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 babyboomers who will have reached their 65th birthday.• At least 80% of older adults (age 65+) have at leastone chronic disease; 50% have two.• Chronic diseases claim the lives of 1.7 millionAmericans each year—70% of all deaths. Heartdisease, stroke, cancer, COPD, and diabetes accountfor 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 PromotionAnd 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 physicallyactive today and have higher rates of poor dietaryintake; non-preventable because children do notoften have control over their own physical activityor 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 PromotionAnd 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 forvegetables per day• Sedentary lifestyle- no leisure time physicalactivity within 30 days• High blood pressure and high cholesterol independentrisk factors/conditions associatedwith type-2 diabetes and heart disease• And…lack of education on signs and symptomsof 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 two to four times morelikely to have a heart attack or stroke than peoplewithout diabetes.• People with diabetes are more likely to die from asecond heart attack than people with CVD who donot suffer from diabetes.• A secondary diagnosis of CVD is found in about75% 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

15

Health Improvement Programs

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

16

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

17

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

Health Improvement Programs

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QUESTIONS?

THANK YOU!