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Examples of Preventive Examples of Preventive Health ManagementHealth Managementby Dr. Gby Dr. G üünter Rutkowskinter RutkowskiCentre of Excellence Centre of Excellence „„ ErgonomicsErgonomics ““
BASF SE, LudwigshafenBASF SE, LudwigshafenOccupational Medicine & Health ProtectionOccupational Medicine & Health ProtectionChief Medical Officer : Prof. Dr. Stefan LangChief Medical Officer : Prof. Dr. Stefan Lang
IVSSIVSS--Symposium 2015Symposium 2015
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Poor doctors treat a diseaseAdvanced doctors treat the disease before it breaks outtop-grade doctors prevent the disease
Quotation J.B. Cohen, from a Chinese script, about 500 BC
龍龍龍龍
(Source: T.Kraus, RWTH Aachen, Inst.f. Arbeits- und Sozialmedizin)
What is the better option: To treat illnesses – or to prevent them?
Significance of Prevention
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The Overall Question
Quelle: sebworld.de BASF-Lernzentrum - Besprechung
Which is the more economic option for an enterprise: Sick and missing employees – or healthy and active on es?
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150 yearsChallenges in Occupational Medicine:Change in Health RisksBefore ���� Today
Health hazards
influences by physical labour
Diseases of „affluence and lifestyle“
����
����
Work accidents,hazardeous substances,dust,radiation etc
lifestyle related influences
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Demographic Development of the Workforce at BASF SE
0
200
400
600
800
1000
1200
1400
15 20 25 30 35 40 45 50 55 60 65 70
Employees per age group
Age [years]
2008 2020
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today
Prognosis for 2020: Increase in Chronic Diseases at BASF(Data source: AMEDIS: years 2003-2005, 21.125 males , 2.862 females)
Diabetes
Hypertension
Obesity
Backpain
Diabetes
Hypertension
Obesity
Backpain
today prognosed for 2020
Employees 50+
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BASF SE - Headquarters in Ludwigshafen
� Premises of about 10 Km2
� About 36.000 workforce
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BASF: More Than 112,000 Employees Worldwide
Asia / Pacific
Europe
Interconnected site
SÃOPAULOSÃOPAULO
GEISMARGEISMAR
FLORHAMPARKFLORHAMPARK
North-America
South-AmericaAfricaNear East
FREEPORTFREEPORT
ANTWERPENANTWERPENLUDWIGSHAFENLUDWIGSHAFEN
HONGKONGHONGKONG
KUANTANKUANTAN
NANJINGNANJING
SINGAPURSINGAPUR
Important production siteP
Regional Headquarter
Headquarters in Ludwigshafen, important interconnect ed BASF regions and production sites
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Who Are the „Clients“ of Our Health Campaigns?
Adults
•who are in their „best“ years
•who usually feel fine and fit for work
•who often dislike to see a doctor or talk about illnesses
•who may have contorted ideas about health issues
•who – despite of all that – already show health hazards.
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What Are the Health Campaigns Targeting At?
Health campaigns are to
-raise the awareness of certain health hazards and
- initiate medical advice at an early stage
in order to prevent future treatment periods that are costly in terms of
time and money.
© iStockphoto.com/shorrocks
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Examples of Health Promotion at BASF
Sustainable and enduring health promotion� for specific groups,e.g. workers in rotating shifts� for certain age groups: prevention of colon cancer, >46 y� Health check-up for every employee
Annual & global health campaigns focussing onimportant health topics
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One Example in Details: Steps to Health, 2009
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Global Health Campaign 2009 Steps to Health - Results
paces per dayper person
daily averageper person
total of steps, LUAbout 2 480 060 000
= 1 490 400 Km
all participants on the averageAbout 10 400 = 6,2 Km
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Summary for Ludwigshafen:Three Billion Steps for the Health …
5 x distance Earth –Moon walked…
Fat reduction by 3 tons…
Abdominal circumference reduced by 65 meters…
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Results: „Highlights from Ludwigshafen“
15
78% age 30-59 y.78% age 30-59 y.
45% BMI > 2545% BMI > 25
32% changed their food habits32% changed their food habits
58% want to keep moving more58% want to keep moving more
90% liked the campaign90% liked the campaign
77% felt a benefit by the campaign77% felt a benefit by the campaign
25% feel fitter than before25% feel fitter than before
46% managed to loose weight46% managed to loose weight
8128 participants8128 participants
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Example: The General Health Check
� Beginn as a pilot project in Ludwigshafen - 2012� Roll out - as Global Health Check - 2013
Target: About 10,000 checks p.a., particularly for those who need no regular occupational medical.
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The BASF Health Check Comprises
� questionnaire (for the medical and „stress“ history) � examination by an OH-physician� comprehensive blood tests� spirometry� ECG if over 45 y� final medical report with modular health
recommendations
The health check can be combined with other occupational medicals.
The report is given to the patient himself. He may pass it to his GP.
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Advisory Service: Four Modules
„Metabolic disorder“
Stress
Backpain
Stop smoking
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Foto: Klinikum Ludwigshafen
Example: Mission Nutrition 2015
Global Health Campaign 2015Mission Nutrition
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Foto: Klinikum Ludwigshafen Foto: Immanuel Giel / Wikipedia
Example: Mission Nutrition 2015
1. Personal weight logbook (self assessment)2. Enhanced canteen menue (with a healthy option)3. Various recipes on the Intranet4. Offer of consultations by nutrionalist/physician5. Questionnaire and quiz. Participants can win
a cooking evening with Holger Stromberg(chef of German national football team)
6. Continued information on healthy food
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Foto: Klinikum Ludwigshafen Foto: Immanuel Giel / Wikipedia
Example: Medical Stress Management at BASF
Health checks identification ofOH medicals individuals at a high risk Risk assessments detection of high risk groupsPlant inspections
Management training health-oriented leadershipOccupational restart on hourly basis while still re-integration on sick-leaveProgram „AorTa“ task-based job analysis
Health seminars for employeesWorkshops focussing on mental health and Intranet resilienceSocial counseling for „home-made“ problems
1. Analysis
2. Structuralprevention
3. Behaviouralprevention
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Example: Medical Stress Management at BASF
4. Case management:
Round table talk - if work-related(employee, physician, HR business partner, works counsil)
Psychotherapeutic treatment - in case of individual illnesses inc. addictions
Social counceling - advice for debtors, counselling in life crises
Co-operation with local psychotherapists, hospitals and rehabilitation centres
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Co-operation with External Specialists
Important partners in Ludwigshafen are:
Foto: Klinikum Ludwigshafen Foto: Immanuel Giel / Wikipedia
GO–LU is a network of 310 physicians and psychotherapists of the Vorderpfalz region (Frankenthal, Ludwigshafen, Bad Dürkheim, and Rhein-Pfalz-Kreis).
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Example: Customized Solutions
Any activity needsAny activity needs
a decent place to act out, as well asa decent place to act out, as well as
sufficient promotion.sufficient promotion.
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LuMit – Gym, Nursery & Social Counselingfor BASF Employees in Ludwigshafen
� LuFitGym with slots for 2.500 members, physiotherapy and consultations in sports medicine
� LuKidsNursery, 250 places
� LuCareSocial counseling
Easily accessible offer in Ludwigshafen near the plants for all BASF employees
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Information on the Intranet
� Self-owned, fast and updated web page
� Worldwide available� Versions in German
and English language� Closed section for
BASF medical professionals as a „best practise platform“
Web page of the department of Occupational Medicine & Health Protection on BASF.net
https://arbeitsmedizin.basf.net
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External Feedback on Our Health Management: National Awards for BASF (Selection)
� Deutscher Unternehmenspreis Gesundheit 2008, 2009, 2010, 2012 (gestiftet von EU-Kommission und BKK Bundesverband)
� Gesundheitspreis 2011 der Stiftung Rufzeichen Gesun dheit
� Innovationspreis 2011 der DGAUM für akademische Leh re
� Felix Burda Award 2006, 2007
� Antistigma-Preis 2013 der Dt. Gesellschaft für Psyc hiatrie/Psychotherapie
� Soul at Work Platin Award 2014, Soul@work congress
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Return on Invest (ROI) O f Selected Health Activities
Researchers of independent consultants (e.g. Booz & Co) speak about a ROI between 5 and16 Euro per Euro invested.
Project ROI Publikation
Backpain project 1 : 2 Pluto et al 1995, 1997, 2002, 2005
Colon cancer screening 1 : 10 Webendörfer et al, DMW 2004
Stop smoking campaign > 1 : 15 Lang et al, ASU 2004, 2007
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Let‘s Summarize in One Sentence:
Health management at BASF:„Investing in the employee‘s health today means investing in the business success of tomorrow.“
Prof. Dr. Stefan LangChief Medical Officer BASF SE