Yesterday Diabetes Tasmania released the latest Health Economics data from The COACH Program. This innovative and clinically proven program is certainly making a huge impact, both in the health outcomes for participating Tasmanians as well as for the broader community. I wanted to share excerpts from my speech at the launch with you.
Caroline Wells, CEO Diabetes Tasmania
”Thank you to Minister Michelle O’Byrne, Minster for Health, for attending and Dr Margarite Vale, Managing Director and founder of The COACH Program and everyone here today who has in some way helped with the success of this innovative health coaching program. Unfortunately Professor Andrew Palmer from the Menzies Research Institute was unable to attend. Our sincere thanks to Professor Palmer for his work in modelling the data.
“The purpose of today’s launch is to announce the latest health economics results from The COACH Program.
The COACH Program is an evidence based telephone health coaching program which helps participants achieve ten key biomedical and lifestyle targets. The program is funded by the Department of Health and Human Services through the Diabetes Assist Agreement and has been running since 2009.
Evaluation of the program has consistently shown improvements in the health outcomes of participants in biomedical and self-reported criteria. These include reductions in HbA1c, LDL cholesterol, triglycerides and blood pressure and increases in physical activity. The program also demonstrates an even demographic spread across the state.
The recent health economics work undertaken by Professor Palmer has produced really exciting results which both complement the clinical outcomes but also reinforces the importance of The COACH Program for not just the participants but to government and the broader community.
The modelling analysis was conducted using the CORE Diabetes Model and was based on before and after comparison of risk factor targets levels. Conclusions drawn from this analysis highlights that participation in The COACH Program was shown to:
- Reduce risk factor target levels(i.e. HbA1c, cholesterol)
- Reduce the risk of complications associated with diabetes
- Increase life expectancy
- Increase quality of life (versus usual care)
By reducing the risk of complications and reducing risk factors the benefits for the individuals as well as the economic benefit are significant.
Evaluation of total direct medical costs (The COACH Program costs plus complication costs) indicated that The COACH Program leads to overall cost savings of $2,902 per patient versus usual care alone over a patient’s lifetime. What does this mean? It means that to date a saving of over $1.5M has been achieved in ongoing care, including hospitalisation.
Clearly, the program is a great success, both for clients and their families, and the health system. Chronic diseases such as diabetes and heart disease place a huge burden on both the individual and society and the human and economic costs are enormous. It would be wonderful if we were able to expand the program. We have an opportunity to make a real difference, so let’s just do it.
I would now like to invite the Minister, who I know has a strong interest in preventative health to speak.”