CORPORATE HEALTH

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CORPORATE HEALTH
OVERVIEW OF CORPORATE HEALTH STANDARD BANK
GROUP Best Workplace Practice 30-31 August
2007 2007 Senior Management Conference Bloemfontei
n
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CORPORATE HEALTH
Integrated Wellness Proposition in the workplace

• Physical health - Bankmed / Qualsa / Elixir
• Psychological health - ICAS
• Financial health - TD, CSI
• Social health - Clubs Associations
  (sports, toastmasters etc)
• Spiritual health - Religious Associations
• Intellectual health - T
  D/Leadership/Coaching Mentoring

The experience of well-being is directly
proportional to the ability to engage balance
over time all the above aspects of health
wellness
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CORPORATE HEALTH
Key Service Offerings
ICAS Employee well-being Programme Executive
Senior Health Wellness Programme Travel
Clinic Family Planning Clinic Incapacity
Management (Health Investigation /
Absenteeism / TTI) Health Risk Assessments
(funded by Bankmed) HIV Workplace Programme
Pre-Benefit Medicals / Legislated Medicals
(Hearing / Food Handlers / Shift Workers / Smoke
Cloak Exposure / etc)
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CORPORATE HEALTH
Group Strategy HIV/AIDSFocussing on our Staff
Enables individual choice, protects
Cofidentiality Encourages uptake
Employee Well-being Program (e.g. ICAS) Educate,
counsel, support (External Service Supplier)
Medical Aid (External Service Supplier) Test,
Treat and Maintain health
Prevention of New Infections
Treat HIVve to Increase lifespan
Counsel and Support
Train Develop
Recruit
Induct
Retire
Prudent Risk Management
Pension Fund and other Insured Benefits
Talent Pool
(x ve)
Develop Programs to manage and mitigate impacts
of HIV on the organisation
Communications
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CORPORATE HEALTH
ICAS Utilisation overview 2007
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CORPORATE HEALTH

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CORPORATE HEALTH
Personal issues Relationship and legal issues
remain the most common, and have increased
compared to the 2nd quarter of 2006
Work-related issues Organisational issues have
decreased compared to the 2nd quarter of 2006 (by
3.1), while stress (by 4.4) and human resource
related issues (by 4.1) have increased.
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CORPORATE HEALTH
Red Flags in the Quarter
ICAS Q2 2007
The following examples represent cases that are
deemed a significant risk and are therefore red
flagged Imminent suicide risk. Actual
suicide attempt. Major psychiatric disorder.
Imminent homicidal risk.
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CORPORATE HEALTH
Pink Flags in the Quarter
ICAS Q2 2007

• Cases that are pink flagged include cases that
  are of importance from an organisational point of
  view (formal referral) or cases that potentially
  contain some risk to the persons self or others
• Formal referral.
• Alcohol/drug abuse in a safety sensitive job.
• Client who expresses dissatisfaction with the
  ICAS service.
• Moderate suicide risk.

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CORPORATE HEALTH
Q2 2007
Substance abuse policy and guidelines being
developed
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CORPORATE HEALTH
ICAS Data
HIV Disclosed
59
Identifying HIV Risk
HIV Testing Support due to HIV Dependant
116
HIV High Risk Rape / Sexual Abuse Domestic
Violence Infidelity Substance Abuse
526
Trending Towards HIV Risk? Relationship
Partner/Spouse Relationship Sexual
Issues Relationship Interpersonal
Conflict Relationship Emotional Abuse
1 160
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CORPORATE HEALTH
Q2 2007
HIV STANDARD BANK REGISTRATIONS
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CORPORATE HEALTH
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CORPORATE HEALTH
Standard Bank prevalence 2003 3.83 RSA

• Estimate for 2006 (change of demographic only)
  4.7
• Increase of 21 over 31 months
• Bank most likely 5.5 with general increase in
  population in 2007
• SBSA Prevalence Survey Sept 2007

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     These findings correlate with other
Corporate Health findings, such as HRAs, Health
Risk Management and Executive Medicals. Major
focus is given to cardiovascular disorders and
stress management, by way of referrals to ICAS
and various disease management programmes.
CORPORATE HEALTH
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CORPORATE HEALTH
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CORPORATE HEALTH
Bankmed HRA Data 2006 ( n 15 153)
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CORPORATE HEALTH
Health Snapshots 2006
Risk stratification by risk factor clusters (n
15 153 HRAs in 2006)
23.5
23.4
Low 0-2
Moderate 3 - 4
High 5
53.1
2006 Comparison
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CORPORATE HEALTH
TRAVEL CLINIC
FAMILY PLANNING
HEALTH RISK ASSESSMENT
INCAPACITY APPLICATIONS
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CORPORATE HEALTH
Effective TTI should save up to 25 of an
infected employees cost to company
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CORPORATE HEALTH
TB and HIV A Corporate Perspective

•  
• That is out of the Incapacity cases in the first
  two quarters
• 21 were HIV / TB positive.
• 33 died
• 67 went onto the Incapacity programme and went
  back to work healthy.

In the third quarter there have been no new cases
of TB or HIV recorded.
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CORPORATE HEALTH
Graph of annualised absenteeism
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CORPORATE HEALTH

• GOING FORWARD
• EXECUTIVE SENIOR MANAGER
• WELLNESS PROGRAMME JAN-DEC 2007 07
• PERSONAL HEALTH ASSESSMENTS
• IN NETWORK JULY-MID DEC 07
• HIV PREVALENCE SURVEY SEP 07
• VCT VOUCHER JULY-MARCH 08

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