Working with theHealthways | Blue Zones

Vitality City TeamSusan Burden

CEO, Beach Cities Health District

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The Transition from Health to Well-Being

What it Takes to Become a Vitality City

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• Motivation to innovate• Leadership for

permanent change• Readiness to make it

happen• Standard metrics for well-

being

Ben LeedleCEO, Healthways

Public:Private Collaboration

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Individuals ● Experts ● Environments ● Relationships

Improving Well-Being

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Why It Matters:The Economic Case for Well-Being

ImproveWell-Being

Adopt or maintainhealthy behaviors

Reduce health-related risks

Optimize care for health conditions

Performance Increases

• Productivity

• Engagement

• Absence

• Work Impairment

Total Medical Cost Decreases

• Hospitalizations

• Event Rates

• Disease Rates

• Lifestyle Risks

Total Economic Value Increases

• States

• Communities

• Sponsors

• Individuals

•Prevent or delay next new case of disease or condition

•Prevent or reduce impact of the next new episode

•Enhanced ability to actively manage one’s own health

Economic Drivers

1111

Emerging Science

Well-Being Relationship to Hospital Utilization

0

5

10

15

20

0-50 (n=109)

>50-60 (n=151)

>80-90 (n=683)

>70-80 (n=582)

>60-70 (n=347)

>90-100 (n=363)

Admission ER Visit

Percent

Well-Being Score (Composite)Low High

Impact of Well-Being on Event Frequency

-83%

-49%

Source: Wellmark Data, Healthways Center for Health Research Analysis (n=2,235)

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Emerging Science

Well-Being Relationship to Medical Costs

0-50 (n=109)

>50-60 (n=151)

>80-90 (n=683)

>70-80 (n=582)

>60-70 (n=347)

>90-100 (n=363)

Annual Costs(Indexed)

Well-Being Score (Composite)Low High

Annual Medical and Rx Claims Cost

Source: Wellmark Data, Healthways Center for Health Research Analysis (n=2,235)

4.0

1.0

2.0

3.0

Low:High Well-Being = ~3.5x more cost

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Huge Value In Health Risk Reduction Recent Publications

10 — 50% Risk Reduction

$0.6T — $1.4 T

10 Year Impact

10 — 25% Risk Reduction

$0.4T — $1.1T

10 Year Impact

Source: Healthways, Center for Health Research, 2009 and 2010

Application at the Personal Level

Life Evaluation

BasicAccess

WorkQuality

EmotionalHealth

Physical Health

HealthyBehavior

Gallup-Healthways Well-Being Index™ Healthways Well-Being Assessment™

Life Evaluation

BasicAccess

WorkQuality

EmotionalHealth

Physical Health

HealthyBehavior

PERFORMANCE

CoreHRA

Biometrics

Strong Market Reception: Nearly Four Million Individual Surveys Committed To Date

Hardware retailer 5,000

Insurance company 90,000

Bank 2,700

Engineering consulting 5,400

Regional health plan 2,000,000

Regional health plan 100,000

Regional health plan employees 3,000

Regional health plan 200,000

Technology and consumer products 21,000

Construction and equipment manufacturer 101,000

Integrated energy company 47,000

PBM 7,000

Insurance company 49,000

Regional health plan 1,500

Supermarket 50,000

Defense contractor 175,000

Federal government 5,000

Packaging solutions provider 4,300

Transportation franchise 50,000

Regional health plan 1,000,000

3,916,900

Organization Lives

Total

Source: Healthways Well-Being Assessment 2010 Pipeline of 100% Commitments, October 2010

Healthways Well-Being

Assessment™

COM

POSIT

E

Life E

valuatio

n

Emotio

nal Health

Physical H

ealth

Healthy B

ehavior

Work

Enviro

nment

Basic A

ccess

7363

79 8170

57

91

66

48

79 7665

48

82

Beach Cities Nation

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Well-Being in Beach Cities

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Basic Access Domain Highlights Community Strengths

Access to / Affordability of basic necessities for the majority of the population…

And access to health care resources equally as strong…

Nation Beach Cities

8292

% With Enough Money for Food

Nation Beach Cities

91 94

% With Enough Money for Hous-ing

Nation Beach Cities

8188

% With Personal Doctor

Nation Beach Cities

9296

% With Access to Medicines / Health Care

Nation Beach Cities

8493

% With Health Insurance

Nation Beach Cities

8090

% With Enough Money for Health Care

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Access + Higher Income Levels ≠ Higher Emotional Well-Being

But negative affect in emotional health domain illustrates significant variances to national averages…

City Ranking

# 170 / 187City Ranking

# 177 / 187City Ranking

# 139 / 187Huntington, WVFort Smith, AR

Reno, NVNew Orleans, LA

Stockton, CADetroit, MI

Nation Beach Cities

40

46% With Significant Stress

Nation Beach Cities

28

37% With Significant Worry

Nation Beach Cities

12

16

% With Significant Anger

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Brings Focus to Community and Social Domains Gallup-Healthways Well-Being Index as Measure of Progress

Home

Work/School

City

Friends& Family

Colleagues

Neighbors

Individuals ● Experts ● Environments ● Relationships

Comments and Questions