Transcript Slide 1

June 18-19, 2009
Sponsored by
|
Hyatt Regency Chicago
Global Health is Global Wealth
Michael Taylor, MD, FACP
Medical Director for Health Promotion, Caterpillar Inc
Linda Gzehoviak, Corporate Global Resources, ACS
Projected Deaths for Selected Causes
In 2010, cancer
will become the
world’s leading
cause of death
Tobacco: 1 billion Lives
Obesity
• Overweight and obesity:
1 billion (increasing)
• Obesity is quickly
replacing malnutrition as
the critical nutritionrelated health challenge
in many emerging
economies like China
• Mexico has second
highest obesity rates in
the world (first is U.S.)
Tobacco Quitlines
• Publicly financed quitlines exist in the following
countries:
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Brazil
Iran
New Zealand
South Africa
Europe: at least 27 countries
Asia: Hong Kong, Taiwan, Thailand, Malaysia, Singapore
Australia
Canada
U.S.
• Quitlines vary in scale and sophistication.
Costs to Employers - Direct versus
Indirect
• Most countries have government sponsored health
care
• In some of those countries, individual co-pays remain
so high that companies provide additional coverage
• Access to care is “the issue” in most of the developing
world
• Myth plays a huge role in early detection
The Role of Myth
• Belief in survivorship – must be fostered
• Education that cancer is preventable throughnutrition, physical activity, and tobacco
• No one deserves cancer-but many believe they
have caused their own cancer
• Financial concerns – would rather not know
Myths - Around the World
• In Malaysia, many men abandon or abuse a wife with
breast cancer.
• Quote from African patient: “A short man with an
arrow shoots you and you get cancer. Sometimes his
wife can stop him and then you don’t”
• Quote from Indian Cancer Expert: “Even my mother
didn’t want me to share my breast cancer experience.
Her fear was that I would not find a husband”
Why is Cancer So Devastating in the
Developing World
• Access to care
• Guidelines must match the resources to
follow them
• No global cancer “wiki”
• Lack of translated materials to educate
around cancer
• Lack of government policy
Employer Challenges
• Traditional view of global health
– Health benefits as a direct cost
– Federal funding “covers” the issue
• Reality
– Poor health= productivity loss
– Indirect cost is a concern
– Global employees need to be:
• Healthy
• Well trained
• Engaged
Impact on Employers
• Issue is productivity loss
– Absence due to illness
• Presenteeism
• Training cost of replacement employees
• Retention
• Global competitiveness
Caterpillar- Principles of Global Health
Promotion
– Healthy employee is a competitive
business advantage
– Corporate Medical Department
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Set overall direction
Help identify the needs
Broker local resources
Solution is local
Caterpillar- Principles of Global Health
Promotion
– Local needs vary
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India
China
Mexico
Europe
Caterpillar- Principles of Global Health
Promotion
– Successes
• Aligning diabetes data in India
• Some traction around smoking policies in
China
• Brazil
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50 year history of worksite wellness
Onsite MDs, dentists
Physical therapy
Highest engagement scores at Caterpillar
Examples of
Workplace Wellness Programs
TOBACCO CONTROL
• Quit lines
• In-person Counseling: individual & group (e.g., Freshstart)
• Smokefree worksite polices
• “No Tobacco” days
Examples of
Workplace Wellness Programs
DIET & PHYSICAL ACTIVITY
• Physical activity programs offered in the workplace, e.g., RFL
• Onsite exercise facilities or sponsored gym memberships
• Encourage active commuting and discourage motorized
transport, using price and other incentives
• Encourage use of stairs
• Healthy onsite food options: cafeterias, vending machines
Findings to Date
Key Findings from the 2009 ACS Global
Workplace Wellness Program Feasibility Study:
Survey of Employers
• Demand for programs is broad based: corporate management,
employees
• There is need for employers and employees to understand the value of
wellness programs - better documentation of ROI is needed
• There is demand for ACS EI programs, and companies are willing to work
with ACS directly and/or collaborate with partners selected by ACS.
Many companies have partnered in the past
• Most either have existing programs or plan to implement a wide range
of programs in the near future
Key Findings from the 2009 ACS Global
Workplace Wellness Program Feasibility Study:
Survey of Employers
• The majority of companies either have or are working on a global program
• Most companies have long-term objectives but are approaching them using
sort-term programs based on local demand and resources
• Challenges include global consistency, privacy laws, resource allocation,
local management buy-in, translation, cultural appropriateness, funding
• The global economic recession has served to emphasize the importance of
maintaining health and most companies surveyed report pressing ahead
with plans
Key Findings from the 2009 ACS Global
Workplace Wellness Program Feasibility Study:
Survey of Academic Community
• Awareness would need to be created to facilitate buy-in and ensure
program success
• Lack of existing infrastructure is a challenge, for tobacco cessation,
cancer screening and treatment, and NCD management
• Cultural issues can present challenges. They include fatalism, cultural
acceptance of tobacco use, KABs on physical activity, diet and weight
Key Findings from the 2009 ACS Global
Workplace Wellness Program Feasibility Study:
Survey of Academic Community
• Programs should focus on: tobacco, cancer, diet, physical activity,
and obesity
• Main recommendations for ACS involvement are corporate level
policy (e.g., smokefree worksites) & program design and
planning
• Program delivery should involve partnering with local
organizations and entities
• It is important to consider local laws and policies
ACSU for Global Employers
• More than 30 participants from across the globe came to Boston in
August
• Topic - global engagement around chronic disease prevention.
• Confirmed large gaps in global employee services
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ACSU Global Employer Program:
Evaluation
.. it is a beginning to a long journey. Thank you and good luck!
Increase participation from Latin America, Asia, and Africa. Because that where
the issues are burning and need focus. Thank you!!! This has been a great
effort!!!
I enjoyed this opportunity and hope to implement some of the great information I
learned. This was perfect timing since my company is in the process of building
our global wellness strategy.
This was an excellent opportunity and extremely valuable. It was great to meet
lots of new companies and contacts. I liked it. Was a good mix of MDs and other
allied health and benefits people.
Need to run ACSU 2-3 times per year to allow companies to get others involved.
This presents a great opportunity for networking. Need more participation from
employers outside the U.S.
GEHC: I would like to do this for all of my medical officers worldwide
Thanks!
ACS approach to Comprehensive
Employee Health & Wellness
Corporate Initiatives
Comprehensive Solution Maps
Tobacco-free Workplace
1. Complete ban on tobacco use
2 Freshstart & Quitline
3. Communications
4. Coverage for NRT & cessation medication
Healthy & Active
Workplace
1. Caloric value on foods, subsidize healthy
options, healthy catered food
2 Active for Life /
3. Communications
4. Subsidize memberships to health clubs
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Socially Responsible
Workplace
1. Support local NGOs and community initiatives
2 Employee giving / participation
3. Communications
4. Provide coverage for prevention and early
detection services / screenings for chronic
Employers Need…
• Wellness services/programs that are global in scope but adaptable to
local conditions; 80-20 Ikea rule
• Public-private partnerships: effective coordination of efforts among
stakeholders in the for-profit, non-profit and public sectors
• Assets: NCD and tobacco cessation resources, including vendors and
NGOs, by country
• Translated materials on chronic disease prevention
• Better data to make the case
Collaboration
Collaboration
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World Economic Forum
World Health Organization
UICC-World Heart-IDF
Universities: Emory, Harvard School of Public
Health
• Mercer and other HR consultancies
Global Agenda Council of World Economic
Forum: Working Towards Wellness
Areas of Focus
– Economic impact on health systems
– Importance of corporate role and supporting behavioral changes amongst business
leaders
– A “marketplace” of new ideas
– Acting as an advocacy group
– Bridging of the science gaps
– Tackling the non-inclusion of chronic diseases in the Millennium Development Goals
– Developing partnerships and finding out what we know and what we don’t know
Channels
– Regional Forums
– Davos
– Corporate Partners
Country Partners
• Public Health Foundation of India
• China, CDC, CACA, CPMA, WHO
• Brazil – Chronic Disease Prevention Groups
and NCI
• Africa – AORTIC, ACRE
ACS Role ?
ACS EI Role by Geography
Level
1
Direct outreach to
corporations,
global and local
ACS Role: IMPLEMENTER
Products / Toolkits self-implemented with
appropriate support from partner NGOs
( Channel of distribution: Web)
ACS Role: FACILITATOR
Train partner NGOs &
provide best practice knowledgebase
India, China, Brazil,
Mexico, & Russia
Why? Emerging markets for most NWPC,
maximum employee base, and maximum burden
of cancer and chronic diseaases
Level
2
Selected countries in
Africa, Latin America, and
Southeast Asia
Why? Support NWP companies in countries
with significant employee base
Rest of the world
Products / Toolkits for Self Implementation
( Channel of distribution: Web)
ACS Role: ENABLER
Best practice knowledgebase
Global Employer Engagement
Level
3
Why? Address the need for NWP companies
who have employee base in countries outside of
ACS’s Level 1 and 2 engagement
Building Platforms for Survivor Voices International Relay For Life
Now available for NCTP Companies
at www.relay.org/relay
Dow, JBS, Tata
McMurdo, Antarctica
Advocacy: Tobacco Control
Capacity Building:
ACSU and Seed Grants
Corporate Outreach: Beijing Olympics
• Reach out to companies
around smokefree worksites
in China
• Media event August 9 and
platform for engagement
with Chinese operations of
multinational companies
Regional Engagements
Greater China
• Capacity Building:
breast cancer
programs, patient
services, government
• Tobacco control:
cessation and
smokefree worksites
project
• Work in Mainland
China, Hong Kong and
Taiwan
Africa
• North Africa Tobacco Control
program, including smokefree
worksites
• Africa Tobacco Control Research
Initiative
• ORACLE Five County Cancer
Information and Capacity Project,
including worksite engagement
Mexico
• With one in nine
Americans of Mexico
descent, this is a priority
country!
• Infocancer is modeled
after ACS Patient
Navigation
• Support from Midwest
Division, Pfizer Mexico,
GEHC, and partnership
with Mexican NCI
Malaysia Relay For Life
Sponsored by