Presentation on theme: "Future Wellness: Prevention as Cure"— Presentation transcript:
1 Future Wellness: Prevention as Cure Ural Congress for a Healthy Lifestyle6 June 2013Presented by:Denise M KalosVice PresidentBusiness 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 9Risks and behaviorsPhysical InactivityDrive15Chronic ConditionsDepression80Percent of healthcare costsPoor Stress ManagementDiabetesExcessive AlcoholObesityPoor Diet - ObesityCancerInsufficient SleepHypertensionTobacco UsageCoronary Artery DiseaseAgingCongestive Heart FailureLack of Health ScreeningHigh Cholesterol-LipidsStandard of CareLung DiseaseKidney DiseaseThe 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 returnContinually re-engage employees, dependents, families with fresh approachesAsthmaAging 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, 2012ArthritisAllergiesSinusitisBack PainSource: Adapted from 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company
5 Aging - driving force in CHRONIC disease NeurodegenerationFrailtyCancerAGINGStrokeCataractsType IIDiabetesHeartDiseaseArthritis
6 I’m Stressed Financial situation Work Changes Work Schedule Work RelationshipsInfluence/Control over how I do my workPersonal RelationshipsHealth Condition of family membersPersonal/Family commitmentsPersonal Health ConditionFamily changesOther significant life eventCaring for an Ill or aging family memberTravel/commutingSchoolSchool relationshipsCommunity or religious commitments2012 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 groupsTotal Economic Value IncreasesWork Performance IncreasesWorkforce EngagementEmployer Bottom LineCommunity WellbeingTotal Medical Cost DecreasesProductivityEngagementAbsencesPresenteeismImprove WellbeingHospitalizationsEvent RatesDisease RatesLifestyle RisksAdopt or maintain healthy behaviorsMitigate health related risksOptimize care for health conditionsThe 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 infectionSource: 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 dimensionsPhysical — overall health, energy/stamina; your numbersEmotional — stress/anxiety, depression, intrinsic satisfaction, accomplishment, optimism, confidence, control, empowerment, safety, mental healthSocial — work relationships, balance in work and personal life, equity, fairness, respect, social connectednessFinancial/Career - effectively managing your economic life; how you occupy your time; liking what you do in your professional lifeCommunity - the sense of engagement with the area where one lives; volunteerismColorado, 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 WellbeingManage Stress: as the body goes, so goes the brain. Chronic inflammation takes a toll on aging bodies, causing cancer, heart disease, diabetes & depressionKeep 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 brainEat Right: food choices that include antioxidants and inflammation fighters, boost brainpower and ability to fight off diseaseAvoid tobacco use: smoking, essentially ages the brain, prematurelyStay Connected: keeping up with friends or making new ones requires the brain to perform mental tasksKeep 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? 4/13/2017What Will Healthcare Look Like in 2020?We Are Moving to an Age of Genomic MedicineCurrentFutureSource: Burrill & Company10
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, 2012Healthspan 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 birthHealthspan is how long we live from birth, with the best possible healthLongevity & 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 processExtending 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 riseAge researchers estimate gaps varying from years in U.S. between healthspan and lifespanSource: Compression of Morbidity 1980–2011: A Focused Review of Paradigms and Progress. Journal of Aging Research, 2011
18 Health Outcomes: Behavior Drives Premature Death Individual Behavior Drives 40% of Premature Deaths
19 Address drivers of costs in our healthcare system by: 4/13/2017We Are at the BeginningThe convergence of technology is bringing about a radical change to all aspects of healthcareThese changes are placing the patient at the center of healthcare and consumers in greater control of their own healthGrowing emphasis on wellness and healthy agingBehavioral change, not just therapeutic intervention, importantDigital Health Will Touch All Aspects of HealthcareDigital Health Will:Change the way we access & deliver careEnable more personalized healthcareImprove decision making by providing better dataEnhance value by helping distinguish between what works and what doesn’tAddress drivers of costs in our healthcare system by:Changing unhealthy behaviorsImproving chronic disease managementAllowing for earlier medical interventions before health problems grow costlyMotorola'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 colleaguesThe 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 colleaguesQuality 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 WristbandsMOTOACTV by MotorolaMicrosoft Kinect for Xbox 360The 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 ResearchIndividual DataBetter outcomesCost effective treatmentsPersonalized CarePrediction and PreventionPersonalized HealthHealthcare transformedANALYSISElectronic Health Records Insurance Records Prescription RecordsWork RecordsClinical NotesSmartphones will be the key connector between people and their healthcare providers
22 Wellness Counseling: Some of Us Like Talking to Computers Medication Adherence AgentA home-based counseling agent to promote antipsychotic medication adherence, designed for patients with Schizophrenia. Weight Loss AgentA home-based Virtual Coach that promotes exercise and healthy eating, and automatically incorporates data wirelessly transmitted from pedometers. Multi-Behavior Change AgentA 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 AdultsA community center-based exercise promotion agent, linguistically and culturally adapted for a population of Spanish-speaking Latino older adultsSenior Exercise AgentA 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 usersTrials 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 userlive longerlive healthierlive betterEngagementDataEducationGamificationMeasurementFeedbackCoachingWhen Patients Transition Following Hospitalization Where Do They Go?