Throughout the years, Saipem has implemented a comprehensive Health Management System focused on disease prevention and health promotion.
Best practices in occupational medicine
Saipem has adopted a Pre-Travel Counselling training programme for employees going to work abroad. The employee is given information regarding the epidemiological situation in the country to which he/she is travelling as well on preventive behaviour, vaccines, prophylaxis and potential illnesses. Since its inception in 2008, the programme has informed about 6,000 employees on the risks associated with the country of destination.
Furthermore, within the framework of the Pre-Travel Counselling programme, the ‘Sì Viaggiare’ App is provided to workers. Available for Apple, Windows 8 and, beginning 2014, Android, the App is dedicated to medical issues for travellers and can also be downloaded free of charge by external stakeholders. Devised and overseen by Saipem’s Italy Health and Occupational Medicine Unit, it has received positive feedback from employees, external third parties and Italian scientific associations. At the time of writing, 6,000 downloads have been made.
As regards relations with universities and scientific entities in the field of occupational medicine, in association with the University of Rome ‘La Sapienza’ Saipem has implemented an epidemiological study of the data contained in the Company’s information system. Both the study and the subsequent processing of its clinical indications for employees will be completed in 2014.
2013 also saw the completion of validation process for the Pre-Travel Counselling programme and for Saipem health protocols, the latter of which is required for issuance of the company Medical Fitness Certificate. A third party body, the ‘La Cattolica’ University in Rome, has certified Saipem’s observance of scientific international best practices, such as those required by the International Society of Travel Medicine (ISTM) and the World Health Organization (WHO).
Finally, a joint effort has been initiated with the IRCCS Policlinico in San Donato Milanese (Italy) through which the Policlinico’s ‘One Stop Clinic’ for the prevention of tumours is promoted among Saipem Italy staff.
Cardiovascular Disease Prevention Programme
The Oil&Gas industry plays an important role in confronting the challenges posed by Cardiovascular Disease (CVD). It can do this through robust workplace and community prevention programmes. Prevention of cardiovascular disease is a lifelong approach, which prompts Saipem to mount efficient and effective campaigns and to implement measures to reduce its incidence among employees and alleviate its effects on the quality of life.
Saipem’s CVD Prevention Programme (CVDPP) aims to identify, assess, monitor and control modifiable cardiovascular risk factors such as blood fat levels, blood sugar, blood pressure, physical inactivity, smoking, and so forth. It is based on educational, motivational and clinical activities designed to encourage improvement in the behaviour and living conditions conducive to improving the health and well-being of employees.
In 2013, 90 worksites were fully covered under CVDPP and 76 (84%) achieved the implementation criteria set down by Corporate (at least 60% of employees assessed and at least 50% of those at risk enrolled in the Risk Factor Follow-Up Programme). Considering only those worksites with medics where the programme was implemented, the percentage of employees assessed was 92 (14,506 out of 15,769) and the percentage of employees enrolled in the Risk Factor Follow-Up Programme was 90 (1,991 out of 2,204).
Tele-cardiology services in Saipem - Improving patient care in remote areas
Recent advances in biosensor and communications technologies have enabled the design of advanced and cost effective tele-health monitoring solutions that promise to improve the level of care and the quality of life of employees.
Saipem commissioned third party specialists to supply telemedicine machines and have their expert cardiologists interpret the electrocardiograms (ECG). ECG readings are transmitted from site/vessel clinics along a fixed or mobile phone line to the centre where specialists are available 24 hours a day to examine the results. By receiving the report within 5-10 minutes after transmission, the service eliminates the need for some patients to visit cardiac emergency units and even repatriation can be avoided.
Since 2007 tele-cardiology on Saipem worksites has been producing sustained results in terms of detection and timely decision-making in relation to heart disease, as well as significant improvements in the quality of care. In 2013, new sites implemented the programme bringing the total to 45, as seen in the graph.
Out of these, at least 17 have successfully accomplished their annual minimum target of 90 ECG transmissions to the Milan Cardio Centre.The remaining sites have also been very efficient in implementing the programme compared to previous year.
In 2013 alone, Saipem projects/vessels with the tele-cardiology service transmitted 3,073 ECGs to Italy. Out of these, 121 cases were online transmissions requiring immediate interpretation and advice from cardiologists. These were considered potential emergencies or related to certain cardiovascular diseases (CVD). 2,952 ECGs were sent in offline mode, primarily giving support and advice to our medics in non-urgent cardiovascular events.
Statistics point to a rising trend in the number of cases handled using tele-cardiology, as shown in the graph. In 2013 there was a 75.5% increase in the total number of cases referred to the Tele-Cardiology Service (1,751 in 2012 and 3,073 in 2013). Although much of this achievement is explained by the increase in the number of worksites involved, efficient monitoring and management of the programme has also played an important role.
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