incentives
- Before/after stories in newsletters
- Team competitions
- Include spouses and significant others
83Build Skills (How do I do this?)
- How to overcome barriers to exercise
- Choose healthier foods
- Healthy food substitutions
- How to make healthy foods
- Finding inexpensive healthy foods
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86Change the Employees Environment
- Physical Environment
- Policy
- Culture
87- Physical environments
- Smoking policies
- Access to healthy foods in cafeterias, vending
machines, and at meetings - Opportunities to be physically active
- Walking paths
- Bike paths
- Access to fitness facilities
88- Policies
- Medical coverage for preventive services
- No smoking policies
- Flex time
- Rules that support healthy living
89Work Culture
- Birthday cake every week
- Worksite support for healthy behaviors
- Its okay to eat healthy food
90What do we do about it?
- Awareness/education
- Motivation
- Tools, strategies
- Policy and environment
91Individual
92Individual
Family
93Individual
Family
Worksite
94Individual
Family
Worksite
Community
95Nation/ world
Individual
Family
Worksite
Community
96Fairview Health Services
-13
-2
15
N3,577
Source StayWell Health Management
97DaimlerChrysler/UAW National Wellness Program
-4.0
0.0
4.0
N5,390
Source StayWell Health Management
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100Why Should I Care?
Morbidity
Lifespan in years
76
0
critical illness
Ann Intern Med, 2003139455-459
101Morbidity
Lifespan in years
0
?
76
86
critical illness
102End of Life Benefits
Morbidity
Lifespan in years
10-20 Years
Morbidity
Lifespan in years
103www.fastfoodbook.com