Dr. Jack Halligan
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This document discusses the economic impact of active and healthy living. It highlights rising rates of chronic conditions like diabetes and obesity in Ireland that will overburden the healthcare system. Workplace health is also addressed, noting initiatives can reduce absenteeism and increase productivity. The importance of community health programs is emphasized for reaching isolated citizens. Recommendations include educating the public about health, engaging employers and communities to create their own initiatives, and empowering lifestyle changes.
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Dr. Jack Halligan
- 1. The Economic Impact of Active & Healthy Living Dr. Jack Halligan Chief Medical Officer | Full Health Medical September 2015
- 2. AGENDA Health in the Workplace2 Community Health3 Recommendations & Summary4 The Situation1
- 3. DAVID’S STORY 36 years of age Health check findings: Morbidly obese (BMI = 50) High blood pressure (155/79) Pre-diabetic (Fasting Glucose = 6.9) After his health check, we discovered that David had an elevated HbA1c* blood test one year beforehand but… …NO IDEA HE WAS PRE-DIABETIC! *Gold standard blood test for diabetes
- 4. Sources: 1. Chronic Disease in Ireland 2. The Cost of Treating Type 2 Diabetes (CODEIRE) DIABETES IN IRELAND: DIRECT COSTS
- 5. Further losses through: Treament of complications Time away from work Early retirement Social benefits Source: www.diabetes.co.uk DIABETES: INDIRECT COSTS ** Estimated indirect costs equivalent to ~5% of total health budget **
- 6. 2010 106,000 Adults 28% expected increase in 10 years 2020 136,000 Adults DIABETES PREVALENCE IN IRELAND
- 7. 2007 852,000 Adults 2020 1,192,000 Adults 40% increase in 15 years HIGH BLOOD PRESSURE IN IRELAND
- 8. 1990 1/10 Males Obese 2015 1/4 Males Obese 3rd Highest Rate of Obesity In Europe OBESITY IN IRELAND
- 9. WE THINK WE’RE HEALTHIEST IN EUROPE!Percentage of population reporting “Good” or “Very Good” health 82%!!
- 10. AGENDA The Situation Health and the Workplace 1 2 Community Health3 Recommendations & Summary4
- 11. Overweight or obese (61%) Cholesterol (56%) Blood Pressure (25%) Stress (24%) Smoking (14%) Diabetes (3%) THE IRISH WORKFORCE
- 12. One third of adult life is spent at work Employment is a key social determinant of health Concept of employee health evolving A SHIFT IN ATTITUDES
- 13. R E D U C E D P R O D U C T I V I T Y I N R E A S E D A B S E N T E E I S M DISTRACTED EMPLOYEES STRESSED EMPLOYEES HOSPITAL ADMISSIONS LESS MOTIVATION HEALTH ISSUES IMPACT ON PRODUCTIVITY
- 14. Healthy workplace PROGRAMME ONE THIRD OF IRISH EMPLOYEES ENGAGE IN WORKPLACE HEALTH SCREENING Employee Absenteeism: A Guide to Managing Absence
- 15. ABSENTEEISM: IRISH PUBLIC SECTOR 8.7 days lost per person per year (significantly higher than private sector) €319 million cost for the state in 2014 Stress & other mental health issues are the leading cause of absenteeism in Ireland Musculoskeletal problems second most common reason for missing work Department of Public Expenditure & Reform “In the current economic climate, it is extremely encouraging to see how many companies have started to address the human capital challenge and are ready to further invest in their employees through workplace wellness programmes” – Klaus Schwab, Founder of the World Economic Forum (WEF)
- 16. WORKPLACE WELLNESS The Evidence – PWC (2008): 1. 30-40% average reduction in absenteeism 2. 50% reduction in workplace injuries Building the Case for Wellness (PWC: 2008) Workplace health initiatives: • Tailored for corporate needs • Supported by management and resources • Participation encouraged in a variety of ways • Evaluated for ROI
- 18. FULL HEALTH MEDICAL Clear and concise communication is an essential component to a person’s health and wellbeing Using plain English and simple icons, our reports transform complex medical data into a personalised analysis that includes recommendations, action plans and advice
- 19. FULL HEALTH MEDICAL International Society for Quality in Healthcare 20,000+ medical reports in Ireland & UK Over 100 companies have used our digital platform to deliver health checks to their staff
- 20. AGENDA The Situation Health in the Workplace 1 2 Community Health3 Recommendations & Summary4
- 21. THE IMPORTANCE OF COMMUNITY Particularly in rural communities, there are many people who have little or no interaction with the public health system These hard-to-reach citizens can be reached through community health initiatives and, if any health issues are identified, encouraged to (re)connect with their GP
- 25. AGENDA The Situation Health in the Workplace 1 2 Community Health3 Recommendations & Summary4
- 26. RECOMMENDATIONS Educate the public on the state of their health. Help them to undertstand what being healthy is, and why it is important to them and their families Engage with companies and local communities and encourage them to create their own health initiatives Empower each individual to make appropriate lifestyle changes that will allow them to live longer and more productive lives
- 27. SUMMARY The rising cost and prevalence of chronic conditions will soon become an unsustainable burden for the public health system We must invest in initiatives that educate the public about the state of their health – thus shifting some of the responsibility from healthcare professionals to indiviuals, employers, and local communities
- 28. DAVID’S STORY Completed a 6 week diet & exercise programme Reverted from pre-diabetic (Repeat fasting glucose = 5.3) Weight loss of 5kg over the 6 weeks
Editor's Notes
- Talk about my own background. State clearly why I’m here, why I have the credentials to be here, and why a representative from our company has been asked to speak on this topic “Chief Medical Officer for digital health company Full Health Medical. Jack trained at the Royal College of Surgeons in Ireland (RCSI) and has recently completed a Masters in Business Administration (MBA) at INSEAD in France. He has an interest in public health and in particular the role innovation from the private sector can play in tackling the challenges facing modern health systems, such as the rising cost and prevalence of chronic diseases. Jack has practiced medicine across a number of specialties in both Ireland & New Zealand”
- Aim in this section is to highlight the economic impact of not living healthily, using the case of a pre-diabetic participant in our recent programme with Andy Moran’s gym in Castlebar.
- The window for preventing chronic diseases is often missed simply for the want of a proper explanation. The financial implications of missing this window can be ENORMOUS Due to poor communication, tests are often repeated unnecessarily as the patient’s response is to keep repeating the test every 3-6 months to ensure it is not getting worse. David’s health check took a total of 15mins, but he had a meaningful health report walking out the door
- Direct costs = 5.6% of total health budget on a condition that affects only 1 in 20 people. Figures from 2014 – International Diabetes Federation (IDF)
- The previous takes into account only direct costs. Estimated to be >10% of budget when treatment of complications and lost work hours included.
- In 2010, the rate of clinically diagnosed diabetes for all adults aged 18 or older in Ireland was 3.2% (106,000 people). By 2020 the rate of clinically diagnosed diabetes among all adults aged 18 or older is expected to rise to 3.8% (136,000 people). This will represent a 28% increase in ten years
- And Ireland has certainly not been immune to this shift towards chronic disease. In 2007 nearly 852,000 adults in the Republic of Ireland (25.1%) had high blood pressure. By 2020 this is expected to rise to over 1,192,000 (28.3%). This represents a 40% increase in the numbers of people affected - an additional 341,000 adults - in less than 15 years.
- In Ireland, at least 60% of adults are overweight or obese.We now have the third highest level of obesity in Europe, coming just after hungary and the uK. Indeed, obesity levels in Ireland have risen dramatically over the past two decades; in 1990 only one in 10 Irish men were obese; that figure is now officially put at one in four. In the same period, obesity in women has risen from 13% to 21%.
- PERCENTAGE OF POPULATION REPORTING “GOOD” OR “VERY GOOD” HEALTH Well we believe that before people can do something about their health they first need to know that they actually have risk factors which they need to address. This seems to be particularLy important in Ireland where people, tend to be remarkably optimistic. As you can see, Irish people perceive themselves to be a healthier bunch on the whole than do any other European population. Irish people do not undertsand their own health!
- Based on 20,000 Full Health employee health checks in Ireland What do they have in common? Preventable, cheap and easy to diagnose, cheap to reverse before major adverse events
- Recognition of the growing problem of chronic disease and of the fact that these diseases which are caused by a build up of risk factors over many years, has led stakeholders to focus on the importance of prevention and to look at new ways of targeting those at risk. Approximately one third of adult life is spent at work. Employment is a key social determinant of health, and the workplace is recognised as a key avenue for health promotion. This has led to a shift in attitudes around workplace wellness, with employers expanding the concept of employee health beyond conditions acquired in the workplace to any condition which could potentially impact on employee performance
- This shift in attitude is also taking place in Ireland. A 2011 IBEC survey, for example, found that over one-third of respondents had engaged in employee health screening in the 12 months preceding the survey
- There was a change in sick leave scheme in 2014 (10% cut in number of employees, 20% pay cut) 9.5 days in 2013 – savings of €51m since then, but more can be done
- With this shift in attitudes has come a focus on employee health both in Ireland and internationally. The big question, of course, is whether this trend can result in improved health outcomes for employees. The evidence would seem to suggest that it does. Talk about different types of workplace wellness programmes. Make it fun! Can be competitive.
- Talk about how the company was formed, what our ethos is (educated people about their own health, thus empowering them to make their own health changes), our success so far, and our plans for the future.
- Most importantly each employee receives a personalised report which is easily readable and accessible and which will hopefully stimulate them to take whatever actions he or she needs to improve their health.
- 20,000 medical reports produced in Ireland & the UK and how this data is being presented at ISQua in Doha, Qatar next week Most importantly each employee receives a personalised report which is easily readable and accessible and which will hopefully stimulate them to take whatever actions he or she needs to improve their health.
- Talk about farmers turning up to ED in Cavan with medical conditions that could have been addressed years beforehand
- Health checks in 6 marts during November Difficult to reach cohort of the community. Incorporate Talk about how I have seen farmers with heart attacks in A&E who haven’t been to a doctor in years
- GAA’s Healthy Club Project – Perfectly positioned in the community to run health initiatives Have access to players’ families and supporters.
- 10,000 people screened for diabetes over just 3 days at the National Ploughing Championships Up to 24,000 people may have undiagnosed diabetes in Ireland
- Healthy Ireland initiative supports exactly this. Health must be adopted by everyone, not just healthcare professionals
- This will reduce the economic impact of ill health in the long run
- This was simple to do. Was achieved in a 15minute health check, which served as a huge wake-up call for David