City of San AngeloWellness Report

December 2011

San Angelo, Texas

Wellness ReportHealth Risk Assessments

• Summary of Health Risk Assessment Score

• Chronic Diseases

• Chronic Disease Risk Factors

• Employee Perception of Health

• Health Claims/Risk Factors

• Solutions

Overall Wellness Rating

• Average wellness score for City of San Angelo employees is 67 (out of 100)

• 42% have a “health age” younger than actual age• 58% have a “health age” greater than or equal to age

Needs Improving

(20-59)26%

Excellent(80-100)

14%

Doing Well (60-79)

60%

80/20 Rule• Generally, 80% of health care costs come

from 20% of the people

• As the number of health risks go up, so do the health care costs

• 15% of the City of San Angelo employees have 5 or more risk factors

(health claims are generally 3-4 times higher in people with 5+ risk factors)

Chronic Diseases

DiabetesDiabetes is 6th leading cause for death in US• 1/3 of people do not know they are diabetic• Type 2 diabetes is largely preventable• NIH Trial showed a 58% decrease in risk of developing

diabetes in people with prediabetes with diet and exercise.

City of San Angelo employees• 19% of employees have 0 - 2 risks – excellent, doing well

• 36% of employees have 3 - 4 risks – needs improving

• 45% of employees have 5+ risks – caution, high risk

Heart DiseaseKeeping the heart in good condition is critical• Actively eliminate any known risk factors• 70 – 80% of heart disease is linked to modifiable

risks

City of San Angelo employees• 43% of employees have 0 - 1 risks – excellent, doing well

• 21% of employees have 2 risks – needs improving

• 35% of employees have 3+ risk factors – caution, high risk

Cancer

Cancer is 2nd leading cause for death in US and leading cause for persons of working age.

• Eliminate any known cancer risks• Get proper cancer checkups for age and gender.

City of San Angelo employees• 50% of employees have 0 - 2 risks – excellent; doing well

• 27% of employees have 3 risks – needs improving

• 23% of employees have 4+ risks – caution, high risk

Cancer Screenings

Starting 2012, the City will pay all cancer screenings at 100% without a deductible. (Formerly at 80% after deductible had been satisfied.)

Modifiable Chronic Disease Risk Factors

contributing to all major diseases

• Nutrition (low fruit/veg, grain intake; high saturated fat intake)

• Excessive weight (BMI 30+)

• High blood pressure (140/90; 120/80 pre-hypertensive)

• No or low physical activity (1-4/wk)

• Smoking

City of San AngeloChronic Disease Risk Factors

Nutritional StatisticsGood nutrition lays the foundation for good health.

Choosing unrefined, plant-based, low-calorie, low saturated-fat foods can greatly decrease risk of heart disease, diabetes, and many cancers.

In the City of San Angelo:•675 people (82.9%) are at increased risk with 6+ nutritional risk factors.•422 (51.8%) are at high risk with 10+ nutritional risk factors.

Employee Weights

Obese45%

Overweight40%

Healthy Weight

15%

Under Weight

0%

BMIHealthy weight 18.5 - 24.9Overweight 25 - 29.9Obese 30 - 34.9Very Obese 35+

17.9% of emp are very obese, beating national norm of 12%

Employee Perception of Personal Health

90.5% think they are in good to excellent health

0.9%

8.7%42.9%

47.6%

Very good to excellent

Good

Fair

Poor

Risk Factor/Health Claims# of

employeescost per

employee

no risks 77 $0

1 risk 137 $861

2 risks 214 $1,764

3 risks 159 $2,690

4 risks 105 $3,788

5 risks 61 $4,821

6 risks 34 $5,919

7+ risks 28 $6,995

15% of employees have 5 or more risk factors, influencing personal health for the individual,

as well as health care costs for the city.

Estimated Excess Cost per Risk Factor (5 of 15 risks reported)

Emp Cost

• Overweight (BMI >27.5) 515 $781,794• High BP (140/90+) 309 $542,083• Low HDL (<40mg/dL)326 $323,966• Smokers 100 $176,079• Seat Belt Use (<100%) 130 $169,254

• Estimated excess cost $1,993,176• 10% compliance $ 199,317

SOLUTIONS

Goal: Reduce modifiable risk factors

by 10%

Solutions: Programs• Wellness Incentive Program – point system• Biggest Loser Contest for Employees• Programs

– Diabetes Education Classes– Smoking Cessation Class (Start date: January 2012)

– Wednesday Walking Group

• Group Class Opportunities– Label Reading Class with dietitian– Eat This, Not That– Lifestyle changes to lower cholesterol– The DASH diet (help lower BP)

• Exercise: How to get started

Solutions: Health Management

• Utilize the city clinic, primary care providers and the wellness program to manage health of City of San Angelo employees.– Monthly monitoring of employees with 5+ risk

factors– Develop clinical protocols/pathways for

diseases– Routine follow-ups with employees

Wellness ROI

Companies that invest in wellness generally see significant savings.

Average savings is $3.48/employee for every $1 invested.