Dr David Agus is Professor of Medicine and Biomedical Engineering; Director, Lawrence J Ellison Institute for Transformative Medicine of USC; and Director, USC Center for Applied Molecular Medicine at University of Southern California. Here, he discusses why he thinks the new role of Chief Health Officer will be critical for companies and what that role will entail.
I'm a fan of Chief Health Officer as the title for this new role. To me, ‘medical’ denotes dealing with medical issues. ‘Health’ is your state today – it’s the lack of disease. I want companies to have a program where they think about their employees’ productivity and health every day. And if they're customer-facing, how do they convey that same message to the individual customer? We have to think differently in that way. And I think it's going to be critical going forward. It's a new era.
Many large companies now have a Chief Environmental Officer. They look at the buildings. Are they LEED certified? Are we throwing away our paper and our waste? I think it's been fantastic, and the same is true with health. Is the airflow in the building optimised to reduce the spread of a virus or is it stagnant air? Do the windows open to the outside or not? Is there a place for people to eat in UV sunlight when the weather is good, so they can actually get exposed to green in nature and then come back into a safe environment? I want someone to think through those elements, as well as everything else we’re going to talk about here regarding health and cleanliness.
I think that is going to be part of your C-level suite. They don't necessarily need to have a medical background. They need to have broad thinking about health. I think it's critical.
You need to figure out ways to effectively social distance. That may mean employees go to work in shifts: a morning shift, an afternoon shift, or maybe even three shifts because you can cut down the number of employees in the office by a large percentage. You want to stagger times because if everybody shows up to an elevator of a 40-floor building at 8am, that doesn't make a lot of sense. I want people to show up at the elevator during a time slot.
Any employee that can work at home efficiently and not lose productivity probably should for the next several months.
You need to know when somebody has symptoms and, at the same time, figure out surveillance. So you can make quadrants and make sure to test each one once a week – then you can start to know whether there are asymptomatic cases. Because the thing about this virus – why it is so wily and difficult – is that a significant number of cases are asymptomatic, so a person may feel well and, unknowingly, can spread the virus.
When there is a risk of community transmission, every employee needs to be wearing a face covering while at work and on the way to work – that's critical to protect everyone else. This virus is spread predominantly by droplets, so if we can stop the spread of droplets, we will stop the spread of the virus.
We have to change our workplace environment. Instead of having all the knickknacks and family photos on your desk, you probably want to mandate empty desks for the short term so they can get effectively cleaned every night, and you don’t have to clean around the picture frame and the little knickknacks all over the place.
Employees won’t want to have to go out for food. They’ll want to be given food to eat at their desks, and not have to go to one centralised place where everyone is going at once. So, you have to figure out an effective way to distribute the food.
This virus is spread by droplets, so droplets have to be the focus of everything. We’ll need barriers between workers. I don't want any worker to be within 1.8m of each other. We have to think about that for the workspace and for any meeting spaces that exist. So, if you need to have a meeting with more than several people who can effectively social distance, you should have that meeting electronically.
We have to think through every aspect of the flow of an employee’s travel from the beginning of the day to the end of the day. Employees may not be able to take public transportation. How are they going to get to work? How are we going to enable them to do that safely? These are all things we need to think through and deal with in an enterprise fashion.
We're all going to do certain things right and certain things wrong. We have to learn from each other, talk to each other, and see what company X does differently than what we’re doing and may be doing better.
At the same time, I want employees to talk to management, literally, daily and [be able to] say, “Hey, I'm a little uncomfortable with how this is set up”. So we need to build in that feedback loop because this is new to all of us. There is not a certification where, if you hit these hallmarks, you are safe – we need to build that together. And having the infrastructure, the data feedback, and the ability to collect information on a real-time basis and act on it will separate the good from the great in this regard.
You’ll also need to focus on employee wellness and health. Our brains weren't designed for Zoom. We were designed to have in-person interactions, right? If I look at your facial cues and your body moving, I can respond accordingly. So in this new all-virtual environment my brain is searching for those cues, while looking at you through Zoom. And it's working extra hard to figure out, “How do I interpret what he's saying and what he's thinking?”.
Now add in the Brady Bunch-style calls where you're looking at up to 100 people at once, and it's even more difficult on the brain. So you have to figure out ways to relax and exercise the brain to counterbalance all these calls. [Editor’s note: Here are some ways to fight this particular kind of fatigue from Psychology Today.]
From new protocols for elevators and meals to an enhanced focus on employee wellbeing to ensuring sanitised workspaces, there’s a lot to consider on the health front in the offices that some will reenter soon. While there are still a lot of unknowns as new information gets released almost daily, Chief Health Officers may play a critical role in facilitating this change and helping us all get back to work with more calm and peace of mind.
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