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Uncovering the voice of plan members living and working with chronic illness. December 14, 2010 – Montreal December 15, 2010 - Toronto. Agenda. Survey Overview Chronic Disease Key Survey Results Lessons for Employers Workplace Wellness Programs Summary. Survey Overview. Survey Overview.

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uncovering the voice of plan members living and working with chronic illness

Uncovering the voice of plan members living and working with chronic illness

December 14, 2010 – Montreal

December 15, 2010 - Toronto

agenda
Agenda
  • Survey Overview
  • Chronic Disease
  • Key Survey Results
  • Lessons for Employers
  • Workplace Wellness Programs
  • Summary
survey overview4
Survey Overview

Goal

  • Better understand the needs and challenges of plan members living and working with serious chronic conditions.
survey overview5
Survey Overview

Survey of Canadians who have been diagnosed with a serious illness who had a benefit plan

Online Survey (January 2010)

214 Respondents

Reviewed by Expert Panel

expert panel
Andrea Strath, Ontario Canadian Diabetes Association

Meera Jain Ph.D, Chronic Disease Unit, Health Systems Policy & Relations Branch Health System Strategy Division, Ministry of Health and Long-Term Care

Donna Carbell, Manulife Financial

Paula Allen, Shepell.fgi

Vic Medland , Ontario Teachers Insurance Plan

Dr. Alain Sotto, Ontario Power Generation and Occupational Medical Consultant, Toronto Transit Commission

Joan Canavan, Chronic Disease Management Unit, Provincial Programs Branch, Ministry of Health and Long-Term Care

Wes Jones, The Great-West Life Assurance Company

Teresa Negrich, The Great-West Life Assurance Company

Suzanne Lepage, Private Health Plan Strategist

Expert Panel
chronic disease8
Chronic Disease
  • Diseases of long duration and generally slow progression1
  • Illness that is prolonged, does not resolve spontaneously and is rarely cured completely2

1 - WHO - http://www.who.int/topics/chronic_diseases/en/

2 - Centres for Disease Control and Prevention/Washington. 2002. "Chronic Disease."

chronic disease9
Chronic Disease
  • 33% Canadians (8.9m) have at least one chronic condition

Canadians aged 40 to 59

  • 37% have at least one condition
  • 30% have two or more conditions
  • Chronic Disease accounts for 89% of all deaths in Canada 2
  • Will increase by 15% by 20152

1 - 2005 Canadian Community Health Survey, Statistics Canada

2 - Region and country specific information sheets http://www.who.int/chp/chronic_disease_report/media/canada.pdf

chronic disease10
Chronic Disease

Canadians with multiple chronic conditions…

  • twice as many consultations with a family doctor
  • 1.5 times as many consultations with specialists and other doctors
  • four times more likely to stay overnight in hospitals
  • three times more nights spent in hospitals
  • four times as many consultations with nurses
  • eleven more times more likely to receive home care services

WHO - http://www.who.int/topics/chronic_diseases/en/

chronic disease11
Chronic Disease
  • Economic burden > $150 billion in direct and indirect costs annually1
  • Lost productivity = 30% of total costs1
  • Lost productivity from presenteeism was 7.5 times greater than productivity loss from absenteeism2

1 - Centre for Chronic Disease Prevention and Control. Public Health Agency of Canada. WHO – World Health Organization: Preventing chronic diseases: a vital investment

2 - Employers Health Coalition, Inc. The Changing Face of U.S. Health Care.Tampa, Fla: Employers Health Coalition Inc; 1999.

chronic disease13
Chronic Disease
  • People with chronic diseases are significantly more likely to suffer from depression 1
    • Depression appears to precipitate chronic disease 2
    • Chronic disease can exacerbate symptoms of depression2

1 - Depression, chronic diseases, and decrements in health: results from the World Health SurveysSaba Moussavi, Somnath Chatterji, Emese Verdes, Ajay Tandon, Vikram Patel, Bedirhan Ustun Lancet 2007; 370: 851–58

2 - Chapman DP, Perry GS, Strine TW. The vital link between chronic disease and depressive disorders. Prev Chronic Dis 2005;2(1):A14. http://www.cdc.gov/pcd/issues/2005/jan/04_0066.htm

impact on productivity
Impact on Productivity
  • 80% would come into work even when they are not feeling well
  • 51% find it difficult to focus on their work.
out of pocket costs
Out of pocket costs
  • 55% had to pay some portion out of pocket (excluding co-payments) for the treatments or prescriptions related to their health condition
  • 28% say that costs relating to their illness are a serious concern
  • Seriousness of the cost varies based on type of illness and income level.
medication adherence
Medication Adherence
  • 76% adjust how much or how often they take their medication in some way
  • 22% have taken a prescription less frequently than prescribed
  • 12% have taken a prescription at lower dose than prescribed
  • 23% considered not taking a treatment because it was not fully covered by the benefit plan
  • 19% have not taken a prescription medicine because of cost
employees with chronic diseases value their benefits
Employees with chronic diseases value their benefits
  • 83% say medicine helps them remain healthy
  • 73% feel that company drug benefits give them peace of mind
  • 94% valued their prescription drug coverage
  • 85% are “loyal to their employer”.
workplace wellness programs28
Workplace Wellness programs

Management of specific diseases

Adherence programs

Health Coaching

Management of behavioural risks (or risk factor reduction)

  • HRA
  • Fitness Program
  • Smoking cessation
  • Nutrition and Healthy Eating
  • Workplace screening
workplace wellness programs29
Workplace Wellness programs

Workplace is an ideal location

Employees spend a growing amount of time at work

Offers an effective method to reach a large portion of the adult population.

Employers can:

influence behaviour by providing supportive environment

leverage existing infrastructure to offer low-cost but effective interventions

summary31
Summary

Impact of Chronic disease

Productivity

Chronic disease and depression

Multiple conditions

summary32
Summary

Lessons for employers

Access to medications

Flexible schedule

Cost concerns

Adherence

Workplace Wellness