Global Travel Preparation

Institute of Medicine
June 11, 2013

Ben Hoffman, MD, MPH

GE Portfolio
360k employees 125 years $160b in revenue

Energy Technology GE Capital

Power & Water Infrastructure GE Money,
Oil and Gas Healthcare Commercial Finance
Energy Management Aviation Industrial Finance
Rail Corp Treasury

© 2012 General Electric Company

 GE Energy
Employees 110,000+ Operating in 140 countries

Power & Water Energy Oil & Gas

Management

• Power generation • Contractual agreements • Drilling/production for …

• Renewables • Smart Grid land, offshore, subsea
• Steam/Gas Engines • Field services • LNG and pipelines
• Nuclear • Parts and repairs • Refining/petrochemical
• Gasification • Optimization • Industrial power gen
• Water treatment technologies • Complete lifecycle
• Process chemicals • Plant management services

3
GE Oil & Gas
Over 1,000 customers in 115 countries
Broad and deep domain expertise … ~15,000 employees
Fulfillment and after-market services

Drilling & LNG & Processing &

Production Pipelines Petrochemicals

Solving the industry’s toughest challenges

© 2012 General Electric Company

© 2012 General Electric Company
Lares 860 MW Gas Fired Combined Cycle Project
Figueira da Foz, Portugal … Major Addition to EDP’s
Power Generation Portfolio

© 2012 General Electric Company

Wind

© 2012 General Electric Company

 Enabling customer solutions
1.5-megawatt wind turbine head 8
GE Title or job number
06/01/2020
GE Energy’s Global Reach
100,000+ business trips q yr. to 185 countries

Canada
Canada E.
E. Europe/
Europe/
4,000
4,000 Russia/CIS
Russia/CIS
6,000
6,000
W.
W. Europe
Europe
U.S. 27,400
27,400
U.S.
40,500
40,500 China
China
6,100
6,100
Middle
Middle East/
East/
N.
N.Africa
Africa India
India
Asia
Asia
2,600
2,600 4,900
4,900
Pacific
Pacific
4,600
4,600
Latin
LatinAmerica
America
11,400
11,400
Sub-Saharan
Sub-Saharan
Africa
Africa
800 ANZ
ANZ
800
1,000
1,000

© 2012 General Electric Company

Assessing and Managing Risk in a
Complex Global Environment
Traveler Health Program Elements
• Pre-Project Planning(ITO and OTR)
• Pre-Travel Health Assessment for Employees and
Dependants
• Wellness Programs
• eLearning Tools
• Health Incident Planning/Remote Site Medical
Services
• Malaria Prevention
 Pre-Project Planning
Partner with Safety
• ITO- Intent to Order-part of bid process

• OTR-Order to Remittance-post bid prep

-site/project focused
-specific risk assessment including
medical contingency planning
Health Incident Planning

• Routine minor acute and chronic care issues

• Urgent

• Emergency +/- Evacuation

• Repatriation
 Trip specifics
• Assess risks
-traditional (chemical, radiation, physical, stress)
-environmental (snakes, insects, spiders, HIV, water, food)
• Access to medical care
• Trip purpose-strictly business or also leisure/adventure
• Modes of transportation: air, car, public buses and
trains, biking, hiking
• Contact with local people, children, animals?
 Pre-Travel Health Assessment

Objectives
• Identify and reduce individual ee health risks
• Equipment and Supplies to handle likely minor
problems
• Vaccines & chemoprophylaxis
• Instruct about when/how to seek help
• Wellness
• Done thru 100+ on-site GE clinics and outside travel
clinics
Assessment of individual traveler
 Age, sex, place of birth
 Previous travel history, frequency of travel
 Occupation, role
 Medical history: chronic, new or unstable problems
 Surgery/last dental visit
 Pregnancy/risks
 Immunosuppression
 Other routine care, health screening
 Medication, medication supplies
 Allergies
 Psychosocial...
 Wellness and Health Risk Training
1 on 1 and E-Modules
• Smoking
• Food Hygiene
• Personal Safety and Security
• Thermal Stress
• Emotional Stress
• Altitude
• STIs and HIV/AIDS Awareness
• Alcohol Awareness
• Physical Activity
• Healthy Eating and Clean Water
• Malaria-Medication Compliance and Bite Prevention
• Access to Care
What Goes Wrong

• Infectious Disease
• Thermal stress
• Altitude sickness
• Workplace accidents
• MV crash-seatbelt use
• Emotional stress
• Personal illness
• Adventure related accidents
GE Evacuations in Past 24 Months

• Trauma-MVAs and WP Accidents(ortho skill)

• Immediate surgery(AP, etc.)
• Poorly controlled chronic disease
(DM, asthma,etc)
• Cardiovascular
• CVA
• Cerebral Malaria

Managing Family and Risk Perception

During Travel and Remote Site Medical
Services
• Pre-qualify providers and develop relationships
• Cloud medical record
• Telemedicine options
• Expert Medical Review
Telemedicine

• Role in non-Emergency care and

triage
• Types-Live video feed units vs. low
tech IPod
• Medical support structure
What is Telemedicine?

• Health monitoring is real time, making the data acquired immediatly

avalaible to medical specialists.

• The following devices are avalaible e.g.:

• Consult on-line (videoconference)
• Electrocardiogram
• Blood pressure
• Blood glucose
• Etc.

22
GE Title or job number
06/01/2020
Malaria-What’s new?

• Curative kits and Protective kits

• Urine testing-including POC
We Are GE