249979 Rising Elderly Healthcare Costs in Broward County

Sunday, October 30, 2011

Rushita Shah, MS , College of Osteopathic Medicine, Master in Public Health Program, Nova Southeastern University, Fort Lauderdale, FL
Michael Wolwa, MD , College of Osteopathic Medicine, Master in Public Health Program, Nova Southeastern University, Fort Lauderdale, FL
Cyril Blavo, DO, MPH&TM , Master of Public Health Program, College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL
Michael De Lucca, MHM , President & CEO, Broward Regional Health Planning Council, Inc, Fort Lauderdale, FL
An aging US population results in an increase in chronic medical conditions which subsequently, leads to a significant increase in health care cost. By 2040, approximately 160 million people will have chronic diseases, resulting in an increase in the cost of medical care to as high as $864 billion. Using Broward Regional Health Planning Council data, a multiple year comparison of the number of admissions and the hospital expenditures for five selected chronic diseases: Hypertension, Diabetes, Congestive Heart Failure (CHF), Asthma, and AIDS, was performed, focusing on the 65 and over age group. From 2006 to 2009, the total number of hypertension admissions decreased from 39,858 patients to 37,850 patients for the 65 and over population in Broward County. However, the total expenditures for the same population increased from $1,500 million to $1700 million. Similarly, there is a steady increase in Hospital Expenditure for Diabetes, with little change in number of admissions, since 2006. In 2009, less than a sixth of the Broward County population was of age 65 and older (14%). In that same year, 58% of the total chronic disease expenditure was represented by the 65 and over population. The hospital expenditures for the elderly are increasing at a higher rate than rate of admissions. In Broward County, the number of admissions for hypertension has decreased, yet the hospital expenditure continues to increase. This calls for greater attention to prevention initiatives and a closer look at more cost-effective management strategies for chronic diseases in the elderly.

Learning Areas:
Administration, management, leadership
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health administration or related administration
Public health or related research

Learning Objectives:
Assess the increase in Hospital Utilization Costs within the 65 and over population.

Keywords: Cost-Effectiveness, Elderly

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I analyze and create needs assessment reports for the Broward Regional Health Planning Council and am a MPH student at Nova Southeastern University.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.