Work orksite ite Wel ellness lness Drs. Sal, Sebastian & Singh
Dr. Carmella Sebastian, “Dr. Carm,” received her MD degree from the Medical College of Pennsylvania. She earned her Master’s Degree in Healthcare Administration from King’s College in Pennsylvania. She is Board Certified in Internal Medicine and was in active clinical practice before joining Blue Cross and Blue Shield of Northeastern Pennsylvania, where she was VP of Medical Affairs and Chief Medical Officer. Dr. Carm is a renowned expert in workplace wellness and enjoys WELCOA (Wellness Council of America) certification. At Florida Blue, she oversees the NCQA-accredited wellness program, Better You from Blue, and manages over 100 client consultations per year. She frequently speaks on a range of wellness topics. Dr Carm recently published her first book, Sex and Spaghetti Sauce: My Italian Mother’s Recipe for Getting Healthy and Getting Busy in Your 50s and Beyond. Dr. Carm is widely admired for her straightforward talk and sense of humor and for offering all in her audience practical, achievable wellness strategies and solutions.
Discuss the magnitude of the Discuss the definition of • • health problems in USA & in Workplace Wellness (WW) Lee County Explain how WW programs • Review the incidence of can be developed for any size • chronic illness & cancers and organization how this relates to the financial bottom line Review how WW programs • improve the health of the Explain how the most population and also improve • common medical problems the financial health of the are related to lifestyle more organization than genetics Discuss the health benefits of • lifestyle management
The Problem
Causes of Death in the US
Genetics loads the gun but… Lifestyle fires the gun!
Number of people with chronic illness 2010 Robert Wood Johnson Foundation: Chronic Care
The Toll
Average Per Capita Cost
32% of adults w Hypertension (high blood pressure) • 45% with Elevated Cholesterol • Only 35% get recommended amount of moderate physical activity • Only 24% eat the recommended number of fruits and vegetables • daily 34% are overweight & 27% are obese •
Cost st of Ill llness ness Beh ehavi viors ors and nd Li Lifes esty tyle le OB OBESIT ITY Over the past 15 years, there has been a dramatic increase in obesity in United States.
Obesity Ob sity About one third (33.8%) of U.S. adults are obese & weight problems continue to increase in the adolescent population The number of states with an obesity prevalence of 30% or more has increased to 12 states in 2010 The medical care costs of obesity: obese men cost an additional $1152; women $3613 Obesity is related to more than 20 major chronic diseases
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US Dept Health & Human Services
SMOK OKING ING United ted States es Spends more on health care than any other Smoke okers rs hav ave e 15 15% higher er country in the world. Average of $8,327 for each American. disabil bility ity rates Chronic nic disease ase acc ccoun unts ts for roughly ghly 75 75% of health th care ca e co costs ts ea each ch ye year ar an and most st are preventab ventable! le! Smok mokin ing Additional health care costs attributed to smoking total $6000 per person per year! Smokers are 50% m more likely to b be h hospitalized Employees who take four ten-minute smoking breaks a day actually work one for major illnesses. month less per year than workers who don't take any smoking breaks! SOURCE: U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, National Health Expenditure Projections
Absent ntee eeism/P ism/Pres resen ente teeism eism Studies udies Show how Bank One employee study showed far greater loss of work output from diminished quality and quantity of work when present and ill (sometimes called “presenteeism”), than from occasions when employee is absent. Harvard rd studi dies es show similar findings on impact of chronic illnesses on absence and performance.
Abse Ab senteei nteeism/Presente sm/Presenteeism eism A 2009 study dy by D Dr. Ronald Loepp ppke ke: : absenteeism and presenteeism among 50,000 workers at 10 employers showed that lost productivity costs are 2.3 times higher than medical and pharmacy costs. Dow Chemical study dy from 2002: of the average annual health costs for a Dow employee an estimated $6,721 were attributable to presenteeism, The health conditions that $2,278 to direct health care, and $661 contribute most to lost to absenteeism. productivity: depression, anxiety, migraines, respiratory illnesses, arthritis, diabetes, and back and neck pain.
Product Pr ctivi ivity ty & S & Satis isfac facti tion on: : Better ter Health th Leads s to Improved ved Productivi tivity ty and E Employee ee Reten entio tion Employee loyee with th 5 health th Employee loyee with th 1 health th risk sk risks sks $1,472 in lost productivity Did you know… if 100 employees with 3 health risks eliminated just 1 health risk, you could save $149,000 in health care costs each year? 2 1 Pelletier, 2004 2 Staywell Health Management
Pr Product ctivi ivity ty & S & Satis isfac facti tion on: : Better ter Health th Leads s to Improved ved Productivi tivity ty and E Employee ee Reten entio tion Employee loyee with th 3 health th Employee loyee with th 1 health th risk sk risks sks $1,472 $5,952 in lost productivity in lost productivity Did you know… reducing just one risk factor can represent a 9% reduction in presenteeism and a 2% reduction in absenteeism? 1 Did you know… if 100 employees with 3 health risks eliminated just 1 health risk, you could save $149,000 in health care costs each year? 2 1 Pelletier, 2004 2 Staywell Health Management
This is where the rubber hits the road!
1. No tobacco products. 2. Regular physically activity. 3. Eat nutritious foods with each meal & snack. 4. Maintain a near ideal body weight. 5. Hydrate with water instead of sugary or high calorie drinks. 6. Limit alcohol intake and never drink and drive. 7. Get your annual wellness exam, recommended screening tests and vaccinations per clinical guidelines. 8. Socialize with others and manage your stress. 9. Maintain good sleep habits. 10.Be grateful, give back & pay it forward!
inition : Definiti An organi nize zed, employer yer-spo pons nsor ored program am that is de designed gned to su support rt employees yees (and, sometim imes, their families) ) as they y adopt and sustai tain n behav aviors rs that reduce uce healt lth h risks, improve e quality ty of life, enhan hance ce personal onal effec fecti tive veness, and benefi fit t the organization’s bottom line. -Center for Disease Control
Employer sponsored programs helping with • Risk factor reduction • Chronic care management • Emphasizing healthy lifestyle behaviors • Benefiting the individuals & the organization clinically & financially
Return turn On On Inves vestmen tment t By Company ompany Total ROI = $3.27 27 for every ry $1 spent nt on welln lness. ss. Absente nteeism eism ROI $2.73 73 for e eve very y $1 spent. nt. -Health Affairs February 2010 issue SAS AS Ins nsti titu tute te (software) H-E-B B (grocery retailer) SAS Institute (software) For every dollar SAS H-E- B’s internal analyses Not included in the $6.6 spent to operate its on- show that annual health care million figure is the benefit of site health care center in claims are about $1,500 employees missing an 2009, it generated $1.41 higher among estimated average of two in health plan savings, nonparticipants in its fewer hours per visit by for a total of $6.6 million workplace wellness program receiving on-campus care in 2009 alone. than among participants with a high-risk health status. The company ROI = 41% estimates that moving 10% of its employees from high- risk and medium-risk to low-risk status yields an ROI of 6-to-1.
Return turn On On Inves vestmen tment t By Company ompany The bene nefi fit t of k keeping ing heal althy thy people heal althy thy. -Health Affairs February 2010 issue Drs. Milani i & Lavie 185 workers & spouses Johns nson on & Johnson nson Moderate risk but without heart disease J&J’s leaders estimate that Received cardiac rehab & exercise wellness programs have training saved the company $250 million on health care costs over the past decade; Resu sults ts: : 57% were converted from from 2002 to 2008, the moderate to low-risk status by the end return was $2.71 for every of the six-month program dollar spent. Medical claim costs had declined by $1,421 per participant,
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