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The Cost of Chronic Disease:. Work Environments That Promote Wellness Make $ ense By Vera Vos, FNP Presented To: OSIA 2012 Conference January 26, 2012. Life Expectancy. 1850 2012 Birth 40 years 80 years Age 10 58 years. Disability Adjusted Life Expectancy (DALE).
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The Cost of Chronic Disease: Work Environments That Promote Wellness Make $ense By Vera Vos, FNP Presented To: OSIA 2012 Conference January 26, 2012
Life Expectancy 1850 2012 Birth40 years80 years Age 1058 years
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."
TODAYS GOALS • What is chronic disease • How does it affect people • What causes chronic disease • What are the costs • To inspire you to make changes
Defining Chronic Diseases or Conditions • Non-Communicable • Degenerative • Prolonged in duration • Symptoms and tissue damage are progressive • Rarely Cured
Inflammation – An Immune System Response to Injury and Disease
Normal Function Artery Intestine Heart Glucose + Pancreas Insulin Muscle Fat
Diabetes Artery Intestine GLUCOSE Heart + Pancreas Insulin Muscle Fat
Causes of Chronic Disease Changes in food Changes in exercise
Fast, Fat, Sweet, Salty
Commercially Reproduced Artifical Products
On the move Or on the couch
The Numbers • 80% • 55% • 11.3% • 1 in 3 • 35%
The Cost - Direct Monthly Health Care Premium Costs 1999 2008 Employer $189 $392 Employee $35 $60 + >copay >deductibles Milken Institute, 2007
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.
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
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
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
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
“If we want things to stay as they are, things will have to change.”From the movie, The Leopard
Chronic Disease Preventable by changing habits
Health is Wealth Ralph Waldo Emerson
Creating A Culture of Health The 4 P’s Passionate, Persistent, Persuasive leadership and Participation by leadership
“It’s bizarre that the produce manager is more important to my children’s health than the pediatrician.” Meryl Streep
“Life expectancy would grow by leaps and bounds if green vegetables smelled like bacon.”Doug Larsen
TODAYS GOALS • What is chronic disease • How does it affect people • What causes chronic disease • What are the costs • To inspire you to make changes
Parting Words “Our current health crisis is just a series of opportunities disguised as insoluble problems.” John Gardner, Founder of Common Cause .