Lessons learned from a decade of battling chronic disease on the front lines of local companies.

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1 Lessons learned from a decade of battling chronic disease on the front lines of local companies. Effecting Positive Change in Employee Health

2 AGENDA Our Experience and Methods Data on employee health What works and what doesn t Physician engagement Efficient and Effective Fitness Smart Nutritional Counseling Effecting Positive Change in Employee Health

3 Authors: Louis S. Heuser, M.D., FACS Peggy Heuser, R.N., BSN Heuser Health 2040 Metal Lane Louisville, Kentucky No part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission from the authors. info@heuserhealth.com

4 OUR PARTNERS IN WELLNESS The Heuser Health Program is a personally customized method of diet and exercise that is proven to stop, reverse, and eliminate 90% of chronic diseases including diabetes, heart disease, obesity, and many forms of cancer. Our staff of physicians, nurses, exercise physiologists and health coaches work together to help you achieve your wellness goals. After the first 12 weeks, Heuser Health clients become fit, healthy, and revitalized on the inside and the outside. The average client loses 10lbs, decreases their body fat by 30%, experiences an 18 point drop in blood pressure, and increases their strength by 206%... and that s just the beginning.

5 FACT THIS GENERATION WILL BE THE FIRST IN WORLD HISTORY TO NOT LIVE AS LONG AS THEIR PARENTS

6 THE CRISIS IN AMERICA S WORKFORCE America is the fattest nation on Earth and getting fatter. (The average weight of an American adult has increased 27 lbs in less than 30 years) 86% of the workforce is obese or has at least one preventable, chronic health issue. One-third of adults and more than half of all children do not have a primary care doctor. America is the most medicated population in world history. (55% of us take at least one medicine each day at an average cost of $88/month/med) 30,000,000 American s have diabetes. (and 30% have no idea) 17% of insured workers are overweight AND have 3 or more chronic diseases (resulting in almost 3.5 sick days/month or 42 sick days per year) Barely half -- about 49 percent -- of adults receive recommended preventive care and screening tests according to guidelines for their age and sex.

7 WORKSITE WELLNESS PROGRAMS WORK IF MANAGED IN A SMART, EFFICIENT MANNER WITH ALL THE NECESSARY DATA AND ADMINISTERED USING AN INTELLIGENT APPROACH Good employee health is intelligent business. A meta-review study of multi-component worksite health promotion programs published in 2005 demonstrates that: 30% reduction in sick leave 25% reduction in health costs and; 30% reduction in worker s comp and disability claims

8 WHAT WORKS? I n c e n t i v e s ( g i f t c a r d s, r e c o g n i t i o n, b o n u s, d a y s o f f ) G o a l s s e t b y c r e d e n t i a l e d 3 r d p a r t i e s ( m e a n i n g f u l t o p a r t i c i p a n t ) F a c e - t o - F a c e i n t e r v e n t i o n s R e g u l a r l y s c h e d u l e d d i r e c t i n t e r a c t i o n s - a c c o u n t a b i l i t y C o n v e n i e n c e a n d g o o d c o m m u n i c a t i o n E m p l o y e e / E m p l o y e r p a r t n e r s h i p s ( w / e m p l o y e e e q u i t y ) U p p e r m a n a g e m e n t m o d e l i n g b e h a v i o r - c r e a t i n g a h e a l t h y c u l t u r e O n s i t e, s t r u c t u r e d a n d c o m p r e h e n s i v e f i t n e s s

9 WHAT DOESN T WORK? O n e s i z e f i t s a l l a p p r o a c h O n l i n e a n d e m a i l c a m p a i g n s n o h u m a n i n t e r a c t i o n S e l f R e p o r t i n g ( a s s e s s m e n t s, q u i z z e s e t c ) O p e n e n d e d p r o g r a m s P r o g r a m s s t a r t e d w i t h o u t p r o p e r d a t a P r o g r a m s w i t h o u t a c l e a r s t r a t e g y P r o g r a m s p u t o n a u t o p i l o t L a c k o f f a m i l y i n v o l v e m e n t l a c k o f d a t a t o s u p p o r t R O I

10 SUCCESS STORIES

11 OUR APPROACH A P E R S O N A L C O N N E C T I O N F I R S T S T E P - D I A G N O S T I C S C O N T I N U I T Y O F M E S S A G E S Y S T E M AT I C R E S U LT S B A S E D PA S S I O N AT E A N D C A R I N G U S E D I E T A N D E X E R C I S E T O T R E AT A N D P R E V E N T D I S E A S E. M A I N TA I N O P T I M I Z E D H E A LT H

12 PERIODIC PREVENTIVE EXAMS Establishment of Benchmarks Collection of Data Engagement Knowledge Establishment of Trust

13 COLLECTION OF DATA, BENCHMARKS AND GOAL SETTING Document basic biometerics Blood Pressure/HR: Waist Circumference: Body Mass Index (BMI): Personal and Family History: Medications/Operations: Smoker (Y/N): Exercise: Body Fat %: T Chol: LDL: HDL: TRIG: Fasting Glucose: Diet: P.E.: General: Head/Neck: Chest: Heart: Neuro: Skin: Ext: Overweight Obesity Hypertension Dyslipidemia Pre-Diabetes Other:

14 IMPRESSIONS? COMPANIES ARE UNIQUE DIABETES AND HEART DISEASE SUGAR AND CIGARETTES SEDENTARY LIFESTYLES ANTI-DEPRESSANT RX S

15 NUTRITIONAL GUIDANCE Smart, no-nonsense advice Use science to decode complexities No plans, points or systems Give clients necessary tools/education Make healthy options affordable and easy

16 EVOLUTION OF NUTRITION CHANGES DUE TO AGRIBUSINESS DANGEROUS IMITATION FOODS HYDROGENATED OILS HIGH FRUCTOSE CORN SYRUP

17 WHOLE PLANTS AND FOODS

18 FOOD IS COMPLEX SUPPLEMENTS ( M O RE HARM THAN G O O D) HUNDREDS O F THOUSANDS O F COMPOUNDS AND CHEMICALS W O RK TO G ETHER TO KEEP US HEALTHY ALL FOUND I N W HOLE PLANTS

19 THE BASIC APPLE The apple is far more nutritious than the sum of all the nutrients we can identify. The individual nutrients alone don t work if you simply take them out of the apple in isolation.

20 EFFICIENT, EFFECTIVE EXERCISE No magic pill Sweat Equity Degreed specialists Formula for success Accountability Interconnectivity

21 5 COMPONENTS OF FITNESS CARDIOVASCULAR ENDURANCE MUSCLE STRENGTH MUSCLE ENDURANCE MUSCULAR FLEXIBILITY BODY COMPOSITION

22 CARDIO ENDURANCE S T R E N G T H E N T H E H E A R T M U S C L E S T R E S S I N C R E A S E M U S C L E S I Z E S T R O N G E R F O R C E O F C O N T R A C T I O N E J E C T I O N F R A C T I O N I N C R E A S E M O R E B L O O D P E R B E AT R E S T I N G P U L S E C O M E S D O W N E N D U R A N C E AT H L E T E = 4 0 B P M

23 CARDIO ENDURANCE PT. 2 E N D U R A N C E T R A I N I N G C A U S E S C A P I L L A R Y G R O W T H ( U P T O 3 X ) E N L A R G M E N T O F T H E VA S C U L A R S Y S T E M = L O W E R B L O O D P R E S S U R E M E A S U R E D B Y V O 2 M A X O R 1 M I L E R U N

24 MUSCULE STRENGTH AND ENDURANCE R E S I S TA N C E T R A I N I N G W E I G H T T R A I N I N G B O D Y B U I L D I N G F U N C T I O N A L T R A I N I N G P LY O M E T R I C S M E A S U R E M E N T = P U S H U P S, E T C M U S C L E E N D U R A N C E = R E P E T I T I V E M O V E M E N T M E A S U R E M E N T = S I T U P S

25 MUSCLE FLEXIBILITY & BODY COMPOSITION O N E O F T H E H A R D E S T A R E A S T O I M P R O V E T I M E R E Q U I R E D T O T E A C H T H E M U S C L E T O D E C O N T R A C T Y O G A M E A S U R E M E N T = S I T A N D R E A C H B O D Y C O M P O S I T I O N B M I A N D B O D Y FAT %

26 HOW MUCH IS ENOUGH? O N E H O U R S I X D AY S P E R W E E K I M P O R TA N C E O F I N T E N S I T Y W H Y W E U T I L I Z E H E A R T R AT E M O N I T O R S

27 QUESTIONS AND DISCUSSION W i l l y o u j o i n m e i n m y p r o c l a m a t i o n t o t h e C i t y o f L o u i s v i l l e?

28 To receive a copy of our proclamation to make Louisville the healthiest city in America by the year 2020, us at info@heuserhealth.com We ll respond with a PDF version you can share with others. Join us in our fight!

29 TO LEARN MORE ABOUT THE PROGRAMMING WE DISCUSSED TODAY VISIT: ASK THE DOC, BLOG POSTINGS, SELF-ASSESSMENT TOOLS, GET STARTED

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