Healthcare in the Covid-19 Era June 2, 2020 KHC Community Heath Forum
Foot print of Pandemic Economics of Stress • Demands & Pressures are “Additive & Cumulative” • Coping Skills (resilience) predict 16% of outcomes • Demands & pressures predict 60% of outcomes Source: Lyle Miller, PhD BioBehavioral Institute of Boston Source: Merck Inventing for Life Graphic
Emotional & Population Health Economic Stress • Mental health - the next wave of Covid-19 Worrying about • Consider all the elements of wellbeing – social, sleep, connectivity, etc. (or losing) their • jobs or income Direct and indirect impact of social isolation • Growing impact on substance use disorder Fear of COVID-19 • Special populations Especially those • Cultural and ethnic differences working at • workplace High risk populations – Age, Chronic Disease, Minorities, Social Determinants • Others – eg Those who are pregnant Social Isolation • Impact of virtual health support Especially for those working • from home Re-engaging on-site/near-site clinics
Costs of Mental Health Co-Morbidity Will we experience this? Better or worse? Direct Medical Care Costs Costs of person with a 17% chronic disease only Non-Medical Long Term 2.5x Costs (eg lost Care Costs productivity) 8% 45% Cost of person with a chronic disease and Higher Costs of Co- behavioral health Morbidities 9.4x 30% Source – PwC Total Cost of Brain Disease - 2012 Source: Livongo 2019
The Covid-19 Era – Accentuating Forces related to Population Health Covid-19 Era Fitness Work at Worksite Fitness Impact on Risk for Work at Home for Factors? First Wave Life Furloughed Duty Covid-19 • Addiction • Diet Second Wave • Cardio Fitness Mental Health • Ergonomics Social Mental Health Higher Risk • Obesity Third Wave Determinants & Impact on for those with • Sleep Total Person Health Health Equity Co-morbidities Chronic Disease • Stress • Other
Is Heal alth thcare D Delivery i in for a “Covi vid-19 C 9 Correc ection” n”? Impact of Covid-19 to date • Elective Surgery – Down Healthcare has been “recession-proof” • Primary Care Visits - Down for the past 40 years • Specialty Care Visits – Down ntal • Onsite Clinics – Temporary Closures • Medications – Up, Down, ? • Virtual Visits – Up, Up, Up • Mental Health – Continuing to rise “The Great Recession”
Panelist Discussion • Jenny Goins Comissioner, Department of Insurance, KY Personnel Cabinet Moderator • DeAnna Hall, RN Mike Thompson Manager Corporate Health & Wellness, LG&E, KY Utilities President & CEO National Alliance • Mike Lorch Regional Vice President, Anthem Blue Cross & Blue Shield of Kentucky • Larry Gray, MHA President, Baptist Health Institute
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