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Future Wellness: Prevention as Cure

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

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

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. Harvard Business Review, January-February 2012

4 Balancing “Health” with “Care” to Avoid a Collision Course
9 Risks and behaviors Physical Inactivity Drive 15 Chronic Conditions Depression 80 Percent of healthcare costs Poor Stress Management Diabetes Excessive Alcohol Obesity Poor Diet - Obesity Cancer Insufficient Sleep Hypertension Tobacco Usage Coronary Artery Disease Aging Congestive Heart Failure Lack of Health Screening High Cholesterol-Lipids Standard of Care Lung Disease Kidney Disease 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 Asthma Aging is the preeminent risk factor for virtually all major illnesses that afflict U.S. adults” “The Transformative Process of Aging Science,” David Stipp, Alliance for Aging, 2012 Arthritis Allergies Sinusitis Back Pain Source: Adapted from 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company

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

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 Employee Wellbeing, Engagement and Business Impact
Wellbeing is the #1 driver of engagement at work, for most demographic groups Total Economic Value Increases Work Performance Increases Workforce Engagement Employer Bottom Line Community Wellbeing Total Medical Cost Decreases Productivity Engagement Absences Presenteeism Improve Wellbeing Hospitalizations Event Rates Disease Rates Lifestyle Risks Adopt or maintain healthy behaviors Mitigate health related risks Optimize care for health conditions The life expectancy at birth of the world is 67.2 years (65.0 years for males and 69.5 years for females) for 2005–2010, according to United Nations World Population Prospects 2006 Revision and years (64.52 years for males and years for females) for 2009 according to CIA World Factbook Women on average live longer than men in all countries, with the exception of Zimbabwe, Lesotho, Swaziland and Afghanistan. Many of the countries with the lowest life expectancies, namely Swaziland, Angola, Botswana, Lesotho, Zimbabwe, South Africa, Namibia, Zambia, Malawi, the Central African Republic, Mozambique, and Guinea-Bissau, are suffering from very high rates of HIV/AIDS infection Source: Adapted from “Wellbeing: The Five Essential Elements” by Tom Rath and James K. Harter, Ph.D. (Gallup Press) Page:

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 Colorado, Minnesota, Utah and Vermont rounded out the top five states with the highest wellbeing scores in 2012. WBA examines people’s ratings in life evaluation (whether they saw themselves as struggling or thriving), physical health (obesity, number of sick days taken over the month), emotional health (happiness, depression, stress), healthy behaviors (smoking, eating, exercising), work environment (job satisfaction, treatment at work) and basic access (safety in the neighborhood, access to medicine, doctor, health insurance). Minimizing employee stress from legal matters

9 Which Way to the Fountain of Youth?
Emotional, Physical, Social Wellbeing 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

10 What Will Healthcare Look Like in 2020?
4/13/2017 What Will Healthcare Look Like in 2020? We Are Moving to an Age of Genomic Medicine Current Future Source: Burrill & Company 10

11 Washington, D.C., March 28, 2012 – “Alliance for Aging” Press Event
Healthspan versus Lifespan “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 “Aging is a gradual process of decline that, while not caused by disease, increases the odds of grave illness. Aging is the preeminent risk factor for virtually all major illnesses that afflict U.S. adults” “The Transformative Process of Aging Science,” David Stipp, Alliance for Aging, 2012 Healthspan is now officially a word in Webster’s. We can increase Healthspan with drugs now under development. We can increase it by adopting healthier behaviors.

12 Healthspan vs. Lifespan
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 Longevity & Healthspan is an open access, peer-reviewed, interdisciplinary journal that publishes articles on all aspects of aging biology in the context of healthy aging or age-related disease. More specifically, the journal emphasizes advancing understanding of how age-related changes become risk factors for or accompany age-related diseases or conditions, and the biology underlying healthy aging and longevity. Researches have identified that aging is not an immutable process Extending healthy middle age from 60 to 80, would permit significant shifts in retirement ages and allow for a longevity dividend that stems the relentless tide of healthcare cost rise Age researchers estimate gaps varying from years in U.S. between healthspan and lifespan Source: Compression of Morbidity 1980–2011: A Focused Review of Paradigms and Progress. Journal of Aging Research, 2011

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14 The Buck Institute – A Healthspan Initiative TREATING CHRONIC DISEASES
EDUCATION PREVENTION HEALTHY LIFESTYLES TREATING CHRONIC DISEASES INTERVENTIONS TO EXTEND HEALTHSPAN

15 Healthcare Spending vs. Lifespan

16 Healthcare Spending vs. Lifespan

17 Healthcare Spending vs. Lifespan
Russia

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

19 Address drivers of costs in our healthcare system by:
4/13/2017 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 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 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! Oh yes, the price was some $3,995 in 1983 dollars. The company had invested fifteen years of research and $100 million in the advancement of cellular technology. 19

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 The MOTOACTV by Motorola is a fitness watch that includes a GPS and a digital music player. Plus, it will connect with a variety of ANT+ compatible heart rate monitoring sensors and bicycle sensors. Additional software is available to track your level of activity for up to 40 specific activities, ranging from cycling, golf (with virtual caddy software) and running to dancing and Pilates. The UP has no lights or displays, but it will vibrate and remind you to move if you have been sitting around too long.

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

22 Wellness Counseling: Some of Us Like Talking to Computers
Medication Adherence Agent A home-based counseling agent to promote antipsychotic medication adherence, designed for patients with Schizophrenia. 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 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 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. 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.

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

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 When Patients Transition Following Hospitalization Where Do They Go?

25 THANK YOU Thank You


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