The Cost of Chronic Disease:
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Transcript of The Cost of Chronic Disease:
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The Cost of Chronic Disease:
Work Environments ThatPromote Wellness Make
$enseBy
Vera Vos, FNP
Presented To: OSIA 2012 ConferenceJanuary 26, 2012
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Life Expectancy 1850 2012
Birth 40 years 80 years
Age 10 58 years
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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."
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TODAYS GOALSWhat is chronic diseaseHow does it affect peopleWhat causes chronic diseaseWhat are the costsTo inspire you to make changes
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Defining Chronic Diseases or Conditions
Non-CommunicableDegenerative Prolonged in duration Symptoms and tissue damage are progressive
Rarely Cured
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Inflammation – An Immune System Response to Injury and
Disease
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Normal Function
Intestine
Glucose
Pancreas
+
Insulin
Artery
Heart
Muscle
Fat
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Diabetes
Intestine
Pancreas
+
Insulin
Artery
Heart
Muscle
Fat
GLUCOSE
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Atherosclerosis
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Slower
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Stiffer
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Sadder
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Stuffier
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Fatigued
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Painful
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Overweight and Obese
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Causes of Chronic Disease
Changes in food
Changes in exercise
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Fast, Fat, Sweet, Salty
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Commercially
Reproduced
Artifical
Products
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On the move
Or on the couch
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The Numbers 80% 55% 11.3% 1 in 3 35%
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The Cost - DirectMonthly Health Care Premium Costs
1999 2008
Employer $189 $392
Employee $35 $60 + >copay
>deductiblesMilken Institute, 2007
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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.
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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
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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
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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
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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
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“If we want things to stay as they are, things will have to change.”From the movie, The Leopard
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Are We The Frog?
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Chronic Disease
Preventable by changing
habits
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Workplace Wellness
Worth the
Investment?
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Health is WealthRalph Waldo Emerson
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Creating A Culture of Health
The 4 P’s
Passionate, Persistent, Persuasive leadership and Participation by
leadership
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“It’s bizarre that the produce manager is more important to my children’s health than the pediatrician.” Meryl Streep
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“Life expectancy would grow by leaps and bounds if green vegetables smelled like bacon.”Doug Larsen
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TODAYS GOALSWhat is chronic diseaseHow does it affect peopleWhat causes chronic diseaseWhat are the costsTo inspire you to make changes
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Parting Words
John Gardner, Founder of Common Cause.
“Our current health crisis is just a series of opportunities disguised as insoluble problems.”