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Crisis in the Commonwealth: Prevention is the Key

Crisis in the Commonwealth: Prevention is the Key. Presented by the. Health & Wellness Champion Capstone Team. Introduction. Health & Wellness Champion Capstone Team. Cheryl Brown, EPPC – Team Leader Cheryl Colvin, APA Brian Judy, OAG Vicki Newton, CHFS Jeanne Olivas, Personnel

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Crisis in the Commonwealth: Prevention is the Key

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  1. Crisis in the Commonwealth: Prevention is the Key Presented by the Health & Wellness Champion Capstone Team

  2. Introduction Health & Wellness Champion Capstone Team Cheryl Brown, EPPC – Team Leader Cheryl Colvin, APA Brian Judy, OAG Vicki Newton, CHFS Jeanne Olivas, Personnel Mike Sanders, Voc. Rehab.

  3. Environmental Background & History

  4. History • 1979-The Surgeon General’s Report on Health Promotion and Disease Prevention • 1980- Promoting Health/Preventing Disease: Objectives for the Nation • 1990-Healthy People 2000 • 2000-Healthy People 2010

  5. Goals • Two Goals • Increase the quality and years of healthy life • Eliminate health disparities

  6. Focus Areas Healthy People 2010 Focus Areas Immunization and Infectious Diseases Injury and Violence Prevention Maternal, Infant, and Child Health Medical Product Safety Mental Health and Mental Disorders Nutrition and Overweight Occupational Safety and Health Oral Health Physical Activity and Fitness Public Health Infrastructure Respiratory Diseases Sexually Transmitted Diseases Substance Abuse Tobacco Use Vision and Hearing Access to Quality Health Services Arthritis, Osteoporosis, and Chronic Back Conditions Cancer Chronic Kidney Diseases Diabetes Disability and Secondary Conditions Educational and Community- Based Programs Environmental Health Family Planning Food Safety Health Communication Heart Disease and Stroke HIV

  7. Approach • A set of 10-year, evidenced-based disease prevention and health promotion objectives • The result of an extensive collaborative process • A systematic approach for promoting Healthy People in Healthy Communities • A comprehensive set of national objectives • Addresses all determinants of health • Measures health status

  8. A Rich Data Resource • Healthy People draws from a variety of data sources • Healthy People reviews a large number of data points • Healthy People is the most comprehensive source of health data in the nation

  9. Implementation • State Plans • Consortium • Partnerships • Progress Reviews • Midcourse Review • Final Review

  10. Health Care Spending is on the Rise… 5% Health Promotion/Disease Prevention $1.9 Trillion 95% Direct Healthcare Treatment Cost Courtesy of Michael H. Samuelson, Senior Management Lead, Health & Wellness, 401-274-7234

  11. 1980 - $245 Billion ($1,066/Person) 2004 - $1.9 Trillion ($5,035/Person) Health Care Spending is on the Rise… Courtesy of Michael H. Samuelson, Senior Management Lead, Health & Wellness, 401-274-7234

  12. Health Care Spending is on the Rise… 1980 - $245 Billion 2004 - $1.9 Trillion 2012 - $4.3 Trillion Courtesy of Michael H. Samuelson, Senior Management Lead, Health & Wellness, 401-274-7234

  13. Leading High Risk Factors

  14. Leading High Risk Factors Kentucky is ranked 50th in the nation for smoking with 30.8% of our population that smoke

  15. Leading High Risk Factors Kentucky also ranks 50th for Cancer related deaths 47th for Cardiovascular deaths

  16. Leading High Risk Factors Smoking is the leading cause of lung cancer and emphysema. Some other health risk associated with smoking are: • Heart attack & Stroke • Cancer • -larynx • -mouth • -throat • -esophagus • -intestines • -bladder • -kidney • -pancreas • Lesser known risks • -Alzheimer’s • -lupus • -SIDS • -colic • -impotence • -rheumatoid arthritis • -snoring • -acid reflux • -breast cancer • -colon cancer • -thyroid disease

  17. Leading High Risk Factors Everyday, 3000 of our children and young teens in the US start smoking regularly and of those smokers one in three will die from smoke related disease. Children in a smoke free home are less likely to start smoking. -United Health Foundation.org

  18. BodyMassIndex Overweight = 25 – 29.9 BMI Obese = 30 - 34 BMI Obese II = 35 – 39 BMI Extreme Obesity = > 40 BMI “Kentucky ranks 46th in the nation in obesity with 25.6% with BMI of 30 or greater” -united health foundation/shr2004 NOTE: . Men are at risk who have a waist measurement > 40inches. . Women are at risk who have a waist measurement > 35 inches. Courtesy of Michael H. Samuelson, Senior Management Lead, Health & Wellness, 401-274-7234

  19. type 2 diabetes high blood pressure high cholesterol coronary heart disease congestive heart failure angina stroke asthma osteoarthritis musculoskeletal disorders gallbladder disease sleep apnea gout Poor female reproductive health pregnancy complications menstrual irregularities infertility irregular ovulation Cancers of the: uterus breast prostate kidney liver pancreas esophagus colon and rectum Overweight and obesity raise the risk for... Courtesy of Michael H. Samuelson, Senior Management Lead, Health & Wellness, 401-274-7234

  20. Costs associated with obesity risks… Annual medical costs (including drug costs) by weight groups median of medical cost ($) $4,000 $3,753 $3,500 $3,182 $3,184 $2,801 $3,000 $2,388 $2,500 $2,225 $2,000 $1,500 $1,000 $500 $0 under weight normal over weight obesity obesity II extreme obesity

  21. Obesity No Data <10% 10%-14% 15%-19% 20%-24%  25% Courtesy of Michael H. Samuelson, Senior Management Lead, Health & Wellness, 401-274-7234

  22. U.S. Obesity - 1985 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  23. U.S. Obesity - 1986 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  24. U.S. Obesity - 1987 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  25. U.S. Obesity - 1988 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  26. U.S. Obesity - 1989 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  27. U.S. Obesity - 1990 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  28. U.S. Obesity - 1991 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  29. U.S. Obesity - 1992 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  30. U.S. Obesity - 1993 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  31. U.S. Obesity - 1994 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  32. U.S. Obesity - 1995 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  33. U.S. Obesity - 1996 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  34. U.S. Obesity - 1997 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  35. U.S. Obesity - 1998 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  36. U.S. Obesity - 1999 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  37. U.S. Obesity - 2000 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  38. U.S. Obesity - 2001 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  39. U.S. Obesity - 2002 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  40. U.S. Obesity - 2003 No Data <10% 10%-14% 15%-19% 20%-24%  25%

  41. Costs associated with obesity risks… Life Expectancy 80 yrs 70 yrs Estimates of the number of years of life lost as a result of overweight and obesity range as high as 20 years of life lost for certain age and racial/ethic groups. For example, a 20-year-old white male could realize a 17% reduction in life due to obesity. 60 yrs 50 yrs 40 yrs 30 yrs 20 yrs 10 yrs 20–yr–old male/BMI = 24 20–yr–old male/BMI = >40 Courtesy of Michael H. Samuelson, Senior Management Lead, Health & Wellness, 401-274-7234

  42. Leading High Risk Factors • Physical Activity is the key to reversing the obesity trend • Those who exercise regularly are decreasing their risk for: • Coronary heart disease • Stroke • Colon Cancer • Diabetes • High blood pressure

  43. Leading High Risk Factors Despite the proven benefits of physical activity, more than 50% of American adults do not get enough physical activity to provide health benefits. Insufficient physical activity is not limited to adults. Daily participation in high school physical education classes dropped from 42% in 1991 to 32% in 2001 (CDC, 2002)

  44. State Employee Wellness Programs

  45. State Employee Wellness Programs • Employee Wellness Program Components • Educational materials • Screenings • Seminars • Fitness Centers • Health Fairs • Other services

  46. State Employee Wellness Programs • Incentives • Reduced insurance rates • Cash rewards • 401K Bonus • Medical Spending Account bonus • Exercising on work time • Small knick-knacks

  47. State Employee Wellness Programs • Options for Kentucky • Partner with insurance carriers • Increase budgets for cash incentives • Time off to exercise during workday • Partner with fitness clubs to get discounts • Make program available to all state employees

  48. Legislative Issues

  49. Legislative Issues 15 of the 50 states, or 30%, have legislation addressing the prevention of: • Obesity • Smoking • Stress Management • Promotion of Physical Activity California, Florida, Hawaii, Illinois, Indiana, Louisiana, Massachusetts, Minnesota, Mississippi, New Jersey, North Carolina, North Dakota, Ohio,Oklahoma, Texas

  50. Legislative Issues 12 states have legislation exempting food manufacturers, marketers, packers, distributors, advertisers, and sellers from civil liability for an individual's weight gain or obesity or for a health condition related to the weight gain or obesity. Missouri Ohio South Dakota Tennessee Utah Washington Colorado Florida Georgia Idaho Louisiana Michigan

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