THANK YOU TO THE PRESENTING SPONSOR OF OUR MEMBERSHIP MEETING. #WilliamsonMM

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1 #WilliamsonMM

2 THANK YOU TO THE PRESENTING SPONSOR OF OUR MEMBERSHIP MEETING #WilliamsonMM

3 Our Mission The Williamson Chamber takes an innovative approach to building a prosperous business community. Our Belief A strong business community equals a strong community. Our Core Values Leadership Education Community

4 Our Mission The Williamson Chamber takes an innovative approach to building a prosperous business community. Our Belief A strong business community equals a strong community. Our Core Values Leadership Education Community

5 Where have we been? Source:

6 Where are we headed? US EMPLOYMENT PROJECTIONS Service-providing = 94.6% of all the jobs added Of these 9.3 million new service sector jobs, 3.8 million will be added to healthcare and social assistance sector Source:

7 Where are we headed? Williamson County Top 5 Job Categories Source: Professional and business services Retail Leisure and hospitality Financial activities Health care and social assistance

8 Where are we headed? US EMPLOYMENT PROJECTIONS Williamson County Top 5 Job Categories Source: Professional and business services Retail Leisure and hospitality Financial activities Health care and social assistance

9 Where are we headed? US EMPLOYMENT PROJECTIONS Half of top 6 fastest growing job categories is US are found in Williamson County s current top 5 Source:

10 Where are we headed? US EMPLOYMENT PROJECTIONS Source: Fastest Growing Occupation Groups 1. Healthcare support 2. Healthcare practitioners and technicians 3. Personal care and service 4. Computer and mathematical 5. Community and social service For 11 of the 15 fastest growing occupations, some level of postsecondary education is typically required for entry.

11 Where are we headed? US EMPLOYMENT PROJECTIONS Fastest Growing Occupation Is Wind turbine service technician That s %, not overall number Wind turbine service technician = 9,200 Nurse practitioners = 172,000 Source:

12 We will be known for Being a Force in the Region Connecting, People, Information and Ideas Partnering for an Educated Workforce Developing Strong Leaders in the Community An Influential Business Advocate Top Tier Economic Development

13 Our Core Values Leadership + Education Community Strong Economy = Strong Members

14 #WilliamsonMM

15 How is Health and Wellness Affecting Our Workforce? C. Wright Pinson, MBA, MD CEO, Vanderbilt Health System

16 $16,000 The Current Trend is Not Sustainable % growth rate projected for National Health Expenditures Per Capita $14, $14,000 Today, it is $10-12,00 PEPY 19.9% of GDP $12,000 $10,000 $8,000 For the entire U.S., this is $2.7 trillion, or 17.9% of G this is $2.7 trillion, or 17.9% of GDP $8,680 per person 2011 The 5.8% projected growth rate is >1% faster than the projected growth rate for GDP $6,000 $4, $4,000 $2,000 $0 $1, $ Data Source: CMS

17 FOCUS has been on the 10% $2.8 trillion of Health Care Spend

18 Health Determinants Tennessee Rankings Smoking Behavior Comment Rank % of population over the age of 18 that smoke on a regular basis 47 Obesity Extract from TN Website: 67.2% of adults were overweight, with a Body Mass Index of 25 or greater, 30.8% of adults were obese, with a Body Mass Index of 30 or greater 40 Sedentary Lifestyle Violent Crime Percentage of Population over age of 18 who report no physical activity or exercise other than their regular job in the last 30 days Environment Comment Rank Number of murders, rapes, robberies and aggravated assaults per 100,000 population Children in Poverty Percentage of persons under age of 18 who live in households at or below the poverty threshold 42

19 Health Determinants and Outcomes Tennessee Rankings Diabetes Outcome Comment Rank Cardio Deaths % Population over 18 told they have diabetes by health professional (not pre-diabetes or diabetes during pregnancy) Number of deaths due to all cadio deseases, including heart disease and strokes, per 100,000 population Cancer Deaths Number of Deaths due to all causes of cancer per 100, Premature Deaths Number of years of potential life lost prior to age 75 per 100,

20 The Southeast includes many of the highest priority US regions for care cost and quality improvement Despite high Medicare spending in SE...overall health and wellness is low Medicare spending < $7,070 per enrollee $7,070 to $7,750 $7,750 to $8,281 $8,281 to $8,789 $8,789 to $9,240 2 $9,240 to $9,762 $9,762 to $10,327 $10,327 to $11,218 > $11,218 per enrollee Data not available Life expectancy gap from OECD high income countries > 4.2 years 4.2 to to to to to to to -4.2 < -4.2 years Note: difference in life expectancy is calculated by county life expectancy minus (A) OECD median or (B) U.S. mean for males and females. Source: The Anatomy of Health Care in the United States, Hamilton Moses III; David H. M. Matheson; E. Ray Dorsey; Benjamin P. George; David Sadoff; Satoshi Yoshimura, JAMA. 2013;310(18): Institute for Health Metrics and Evaluation, World Health Organization Data Repository, Dartmouth Atlas

21 Leading causes of death in the US Coronary Heart Disease Cancer Stroke Chronic Respiratory Accidents Diabetes Alzheimers Influenza/Pneumonia Nephritis Septicemia Modifying health behaviors can reduce chronic disease *In Thousands Source: CDC/ National Center for Health Statistics

22 Poor Health Means Poor Health: Higher Costs Lower Productivity Costs Productivity

23 Poor Health = Higher Costs A smoker costs an extra $5,816 a year or more in healthcare costs An employee with diabetes has $6,000 more in healthcare costs per year An employee with hypertension has $3,650 more in healthcare costs per year An employee with obesity has $1,765 more in healthcare costs per year 1 Berman, Crane, Seiber, Munur. Estimating the cost of a smoking employee. Tobacco Control (3 June 2013) 2 Figures based on State of Tennessee claims costs.

24 Poor Health = Lower Productivity Productivity losses linked to employee absences cost $225.8 billion or $1,685 per employee annually Full-time workers who are overweight, obese or have other health problems miss 450 million more days of work each year than healthy workers. Or $153 billion in lost productivity

25 Why Health Prevention? 72% of the dollars spent on the consumption of healthcare services is for the treatment of disease or illness that could have been prevented. 25

26 Solution: Workplace Wellness

27 1.5 to 3.3 X Return on employer wellness programs initiated that prevent or reduce lifestyle risks Baicker, K., D. Cutler, and Z. Song. Workplace Wellness Programs Can Generate Savings. Health Affairs 29.2 (2010): Web

28 Get Started Today

29 The Goals of an Employer Wellness Initiative Increase Employee Engagement Increased Productivity Culture of Health Use Health Care Resources Wisely - Total Absence Management - Identify and Manage Risk Decreased Cost 29

30 Healthier Tennessee

31 Get Fit Franklin

32 Williamson County Chamber New Affinity Program Advantages for chamber member employers are: A turn-key wellness initiative Increased engagement Measure progress 32

33 Takeaways Poor Health = High costs, Low Productivity Behavior Change Impacts Outcomes Employers are Key to Improve Health Get Started Today 33

34 #WilliamsonMM

35 Event Sponsors: Media Sponsors:

36 #WilliamsonMM

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