City of San Angelo Wellness Report   December 2011
San Angelo, Texas
Wellness Report Health Risk Assessments <ul><li>Summary of Health Risk Assessment Score </li></ul><ul><li>Chronic Diseases...
Overall Wellness Rating <ul><li>Average wellness score for City of San Angelo employees is  67  (out of 100) </li></ul><ul...
80/20 Rule <ul><li>Generally, 80% of health care costs come from 20% of the people </li></ul><ul><li>As the  number of hea...
Chronic Diseases
Diabetes <ul><li>Diabetes is 6 th  leading cause for death in US </li></ul><ul><li>1/3 of people do not know they are diab...
Heart Disease <ul><li>Keeping the heart in good condition is critical </li></ul><ul><li>Actively eliminate any known risk ...
Cancer <ul><li>Cancer is 2 nd  leading cause for death in US and  leading cause  for persons of working age. </li></ul><ul...
Cancer Screenings Starting 2012, the City will pay all cancer screenings at 100% without a deductible.  (Formerly at 80% a...
Modifiable Chronic Disease  Risk Factors contributing to all major diseases <ul><li>Nutrition  (low fruit/veg, grain intak...
City of San Angelo Chronic Disease  Risk Factors
Nutritional Statistics <ul><li>Good nutrition lays the foundation for good health. </li></ul><ul><li>Choosing unrefined, p...
Employee Weights BMI Healthy weight 18.5 - 24.9 Overweight 25 - 29.9 Obese 30 - 34.9 Very Obese 35+ 17.9% of emp are  very...
Employee Perception of Personal Health  90.5% think they are in  good to excellent health
Risk Factor/Health Claims 15% of employees have 5 or more risk factors, influencing personal health for the individual,  a...
Estimated Excess Cost    per Risk Factor   (5 of 15 risks reported) <ul><ul><ul><li>Emp Cost </li></ul></ul></ul><ul><li>O...
<ul><li>SOLUTIONS </li></ul><ul><li>Goal: Reduce modifiable risk factors </li></ul><ul><li>by 10% </li></ul>
Solutions: Programs <ul><li>Wellness Incentive Program – point system </li></ul><ul><li>Biggest Loser Contest for Employee...
Solutions: Health Management <ul><li>Utilize the city clinic, primary care providers and the wellness program to manage he...
Wellness ROI <ul><li>Companies that invest in wellness generally see significant savings. </li></ul><ul><li>Average saving...
 
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City Council December 20, 2011 Wellness Report

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City Council December 20, 2011 Wellness Report

  1. 1. City of San Angelo Wellness Report December 2011
  2. 2. San Angelo, Texas
  3. 3. Wellness Report Health Risk Assessments <ul><li>Summary of Health Risk Assessment Score </li></ul><ul><li>Chronic Diseases </li></ul><ul><li>Chronic Disease Risk Factors </li></ul><ul><li>Employee Perception of Health </li></ul><ul><li>Health Claims/Risk Factors </li></ul><ul><li>Solutions </li></ul>
  4. 4. Overall Wellness Rating <ul><li>Average wellness score for City of San Angelo employees is 67 (out of 100) </li></ul><ul><li>42% have a “health age” younger than actual age </li></ul><ul><li>58% have a “health age” greater than or equal to age </li></ul>
  5. 5. 80/20 Rule <ul><li>Generally, 80% of health care costs come from 20% of the people </li></ul><ul><li>As the number of health risks go up, so do the health care costs </li></ul><ul><li>15% of the City of San Angelo employees have 5 or more risk factors </li></ul><ul><li>(health claims are generally 3-4 times higher in people with 5+ risk factors) </li></ul>
  6. 6. Chronic Diseases
  7. 7. Diabetes <ul><li>Diabetes is 6 th leading cause for death in US </li></ul><ul><li>1/3 of people do not know they are diabetic </li></ul><ul><li>Type 2 diabetes is largely preventable </li></ul><ul><li>NIH Trial showed a 58% decrease in risk of developing diabetes in people with prediabetes with diet and exercise. </li></ul><ul><li>City of San Angelo employees </li></ul><ul><li>19% of employees have 0 - 2 risks – excellent, doing well </li></ul><ul><li>36% of employees have 3 - 4 risks – needs improving </li></ul><ul><li>45% of employees have 5+ risks – caution, high risk </li></ul>
  8. 8. Heart Disease <ul><li>Keeping the heart in good condition is critical </li></ul><ul><li>Actively eliminate any known risk factors </li></ul><ul><li>70 – 80% of heart disease is linked to modifiable risks </li></ul><ul><li>City of San Angelo employees </li></ul><ul><li>43% of employees have 0 - 1 risks – excellent, doing well </li></ul><ul><li>21% of employees have 2 risks – needs improving </li></ul><ul><li>35% of employees have 3+ risk factors – caution, high risk </li></ul>
  9. 9. Cancer <ul><li>Cancer is 2 nd leading cause for death in US and leading cause for persons of working age. </li></ul><ul><li>Eliminate any known cancer risks </li></ul><ul><li>Get proper cancer checkups for age and gender. </li></ul><ul><li>City of San Angelo employees </li></ul><ul><li>50% of employees have 0 - 2 risks – excellent; doing well </li></ul><ul><li>27% of employees have 3 risks – needs improving </li></ul><ul><li>23% of employees have 4 + risks – caution, high risk </li></ul>
  10. 10. Cancer Screenings Starting 2012, the City will pay all cancer screenings at 100% without a deductible. (Formerly at 80% after deductible had been satisfied.)
  11. 11. Modifiable Chronic Disease Risk Factors contributing to all major diseases <ul><li>Nutrition (low fruit/veg, grain intake; high saturated fat intake) </li></ul><ul><li>Excessive weight (BMI 30+) </li></ul><ul><li>High blood pressure (140/90; 120/80 pre-hypertensive) </li></ul><ul><li>No or low physical activity (1-4/wk) </li></ul><ul><li>Smoking </li></ul>
  12. 12. City of San Angelo Chronic Disease Risk Factors
  13. 13. Nutritional Statistics <ul><li>Good nutrition lays the foundation for good health. </li></ul><ul><li>Choosing unrefined, plant-based, low-calorie, low saturated-fat foods can greatly decrease risk of heart disease, diabetes, and many cancers. </li></ul><ul><li>In the City of San Angelo: </li></ul><ul><li>675 people (82.9%) are at increased risk with 6+ nutritional risk factors. </li></ul><ul><li>422 (51.8%) are at high risk with 10+ nutritional risk factors. </li></ul>
  14. 14. Employee Weights BMI Healthy weight 18.5 - 24.9 Overweight 25 - 29.9 Obese 30 - 34.9 Very Obese 35+ 17.9% of emp are very obese , beating national norm of 12%
  15. 15. Employee Perception of Personal Health 90.5% think they are in good to excellent health
  16. 16. Risk Factor/Health Claims 15% of employees have 5 or more risk factors, influencing personal health for the individual, as well as health care costs for the city. # of employees cost per employee no risks 77 $0 1 risk 137 $861 2 risks 214 $1,764 3 risks 159 $2,690 4 risks 105 $3,788 5 risks 61 $4,821 6 risks 34 $5,919 7+ risks 28 $6,995
  17. 17. Estimated Excess Cost per Risk Factor (5 of 15 risks reported) <ul><ul><ul><li>Emp Cost </li></ul></ul></ul><ul><li>Overweight (BMI >27.5) 515 $781,794 </li></ul><ul><li>High BP (140/90+) 309 $542,083 </li></ul><ul><li>Low HDL (<40mg/dL) 326 $323,966 </li></ul><ul><li>Smokers 100 $176,079 </li></ul><ul><li>Seat Belt Use (<100%) 130 $169,254 </li></ul><ul><li>Estimated excess cost $1,993,176 </li></ul><ul><li>10% compliance $ 199,317 </li></ul>
  18. 18. <ul><li>SOLUTIONS </li></ul><ul><li>Goal: Reduce modifiable risk factors </li></ul><ul><li>by 10% </li></ul>
  19. 19. Solutions: Programs <ul><li>Wellness Incentive Program – point system </li></ul><ul><li>Biggest Loser Contest for Employees </li></ul><ul><li>Programs </li></ul><ul><ul><li>Diabetes Education Classes </li></ul></ul><ul><ul><li>Smoking Cessation Class (Start date: January 2012) </li></ul></ul><ul><ul><li>Wednesday Walking Group </li></ul></ul><ul><li>Group Class Opportunities </li></ul><ul><ul><li>Label Reading Class with dietitian </li></ul></ul><ul><ul><li>Eat This , Not That </li></ul></ul><ul><ul><li>Lifestyle changes to lower cholesterol </li></ul></ul><ul><ul><li>The DASH diet (help lower BP) </li></ul></ul><ul><li>Exercise: How to get started </li></ul>
  20. 20. Solutions: Health Management <ul><li>Utilize the city clinic, primary care providers and the wellness program to manage health of City of San Angelo employees. </li></ul><ul><ul><li>Monthly monitoring of employees with 5+ risk factors </li></ul></ul><ul><ul><li>Develop clinical protocols/pathways for diseases </li></ul></ul><ul><ul><li>Routine follow-ups with employees </li></ul></ul>
  21. 21. Wellness ROI <ul><li>Companies that invest in wellness generally see significant savings. </li></ul><ul><li>Average savings is $3.48/employee for every $1 invested. </li></ul>

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