Wellness Presentation Geril Therapy

1. Wellness PresentationGeril Therapy

2. Background of Principal • Adam Geril- • Bachelor of Science in Exercise Physiology-UMASS-Amherst • Masters of Science in Physical Therapy • Board Certified Orthopedic Specialist • Nationally Certified and State Licensed as an Athletic Trainer. • Practicing greater than 20 years. • Transitioned from employment to self employment last year • First independent contract won was that of a Health and Wellness Program for the Marion County Fire Rescue.

3. Background Continued • Jim Dalke • Risk Manager for the City and County for greater than 15 years • EMT • ISSA-Certified Personal Trainer • ARM-Associates in Risk Management

4. Health and Wellness • Not a new idea • Been around for over 30 years • Recent news of epidemic of Obesity • Hypertension • Chronic Diseases • Health and Wellness program value if understood could stand to make a significant dent in rising health care costs.

5. Health and Wellness • Regular physical activity, fitness, and exercise are critically important for the health and well being of people of all ages. Research has demonstrated that virtually all individuals can benefit from regular physical activity, whether they participate in vigorous exercise or some type of moderate health-enhancing physical activity. Even among frail and very old adults, mobility and functioning can be improved through physical activity. Therefore, physical fitness should be a priority for Americans of all ages. • Department of Health and Human Services

6. Chronic Diseases in the US • 12.6 million people have coronary heart disease; • 1.1 million people suffer from a heart attack in a given year; • 17 million people have diabetes; about 90% to 95% of cases are type 2 diabetes, which is associated with obesity and physical inactivity; approximately 16 million people have ‘pre diabetes’; • 50 million people have high blood pressure; and • Nearly 50 million adults (between the ages of 20 and 74), or 27% of the adult population, are obese; overall more than 108 million adults, or 61% of the adult population are either obese or overweight

7. There is No Downside to Exercise • In a 1993 study, 14 percent of all deaths in the United States were attributed to activity patterns and diet. Another study linked sedentary lifestyles to 23 percent of deaths from major chronic diseases.

8. Overweight • Overweight and obesity are increasing in both genders and among all population groups. In 1999, an estimated 61 percent of adults in the U.S. were overweight or obese; this contrasts with the late 1970s, when an estimated 47 percent of adults were overweight or obese.

9. Financial Consequences of Inactivity • individuals suffering from chronic diseases bear a substantial portion of these medical costs. A recent study demonstrated that obese individuals spend approximately 36 percent more than the general population on health services and 77 percent more on medications. Furthermore, the study found that the effects of obesity on health spending were significantly larger than effects of current or past smoking • $505 Billion • .

10. The Benefits of Exercise • Reduces the risk of dying prematurely from heart disease and other conditions; • Reduces the risk of developing diabetes; • Reduces the risk of developing high blood pressure; • Reduces blood pressure in people who already have high blood pressure; • Helps to maintain a healthy weight; • Helps build and maintain healthy bones, muscles, and joints; • Reduces feelings of depression and anxiety; and • Promotes psychological well-being.

11. Police, Detectives, and Guards-47% Firefighters-44% Construction Trades & Laborers-23% All Occupational Fatalities-15% As defined by the Bureau of Labor Statistics Comparison of Heart Attack Fatalities by Occupation (1990-2000

12. Starting a Wellness Program for • Start from the top down. • Buy in from members of a department is more apt to occur if there is leadership by Example and Support • Determine the Physicality of Job Demand • Bench Mark to peers • Education

13. Expected OutcomesData From Marion County Fire Rescue 04-05 Prior to Wellness Program ImplementationCost=Cost of Workers Comp Claim

14. Total SavingsIn One Year • $85,621.41

15. Five Year Look Back Marion County Fire Rescue (Work Comp Loss Run) Compared to Year of Wellness. Year of Wellness is defined as 2006 statistics compared to 2005. All numbers include Backfill costs, and exclude benefits.

16. Total Savings • Over a five year period the total savings inclusive of backfill costs, and excluding benefits is over a quarter of a million dollars ($315,847.15).

17. Cost Of The Program and What is Received • $134 per employee • Complete Fitness Evaluation • Interpretation of results-Individual outcome compared to peer group. • Energy Tracking (How many calories are used versus taken in) • Design of Fitness/Wellness program-Specific program based on individual need. • 3-6 month re-assessment-Document changes • Educational Modules on Wellness related topics-One time per quarter. • Optional • Blood Chemistry analysis • Training • Physician guidance

18. If there are any questions • Contact information • Geril Therapy • Physical Therapy/Health and Wellness • Adam Geril, MS, PT, OCS, ATC • Office: 352-236-1811 • Fax: 352-236-1818 • Email: ageril@geriltherapy.com • James A. Dalke, ARM, EMT, ISSA-Certified Personal Trainer: Director of Risk Management City of Ocala/Marion County: Retired • Email: usana1jim@yahoo.com • Direct Line: 352-572-0414