Transcript Slide 1

A Healthy Texas is a Wealthy Texas
The Case for a Strong Public Health Infrastructure
February 23, 2012
Eduardo Sanchez , MD, MPH
VP and Chief Medical Officer, BlueCross BlueShield of Texas
Former, Commissioner Texas Department of State Health Services
A Healthy Texas is a
Prosperous Texas
• A healthy Texas workforce is a productive
workforce
The Real Problem:
Medical &
Pharmacy Costs
$3,376 PEPY
25%
The Full Cost of Poor Employee Health
Personal Health Costs
Medical Care
Pharmacy
Productivity Costs
Total Costs =
$13,504 PEPY
75%
Health-Related
Productivity Costs
$10,128 PEPY
Absenteeism
Presenteeism
Short-term Disability
Long-term Disability
Overtime
Turnover
Temporary Staffing
Administrative Costs
Replacement Training
Off-Site Travel for Care
Customer Dissatisfaction
Variable Product Quality
Sources: Edington DW, Burton WN. Health and Productivity. In McCunney RJ, Editor. A Practical Approach to Occupational and Environmental Medicine. 3rd edition.
Philadelphia, PA. Lippincott, Williams and Wilkens; 2003: 40-152 and Loeppke, R., et al. Health and Productivity as a Business Strategy. Journal of Occupational and
Environmental Medicine. Vol 49, No. 7, July, 2007. Pages 712-721 and the 2006 Mercer Employer Annual Survey;
A Healthy Texas is a
Prosperous Texas
• A healthy Texas depends on a sound health
system with strong medical care and public
health components of the system
The Health System
Public
Health
Medical
Care
Public Health Spending Linked to
Declines in Preventable Deaths
Mortality rate
Infant deaths per 1000 live births
Heart disease deaths per 100,000
Diabetes deaths per 100,000
Cancer deaths per 100,000
Influenza deaths per 100,000
Mays and Smith, Health Affairs. Aug 2011;30(8).
Percent decrease per
10% spending increase
6.85
3.22
1.44
1.13
0.25
10 Essential Public Health Services
1.
2.
3.
4.
5.
6.
7.
8.
9.
Monitor health status to identify community health problems.
Diagnose and investigate health problems and health hazards in the
community.
Inform, educate, and empower people about health issues.
Mobilize community partnerships to identify and solve health problems.
Develop policies and plans that support individual and community health
efforts.
Enforce laws and regulations that protect health and ensure safety.
Link people to needed personal health services and assure the provision
of health care when otherwise unavailable.
Assure a competent public health and personal healthcare workforce.
Evaluate effectiveness, accessibility, and quality of personal and
population-based health services.
10. Research for new insights and innovative solutions to health problems.
3 Examples of Essential Functions
1. Preparedness – system coordination (medical care : EMS :
“public health”) (4,5,8)
2. Food safety– safe, healthy foods for retail purchase, for
consumption in school and restaurants (medical care:
“public health”) (7,8,9)
3. Tuberculosis – system of care coordination (medical care :
“public health”) (2,5,6,7,8)
A Healthy Texas is a
Prosperous Texas
• A healthy and prosperous Texas depends on
a sound health system with strong medical
care and public health components
• There is a legitimate role for “limited
government” to play in assuring a sound,
responsive public health infrastructure in
Texas.
The Health System
Healthy
Workforce
Medical Care
Public Health Infrastructure