The document discusses the integration of chronic illness prevention and management in the workplace through personalized employee wellness programs utilizing biometrics and genomics. It highlights the importance of wearable technology, health risk assessments, and personalized coaching to improve employee health outcomes and reduce costs associated with chronic conditions. The solutions aim to empower employees to take charge of their health through real-time data and engaging wellness initiatives.

1. Chronic illness in the Workplace…..
And How we are Creating Personalized Employee Programs
Employees Biometrics & DNA are the template…..
In This Issue… Our Solutions
Biometrics & Motivation with Wearable Technology
Genomics….Testing our DNA
Coaching & Live Interactive webinars
Health Risk Assessment (HRA)
Corporate Culture Assessment (CCA)
Incentivized with wearable technology
Nutrition, Physical Activity, Sleep, Reducing Inflammation
Cellular Health
FUN, Engaging
The Cost of Non Adherence
CDC Workplace Health Improvement
Implementing Biometrics & Genomics in our Wellness Solutions
Genetics vs. Epigenetics
Data Analytics Changing Benefit Strategies
Motivating Employees with Real Time Data
Incentivizing with Wearable technology Measuring Biometrics
Course development - Still comes with an HRA & CCA

2. CDC: Workplace Health Promotion Using the Workplace to Improve the
Nation’s Health. 2015
Four of the 10 most expensive health conditions for US employers—high blood
pressure, heart attack, diabetes, and chest pain—are related to heart disease and stroke.
✔ preventable
Work-related stress is the leading workplace health problem and a major occupational
health risk, ranking above physical inactivity and obesity.
✔ preventable
Productivity losses linked to employees who miss work cost employers $225.8 billion,
or $1,685 per employee, each year.
✔ preventable
Full-time workers who are overweight or obese and have other chronic health
problems miss about 450 million more days of work each year than healthy workers. The result is
an estimated cost of more than $153 billion in lost productivity each year.
✔ preventable
A 1% reduction in excess weight and high blood pressure, glucose, and cholesterol
levels has been shown to save $83 to $103 annually in medical costs per person.
✔ We Can Do This

3. A Reminder from the World Health Organization
80% of Chronic Illness is Preventable
through Modifiable Lifestyle Habits
Our challenge is, knowing what needs to be modified, and how to modify

4. Biometrics & Genomics
Biometrics: Biometrics provide a numerical snapshot of health. This quantification of health
helps health care professionals identify disease risks by comparing the numbers to what is
considered typical or healthy. Biometrics such as blood pressure, blood glucose, are taken by
healthcare professionals - however now we have wearable technology, NOT to replace medical
diagnostics - but we can take better charge of our health tracking such biomarkers. Knowing and
watching numbers is a key way to monitor our health - knowing when we need to make a trip to the
doctor sooner, and becoming more vigilant to our health.
Genomics: A genome is an organism’s complete set of DNA, including all of its genes. Each
genome contains all of the information needed to build and maintain that organism. In humans, a
copy of the entire genome—more than 3 billion DNA base pairs—is contained in all cells that have a
nucleus. Genomics is the study of our genome - analyzing genes and their inter relationships in
order to identify their combined influence on the growth and development of the organism. We can
identify if a person is at higher risk of a disease, and the person can make more targeted solutions
about their health, lifestyle choices, and open discussions with healthcare professionals - how to
utilize this knowledge.

5. Genetics vs. Epigenetics
Genetics: Our genetic material as passed on from Mamma & Pappa
Epigenetics: refers to covalent (chemical bonds
formed from the sharing of electrons) modification of the
genetic material (DNA, protein, or RNA), resulting in
changes to the function and/or regulation of these
molecules, without altering their primary sequences. In
some cases, epigenetic modifications are stable and
passed on to future generations, but in other instances
they are dynamic and change in response to
environmental stimuli. Nearly every aspect of biology is
influenced by epigenetics, making it one of the most
important fields in science

6. Genomic Testing…Sequencing the Genome
Our DNA does NOT have to be our destiny.
Knowledge is Power
Sooner or later, we will shift from population-based medicine to personalized medicine for
most medical conditions, and genomics will be front and center in this conversion
• Know diseases & conditions we are most susceptible to
• Encourage deeper dialogue with health care professionals
• Encourage regular diagnostics
• Encourage better lifestyle habits
• Encourage consumerization of healthcare
• Encourage discussion
➪ Personalized Medicine

7. HRA: Health Risk Assessment
CCA: Corporate Culture Assessment
Incentivizing with Wearable Technology
BICH can also design an Incentivized with wearable technology program. Along
with the HRA & CCA, for the cost of the wearable technology only, BICH further
customizes the HRA and the wellness programs based on the detailed biometrics
obtained from the wearable device.
New heights of personalization…..employees biometrics determine the wellness
program…..
Best In Corporate Health Incentivized Wellness Includes:
• Device
• Customized Live & Interactive Webinars
• Customized HRA & CCA
• Data for customization IS your employee biomarkers,,,,,
All for the Cost of the Device
⇒
getting a wellness program
at no extra cost
Incentivizing slideshare: https://www.slideshare.net/ShiraLitwackMedicalF/incentivizing-with-wearable-technology

8. PWC 2017:
1/5 People Own Wearable Technology
46% said they believe their company should
fund wearable technology for employees.

9. Raconteur August 2016
“wearable and self-monitoring
medical technology is changing the
way we think about our own
biology”.
According to a recent survey by software
service company Trustmarque and YouGov,
81% of respondents said they would like to
see more connected and wearable devices
used in healthcare, with half saying
wearables were potentially most useful to
monitor vulnerable people.
Collette Johnson, director of medical at
electronics consultancy Plextek, believes the
use of self-monitoring devices has enormous
potential and could help the NHS save at
least 60 per cent on the average cost per
patient. Crucially, she thinks, the public is
ready for it.”

10. “And in a patient with a chronic condition,
such as diabetes or chronic obstructive
pulmonary disease, a wearable monitoring
device might alert them earlier to a change
in their health which needs medical
attention. So wearables can help patients
engage with the medical community
sooner.”
Cédric Hutchings, vice president for health
at Nokia Technologies, agrees. “The
greatest benefit from wearables is in chronic
disease management through
empowering the patient”
Raconteur Report Continued

11. Employee Benefit News Sept 2017. Deloitte
How data analytics is
changing employee benefit
strategies. Recent
developments in data
analytics have unlocked the
potential of using consumer
behavior insights to drive
employee benefits strategy.
What better data analytics are there for health than biometrics & genomics? An
HRA for behaviors + these scientific insights into an employee’s physiology,
could there be anything more accurately predictive? Not rear view of claims -
there is nothing else more predictive to rely on for employee health
benefits strategies than Biometrics & Genomics.

12. Provide Employees Real time Data they can:
Target
Track
Get Involved in their health
See a Direct Correlation between Effort & Success
Know how to better target their own genetic predispositions
Have the science to support better lifestyle choices
Participate in fun challenges
Motivate Employees adherence to lifestyle and management protocol
Most of all…prevent chronic illness…..

13. The Cost of Treatment Non Adherence
• Non-adherence also leads to $4 billion in costs to the country’s healthcare system, 5% of
hospital admissions and 5% of physician visits
• Leads to increased benefit costs, lost productivity, temporary disability and increased
absenteeism
• Solving for non-adherence can mean deciphering complex patient motivators and tailoring
strategies specifically for that person
• Some groups are more at risk than others… Ex. clinically depressed patients—or those with
another underlying condition that impacts mental health—are more likely to be non-adherent
• Conditions with no symptoms, or those that have symptom-free periods, are more likely to
lead to non-adherence
• “Increasing engagement and education surrounding adherence will
result in a reduction of many additional costs that your benefits plan
and employees may be absorbing, as well as fewer hospital visits
and slower disease progression”
Sun Life 2014 “Non Adherence Costs Employers”

14. The Global Attitude of Patients and Physicians Survey found that more
than one-quarter of type 2 diabetics are not taking insulin as prescribed
by their physician.
• More than 25% of patients surveyed said they had missed, mistimed
(> 2 hours) and reduced doses
• 26% said they had done so five or more times in a 30-day period
• 20% of respondents said they deliberately did not take their insulin as
prescribed
• 1/7 allowed blood glucose levels go higher to reduce their risk of
nocturnal self-treated minor nocturnal hypoglycemia.
Diabetic Non Adherence

15. Course Development
Best In Corporate Health has designed
hundreds of courses for a wide variety of
industries. We can prerecord - and
employees can participate on their own
time. All courses have detailed workbooks
to accompany the program, action plans &
goal setting process to implement the
newly learned health skills.
We also offer to perform an HRA & CCA to
determine which courses will be most
beneficial to the employees.
There is a flat fee for course development,
we customize to your organization, make it
relevant to your industry.
We can develop your own specific courses for chronic disease prevention/management

16. Personalized Wellness Solutions for Adherence & Sustainability
Our wellness solutions are not only to educate employees, we provide the technology, the
programs and yes - the personalized human touch to encourage adherence &
sustainability along their continuous wellness journey
• HRA & CCA (Corporate Culture Assessment) discovering employees wants, difficulties, strengths,
behavior
• Incentivize with wearable technology to customize wellness solutions with employees own
biometrics - and to provide fu, motivation & proof of success
• Genomic testing - find out what genetic predispositions might exist - and then further personalize
the wellness process for the prevention of those conditions
• Providing Employees with overall health & strength - feeling the rewards of their efforts - reinforcing
with wearable technology and challenges - empowering with health
• All of these Go together to form the most empowering & personalized wellness solutions - at a
fraction of the cost of most other programs - Often - just for the cost of the wearable tech only!
Webinars & Coaching - live and interactive - hundreds of topics - combining to support employees
for sustainability & adherence

17. Webinar series….Sample of Topics…..all Customized..
each topic could be a series itself……All Webinars Live & Interactive …Never Prerecorded
Sexual Health Family lifestyle
Cancer prevention
Financial Stress
Oxidative Stress Inventories
Work Family Integration
Alcohol
Chronic disease management lifestyle
Where is the time?
Management Metabolic Syndrome
Nutrition for Disease Prevention/Management
Sleep…Getting Sleep Help
Smoking Cessation
Sugar Addictions
Proactive Health Much more than Diagnostics
How to use our Wearable Technology
Digestive Function: The first step of the Immune System
Immune Function
Cell Being
Stages of Life
Hormonal Balance
My Achey Breaky Body
Mood Stabilization
Who has time? Exercise & Physical Activity
Stress - not just
managing
-Getting to the
Physiological Source

18. All Webinars Are Live, Interactive
➪Led by highly specialized experts in their fields, researchers,
with excellent communication skills
➪ Employees are encouraged to participate, ask questions either
privately or as a group
➪ Its like having health and financial coaches, all in the price of
the wearable device
We are making health affordable to all - health
coaching and the most advanced, scientific
wearable technology, inspiring people to take
charge

19. FU
N
Winston Churchill: “Personally I’m
always ready to learn, although I do
not always like being taught
Engagement Unleashed………..
• A study in the journal, College Teaching, found that students could recall a
statistics lecture more easily when the lecturer added jokes about relevant topics.
• In her book, Neurologist, Judy Willis showed how fun experiences increase levels
of dopamine, endorphins, and oxygen – all things that promote learning.
• In a study for the Journal of Vocational Behaviour, Michael Tews found that
employees are more likely to try new things if their work environment is fun

20. Best In Corporate Health, Shira Litwack
Corporate health programs…what a wonderful way to affordably make the
world a happier, healthier place.
Shira Litwack – The Corporate Happy Place medical fitness professional, Cancer
Exercise Specialist, BSc Chemistry, Medical Exercise Specialist, Holistic Nutritionist,
addiction recovery, Radio Host, and regularly interviewed for the science…..
Chief Health Enthusiast – Best In Corporate Health
We work with a team of 20 health experts, providing live, interactive webinars and
coaching - its like having your own personalized health coaches - specialized in programs
from health, nutrition, exercise, physical activity, financial stress, work life integration,
sexual health…..we have the coaches.
No middleman. We are the specialists bringing you the science. Your are paying strictly for
your health design and process…no middlemen at all. Just us.