Download Employers as Stakeholders in Health

Beyond Drugs: Opportunities for
Regional Collaboration in Chronic
Disease Management
Dr Matthew Burnstein
Chief Medical Officer – Bell Aliant
ATLANTIC SUMMIT ON HEALTHCARE AND DRUG COST
SUSTAINABILITY
October 30th, 2014
Charlottetown, PEI
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Good Health is Good Business
• Investment in Human Capital
• Productivity – determined by attendance, engagement
and performance – all tied to the health of the worker
(and their family)
• The workforce is aging (already old in Atlantic Canada)
and retirement delayed – and with age comes disease
• Atlantic Canada has the highest disability & WCB rates
• Improved individual outcomes (health) =>
improved organizational outcomes (productivity) =>
improved public health care outcomes
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Chronic Disease
Chronic Disease is the primary driver of workplace
costs (presenteeism, absence, drugs).
58% of Canadian adults have one or more of the
following chronic conditions: arthritis, cancer, heart
disease, diabetes, chronic obstructive pulmonary
disease, high blood pressure, mental illness
When considered by age, the prevalence ranges from a
low of 36% among 18- to 34-year-old employees to a
high of 69% among those ages 55 to 64.
Sanofi Canada Healthcare Survey 2013
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The WHO
“The workplace directly influences the physical, mental,
economic and social well-being of workers and in turn the health of
their families, communities and society……….
It offers an ideal setting and infrastructure to support the
promotion of health of a large audience.
The concept of the health promoting workplace (HPW) is becoming
increasingly relevant as more private and public organizations recognize
that future success in a globalizing marketplace can only be achieved
with a healthy, qualified and motivated workforce.
….the development of Health Promoting Workplace
will be a pre-requisite for sustainable social and
economic development.”
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Health Promoting Workplaces
• Random Acts of Wellness
• Leveraging resources: pharmacists, mining
drug plan data, adding providers to Benefits
(health educators), partnering with
pharmaceutical companies, EFAP, health
navigators
• Collaborate with other employers
(CommonMarkets)
• Collaborate with DOH
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Next step?
• Facilitate discussion among stakeholders : de-silo
• Recognize that we are Joint Custodians and that
employers have a captive audience for 40 hrs/week
• Support Workplace Health Promotion (eg: resources, tax
incentives, training)
• Bring Provincial Strategy/Programs into workplace
• Unify approach across region –a model for Canada
• Measure results – total cost: impact on health,
attendance, drug costs, hospital visits, engagement,
quality of life, retention
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