City Council Feb. 5, 2013 wellness report
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City Council Feb. 5, 2013 wellness report

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City Council Feb. 5, 2013 wellness report City Council Feb. 5, 2013 wellness report Presentation Transcript

  • City of San Angelo Wellness Report February 2013
  • San Angelo, Texas
  • Wellness Report• 2012 shows improvement from 2011 in the overall health of employees.• Weight and nutrition continue to be the most crucial and costly modifiable risk factors.• There is opportunity to improve, however, the employees are to be commended.
  • Overall Wellness Rating 2011 2012 Doing Well Doing Well (60-79) (60-79) 60% 60% Excellent Excellent (80-100) (80-100) 14% 16% Needs Needs Improving Improving (20-59) (20-59) 26% 24%• Average wellness score for City of San Angelo employees is 69, compared to 67 last year. (out of 100)• 47% have a “health age” younger than actual age, compared to 42% last year• 53% have a “health age” greater than or equal to age, 58% last year
  • 80/20 Rule• Generally, 80% of health care costs come from 20% of the people.• As the number of health risks go up, so do the health care costs.• City employees with 5 or more risk factors decreased by 9%.(Health claims are generally 3-4 times higher in people with 5+ risk factors)
  • Chronic Diseases 39% 40.8% 2012 Diabetes 36% 45% 2011 20.9% 31.2% 2012 Heart Disease 21% 35% 2011 26.8% 23.4% 2012 Cancer 27% 23% 2011 38.6% 2012Metabolic Syndrome 37% at risk 2011 15.8% Osteoporosis 18% high risk 0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
  • DiabetesDiabetes is increasing rapidly in the U.S.• One third of people do not know they are diabetic.• Type 2 diabetes is largely preventable.Major risks: Obesity (BMI 30+ - 326 people); Nutrition (517 people); Low HDL (<39.9 – 299 people)City of San Angelo employees• 19.9% compared to 19% last year have 0 - 1 risks – excellent, doing well• 39.4% compared to 36% of employees have 3 - 4 risks – needs improving• 40.8% compared to 45% of employees have 5+ risks – caution, high risk
  • Heart Disease70 – 80% of heart disease is linked to modifiable risks.• Actively eliminate any known risk factors.Major risks: Obesity (BMI 30+ - 326 people); Low HDL (<39.9 – 299 people); Metabolic syndrome ( 3+ indicators – 298 people)City of San Angelo employees• 47.9% compared to 43% last year have 0 - 1 risks – excellent, doing well• 20.9% compared to 21% last year have 2 risks – needs improving• 31.2% compared to 35% last year have 3+ risk factors – caution, high risk
  • CancerCancer is 2nd leading cause for death in US and is the leading cause for persons of working age.• 2/3 of all cancer deaths can be prevented.• Get proper cancer checkups for age and gender.Major risks: Smoker (96 people); Obesity (BMI 30+ - 326 people); No or low physical activity (<5 days.wk – 553 people)City of San Angelo employees• 49.8% compared to 50% last year have 0 - 2 risks – excellent; doing well• 26.8% compared to 27% last year have 3 risks – needs improving• 23.4% compared to 23% last year have 4+ risks – caution, high risk
  • Cancer Screenings COMPLIANT NON COMPLIANT Mammograms 73.2% 21.6% 2012 74.3% 21.7% 2011 PAP test 84.5% 9.9% 83% 17% 51.6% 40.4%Prostate Check 59.5% 40.5% 47.2% 46.3%Colon Screening 51% 49% In 2012, the City began paying all cancer screenings at 100% without a deductible. (Formerly at 80% after deductible had been satisfied.) However, pro-active screenings did not increase overall.
  • Modifiable Risksof Chronic Diseases
  • Modifiable Risks Top Six Priority Health Recommendations• Weight management (323 people overweight; 326 obese)• Good nutrition (599 people have 6+ risk factors; 325 have 10+)• High blood pressure (420 pre-hypertension; 160 high bp)• Physical activity (553 less than 5 days/wk; 66 have no PA)• Sleep (430 people get inadequate sleep - less than 7-8 hrs/night)• Osteoporosis (380 have 2+ risk factors; 1 has 4+ risk factors)
  • City of San Angelo Chronic Disease Risk Factors 43.4% 42.1% 2012 Nutrition 2011 38% 41.8% 42.2% Weight 2012 40.2% 44.3% 44.3% 2011 54.4% 20.7% 2012Blood Pressure 19.7% 2011 54.7% at risk 22.4% 8.5% 2012 Fitness high risk 21.5% 8.6% 2011 Sleep 55.7% 2012 Osteoporisis 49.2% 1% 2012 0 20 40 60 80 100(Smoking drops off list of being in the top 6)
  • Employee Weights 2011 2012 Obese Obese 45% 42% Under Under Weight Weight 0% 0% Healthy Healthy Weight Overweight Weight Overweight 15% 40% 16% 42% BMIHealthy weight 18.5 - 24.9Overweight 25 - 29.9Obese 30 - 34.9Very Obese 35+17.9% of emp (138 people) are veryobese, above the national norm of 12%.
  • Nutritional StatisticsChoosing unrefined, plant-based, low-calorie, lowsaturated-fat foods can greatly decrease risk of heartdisease, diabetes, and many cancers.In the City of San Angelo:•599 (77.6%) people compared to 675 (82.9%) lastyear are at increased risk with 6+ nutritional riskfactors.•325 (42.1%) people compared to 422 (51.8%) lastyear are at high risk with 10+ nutritional risk factors.
  • Employee Perception of Personal Health 2011 2012 42.9% 40.2% 8.7% 8.3% 0.9% 0.5% 47.6% 49.1%Very good to excellentGoodFair 89.3% think they are inPoor good to excellent health (compared to 90.5% last year)
  • Economic ImpactEstimated Excess Health Claims Cost cost per # of employees employee 2011 2012 no risks 77 67 $0 1 risk 137 168 $861 2 risks 214 166 $1,764 3 risks 159 164 $2,690 4 risks 105 96 $3,788 5 risks 61 61 $4,821 6 risks 34 29 $5,919 7+ risks 28 22 $6,995 14.5% of employees (112 people) have 5 + risk factors,influencing personal health for the individual, as well as health care costs for the city. (15% last year)
  • Examples of Estimated Excess Cost per Risk Factor (5 of 15 risks reported) EMPLOYEES 2011 2012 Excess Cost• Overweight (BMI >27.5) 515 502 $746,034• High BP* (140/90+) 309 282 $499,198• Low HDL (<40mg/dL) 326 300 $297,135• Smoking* (14 signed up for class) 100 96 $172,006• Seat Belt Use (<100%) 130 115 $149,438Overall Estimated Excess Health Claims:Estimated excess cost for 2011 $1,993,176Estimated excess cost for 2012 $1,862,103Potential savings from 2011 $ 131,073(goal of $199,317)• Most expensive risk factor pp for excess health costSource: University of Michigan. Study of 205,000 employees showing relationship between risk factors and healthcare costs.
  • ACCOMPLISHMENTS in 2012• Improved average wellness score from 67 to 69• Reduced obesity percentage by 3% (334 lbs lost) – 281 people lost 2+ lbs – 73 people lost 10–19 lbs – 29 people lost 20+ lbs• Reduced employees with 5 or more risk factors by 9% (123 to 112)• Reduced risk factors for diabetes, heart disease and osteoporosis• Improved the nutrition of 249 people
  • Programs Implemented• Biggest Loser Contest• Diabetes Education Classes• Smoking Cessation Classes• Wednesday Walking Group• Label Reading Class with Dietitian• 30 Day “My Plate” Challenge (food pyramid)• Fruit and Vegetable Challenge• Pedometer Challenge• Flu Shots
  • Suggested Programs for 2013• Wellness Incentive Program – initiate a point system• Biggest Loser Contest Quarterly for Employees• Programs – Diabetes Education Classes – Smoking Cessation Class – Wednesday Walking Group• Group Class Opportunities – Label Reading Class with dietitian – Eat This, Not That – Lifestyle changes to lower cholesterol – The DASH diet (help lower BP)• Exercise – “Couch to 5K” – “Move for Life” – Pedometer Challenge – Wellness Challenge – 12 wk program • Private fitness program for those at high risk • Weekly monitoring including exercise and nutrition tracking
  • Solutions: Health Management• Utilize the city clinic, primary care providers and the wellness program to manage health of City of San Angelo employees. – Monitor employees with 5+ risk factors (112 employees) – Develop clinical protocols/pathways for diseases. Referral to specialist if necessary. – Encourage employees to get recommended cancer checkups (mammograms, prostate, PAP, colon)