1. Diabetes in the Workplace
Presented by:
Becky Goldsmith, RN, BSN, CDE
Program Manager
Seton Diabetes and Nutrition
Education Center

2. What You Should Know About Diabetes
29.1 Million people in the U.S. have diabetes (9.3% of the population!)
- Diagnosed: 21 million
- Undiagnosed: 8.1 million!!!
1.4 Million New Diagnoses each year

3. By 2025, 91 Million Cases Expected
79 Million Americans Have Pre-Diabetes
By 2025, 91 Million Cases Expected

4. Diagnosis Fasting Blood Sugar Above 125
Random Blood Sugar 200 and Above, with symptoms
Hemoglobin A1C 6.5% or greater
Pre-Diabetes
Fasting Blood Sugar of 100 – 124
Random Blood Sugar

5. Common Symptoms Excessive Thirst Excessive Urination
Unexpected Weight Loss
Headaches
Fatigue
Often – No Symptoms at All

6. Why is Diabetes Such a Costly Disease?
Uncontrolled diabetes is associated with:
Heart Attacks, Strokes
Leading Cause of Kidney Failure
Leading Cause of Non-Traumatic Amputations
Leading Cause of Blindness
Heart disease is the leading cause of death

7. Total Economic Cost of diagnosed Diabetes in the US
$175 million annually?
$124 billion annually?
$150 billion annually?
$245 billion annually?

8. $245 Billion in 2012
Increase from $174 billion in 2007, A 41% increase over 5 years

9. Breaking Down the Costs
$176 billion direct medical costs
$69 billion indirect costs
- reduced productivity
- lost days of work
- premature death
Source:

10. Largest Components of $176 Billion
Hospital Inpatient Care %
Prescription Medications 18%
Anti-diabetic agents & supplies 12%
Physician Office Visits 9%
Nursing/Residential Stays 8%

11. Projected Diabetes Diagnoses and Costs
2034 – projected to be at $336 Billion Dollars Annually
Source:

12. What Do We Know About Diabetes in the Workplace?

13. Employers spend on average
$4,413 more for employees with diabetes compared to employees
who don’t have diabetes
Source: National Business Coalition on Health Action Brief, Feb.2012

14. than those without diabetes
People with diagnosed diabetes have medical expenditures
2.3 times higher
than those without diabetes

15. Diabetes in the Workplace
For a company with 1000 employees:
120 employees have diabetes
34 of them are undiagnosed
370 have pre-diabetes

16. How Effective Diabetes Management Benefits Employers
A supportive environment builds dedicated employees
Well-managed diabetes results in:
lower health costs for employer
fewer lost days at work
increased employee productivity

17. Dazed and Confused

18. Diabetes Education A Tremendous Return on Investment
Reduces Hospitalizations and ER visits
Every $1 invested in such training can cut health care costs by up to $8.76
Source:

19. What Seton Diabetes Education Has Done with the City of Austin
Began in 2013
Delivered our Program to of their employees
73 COA worksites and taught 219 classes
Employees are allowed to attend diabetes education during work hours
Program completion rate is 90%

20. Seton Diabetes Program at City of Austin
Total of Two 4-hour classes (plus an extra class for those on injectable medications)
Quarterly meetings with a pharmacist
Annual Refresher Course
Diabetes Education and Pharmacy visit notes are communicated to employees’ physicians
Employees with Diabetes and Pre-Diabetes may self-refer

21. Classes are Interactive and Cover:
Monitoring of Blood Sugar (receive a free meter)
Meal Planning and a lot of practice
Exercise Benefits and Recommendations
Short and long-term complication prevention

22. Class Content (cont.) Recommended Medical Care
Heart Healthy Nutrition Guidelines
Review of Food and Blood Sugar Records with Feedback
And Much More…………..
Taught by Registered Nurses and Registerd Dietitians/CDEs

23. Results at City of Austin
Medical costs PMPM were 21% lower than those not in the program
Decreased inpatient hospital stay by 11%
Decreased ER visits by 18%
Much higher compliance with recommended screenings/exams
97% saw their MD 2x/yr vs. 80% of those who didn’t go through program, 97% had A1C drawn 2x/yr vs. 60% who didn’t go thru program

24. More Results from City of Austin

25. Worksites Where We’ve Taken Our Diabetes Classes
Texas Department of Transportation
State Comptrollers’ Office
University of Texas

26. How To Bring Seton’s Diabetes Classes to Your Worksite
Your role:
Schedule dates/times that work for your group
Provide a classroom that can accommodate employees – conference style rooms work best
Send several s announcing dates/times of classes
Provide an on-site contact person
We can send you sample s from other worksites

27. What’s Involved in Getting Seton’s Diabetes Classes at Your Worksite?
Seton’s role:
We handle all registrations and reminder calls
We provide a Registered Nurse and a Registered Dietitian to teach the classes
We provide a free glucometer and all class materials
We send written record to each attendee’s physician regarding their participation and any medical concerns/safety issues

28. What’s the Cost?
The State’s UHC HealthSelect Plan includes a Wellness Program called Optum Health
Once scheduled with Seton Diabetes Education, we will facilitate their enrollment in Optum Health
Once enrolled in Optum Health, diabetes education will be covered at 100% 

29. We Can Deliver Our Classes to Sites Outside of Austin
Your site will need one the following:
1.  A Video Conferencing Equipped Meeting Room OR
2.  A computer Including:
- Webcam
- Internet Access
- External speakers (optional)
- Access to a projector (optional)
Seton is capable of connecting your site to one of our video based Virtual Meeting Rooms (VMR) which will allow us to connect to you via a web browser.  No accounts will need to be set up in order to connect. 

30. Other Worksite Programs Covered at 100% With A United Healthcare Referral
We Will Help Employees Get the Needed Referral

31. Heart Disease Risk Reduction Program
At The Heart of Health
Heart Disease Risk Reduction Program
Eight 1-hour classes
Personalized Risk Assessment
Weekly accountability with food diary and RD feedback
Emphasis on improving risk factors associated with heart disease

32. Weigh to Health Weight management program Eight 1-hour weekly classes
Participants receive a personalized meal plan
Weekly motivational s
Focus is on the Lifestyle Patterns Approach
Each participant’s individual eating, exercise and coping patterns will be identified
Strategies for addressing patterns
Interactive group support and peer coaching
Designed for work in small groups – lots of interactive discussion, peer coaching, accountability, keep food logs, engage in weekly challenges to keep focus
75% is behavioral based, 25% is nutrition education – focus is really on sustainable behavioral changes

33. Interested in Hosting Classes At Your Worksite?
Call Becky Goldsmith