Friday, March 24, 2017 6:00-6:25 pm Auditorium Dr. Mike Eisenhart, PT PT Ted Talk Imagine if we faced the other direction. Instead of facing disease and trying to pull people back from the brink by rehabbing them after the fact, we decided to face health, promote prevention and shield our clients, friends and families. Can it be done? Is it possible to be disease resistant? Can we be the professionals to do it? Is it as simple as it sounds? Dive into the mind of one of the (self-proclaimed) mad scientists who says yes. Session Learning Objectives: 1. Participants will understand the basic principles of health promotion and prevention. 2. Participants will review critical evidence that will influence practice patterns related to lifestyle interventions Speaker Bio: Mike Eisenhart, PT is the managing partner of Pro-Activity Associates a prevention and health promotion practice located in Lebanon, NJ. Mike began developing Pro-Activity s prevention model in 1999 and helped deploy it at scale with his workplace-team beginning in 2001. Since that time, Mike has been a strong advocate for the Physical Therapist s role in prevention and health promotion, most recently launching the Academy of Prevention and Health Promotion Therapies. Mike is also deeply involved in the APTA most recently serving as the chapter president in NJ, the lead of the employer initiative at the national level, and currently a candidate for the nominating committee of the house of delegates. You can keep up with Mike on Twitter @MikeEisenhart or email him at Mike.Eisenhart@aphpt.org
#PopHealthPT Opportunity to Transform (US) Mike Eisenhart, PT Managing Partne r, Pro-Activity we have a problem Incidence of NCD s Burden of NCD s Common Getting MORE common This visualization of data from the Global Burden of Disease Study was produced by the Institute for Health Metrics and Evaluation. Seattle, WA: IHME, University of Washington, 2012 Hu n ter, D. J. et al.(2014) The individual and socioeconomic impactof osteoarthritis Na t. Re v. Rh e u ma tol. doi:10.1038/nrrheum.2014.44 Not for reproduction without consent from Pro-Activity Functional AND Financial Burden Direct Cost of Musculoskeletal Diseases 25 20 15 10 5 0 ADL Limits MSD CVD DM 796 Billion = Aggregate total costs, 213 Billion = Incremental costs, Pers ons with Mus c ulos k eletal Di s e a s e N in 19 9 7 = 7 5.2 mi l l i o n N in 20 1 1 = 10 2.5 mi l l i o n To tal Co st in 2 0 11 s (in b illio n s) Aggregate Total and Inc remental D irec t Cos ts for Mus c ulos keletal D is eas es in 2011 D ollars, 900.0 United States 1996-2011 796.3 800.0 747.5 700.0 654.7 615.9 600.0 531.6 500.0 417.2 378.7 400.0 300.0 226.7 212.7 164.4 176.9 182.8 200.0 99.2 122.0 100.0 0.0 1997 to 19991999 to 20012001 to 20032003 to 20052005 to 20072007 to 20092009 Th ree-year A verage Aggregate Total Incremental Li n ear (A ggregate To tal ) Source: Medical Expenditures Panel Survey ( MEPS), Agency f or Healthcare Research Li n ear (In cremen tal ) and Qualit y, U. S. Depar t m ent of Healt h and Hum an Ser vices, 1996-2011. ht t p: / / m eps. ahr q. gov/ m epsweb/ United States Bone and Joint Initiative, the U.S. National Action Network of the Global Alliance for Musculoskeletal Health 6 1
Indirect Cost of Musculoskeletal Diseases 77.5 Billion = Total indirect costs, annually for years 2009 131 Billion = Incremental costs, annually for years 2009 * *I ndir ect cost s at t r ibut able t o m usculoskelet al disease ar e gr eat er t han t ot al indir ect cost s because of a 4%gap in the pr obabilit y of wor king bet ween per sons wit h and wit hout a musculoskelet al condit ion and a lower mean income. Persons in Work Force N in 1 9 9 7 = 47.3 milion N in 2 0 1 1 = 63.4 million To tal Co st in 2 0 11 s (in b illio n s) Aggregate Total and Inc remental Indirec t Cos ts for Mus c ulos keletal D is eas es in 2011 D ollars, United States 1996-2011 160.0 140.0 136.1 120.0 128.6 130.7 120.6 100.0 103.6 106.3 80.0 91.4 75.2 77.5 60.0 72.6 66.6 61.4 65.1 64.3 40.0 20.0 0.0 1997-1999*1999-20012001-20032003-20052005-2007*2007-2009*2009-2011* Th ree-year A verage Aggregate Total Source: Medical Expenditures Panel Survey ( MEPS), Agency f or Healthcare Research and Quality, U. S. Department of Health and Human Services, 1996- Incremental 2011. ht t p: / / m eps. ahr q. gov/ m epsweb/ Li n ear (A ggregate To tal ) *I ndir ect cost s at t r ibut able t o m usculoskelet al disease ar e gr eat er t han t ot al Li n ear (In cremen tal ) indir ec t c os t s bec a us e of a 4% g a p in t he pr oba bilit y of wor k ing bet ween ALL COSTS MSK COSTS 7,765 per (direct) 2,075 per (dir) 1,222 per (in-dir) 2,066 per (in-dir) 8,987 per 4,141 per United States Bone and Joint Initiative, the U.S. National Action Network of the Global Alliance for Musculoskeletal Health 7 Share of US Gross Domestic Product 5.7% = Aggregate Total share of US GDP, 3.4% = Aggregate Total share of US GDP, annually for years 1996 to 1998 68% increase in share of GDP over 15 year period Sources: Mus c ulos keletal D is eas e Aggregate Cos t as Equivalent Share of Gross Domestic Product [1], United States 2009-2011 [2] 14,370.9 [1] Current GDP multiplied by inflation factors calculated per ht t p: / / m eps. ahr q. gov/ m epsweb/ about _m eps/ Pr ice_i ndex. sht m l, accessed 2/4/14. GDP 2009-2011 (average) i n 2011 s = 15,244.7 bilion [2] Average across three years 2009. [3] Medical Expenditures Panel Survey (MEPS), Agency for Healthcare 77.5 United States Bone and Joint Initiative, the U.S. National Action Network of the Global Alliance for Musculoskeletal Health 796.3 Direct costs 873.8 [3] Billion = 5.7% Indirect costs [3] All other expenses File: G10E. 2. 1 we have an opportunity Big burden, yet preventable w/low cost interventions Go Early Go Beyond the Individual 9 Edington 2001 where is the opportunity? Current care-flow places conservative intervention like physical therapists too late As time goes up, cost goes up (exponentially) 2
Supposed Curve Most of the cost on the few Actual Spend (2013) Where is the opportunity Not for reproduction without consent from Pro-Activity Usual Care in highest cost environments Actual Curve 700 Population n=3,581 600 500 400 300 200 100 0 Year 1 3
4/4/17 Beyond the individual? Community Institutions S ocial Netw ork G reater Impact @ lower cos t per capita Public Policy Indiv idual Role of phy s ic a l the ra py in phy s ic a l he a lth prom otion, dis e a s e m itiga tion, a nd injury pre v e ntion by life s ta ge : a gere la te d he a lth ris k by c hronologic a ge. create an ecosystem Have resources available & at-the-ready Remove barriers to risk-lowering Movement-related health should be a part of every pop-health approach and payment can incentivize Discussion Mike Eisenhart, PT meisenhart@pro-activity.com @mikeeisenhart (twitter) 908.303.2683 Ka the rine J. Sulliv an e ta.l PHYSTHER 2 0 1 1 ;9 1:1 664-167 2 N ot for reproduction without cons ent from Pro-Activity 4