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 Assessment Tool: Assessing
Diabetes in Your Company
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Conducting a General Diabetes Assessment For Your Company
Age and Gender-Based Tool
To make a general assessment of diabetes in your company you will need to complete the following four steps:
- Identify the potential prevalence of diabetes in your company.
- Determine the total medical costs for employees with diabetes.
- Determine the total medical costs for employees without diabetes.
- Assess health care costs and the need for action.
Step 1. Identify the potential prevalence of diabetes
in your company
Enter the total number of males and females in your workforce
by these six age categories. (These figures are used to
automatically calculate steps 2 and 3 of this assessment.)
Step 2. Take the total number of males and females by age
category and calculate the prevalence of diabetes in your
company using the table below.
* These figures are based on prevalence rates from the Third
National Health and Nutrition Examination Survey 1988-1994 (NHANES
III) data on prevalence of diabetes by age and sex. NHANES III
is one of several sources for data on the prevalence of diabetes
in the United States. NHANES III surveyed a representative
sample of more than 18,000 adults within the general population
to estimate the percentage of employees with a known diagnosis
of diabetes. Step 3. Determine the total medical
costs for employees with diabetes
Step 4. Determine the total medical
costs for employees without diabetes
A. Estimate the number of employees without diabetes.
Estimate the number of employees without diabetes by entering
the total number of employees in column B.
B. Find the total medical costs for people without diabetes.
Estimate the total medical costs for employees without
diabetes by entering the total number of employees without
diabetes in column B.
Step 5. Assess Health Care Costs and the Need for Action
It may be helpful to compare the health care costs and use this as a call to action to improve outcomes.
As you assess these general findings, ask yourself:
- Does my company need to lower its costs associated with diabetes? _______
- Would my employees benefit from some type of diabetes and/or other health promotion program? _______
- Do I need to add to my companyâs diabetes and health promotion activities or create new activities? ________
If you answered YES to any of these questions, go to the
Planning Guide
and create the diabetes and health education programs that best
meet your needs.
Note: If you want to calculate all the diabetes-related costs for each employee, contact your health care plan about obtaining a list of codes for diabetes care from the
International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9 CM). The ICD-9 CM coding system is used to code signs, symptoms, injuries, diseases, and conditions. These codes help health care providers, health care consultants, and insurers to calculate medical costs.
_______________
* These costs reflect both diabetes- and
non-diabetes-related care. People without diabetes also have health care costs. These costs are
based on the ADA's 1997 Cost of Care Study.
Special Populations
Some populations have a higher incidence of diabetes. Data collected have indicated that African Americans, Mexican Americans, Asian/Pacific Islanders, and Native Americans have increased risk of diabetes.
As you consider creating health and wellness programs for your workforce, consider the diversity of backgrounds of your employee population and begin to understand that health and medical needs may vary. To help you begin to better understand how diabetes may be more prevalent in some populations, review the Prevalence Data on African Americans, Non-Hispanic Whites and Mexican Americans that was reported in the Third National Health and Nutritional Examination Survey 1988-1994 (NHANES III) Data on Prevalence of Diabetes.
Non-Hispanic White
Age (Years) |
Both sexes |
Men |
Women |
20–39 |
1.0% |
1.2% |
0.9% |
40–49 |
3.3% |
3.0% |
3.5% |
50–59 |
7.5% |
9.9% |
5.3% |
60–74 |
11.3% |
10.9% |
11.7% |
Non-Hispanic Black
Age (Years) |
Both Sexes |
Men |
Women |
20–39 |
1.6% |
1.6% |
1.6% |
40–49 |
6.2% |
5.5% |
6.7% |
50–59 |
13.8% |
13.0% |
14.5% |
60–74 |
20.9% |
16.8% |
23.9% |
Mexican American
Age (Years) |
Both Sexes |
Men |
Women |
20–39 |
0.8% |
0.5% |
1.2% |
40–49 |
7.3% |
5.5% |
9,2% |
50–59 |
16.0% |
15.5% |
16.5% |
60–74 |
24.4% |
18.8% |
29.0% |
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