The ACBG Edge is an process that allows construction companies manage the health and productivity risk of their employees. This complements American Construction Benefits Group\’s Lean Health Insurance Advantage. Together, these construction wellness processes create champion companies in 3 short years.
Helping Corporations reduce health care cost while by optimizing employee health with simple on site biometric testing, weekly phone conferences, as well as personal coaching and online tracking.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Matti Salakka 🐠
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
Dr John Wren
Principal Researcher Advisor
New Zealand Accident Compensation Corporation
PO Box 242, Wellington, New Zealand
john.wren@acc.co.nz
(P23, Thursday 27, Civic Room 3, 1.30)
Helping Corporations reduce health care cost while by optimizing employee health with simple on site biometric testing, weekly phone conferences, as well as personal coaching and online tracking.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Matti Salakka 🐠
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
Dr John Wren
Principal Researcher Advisor
New Zealand Accident Compensation Corporation
PO Box 242, Wellington, New Zealand
john.wren@acc.co.nz
(P23, Thursday 27, Civic Room 3, 1.30)
What are the cardiovascular disorders?
Public Health importance
Burden of disease
Risk factors of cardiovascular disorders
Causation
Prevention strategies
Global Action Plan for the Prevention and Control of NCDs
India - National programme (NPCDCS)
Cardiovascular Diseases among Agro-Allied Company Workers in Nigeria: A Case ...Premier Publishers
Mortality arising from cardiovascular diseases among the workforce in developing countries has been reported to be about twice as high as the mortality in developed countries and tends to occur much earlier than in the developed countries. A nested case-control study design was employed. The mean age of the respondents was 34 ± 9.7 years. The respondents were mostly males (90.6%), 65.1% were married and 83.1% were of the Yoruba ethnicity. Majority of the respondents (67.3%) were Christians and 83.7% had secondary education and above. Age, marital status, salary grade and religion were statistically associated with CVD status (p < 0.05). Being an office worker, earning the lowest income, being less than 50 years of age were significant predictors of CVD risk factors (p<0.05). Educational and behavioural intervention need to be implemented to encourage adoption of healthy lifestyle so as to reduce the cardiovascular risk factors among workers.
Health co morbidity effects on injury compensation claims in NZ, and evidence...John Wren
This PPT presents the results of a suite of research undertaken to explore the evidence for health comorbidity effects on the cost of injury compensation claims, and what might be done about them. Comorbidity effects were shown to add approximately 10% extra to the cost of claims. There is good evidence that workplace health and wellness programmes are effective if well designed
Lifestyle Medicine: The Power of Personal Choices, North American Vegetarian...EsserHealth
Learn about the leading chronic diseases in America and how Lifestyle Medicine can radically shift the burden of disease in your life and western society at large.
Arthritis herbal medicine background research- prevalence, life stages, causes, current medicines, constraints, nutrition, herbal medicines today, their limitations, options possible etc.
Metabolic syndrome is a complex condition represented by risk factors that affect many people in this generation. Metabolic syndrome is characterized as having three or more of the following conditions; cardiovascular conditions, abdominal visceral fat, increased blood pressure, obesity, and diabetes. The research correlates to the objectives of Healthy People’s 2020s mission statement of eliminating health disparities among all and improving quality of life for years to come, metabolic syndrome in particular targets the individuals showing a case of increased weight who later experience health concerns due to obesity.
This research identifies the risks of metabolic syndrome in specifics to African American women; their risks are higher than those of Caucasian women. Although the risks of MS can affect anyone, as this research will present it is more sever in African American women, the condition can be contained with recommended moderate high to low physical activity with duration of 30 minutes 3-5 times a week. The importance of physical activity is highly recommended for those at high risk of metabolic syndrome. This research is important in setting the stage for future intervention to better improve the quality of all individuals facing health concerns related to weight.
Slides on Diabetes in the South Focus on Prevention.2018hivlifeinfo
Learn how to overcome common barriers to diabetes prevention with this downloadable slideset.
Richard E. Pratley, MD
Format: Microsoft PowerPoint (.ppt)
File Size: 3.16 MB
Released: October 23, 2018
This presentation is a keynote address delivered by me in regional level conference of indian association of preventive and social medicine(IAPSM) in oct.2013 at goverment medical college haldwani,uttrakhand
Presentation by Janet S. Wright, MD, FACC, Executive Director, Million Hearts Initiative, Centers for Disease Control and Prevention and Centers for Medicare and Medicaid Innovation Center
HIV in USA
Outline:
The universal health coverage in US
Health policy in USA.
Comment about the individualism Vs collectivism in US.
Discuss main risk factors for CVD and the strategy to counter these risks.
Absolute contra-indications for liver transplantation.
Incidence, prevalence, & mortality of HIV/AIDS.
What are the cardiovascular disorders?
Public Health importance
Burden of disease
Risk factors of cardiovascular disorders
Causation
Prevention strategies
Global Action Plan for the Prevention and Control of NCDs
India - National programme (NPCDCS)
Cardiovascular Diseases among Agro-Allied Company Workers in Nigeria: A Case ...Premier Publishers
Mortality arising from cardiovascular diseases among the workforce in developing countries has been reported to be about twice as high as the mortality in developed countries and tends to occur much earlier than in the developed countries. A nested case-control study design was employed. The mean age of the respondents was 34 ± 9.7 years. The respondents were mostly males (90.6%), 65.1% were married and 83.1% were of the Yoruba ethnicity. Majority of the respondents (67.3%) were Christians and 83.7% had secondary education and above. Age, marital status, salary grade and religion were statistically associated with CVD status (p < 0.05). Being an office worker, earning the lowest income, being less than 50 years of age were significant predictors of CVD risk factors (p<0.05). Educational and behavioural intervention need to be implemented to encourage adoption of healthy lifestyle so as to reduce the cardiovascular risk factors among workers.
Health co morbidity effects on injury compensation claims in NZ, and evidence...John Wren
This PPT presents the results of a suite of research undertaken to explore the evidence for health comorbidity effects on the cost of injury compensation claims, and what might be done about them. Comorbidity effects were shown to add approximately 10% extra to the cost of claims. There is good evidence that workplace health and wellness programmes are effective if well designed
Lifestyle Medicine: The Power of Personal Choices, North American Vegetarian...EsserHealth
Learn about the leading chronic diseases in America and how Lifestyle Medicine can radically shift the burden of disease in your life and western society at large.
Arthritis herbal medicine background research- prevalence, life stages, causes, current medicines, constraints, nutrition, herbal medicines today, their limitations, options possible etc.
Metabolic syndrome is a complex condition represented by risk factors that affect many people in this generation. Metabolic syndrome is characterized as having three or more of the following conditions; cardiovascular conditions, abdominal visceral fat, increased blood pressure, obesity, and diabetes. The research correlates to the objectives of Healthy People’s 2020s mission statement of eliminating health disparities among all and improving quality of life for years to come, metabolic syndrome in particular targets the individuals showing a case of increased weight who later experience health concerns due to obesity.
This research identifies the risks of metabolic syndrome in specifics to African American women; their risks are higher than those of Caucasian women. Although the risks of MS can affect anyone, as this research will present it is more sever in African American women, the condition can be contained with recommended moderate high to low physical activity with duration of 30 minutes 3-5 times a week. The importance of physical activity is highly recommended for those at high risk of metabolic syndrome. This research is important in setting the stage for future intervention to better improve the quality of all individuals facing health concerns related to weight.
Slides on Diabetes in the South Focus on Prevention.2018hivlifeinfo
Learn how to overcome common barriers to diabetes prevention with this downloadable slideset.
Richard E. Pratley, MD
Format: Microsoft PowerPoint (.ppt)
File Size: 3.16 MB
Released: October 23, 2018
This presentation is a keynote address delivered by me in regional level conference of indian association of preventive and social medicine(IAPSM) in oct.2013 at goverment medical college haldwani,uttrakhand
Presentation by Janet S. Wright, MD, FACC, Executive Director, Million Hearts Initiative, Centers for Disease Control and Prevention and Centers for Medicare and Medicaid Innovation Center
HIV in USA
Outline:
The universal health coverage in US
Health policy in USA.
Comment about the individualism Vs collectivism in US.
Discuss main risk factors for CVD and the strategy to counter these risks.
Absolute contra-indications for liver transplantation.
Incidence, prevalence, & mortality of HIV/AIDS.
2013 Volvo C30 Brochure | Chicago Volvo DealerVolvo Of Lisle
Check out the 2013 Volvo C30 brochure provided by Volvo of Lisle in Lisle, IL. Find the 2013 Volvo C30 for sale near Chicago. To learn more about our current sales and incentives give us a call at (888) 579-9912. http://www.volvooflisle.com/index.htm
2013 Volvo S80 Brochure | Chicago Volvo DealerVolvo Of Lisle
Check out the 2013 Volvo S80 brochure provided by Volvo of Lisle in Lisle, IL. Find the 2013 Volvo S80 for sale near Chicago. To learn more about our current sales and incentives give us a call at (888) 579-9912. http://www.volvooflisle.com/index.htm
Telehealth for lifestyle interventions - Laurence Girard, FruitStreet - TFSSVSee
Risk of any chronic disease can be reduced by 80% simply through better diets, exercising, and not smoking. We know this, yet these lifestyle changes are notoriously difficult to make. Laurence Girard, FruitStreet founder shares why telemedicine is the game changer for lifestyle intervention and reducing our chronic disease and obesity crisis.
511vol. 14 • no. 5 American Journal of Lifestyle Medicine.docxstandfordabbot
511
vol. 14 • no. 5 American Journal of Lifestyle Medicine
AnAlytic
Abstract: There is overwhelming
evidence in the scientific and medical
literature that physical inactivity is a
major public health problem with a
wide array of harmful effects. Over 50%
of health status can be attributed to
unhealthy behaviors with smoking, diet,
and physical inactivity as the main
contributors. Exercise has been used
in both the treatment and prevention
of a variety of chronic conditions such
as heart disease, pulmonary disease,
diabetes, and obesity. While the
negative effects of physical inactivity
are widely known, there is a gap
between what physicians tell their
patients and exercise compliance.
Exercise is Medicine was established
in 2007 by the American College of
Sports Medicine to inform and educate
physicians and other health care
providers about exercise as well as
bridge the widening gap between health
care and health fitness. Physicians have
many competing demands at the point
of care, which often translates into
limited time spent counseling patients.
The consistent message from all health
care providers to their patients should
be to start or to continue a regular
exercise program. Exercise is Medicine
is a solution that enables physicians to
support their patients in implementing
exercise as part of their disease
prevention and treatment strategies.
Keywords: inactivity; exercise; vitals;
behaviors; referral
Physical inactivity underlies many
of the chronic conditions that
affect people worldwide, has an
astonishing array of harmful health
effects, and is associated with escalating
health care costs. For example, 7 cancers
have been linked to a physically inactive
lifestyle.1 Depression affects 17 million
Americans2 and has been directly linked
to insufficient physical activity.3
Alzheimer’s disease and related
dementias are increasing at a frightening
rate. By 2025, the number of people
aged 65 years and older with Alzheimer’s
disease is expected to reach 7.1 million
people. In the United States alone, more
than 30 million adults are estimated to
have diabetes,4 95% of whom have type
2 diabetes (T2DM). Considering that a
new case of diabetes is diagnosed every
21 seconds, it is no surprise that diabetes
is the most expensive disease in America,
coming in at a price tag of $327 billion
annually.5 Underlying the vast majority of
T2DM are unhealthy lifestyle behaviors
(poor nutrition and insufficient physical
activity leading to overweight and
obesity). In addition to T2DM, an
unhealthy lifestyle (including tobacco
use, excessive alcohol intake, poor sleep,
and stress) underlies prevalent and costly
chronic diseases (eg, heart disease and
cancer) leading to premature morbidity
and mortality.
While other determinants of health
(genetics, environment, and medical
care) influence health outcomes, by far
the most important factor contributing to
health outcomes is in.
Running head CREATING A PLAN OF CARE .docxsusanschei
Running head: CREATING A PLAN OF CARE 1
CREATING A PLAN OF CARE 10
Creating a Plan of Care
South University
NSG4055 Illness & Disease Management across Life Span
Professor
Creating a Plan of Care
The chronic disease selected for the plan of care is cardiovascular disease. This disease continues to pose major challenges not only for patients and their family members but also to the nation’s health care system. The rationale for choosing cardiovascular disease is because of the high rates of mortality and the effects of the co-morbidities associated with the chronic illness. According to Santulli (2013), cardiovascular disease is the single leading cause of fatalities in the United States, accounting for approximately 600,000 deaths annually. In 2011, approximately 26.6 million Americans were living with the chronic disease. The health care costs associated with the disease account for more than $500 billion annually. There are also many disparities in prevalence of risk factors, mortality, access to treatment and treatment outcomes based on race/ethnicity, socioeconomic status, gender, age and geographic area. Hence, tackling the disease should be a major priority for the US government. The main objective of the Healthy People 2020 initiative for cardiovascular disease is “improving cardiovascular health through early detection, prevention and treatment of the risk factors for stroke and heart attack”. This report outlines a comprehensive plan of care that can help in addressing and mitigating cardiovascular disease.
Holistic Plan of Care
Creating a holistic plan of care will indeed be essential for ensuring that people with chronic conditions such as cardiovascular disease lead a healthy life. Cardiovascular disease has a significant impact on the patient and the health care system. Apart from the emotional distress, patients with this condition also face some financial burdens, social burdens and increased levels of discrimination (Earnshaw & Quinn, 2012). In the course of completing the project, I administered a questionnaire to a coworker by the initials C.K. during week 2 to find out how she deals with the condition.
The questionnaire looked into various aspects such as family history, related medical conditions, the risk factors of cardiovascular disease, lifestyle choices and the coping strategies or support received by the patient. Understanding all these aspects can help in developing a well-managed care plan (Larsen & Lubkin, 2013). The results of the questionnaire revealed that C.K. observes healthy lifestyle, has the right levels of support and adheres to the medication regimen. All these factors helped her to cope effectively with the condition. However, even though she attested to leading a healthy lifestyle, C.K. also revealed that her family faced s ...
RunningHead: PICOT Question 1
RunningHead: PICOT Question 7
PICOT Question
Avery Bryan
NRS-433V
Professor Christine Vannelli
May 19, 2019
Clinical Problem
A report from the Center for Disease Control and Prevention in 2015 revealed that (9.4%) 30.3 million Americans are diabetic and 84.1 million have prediabetes. This is a total population of over 100 million is at risk of developing type 2 diabetes which is a growing health problem being the seventh leading cause of death in the U.S. An estimated 1.5 million new cases were among 18-year old bracket and the rates of diagnosed diabetes increased proportionally to age. Below 44 years accounted for 4%, below 64 years at 17 % and 25% for those above 65 years across both genders. One-third of adults in America has prediabetes but sadly, they are unaware despite reports released by The National Diabetes Statistics Report every year. These reports elaborate on prevalence and incidence, prediabetes, long-term complications, risk factors, mortality, and cost. Diabetes poses the risk of serious complications like death, blindness, stroke, kidney disorders, cardiac diseases and health problems that lead to amputation of legs. However, the risks can be mitigated through physical body activities, proper dieting and prescribed use of insulin and other related measures to control the blood sugar levels. Diabetes Prevention Program was funded by NIH to research a yearly evidence-based program to improve healthy weight loss through diet and physical activities. There also efforts to determine the effectiveness of public service campaigns in improving the real-life experience in the diagnosis and treatment of diabetes.
PICOT Question.
The population affected by diabetes cuts across all ages, gender, race, and ethnicity. The prevalence is significantly high from 18 years and it increases with age to about 25% above 65 years. In terms of gender, men are at higher risk accounting for 37% while women are at 30% across races and educational levels. On races, the rates were higher among Indians/Alaska natives at 15%, non-Hispanic blacks at 12.7% and Hispanics at 12%. Among Asians, the rates were lower at 8% and 7.4% for non-Hispanic whites.
Intervention indicator for diabetes shows that individuals who do not observe a healthy diet are more exposed to the disease. Some risk behaviors include lack of exercise and excessive intake of junk foods that lead to obesity and increased blood sugar levels. Diabetes prevalence varied according to education levels were those with less than high school education at 12.6% and 7.2% for those higher than high school education.
Comparison and use of a control group from the popularity of Complementary and Alternative Medicine and Traditional Chinese Medicine showed distinct knowledge of diabetes, blood sugar control, and self-care. The experimental group received education through interactive multimedia for three months while the control group received.
Investing in public health improves health and well-being while reducing the economic burdens of illness and disability- an important return on investment (ROI) for all Americans.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Firstbeat Technologies
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
The Chief Medical Officer of the FIA, Dr John Searle, spoke at the Annual Congress of the Chartered Society of Physiotherapy, in Liverpool on October 15. His subject was 'Fitness as a routine part of health care - pie in the sky or exciting possibility?' He summarised the present epidemic of diseases which result from a sedentary life style together with the ways in which exercise can promote health and reduce these risks. He stressed the importance of partnerships with health professionals including physiotherapists and looked forward to the day when a fitness professional would be part of every GP team in the country. The talk was well received and many questions came from the audience.
The Hidden Risk That Is Tearing Your Company Apart Acbg 3 30 10
1. The Hidden Risk That is Tearing Your Company Apart: Understanding Your Total Cost of Healthcare and its Impact on Your Profits Presented by: Steve Heussner March 30, 2010
33. Obesity The effects of obesity is similar to 20 years of aging. Obesity is a greater trigger for health problems and increased health spending than smoking or drinking. Individuals who are obese have 30% to 50% more chronic medical problems than those who smoke or drink heavily. National Business Group on Health Healthy Weight, Healthy Lifestyles Primary Fact Sheet
34. Obesity Overweight and obese individuals are at an increased risk for: Type 2 diabetes Heart disease Hypertension Endometrial, breast, prostate and colon cancers Respiratory problems Stroke Osteoarthritis Sleep apnea Gallbladder disease Poor female reproductive health Depression
35. Sleep Apnea Sleep disorder that causes excessive daytime sleepiness. Upper airway is blocked by relaxing soft tissue causing complete or partial obstruction. Breathing can stop from 10 seconds to 2 minutes. Episodes can occur from 5 to 100 times an hour.
36. Sleep Apnea Signs & Symptoms 92% of those diagnosed are male. Average BMI of 31 (Obese). Short, stocky neck (>17 inches). Snoring. Pauses in breathing at night. Waking up gasping or choking. Weight problems. High blood pressure.
37. Over 17 Million Undiagnosed Patients ~ 10 to 15% have been diagnosed 17 million Undiagnosed for OSA 3 million Treated for OSA 85% of OSA patients remain untreated
38. Prevalence of Sleep Apnea Logan et al. J. Hypertension 2001 Bassetti et al. Sleep 1999 Javaheri et al. Circulation 1999 Sjostrom et al. Thorax 2002 Schafer et al. Cardiology 1999
39. Schneider Study, 2004 - 2006 Tracked 339 driver associates with Sleep Apnea Evaluated safety performance and health care costs- 12 months before treatment and 12 months after treatment Findings:- Preventable crashes were reduced by 30%- Median cost of crashes reduced by 48%- Retention rate improved by 60% over fleet avg.- Health care costs reduced by over 50%- Health care savings of $539.00 per driver / month Expanded study in 2006 to 788 drivers – Similar results- Statistically analyzed by 3rd party
40. Schneider Study, 2004 - 2006 For every dollar invested into the program, their return on investment was a two to three dollar savings on medical and accident expenses A 200% increase in employee retention for those in their program as compared to the company overall Drivers treated for sleep apnea had a 73% reduction in accidents A 91% reduction in hospital admissions And an overall a 57% reduction in healthcare costs.
41. Avg. Hospitalization Expenses Avg. Physician Visit Costs $5,000 $7,500 $6,176 $3,972 $4,000 $6,000 $3,000 $4,500 $3,734 $1,969 $2,000 $3,000 $1,000 $1,500 $0 0 NON-OSA GROUP $1,969 OSA GROUP $6,176 NON-OSA GROUP $3,734 OSA GROUP $3,972 Individual Impact of OSA on Utilization Costs ¹ Kryger, et al. OSA Patients Use More Health Care Resources Ten Years Prior to Diagnosis. Sleep Research Online 1998:1(1):71-74
42. The Link Between OSA and Diabetes Diabetes affects nearly 21 million Americans (7% of population) Diabetes is the 6th leading cause of death in US 50% of people with type 2 diabetes also suffer from sleep apnea 1Centers for Disease Control and Prevention, National Diabetes Fact Sheet, 2005 2Babu, Ambika, R., et al. Type 2 Diabetes, Glycemic Control, and Continuous Positive Airway Pressure in Obstructive Sleep Apnea. Arch Intern Med 2005:165:447-452
43. Diabetes 23.6 million people or 7.8% of the population of the United States has diabetes. Cases of diabetes doubled from 1990 to 2005. Cases are expected to double again by 2030. The incidence of Type II Diabetes in adolescence has increased 10 times over the last decade and now constitutes just over 1/3 of new pediatric diabetes cases.
44. Diabetes is the 7th leading cause of death nationally, over 233,000 deaths per year. According to the National Center for Health Statistics, diabetes is the only major disease besides Alzheimer's with a death rate that continues to rise. Diabetes deaths have climbed 22% since 1990
45. Cost of Diabetes in the U.S. Total cost is $174 billion a year. Direct medical cost are $116 billion a year. Indirect costs are $58 billion a year (Disability, Work Loss, Premature Death). Annual health cost of a person with Type II Diabetes is 3.2 times the average American without diabetes.
46. Complications of Diabetes Of those with diabetes: 3 out of 5 people have 1 other serious health problem. 1 in 3 has two other serious health problems. 1 out of 10 has three other serious health problems. 1 out of 13 has four or more other serious health problems. Diabetes is the leading cause of adult blindness, lower limb amputation, kidney disease and nerve damage. Diabetes Sources: National Diabetes Fact Sheet of the National Center for Chronic Disease Prevention and Health Promotion; NCHS; CDC; ADA; AACE
47. “Behaviors drive 80% of disease, premature deaths, healthcare and productivity costs.” Michael D. Parkinson, MD, MPH, FACPM Former EVP, Chief Health and Medical Officer Lumenos/Wellpoint UM HMRC Wellness in the Workplace Annual Conference March, 2009
48. 70% of medical & Rx claims are from poor lifestyle choices 48 New England Journal of Medicine
49.
50. #1 Source of Calories in the U.S. = Soft Drinks Coca Cola (12 oz. can)
51. #1 Vegetable in the U.S. = French Fries McDonald’s Large Fries
54. Is Cancer Preventable by Behavior? “…one-third of the more than 500,000 cancer deaths that occur in the U.S. each year is attributed to diet and physical activity habits, including overweight and obesity, while another third is caused by exposure to tobacco products.” “Although genetic inheritance influences the risk of cancer, most of the variation in cancer risk across populations and among individuals is due to factors that are not inherited.” American Cancer Society Cancer Journal for Clinicians January 28, 2010
55. Behavioral Causes of Death Mokdad, A.H., Marks, J.S., et al. Actual causes of death in the United States. JAMA. 2004; 291:1238-1245.
75. Excess Self-Reported Major Diseases Associated with Excess Risks Percent with Disease High Med Risk Low Risk Age Range Musich, McDonald, Hirschland, Edington. Disease Management & Health Outcomes 10(4):251-258, 2002.
77. Costs Associated with Risks Medical Paid Amount x Age x Risk AnnualMedicalCosts High Med Risk Non-Participant Low AgeRange Edington. AJHP. 15(5):341-349, 2001
78. Spill Over Medical Costs Work Comp LTD & STD Absenteeism Presenteeism Productivity
79. Relative Value of Health to the Organization: Total Value of Health Medical & Pharmacy Worker’s Compensation Presenteeism Absenteeism STD LTD Time-Away-from-Work Edington, Burton. A Practical Approach to Occupational and Environmental Medicine (McCunney). 140-152. 2003
80. Health and Presenteeism The Institute for Health and Productivity Management coined the term “presenteeism”. The time when employees continue to work despite the presence of illness that reduces their productivity. Good health optimizes employee functionality; in other words, individuals who feel better also work better.
81. Total Disability Cost by Risk Status Wright, Beard, Edington. JOEM. 44(12):1126-1134, 2002
82. Estimated Loss of Productivity by Risk Status Burton, Chen, Conti, Schultz, Pransky, Edington. JOEM. 47(8):769-777. 2005 *p<.05, **p<.01
83. Excess Medical Costs due to Excess Risks $5,520 $3,460 $3,039 $2,199 Edington, AJHP. 15(5):341-349, 2001
84. Excess Disability Costs due to Excess Risks $1,248 $783 $666 $491 36% of Absence, STD, Worker’s Comp Wright, Beard, Edington. JOEM. 44(12):1126-1134, 2002
86. Association of Risk Levels with Corporate Cost Measures Wright, Beard, Edington. JOEM. 44(12):1126-1134, 2002
87. 2007 Duke University Medical Center Study Findings Study includes 11,728 employees from 1997 to 2004 Obese employees: Filed twice as many WC claims as non-obese. Had 7 times higher medical costs from those claims. Lost 13 times more days from work injury or work illness.
88. 1200% 1194% 1000% 755% 729% 800% 600% 430% 347% 400% 236% 191% 155% 118% 200% 100% 100% 100% 0% 18.5 - 24.9 BMI 30 - 34.9 BMI 35 - 39.99 BMI ?40 BMI (Recommended) (Obesity class I) (Obesity class II) (Obesity class III) Medical Claim Cost Workers Comp Cost Productivity/Lost Time Business Impact of Today’s Poor Health 72 Source: The McKinsey Quarterly, Dec 2008 Arch. Of Internal Medicine, April 2007
89. Other Areas Impacted by Poor Health Insurance premiums Retained losses Stop loss deductible payments Self-insured claims Internal administrative expenses Risk, safety & claims staffing HR workload
90. Direct and Indirect Burden of Illness Study Institute of Health and Productivity, Cornell University Using The Medstat Group’s database The study included 374,799 employees from 1997 to 1999 Reported on the financial consequences of the top 10 most costly and prevalent conditions
91. Direct and indirect burden of illness, by condition and service area (using $23.15/hour wage estimate).JOEM, Volume 46, Number 4, April 2004