PP Dovvens

Slide1: 

Bridges to Health for Weight Management, Diabetes and Asthma A Comprehensive Health Promotion Model October 15, 2007 2007 Health Summit Live Healthy, Work Healthy

Presentation Overview: 

Presentation Overview Wellness a component of the health plan Our findings and program focus Bridges to Health: Weight Management Programs Bridges to Health: Asthma Bridges to Health: Diabetes Questions and Answers

Where does Indiana rank compared to other states in rates of obesity? : 

Where does Indiana rank compared to other states in rates of obesity?

Slide4: 

8th % obese in 2006 was 27.8% Source: CDC,2007 Type Source Here

Slide5: 

What are the most common causes of death in the US as it relates to obesity?

Slide6: 

Answers: # 1 --Diseases of the Heart; 700,00 related deaths in 2002 #6 --Diabetes; 73,000 related deaths in 2002 Source: National Center for Health Statistics, Health, US; 2005 Type Source Here

Slide7: 

An obese employee costs the Community Health Network __?__ times more than a healthy weight employee (BMI 18.5-25)?

Slide8: 

6 times

Slide9: 

The Community Health Network provides insurance premium incentives for healthy behaviors (no tobacco use, healthy BMI, healthy glucose levels, healthy blood pressure, healthy LDL). What % of employees receive at least some incentive each pay period?

Slide10: 

100% !

Slide12: 

What is the prevalence of asthma in the US? What is the prevalence of asthma in Indiana?

Slide13: 

Answers 13% in US 12.7% in Indiana American Lung Association – Trends in Morbidity and Mortality 2007

Slide14: 

Health Promotion Services Bridges to Weight Management

2004-2006 PEPY Claim Costs: 

2004-2006 PEPY Claim Costs

Bridges to Weight Management: 

Bridges to Weight Management

Stats of Eligible Participants*: 

Stats of Eligible Participants* Averages: BMI: 36.9 1150: have a BMI of 30-39.9 385: have a BMI of 40+ Weight: 225.8 Age: 43 Total Cholesterol: 188 Blood Pressure: 124/80 LDL “Bad” Cholesterol: 111 Glucose: 98 * There are 1,535 employees who have a BMI of 30+ and elected the Community Health Network insurance plan in 2007

Bridges to Weight Management: 

Bridges to Weight Management

Bridges to Weight Management: 

Bridges to Weight Management

Bridges to Weight Management: 

Bridges to Weight Management

Coronary Heart Improvement Program: 

Coronary Heart Improvement Program Program Success Number who participated: 130 Number who completed program: 102 (the following are average pts/lbs dropped per person) Total Cholesterol 33 LDL 28 Systolic BP 6 Diastolic BP 4 Pounds lost 11 BMI points decreased 2

Physician Supervised Weight Loss Program: 

Physician Supervised Weight Loss Program 68 employees referred to program BMI range: 40.3 to 65.8 (221-375 lbs) After 6 months in program participants have loss an average of 59.6 lbs 29 participants have lost 10% + of body weight 6have lost 20% + of body weight Biggest Loser to date has lost 77lbs (22%)

Total Pounds Lost: 

Total Pounds Lost To date the participants of Bridges to Weight Management have lost 2500 pounds! This is equivalent to the average weight of a giraffe!

Letter excerpts from participants: 

Letter excerpts from participants “I am off my blood pressure, cholesterol and diabetes medication. My doctor asked me, “what are you doing?” -CHIP participant “I have lost 14 lbs. but even more importantly I feel great…sleeping better, exercising daily, no heartburn, no TUMS, less stressed…I am well on my way to a lifestyle change for life!” -CHIP participant “For the first time in my life, I am controlling my eating!” -Whatever it Takes Support Group member “More significant than weight loss, is what I’m learning, which are lifelong skills towards better health…” -BTWM participant (letter to Mr. Corley)

Excerpts Cont’: 

Excerpts Cont’ “the effects of this program will be larger and will go far beyond what you will see in the bottom line financially at this early developmental stage of the program…” BTWM participant (letter to Mr. Corley) “Ruth Soper [health coach] checks in with me every 2 weeks and we talk about goals and where I see myself in the future…I can actually see my self living to see the future now thanks to all the support of this fabulous program.” BTWM participant (letter to Mr. Corley) “I have seen several of my patients who were unaware of their severe hyperlipidemia, hypertension; certainly addressing these issues can save lives…” Dr. Michael Baach, CPI physician

Slide26: 

Asthma & Diabetes Bridges to Health

Slide27: 

The Asheville Project

Slide28: 

Complete Enrollment Education Sessions Co-pay Waivers Meetings with Pharmacist Referrals as Needed Bridges to Health Program

Slide29: 

Asthma Statistics $19.7 billion in medical and indirect expenses 12.8 million office visits 1.7 million emergency department visits Nearly 500,000 hospitalizations 12.8 million missed school days 14.5 million missed work days Approximately 3,800 deaths annually American Lung Association – Trends in Morbidity and Mortality 2007

Slide30: 

Severe 36% Moderate 31% Mild 33% Asthma Severity Pediatric Pulmonology 1992. 13:95-100.

Slide31: 

Bridges to Health - Asthma Asthma Action Plan Peak Flow Meter Use Peak Flow Meter Results

Bridges to Health Asthma-Related Financial Measures (PMPM): 

Bridges to Health Asthma-Related Financial Measures (PMPM)

Slide33: 

Bridges to Health Asthma-Related Pharmacy Expenses (PMPM)

Slide34: 

Results: All Cause Medical/Rx Financial Measures (PMPM)

Slide35: 

Bridges to Health Quality of Life Measures

Slide37: 

I think that the Asthma Bridges to Health program is a stepping stone to maintaining and improving the health of Community Health Network employees.  It started with “A” – and I hope it continues through “Z”!  This is an excellent program for employees, not only because of the upfront financial cost savings, but also the support offered through the Pharmacy for employees with medical conditions which require ongoing management. 

Slide38: 

Community Health Network Demographics

Slide39: 

Clinical Measures Bridges to Health - Diabetes

Slide40: 

Clinical Measures Bridges to Health - Diabetes

Slide41: 

Preventative Measures Bridges to Health - Diabetes

Slide42: 

Diabetes Related Financial Measures (PMPM) Bridges to Health - Diabetes

Slide43: 

All-Cause Medical Financial Measures (PMPM) Bridges to Health - Diabetes

Slide44: 

Pharmacy Financial Measures (PMPM) Bridges to Health - Diabetes

Slide45: 

Pharmacy Financial Measures (PMPM) Bridges to Health - Diabetes

Slide46: 

Quality of Life Measures Bridges to Health - Diabetes

We would love to hear from you: 

We would love to hear from you Steve Zetzl Clinical Director, Pharmacy Managed Care Team (317) 621-7598 szetzl@ecommunity.com Chris Dobbins Director, Health Promotion Services (317) 621-7723 cdobbins@ecommunity.com Alesa Brown Preventive Care Services Manager (317) 621-7636 abrown2@ecommunity.com