7. What it Takes to Become a Vitality City
7
• Motivation to innovate
• Leadership for
permanent change
• Readiness to make it
happen
• Standard metrics for well-
being
10. 10
Why It Matters:
The Economic Case for Well-Being
Improve
Well-Being
Adopt or maintain
healthy behaviors
Reduce health-related
risks
Optimize care for health
conditions
Performance
Increases
• Productivity
• Engagement
• Absence
• Work Impairment
Total Medical
Cost Decreases
• Hospitalizations
• Event Rates
• Disease Rates
• Lifestyle Risks
Total Economic
Value Increases
• States
• Communities
• Sponsors
• Individuals
•Prevent or delay next new case of disease or condition
•Prevent or reduce impact of the next new episode
•Enhanced ability to actively manage one’s own health
Economic
Drivers
11. 1111
Emerging Science
Well-Being Relationship to Hospital Utilization
0
5
10
15
20
0-50
(n=109)
>50-60
(n=151)
>80-90
(n=683)
>70-80
(n=582)
>60-70
(n=347)
>90-100
(n=363)
Admission ER Visit
Percent
Well-Being Score (Composite)Low High
Impact of Well-Being on Event Frequency
-83%
-49%
Source: Wellmark Data, Healthways Center for Health Research Analysis (n=2,235)
12. 1212
Emerging Science
Well-Being Relationship to Medical Costs
0-50
(n=109)
>50-60
(n=151)
>80-90
(n=683)
>70-80
(n=582)
>60-70
(n=347)
>90-100
(n=363)
Annual Costs
(Indexed)
Well-Being Score (Composite)Low High
Annual Medical and Rx Claims Cost
Source: Wellmark Data, Healthways Center for Health Research Analysis (n=2,235)
4.0
1.0
2.0
3.0
Low:High Well-Being = ~3.5x more cost
13. 13
Huge Value In Health Risk Reduction
Recent Publications
10 — 50% Risk Reduction
$0.6T — $1.4 T
10 Year Impact
10 — 25% Risk Reduction
$0.4T — $1.1T
10 Year Impact
Source: Healthways, Center for Health Research, 2009 and 2010
14. Application at the Personal Level
Life
Evaluation
Basic
Access
Work
Quality
Emotional
Health
Physical
Health
Healthy
Behavior
Gallup-Healthways Well-Being Index™ Healthways Well-Being Assessment™
Life
Evaluation
Basic
Access
Work
Quality
Emotional
Health
Physical
Health
Healthy
Behavior
P
E
R
F
O
R
M
A
N
C
E
Core
HRA
Biometrics
15. Strong Market Reception: Nearly Four Million
Individual Surveys Committed To Date
Hardware retailer 5,000
Insurance company 90,000
Bank 2,700
Engineering consulting 5,400
Regional health plan 2,000,000
Regional health plan 100,000
Regional health plan employees 3,000
Regional health plan 200,000
Technology and consumer products 21,000
Construction and equipment manufacturer 101,000
Integrated energy company 47,000
PBM 7,000
Insurance company 49,000
Regional health plan 1,500
Supermarket 50,000
Defense contractor 175,000
Federal government 5,000
Packaging solutions provider 4,300
Transportation franchise 50,000
Regional health plan 1,000,000
3,916,900
Organization Lives
Total
Source: Healthways Well-Being Assessment 2010 Pipeline of 100% Commitments, October 2010
Healthways
Well-Being
Assessment™
17. 17
Basic Access Domain Highlights
Community Strengths
Access to / Affordability of basic necessities for the majority of the
population…
And access to health care resources equally as strong…
82
92
Nation Beach Cities
% With Enough Money for Food
91 94
Nation Beach Cities
% With Enough Money for
Housing
81
88
Nation Beach Cities
% With Personal Doctor
92
96
Nation Beach Cities
% With Access to Medicines /
Health Care
84
93
Nation Beach Cities
% With Health Insurance
80
90
Nation Beach Cities
% With Enough Money for Health
Care
18. 18
Access + Higher Income Levels ≠
Higher Emotional Well-Being
But negative affect in emotional health domain illustrates significant
variances to national averages…
City Ranking
# 170 / 187
City Ranking
# 177 / 187
City Ranking
# 139 / 187
Huntington, WV
Fort Smith, AR
Reno, NV
New Orleans, LA
Stockton, CA
Detroit, MI
40
46
Nation Beach Cities
% With Significant Stress
28
37
Nation Beach Cities
% With Significant Worry
12
16
Nation Beach Cities
% With Significant Anger
19. 19
Brings Focus to Community and Social Domains
Gallup-Healthways Well-Being Index as Measure of Progress
Home
Work/
School
City
Friends
& Family
Colleagues
Neighbors
Individuals ● Experts ● Environments ● Relationships
Well-Being is affected most directly by choices and actions of individuals, their relative access and coordination to the experts they need to be successful, by the home, work and community environments they live in, and by the company they keep…family, friends and co-workers.
The ability to track the well-being of our constituents through the duration of the Vitality Cities program was very important to us.
The Gallup-Healthways Well-Being Index allows us to utilize a standard metric to measure well-being in Emotional Health, Physical Health, Healthy Behaviors, Work Environment, as well as our residents’ basic access to essentials and their personal Life Evaluation. And the BlueZones Vitality Compass will allow us to measure factors influencing longevity.
While we are very proud of our beautiful community, we face many of the same challenges that other communities do.
In many ways we’re just Like You…with a Little More Stress
Higher income, higher stress
Obesity and disease prevalence… just like you
A “silver tsunami” is coming
9
Note that these are total lives of target population that committed, not the actual number of WBAs distributed which may be less (due to exclusion of dependents, retirees, those without email addresses, those not on employer-sponsored health plan, those committed but not yet deployed, etc.)
Emotional Health is the lowest scoring domain for BCHD. They are barely above the national average in September of 79. The item level scores get very interesting.
The percent of people that experienced a lot of worry yesterday was 37%. This would place the community in a tie (w/Stockton) for 170th among the MSAs.
The percent of people with a lot stress was 46% —ranking them at 177th among the 187 MSAs. Similarly stressed cities include Chico, CA; Huntington, WV; Fort Smith, AR
The percent of people without a lot of anger yesterday was 16%, which would place them at 139. Similarly angry cities include Stockton, CA; Palm Bay, FL; Huntington, WV; Fort Smith, AR; Detroit, MI
