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LIFESTYLE MANAGEMENT THE CURRENT APPROACH TO CORPORATE HEALTH CARE

LIFESTYLE MANAGEMENT THE CURRENT APPROACH TO CORPORATE HEALTH CARE. EVOLUTIONARY CAUSES OF DISEASES PRE – HISTORIC AGE - VIOLENCE, MALNUTRITION INDUSTRIAL AGE - INFECTIONS DISEASE AUTOMATION AGE - LIFESTYLE DISEASE. LIFESTYLE RELATED DISEASES CARDIO VASCULAR DISEASE DIABETES

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LIFESTYLE MANAGEMENT THE CURRENT APPROACH TO CORPORATE HEALTH CARE

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  1. LIFESTYLE MANAGEMENT THE CURRENT APPROACH TO CORPORATE HEALTH CARE

  2. EVOLUTIONARY CAUSES OF DISEASES • PRE – HISTORIC AGE • - VIOLENCE, MALNUTRITION • INDUSTRIAL AGE • - INFECTIONS DISEASE • AUTOMATION AGE • - LIFESTYLE DISEASE

  3. LIFESTYLE RELATED DISEASES • CARDIO VASCULAR DISEASE • DIABETES • OBESITY • HYPERLIPIDEMIA • HYPERTENSION • METABOLIC SYNDROME • SKELETAL DISORDERS • CANCERS • HIV / AIDS Source: American College of Lifestyle Medicine

  4. 80 % MEDICARE COST FACTORS WORLDWIDE • MORBIDITY (ILLNESS) • CARDIAC (HBP, Diabetes) • CANCER • MUSCULO SKELETAL • PSYCHOSOMA • DIGESTIVE PROBLEMS • RESPIRATORY PROBLEMS • INJURY • MORTALITY (DEATH) • CARDIAC • CANCER • ACCIDENTS • AIDS SOURCE : WORLD HEALTH CARE 1995

  5. LIFESTYLE CO-RELATION AILMENTSCAUSES PAAN/ DIET SEDENTRY STRESS ALCOHOL/ SMOKING * * * * * * * * * * * * * * * * * * * * * * * * * * * * • CARDIAC • CANCER • JOINT PROBLEM • PSYCHOSOMA • DIGESTIVE PROBLEM • RESPIRATORY PROBLEM • INJURY / ACCIDENT Inappropriate Lifestyle is associated with 80% of Medicare costs. A high fat diet, sedentary Lifestyle, high level of Stress, Alcohol & Smoking are either causative or an aggravating factor in most ailments. SOURCE : WORLD HEALTH CARE 1995

  6. DISEASE TREND – DEVELOPED WORLD

  7. DISEASE TREND – DEVELOPING WORLD

  8. Component INTERNATIONAL HEALTH IND % AUS % USA % In active 55 43 40 Over weight 64 54 66 Stress 41 13 55 Chronic Ailments 84 77 - Diabetes 16 3.6 10.2 Cardiac Problems 67 23 26.4 Smoking 20 23 20.8 Alcohol 18 13 9 Source: Australian Bureau of Statistics www.cdc.gov/nchs/data/hus/hus07.pdf#073

  9. THE CORPORATE HEALTH SURVEY - 1999-2000NUTRITION AND FITNESS STATUS PROBLEMS (%) PHYSICALLY UNFIT NO DAILY EXERCISE UNABLE TO TOUCH TOES ABDOMEN LARGER THAN CHEST OVERWEIGHT HIGH FAT INTAKE HIGH SUGAR INTAKE HIGH COMMERCIAL FOODS INTAKE 48.46 43.85 58.65 56.13 70.98 55.52 48.15 35.28 SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

  10. THE CORPORATE HEALTH SURVEY – 1999-2000THE STRESS SCENARIO FACTORS (%) MULTI DIMENTIONAL STRESS PERSONALITY STRESS (TYPE A) OCCUPATIONAL STRESS FAMILY STRESS STRESSFUL ROUTINE 32.76 57.52 48.03 1.62 8.84 SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

  11. THE CORPORATE HEALTH SURVEY - 1999-2000THE DISEASE SCENARIO PROBLEMS (%) PSYCHOSOMATIC STRESS HEADACHES RESPIRATORY DISORDER DIGESTIVE AILMENTS JOINT PROBLEMS SKIN AILMENTS INSOMNIA 83.71 30.07 11.48 40.05 37.47 32.02 15.02 SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

  12. THE CORPORATE HEALTH SURVEY – 1999-2000CARDIAC PROFILE FACTORS (%) 56.05 25.30 15.50 38.23 6.19 HIGH CARDIAC RISK HIGH BLOOD PRESSURE DIABETES HIGH BLOOD CHOLESTEROL EXISTING HEART PROBLEMS SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

  13. THE CORPORATE HEALTH SURVEY - 1999-2000THE CANCER CONNECTION FACTORS (%) MULTIFACTOR CANCER RISK SMOKING EXCESS ALCOHOL INTAKE EXCESS PAAN PRODUCTS USAGE INDUSTRY & ENVIRONMENT 30.31 14.09 5.72 6.49 11.02 SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

  14. WEALTH & WELLNESS PARAMETERSCEOEXECSUPERVISORSWORKERS OBESITY 82.05 54.37 28.35 18.92 UNFIT 69.23 57.67 54.62 56.08 STRESS 100.00 34.56 53.19 -- High B.P. 35.90 20.58 11.18 2.38 DIABETES 12.82 17.28 5.72 4.96 CHOLESTEROL 23.08 8.16 3.64 -- CARDIAC 58.97 48.93 34.46 18.92 ALCOHOL 15.38 3.11 4.29 5.44 SMOKING 15.38 18.83 15.34 14.58 PAAN 2.56 11.50 17.17 42.50 CANCER 30.77 29.13 41.26 33.40 GOOD HEALTH 40.55 55.07 57.63 68.17 INDEX SOURCE : Medical Check-up 95, VIP 95, MHS/Coke Ovens Check-up-97-98

  15. COMPARISON CORPORATE VS NATIONAL

  16. COST OF POOR HEALTH U.S.A. - MEDICAL BUDGET - $ 500 Billion Per Annum - $ 1.3 Billion Per Day INDIAN MEDICAL BUDGET - Rs. 15,000 Crores Per Annum - Rs. 50 Crores Per Day TATA STEEL MEDICAL BUDGET - Rs. 36 Crores per annum - Rs. 10 Lakhs Per Day - Rs. 6,000/- per employ/year • HEALTH COST FORMULA • QUANTIFIABLE COST - 100% Medical Cost • INTANGIBLE COST - 3% of Turnover (+/-) • 1996 Medical budget - Rs.24 Crores Turnover - Rs.5600 Crores

  17. CII- APOLLO CORPORATE SOLUTIONS I MEDICAL & HEALTH CHECK-UP & AUDIT II HEALTH MANAGEMENT EDUCATION III CORPORATE HEALTH FACILITIES IV CORPORATE WELLNESS PROFESSIONALS FROM CURATIVE: Augmentation & Sophistication of Medical Facilities TO PREVENTIVE: Management & Control of Lifestyle Factors

  18. PHASE - I (A)ANNUAL MEDICAL CHECK-UP BLOOD X-RAY ECG PAPSMEAR URINE CT-SCAN EEG STOOL MAMOGRAPHY LIPIDS ECHO LYMPHNODES HORMO ENDOSCOPY P.F.T. ULTRASOUND BARIUMMEAL TMT etc. PATHOLOGY EYE SURGEON CARDIOLOGY E.N.T. PHYSICIAN DENTAL FOR IDENTIFICATION OF AILMENT LIFESTYLE AND HEALTH

  19. PHASE - I (B)(The Computerized Health Scan) • PRESCRIPTION • Cardiac Cure • Cancer Risk Management • AIDS Risk Management • Fitness Programme • Yoga Therapy • Age Reversal • Diet, Weight Loss • Therapeutic Nutrition • Stress Management • Stress Defense • Quit Alcohol/Smoking/Paan • PATH Ranges, THZ • HBP, Sugar, Lipid, Body Fat, Calories, etc. • CORPORATE OFF LINE • PROFILING ON LINE • ASSESSMENT • Health Status % • Physiological Age • Lifestyle Status • Cardiac Risk % • Cancer Risk % • AIDS Risk • Fitness Status • Metabolic Rate • Nutritional Profile • Stress Status and Causes • Psychosomatic Stress • Dependency Status / Causes • INDIVIDUAL • PRESCRIPTION

  20. PHASE - I (C) CORPORATE HEALTH AUDIT

  21. PHASE – II HEALTH MANAGEMENT EDUCATION PROGRAMMES HEALTHY HEART & - HIGH RISK CARDIAC CARE - FAMILY PROFILE - H.B.P., DIABETESE, HYPER LIPIDS - EXISTING HEART PROBLEM CANCER RISK & - GENETIC PROFILE DEPENDENCY MANT. - SMOKERS - ALCOHOL, PAAN - OCCUPATIONAL LIFESTYLE MANAGEMENT - PHYSICALLY UNFIT - OVER WEIGHT - HIGHLY STRESSED - TYPE ‘A’ PERSONALITY WELLBEING Programms - YOUNG EXECUTIVES & TRAINEES ON LINE CUSTOMISED CONTENT COUNSELLING

  22. PHASE - IIICORPORATE HEALTH FACILITIES NO COST/ LOW COST FACILITIES • HIGH COST FACILITIES • STADIUMS - INDOORS • - OUTDOORS • GYMNASIUMS • DEADDICTION CENTRES • NATUROPATHY CENTRES • HEALTH CLUBS • - SWIMMING • - GOLF • - SQUASH, Etc. • OFFICE EXERCISE PROGRAMME • INTER DEPARTMENT SPORTS • AGE GROUP SPORTS • FAMILY SPORTS • TREKKERS CLUBS • WALKERS CLUB • DAILY YOGA CLASSES • DAILY EXERCISE CLASSES • WEEKLY QUIT SMOKING • WEEKLY ALCOHOL MANGT. • WEEKLY WEIGHT WATCHERS Etc.

  23. PHASE IV CORPORATE HEALTH PROFESSIONALS within industry Post Graduate Diploma in Preventive And Promotive Health Care WELLNESS MANAGEMENT • Cardiac Care • Cancer Management • Disease Management • Health Management • Stress Management • Exercise & Fitness • Nutrition & Dietetics • Health Assessment and Prescription Each Year We Accept Over 500 Medical & Health Graduates for Our One Year Post Graduate Program (Peer review – upgradation – validation)

  24. WOW !! USA (Working on Wellness) • HOSPITALS • Mayo Clinic – 16 clinics covering 100,000 MHC annually • CORPORATES • American Heart Association • Registered Corporates 10000 covering 6 million persons • General Motors - 1.6 million persons • FINANCIAL BENEFITS • Sumex Corporation Indianapolis saved $1.5 million • on Health Care costs @ $519 less per person • Hagar Apparel Company (USA) saving of half a million Dollars • Sara Lee Corporation; reduced medicine costs @$150 for 250000 employees a saving of $3.75 million • AT&T (USA) Lower insurance claims @$40 for 350000 • employees a saving of $14 million SOURCE : WELLNESS PROGRAMS MANAGEMENT 1999

  25. WOW !! SINGAPORE • HEALTH PROMOTION BOARD • School Health Programs • Work place Health Promotion • PROGRAMS • Health Screening, Counseling, Audit • Health Programs & Education • ACTIVE Programs & Sports • Food & Canteen • SHE (Safety Health Environment) • Ergonomics • Wellness Participation Vouchers / Memberships • Health Awards for Improved Health • CORPORATES • Glaxo • Dupont • Motorola • Civil Aviation • Police

  26. WOW !! AUSTRALIA • AUSTRALIAN BETTER HEALTH INITIATIVES. • GO FOR YOUR LIFE PROGRAMS • HEALTHY LIFESTYLE CHOICES. • HEALTHY SCHOOL PROGRAMS • SUPPORTING SENIORS • PROMOTION OF WALKING & CYCLING • CHRONIC DISEASE PREVENTION • OBESITY & PHYSICAL ACTIVITY PROGRAMS • HEALTH ACTION PLAN Source: Victoria Queensland Ministry of Health

  27. WOW !! INDIA COMPONENT INTERNATIONALNATIONALTISCO (USA/CANADA) (INDIA) (1995-1990) • CARDIAC RISK 48 % • CANCER RISK 33 % • OVER WEIGHT 59 % • UNFIT 40 % • HIGH STRESS 55 % • SMOKING 28 % • ALCOHOL 9% • EXPENDITURE • A - HUMAN KINETICS, CAN - MIN OF HEALTH 1995, TISCO - PATH CLAPSCAN 67% 44%< 52% 29% 29%< 47% 64% 49%< 58% 55% 48%< 69% 41% 34%< 48% 20% 18%< 22% 8% 2%< 4% 24CR < 36CR

  28. Chennai WOW - CII CII (SR) Corporate Health Survey – 2005 CII HEALTH SURVEY 55 Participating Corporates Hyderabad Bangalore Loyal Textiles Stuser Tools Pvt. Ltd. Susira Industries Taylor Rubber Pvt. Ltd. T.I. Cycles Of India Take Solutions Ltd. CII Chennai e-Logistics Amer Raja Betteries GKS Productive Elements T. C. S A P Paper Mills Dr. Reddy's Lab Shakti Alternative Energy Ltd. John Flower Ind. Pvt. Ltd. Hewlett Packard Mindtree Consulting Tata Infotech United Beweries Kennametal Widia Ltd. HAAT Incinerators India Ltd. Kurlon Ltd. L & T Pondichery HCL InfoAurofood (P) Ltd. Chemin C & I Ltd.

  29. Coimbatore WOW - CII CII (SR) Corporate Health Survey – 2005 CII HEALTH SURVEY 55 Participating Corporates Madurai Mysore Indian Foods Pvt. Ltd. Thiagaraja Mills Ltd. TVS Cherry Pvt. Ltd. TVS Interconnect Ltd. Airport Authority Of India Chandna Textiles Ltd. Lakshmi Graha Apparels Magna Rieter LMW Machinery Ltd. Mahindra Amar Metering Pumps E. Brahma Wilson Autoprint Machinery Manufactures P Ltd Supreme Plasticizer Vijya Wire Foundation Industries ACE Components Ascar Microns (P) Ltd. Deco Equipment Pvt. Ltd. Hydroulic Fluidics Suprem Pharmceuticals Neulite Triveni Engg. Vasu Agarbatti Cochin G T N Textiles Ltd. Neptune Readymix Concrete Pvt. Ltd. Patspin India Ltd. Vaidyanatham O S

  30. WOW !! C.I.I. National Corporate Wellness Plan - Covering 500,00 Employees from 500 Corporate each year - Major Cities & Smaller Towns - Manufacturing & services Healthiest Corporate in India Award

  31. Thank You PROF. ADRIAN KENNEDY Managing Director Lifetime Wellness Rx International Ltd. (An Apollo Hospitals Group Initiative) Hyderabad, India. Phone: 040-23388328, 23301650 Email: wellnessrx@apollolife.com

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