the complete health improvement program · 2012-11-05 · complete health improvement program 2013...
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The Complete Health Improvement Program
Healthnetwork Foundation Webinar
November 2013
Amy Mechley, M.D. The Christ Hospital Health Network
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Health Care Costs Chronic Diseases
Absenteeism
Presenteeism
Productivity
Optimal Health
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Why Is It So?... or how did we get here?!
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Obesity
Overweight 32%, obese 34%, morbidly obese 6%
SO ONLY 1/3 OF OUR POPULATION
IS OF NORMAL WEIGHT
Obese men 5.9 more sick days, women 9.4
Very obese lose 1 month of productive work per annum
Obese men $1152 in extra medical costs, women $3613
Source: Reuters, April 30, 2012
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Obesity
Source: Reuters, April 30, 2012
Obesity (BMI >40) increases the risk of:
Diabetes— 7x, escalating at 5% per year
High Blood Pressure— 6x
Heart Disease— 5x
Arthritis — 4x
Asthma— 3x
Sleep Apnea— 6x
Cancer of the Breast, Prostate, Colon, Cervix
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What We Eat
51% Refined,
Processed
Foods 42% Dairy &
Animal
Foods
Fruits,
Vegetables,
Grains and
Legumes 7%
USDA Agriculture
Fact Book
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U.S. Sugar Consumption
22
35
45
11 2
Teaspoons of sugar per person per day
1975
1825 1875
1900
2010
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Food Refining
= 1 Tablespoon of oil
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1945
Diabetes Trends (US 1945-2010) % of people with diabetes
by age
1965 2005 1985
25%
20%
15%
10%
5%
900% age
60+
age
40-59
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“You can expect one heart attack/year in an average hospital in an
average sized town”
Prevalence of Coronary Heart Disease in North America, 1928
Medical Textbook by Sir William Osler, MD
Today the number of heart attacks in the U.S….1.460.000 a year!
Heart Disease ….. Less than 100 Years Ago
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Bypass Surgery 400,000/year
averaging $60,000+ each
37-46% of vein grafts failed (75% narrowing) within 12 to 18 months
NEJM 2009, 361 (3) 235
Angioplasties & Stents 1,000,000/year
averaging $35,000 each
Heart Disease Today…
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Prescription Drugs
180,000*
fatal Adverse Drug Reactions 7.5% of all US deaths *Properly or improperly prescribed (cdc.gov/datastatisticsdrugenquirer.com)
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1960 1980 2000 2020
28 75
255
717
1,359
2,887
5,010 Medical Spending (in $ Billions) 75% on
Chronic Diseases
in % of GDP
5 7
9
12
14
18
20%
US Medical Cost Trends
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Why target lifestyle behavior? Lifestyle accounts for 75% of national medical costs1 and
associated chronic diseases.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Cancers Stroke Heart Disease Diabetes
71% 70%
82%91%
1. Centers for Disease Control,2006 Sources: Stampfer, 2000; Platz, 2000; Hu, 2001
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Causes of Premature Death and Major Illness in the U.S.
Lifestyles Heredity Environment Lack of Med Rx
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HEALTH
75% Lifestyle 10% Medical Care 10% Environment 5 % Genetics
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Influence of Behavior-Related Risk Factors on Medical Costs
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Stress : Cortisol
Obesity
Hypertension
Animal products, saturated fats, refined
carbohydrates ("carbs"), and sugars, and trans
fats (the type so prevalent in processed foods).
Tobacco
Etiology of Chronic Inflammation Examples:
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In the Sept. 15, 2010 issue of the American Journal of Cardiology, Cleveland Clinic surgeon
Caldwell Esselstyn, Jr., MD . . .
“Stents and bypass surgeries may have
their place, but for the vast majority of
patients they are not as effective as a
low fat, plant-based diet.”
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The Solution: Lifestyle Intervention
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Type 2 Diabetes
High Blood Pressure
Overweight and Obesity
Depression
Cancer
High Cholesterol
Coronary Disease
Arthritis
Diseases Influenced by Lifestyle:
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The Complete Health Improvement Program (CHIP)
CHIP was designed to: educate, motivate, and inspire individuals to make wiser lifestyle decisions to facilitate the prevention & reversibility of many of our chronic diseases.
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Complete Health Improvement Program 2013
Lifestyle intervention program
Corporate- 8 sessions @ 45 mins, group setting
Community- 18 sessions @ 90 mins, group setting
Practical Experience, Reinforcement, Behavior
Change Focus
“Whole of Health” approach
biometric pre/post data capture to prove results
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900% http://www.youtube.com/watch?v=y90LQtWML8A
VIDEO:
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Over 1170 peer-reviewed journal articles in med line
• Ornish
• Esselstyne
• Barnard
• Collins
• Diehl
Peer Reviewed Journal articles on lifestyle medicine :
nutrition therapy effective for chronic disease management
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50,000+ graduates
CHIP clinical results published over 20 peer reviewed journals
American Journal of Cardiology
The Journal of the American Dietetic Association
Preventive Medicine
Journal of Occupational & Environmental Medicine
significant ROI
CHIP Results
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3
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Rankin et al. Am J Cardiol. In press.
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Return on Investment (ROI)
Year 1 ROI Diabetic savings *Elevated Risk savings Program cost per member $600 $3558.80 $1411.00 ROI 5.9:1 2.3:1 Year 2 ROI Diabetic savings *Elevated Risk savings **$6717.60 $3577.00 ROI over 2 years (no additional cost) 11.2:1 5.9:1 *elevated risk members included both high risk and diabetic members **2 year savings were calculated by doubling year 1 savings for this group Additional Notes: - Based on 2 formal analyses of healthcare costs - ROI is calculated as investment divided by savings and is expressed as a ratio - Savings are the actual claims dollars difference between the participants in the CHIP intervention and the non- participants that were in the study with similar risks (the control group) - Program cost (investment) is $600; the retail tuition price per participant for corporate programs
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Quick 5 takeaways to start
1. Be intentional about your food, make sure it is food,
consider giving up processed foods.
2. More plants, less meat and dairy. (veggies, fruits, beans whole
grains and legumes…..lowers inflammation)
3. Move more every day by integrating activity into your daily
schedule ( stand-up or walking meetings, 10 flights daily, get
and use a pedometer.)
4. Seek silence in your day.
5. Invest in your health.
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900%
• www.chiphealth.org
• The China Study by Colin Campbell
• Forks Over Knives,
• Documentary....free on HULU or on netflix
• The Spectrum, by Dean Ornish www.ornishspectrum.com
RESOURCES