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Future Wellness: Prevention as Cure Presented by: Denise M Kalos Vice President Business Innovation Lab Ural Congress for a Healthy Lifestyle 6 June 2013.

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Presentation on theme: "Future Wellness: Prevention as Cure Presented by: Denise M Kalos Vice President Business Innovation Lab Ural Congress for a Healthy Lifestyle 6 June 2013."— Presentation transcript:

1 Future Wellness: Prevention as Cure Presented by: Denise M Kalos Vice President Business Innovation Lab Ural Congress for a Healthy Lifestyle 6 June 2013

2 Agenda 2 The Rise of Prevention as a Healthcare Strategy Making Good Health Addictive: “Healthspan vs Lifespan” Wellness Programs “Next Practices” Future of Healthcare

3 3 Harvard Business Review, January-February 2012 Shifting Focus on “Health” vs. “Care” Even modest extensions of healthy lifespan could produce outsized returns of extended productivity, reduced caregiver burdens, lessened Medicare spending, and more effective healthcare in future years.

4 4 Balancing “Health” with “Care” to Avoid a Collision Course  The more unhealthy behaviors and risk factors people have, the exponentially higher their healthcare costs will be.  Concentrate your efforts on the areas that give you the best return  Continually re-engage employees, dependents, families with fresh approaches Physical Inactivity Poor Stress Management Excessive Alcohol Poor Diet - Obesity Insufficient Sleep Tobacco Usage Aging Lack of Health Screening 9 Risks and behaviors Depression Diabetes Obesity Cancer Hypertension Coronary Artery Disease Congestive Heart Failure High Cholesterol-Lipids Drive 15 Chronic Conditions Lung Disease Kidney Disease Asthma Arthritis Allergies Sinusitis Back Pain Source: Adapted from 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company Standard of Care 80 Percent of healthcare costs

5 AGING Stroke Arthritis Cataracts Frailty Heart Disease Type II Diabetes Cancer Neurodegeneration Aging - driving force in CHRONIC disease

6 6 I’m Stressed Financial situation Work Changes Work Schedule Work Relationships Influence/Control over how I do my work Personal Relationships Health Condition of family members Personal/Family commitments Personal Health Condition Family changes Other significant life event Caring for an Ill or aging family member Travel/commuting School School relationships Community or religious commitments 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company

7 7 Employee Wellbeing, Engagement and Business Impact Source: Adapted from “Wellbeing: The Five Essential Elements” by Tom Rath and James K. Harter, Ph.D. (Gallup Press) Page: Wellbeing is the #1 driver of engagement at work, for most demographic groups Improve Wellbeing  Adopt or maintain healthy behaviors  Mitigate health related risks  Optimize care for health conditions Total Medical Cost Decreases Work Performance Increases Total Economic Value Increases  Hospitalizations  Event Rates  Disease Rates  Lifestyle Risks  Productivity  Engagement  Absences  Presenteeism  Workforce Engagement  Employer Bottom Line  Community Wellbeing

8 8 A Broader View of Wellness: Wellbeing Research highlights the need for “whole person” wellness, that is, “Wellbeing” across five dimensions  Physical — overall health, energy/stamina; your numbers  Emotional — stress/anxiety, depression, intrinsic satisfaction, accomplishment, optimism, confidence, control, empowerment, safety, mental health  Social — work relationships, balance in work and personal life, equity, fairness, respect, social connectedness  Financial/Career - effectively managing your economic life; how you occupy your time; liking what you do in your professional life  Community - the sense of engagement with the area where one lives; volunteerism

9 9 Which Way to the Fountain of Youth?  Manage Stress : as the body goes, so goes the brain. Chronic inflammation takes a toll on aging bodies, causing cancer, heart disease, diabetes & depression  Keep Moving : the adult brain is changeable, subject to modification by life experiences, environment, and increased blood flow (e.g. via exercise)  Stay Trim : higher BMI (Body Mass Index) linked to lower brain volume in the elderly. The bigger the waistline, the smaller the brain  Eat Right : food choices that include antioxidants and inflammation fighters, boost brainpower and ability to fight off disease  Avoid tobacco use : smoking, essentially ages the brain, prematurely  Stay Connected : keeping up with friends or making new ones requires the brain to perform mental tasks  Keep Learning : new intellectual tasks stimulate the brain to form new connections, slowing the downsizing of the brain Emotional, Physical, Social Wellbeing

10 10 What Will Healthcare Look Like in 2020? Source: Burrill & Company CurrentFuture We Are Moving to an Age of Genomic Medicine

11 11 “Scientists who study aging now generally agree that it is realistically achievable to develop drugs that would greatly increase health in later life by slowing the aging process,” says Brian Kennedy PhD. and President, CEO of the Buck Institute for Research on Aging. “Based on what we’re able to do in the laboratory, I think we could extend human “Healthspan” by 15 percent – which would translate to an extra decade of good health for many people.” Washington, D.C., March 28, 2012 – “Alliance for Aging” Press Event Healthspan versus Lifespan

12 Healthspan vs. Lifespan 12  Lifespan, a common aging research metric, is how long we live from birth  Healthspan is how long we live from birth, with the best possible health Source: Compression of Morbidity 1980–2011: A Focused Review of Paradigms and Progress. Journal of Aging Research, 2011



15 Healthcare Spending vs. Lifespan


17 . Russia

18 18 Health Outcomes: Behavior Drives Premature Death Individual Behavior Drives 40% of Premature Deaths

19 19 We Are at the Beginning The convergence of technology is bringing about a radical change to all aspects of healthcare These changes are placing the patient at the center of healthcare and consumers in greater control of their own health Growing emphasis on wellness and healthy aging Behavioral change, not just therapeutic intervention, important Digital Health Will Touch All Aspects of Healthcare Motorola's DynaTAC 'Dynamic Adaptive Total Area Coverage' let you talk for 30 minutes, could go a full eight hours between charges, was 13 x 1.75 x 3.5 inches in dimension, boasted eight hours of standby time, took 10 hours to recharge, featured an LED display and memory to store thirty "dialing locations". Everyone wanted to be the first to get their hands on these awesomely unwieldy portable analogue brain-fryers. Woo hoo! Digital Health Will:  Change the way we access & deliver care  Enable more personalized healthcare  Improve decision making by providing better data  Enhance value by helping distinguish between what works and what doesn’t Address drivers of costs in our healthcare system by:  Changing unhealthy behaviors  Improving chronic disease management  Allowing for earlier medical interventions before health problems grow costly

20 20 For Healthier and Longer Living  Fitbit Ultra, includes an altimeter sensor that knows when you're taking the stairs. Create an online profile to start competitions among your friends and colleagues  The BodyMedia FIT armband is a 3D activity monitor that uses sophisticated skin sensors to detect how many calories you are burning by measuring changes in skin temperature and perspiration. Its wireless Internet connectivity lets you upload your progress and share that information with friends and colleagues  Quality of sleep can significantly affect your health. The Zeo Sleep Manager measures how much time you spent in REM sleep or deep sleep, and how many times you woke during the night.  High-tech Wristbands  MOTOACTV by Motorola  Microsoft Kinect for Xbox 360

21 21 Largest Potential Healthcare Impact: Connecting All the Dots Smartphones will be the key connector between people and their healthcare providers Individual Data ANALYSIS Electronic Health Records Insurance Records Prescription Records Work Records Clinical Notes Clinical Research Academic Research Better outcomes Cost effective treatments Personalized Care Prediction and Prevention Personalized Health Healthcare transformed

22 22 Wellness Counseling: Some of Us Like Talking to Computers  Timothy Bickmore, professor of computer & information science at Northeastern University, leads the Relational Agents Lab, that has run 12 clinical trials involving roughly 2,500 patients.  Relational Agents are computer agents designed to form long-term, social- emotional relationships with their users  Trials encompassed exercise promotion (both for older, low-literacy patients and for Parkinson's patients), a patient portal for promoting follow-up care, collecting family medical history, and explaining discharge summaries to hospital patients.  In all cases, patients interacting with an animated character, or relational agent, within their program were more active participants than those not working with an agent. Medication Adherence Agent A home-based counseling agent to promote antipsychotic medication adherence, designed for patients with Schizophrenia. Weight Loss Agent Weight Loss Agent A home-based Virtual Coach that promotes exercise and healthy eating, and automatically incorporates data wirelessly transmitted from pedometers. Multi-Behavior Change Agent Multi-Behavior Change Agent A web-based health counselor agent designed for a year-long intervention, promoting physical activity and ultraviolet radiation avoidance to prevent cancer. Exercise Agent for Older Latino Adults Exercise Agent for Older Latino Adults A community center-based exercise promotion agent, linguistically and culturally adapted for a population of Spanish-speaking Latino older adults Senior Exercise Agent A physical activity intervention for older adults with low health literacy, deployed in a geriatics clinic and designed to sustain long-term adherence.

23 23 2.4B Global Internet Users in 2012* - 8% Year Over Year Growth Driven by Emerging Markets

24 24 Next Practice: Web Based Wellness Portals Internet-based wellness portals designed to guide and educate the user –live longer –live healthier –live better Engagement –Data –Education –Gamification –Measurement –Feedback –Coaching

25 Thank You THANK YOU

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