2007_NLO_United Against Diabetes - Randy Defrehn - Slide 1

174 views
149 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
174
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

2007_NLO_United Against Diabetes - Randy Defrehn - Slide 1

  1. 1. www.unitedagainstdiabetes.orgwww.unitedagainstdiabetes.org 11 United Against DiabetesUnited Against Diabetes Presentation to BC/BSPresentation to BC/BS Hollywood, Florida – February 22, 2007Hollywood, Florida – February 22, 2007
  2. 2. www.unitedagainstdiabetes.org 5 Our ObjectiveOur Objective  To launch a national campaign focusingTo launch a national campaign focusing on preventing and managing diabetes andon preventing and managing diabetes and related risks, including obesity,related risks, including obesity, cholesterol, hypertension and smokingcholesterol, hypertension and smoking  Primarily in Multiemployer FundsPrimarily in Multiemployer Funds  Secondarily in other union populationsSecondarily in other union populations
  3. 3. www.unitedagainstdiabetes.org 6 An Initiative ofAn Initiative of  Center To Protect Workers RightsCenter To Protect Workers Rights  Diabetes Research Institute FoundationDiabetes Research Institute Foundation  Dad’s Day/Dollars Against DiabetesDad’s Day/Dollars Against Diabetes  National Coordinating Committee ForNational Coordinating Committee For Multiemployer PlansMultiemployer Plans
  4. 4. www.unitedagainstdiabetes.org 7 What is NCCMP?What is NCCMP?  Founded 1974Founded 1974  Non-profit membership organizationNon-profit membership organization  Members:Members:  Pension and health & welfare fundsPension and health & welfare funds  Both employers and unionsBoth employers and unions  To ensure members a minimum ofTo ensure members a minimum of regulatory or other interference.regulatory or other interference. www.NCCMP.Org
  5. 5. www.unitedagainstdiabetes.org 8 What is CPWR?What is CPWR?  Non-profit organizationNon-profit organization  Research and training arm of BCTDResearch and training arm of BCTD  Special focus on safety and healthSpecial focus on safety and health  25 million annual budget25 million annual budget  Research consortium with 32 universitiesResearch consortium with 32 universities  Recognized world-wideRecognized world-wide www.cpwr.com
  6. 6. www.unitedagainstdiabetes.org 9 What is DRIWhat is DRI  Leading center of excellenceLeading center of excellence  Basic, pre-clinical, clinical and publicBasic, pre-clinical, clinical and public health researchhealth research  Leads federation of 11 research centersLeads federation of 11 research centers world-wideworld-wide  Type 1 diabetes: Pioneer in islet cellType 1 diabetes: Pioneer in islet cell transplantstransplants  Type 2 diabetes: Participant in theType 2 diabetes: Participant in the Diabetes Prevention Program (DPP)Diabetes Prevention Program (DPP) www.dri.org
  7. 7. www.unitedagainstdiabetes.org 10 What is Dad’s DayWhat is Dad’s Day  Founded by Building Trades unions inFounded by Building Trades unions in 1987 to raise money for DRI1987 to raise money for DRI  Annual Dad’s Day nationwide fundraisingAnnual Dad’s Day nationwide fundraising  Golf tournaments and other fundraisingGolf tournaments and other fundraising eventsevents  More than $35 million raised to dateMore than $35 million raised to date  Goal for 2007: raise 5 millionGoal for 2007: raise 5 million www.dadsday.org
  8. 8. www.unitedagainstdiabetes.org 13 Our MessageOur Message # 1# 1  Diabetes is epidemicDiabetes is epidemic  2006: 15% of population over age 40 has2006: 15% of population over age 40 has diabetesdiabetes  2/3rds know it2/3rds know it  Already 10-15% of health and welfare costsAlready 10-15% of health and welfare costs
  9. 9. www.unitedagainstdiabetes.org 14 Our MessageOur Message # 2# 2  Diabetes can be managedDiabetes can be managed  To do so, health and welfare funds mustTo do so, health and welfare funds must become proactivebecome proactive  Each fund can do it alone, or we can do itEach fund can do it alone, or we can do it togethertogether  We think aWe think a common approachcommon approach is bestis best
  10. 10. www.unitedagainstdiabetes.org 15 Our MessageOur Message # 3# 3 The Costs of Doing NothingThe Costs of Doing Nothing  By 2015By 2015  25%25% of adult population will have diabetesof adult population will have diabetes  They will consumeThey will consume 25-30%25-30% of all health andof all health and welfare costswelfare costs  By 2020By 2020  30-40%30-40% of adult population will have diabetesof adult population will have diabetes  They will consumeThey will consume 30+%30+% of all health andof all health and welfare costswelfare costs
  11. 11. www.unitedagainstdiabetes.org 16 The Union Market– 59 Million LivesThe Union Market– 59 Million Lives SectorSector UnitsUnits LivesLives MultiemployerMultiemployer FundsFunds 1760 Funds1760 Funds 25+ million lives25+ million lives Of these 1100Of these 1100 building tradesbuilding trades FundsFunds 10 million lives10 million lives Single employerSingle employer union familiesunion families 25 million25 million TotalTotal 50+ Million Lives50+ Million Lives
  12. 12. www.unitedagainstdiabetes.org 17 The Union Market– DollarsThe Union Market– Dollars SourceSource LivesLives Annual Health CostsAnnual Health Costs (2003)(2003) MultiemployerMultiemployer 25 million25 million $200 billion*$200 billion* SingleSingle EmployerEmployer 25 million25 million $150 billion$150 billion TotalTotal $350 billion$350 billion *Of this approx. $18 Billion is for Rx
  13. 13. www.unitedagainstdiabetes.org 20 Patient Support ProgramPatient Support Program  Awareness, Screening and Early DetectionAwareness, Screening and Early Detection..  Screening individuals at risk for diabetes, obesity, hypertension,Screening individuals at risk for diabetes, obesity, hypertension, cholesterol and smoking, and providing them with help tocholesterol and smoking, and providing them with help to change life style, delays the onset of diabetes and otherchange life style, delays the onset of diabetes and other risks/diseasesrisks/diseases  Disease ManagementDisease Management..  Disease progression is slowed and average medical costs areDisease progression is slowed and average medical costs are reduced for patients who are part of disease managementreduced for patients who are part of disease management programs.programs.  Case Management.Case Management.  Patients with advanced diabetes have fewer complications,Patients with advanced diabetes have fewer complications, fewer emergency room visits and hospital admissions, andfewer emergency room visits and hospital admissions, and shorter lengths of stay per hospital admission if they are enrolledshorter lengths of stay per hospital admission if they are enrolled in active case management programsin active case management programs
  14. 14. www.unitedagainstdiabetes.org 21
  15. 15. www.unitedagainstdiabetes.org 28 0 5 10 15 20 25 30 35 40 Percent Healthy Overweight Obese Weight (BMI) of Trust Fund Adult (>40) Population Source: CPWR DOE Medical Screening program
  16. 16. www.unitedagainstdiabetes.orgwww.unitedagainstdiabetes.org 2929 0 2 4 6 8 Percent <40 40-54 55-64 One Trust Fund's Experience: Prevalence of Diagnosed Diabetes, Construction Trades Members 1990 1995 2000 2005 Source: Duke University
  17. 17. www.unitedagainstdiabetes.org 30 One Trust Fund’s ExperienceOne Trust Fund’s Experience  7,500 active members7,500 active members  341 (4.5%) members with diabetes341 (4.5%) members with diabetes  Cost of treating these 341 with diabetesCost of treating these 341 with diabetes  5 years (1999-2005):5 years (1999-2005): • Total $11.01 MillionTotal $11.01 Million • Per Patient: $32,300Per Patient: $32,300  Average Cost Per Patient Per Year: $6,500.Average Cost Per Patient Per Year: $6,500.  Percent of Total Fund Costs/Members: 11.2%Percent of Total Fund Costs/Members: 11.2% Source: Duke University
  18. 18. www.unitedagainstdiabetes.org 31 The Challenge of ImposingThe Challenge of Imposing Disease Management inDisease Management in Indemnity Plan EnvironmentIndemnity Plan Environment  Health plansHealth plans  Not involved in careNot involved in care  Lacking clinical guidelines or rulesLacking clinical guidelines or rules  Too few participants in any medical practice toToo few participants in any medical practice to influence the practiceinfluence the practice  Deficient data systems and program monitoringDeficient data systems and program monitoring  ProvidersProviders  Practice traditional reactive medicinePractice traditional reactive medicine  Resentful of health plan intrusionResentful of health plan intrusion  Are measured on process rather than outcomesAre measured on process rather than outcomes
  19. 19. www.unitedagainstdiabetes.org 32 SolutionSolution  Encourage use of incentives and penaltiesEncourage use of incentives and penalties  To participate in screeningTo participate in screening  To comply with treatment guidelinesTo comply with treatment guidelines  Access to evidence-based patient supportAccess to evidence-based patient support program designed for the multiemployerprogram designed for the multiemployer fund environmentfund environment  Continuous evaluation and improvementContinuous evaluation and improvement
  20. 20. www.unitedagainstdiabetes.org 35 Population at Risk For DiabetesPopulation at Risk For Diabetes Total Multiemployer pop 25,000,000 Generally Not at Risk 17 Mill At Risk (32%) 8 Million No diabetes 5.3 Mill Diabetes 2.7 Mill (10.8%)
  21. 21. www.unitedagainstdiabetes.org 38 How this Campaign Will be FundedHow this Campaign Will be Funded  Development Phase (5 years):Development Phase (5 years):  Support from health care industry partners,Support from health care industry partners, government and foundationsgovernment and foundations  Ongoing CampaignOngoing Campaign  Contributions from participating health andContributions from participating health and welfare funds which in return receive all benefitswelfare funds which in return receive all benefits of campaign includingof campaign including Patient Support ProgramPatient Support Program  Contribution rate(s) to be defined by FundContribution rate(s) to be defined by Fund Advisory CommitteeAdvisory Committee
  22. 22. www.unitedagainstdiabetes.org 39 Goals for Year 1Goals for Year 1  Get up and runningGet up and running  Recruit at least 25 FundsRecruit at least 25 Funds  Start up to 5 pilot studiesStart up to 5 pilot studies  Work out bugs in patient support programWork out bugs in patient support program  Finalize plan for public health programFinalize plan for public health program activitiesactivities  Prepare plans to go nationwide by 2008Prepare plans to go nationwide by 2008
  23. 23. www.unitedagainstdiabetes.org 40 Goals for EnrollmentGoals for Enrollment YearYear FundsFunds EnrolledEnrolled LivesLives DiabeticsDiabetics ContributionsContributions To UADTo UAD 11 2525 300,000300,000 32,40032,400 $1-1.7 mill$1-1.7 mill 22 9090 1,800,0001,800,000 195,000195,000 $7-10 mill$7-10 mill 33 300300 5,000,0005,000,000 540,000540,000 $20-28 mill$20-28 mill 44 800800 12,000,00012,000,000 1,300,0001,300,000 $48-68 mill$48-68 mill 55 12001200 15,000,00015,000,000 1,620,0001,620,000 $55-85 mill$55-85 mill Contribution = 1 cent per member per hour worked = $13-18 per year
  24. 24. www.unitedagainstdiabetes.org 45 What’s the Probability of SuccessWhat’s the Probability of Success  Highly experienced teamHighly experienced team  Excellent access to target populationExcellent access to target population  Great reception for concept in targetGreat reception for concept in target populationpopulation  Past experiencePast experience  DiabetesDiabetes  Smoking prevention and cessationSmoking prevention and cessation  Construction safety and healthConstruction safety and health

×