1. 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 30 th, 2014 Charlottetown, PEI Atantic Summit PEI 30/10/141

2. 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 Atantic Summit PEI 30/10/142

3. 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 Atantic Summit PEI 30/10/143

6. 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.” Atantic Summit PEI 30/10/146

7. 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 Atantic Summit PEI 30/10/147

8. 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 Atantic Summit PEI 30/10/148