as new voluntary requirements such as iso45001/jisc45001 and health score report are implemented in 2nd half of 2018, any business entities operating in Japan will conform to these requirements. Integrating operation with both already implementing management systems and financially connected health insurance services are challenging.

1. B2B healthcare business in Japan
＜FY2019 non-clinical enterprise field＞
2019/1
SUDA YASUJI

2. ◎mental stress check, health scores of organization, and OHS
conformance activities(①)
◎Integration of management systems such as OHS management system
and Business management system(②)
Mental
stress
check
Health Score
Report of org.
OHS
management
system
(ISO45001,
JIS Q45001)
Business
manage
ment
Activities of
OHS Health
insurance
law
0 Perspective of B2B Healthcare business
PSS copyright protected, 2018
①
②

3. Mental
stress check
Health Score
Report of org.
OHS related
activities
Mental stress check system
（FY2017～）
§66.10：exams. and counselling
to detect employee’s mental
stress condition from workload
Health scores of org.
（2018/9～）
No regulatory background but
¥50M national budget is
allocated in FY2018.
13th Occupational hazard
prevention plan
（FY2018～FY2022）
mental health management object
％ of employee who can consult
about any work related problems
or anxiety in workplace
71.2％(2016)
→over90％(2022)
% of business site which have
mental stress management
programs
56.6％(2016)
→over80％(2022)
% of business site which analyze
results of mental stress check and
take any action合
37.1％(2016)
→over60％(2022)
1 B2B healthcare business until 2018
◎In FY 2017 and FY2018, 3 components are prepared to conformity
with National government Requirement
PSS copyright protected, 2018
■As health scores was just started in second
half of 2018, it may be an big issue to operate
these 3 components in an integrated manner
from FY 2019

4. Mental
stress check
Health Score
Report
OHS
management
system
(ISO45001,
JIS Q45001)
freshman
Age 40
Retiire
ment
age
Business
manage
ment
OHS related
activities
A B B
Health
insurance
lawB
2 B2B healthcare business viewpoints from FY2019
”Health Promotion”
“Medical expense management”
“Productivity Improvement”
PSS copyright protected, 2018
ISO 45001, ISO/IEC TS 17021-10
（International Standard of OHS management system）
・2018/3
・2018/9 JIS Q 45001 Localization of ISO 45001
JIS Q 45100 Additional requirements in Japan
will require operational activities beyond integrated operation of 3
components(A)
It will transform itself to wholly integrated system combined A and B
◎Employee Health Management for

5. ◎ Just started in 2nd half of 2018
◎ Scoring reports were send to all health insurance organizations and
National public employee mutual organizations
Source：32nd health insurer meeting about health exam. , health coaching
and others
3-1 Health Score Report
Data Analysis
↓
Addressing Issues
↓
PDCA
As above steps are required,
It will be difficult to “KEEP THIS LEVEL
WITH SAME ACTIONS” implemented in
previous year
Data is designed to confer an
organizational average
To average of all health
insurance org. or average of
an industry
PSS copyright protected, 2018
Far from
infographics
approach
obese
BP
Blood
sugar
lipid
Liver
function
Usage of health score report
◎ Most important thing is to produce concrete actions based on data analysis
◎ Report is a basic communication tool to implement any actions by business
entities and health insurers

6. ◎「It’s not mandatory though strongly be recommended that employer may
grasp about workplace mental stress and their causes as much as they can.
Stress Check test
result analsys by
groups more than
5 wmployees
Tips through
daily
workplace
management
Tips through
communication
with employee
Tips from
workplace
walking
around
observation
Seconday data Primary data
Consideration of
improving work
environment
●Point
Consideration about workplace improvement
are required
Execution of any changes are not required
●Transformation of workplace layout change
is not mentioned
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3-2 Mental Stress Check
(ex)
・revise work shifts or work
hours
・revise working units or teams
※Service management consider
that workplace layout is strongly
related to productivity

7. source：ISO NETWORK Vol.29
https://www.jqa.jp/service_list/management/iso_info/iso_network/vol29/p
df/isonetwork29_04special01_2.pdf
JIS Q45001
JIS Q45100
=ISO 45001
★not
included in
ISO 45001
・workplace design for middle and senior
employee
・general health examination
・health examination result
・appropriate workforce allocation
・mental stress check execution and follow up
・workplace improvement based on group
analysis of mental stress check data
・mental health action plan
・mental health education
・healthy sleep education
・health education
・actions for work style reform I
・actions for work style reform II
・actions for work style reform Ⅲ
・actions for health maintenance and
promotion et al.
(附属書A 取組み事項の決定及び労働安全衛生目標を達成す
るための計画策定などに当たって参考とできる事項 より
抜粋。赤字は法的要求事項)
＋
◎ JIS Q45100 is ad additional requirements to JIS Q45001,
E→J translated version of ISO45001
◎It has requirements for mental stress check and health score report
PSS copyright protected, 2018
★above requirements are not listed in ISO 45001,
though it is strongly recommending to comply if
you do business in Japan
3-3 Toward integrated business management system (FY2019～)
4 essence of ISO 45001
①Appropriate decision of applying scope
②Strengthening leadership
③Improvement of OSH performance
④Emphasis of internal/external communication
Appendix A:
red colored items are legal requirement
Keep in mind of worker and other stakeholders needs for
health and safety work environment
Clearly define leadership and responsibility of top
management for effective OHSM
Standard for improving OHS performance with aiming
results
Interactive communication with stakeholders to accomplish
their needs and expectations

8. https://www.mhlw.go.jp/content/11302000/000361051.pdf
◎Occupational Health and Safety management system – ISO 45001 or JIS Q
45001 - requires integrated operation with enterprise management system
PSS copyright protected, 2018
Occupational Health and
Safety management system
such as ISO45001
■Guidance about required actions to handle physical and phycological information
of employee which will be effective from April 1, 2019
(https://www.mhlw.go.jp/content/11303000/000343667.pdf ※Japanese only)
suggests to perform information management with enterprise management system
【Definition】
4 actions described in below are performed
both systematically and continuously at business
sites integrating with business operations
management.
①Pronouncement of a safety and health
policy by top management
②Hazard and harmfulness surveys and
actions based on those results
③Goal setting of a safety and health
management of organization
④Implementation of a safety and health plan
using PDCA cycle
3-3 Toward integrated business management system (FY2019～)
The point
source：JIS Q for Occupational Safety and Health Management System is published

9. PSS copyright protected, 2018
4 Recap
2 year public insurance program for retired employee also
will be addressed for integrated operation
Business
manage
ment
As financially
connected,
any relational
programs
might be a
cornerstone
Health
insurance
law
C
A B B B
■Manage A and B to conform with National
requirements
■integrated operation with already implemented
enterprise management systems and (enterprise)
health management system is an ideal
■Address any chances about financially
connected retirement and seniors over 75 health
programs
Employee
and their
carer
Seniors over 75
Retired
Mental
stress check
Activities of
OHS
Health Score
Report
OHS
management
system
(ISO45001,
JIS Q45001)
freshman
Retiire
ment
age
Age 40