IBM Commit to Health
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1 IBM Commit to Health IBM Integrated Health Services Dr Balaji Lakshmipuram, India Dr Tong Chen, China Global Healthy Workplace Awards Shenghai, China April 2014 April 2014
2 IBM Leadership in Health Promotion Around the World Examples of local innovations: US & Canada Financial incentives for healthy living Mexico Network for retail health screenings Brazil IBM Baby provides support for new mothers SSA Family safety at home and on the road France Manager & team training on stress Germany Unique peer coaching for well-being Africa Wellness checks & health risk assessment CEE&RCIS Web-based stress assessment tool South Africa Health plan tools & retail discounts for healthy living China First to offer Hepatitis B vaccination & education India Popular Health Screening Camps & leading support for Women s Health Japan Successful Smoking Cessation & Stress Reduction ASEAN Social events for physical activity & other topics ANZ Access to web-based tools for healthy living IBM Corporation
3 IBM Integrated Health Services IBM Corporation
4 Alignment with WHO Healthy Workplace Model IBM Corporation
5 10 Global Priorities for Health Promotion IBM Corporation
6 Strategic Approach to Health Promotion Advancement IBM Corporation
7 Teaming Approach Provides Leadership & Collaboration Health Promotion Pillar Owner Core Global Team Global Priorities SMEs & Teams Local/Regional Leads IBM Corporation
8 Global Health Promotion Program Framework Health Assessment & Screening Health Education & Awareness Targeted Support Programs (High-tech & High-touch) Supported by: Healthy Worksite Environments Driven by: Innovative Engagement Strategies IBM Corporation
9 Global Health Risk Assessment & Surveillance Assessment, feedback, and triage to follow-up programs Translated, acculturated, and aligned to local country needs Country and global data dashboards on key metrics IBM Corporation
10 Virtual Health Fair & Online Health Community Virtual global health event (live and on-demand access) Live presentations from 20 experts around the world Interactive booths for Q&A with experts Presentations and materials in 8 languages Employee exchange and sharing through online Commit to Health Community IBM Corporation
11 Wellness Advisor Integrated Support for Health Triage Counsel Support Medical Support Behavioral Support Wellness Support Medical Line Pregnancy Support Treatment Decision Support Condition Management EAP Services Wellness Coaching Symptom check & self-care advice Questions on medications, vaccinations, screenings Minor injuries Upper respiratory infections Acute pediatric illnesses Healthy habits during pregnancy Questions about medications Prenatal visits planning Healthy delivery Prevention of post-partum depression Questions about and alternatives to surgery Management options for back pain Options for management of uterine problems Diabetes High blood pressure Stable heart disease Hepatitis B High cholesterol Arthritis Stress management Depression and anxiety Relationship issues Manager assistance Critical incident support Financial and legal advice Weight management Smoking cessation Physical fitness Sleep Cholesterol management Developing and maintaining healthy habits IBM Corporation
12 Published Health Improvement & Cost Savings IBM Corporation
13 Example: Longitudinal Impact on Healthcare Costs IBM US Healthcare Claims Cost Trends based on Number of Years Employees Completed Healthy Living Programs ( , Study Group N=40,784, After Propensity Matching N=12,752) Med/Rx costs converted to 2012 dollars Study Populations after Propensity Matching Non-participant 1, Years 3, Years 3,849 9 Years 3,790 N IBM Corporation
14 IBM China Case Study Dr Tong Chen Integrated Health Services IBM Greater China April 2014
15 China IBM Tens of thousands IBM Corporation
16 Total expenditure on health as % of GDP Private Public Total expenditure on health Per capita (PPP int. $) Source: 2011 World Health Statistic IBM Corporation
17 Commitment to Health IBM Corporation
18 Health Screening/Check in China n n n For most companies in China, health program = health check-up Most if not all heath budget goes to health check Vendor dominant, diagnosis oriented, not evidence-based, and variable quality n Billion US$ health check market = M peasants health insurance spending! IBM Corporation
19 Screening Plan A Screening Plan B Purpose of the screening International recommendation 12 Chinese recommendation 1 Health Risk Assessment Alcohol use/smoking Recommended3 Recommended3 Height and Weight Overweight/Obesity Blood Pressure (BP) Hypertension <120/80: Every 2y Fasting Blood-glucose Diabetes > : Every y Total Cholesterol(TC) & HDL-C Lipid disorders >135/80: Ever 3 y; Pap smear(female) Cervical cancer M>35, F>45: Every 5 y; Every 5 y Fecal occult blood test(50-75) Colorectal cancer Mammography F >40 Mammography F >50 Breast cancer Breast ultrasound (F>35) Prostate Ultrasound Chest X-ray Pulse Breathe Physical examination Complete Blood Count Liver enzyme: ALT Blood BUN,CR Abdomen ultrasound Pelvic ultrasound Uric Acid ( UA) N/A Breast cancer Prostate cancer Lung Cancer Non-specific 4 Non-specific Non-specific Non-specific liver damage Chronic kidney disease Non-specific Non-specific Gout 21-65: Every 5 years years,yearly Recommended years: Every 2 years Not Recommended Recommended : Every 1-2y Not Recommended Hepatitis B serology Hepatitis B infection Urine test Chronic Kidney Disease Not recommended Insufficient evidence to TG LDL-C N/A Lipid disorder Recommended Evry 5 y recommend or against Eyes, Ears, Nose Examination Non-specific No Data IBM Corporation
20 Smoking a Leading Health Risk in China Source: WHO, IBM Corporation
21 Workplace Strategy to Reduce Smoking WHO MPOWER Policies Monitor tobacco use and prevention policies Smoking Cessation Methods Unassisted methods Smoke-free environment Clinical settings Offer help to quit tobacco use Medications: NRT, Bupropion, Varenicline etc. Warn about the dangers of tobacco Individual and group counseling Enforce bans on tobacco advertising, promotion and sponsorship Raise taxes on tobacco Web-based or stand-alone and computer programs Others: competition & incentives; psychological approach; community intervention; substitutes; etc IBM Corporation
22 IBM China & Public China Male Smoking Rate Comparison n Lung cancer is a leading cause of death in China n IBM was the first employer in China to implement a non-smoking workplace policy in the 1990s Ref. n China CDC & American Cancer Society Smoke-Free Workplace Initiative in % 70% 60% 50% 40% 30% 20% 10% 0% China smoking rate n China government has initiated a Nonsmoking Hospital since 2011 Male smoking rate IBM Corporation
23 Hepatitis B Infection in China n 8% (100 million) chronic infected in China (vs. 34 millions HIV globally) n 20-30% chronic patients will develop cirrhosis and/or liver cancer n Liver cancer is 2nd leading cause of cancer death in men Cirrhosis IBM Corporation
24 IBM China Hepatitis B Program China IBM since late 1990 s: n Eliminated HBV testing in hiring process n Created HBV vaccination program n HBV health benefits coverage for both employees and their family since 2011 % IBM Beijing Employee HBV Serology# HBsAb + HBsAg + All Y2005 Y2006 Y2007 Y2008 Y2009 Y2010 Data from China IBM annual health checkup IBM Corporation
25 IBM Corporation
26 Mental Health Organization Culture & Environment Crisis Management Case management Special group EAP first 1998 Resilience program Stress survey tool Employee education Manager education Mental lectures Insurance coverage Diversity program Flexible work IBM Corporation
27 Challenges in China IBM China was awarded 2013 Health Management Pioneer Enterprise' by Chinese Medical Doctor Association IBM Corporation
28 谢谢! IBM Corporation
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