Creating a Culture of Health
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Creating a Culture of Health Steven Aldana, Ph.D. CEO WellSteps
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Creating a Culture of Health. Steven Aldana, Ph.D. CEO WellSteps. How Did This Happen?. Two Sides of the River Battle. Follow the Money. Capitalism Employment Politicians Tradition Greed. 50 Year Diabetes Prevalence in the U.S. - PowerPoint PPT Presentation
Transcript of Creating a Culture of Health
Creating a Culture of Health
Steven Aldana, Ph.D.CEO WellSteps
How Did This Happen?
Two Sides of the River Battle
• Capitalism• Employment• Politicians• Tradition• Greed
Follow the Money
50 Year Diabetes Prevalence in the U.S.
http://www.cdc.gov/nchs/data/nhis/earlyrelease/earlyrelease201206_14.pdf
USA
England
Canada
Austria
France
Korea
Percent Overweight
Milwaukee Health Report 2011 , WHO
USA
England
Canada
Austria
France
Korea
Milwaukee Health Report 2011 , WHO
Percent Overweight
How Did This Happen?
Two Sides of the River Battle
• Capitalism• Jobs• Politicians• Tradition• Greed
Follow the Money
Side Effect of Capitalism
Marketing Deception
IngredientsNonfat Yogurt (Cultured Pasteurized Nonfat Milk, Live and Active Cultures: S. Thermophilus, L. Bulgaricus, L. Acidophilus, Bifidus and L. Casei), Evaporated Cane Juice, Pomegranate Seeds, Pomegranate Juice Concentrate, Pectin, Natural Flavor, Locust Bean Gum, Fruit and Vegetable Juice Concentrate (For Color).
Health Claims Low fat Lowers cholesterol Part of a healthy diet Fat free Improves digestion Uranium free
Endorsements
Karachi, Pakistan
The Problem is: Food manufacturers: Salt, Sugar, Fat US Government Pharmaceutical companies Current health (disease) care system Technology, labor saving devices Greed
The Cavalry is NOT coming.
What is the Solution?
• Communities• Health Care Providers• Governments• Schools• Individuals• Businesses• Worksites
What is the Solution?
• Communities• Health Care Providers• Governments• Schools• Individuals• Businesses• Worksites
Employee-related
expenses
Unhealthybehaviors
Healthrisks
Chronicdisease
XAwareness
Motivation
Skills
Policy
=Effective WellnessPrograms
Reach Impact
Skills and Tools
Policy and Environment
Behavior Change Process
Motivation
Awareness and Education
Impact
Impact
Skills and Tools
Policy and Environment
Behavior Change Process
Motivation
Awareness and Education
Impact
5%
30%
25%
40%
Can Employees Improve Health Behaviors?
2.5
3.2 3.2
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
Baseline 1 year 2 year
Days of Exercise per Week (increase of 23%)
Popul Health Manag. 2012 Oct;15(5):261-6
120
198 193
100
110
120
130
140
150
160
170
180
190
200
Baseline 1 year 2 years
Minutes of Exercise per Week (increase of 53%)
Popul Health Manag. 2012 Oct;15(5):261-6
1.62
22.1
1.5
1.6
1.7
1.8
1.9
2
2.1
2.2
2.3
2.4
2.5
Baseline 1 year 2 year
Fruit Servings per Day(increase of 15%)
Popul Health Manag. 2012 Oct;15(5):261-6
2.05
2.4
2.5
2.0
2.1
2.1
2.2
2.2
2.3
2.3
2.4
2.4
2.5
2.5
Baseline 1 year 2 year
Vegetable Servings per Day(increase of 9%)
Popul Health Manag. 2012 Oct;15(5):261-6
Can Employees Improve Health Risks?
BMI
Merrill, et al, 2014 (JOEM)
Systolic BP
Merrill, et al, 2014 (JOEM)
Diastolic BP
Merrill, et al, 2014 (JOEM)
Cholesterol
Merrill, et al, 2014 (JOEM)
Glucose
Merrill, et al, 2014 (JOEM)
Can Employee Health Programs Prevent and Reverse Chronic Disease?
BD Medical
Diabetic
Pre- diabetic
Normal
Baseline 6 months 12 monthsAAOHN, 2006
BD Medical
Diabetic
Pre- diabetic
Normal
Baseline 6 months 12 monthsAAOHN, 2006
Can Employee Wellness Programs Lower Healthcare Costs?
• Self funded• Wellness program started in 2004• Behavior Change campaigns• Incentive program
Prev Med, 2011
Salt Lake County Wellness Program
$200
$300
$400
$500
$600
$700
$800
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Participants Non Participants
Ave
rage
Cos
t P
er C
laim
Prev Med, 2011
Salt Lake County Wellness Program
$200
$300
$400
$500
$600
$700
$800
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Participants Non Participants
Ave
rag
e C
ost
Per
Cla
im
Prev Med, 2011
Program Cost Program Savings ROI
$1,456,788($919,542 for incentives)
$4,841,898 $3,385,110
Cost Benefit Ratio of 3.32
Prev Med, 2011
XAwareness
Motivation
Skills
Policy
=Effective WellnessPrograms
Reach Impact
Employee-related
expenses
Unhealthybehaviors
Healthrisks
Chronicdisease
Summary
• Our poor health is caused by our unhealthy culture• Few organizations are motivated to change this
culture• Worksites are succeeding at improving population
health• Wellness efforts with both Reach and Impact
improve health and save money
Lifespan in years
Mor
bidi
ty
760
critical illness
Ann Intern Med, 2003:139:455-459
Lifespan in years
Mor
bidi
ty
0 ?76 86
critical illness
End of Life Benefits
Lifespan in years
Mor
bidi
ty
Lifespan in years
Mor
bidi
ty
10-20 Years
End of Life Benefits
Lifespan in years
Mor
bidi
ty
End of Life Benefits
Lifespan in years
Mor
bidi
ty
End of Life Benefits
Lifespan in years
Mor
bidi
ty
End of Life Benefits
Lifespan in years
Mor
bidi
ty
