City Council December 20, 2011 Wellness Report
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Transcript of City Council December 20, 2011 Wellness Report
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City of San AngeloWellness Report
December 2011
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San Angelo, Texas
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Wellness ReportHealth Risk Assessments
• Summary of Health Risk Assessment Score
• Chronic Diseases
• Chronic Disease Risk Factors
• Employee Perception of Health
• Health Claims/Risk Factors
• Solutions
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Overall Wellness Rating
• Average wellness score for City of San Angelo employees is 67 (out of 100)
• 42% have a “health age” younger than actual age• 58% have a “health age” greater than or equal to age
Needs Improving
(20-59)26%
Excellent(80-100)
14%
Doing Well (60-79)
60%
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80/20 Rule• Generally, 80% of health care costs come
from 20% of the people
• As the number of health risks go up, so do the health care costs
• 15% of the City of San Angelo employees have 5 or more risk factors
(health claims are generally 3-4 times higher in people with 5+ risk factors)
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Chronic Diseases
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DiabetesDiabetes is 6th leading cause for death in US• 1/3 of people do not know they are diabetic• Type 2 diabetes is largely preventable• NIH Trial showed a 58% decrease in risk of developing
diabetes in people with prediabetes with diet and exercise.
City of San Angelo employees• 19% of employees have 0 - 2 risks – excellent, doing well
• 36% of employees have 3 - 4 risks – needs improving
• 45% of employees have 5+ risks – caution, high risk
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Heart DiseaseKeeping the heart in good condition is critical• Actively eliminate any known risk factors• 70 – 80% of heart disease is linked to modifiable
risks
City of San Angelo employees• 43% of employees have 0 - 1 risks – excellent, doing well
• 21% of employees have 2 risks – needs improving
• 35% of employees have 3+ risk factors – caution, high risk
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Cancer
Cancer is 2nd leading cause for death in US and leading cause for persons of working age.
• Eliminate any known cancer risks• Get proper cancer checkups for age and gender.
City of San Angelo employees• 50% of employees have 0 - 2 risks – excellent; doing well
• 27% of employees have 3 risks – needs improving
• 23% of employees have 4+ risks – caution, high risk
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Cancer Screenings
Starting 2012, the City will pay all cancer screenings at 100% without a deductible. (Formerly at 80% after deductible had been satisfied.)
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Modifiable Chronic Disease Risk Factors
contributing to all major diseases
• Nutrition (low fruit/veg, grain intake; high saturated fat intake)
• Excessive weight (BMI 30+)
• High blood pressure (140/90; 120/80 pre-hypertensive)
• No or low physical activity (1-4/wk)
• Smoking
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City of San AngeloChronic Disease Risk Factors
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Nutritional StatisticsGood nutrition lays the foundation for good health.
Choosing unrefined, plant-based, low-calorie, low saturated-fat foods can greatly decrease risk of heart disease, diabetes, and many cancers.
In the City of San Angelo:•675 people (82.9%) are at increased risk with 6+ nutritional risk factors.•422 (51.8%) are at high risk with 10+ nutritional risk factors.
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Employee Weights
Obese45%
Overweight40%
Healthy Weight
15%
Under Weight
0%
BMIHealthy weight 18.5 - 24.9Overweight 25 - 29.9Obese 30 - 34.9Very Obese 35+
17.9% of emp are very obese, beating national norm of 12%
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Employee Perception of Personal Health
90.5% think they are in good to excellent health
0.9%
8.7%42.9%
47.6%
Very good to excellent
Good
Fair
Poor
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Risk Factor/Health Claims# of
employeescost 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
15% of employees have 5 or more risk factors, influencing personal health for the individual,
as well as health care costs for the city.
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Estimated Excess Cost per Risk Factor (5 of 15 risks reported)
Emp Cost
• Overweight (BMI >27.5) 515 $781,794• High BP (140/90+) 309 $542,083• Low HDL (<40mg/dL)326 $323,966• Smokers 100 $176,079• Seat Belt Use (<100%) 130 $169,254
• Estimated excess cost $1,993,176• 10% compliance $ 199,317
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SOLUTIONS
Goal: Reduce modifiable risk factors
by 10%
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Solutions: Programs• Wellness Incentive Program – point system• Biggest Loser Contest for Employees• Programs
– Diabetes Education Classes– Smoking Cessation Class (Start date: January 2012)
– Wednesday Walking Group
• Group Class Opportunities– Label Reading Class with dietitian– Eat This, Not That– Lifestyle changes to lower cholesterol– The DASH diet (help lower BP)
• Exercise: How to get started
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Solutions: Health Management
• Utilize the city clinic, primary care providers and the wellness program to manage health of City of San Angelo employees.– Monthly monitoring of employees with 5+ risk
factors– Develop clinical protocols/pathways for
diseases– Routine follow-ups with employees
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Wellness ROI
Companies that invest in wellness generally see significant savings.
Average savings is $3.48/employee for every $1 invested.
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