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Diabetes in the Workplace

This presentation by Becky Goldsmith, RN, BSN, CDE, covers key aspects of diabetes, its prevalence, symptoms, costs, and management in the workplace, emphasizing the impact on employers and strategies for effective education and support. Learn about the economic burden, importance of diabetes management, and the successful program results with the City of Austin. Discover how bringing Seton's diabetes classes to your worksite can benefit your employees and reduce healthcare costs.

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Diabetes in the Workplace

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  1. Diabetes in the Workplace Presented by: Becky Goldsmith, RN, BSN, CDE Program Manager Seton Diabetes and Nutrition Education Center

  2. What You Should Know About Diabetes • 29.1 Million people in the U.S. have diabetes (9.3% of the population!) - Diagnosed: 21 million - Undiagnosed: 8.1 million!!! • 1.4 Million New Diagnoses each year

  3. 79 Million Americans Have Pre-Diabetes By 2025, 91 Million Cases Expected

  4. Diagnosis • Fasting Blood Sugar Above 125 • Random Blood Sugar 200 and Above, with symptoms • Hemoglobin A1C 6.5% or greater • Pre-Diabetes • Fasting Blood Sugar of 100 – 124 • Random Blood Sugar 140-199

  5. Common Symptoms • Excessive Thirst • Excessive Urination • Unexpected Weight Loss • Headaches • Fatigue • Often – No Symptoms at All

  6. Why is Diabetes Such a Costly Disease? Uncontrolled diabetes is associated with: • Heart Attacks, Strokes • Leading Cause of Kidney Failure • Leading Cause of Non-Traumatic Amputations • Leading Cause of Blindness

  7. Total Economic Cost of diagnosed Diabetes in the US • $175 million annually? • $124 billion annually? • $150 billion annually? • $245 billion annually?

  8. $245 Billion in 2012

  9. Breaking Down the Costs $176 billion direct medical costs $69 billion indirect costs - reduced productivity - lost days of work - premature death Source: http://www.diabetes.org/advocacy/news-events/cost-of-diabetes.html

  10. Largest Components of $176 Billion • Hospital Inpatient Care 43% • Prescription Medications 18% • Anti-diabetic agents & supplies 12% • Physician Office Visits 9% • Nursing/Residential Stays 8%

  11. Projected Diabetes Diagnoses and Costs http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/pdf/diabetes.pdf Source: http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/pdf/diabetes.pdf

  12. What Do We Know About Diabetes in the Workplace?

  13. Employers spend on average $4,413 more for employees with diabetes compared to employees who don’t have diabetes Source: National Business Coalition on Health Action Brief, Feb.2012

  14. People with diagnosed diabetes have medical expenditures 2.3 times higher than those without diabetes

  15. Diabetes in the Workplace For a company with 1000 employees: • 120 employees have diabetes • 34 of them are undiagnosed • 370 have pre-diabetes

  16. How Effective Diabetes Management Benefits Employers • A supportive environment builds dedicated employees • Well-managed diabetes results in: lower health costs for employer fewer lost days at work increased employee productivity

  17. Dazed and Confused

  18. Diabetes Education A Tremendous Return on Investment Reduces Hospitalizations and ER visits Every $1 invested in such training can cut health care costs by up to $8.76 Source: http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/pdf/diabetes.pdf

  19. What Seton Diabetes Education Has Done with the City of Austin • Began in 2013 • Delivered our Program to 800+ of their employees • 73 COA worksites and taught 219 classes • Employees are allowed to attend diabetes education during work hours • Program completion rate is 90%

  20. Seton Diabetes Program at City of Austin • Total of Two 4-hour classes (plus an extra class for those on injectable medications) • Quarterly meetings with a pharmacist • Annual Refresher Course • Diabetes Education and Pharmacy visit notes are communicated to employees’ physicians • Employees with Diabetes and Pre-Diabetes may self-refer

  21. Classes are Interactive and Cover: • Monitoring of Blood Sugar (receive a free meter) • Meal Planning and a lot of practice • Exercise Benefits and Recommendations • Short and long-term complication prevention

  22. Class Content (cont.) • Recommended Medical Care • Heart Healthy Nutrition Guidelines • Review of Food and Blood Sugar Records with Feedback • And Much More………….. Taught by Registered Nurses and Registerd Dietitians/CDEs

  23. Results at City of Austin • Medical costs PMPM were 21% lower than those not in the program • Decreased inpatient hospital stay by 11% • Decreased ER visits by 18% • Much higher compliance with recommended screenings/exams

  24. Worksites Where We’ve Taken Our Diabetes Classes • Texas Department of Transportation • State Comptrollers’ Office • University of Texas

  25. How To Bring Seton’s Diabetes Classes to Your Worksite Your role: • Schedule dates/times that work for your group • Provide a classroom that can accommodate 12-15 employees – conference style rooms work best • Send several emails announcing dates/times of classes • Provide an on-site contact person

  26. What’s Involved in Getting Seton’s Diabetes Classes at Your Worksite? Seton’s role: • We handle all registrations and reminder calls • We provide a Registered Nurse and a Registered Dietitian to teach the classes • We provide a free glucometer and all class materials • We send written record to each attendee’s physician regarding their participation and any medical concerns/safety issues

  27. What’s the Cost? • The State’s UHC HealthSelectPlan includes a Wellness Program called OptumHealth • Once scheduled with Seton Diabetes Education, we will facilitate their enrollment in OptumHealth • Once enrolled in Optum Health, diabetes education will be covered at 100%

  28. We Can Deliver Our Classes to Sites Outside of Austin Your site will need one the following: 1.A Video Conferencing Equipped Meeting Room OR 2.A computer Including: - Webcam - Internet Access - External speakers (optional) - Access to a projector (optional) Seton is capable of connecting your site to one of our video based Virtual Meeting Rooms (VMR) which will allow us to connect to you via a web browser.  No accounts will need to be set up in order to connect. 

  29. Other Worksite ProgramsCovered at 100%With A United Healthcare Referral

  30. At The Heart of Health Heart Disease Risk Reduction Program • Eight 1-hour classes • Personalized Risk Assessment • Weekly accountability with food diary and RD feedback • Emphasis on improving risk factors associated with heart disease

  31. Weigh to Health • Weight management program • Eight 1-hour weekly classes • Participants receive a personalized meal plan • Weekly motivational emails • Focus is on the Lifestyle Patterns Approach • Each participant’s individual eating, exercise and coping patterns will be identified • Strategies for addressing patterns • Interactive group support and peer coaching

  32. Interested in Hosting ClassesAt Your Worksite? Call Becky Goldsmith 512-324-3321 Bgoldsmith@seton.org

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