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Cardiovascular Disease Management and Risk Reduction

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Title: Cardiovascular Disease Management and Risk Reduction


1
Cardiovascular Disease Management and Risk
Reduction The Business of Good Health
2
TI Automotive a global Tier 1 automotive
industry supplier employing 23,000 in 28
countries 4,200 employees in 29 US facilities
Health Navigators 10.10.06
3
GLOBAL FACTS
  • U.S.A 6,500/worker/year
  • GM 5.2 billion 2,223/car
  • Canada 800/worker/year
  • Toyota 186/worker/year
  • China/India

Source Newsweek, April 18, 2005
4
Claims Analysis
Health Navigators 10.10.06
5
COST of MANAGING CHRONIC DISEASE
References 1 The benefit and cost of prostate
cancer early detection. The Investigators of the
American Cancer Society-National Prostate Cancer
Detection Project (http//caonline.amcancers
oc.org/cgi/content/abstract/43/3/134) 2 Open
heart surgery vs. angioplasty long-term benefits
weighted (http//mednews.stanford.edu/releases/19
97/janreleases/hlatky.html) 3 Lifetime cost of
stroke in the United States (http//www.ncbi.nlm.
nih.gov/entrez/query.fcgi?cmdRetrievedbPubMedl
ist_uids8784113doptAbstract) 4 Cost
effective drug choices (http//www.consumerreport
s.org/mg/cost-effective-drug-choices/cedc_statins.
htm) 5 Cost Effectiveness of Statin Therapy for
the Primary Prevention of Major Coronary Events
in Individuals With Type 2 Diabetes
(http//care.diabetesjournals.org/cgi/content/abst
ract/26/6/1796) 6 Cost Of Treating Diabetes
Surges, US http//www.medicalnewstoday.com/medica
lnews.php?newsid56840
Health Navigators - 2006
6
Shock Claims
  • Diagnosis YTD Cost
  • Leukemia 383,082
  • Heart Transplant 279,863
  • Malignant Breast Cancer
    261,262
  • Fractured Neck 255,002
  • Renal Failure 222,482
  • Malignant Bladder Cancer
    214,443
  • Burns/Fractures 192,209
  • Intracranial Hemorrhage
    167,610
  • Cervical Spinal Stenosis
    162,615
  • Aortic Valve Disorder 160,632
  • Colon Cancer 151,520
  • Cranial Cancer 146,062
  • Rheumatoid Arthritis
    145,483
  • Uncontrolled Diabetes
    127,689
  • Lung Cancer 127,233
  • Lung Cancer 126,085
  • Lumbar Disc Displacement 124,702
  • Intestinal Obstruction 123,686

7
CVD R COSTS
x
1 LIPITOR 2 ZOCOR 3 PLAVIX
  • Averaged 417 CVD Prescriptions Per Month
  • 47,250 Per Month Cost to TI

8
FOCUS ON ROOT CAUSES
GOAL Reduce the At Risk Population
Heart Disease
High Risk
Elevated Lipids Abnormal Glucose High Blood
Pressure Overweight
Indicator
Shared Risk Factors
RISK REDUCTION
9
FOCUS ON ROOT CAUSES
The Logic of Targeting Heart Disease and Stroke
  • CVD is the number one killer in every city and
    county in the country.
  • CVD shares risk factors with certain cancers,
    diabetes digestive
  • disorders and other chronic diseases.
  • CVD is the 1 cause of death for people with
    diabetes

To reap the greatest benefits from wellness and
disease management programs, the employer must
target the most prevalent diseases within its
population. - Health Care at the Crossroads,
Page 34
10
ESSENTIAL ELEMENTS
  • Focuses on Cardiovascular Disease
  • Formally define provider/partner roles as part
    of the health plan
  • Includes health screening in benefits design
  • Follows evidence based medical standards
  • Stratifies risk based upon clinical findings
  • Directs high-risk to interventions that
    lower risk normalize lab values
  • Distributes non-compliant/un-successful into
    appropriate management

11
(No Transcript)
12
CREATIVE PLAN DESIGN
80/20
Base Plan
80/20
Participation In Screening Interventions
1000 Deductible
Premium Plan
250 Deductible
13
IDENTIFY ROOT CAUSES
Identify Associates at High Risk
HRA - BMI - Blood Pressure
- Glucose - Lipid Profile
14
ESSENTIAL ELEMENTS
  • Focuses on Cardiovascular Disease
  • Formally define provider/partner roles as part
    of the health plan
  • Includes health screening in benefits design
  • Follows evidence based medical standards
  • Stratifies risk based upon clinical findings
  • Directs high-risk to interventions that
    lower risk normalize lab values
  • Distributes non-compliant/un-successful into
    appropriate management

15
Cartersville Screenings
  • 98 Participation
  • 280 Screenings Conducted
  • 60 spouses
  • 32 Identified at High Risk
  • Cholesterol levels of 240 or higher
  • 29 Enrolled in Risk Reduction Program

16
ELIMINATE ROOT CAUSES
8 WEEK Risk Reduction
Tell me and I forget, Teach me and I remember,
Involve me and I learn. - Benjamin Franklin
Risk Reduction Dietitian
Aggressive Direction
Can Do Philosophy
17
PREVENTION
Why is By-Pass Surgery conservative And a Plant
Based Diet radical? -Dean Ornish
18
HEART DISEASE RISK
Number of Individuals At Risk Before and After
Risk Reduction Program
27
5
Start
Finish
19
WEIGHT Before and after program
BLOOD PRESSURE High readings - before and after
program
This was not a weight-loss program
203
190
7
2
Start
Finish
Test 1
Test 2
Average Weight Loss 13 lbs
20
Fall 2005 Screenings
  • 96 Participation
  • 2396 Participants Screened
  • 330 Identified at High Risk
  • Cholesterol levels of 240 or higher
  • 41 Newly Diagnosed Diabetics

21
HEART DISEASE RISK - Cholesterol
Number of Individuals at risk Pre and Post
Programs
330
Participants at risk
56
Participants at risk
?76
Start
Finish
22
BLOOD PRESSURE RISK
Number of Individuals at risk Pre and Post
Program
55
at risk
30
at risk
?45
Start
Finish
This was not a Blood Pressure Control Program
Blood Pressures are highly variable from day to
day Diastolic Blood Pressure only
23
WEIGHT CHANGE
Average Weight Pre and Post Programs
198.3
Average
193.5
Average
?4.8lbs
Start
Finish
This was not a Weight Loss Program 64 of
participants lost weight
24
TI Automotive Locations CVD Risk Reduction
Program Highlights
2005-2007
Data reported is through 04.02.07 - Health
Navigators
25
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26
ATTITUDE
Whether you think you can or think you cant.
Youre Right -Henry Ford
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