Optima Health - Obici Healthcare Foundation

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Obici Healthcare Foundation

George K. Heuser, MD VP & Senior Medical Director Optima Health November 8, 2011

Like the Foundation, We Improve Health Everyday

• Improve Access to Basic Healthcare • Chronic Disease Management • Obesity Prevention

Overall Impact of Chronic Disease in the U.S.

• By 2030, there will be about 71 million adult baby boomers who will have reached their 65th birthday.

• At least 80% of older adults (age 65+) have at least one chronic disease; 50% have two.

• Chronic diseases claim the lives of 1.7 million Americans each year—

70% of all deaths. Heart disease

, stroke, cancer, COPD, and diabetes account for two-thirds of all deaths.

How do we get there?

Total Health: How Long, How Well We Live

~ 40% ~ 30% ~20% ~10% Behavior: tobacco use, nutrition, Weight, MDD (movement deficit disorder) Genetics Environment/public health Health Care Delivery US Dpt of Health and Human Services, Public Health Service. Healthy People 2010: National Health Promotion And Disease Prevention Objectives.

CVD and Non-preventable Risk Factors

Age- 65 and older

Minorities- Blacks, Native Americans

Gender- Men in terms of most risk factors;

women in terms of stroke and arthritis • Persons with a

family history of chronic disease

(genetics) •

Young children/adolescents- less physically

active today and have higher rates of poor dietary intake; non-preventable because children do not often have control over their own physical activity or dietary intake- parents/other adults do!

Total Health: How Long, How Well We Live

~ 40% ~ 30% ~20% ~10% Behavior: tobacco use, nutrition, Weight, MDD (movement deficit disorder) Genetics Environment/public health Health Care Delivery US Dpt of Health and Human Services, Public Health Service. Healthy People 2010: National Health Promotion And Disease Prevention Objectives.

CVD and Preventable Risk Factors

Smoking/tobacco use

Obesity- Body Mass Index (BMI) of 30 or greater

Overweight- BMI of 25 – 29.9

• • •

Poor diet- eating less than five fruits for

vegetables per day

Sedentary lifestyle- no leisure time physical

activity within 30 days

High blood pressure and high cholesterol independent

risk factors/conditions associated with type-2 diabetes and heart disease • And…

lack of education on signs and symptoms

of heart attack and stroke!!

Diabetes as an

Independent Risk

Factor for CVD

• Diabetes can lead to: coronary heart disease, stroke, peripheral artery disease, cardiomyopathy, and congestive heart failure.

• People with diabetes are without diabetes.

not suffer from diabetes.

two to four times more

likely to have a heart attack or stroke than people • People with diabetes are more likely to die from a second heart attack than people with CVD who do • A secondary diagnosis of CVD is found in about 75% of all diabetes-coded deaths.

Source: http://www.ndep.nih.gov/control/CVD.htm.

Optima’s Integrated Clinical Care Services

• We manage every component ourselves • Member-centric delivery of services • Focused on employer group types – Health & Prevention – Pharmacy Management – Medical Care Management – Behavioral Health Management & EAP – Disease Management – Quality Improvement • Population identification and stratification • Predictive Modeling for future risk/service need • Collaboration with Providers

Optima CAD & CHF Population Prevalence and Medication Possession Ratio

Health Improvement Programs

• • • • • • • • Onsite health screenings Wellness topic speakers Exercise Cardiac health improvement Nutrition Stress management Tobacco cessation Healthy aging for seniors 15

Health Screenings

• Blood Pressure • Total Cholesterol, High Density Lipoprotein • Body Mass Index (BMI) • • Information to reduce health risks • Nurse counseling on results

Nutrition

counseling • Offered monthly at Sentara Obici Hospital for the community 16

Health Improvement Programs

Healthy Heart

Improve your heart health

Get Off Your Butt: Stay Smokeless for Life

Stop using tobacco and benefit your health

Eating for Life

Develop healthy eating and exercise habits

Yoga

Stretching and strengthening exercises

WalkAbout with Healthy Edge

Walk your way to better health

Sentara Living

Healthy aging for seniors

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QUESTIONS?

THANK YOU!

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