IBM Commit to Health - globalhealthyworkplace.org · Global Healthy Workplace Awards Shenghai, China ... Global Health Promotion Program Framework Healthy Worksite ... Hepatitis B

IBM Commit to Health IBM Integrated Health Services Dr Balaji Lakshmipuram, India Dr Tong Chen, China

April 2014

Global Healthy Workplace Awards Shenghai, China April 2014

2 © 2014 IBM Corporation

Japan Successful Smoking Cessation & Stress Reduction

India Popular Health Screening “Camps” & leading support for Women’s Health

IBM Leadership in Health Promotion Around the World

China First to offer Hepatitis B vaccination & education

Brazil IBM Baby provides support for new mothers

US & Canada Financial incentives for healthy living

South Africa Health plan tools & retail discounts for healthy living

Germany Unique peer coaching for well-being

France Manager & team training on stress

ANZ Access to web-based tools for healthy living

ASEAN Social events for physical activity & other topics

SSA Family safety at home and on the road

Mexico Network for retail health screenings

CEE&RCIS Web-based stress assessment tool

Examples of local innovations:

Africa Wellness checks & health risk assessment


IBM Integrated Health Services


Alignment with WHO Healthy Workplace Model


10 “Global Priorities” for Health Promotion


Strategic Approach to Health Promotion Advancement


Core Global Team

Global Priorities SMEs & Teams

Local/Regional Leads

Health Promotion Pillar Owner

Teaming Approach Provides Leadership & Collaboration


Global Health Promotion Program Framework

Healthy Worksite Environments

Health Assessment & Screening

Health Education & Awareness

Targeted Support Programs (High-tech & High-touch)

Innovative Engagement Strategies

Supported by: Driven by:


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


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


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

Wellness Advisor – Integrated Support for Health


Published Health Improvement & Cost Savings


Study Populations after Propensity Matching N

Non-participant 1,284 1-2 Years 3,829 3-8 Years 3,849 9 Years 3,790

IBM US Healthcare Claims Cost Trends based on Number of Years Employees Completed Healthy Living Programs (2004-2012, Study Group N=40,784, After Propensity Matching N=12,752)

Med/Rx costs converted to 2012 dollars

Example: Longitudinal Impact on Healthcare Costs

IBM China Case Study Dr Tong Chen Integrated Health Services IBM Greater China

April 2014


China IBM

Tens of thousands


0.0

5.0

10.0

15.0

20.0 Private Public

0.0

2000.0

4000.0

6000.0

8000.0

Source: 2011 World Health Statistic

Total expenditure on health as % of GDP

Total expenditure on health Per capita (PPP int. $)

17 © 2014 IBM Corporation 17

Commitment to Health


n  For most companies in China, health program = health check-up

n  Most if not all heath budget goes to health check

n  Vendor dominant, diagnosis oriented, not evidence-based, and variable quality

n  50-100 Billion US$ health check market = 100-200M peasants health insurance spending!

Health Screening/Check in China


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 >129-139: 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 21-65: Every 5 years

50-75 years，yearly

Mammography F >40 Mammography F >50 Breast cancer Recommended 50-74 years: Every 2 years

Recommended 50-69 : Every 1-2y

Breast ultrasound (F>35)

N/A

Breast cancer

Not Recommended Not Recommended

Prostate Ultrasound Prostate cancer

Chest X-ray Lung Cancer

Pulse、Breathe Non-specific ④

Physical examination Non-specific

Complete Blood Count Non-specific

Liver enzyme: ALT Non-specific liver damage

Blood BUN,CR Chronic kidney disease

Abdomen ultrasound Non-specific

Pelvic ultrasound Non-specific

Uric Acid ( UA) Gout

Hepatitis B serology Hepatitis B infection Urine test

N/A Chronic Kidney Disease

Insufficient evidence to recommend or against

Not recommended TG、LDL-C Lipid disorder Recommended Evry 5 y Eyes, Ears, Nose Examination Non-specific No Data


Smoking a Leading Health Risk in China

Source: WHO, 2008


Workplace Strategy to Reduce Smoking

WHO MPOWER Policies Smoking Cessation Methods

Monitor tobacco use and prevention policies 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

Web-based or stand-alone and computer programs

Raise taxes on tobacco Others: competition & incentives; psychological approach; community intervention; substitutes; etc.


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 2008

n  China government has initiated a ‘Non-

smoking Hospital’ since 2011

0%

10%

20%

30%

40%

50%

60%

70%

80%

2010 2011 2012

China smoking rate

Male smoking rate


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

Hepatitis B Infection in China


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

Data from China IBM annual health checkup.

IBM Beijing Employee HBV Serology#

0

10

20

30

40

50

60

70

80

90

%100

Y2005 Y2006 Y2007 Y2008 Y2009 Y2010

HBsAb +HBsAg +All −



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 China was awarded 2013 ‘Health Management Pioneer Enterprise' by Chinese Medical Doctor Association

Challenges in China


谢谢!

Documents

IBM Commit to Health - globalhealthyworkplace.org · Global Healthy Workplace Awards Shenghai, China ... Global Health Promotion Program Framework Healthy Worksite ... Hepatitis B