Transcript Uncovering the voice of plan members living and working

Uncovering the voice of plan members
living and working with chronic illness
December 14, 2010 – Montreal
December 15, 2010 - Toronto
Agenda
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3.
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5.
6.
Survey Overview
Chronic Disease
Key Survey Results
Lessons for Employers
Workplace Wellness Programs
Summary
Survey Overview
Survey Overview
Goal
• Better understand the needs and challenges
of plan members living and working with
serious chronic conditions.
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
1. Andrea Strath, Ontario Canadian
Diabetes Association
2. Meera Jain Ph.D, Chronic
Disease Unit, Health Systems
Policy & Relations Branch Health
System Strategy Division,
Ministry of Health and Long-Term
Care
3. Donna Carbell, Manulife
Financial
4. Paula Allen, Shepell.fgi
5. Vic Medland , Ontario Teachers
Insurance Plan
6. Dr. Alain Sotto, Ontario Power
Generation and Occupational
Medical Consultant, Toronto
Transit Commission
7. Joan Canavan, Chronic Disease
Management Unit, Provincial
Programs Branch, Ministry of
Health and Long-Term Care
8. Wes Jones, The Great-West Life
Assurance Company
9. Teresa Negrich, The Great-West
Life Assurance Company
10. Suzanne Lepage, Private Health
Plan Strategist
Chronic Disease
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 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 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 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 Disease
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 Surveys Saba 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
Key Survey Results
Type of Condition
Multiple Conditions
Impact on Productivity
• 80% would come into work even when they are not
feeling well
• 51% find it difficult to focus on their work.
Managing to work
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.
Out of pocket costs
Out of pocket costs
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
Lessons for employers
Lessons for Employers
Lessons for Employers
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 Programs
Workplace Wellness programs
1. Management of specific diseases
•
•
Adherence programs
Health Coaching
2. Management of behavioural risks (or risk
factor reduction)
• HRA
• Fitness Program
• Smoking cessation
• Nutrition and Healthy
Eating
• Workplace screening
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
Summary
Summary
1. Impact of Chronic disease
• Productivity
• Chronic disease and depression
• Multiple conditions
Summary
2. Lessons for employers
• Access to medications
• Flexible schedule
• Cost concerns
• Adherence
• Workplace Wellness
Questions and Discussion