Best Corporate Health Programs Best Corporate Health Programs AOHC, Chicago AOHC, Chicago April 17th, 2002 April 17th, 2002 Bristol- -Myers Squibb Myers Squibb Bristol Colin Baigel, M.D. Colin Baigel, M.D. Corporate Medical Director Corporate Medical Director
Bristol- -Myers Squibb Myers Squibb Bristol A Global Pharmaceutical Company with A Global Pharmaceutical Company with related Healthcare Businesses with over related Healthcare Businesses with over 45,000 Employees 45,000 Employees % of 2001 % of 2001 Global Sales * Global Sales * ……………...….. ...….. 86% Worldwide Medicines 86% Worldwide Medicines …………… Prescription Pharmaceuticals � Prescription Pharmaceuticals � Consumer Medicines � Consumer Medicines � Nutritionals ………….....……………… .....……………… 10% Nutritionals 10% ………… Mead Johnson � Mead Johnson � …………..………….. ..………….. ………… Medical Devices Medical Devices 4% 4% ConvaTec � ConvaTec � (ostomy & modern wound care) (ostomy & modern wound care) *As of 12/2001 *As of 12/2001
Health & Fitness Health & Fitness Environmental, Health & Safety Environmental, Health & Safety Peter R. Dolan Peter R. Dolan Chairman & CEO Chairman & CEO Stephen E. Bear Stephen E. Bear John L. Skule John L. Skule Sr. VP Sr. VP Sr. VP Sr. VP Human Resources Human Resources Corp. & Environmental Affairs Corp. & Environmental Affairs Colin Baigel, MD Susan Voigt Colin Baigel, MD Susan Voigt VP VP Corporate Corporate Environment, Health & Safety Environment, Health & Safety Medical Director Medical Director and Corp. Product Quality and Corp. Product Quality
Mission ... ... Mission To extend and enhance human life Pledge ... ... Pledge To Our Colleagues … We acknowledge our obligation to … We acknowledge our obligation to … Provide a clean and safe work environment … Provide a clean and safe work environment … To the Communities Where We Live and Work … We pledge… constructive action that supports We pledge… constructive action that supports a clean and healthy environment … a clean and healthy environment …
Health & Fitness (H&F) (H&F) Mission Mission Health & Fitness To extend and enhance the health and To extend and enhance the health and well being of our people well being of our people Environmental Health & Safety Environmental Health & Safety (EHS) Policy Policy (EHS) BMS is committed to protecting the environment BMS is committed to protecting the environment and the health and safety of our employees, our and the health and safety of our employees, our customers, and the public. We strive to conduct customers, and the public. We strive to conduct our activities in an environmentally- -sustainable sustainable our activities in an environmentally manner, taking into consideration the complex manner, taking into consideration the complex and interconnected relationship of our and interconnected relationship of our ecosystem ecosystem
Joint Objectives of H&F / EHS – – Examples Examples Joint Objectives of H&F / EHS � Prevention of occupational injury and illness Prevention of occupational injury and illness � � Proactive industrial toxicological program, setting Proactive industrial toxicological program, setting � exposure guidelines for compounds in development exposure guidelines for compounds in development � Early detection of possible occupationally related health effect Early detection of possible occupationally related health effects s � through extensive medical surveillance programs through extensive medical surveillance programs � Documentation of the efficacy of exposure controls Documentation of the efficacy of exposure controls � � Assessment of employee’s medical fitness to engage in the task Assessment of employee’s medical fitness to engage in the task � � Policies and Guidelines Policies and Guidelines – – Reproductive Health, Allergies, Reproductive Health, Allergies, � Cytotoxic Drug Handling, Ergonomics etc. Cytotoxic Drug Handling, Ergonomics etc. � Reassurance to employees, management, and the Reassurance to employees, management, and the � communities in which we operate regarding the lack of ill communities in which we operate regarding the lack of ill effects from our operations effects from our operations � Risk communication Risk communication � � Regulatory compliance Regulatory compliance �
BMS Medical and Safety BMS Medical and Safety Partnering Leadership Initiative Partnering Leadership Initiative Purpose Purpose � Dramatically improve safety performance to achieve world class Dramatically improve safety performance to achieve world class � status (top 25% of comparable companies) status (top 25% of comparable companies) Goal Goal � Create a “zero accident culture” where all employees strive to Create a “zero accident culture” where all employees strive to � maintain an accident free workplace and extend safety principles maintain an accident free workplace and extend safety principles to the home environment to the home environment Critical Success Factors Critical Success Factors � Link to BMS company Pledge Link to BMS company Pledge � � Consistent message and focus Consistent message and focus � � Management visibility, involvement and leadership Management visibility, involvement and leadership � � Full employee involvement and awareness Full employee involvement and awareness � � Accountability for performance at all levels Accountability for performance at all levels � � Integration into key business performance indicators Integration into key business performance indicators �
Medical Department Roles Medical Department Roles Prevention Prevention � Training, education, health fairs, policies and guidelines and Training, education, health fairs, policies and guidelines and � other means of enhancing employee awareness other means of enhancing employee awareness Evaluation Evaluation � Periodic health examinations, including surveillance exams, Periodic health examinations, including surveillance exams, � for all employees who may have occupational exposures for all employees who may have occupational exposures � Work Work- -site evaluations in conjunction with Safety and I.H. site evaluations in conjunction with Safety and I.H. � Acute Treatment Acute Treatment � Emergency and urgent care Emergency and urgent care � � Regular care for work related conditions Regular care for work related conditions � Long- -term Case Management term Case Management Long � Maintain active control of W/Comp where feasible Maintain active control of W/Comp where feasible � � Active programs to accommodate an early return to work Active programs to accommodate an early return to work � and/or restricted duty (TAWD) and/or restricted duty (TAWD)
Approach to Ergonomic Injuries Approach to Ergonomic Injuries � Proactive education of workforce including health Proactive education of workforce including health � and safety personnel and safety personnel – Early recognition of cumulative trauma symptoms Early recognition of cumulative trauma symptoms – – Workstation design, ergonomic analysis Workstation design, ergonomic analysis – – Exercise programs Exercise programs – � Clinical assessment and conservative therapy Clinical assessment and conservative therapy � – Nocturnal wrist splints Nocturnal wrist splints – – Anti Anti- -inflammatory medications inflammatory medications – – Physical therapy Physical therapy – � Surgical intervention rate has been sharply reduced Surgical intervention rate has been sharply reduced � by conservative treatment approach by conservative treatment approach
New Brunswick Onsite Physical Therapy New Brunswick Onsite Physical Therapy Upper Extremity Upper Extremity Back Back 16 16 15 14 14 13 12 12 12 11 11 10 10 10 10 9 9 8 8 8 8 7 6 6 6 4 4 4 3 3 2 2 0 0 1994 1995 1996 1997 1998 1999 2000 2001 1994 1995 1996 1997 1998 1999 2000 2001 Average Duration of Visits Average Duration of Treatment Average Duration of Visits Average Duration of Treatment On Site 11 Treatments On Site 9 Treatments On Site 11 Treatments On Site 9 Treatments Off Site 19 Treatments Off Site 16 Treatments Off Site 19 Treatments Off Site 16 Treatments
Lawrenceville, NJ Lawrenceville, NJ Workstation Analyses & Ergonomic Injuries Workstation Analyses & Ergonomic Injuries 1200 60 51 1006 1000 50 860 800 40 33 Number of Number of Number of Number of Ergonomic Ergonomic- - 600 537 28 30 Workstation Workstation 618 Related Injuries Related Injuries Analyses Analyses 400 20 13 200 10 0 0 1998 1999 2000 2001 Year
Workers’ Comp – – Ergonomic Diagnoses Ergonomic Diagnoses Workers’ Comp Number of Claims Claims per 100 Employees Number of Claims Claims per 100 Employees 250 1.2 217 225 209 0.98 0.97 199 1.0 200 0.90 175 0.8 0.70 150 133 124 122 0.56 125 0.6 0.52 100 0.4 75 50 0.2 25 0 0.0 1996 1997 1998 1999 2000 2001 1996 1997 1998 1999 2000 2001 Year Year Year Year
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