Presentation FESCO, Shanghai, China

Presenter ; Arnaud van der Veere PhD

Cost saving Health systems, your savings for later !

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What is Preventive Health Control ? To explain this we better look first at what Health care is doing. Worldwide health care starts when a person falls ill. If you fall ill, you go to the doctor. A doctor analyses your situation and makes an anamneses. After the doctor has drawn a conclusion a treatment or medication follows till you are better or in a less serious condition. Finally the doctor tells you that you are better and the treatment stops or continues in a directed way. That , in short, is health care.

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In fact the name is wrong. Health care is SICK care. The only time you get connected with this so called healthcare is when you are not healthy. Everybody want to be healthy and stay healthy. Being sick is terrible and the more seriously you are ill , the worse your future looks.

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Humans are not careful with their health. Challenges , trials and the need to experiment is typical for all of us.

We try out smoking, drinking, eat more than we need, party all night, sleep to less….

Some have a more dangerous lifestyle in sport or adventurous games.

The human nature is to challenge life itself,

we want to experience. We want to live…..

So we are not aware of the dangers and

impact all have on our health. Our lifestyle brings risks and we are

surprised when we fall ill !

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Preventive Healthcare have to be called Sick Prevention care because of what we are doing.

We (!) try to prevent people from falling ill.

Our work is to make people aware of their lifestyle. Inform and guide them to have a

healthier and more joyful lifestyle. A healthy lifestyle is also a productive lifestyle. The healthy person is productive and profitable.

Every profitable is an asset to himself and the company.

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Why should we implement Prevention into the commercial sections ?

- Healthy employee deliver better quality of work - Healthy employee deliver more work - Healthy employee deliver a continue production - Healthy employee do motivate each other to a higher level (of

production) - Healthy employee communicate better - Healthy people make money - Healthy employee are easy to manage/lead - Healthy employee can build a nice environment - Healthy employee make work enjoyable

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What is the result of sick people in your work staff ?

- Sick people are a weak link in production - Sick people deliver lower quality or work - Sick people deliver disturbances during production - Sick people are very demotivating for all others - Sick people are very difficult in communication - Sick people are a heavy toll on management - Sick people cost money

Typical managers diseases are ; Stress related skin rashes Pain in muscles and joints

Concentration problems Feeling tired

Sleep problems Eating disorders

And so many more who finally lead to a total dysfunction of the manager

BURN OUT

Recognise them ? Time for action !

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We can draw the conclusion now. Healthy people make a better company.

More successful and more profitable. Health = wealth !

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What other problems do we face in the future ? - The fast growth of elderly

o Within 20 years we expect a rise of over 20% o People live longer o Diseases are better controlled

- Decrease of births in original Chinese o One child policy o Decreasing marriages o More singles

- Future generations are highly educated o Limited work force in all segments of industry o Increase of middle and higher management (competition) o Import of labor for lower production jobs

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- Unhealthier lifestyle o Irregular eating o Too much drinking o Smoking o Less physical activity

- More severe competition o To many high educated for the same position o Most jobs in densely populated area’s

- More unsuccessful relationships/marriages o Less time to start a relationship o Little time to develop or improve a relationship o Hardly time to build a real family structure o Easier way of thinking about divorce

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- Worsening of living environment o food pollution, o air pollution and others, o climate change o crowded cities)

- More pressures o housing, o children education, o medical care, o inflation, o competition on work floor etc.)

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You are al aware these problems are urgent ! We need to provide solutions.

How are we able to do this.

We know Healthy people are able to ;

• Work longer and better • Are easier in communication and relationships

• Are more productive and sexually active • Can cope with stress (much) better

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Chinese companies work different from Western companies.

The vision is based on authority and levels of pressure.

Each level must apply pressure to another to get “things” done.

Pressure can be healthy and unhealthy.

Chinese try to find a balance.

But the society has changed faster than Chinese philosophy can follow.

To demonstrate this I show the original model used to teach.

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The model shows the three steps of transforming pressure into competitive power ; 1 / Evaluating the pressure system objectively.

- Decide the reasonable limit of pressure - Building ways to release the pressure

2 / Transforming proper pressure into positive pressure 3 / Transforming positive pressure into competitive power Hereby I want to give a sample of what is done in a large size Chinese telecommunication company ;

- Handle the relationship between business transformation and employee pressure

- Handle relationship between business transformation and - employee motivation - Handle relationship between business transformation and

competitive power - Promote the relationship from the business transformation and

employee pressure to competitive positive market power -

This sounds like a Western internal marketing strategy !

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What is done in China under the name Prevention ?

The traditional TCM is still widely used, it combines Prevention and Sick care

Massage , Spa and other passive treatments Some companies provide Health check ups The traditional (but fading) active forms

such as Tai Chi Compare the Western world Chinese have always been aware of the importance of Prevention. How can we revive this tradition ?

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Apply Health check servicesApply Health check services

The first action we should take is to offer Health check services.

What kind of services we can offer ?

Age 12 – 18 activity health check Age 18 – 30 health check on stress and lifestyle Age 30 – 50 every year general health check Age 40 - up lifestyle and activity check

A health check is a combined check with possible referrals.

- Fill in questionnaire - Follow an activity test - A medical check when the questionnaire refers to that

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Medical Devices( home use)

Remote Transport System

Health Management System

Decision Support System

Risk Analysis

Decision Support

Knowledge Center

Cross Functional System

Computers

Handset

blood pressure meter

electrocar-diogram

…………

Process Reengineering

Education & Training

Performance Evaluation

Data Management

Case Management

Cable network

Wireless network

Weight Control

Fitness Centers

Hospitals Research center & Consultant firmTelecom firmsVendors

IT System Hosting

Medical Research

Players :

Landscape of health management total solution

Single contact window

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In the ideal situation the customer - Receives a health / lifestyle report - A health promoting advise when needed

Between customer and advisor there is

an exchange of information.

All information will be (anonymously !) loaded into a computer data base.

The data are used to make the check system

more detailed and accurate.

The more data, the better we will be able to predict health.

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customer relationship

organizational synergy

effective services

central database

knowledge engines

friendly health check

life stylecheck

preventionconsultation

diagnosis

anti-smoke

programs anti-alcoholicprograms

healthcareeducation

behavemonitoring

anti-depressionprograms

sport plan

regular result

measure

homeuse

devices

Nonprofits GYMs

preventionresearch

cycling

alternative

medicine

new supplement

food

new preventionprogram

reducecost

Strategic activities map

Continuingmonitoring

createprofit

reducecost

friendly health check

Healthylife

valuecreation

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From the chart we can conclude that many topics influence each other.

To understand the structure we have to split up in a 3 fold target.

1 / Knowledge center

2 / Consultancy center 3 / Planning center

These 3 centers are split up in ;

Education

Monitoring / data analyzing Implementation

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customer relationship

organizational synergy

effective services

central database

knowledge engines

friendly health check

life stylecheck

preventionconsultation

diagnosis

anti-smoke

programs anti-alcoholicprograms

healthcareeducation

behavemonitoring

anti-depressionprograms

sport plan

regular result

measure

homeuse

devices

Nonprofits GYMs

preventionresearch

cycling

alternative

medicine

new supplement

food

new preventionprogram

reducecost

product development route

Continuingmonitoring

createprofit

reducecost

friendly health check

Healthylife

valuecreation

1

2

3

1

2

12

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HOW do we set up the system in China in the easiest and most practical way ?

Before we start we have to keep in mind ;

Collecting data is the backbone of all systems

Data are worth more than gold

All activities and levels are interlinked and inseparable

All information runs in circles

Time is essential

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Prevention and early diagnosis system

Psyche test

Physical test• yearly health check•special /particular health check•national insurance health check

Regular health check

scientific evaluation

Healthylife style

Risk management

Disease management

data

Provide health related

information1-to-1 sport and nutrition education etc

Specific health conditions

Prevention consultation

• travailing etc•spa and massage etc

Performance evaluation based on result index

Follow-up management

Health management processes ( value proposition、 customers )

follow-up-education-monitoring-

evaluation-

health diagnosis-

healthy life-

interrogation enquiry

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The keyword to keep someone healthy is

Cooperation

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Food Plan

Medical Devices

Pharmacy

Medical Research

Regulations

Physicians

Insurers

Sport Plan

A Healthy Life Needs Many Supporters ….

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Our first step of cooperation is to take a little break now……..

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PART 2 OUR PLANNED

ACTIVITIES

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The working scenario :

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scenario

Healthcheck

consultation1. Weight control2. Lifestyle analyzes3. Mental checks

Activity plan

Lifestyle

Nutrition education

Non-profit foundation

Activity center

Entertainment

Sport centers

Mental follow up

Free time fulfillment

spa, massage etc

traveling

mountain-climbing

outside service providers

- One stop shopping- Quality control

Prevention research centers

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Steps to take are ; Education of staff

Applying health checks Collecting / analyzing data

Lifestyle advises Control of received data

Enhance services / education

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IMPLEMENTATION PROPOSAL

2011 2012 2013

Infrastructureconstruction

Set up educational system of selected group for ;●Change health and safety standards●Limit casualties, suicide and sick leave●Import self help systems on work floor●Connect better health = better performance

Pilot sitetesting

Practical applications ;●Psychological self adjustment units●Family connect ●Local insurance●Regular physical tests and control

Expand and commercialize

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How does an educational program looks ?

What is a lifestyle ?

What is considered a healthy lifestyle ?

How do we convince Chinese to change their lifestyle ?

How to connect a healthier lifestyle to better performance ?

Which changes we need to make on the work floor ?

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But we, as leaders, also need to concentrate on ;

Collecting data

Analyzing and order the data

Get feedback from data

Apply results to improve program

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What Arnaud do for you is ;

Design and help to implement your education program

Set up data collecting system

Teach how to analyze and implement feed back

Solve cultural transformation problems

Introduce different health check methods

Set up “follow up” activities

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Your presenter :

Arnaud van der Veere

Consultant Preventive Healthcare arnaudvanderveere@yahoo.com