Work Site Solutions and Wellness Programs

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Work Site Solutions and Wellness Programs
Premila Mary Kumar Senior Clinical
Manager Health and Wellness Education Programs
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Facts about Obesity

• Recent estimates state obesity accounts for 117
  billion per year in national healthcare
  expenditures
• 2/3 of American adults are overweight or obese
  (BMI gt25)
• 14 of adolescents 12-19 years old are overweight
• 300,000 deaths each year are related to obesity
• Obesity on verge of surpassing smoking as 1
  cause of preventable death
• Obesity is a factor in increase of disability
• Diabetes rates will double worldwide by 2030

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Causes of Obesity

• Greater calories consumed than used
• Sedentary lifestyle
• Genetics
• Metabolism
• Behavior
• Environment
• Cultural influences
• Socioeconomic influences
• National Center for Chronic Disease Prevention
  and Health Promotion

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Conditions Affected by Obesity

• Diabetes Mellitus
• Arteriovascular Disease (CAD, CVD, HTN,
  Hyperlipidemia)
• Heart Failure
• COPD
• ESRD (DM, HTN)
• CA (many forms)

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Healthcare Implications of Obesity

• 65 of Americans are overweight or obese
• Additional expenses for employers
• Disability
• Absenteeism
• Presenteeism
• Orientation
• Impact on children
• 1st generation that will not outlive their
  parents
• Unchecked, the cost of healthcare in our
  childrens generation will be staggering

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Whos in Control of Your Health?
Contributing Factors to an Individuals Health
Status
Source Centers for Disease Control and Prevention
(2000) Retrieved August 11, 2003, from
http//www.cdc.gov
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How Health Impacts Business CostsThe Payback
from Behavior Change
Infections
Arthritis
Asthma
Any Cancer
Depression/ Sadness Mental Illness
Hyper- tension
Migrane/ Headache
Allergy
Diabetes
Heart Disease
Source Goetzel, Long, Ozminkowski, et al. JOEM
464, April ,2004)
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What has Horizon BCBSNJ Done?
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Horizon BCBSNJ Wellness Programs

• Employee Health Center
• Pharmacy Concierge Services
• Onsite LabCorp laboratory services
• Onsite Fitness Center
• Mobile Mammography
• Free Flu vaccines for all employees
• Employee Assistance Program

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Horizon BCBSNJ Wellness Programs

• Healthy food choices offered in the cafeteria
• Disease Management Programs
• Lactation Rooms
• Employee Discount Program
• Web MD online resources
• Shape it Up Program in Schools
• Horizon Health Kiosk Program
• Horizon Walks for Health
• Community / Corporate Wellness Program

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Horizon Health Kiosk
Better health through awareness
In our continuing dedication to Making Healthcare
Work, Horizon Blue Cross Blue Shield of New
Jersey is making it easier for you to take an
active role in managing and enhancing your
overall health and well-being through the Horizon
Health Kiosk.
A barcode is used to access the System. The
system recognizes and welcomes the user,
prompting you to select an ID and password.
This allows measurement data to upload into a
private, protected graphical health
chart, viewable from any computer.
at ltwww.lifeclinic.comgt. You can access health
information, obtain information about
medical conditions you may have and record and
track changes important to you and your physician
in choosing and monitoring treatment. You can
also learn various ways to make positive health
changes to your lifestyle. Charts and reports may
be printed to help you discuss lifestyle modificat
ions and treatment changes with your physician.
M
any medical conditions, such as
hypertension, can be affected by
the way you live your life. It is
not only beneficial to live a heart-
healthy life, but it is important to
manage your own health
conditions and monitor your vital
signs.
The Horizon Health Kiosk provides the
information, resources and tools to help you
become aware of, and actively involved in,
the management of your health and any risk
factors you may have. It has an interactive
touch-screen with color graphic display, allowing
you to measure weight. blood pressure.
heart rate. body fat. BMI. blood oxygen
levels.
The Horizon Health Kiosk is one more way were
Making Healthcare Work for our members.
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www.Horizonblue.com
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Health Risk Assessment and Analysis
Interview-style input
Immediate Results / Comparison to Universe of
peers
Highlights Risk Factors and Action Steps
Horizon generates output for use in Disease Mgmt,
Prevention, Group Reporting, etc.
Confidential
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Weight Management Health Education Program

• Welcome Kit with Tape Measure, Caloric Counter /
  Diary, Pedometer etc
• Tape Measure to assess waist circumference and
  waisthip ratio
• Educational Materials
• Access to Registered Nurses, Registered
  Dietician, Social Worker Certified Diabetes
  Educators
• Onsite Lunch Learn programs
• Quarterly Educational Mailings
• Newsletters discussing hot nutritional topics
• Discount exercise programs
• Cook Shops at Employer worksite

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Weight Management Health Education Program
Outcomes Measurements

• Weight loss or reduction
• Reduction in Body Mass Index (BMI)
• Waist circumference
• Clinical Metrics Cholesterol, Blood Sugar,
• Blood pressure A1c
• Number of ER or Inpatient admissions due to co
  morbid
• conditions

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Weight Loss/Waist Measurements

• Overall, about 50 of members who have
• participated in the Weight Management
• Health Education Program have lost weight,
• and a third have lost 11 pounds or more.
• Members who received written
• materials or have been contacted by a
• Care Specialist are more likely to say
• they have lost weight.
• About forty percent of members have
• measured their waist since participating
• in the Weight Management Education
• Program.
• Of those members, nearly 70 say
• they noticed a decrease in their
• waist measurement and 40 had
• a decrease in their clothing size.

Q9a Since you began participating in the Weight
Management Health Education Program, have you
lost weight? Q9b Since you began participating
in the Weight Management Health Education
Program, how much weight have you lost? Q9c
Since participating in the Program, have you
measured your waist? Q9d Have you noticed a
decrease in your waist measurement? Q9e Have you
had a decrease in your clothing size?
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Members Overall Health/Absenteeism

• Over 60 of members believe they are in very good
  health and rarely get sick, miss work/school or
  daily activities.
• Almost three-quarters (74) of members currently
  work full or part-time outside of the home.
• And of those members, almost none (99) have
  missed any days at work because of any
  weight-related health problems in the past four
  weeks.

Members Overall Health
Q13 How would you describe your overall
health? Q14 Do you currently work full or
part-time outside of the home? Q15 In the past 4
weeks did you miss any days at work because of
any weight related health problems?
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Proposed Horizon Service Delivery
ModelCoordinated Approach
Nurse Line
On Site Clinical Resources
Participant
Claims / Predictive Modeling
Integrator / Navigator / Dispatcher
High Risk/Acuity
Moderate Risk/Acuity
Health Risk Appraisal
Low Risk/Acuity
Data Warehouse Comprehensive Reporting
Outcomes
ROI
includes health coaches and web based and
telephonic programs
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In Conclusion

• Lifestyle change and education promotes
• decreased prevalence of obesity
• Diet
• Exercise
• Behavior Modification
• Improves overall health
• Decreases healthcare costs

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Questions or Open Discussion?