The Cost of Chronic Disease:

Work Environments ThatPromote Wellness Make

$enseBy

Vera Vos, FNP

Presented To: OSIA 2012 ConferenceJanuary 26, 2012

Life Expectancy 1850 2012

Birth 40 years 80 years

Age 10 58 years

Disability Adjusted Life Expectancy

(DALE) "The position of the United States is

one of the major surprises of the new rating system," says Christopher Murray, M.D., Ph.D., Director of WHO's Global Programme on Evidence for Health Policy. "Basically, you die earlier and spend more time disabled if you’re an American rather than a member of most other advanced countries."

TODAYS GOALSWhat is chronic diseaseHow does it affect peopleWhat causes chronic diseaseWhat are the costsTo inspire you to make changes

Defining Chronic Diseases or Conditions

Non-CommunicableDegenerative Prolonged in duration Symptoms and tissue damage are progressive

Rarely Cured

Inflammation – An Immune System Response to Injury and

Disease

Normal Function

Intestine

Glucose

Pancreas

+

Insulin

Artery

Heart

Muscle

Fat

Diabetes

Intestine

Pancreas

+

Insulin

Artery

Heart

Muscle

Fat

GLUCOSE

Atherosclerosis

Slower

Stiffer

Sadder

Stuffier

Fatigued

Painful

Overweight and Obese

Causes of Chronic Disease

Changes in food

Changes in exercise

Fast, Fat, Sweet, Salty

Commercially

Reproduced

Artifical

Products

On the move

Or on the couch

The Numbers 80% 55% 11.3% 1 in 3 35%

The Cost - DirectMonthly Health Care Premium Costs

1999 2008

Employer $189 $392

Employee $35 $60 + >copay

>deductiblesMilken Institute, 2007

In 2005 Starbucks paid more for employee benefits than they did for coffee. Instead of cutting benefits they laid off 6,000 people and closed 300 stores.

The Cost - Direct US

Oregon

2003 $277 billion $3.4 billion

2013 $513 billion $7.7 billion

2023 $790 billion $11.1 billion Milken Institute, 2007

The Cost – IndirectLost Productivity

Absenteeism – Work missed due to sick days

Presenteeism – Occurs when workers come to work but perform below par due to effects of chronic disease

The Cost – Loss of Productivity

US Oregon

2003 $1.1 trillion $13.1 billion

2013 $3.3 trillion $30.4 billion

2023 $3.4 trillion $43.5 billion

Milken Institute, 2007

The Cost Direct + Indirect

US Oregon

2003 $1.3 trillion $16.5 billion

2013 $3.1 trillion $38.1 billion

2023 $4.2 trillion $54.5 billion

“If we want things to stay as they are, things will have to change.”From the movie, The Leopard

Are We The Frog?

Chronic Disease

Preventable by changing

habits

Workplace Wellness

Worth the

Investment?

Health is WealthRalph Waldo Emerson

Creating A Culture of Health

The 4 P’s

Passionate, Persistent, Persuasive leadership and Participation by

leadership

“It’s bizarre that the produce manager is more important to my children’s health than the pediatrician.” Meryl Streep

“Life expectancy would grow by leaps and bounds if green vegetables smelled like bacon.”Doug Larsen

TODAYS GOALSWhat is chronic diseaseHow does it affect peopleWhat causes chronic diseaseWhat are the costsTo inspire you to make changes

Parting Words

John Gardner, Founder of Common Cause.

“Our current health crisis is just a series of opportunities disguised as insoluble problems.”