Leading the Way

The ACCJ recognizes exceptional contributions from across its three chapters

Each year, the American Chamber of Commerce in Japan (ACCJ) honors members who have shown extraordinary dedication. On December 5, six recipients were recognized for their work during 2024 by ACCJ President Victor Osumi at the chamber’s year-end Networking for the Future event at the Hilton Tokyo in Shinjuku.

Leaders of the Year

Tomoki Fukasawa
The ACCJ sincerely thanks Tomoki Fukasawa for his exemplary leadership of the Young Professionals Forum (YPF).

Since becoming co-chair in 2023, he has implemented a three-point plan for the YPF focused on consistency, engagement, and growth. The strategy was a great success in 2024, leading to seven sold-out events that attracted nearly 250 attendees.

Through his leadership and determination to support the next generation of leaders, Fukasawa has strengthened the chamber’s presence in the business community and created new opportunities for young professionals to get involved.

Nao Geisler (Chubu)
The ACCJ extends heartfelt thanks to Nao Geisler for her service as chair of the Chubu Community Service Committee.

Her leadership skills were critical to the success of May’s ACCJ/NIS Walkathon, which raises funds each year for local charities. While the event itself is just one day, its success is built on months of planning, logistics, and negotiations.

Geisler’s hard work this year led to a 15-percent increase in funds raised, enabling the ACCJ and co-organizer Nagoya International School to touch even more lives in the Chubu region.

Chihiro Kijima (Kansai)
The ACCJ recognizes Chihiro Kijima for her exceptional leadership as co-chair of the Kansai Diversity and Inclusion Committee.

As a key member of the Kansai Chapter, Kijima has guided the chamber’s D&I efforts at a critical time for the movement. Her leadership has ensured that members hear from dynamic speakers on topics that resonate with a diverse audience.

Kijima’s deep experience in event planning has extended the ACCJ’s influence in the Kansai region.

Volunteers of the Year

Mao Kawakami
The ACCJ expresses its sincerest appreciation to Mao Kawakami for her enthusiastic support of the Women in Business (WIB) Committee.

Kawakami’s excitement and dependability have brought fresh energy to the Breakfast in the Boardroom series.

By eagerly attending each briefing session with speakers, conducting impeccable research, and preparing spot-on invitations, she has been integral to the success of the series. Her passion for the WIB committee serves as an inspiration to others.

Natsuko Gomi (Chubu)
The ACCJ is indebted to Natsuko Gomi for her dedication to the Chubu Children’s Fund, which provides university and vocational-school scholarships to young adults transitioning out of orphanages.

Gomi’s commitment goes far beyond the typical volunteer role. Her ability to connect with students on a personal level has made a significant impact on their confidence and readiness to face the challenges of adulthood.

As she continues to streamline operations, Gomi’s passion for the fund has ensured that it can reach more students and provide the support they need.

Kishin Okada (Kansai)
The ACCJ expresses its deepest gratitude to Kishin Okada for his efforts to foster acceptance and energize young members as part of the Kansai Diversity and Inclusion Committee.

Okada has been instrumental to the success of the Kansai Chapter’s signature leadership series and the Kansai D&I Summit. And as a guest speaker for a Kansai Young Professionals event, he has also inspired the next generation of leaders.

An inclusive voice, Okada brings people together and forges new ideas while amplifying the ideas of young professionals.

United to Inspire Inclusion

The ACCJ Kansai Chapter marks a decade of driving business through diversity

The American Chamber of Commerce in Japan (ACCJ) Kansai Chapter celebrated a milestone in its advocacy efforts on November 21 at the 10th anniversary Diversity and Inclusion (D&I) Summit, which took place at Oriental Hotel Kobe.

Host Mie Kitano, co-chair of the Kansai Diversity and Inclusion Committee, welcomed the 130 in-person and 30 virtual guests. She shared how, over the past decade, many positive changes have been achieved, but stressed that there still a long way to go on the journey to true D&I.

“This year’s theme, United to Inspire Inclusion, emphasizes the importance of unity and collaboration in driving meaningful change,” she said. Highlighting the critical role of inclusion in creating an prosperous future for all, she encouraged all participants to actively engage in conversations aimed at realizing equality.

Jason R. Cubas from the US Consulate General Osaka-Kobe then delivered opening remarks.

“I’m pleased to join you for the 10th anniversary of this D&I summit under this year’s theme, United to Inspire Inclusion,” said the consul general. “This theme speaks to something essential. D&I must be woven into the fabric of our organizations and industries as core components of the larger strategies and operations.”

Noting that one of the four key pillars in the US national travel and tourism strategy is to ensure that tourism experiences are diverse, inclusive, and accessible, Cubas cited D&I as a guiding principle that can elevate entire industries by shaping how we engage the world.

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“An inclusive approach allows us to understand our colleagues, clients, and communities more deeply, and to unlock new markets and innovate in ways that would otherwise remain out of reach.”

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“In Kansai, we saw an inspiring example of this principle in action [in October], when Osaka hosted the International LGBTQ+ Travel Association for their global conference,” he shared. “It was the first time this was held in Asia, and it wasn’t just a milestone for tourism; it was a testament to how an industry’s inclusive practices can drive growth, innovation, and new opportunities.

“Across all sectors, organizations have the opportunity to integrate D&I into their strategic vision. Whether it’s the tourism industry committing to new ways to welcome people of all backgrounds or technology companies designing products accessible to everyone, D&I can and should be foundational to every facet of how we operate,” he continued. “An inclusive approach allows us to understand our colleagues, clients, and communities more deeply, and to unlock new markets and innovate in ways that would otherwise remain out of reach.”

Panel Discussion

Following Cubas’s remarks, Eli Lilly Japan K.K. President and Representative Director Simone Thomsen moderated a panel with three leaders from different industries:

• Irina Menshikova, president of Amway Japan G.K.
• Mari Nogami, president and representative director of Haleon Japan K.K.
• Victor Osumi, managing director and president-Japan of Delta Air Lines, Inc.

Thomsen, who is also the ACCJ Kansai governor, kicked off the discussion by asking each panelist to recount one success story from their company that has inspired inclusion and driven business.

Nogami, who was the first chair of the Kansai Women in Business Committee—now known as the Diversity & Inclusion Committee—shared how Haleon approaches diversity as a new company. The consumer health brand was spun off from GSK in 2022.

“As an independent company newly listed on the New York and London exchanges, having gender diversity is almost mandatory,” she explained. “The company already had made an external commitment that at least 50 percent of the board, executive leadership team, and the business unit leadership would be female. The board is already 40 percent female and the executive team is 47 percent female. That is a serious commitment. We do it not only for welfare; we do it because it really drives business.”

Next, Menshikova talked about Amway’s Women’s Inclusion Network, which champions flexible workstyles and drives the progression of female leadership. She was leading Amway’s operations in Ukraine, Russia, and Central Asia before arriving in Japan in 2022.

“This is a country with a lot of challenges in diversity and inclusion, so it’s my personal passion to drive this agenda,” she said. “Amway, as a leading company in the direct sales industry and one of the biggest private American companies which has always been focused on multicultural, multi-generational and disability [issues] gives me the opportunity to execute that agenda.”

Currently, Amway in Japan has employees from 16 countries, while 62 percent of its workforce here is female. Cultural matters, however, may prevent women from advancing their careers Menshikova noted. “So the flexible lifestyles help them to balance their personal responsibilities with their job responsibilities.

Lastly, Osumi, who is also ACCJ president, explained the importance of sourcing from partners who support diversity and described how Delta’s approach extends D&I to customers and the community.

“We collected hundreds of images that anyone can download free of charge to show how to accommodate a person with a disability,” he said. “We have more than 200,000 wheelchairs now in place and have an offering tailored especially to customers who use wheelchairs.”

The Atlanta-based company is also supporting entrepreneurship, creating almost $559 million of revenue for Black-owned businesses as well as women in business.

Challenges and Solutions

As the discussion continued, Eli Lilly’s Thomsen pointed out that D&I is a complex, ongoing journey and asked the panelists about the challenges they face and the solutions they are finding.

An example given by Osumi is how cultural differences impact perceptions of D&I among Japanese employees, and how life events such as pregnancy can lead to unintentional exclusion. The lack of women involved in discussions at the government level about D&I reform make finding solutions more challenging, he noted.

Menshikova cited hurdles for team integration created by the Covid-19 pandemic. With many employees joining remotely and lacking in-person interaction, she said, challenges in managing cultural and generational differences have arisen and linger. Adjusting communication styles to suit a diverse workforce is essential, she added.

Looking at multinational work environments, Nogami sees expectations for how female leaders should behave as an obstacle. Because Asian women may have grown up in cultures where they were told not be assertive, they may struggle to overcome this when making a point at work. She advocates for companies to have not only a mentor but career sponsors who are very serious about promoting these talents who may not be showing their real potential due to cultural expectations.

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“While D&I is an important part of an organization’s overall strategy, it takes individuals at all levels to play an active role in building an inclusive culture.”

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Targeted Learning

After the panel drilled down into more detailed aspects of D&I, participants split up into three breakout groups:

• Beyond the Quota for PWD
• Managing Uncomfortable Conversations
• Breaking Boundaries: Closing the Gender Gap and Retaining Talent for Salesforce Diversity

In Beyond the Quota for PWD, Kenji Hirano (president and representative director of Adecco Japan and director of LIXIL Advanced Showroom Corporation) joined Asahi Group Holdings’ Senior Manager of Global Diversity, Equity, and Inclusion Mizuki Hsu to promote the inclusion and empowerment of persons with disabilities (PWD). The workshop, facilitated by Kitano, highlighted the importance of creating inclusive environments that go beyond mere compliance with quotas to foster genuine opportunities for PWDs and to uncover biases.

Managing Uncomfortable Conversations featured Lumina Learning Global Partner for Japan Elizabeth Handover guiding participants through the key skills and techniques for professional, objective communication. The session covered techniques for crafting the conversation and highlighted factors that can lead to success or failure. Handover provided highly practical advice that could immediately be applied in the workplace. The session was facilitated by committee Vice-Chair Naomi Iwasaki.

Breaking Boundaries: Closing the Gender Gap and Retaining Talent for Salesforce Diversity explored gender diversity in Japan’s sales sector. Shimako Takayama (commercial diversity, equity, and inclusion leader at Eli Lilly Japan), alongside facilitator Alison Chen (vice-chair of the ACCJ-Kansai Diversity and Inclusion Committee), discussed the trends, barriers, and strategies to foster greater inclusion and empowerment to help retain talent.

Connections

The summit concluded with a networking session, and at the end of the day, participants no doubt felt the embodiment of what Consul General Cubas said in closing his opening remarks: “While D&I is an important part of an organization’s overall strategy, it takes individuals at all levels to play an active role in building an inclusive culture. Thank you all for your commitment to this work. I hope today’s discussions inspire everyone to keep moving forward, weaving D&I into every part of what you do.”

Transforming Treatment

ACCJ Healthcare x Digital Pitch Day again shines the spotlight on innovation

Osaka’s Nakanoshima Qross, a new international hub for healthcare innovation, welcomed the American Chamber of Commerce in Japan (ACCJ) on November 1 as host of the annual Healthcare x Digital (HxD) Pitch Day.

Led by the ACCJ Kansai Chapter and the Healthcare Committee, the HxD platform brings together innovators from multidisciplinary backgrounds to collaborate and develop ideas alongside some of the world’s leading healthcare and pharmaceutical companies.

Simone Thomsen, president and representative director of Eli Lilly Japan K.K. and an ACCJ governor, kicked off the event by addressing healthcare challenges amplified by Japan’s aging population and rising costs.

Digitalization, she noted, is key to overcoming barriers in healthcare. She emphasized the Kansai region’s burgeoning ecosystem of start-ups and the importance of fostering partnerships for sustainable solutions—something at the heart of this year’s theme, Transforming Healthcare: Collaborating in a Changing World.

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“Led by the ACCJ Kansai Chapter and the Healthcare Committee, the HxD platform brings together innovators from multidisciplinary backgrounds to collaborate and develop ideas alongside some of the world’s leading healthcare and pharmaceutical companies.”

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Following Thomsen’s remarks, Dr. Yoshiki Sawa, chairman of the Organization for Advanced Healthcare Innovation at Nakanoshima Qross, delivered the keynote address.

A renowned cardiac surgeon and innovator, Sawa shared insights into cutting-edge research at Nakanoshima Qross, including the development of iPS cell-derived cardiac patches for regenerative medicine. He highlighted the unique collaboration opportunities provided by the center, where research, development, and medical applications coexist under one roof.

A roundtable discussion followed with panelists Kunihiro Ohyama of Microsoft Japan, Dr. Junji Fukumori of Osaka Keisatsu Hospital, Taro Tanaka from Osaka Prefecture, and Koji Deguchi from Kobe City. Topics included the role of public–private partnerships in fostering innovation, the importance of global collaboration, and strategies for addressing healthcare inequities.

Tanaka, the director of Osaka’s Smart City Strategy Division, shared how the city is leveraging digital health initiatives, while Ohyama, Microsoft Japan’s healthcare industry lead, discussed the transformative potential of artificial intelligence (AI) and the Internet of Things in healthcare, among other themes that were raised.

Game Changers

The heart of HxD Pitch Day was the competition in which five innovative start-ups presented their solutions to transform healthcare. Competing this year were:

• Bipsee Inc.
• Elcyo Co., Ltd.
• ImmuniT Research, Inc.
• Pittan Inc.
• Seven Point One Inc.

Judging were industry experts, including EY Strategy & Consulting’s Christian Boettcher, Eli Lilly Japan’s Yasuhiko Iida and Miyu Harada, Innovation Dojo Japan’s Joshua Flannery, and AstraZeneca’s Torsten Kanisch and Mari Ogihara, who is also the community manager for the i2.JP open innovation initiative. Their expertise provided valuable feedback to the start-ups. Bipsee, Pittan, and Seven Point One received honors.

Bipsee, winner of the HxD Award, impressed judges with its mental health therapy based on virtual reality (VR). Chief Operating Officer Kohei Kamikihara explained how VR could alleviate the burden of cognitive behavioral therapy on clinicians and patients by offering an immersive, self-guided alternative. The company’s eight-week program helps patients intuitively learn coping mechanisms for depression, thereby reducing relapse rates, Kamikihara said.

Elcyo Co., Ltd. presented its groundbreaking Elcyo Lens, an autofocus glasses system integrating liquid crystal lens technology and AI. The glasses dynamically adjust prescriptions in real-time, reducing eye strain caused by digital devices. Chief Executive Officer Sunri Lee noted that the glasses are not just tools for vision correction but guardians of eye health. Set to launch in 2025, the product aims to transform vision care.

ImmuniT Research, Inc. unveiled its advanced immune system quantification technology, focusing on its Th7R cell marker, which aids in cancer immunotherapy. By providing precise data for personalized treatment, ImmuniT is redefining how clinicians approach immune-related diseases. The company has a vision to revolutionize cancer treatment and realize a society of longevity, said Chief Scientific Officer Akio Ametani.

Recipient of the Microsoft Award, Seven Point One Inc. pitched AlzWIN, their AI-powered dementia screening solution that utilizes verbal fluency. The solution looks to empower individuals through early dementia diagnosis and management.

SelectUSA

The SelectUSA Award went to Pittan Inc., which showcased Nutrifull, a system that analyzes sweat composition to visualize health and nutritional status. Designed to enable more people to accurately monitor their health status on a regular basis, Nutrifull aims to extend life expectancy by preventing lifestyle-related diseases.

HxD’s connection to the SelectUSA Investment Summit, a US government program designed to attract and support international business investments in the United States, is a standout aspect of the competition. The tie-up is supported by the Commercial Service office in Japan and began last spring, when US Ambassador to Japan Rahm Emanuel attended Pitch Day on April 17 and saw Anaut Inc. punch its ticket to June’s SelectUSA Summit in National Harbor, Maryland. The company won for its clinical AI software that enables precision mapping of the human body during surgery.

With its win this year, Pittan Inc. secured the opportunity to win a trip to Maryland for the next summit, to be held from May 11 to 14, where it will gain exposure to US investors and partners. The SelectUSA collaboration underscores the ACCJ’s commitment to fostering global opportunities for Japanese start-ups.

Building Bridges

Kanisch from AstraZeneca remarked on the ingenuity of the start-ups, highlighting the potential for Japan to lead in digital health innovation. He also shared his excitement at seeing ambitious ideas taking shape through HxD.

Following the awards ceremony, the event closed with a networking session, offering participants the chance to forge partnerships that could shape the future of healthcare in Japan—and globally.

HxD Pitch Day demonstrated the power of collaboration in addressing healthcare challenges. By bringing together diverse stakeholders, the event not only showcased Japan’s potential as a global healthcare innovation hub but also fostered connections with international markets.

As Thomsen from Eli Lilly Japan concluded in her opening remarks: “This world is changing. We have a true VUCA [volatility, uncertainty, complexity, and ambiguity] world where there is a lot of instability.”

And while noting societal challenges such as the increase in aging populations, which is impacting healthcare systems, especially in Japan, she also highlighted the opportunities.

“Digitalization and technology will help us to accelerate [innovative solutions] further,” she said. “This is why, today, we wanted to come together, and what better venue could we think of than the new Nakanoshima Qross, which really is an international hub for healthcare innovation.”

Growing Greener

The ACCJ–Kansai leads sustainable gardening and food security initiative.

As our world faces the convergence of issues such as climate change, supply chain disruptions, and economic instability and inequality, food security has become a growing concern.

This holds true right here at home, and the American Chamber of Commerce in Japan (ACCJ) Kansai chapter recently led a series of events that brought together community members, businesses, and organizations in an awe-inspiring effort to foster sustainable gardening practices and address food insecurity in the region.

At the heart of these endeavors is the Healthy Urban Gardening (HUG) initiative, the first event of which was held at the Osaka YMCA International School (OYIS) on a sunny Sunday last November. Hosted by the ACCJ–Kansai Community Service Committee (Kansai–CSC), the day of sustainable fun drew more than 100 attendees, including ACCJ members, supporters, parents, and students, who all came together for hands-on workshops and educational activities.

Viviana Di Blasi and her dedicated team took the stage to demonstrate how to make “seed bombs” using a range of soils and seeds, while Cyd Forster, Eva Spanring-Forster, and members of the local Girl Scouts shared the ins and outs of using worm boxes for vermicomposting, the use of earthworms to convert organic waste into fertilizer. Meanwhile, Mark White and a team from OYIS engaged attendees in the construction of raised planter beds made from discarded wooden cargo pallets.

The depth of knowledge and passion exhibited was further highlighted by a captivating video presentation by Joshua Bryan, an industrious seventh grader who showcased his own home-composting project. The session concluded with an engaging quiz on the importance of composting, prepared by other students.

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Throughout the day, the younger attendees actively participated by moving compost from a corner of the schoolyard to a newly established garden area. Armed with shovels and spades, they eagerly loaded compost into wheelbarrows, joyfully transporting it to its new home. Their efforts exemplified a shared sense of purpose and commitment to create a more sustainable environment.

In addition to the enriching workshops, the event offered moments of entertainment and generosity. During a well-deserved break, attendees were treated to musical performances by talented students. Not only were these performances entertaining, but they also served to raise funds for Food Bank Kansai, a Kobe-based non-profit organization that collects donated food products and distributes them to people in need, single-mother families, and others.

The ACCJ has long been a supporter of Food Bank Kansai’s vital work, and donations collected during the events—as well as the ongoing support from ACCJ members—have helped Food Bank Kansai continue their mission of providing food assistance to those in need.

Building on this success, the Kansai–CSC continued its commitment by organizing a second HUG workshop together with Deutsche Schule Kobe International (DSKI). Held in April, the event attracted more than 100 participants and featured a range of activities that further underscored the importance of community-driven vegetable gardens and sustainable living practices.

The HUG initiative has energized community engagement and grown a sustainable circle of direct fresh vegetable donations.

These collaborations with OYIS and DSKI were not only about education and hands-on experiences, but also had a profound impact on the community, showcasing the power of collective effort in addressing pressing issues. By working together, we can create a greener, healthier, and more sustainable future for Kansai and beyond.

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Learn more about ACCJ–Kansai events.

Leading the Way

The ACCJ recognizes exceptional contributions for 2022 from across its three chapters

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Each year, the American Chamber of Commerce in Japan (ACCJ) honors members who have shown extraordinary dedication. On December 20, recipients were recognized in person for the first time since 2019 at a special Leadership Forum networking event, chaired by ACCJ Governor John W. Carlson III, at The Tokyo Edition, Toranomon.

“ACCJ leaders set the bar high, but are incredibly generous about sharing their knowledge and experience, and I have benefited so much from being a part of this community,” Leader of the Year Anne Smith told The ACCJ Journal. “To be recognized and to have my name officially added to the history of the ACCJ in this way is a career highlight.”

Steven Brown, who created the Ten Points on Business Dinner Series, said being named Leader of the Year for Chubu was “a great honor and quite a surprise.” He added that the most challenging part of the year was overcoming the long hiatus from in-person events forced upon the chamber by Covid-19. “In truth, I was a bit nervous about whether the presentations would be a success, but the speakers have been excellent—both entertaining and informative.”

Kansai Volunteer of the Year Naomi Iwasaki said the award was “like receiving a Christmas present. But I know I am receiving this representing the D&I Committee. Without their love and support, I would not be here today.”

Taking on the emcee role at the D&I Summit and Leadership Series “was exciting and challenging,” she explained.

The ACCJ also honored Ritchell Madikaegbu with a Special Recognition Award for her work as liaison from the US Embassy, Tokyo. Her valuable updates on women’s empowerment and leadership development initiatives—along with spearheading opportunities to connect and share best practices with other organizations supporting the committee’s shared goals—made a big difference in 2022.

“I am truly happy about the honor, and it is a reminder of the importance of the US Embassy–ACCJ partnership,” she said. “I look forward to doing my part to advance US Embassy and ACCJ priorities in Japan in 2023.”

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Anne Smith

Dual roles led to Leader of the Year honors for Anne Smith, whose tireless work as vice-chair of both the Government Relations and Healthcare Committees has elevated the ACCJ’s relationships with US and Japanese government partners. She is the face of the Government Relations Committee, setting meeting agendas and running committee-hosted events, and she spearheaded several defining events of the year, including the welcome luncheon with US Ambassador to Japan Rahm Emanuel, attended by more than 160 members and guests. And her work with the Healthcare Committee resulted in meetings with top-level government and industry leaders. Smith’s passionate dedication serves as an inspiration to others and the ACCJ is grateful for her impactful contributions to the chamber’s position as the voice for global business in Japan.

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Akimasa Kataoka (Kansai)

Recognized for his superb leadership as co-chair of the Kansai Membership Relations Committee (MRC), Akimasa Kataoka revitalized the MRC and was a driving force behind the committee’s first in-person event in more than two years. Thanks to his efforts, the committee now has a growing membership base and many new events underway, including a young professionals mentorship program. Kataoka’s energy and commitment have created new opportunities for members to participate and get involved in the Kansai Chapter.

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Steve Brown (Chubu)

As a founding member of the Chubu Independent Business Committee (IBC), Steve Brown served as the committee’s first chair. He returned to IBC leadership this year, determined to reinvigorate the Chubu Chapter, and provided exceptional leadership as co-chair. He conceived of the Ten Points on Business Dinner Series, in which experienced business leaders shared key insights that led them to success and mistakes that have proved educational. Brown’s enthusiasm and tireless efforts made these monthly events a tremendous success, reengaging members and reestablishing the solid foundation of the Chubu community, and he continues to inspire leaders in the Chubu Chapter and throughout the chamber.

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Takako Onoki

Contributing endless energy and expertise to the Competition Policy Committee, Takako Onoki has made invaluable contributions, proactively organizing new speaker events and coordinating advocacy initiatives. She swiftly marshals the committee’s views on public comment opportunities to ensure that the ACCJ has a strong voice on key industry issues. As the committee’s most active member for several years, Onoki is an integral part of the committee’s leadership. The chamber is grateful for her passion and continued dedication.

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Naomi Iwasaki (Kansai)

It is for her proactive and enthusiastic support of the Kansai Diversity and Inclusion Committee that Naomi Iwasaki was named Volunteer of the Year. She was critical to the success of the D&I Summit Series, where she managed the Day 2 networking session and served as emcee on Day 3. She also collaborated directly with committee leaders and the speaker for one of the popular Leadership Series speaker sessions. Iwasaki provides an important perspective during committee meetings and is an indispensable asset to leaders and members alike. Her inclusive workstyle encourages others to further participate in realizing the committee’s goals and inspires inclusive business practices.

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Rafael Dantas (Chubu)

The ACCJ expresses its deepest appreciation to Rafael Dantas for his outstanding efforts in support of the Chubu Aerospace and Manufacturing Committee (AMC). He organized the Chubu Chapter’s first in-person networking event since before the pandemic, secured a venue where adequate social distancing was possible, and planned activities to facilitate networking among the participants. Due to his ingenuity and initiative, this and a follow-up event were resounding successes, resulting in three new members joining the ACCJ Chubu Chapter. Dantas’s positive energy, superb ability to organize, and strong networking skills are an asset to the entire chamber.

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Healthy Ideas

Innovators empower elderly patients at ACCJ Healthcare x Digital Ideathon

Started in 2020, the Healthcare x Digital (HxD) initiative of the American Chamber of Commerce in Japan (ACCJ) has grown to become a key platform for collaboration among innovators, startups, entrepreneurs, and top pharma executives.

After hosting pitch events for the first two years, the first ever HxD Ideathon took place late last fall with a hybrid in-person and online kickoff at the Hilton Osaka on October 29. This was followed by two virtual sessions on November 5 and 12, then finalized by the hybrid pitch event on November 19 at the Hilton Osaka. The four-day event was inspired by the tagline “empowering elderly patients through digital health.”

Participants included university students from the United States and Japan as well as healthcare professionals and a panel of judges from healthcare fields. Their aim? To forge new partnerships and create solutions for some of Japan’s most critical challenges in community healthcare and individual patient care.

Ideathon

The 2022 HxD event was modeled on the concept of ideathons, or workshop-like gatherings of groups tasked with challenges for which they are to propose solutions. Through this model, a total of 86 ideators, facilitators, and mentors worked together through a cyclic ideation process to identify root causes and develop the next big project in healthcare.

Day one began with opening remarks by Simone Thomsen, president and representative director of Eli Lilly Japan K.K. as well as ACCJ governor-Kansai, and continued with a panel discussion and ideation in groups to define problem statements and the healthcare challenges to be tackled. Ideation continued on days two and three, when teams focused on initial designs and worked to find agreement on a solution—one per group—that was to be presented on pitch day.

The event culminated on November 19 with a pitch contest in which nine teams presented their concepts, and engaged in question and answers sessions with judges, who then selected the best ideas. The winning teams will move forward to the next phase of the competition—a hackathon—to be held in 2023.

Pitch Day

The final day was divided into two rounds during which each group had five minutes to pitch their solution to a panel of judges.

Perhaps the biggest draw of HxD is the opportunity to present ideas directly to—and receive invaluable feedback from—industry leaders. There’s also the possibility of entering into a joint venture with, or receiving investment from, an industry player.

Winners also receive cash prizes and, this time, will have the chance to present their ideas at the 2025 Osaka Kansai Expo and as part of the Japanese government’s Super City Initiative.

Let’s take a look at this year’s pitches.

Kyocare

Presented by Hiba Abulgasim, Kyocare is a digital customer-to-customer and business-to-business platform that provides flexible, personalized, quality care.

In the pitch, Abulgasim noted that 28.9 percent of Japan’s population is over the age of 65 —a record number that is growing. But the workforce tasked with caring for them is understaffed and overworked, and about 70 percent want to leave the profession.

This means care services are poorly coordinated. Many elderly people feel lonely and disconnected as a result, and family members tasked with their care feel stressed out.

The solution? Kyocare provides on-demand caregiving services for the elderly through an app that matches those who need long-term home care with nearby care workers.

Hi-Real System

A digital ecosystem pitched by Masato Suzuki and Sachiko Nakatsuka, Hi-Real System allows emergency-patient health records to be accessed by healthcare professionals even before emergency care is provided.

In their problem statement, Suzuki and Nakatsuka asked, “How do we support emergency triage when medical resources, such as medical staff, are limited?” Their solution involves a blockchain emergency information transmission service that instantly shares patient information to the hospital before patient arrival, which can then be used for smoother emergency treatment diagnosis.

Maya Mind

Osaka University Assistant Professor Gajanan Revankar presented Maya Mind, a web platform accessible via smartphones, tablets, or personal computers that targets patients who suffer from dementia. Revankar noted that, during early onset of dementia, diagnosis is time consuming and costly, while accuracy is low. Maya Mind seeks to tackle all these challenges.

The app uses eye tracking, speech processing, artificial intelligence (AI)-based analytics, and machine learning algorithms to create an index score for classifying different kinds of dementia, among other provisions.

AI Assistant

Ajinkya Takawale and Tomoko Mitsuoka pitched a voice-controlled AI assistant with a focus on early diagnosis of chronic kidney disease (CKD) and diabetes. The challenge before Takawale and Mitsuoko included how to leverage digital technologies to make the elderly more aware of their health risks through early diagnosis. Their voice-controlled robot uses non-invasive methods such as retinal imaging to track, record, and analyze an elderly person’s healthcare data. Using the results, they provide a diagnosis and help the person plan their lifestyle based on the insights.

Toilet Light Sensor for CKD

Chisato Banno and Reiko Tsubaki, both third-year students at Tokyo Medical and Dental University, also pitched a digital solution for patients at risk of CKD. Their solution offers a low-cost yet accurate Internet of Things device that samples, analyzes, and visualizes a person’s real-time health data, helping them to diagnose the onset of CKD early.

Their first prototype will use toilet-based light sensors that can analyze urine. The data gathered can be visualized via a smartphone app, which also can share data with a relevant healthcare provider, such as a hospital.

Helper-san

An avatar bot that identifies and neutralizes triggers that cause aggression in dementia patients, Helper-san is a digital platform that was presented by students and researchers Shobha Dasari, Allison Jia, Kanon Mori, Aarushi Patil, and Tsubasa Tanabe.

The students and researchers are part of a collaboration involving universities in Japan and the United States brought about by the Japan-American Innovators of Medicine, a four-month program in which medical innovators from both countries join to tackle a global healthcare issue related to dementia, such as aggression.

Their bot, which is embedded in a small, television-like device, can track a patient’s behavior, identify aggression triggers, and defuse them. An example would be dimming or turning off a light source that has been identified as the trigger.

Parapul

A web app presented by Kasper Watanabe, Parapul helps caregivers obtain the information they need, build relationships with like-minded people, and support their caregiving lives.

As the portion of society classified as elderly increases, Watanabe noted, the physical, mental, and financial burden on family members will grow, and yet such caregivers often lack the information necessary to provide care.

The Parapul platform is based on three pillars:

• Providing customized information, such as nursing care, educational materials, or local service listings to family members who are caregivers
• Connecting caregivers so they can share their challenges on bulletin boards, question-and-answer boards, or via direct messaging
• Offering a caregiving management system that, for instance, allows users to schedule nursing care support

Mobile Health

Pitched by Jingwen Zhang and Nondo Jacob Sikazwe, Mobile Health (mHealth) is a community platform that allows those at risk of CKD to be inspired to connect and receive information that can help them manage the condition.

During their presentation, the ideators noted that there are few digital tools on the market to help patients prevent or manage CKD. Why is this? First, individuals at risk, or who have early onset, of CKD have no or only slight symptoms that cause them inconvenience in daily life.

What’s more, those with middle-to-low incomes often struggle with daily living, which leaves little time and few resources to access primary healthcare.

Lastly, current biomarkers used to screen for CKD are affected by many factors, so there is a need for regular checkups.

Their community platform solves these challenges by incentivizing elderly people and their caregivers in three key areas:

• Motivation: where you can collaborate with the local community and receive community rewards for positive lifestyle changes
• Connection: where you can communicate directly with a healthcare provider
• Education: participate in customized, immersive games, quizzes, audio guides, and more that shed light on the issues of CKD

Coupon Kun

The final pitch, by Zechen Zeng and Keita Tsuyuguchi, addressed loneliness among elderly, which has reached epidemic levels. Zechen and Tsuyuguchi’s solution is a social network being developed in four phases. Phase one is to create a “Groupon experience,” through coupons for groups, that incentivizes elderly individuals to experience new things—such as hobbies, lessons, or traveling—with new social connections.

In phase two, the platform aims to introduce digital literacy to the elderly, including adoption of smart devices, while they undertake the group experiences.

In phase three, apps are used to monitor, collect, and share the health data of users with healthcare professionals following strict data privacy and security protocols.

And in phase four, insights gleaned from healthcare data are used to help users follow a healthy lifestyle.

Winners

With so many innovative ideas to consider, selecting the winners was not easy for the panel of industry professionals tasked with judging the 2022 HxD Ideathon.

Pitches were scored based on scientific innovation, relevance and timeliness, business feasibility, and how well they addressed the core issue.

Three ideas were selected to advance to the HxD hackathon in 2023:

• Maya Mind
• Hi-Real System
• Toilet Light Sensor for CKD

One other, Kyocare, was given special recognition and will also be part of the hackathon.

Overall, 119 ideators, facilitators, and students participated in at least one day of the ideathon, and connections were made with more than 22 universities for future events.

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Judges

Kozo Mori
Director, Medical Industry City, Medical and New Industry Division, Planning and Coordination Bureau, Kobe City Hall

Masayoshi Yamada
Deputy director, Department of Smart City Strategy, Strategy Promotion Office, Regional Strategy Promotion Division, Osaka Prefecture

Torsten Kanisch
Executive officer and vice president, commercial excellence, AstraZeneca K.K.

Christian Boettcher
Consulting partner, health sciences and wellness, EY Strategy & Consulting

Francisco Proano
Head of strategy and digital transformation, Bayer Yakuin

Yasuhiko Iida
Senior director, Consumer Experience Team and Next Generation Customer Engagement Strategy, Eli Lilly Japan

Hiroki Kayama
Strategic partnership development manager, AI for Japan, Google G.K.

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Committee Matters

Together we can harness the energy of 2022 and advance ACCJ advocacy

The ACCJ Board of Governors gathered for their November meeting in Nagoya on November 18 prior to the ACCJ/TJCS Champagne Ball.

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Looking back at 2022, it was a year of great progress for the American Chamber of Commerce in Japan (ACCJ). I was honored to represent you as president and am humbled to have been reelected for a second term. This year, I look forward to building on our progress, harnessing the energy of our members and leaders who so generously share their time and expertise.

At the heart of all we do are committees. They are the lifeblood of the ACCJ. As I began my first term, I met with each committee leader. That was time well spent, as I learned where the action happens and saw firsthand where our energy emerges.

I learned your challenges. It was also a good reminder that all of us who serve on the Board of Governors must represent all members as our primary mission. What better way to do so than to have firsthand contact with the committee leaders? That is why we established the committee liaison program.

One ACCJ

The Board of Governors also took to heart building bonds of friendship across the entire chamber. Our board meetings have typically been in Tokyo, but the Chubu and Kansai chapters are key parts of the chamber and where a lot of critical business activity occurs. To strengthen our One ACCJ family, this year we also held meetings in Nagoya and Kobe.

As a board, we focused on transparency—transparency into what we discussed at board meetings and how decisions are made. To that end, I’ve enjoyed delivering video updates immediately after each meeting.

We also made changes to the Constitution to allow members easier access to the minutes.

Government Engagement

Our advocacy efforts with US and Japanese government officials often result in the greatest value the chamber brings to all its members. Unfortunately, the pandemic forced these interactions to become virtual. Resuming and reinvigorating these engagements in person was another highlight of 2022. We had more than 85 meetings with the Government of Japan, including a Diet Doorknock. We also took a delegation to Washington in June for our critical DC Doorknock after a two-year hiatus. It made quite a difference to have eye-to-eye contact and person-to-person conversations.

It was an honor to be in the room with US President Joe Biden and Japanese Prime Minister Fumio Kishida for the launch of the Indo-Pacific Economic Framework (IPEF) on May 23, but more importantly it highlights what an important voice of US business we represent to Japan and the United States.

Looking Ahead

There are big events on the horizon, with Japan hosting the G7 Summit in May. The ongoing rollout of IPEF and the continued focus on economic security will also be front and center this year. I look forward to an exciting year ahead as we continue to build connections, engage with government, and help US businesses thrive. I encourage everyone to harness the energy we built up in 2022 and take the ACCJ to new heights in 2023.

On a personal note, one of the best parts of 2022 was getting out there and meeting all of you in person at our networking forums, at the Charity Ball and Champagne Ball, and at our numerous other in person gatherings. I look forward to building more mutual energy with each of you in the coming year!

A Culture of Inclusion

Previewing this year’s ACCJ-Kansai Diversity and Inclusion Summit Series

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Shaping workplace culture and inclusion. Leading the change. These are the themes of the 2022 ACCJ-Kansai Diversity and Inclusion Summit. Following the same format that debuted to great success in 2020, three two-hour online sessions will be held over successive weeks in October and November, each with its own keynote speaker, small-group discussions, and practical training.

The format was born of the pandemic, when organizers had to adapt the normally daylong program to a world of virtual interaction. It proved highly successful. The online format opened up access to people throughout Japan, and registrations rose from 224 for the previous year’s in-person event to 320. Similar results were repeated last year. Not only has accessibility been boosted, but the extended interactions also strengthened the summit’s impact and benefits.

With such success, the committee has decided to stick with the three-day series, and this year will host sessions on October 4 and 18, as well as November 8.

The first day will focus on gender diversity and equality, and will feature a training session with Jennifer Shinkai, an ikigai and inclusion facilitator and coach. The main session for the day will be led by Tetsuya Ando, founder of Fathering Japan, the non-profit organization he started in 2006 to focus on supporting fathers who are balancing the responsibilities of work and home.

The second day will feature a discussion of cultural diversity and inclusion with Nissan Corporate Vice President Catherine Perez, while Day 3 will explore psychological safety in sessions hosted by Google.

The series will be a wonderful opportunity to share personal and professional experiences in advancing D&I in Japan and abroad, including strategies that can be employed individually, at work, and in the community at large. Additional coverage can be found on the Digital Journal website following the sessions.

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Learn more about this year’s summit series.

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Final Frontier

Former astronaut Naoko Yamazaki shares her vision for bilateral space cooperation and spaceports in Japan

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The United States and Japan share a long history of collaboration in space, working together on projects such as the International Space Station (ISS) and the Artemis program, which aims to return astronauts to the moon by 2024 and can also be seen as a preparatory stage for human missions to Mars.

Cooperation between the two countries in the space industry is growing stronger and represents a great pathway for innovation in the bilateral relationship. A significant player in the space travel industry in Japan is the Space Port Japan Association (SPJ), which was established in 2018 and is attracting considerable attention on both sides of the Pacific.

SPJ co-founder and Representative Director Naoko Yamazaki joined members of the American Chamber of Commerce in Japan (ACCJ) on April 21 for an hour-long online discussion organized by the Chubu Aerospace and Manufacturing Committee.

Licensed to Fly

The accomplishments of Yamazaki, who participated as a panelist at the ACCJ Women in Business Summit in 2014, are impressive. Currently she is a member of the Committee on National Space Policy at Japanese Prime Minister Fumio Kishida’s Cabinet Office. And as a former astronaut with the Japan Aerospace Exploration Agency (JAXA), she became the second Japanese women to fly into space when she took part in an assembly and resupply mission to the ISS in 2010 aboard the space shuttle Discovery. She retired from JAXA in 2011.

Besides appearing in the media to promote the SPJ, Yamazaki occasionally meets with government officials in both the United States and Japan. For example, US Ambassador to Japan Rahm Emanuel greeted her and space startup leaders at the US Embassy, Tokyo, in February to discuss bilateral collaboration on the space front.

Direct Connections

During the April 21 webinar, ACCJ members learned that direct cooperation began with the signing of the 1969 US–Japan Space Agreement and has since blossomed into a relationship involving many US-made products. While a young organization, the SPJ has already established relationships with four regional governments interested in hosting spaceports. The projects include:

• HOSPO (Taiki, Hokkaido Prefecture)
• Spaceport Kii (Kushimoto, Wakayama Prefecture)
• Shimojishima Spaceport (Okinawa Prefecture)
• Spaceport Oita (Beppu, Oita Prefecture)

Other cities in Japan are also interested in such an investment in point-to-point suborbital space transportation hubs.

Besides sending future passengers to other planets, spaceports in Japan could become a launchpad from which to transport time-sensitive food and cargo to other locations on Earth. For example, Yamazaki pointed out, entrepreneur and investor Elon Musk proposed in 2017 a plan to use his SpaceX rockets to fly passengers from New York to Shanghai in just 39 minutes.

Supporting STEM

Yamazaki is recognized as a space policy expert not only in Japan but also in the United States. She was recently invited by the University of Pennsylvania (Penn) as a visiting fellow at the Perry World House, a center for scholarly inquiry, teaching, research, international exchange, policy engagement, and public outreach on pressing global issues. She is lending her expertise to Penn so that its students can develop and advance innovative policy proposals, and hopes to see more Japanese students benefit from the experience of studying abroad.

Finally, Yamazaki spoke about her involvement in the Japanese Rocket Society, where she chairs the Sorajo Committee, whose name means women in aerospace. She is a staunch advocate of inclusivity and gender equality in the Japanese aerospace industry—a goal very much aligned with the beliefs of the ACCJ and its member companies. Science, technology, engineering, and mathematics—or STEM—is a growing area of passion for this former astronaut, and we hope to see her and other members of the SPJ at future ACCJ events.

Chubu Walkathon

Annual event raises millions of yen for charity on a sunny day of food, friends, fun, and fitness in Nagoya

Photos by Andy Boone

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On May 22, more than 1,000 participants took part in the 31st Annual Chubu Walkathon International Charity Festival. This year’s event took place on a beautiful Sunday in Nagoya’s Meijo Park and was also livestreamed. More than ¥7 million was raised to support local charities. The Walkathon’s mission is to improve the lives of the less fortunate by creating an opportunity to increase awareness, recruit volunteers, and raise funds at a family-friendly, international outdoor event. More than ¥177 million has been donated over 31 years, and 18 charities received funds in 2021.

HxD Winners

Five finalists in the ACCJ’s digital healthcare competition show that innovation is alive and well in Japan

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As we enter the third year of the coronavirus pandemic, two societal needs have become crystal clear: healthcare and digitalization. These could be seen as distinct domains, and in some respects they are. But the combination of the two could bring some of the most impactful changes to Japan and the world by improving the quality of life, reducing the cost of care, and allowing society to better cope with future crises.

Bringing them together is exactly what the American Chamber of Commerce in Japan (ACCJ) has done with its Healthcare x Digital (HxD) initiative, which began in 2020 and reached new heights in its second year. HxD leaders Torsten Kanisch, Francisco Proaño, Christian Boettcher, and Yasuhiko Iida, with the support of the ACCJ’s Kansai chapter, followed up the very successful inaugural competition by boosting submissions 30 percent.

Ideas Day 2.0

Forty companies submitted entries and 10 were selected to participate in the Pitch Day virtual event on October 14. Five finalists then took part in the HxD Ideas Day on November 11, a hybrid in-person and virtual event with a panel of leading healthcare and pharmaceutical executives—all empowered to initiate business deals and new relationships on behalf of their global brands.

Opening remarks were delivered by AstraZeneca K.K. Representative Director and President Stefan Woxström, who welcomed the more than 300 online attendees and many others who attended in person.

After thanking the healthcare professionals and companies working to develop solutions and care for patients during the pandemic, he shared a bit of Innovation Infusion Japan’s background.

Known as i2.JP, the open innovation initiative connects healthcare professionals, local governments, academia, and private companies, helping them jointly work out collective, practical, and optimal answers to issues in the field of healthcare. The initiative was founded in 2020 and has rapidly grown from seven participants to 130.

“I want to emphasize that this is an open innovation network: anyone can join, it doesn’t matter where you are,” Woxström said. “You don’t have to collaborate with those who started the network, you can collaborate with anyone. That’s the beauty of it, and that’s why it is also starting to produce a lot of solutions for patients.”

He also noted that i2.JP has become a gateway through which startups are entering Japan. “Because they don’t know where to go, who to connect with, they contact i2.JP and find partners who help them come to Japan with their solutions.” He hopes it will flow the other way as well, with i2.JP assisting Japanese startups as they branch out globally.

Setting the stage for the finalist presentations, Woxström said: “What we are going to experience today is what happens when startups, academia, the private sector, and policymakers come together and start working, because that is what is going to create new solutions for the future of healthcare in Japan.”

Goals

Then-ACCJ President Jenifer Rogers spoke next, noting that HxD Ideas Day is “the culmination of a months-long efforts by healthcare leaders and innovators with a shared mission: to solve critical healthcare challenges and improve the lives of patients.”

HxD 2021, she explained, advances the goal of driving innovation in Japan’s healthcare ecosystem by focusing on three areas:

• Overcoming the urban–rural healthcare divide
• Reimagining the hospital of the future
• Empowering patients to own their healthcare

“These areas tie into the digital transformation of society and can help Japan continue to take care of—and provide even better care for—all its citizens,” she added. “Digital transformation [along with] sustainable society and healthcare were two of the ACCJ’s main strategic goals even before the onset of the Covid-19 pandemic, which has accelerated the need for digital and healthcare plans around the world.”

Professor Hiroaki Miyata, of the Keio University School of Medicine’s Department of Health Policy and Management, echoed the belief that the pandemic has driven greater understanding of the need for digital transformation and sustainable healthcare. Speaking after Rogers, he wore a shirt that mirrored the colors of the i2.JP logo, which he said was his way of honoring the diversity championed by the group.

“The pandemic is a turning point for civilization,” he proclaimed. “Particularly in Japan, in terms of digital, the country had ranked 27th or 28th in competitiveness around the world and had to face this situation.”

Noting that Japan, as an island nation, was long isolated from the world, he said that facing these challenges and being forced to embrace a connected world and digital transformation—to grow together in this ecosystem—is important. “In that sense, i2.JP and HxD [represent] growing together in the global environment, so these opportunities are very important for us,” he explained. “And all of you here are going to take a new step that is going to be important for Japan and the world.”

Expert Insight

Saving the finalist presentations—the highlight of the day—for last, the middle section featured a wide range of presentations from experts. Five keynotes followed Professor Miyata’s comments:

• Yoshihiko Izumida—a professor in the Saitama Medical Center’s Department of Endocrinology and Diabetes, as well as representative director of Saitama Medical and chairman of the Life Course Design Association—gave a presentation entitled Global Standardized IoT Platform for Promoting Open Science
• Ryosuke Fukuda—deputy director of the Health Policy Bureau’s Medical Professions Division and director of the bureau’s Planning and Coordination Office for Physician Training in the Medical Professions Division—talked about recent topics in online medical care guidelines
• Jun Miyagawa—general manager of Kansai growth strategy in the Growth Business Development Department of Sumitomo Mitsui Banking Corporation—shared a presentation entitled Accelerating the Formation of a Venture Ecosystem in the Kansai Area: Trends in Innovation in the Run-up to the Osaka-Kansai Expo
• Takeru Yamamoto—board director and chief operating officer at Welby Inc., talked about the current and future prospects for personal health record platforms
• Lei Liu, PhD—innovation partnerships and i2.JP director of commercial excellence at AstraZeneca K.K., recapped the open innovation initiative’s successes in its first year, looked ahead to the future, and introduced HxD and its achievements

After the keynotes, a panel discussion involving the keynote speakers, moderated by Liu, covered current trends in, and future prospects for, digital innovation in healthcare.

Next, the five finalists made their last pitches.

Medii, Inc

First to present was Medii, Inc Chief Executive Officer Hiroki Yamada, a rheumatologist who is himself a patient coping with an intractable disease. His own experience led him to become a specialist treating arthritis and other musculoskeletal conditions and systemic autoimmune diseases, and to search for a way to bring better care to patients and support local doctors across Japan.

Specialist doctors in his field, he explained, may be difficult to find outside of the largest cities. While there are 759 in Tokyo, 32 of Japan’s 47 prefectures have fewer than 75. “In terms of the population, there is a 50-fold difference in the distribution of specialist doctors. We have to do something about this,” he said.

“There are so many undiagnosed patients who are not receiving proper treatment—they are simply overcoming their symptoms. This is the challenge we are facing and that we must overcome.”

Medii would like to create a National Intractable Disease Center so that the latest and most effective treatments can be delivered to patients. About five percent of the people in Japan suffer from such ailments.

The company’s focus is on the issue of doctor’s knowledge about intractable diseases, because supporting local physicians is one of the best ways to help patients.

Medii is offering a service called E-Consult, a digital resource powered by artificial intelligence (AI) that enables the sharing of expertise about rare diseases with doctors who are not specialists.

Doctors in the local community who are trying to diagnose a problem, but who do not possess knowledge of these rare diseases, can be matched with an expert through E-Consult. More than 500 specialists are working with Medii to provide assistance through the service that is a bit like the LINE messaging platform, which is dominant in Japan.

Doctors can be matched on a real-time basis for one-on-one chats and images can be exchanged securely. A response is received within 42 minutes and the level of satisfaction has been as high as 93 percent.

“For instance, in the remote islands, the doctor may be working all on his own, and he has to take care of patients with many diseases,” Yamada explained. “And yet, by using our platform, even though he may be working on a solo basis, all these specialists can support him, and better diagnoses and treatments can be offered to his patients.

“We cannot do this alone, so together with the support of the pharma companies—and for the benefit of the patients and the doctors and the specialists—I would like to further grow this platform,” he continued. “Our team is putting all its efforts into this, and I hope you will all join hands together for this endeavor.”

Immunosens Co., Ltd.

Next, Hirokazu Sugihara, CEO, representative director, and president of Immunosens Co., Ltd., shared his vision for more efficient testing that can close the time gap between diagnosis and treatment.

“Our first target is cardiovascular diseases,” Sugihara said. “As the Japanese population ages, the number of patients with such diseases is on the rise, and treatment accounts for 20 percent of national medical costs.

“When your condition is poor, you go to a primary care physician to find out what is wrong and if there is a risk of disease,” he continued. “Various exams may be performed, and right now tests are outsourced.”

That time lag—typically one to three days—can make a big difference in the outcome for patients. At a minimum, it requires them to make an additional trip to the hospital or clinic and, in some cases, it may prevent the doctor from providing proper treatment.

Immunosens’s solution is a high-performance point-of-care testing (POCT) system that utilizes a technology that the company calls GLEIA, an acronym for gold-linked electrochemical immunoassay.

This lateral flow test technology uses a printed electrode to trap disease markers in the sample by immunoreaction and then sandwich the markers with gold nanoparticles. If a disease marker exists, it will gather near the printed electrode. Ultra-sensitive detection of gold nanoparticles on the printed electrode is achieved through an oxidation and reduction process. This electrochemical measurement can be completed with a single cartridge, enabling quick and efficient measurement with results in just 10 minutes. The easy-to-use, disposable GLEIA sensor is much smaller and cheaper than existing equipment, but detection sensitivity is equal to, or higher than, that of current processes.

The product weighs just 0.1 kilograms and costs between ¥10,000 for a model designed for home use and ¥50,000 for one aimed at clinics. Compare this with existing equipment, which weighs 10–100 kilograms, costs between ¥3 and ¥10 million, and takes as long as two hours to read a sample. Also, current equipment requires a 100–200 microliter sample whereas the GLEIA solution needs just 2–20 microliters.

The device for home use allows patients to measure their condition every four days if they are unstable, or every 23 days if stable. Currently, new measurements are taken once every six months, on average, at a hospital.

Steady development has been underway since 2018 and the first product is scheduled to be launched in the second half of this year. Mass production is targeted for 2025.

Oishii kenko Inc.

With a name meaning “tasty health,” Oishii kenko’s goal is “to contribute to health and healthcare issues through delicious solutions and dietary management,” explained Chief Executive Officer Tetsuya Nojiri.

Scientific evidence has shown that an optimized diet is key to reducing healthcare costs, preventing diseases, and supporting the treatment of existing ailments.

But, as Nojiri noted, controlling one’s diet is easier said than done. He explained that, while 80 percent of Japanese households prepare their own meals every day, it is challenging to plan a nutritionally balanced menu. And if you have dietary restrictions due to illness, doing so becomes even more difficult.

“To whom do you turn for help?” he asked. According to the company’s research, 85 percent of physicians say that they are consulted about diet by their patients, and 90 percent of that group admit that they lack the knowledge and time to provide such guidance. This is where Nojiri feels Oishii kenko can make a difference.

“There is a position called certified dietitian, but 84.4 percent of hospitals in Japan do not have anyone in this role. So, while patients want to improve their dietary life, there is no one whom they can consult,” he explained.

Oishii kenko believes that dietary management is possible in the home, and you don’t need a dietary specialist sitting next to you to make it happen.

“We need to trigger the understanding and desire to eat healthily, and that is what we want to provide through our personalized recipe and nutrition management app, supervised by a registered dietitian,” Nojiri said.

The AI-powered recommendations provide nutritionally balanced meal options, and a shopping list is created automatically. More than 60 health issues can be managed through the 10,000 recipes found on the app.

In addition, the app offers previously unavailable insight into the habits and preferences of people with similar health challenges. This is thanks to Big Data from more than 40,000 users that allows nutritional trends to be surfaced.

As an example, Nojiri shared that, according to the data, female diabetics may have a tendency to like spicy food, while male diabetics eat a lot of meat and dislike fish.

“This is different from the expected behavior of diabetics,
so using real-life data … and based on the preference of the individual, we can suggest good dietary management tailored to each person,” he explained. “Through the app, we hope to change behavior that helps pharmaceuticals to work their best.”

Lanex Co., Ltd.

One example of a traditional practice in Japan that could benefit from digitalization is the maternal and child-health (MCH) handbook. This printed booklet is used to track the results of pregnancy and post-birth health checks.

Lanex software developer and project manager Boubacar Sow shared the company’s electronic version of the process—the E-MCH—explaining that “we empower doctors to manage data generated during pregnancy through virtual consultation, interoperability, and maternal decision support.”

Under the current system, a woman who is expecting visits the doctor and receives a document which certifies that she is pregnant. She then takes this paper to the health center at the ward office and receives the MCH.

Using Lanex’s E-MCH system, she would register during her first visit to the hospital and receive a unique identification number issued by the local government. Login credentials are also provided so that she can download and begin using the system immediately.

At every checkup, data is added to the E-MCH and is accessible via the web portal and smartphone app.

“We believe we have a special system, because it is not simply a pregnancy tracker, but also an ecosystem to digitize maternal and child healthcare,” Sow explained. “We help the local government provide a unique identification number to better track those who are pregnant. It’s special because we have a knowledge base, the contents of which are provided by maternal and healthcare experts from Miyagi University.”

Lanex, founded in 1993, has offices in Japan, the Philippines, Australia, and the United States, and has been developing high-quality software for more than 28 years. It is targeting countries that are unable to meet United Nations Sustainable Development Goal 3: ensure healthy lives and promote well-being for all at all ages, as well as every medical institution that provides maternal and child healthcare in both developed and developing countries.

In May 2021, the E-MCH was adopted by the Japan International Cooperation Agency (JICA) as an innovative product to solve a public problem, and Lanex received financial support from JICA to conduct a survey in African countries.

The web system requires a small payment by the hospital, while the mobile app is free for mothers.

CardioCouple

The final presenter was Ayush Balaji, an 18-year-old from Japan, who is a first-year medical student at the University of York in the United Kingdom. He came up with the idea for a pulsatile percutaneous circulatory assist device for those with heart failure during his last year of high school in Japan.

“I’ve taken inspiration from nature—with animals, such as octopi, which have branchial hearts—and I looked at adopting a resilient network-based solution to heart failure,” he explained.

Cephalopods have two branchial hearts, one located at the base of each gill. The two branchial hearts push oxygen-depleted blood through the gills, thereby supplementing the function of the systematic heart, which pumps the oxygenated blood throughout the body. Similar systems are found in insects and other animal species.

“The biggest issue we have at the moment is heart failure, or cardiovascular-related diseases. There are 64 million cases of heart failure per year [worldwide], and cardiovascular disease is the most common cause of death,” he continued. “The only treatment available at the moment for heart failure is a heart transplant. Between diagnosis and transplant there is an extended waiting period, and during this time the quality of life for patients is significantly reduced.”

Balaji has designed a device called the CardioCouple that focuses on forestalling a reduction in the quality of life between diagnosis and transplant. The aim is to allow patients to lead lives that are as close to normalcy as possible.

He noted five problems with current surgical approaches:

• High rates of infection and complications
• Reduced patient mobility and access
• Hemolysis complications (destruction of red blood cells)
• Lack of resilience
• Foreign material contact and proximity to the heart

How does CardioCouple fix this?

A network-based approach uses small pumps in multiple location around the body to reduce fail rates, provide resilience, and increase mobility. No components come in direct contact with blood, which increases longevity of the devices and reduces the risk of hemolysis-related complications. And, while some surgery is required to implant the devices, major open heart surgery is not needed.

The result is improved quality of life and outlook, more time for physicians to plan further intervention, reduced cardiac afterload and stroke risk, and the ability of patients to resume normal life without the need to manage bulky external apparatus.

In terms of digital healthcare, dedicated software allows data from the device to be utilized, and physicians and patients to control the device in real time. The pump rate can be managed remotely, and physicians can set operational limits so that the patient can adjust the pump rate themselves when needed. Plus, physician access to real-time data on pump performance and patient parameters ensures the maintenance of the device and patient health.

“All these things come together to provide a more reliable, efficient, convenient, and cost-effective device, as it does not rely on significantly new advances in technology and the complication rate is not as high as what exists today,” said Balaji.

“This translates to a lower strain on healthcare budgets, improves profit margins for pharmaceutical companies due to lower complication rates, and provides patients with better control over their health.”

Impressive Breadth of Ideas

Following the presentations, Deloitte Touche Tohmatsu LLC Senior Partner Christian Boettcher moderated a panel discussion during which the five finalists talked with AstraZeneca’s Woxström and Eli Lilly Japan K.K. President and Representative Director Simone Thomsen.

“This year it was very impressive to see the breadth of ideas,” said Thomsen, congratulating the finalists. “I feel the true patient-centric passion is coming through, really making sure that [the focus is on] just one problem and how we can make it better. I think we are seeing an even greater breadth of what digital technology can do to support Japanese patients.

“As always, I continue to applaud you,” she added. “I know there is a lot of entrepreneurship needed, a lot of courage, to make it work. I assume all of you have faced multiple challenges so, by bringing it this far, you continue to impress me.”

Prizes

Ideas Day ended with recognition of the incredible innovation brought forth by the finalists.

Six honors were given:

• Empowering Patients Award and People’s Choice Award: Oishii kenko Inc.
• Hospital of the Future Award: Immunosens Co., Ltd.
• Bridging Urban Health Award: Medii, Inc
• From Japan and Beyond Award: Lanex, Co., Ltd.
• Moonshot Award: Ayush Balaji

The winners received monetary prizes and the chance to meet with senior executives from the organizing sponsors. They will also receive mentoring and support from healthcare professionals and executives of organizing sponsors.

All who took part in the HxD competition benefited from having their ideas reviewed, and the ACCJ thanks everyone who submitted pitches. Yet again, HxD proved that there is boundless healthcare innovation in Japan, and the 2022 competition is sure to reach new heights once more.

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Sponsors

President’s Circle Sponsors
Cisco Systems G.K.
Eli Lilly Japan K.K.
Google Japan G.K.

Organizing Sponsors
AstraZeneca K.K. | Bayer Yakuhin, Ltd. | Deloitte Touche Tohmatsu LLC | i2.JP (Innovation Infusion Japan)

Contributing Sponsors
Dentsu | Johnson & Johnson | K&L Gates LLP | Motorola Solutions | NRW Global Business | Omron Corporation | Trilations G.K. | Real Life Sciences | SoftBank Corp.

Supporting Organizations
City of Kobe | Embassy of the United States, Tokyo | Foundation for Biomedical Research and Innovation at Kobe | Global Venture Habitat | LINK-J | Osaka Innovation Hub

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Have an idea to pitch? Want to become a sponsor?
Get ready for the 2022 competition with an info packet: www.accj.or.jp/hxd

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Supplier D&I

WEConnect International’s three-year journey in the Japanese market

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While there is much talk in Japan about diversity and inclusion (D&I) in the workplace, another important, though less-discussed, aspect of D&I involves suppliers. Some major companies have long championed diversity in their supply chains, but the issue is now getting more attention—and progress is being made—thanks to the efforts of socially conscious leaders.

This was the topic of a November 25 virtual event, hosted by the ACCJ-Chubu Programs Committee and entitled Supplier D&I: Three-Year Journey in the Japanese Market. Speaker Setsu Suzuki, chief executive officer and founder of Hunext, Inc., shared how sourcing from women-owned startups is shaping the Japanese economy.

Connecting Women

Suzuki is the Japan project director for WEConnect International, the Washington, DC-based non-profit organization (NPO) that expanded its certification and market access activities to Japan in 2018. She recalled how, in 2017, she was invited by Gary Schaefer, principal officer at the US Consulate Nagoya, to attend the Global Entrepreneurship Summit in Hyderabad, India. Some 6,000 women business owners took part in the three-day event. There she had her first contact with WEConnect International, which helps drive money into the hands of women business owners by enabling them to compete in the global marketplace.

“That’s fantastic, right?” Suzuki exclaimed. “So, I immediately said that I want to be a member of this organization.” After getting to know leaders of the enterprise during the summit, she was asked to become the director of WEConnect in Japan. Three months later, she signed a contract with the international body and led its expansion into the market. Noting that WEConnect International is the only certifying body in the world that supports supplier diversity, Suzuki explained that there are five categories:

• Women
• Challenged
• LGBTQ
• Racial minority
• Veterans

“And women are really key,” she said. Globally, just one percent of procurement by governments and corporations goes to women-owned business.

“WEConnect International began studying this 12 years ago, but the number is still only one percent. We want to push it to two percent,” she explained.

“According to a World Bank report, 32–39 percent of companies around the world are owned by women. So, definitely, women are key to a diverse economy.”

Next, Suzuki introduced the companies among WEConnect International’s 143 member buyers that are most active in Japan:

• Accenture
• Johnson & Johnson
• Intel K.K.
• IBM Japan, Ltd.
• EY
• P&G Japan G.K.
• Microsoft Japan, Co., Ltd.
• Micron Memory Japan, G.K.

“More and more Japanese corporations are starting to pay attention to supplier diversity,” she said.

Where Are the Women?

There are 3.8 million small businesses in Japan, but only 500,000 are owned by women. What constitutes a woman-owned business (WOB)? It seems straightforward, and Suzuki noted that we use the term a lot in English.

But to make it clear what this means by definition, she explained that it should be “an incorporated company with at least 51 percent of the business owned and managed, or governed, by one woman—or more.” The WEConnect certification standards state that ownership “is determined based on title to, and beneficial ownership of, stock, membership interests, or other equity in the business.”

WEConnect allows self-declaration as a WOB. Such registration in their database is free and carries limited benefits.

“WEConnect International … helps drive money into the hands of women business owners by enabling them to compete in the global marketplace.”

There is also the Women Business Enterprise (WBE) designation (pronounced “weebee”). This certification opens the door to the procurement departments of 143 member companies and enables business owners to connect with 12,000 women entrepreneurs in more than 110 countries.

In this case, there is a fee, and membership includes unlimited access to WEConnect benefits. The money is used to fund the NPO’s operations, which are driven by three pillars: certification, connection, and education.

Three-Year Journey

WEConnect International’s launch in Japan took place three months after Suzuki took on her role as country director. The expansion into Japan was made possible through the Strengthening Market Access for Women Business Owners initiative, a consortium that includes Accenture, Intel, and Johnson & Johnson. The founding members are working closely with WEConnect to leverage its powerful global networks and experience working with women business owners, and there are now 28 certified WBEs in Japan.

The launch was marked by a hybrid event, making it possible to connect women business owners from Hokkaido to Okinawa. It was supported by the American Chamber of Commerce in Japan, and Women in Business Committee Vice-chair Makiko Tachimori (Fukui) helped facilitate.

A business-to-business matchmaking event was held on November 26, 2020, in which 10 member buyers, 14 tier-one corporations, and 51 WOBs and WBEs participated. Suzuki said that three women business owners got contracts following the event, showing how even online meetings can really make business happen.

The session will take place again in February—rebranded as the P&G Academy Women’s Entrepreneurs Business Development Program—as an eight-day intensive series.

With the support of Johnson & Johnson and Dell Technologies, WEConnect conducted a survey of 191 Japanese female entrepreneurs in Japan between August and September 2020. According to results, the top challenges faced by WOBs are:

• Balancing work and family (65 percent)
• Gender discrimination (30 percent)
• Market entry (11 percent)

She also noted that many women who responded to the survey cited the issue of surnames as an obstacle to their business lives. Because Japan continues to require that women take their husband’s surname, some women said that they must use a false name in work, so that their husband’s family will not discover that they are entrepreneurs—a role that goes against traditional views of a woman’s place in society.

On the brighter side, Suzuki said that WOBs in Japan are thriving across a wide range of industries. Many fall under the United Nations (UN) Sustainable Development Goals (SDGs), which are an important part of WEConnect International’s activities. The organization is working with governments, the UN, and others to help achieve SDG number five: gender equality in the economy.

Japan WBEs

There are only 28 certified WBEs in Japan, but Suzuki is dedicated to expanding that number. She introduced two success stories during the event, starting with Yuko Takahashi, president of Osaka-based Japan Engine Valve Mfg. Co., Ltd. Known by the brand name Dokuro, the company began producing engine valves in 1949.

Takahashi, who was unable to attend due to a business event, delivered a short, vibrant video in which she flew a drone around the Dokuro offices and production facilities to explain how her company makes after-market auto parts. The parts are shipped around the world to meet the needs of those who own Japanese cars.

Setsu Suzuki

Ayako Mochizuki

Yuko Takahashi

Next, Ayako Mochizuki, a Japan native who moved to the United States at the age of 22, shared her experiences running a small and medium-sized enterprise in Japan, doing business with large companies on a global basis.

In 2014, she became president of IBS Japan Co., Ltd., the 35-year-old value-added reseller of data communication products, founded by her father. She runs the company from her home in Boulder, Colorado, while her father remains involved as an owner in Ebina, Kanagawa Prefecture, where the corporate headquarters is located.

IBS Japan’s mission is to make life easier through the application of technology, and the company was certified as a WBE by WEConnect International in 2019. “Since then, I have had many successes [as a result of] being a WBE,” she said. One such success, she noted, involved the sale of thermal camera technology to a major pharma company soon after the start of the coronavirus pandemic.

Despite these successes, challenges remain—particularly with traditional mindsets about gender roles in business. Mochizuki shared an interesting example from within her own company.

“When I got certified [as a WBE] in 2019, one of my employees—a key person for me—actually told me that I should not be certified,” she recounted. “He said that if we are certified, if they find out that I’m a feminist—that’s the word he used—we are not going to get business, because it’s a male-dominated industry that we serve. He was very concerned.”

She noted that this worry is real in Japan, because the country remains very much dominated by men, and many of the business leaders are aged 60 and over.

So, the shift in mindset takes time. But through the efforts of Suzuki, WEConnect, and women business owners such as Takahashi and Mochizuki, that change is taking place.

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Sustainable Change through Animation

2018 ACCJ Volunteer of the Year eyes education through entertainment

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ACCJ 2018 Volunteer of the Year Royi Akavia is well known in the chamber and local community for his unwavering support of Food Bank Kansai. Helping children is one of the most important missions for the renowned visual artist whose work has been displayed around the world, including in the permanent collection of the Guggenheim Museum in New York.

It was in that city that his own struggles, as he started his career on the SoHo art scene in the East Village during the early 1980s, helped him understand what it is like to go without and the importance of giving to those in need.

Digital Difference

Beyond his work on canvas, Akavia has spent the past 20 years working in animation, which he says is “magic for a painter like me.”

But it’s not just for fun. Through his business Double Bounce Productions, Inc., (DBP)—a diamond prize sponsor of this year’s ACCJ Charity Ball—he is putting those skills to work to educate children on sustainability and diversity issues to build a better future for the world.

One of the most noticeable aspects of digitalization has been the shift from traditional broadcast and cable television to on-demand streaming video. Services such as Netflix and Amazon Prime have seen a surge in consumption during the pandemic. But even before the coronavirus boosted demand and created production delays, these companies were experiencing a shortage of high-quality animated content.

According to The Los Angeles Times, Netflix’s budget for the development of animated content was estimated to be $1.1 billion in 2018—11 percent of its total budget for original content—and is predicted to reach $5 billion in 2022. Analysts believe that Amazon could spend as much as $1.86 billion on animation next year.

This presents a great opportunity to create content that is both engaging and educational.

Heroes of Change

Today’s entertainment landscape is awash with superheroes, as adaptations of comic book characters regularly top the box office and streaming. Akavia sees this as a foundation for telling stories that make a difference and bring about change in the long term, using original characters to which children can relate.

His desire to take DBP in this socially conscious direction comes from years of contributing to organizations, such as the ACCJ and the United Nations Development Programme, which is tasked with helping countries eliminate poverty and achieve sustainable economic growth and human development.

To do this, he has assembled what he calls “a world-class dream team” which includes animator Emiliano Topete, concept artist Ricardo Caria, artist Clifford Land, and Wendee Lee, one of the most accomplished voice actresses in the animation industry. Also joining the team is Hayato Ogawa, an associate professor of engineering at the International College of Technology in Kanazawa, Ishikawa Prefecture, who coordinates students and staff to undertake projects designed to help rural communities adopt sustainable and efficient lifestyles.

Co-founder Topete’s career has taken him to several studios and TV networks since 2005. He served as animation director on the award-winning Televisa series Imaginantes and, in 2013, founded Polygoon Studio in Mexico. Has been a professor of animation at the esteemed SAE Institute and Escena animation and digital arts school since 2016.

Caria studied illustration at the Academy of Art University in San Francisco and served as art director for the Anamon Studios short Let’s Eat, the first animation project ever developed in a cloud-based environment.

Land crafts realistic paintings by mastering light and shadow. One of his most famous works is the mural painted for New York City-based fashion house DKNY. The work became a landmark on Houston Street, where it stood for 17 years.

Akavia told The ACCJ Journal that DBP will provide new kinds of heroes and tell cutting-edge stories that he hopes will inspire and motivate viewers.

“We’re not trying to create a superhero,” he said. “Marvel is doing just fine with that. We’re trying to create a superhuman, one powered by the strength of kindness, patience, intelligence, and creativity.”

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Entrepreneurship in Japan and Beyond

Oak Lawn Marketing co-founder Robert Roche shares his personal journey

When entrepreneurs consider entering the Japanese market, often they eye the nation’s capital as their starting point. The allure of Greater Tokyo, with its population of more than 35 million, is strong. But ask American Chamber of Commerce in Japan (ACCJ) Vice President-Chubu Robert Roche where you should start and he’ll invite you west, to the city of Nagoya.

It was there that the entrepreneur, investor, civic leader, and philanthropist got his start building businesses, and he believes that the capital of Aichi Prefecture, in the central Japan region of Chubu, remains one of the best places in the country for entrepreneurs.

He expanded on this while also sharing his personal business journey on September 3, during an event hosted by the ACCJ-Chubu Programs Committee. The virtual session was a one-on-one discussion between Roche and his longtime friend and ACCJ-Chubu External Affairs Committee Co-chair Michel Weenick. Together, in 1990, they helped found the American Business Community Nagoya (ABCN), a hub for the US and greater international business communities in Nagoya. The ABCN became the Chubu chapter of the ACCJ in 2000.

The Magic of Nagoya

Roche joined the session from China, where he currently invests and does business in addition to his US and Japanese endeavors. But he remains very involved in Nagoya. In 2018, he returned to Oak Lawn Marketing, Inc., the company he co-founded with Tadashi Nakamura almost 30 years ago, as executive chairman and president.

Although Oak Lawn Marketing, and its Shop Japan e-commerce brand, are well known today, their start is sure to inspire burgeoning entrepreneurs. Roche shared the story.

Recalling those early years after university, when he had recently married, he explained: “My wife’s family is from Nagoya, and they didn’t want me to be anywhere else. So, I had this constraint of needing to figure out something to do. I didn’t know what to do, but [whatever it was] I needed to do it in Nagoya.”

He soon met Harry Hill, a current ACCJ governor who has long been a leader in the Chubu community as well.

“Harry and I became partners pretty much the second day after we met, in 1990. He had his own business, and I had my ‘business’ that really wasn’t a business—it was just me kind of doing stuff,” he shared. “Then he and I formed H&R Consultants together, and that was really the beginning of a successful creation of a business. We are very complementary. He’s very good at stuff that I’m not very good at, and I’m very good at stuff that he’s less good at.”

Roche said that’s how he got started on the entrepreneurial front. At first, they made just enough money to survive. But after expanding H&R and earning a bit more, he got into the import–export business.

On Air

Initially, Roche was importing Tiffany products and L.L. Bean bags. His partner, Nakamura, being a local with lots of connections in Nagoya, was able to set up some meetings with a local TV shopping company.

“In the early 1990s, there was this show called Waku Waku Terebi Shoppingu. They would tape a one-hour program once a month and run it over and over on 25–30 stations. We were lucky enough to secure a four-minute spot for Tiffany,” Roche recalled.

Soon he found himself selling Tiffany items on television in Japanese—a stint that his mother-in-law enjoyed critiquing—and the seeds for Oak Lawn Marketing and Shop Japan were planted.

As a result of these appearances, Roche gained a reputation for having access to the country’s TV shopping market. One day, in 1992, he received a call from a company in Canada that was selling all sorts of products on CNN. Viewers around the world could call a local number in their country and order items such as the now-famous Didi Seven stain remover. But not in Japan.

The company saw Roche as their path into the market. They told him that he needed to have a call center, a fulfillment center, and all sort of other things.

“I didn’t have a call center. I didn’t have logistics ready. I didn’t have anything,” Roche recalled. “I said, ‘Sure we got it, we’re gonna go, you just let us know.’ And then they said that we had to make a minimum order. I asked how much, and we just scrambled to get the money together. And we ordered all this stuff.”

At the start, Roche and Nakamura just ran calls through their tiny 100-square-meter office. They stored products there as well. The calls started rolling in, and the business grew. Doing fulfillment from the office wasn’t easy. “One of the products was a stepper machine, and some days we’d send out 100. We were landlocked, trapped in the office until the Sagawa guy came and took the boxes away,” he remembered.

“If I was a better planner, I would have had all that stuff in place before the first call came. But we just had to adapt. And that was good, because we learned every key part of the business. The very beginning, that was fantastic.”

Accelerated Growth

The business grew incrementally until they were bringing in about ¥1.5 billion per year. At that point, something different was needed to take the next step.

“As entrepreneurs, we love chaos. We love to be the hero. We love for there to be a problem and then come in and solve that problem,” Roche said. “H&R Consultants kind of went through this. Harry and I ran it, and then we brought in John Coomes to run it, and then Scott Reid, and then Harry went back to the States and did a big development. When he came back in 2004, there really wasn’t a spot for either of us at H&R anymore.”

So, Hill joined Oak Lawn Marketing and this, Roche said, is when things really began to take off.

“The company didn’t need a firefighter anymore; it was getting pretty standard. We had a nice foundation, but what really moved it [to the next level] was that Harry just took over and he banged it out,” he explained. “I think that, from an entrepreneur’s perspective, there is always that time when, as a founder, you have to hand off.”

Fast-forward to 2017 and Hill handed back the baton. “But he gave me a much bigger platform than I gave him,” Roche said.

Making Connections

For the success they have had, Roche credits the environment of Nagoya and the easier access to top executives compared with Tokyo.

One of the things he said was most important to him about being a young entrepreneur in Nagoya was the access to people whom he never would have met in Tokyo.

“There were all these real leaders of Japanese industry who we had access to. We never did business with those guys ever, but we learned from their demeanor, and they told us little things like, ‘Don’t say it that way.’ You would say something [in Japanese] and they would kind of twist their head and you would think, ‘Oh, that’s not the way to say that,’” he recalled. “It was this almost subliminal teaching from true leaders [that helped], and we never would have gotten access to that caliber of leader in Tokyo. The big business guys of the ACCJ in Tokyo do, and now we do. But then? No way.”

To make the most of such opportunities, Roche advises entrepreneurs to learn Japanese.

“If you think you can do this without speaking Japanese, you can—you can be that unicorn—but I’ll tell you right now, it’s better to speak Japanese,” he said.

That’s because it’s the unplanned conversations you end up having with people whom you didn’t plan to meet that can make a difference and lead you down unexpected—and fruitful—paths.

“Learn Japanese if you’re going to do business in Japan, because there are all these seasoned guys like Nakamura, who could not have communicated with me in English. And I learned from that guy. That’s what really made a difference.”

More Advice

“Hire planners.” That was Roche’s tip when Weenick asked if he is a better planner today than he was 30 years ago, when he dove right into the pool of TV shopping. Often, entrepreneurs feel as if they can do it all. But to really succeed requires surrounding yourself with those who are more skilled in areas where you are weak, just as Hill and Roche complement each other in their business endeavors.

“My plan, basically, is to hire people to run the business who are better planners than me,” he said. “I hire people who can plan and not react—because I’ll react for them.”

Then Roche gave his biggest recommendation: Don’t take no for an answer. “I was told no every day, 10 times a day. You can’t do that. You can’t do that.” It’s one of the realities of Japan’s very orderly society—with its resistance to deviating from exactly what has been laid out—that can be discouraging to those wanting to explore new ideas.

But he encouraged people not to let the little things that sometimes frustrate expats get to them. “There is a tendency to get a little bit negative on Japan,” he noted. “We’ve all sat through those complaint sessions. Why do they do this? Why is it that way? Why are a bunch of things out of our control? But, really, it’s the positive nature of this that we should focus on. Japan is a very, very good market, because things don’t change much. And the reality is that most people in Japan want to see foreigners succeed.”

To sum it all up, Roche looked back at how, perhaps by lucky chance, he was accepted into the local business community, the mura (village), as he called it, and why it’s important to become part of the group.

“If you hang out in the village long enough, you understand the rules and you just get incrementally bigger and bigger and bigger. And then you can diversify. I do a lot of business in China, and I do a lot of business in the States, but Japan is a really, really nice base, if you can keep it going.”

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Nagoya Means Business

Reflecting on the region’s supportive business climate

Now more than ever, Nagoya means business. The Chubu region, and specifically the city of Nagoya, has attracted many large tech companies and manufacturers—from automotive to aerospace—because it offers a skilled and talented workforce, affordable land, and a competitive cost of living. With a dedicated focus on creating an innovation ecosystem, Japan’s fourth-largest city has become an attractive location for small business owners and entrepreneurs.

Nagoya has traditionally been a center for manufacturing and industry, but as home to an innovative tech scene it is also fertile ground for startups. As an expat and a serial entrepreneur, I launched several businesses in the early 1990s, of which two are well-known today: Oak Lawn Marketing, Inc. and H&R Consultants K.K.

Oak Lawn Marketing was incorporated in Nagoya in 1993. Now, more than 30 years later, that small startup is a direct-marketing giant with more than 1,000 brick-and-mortar Shop Japan stores selling some 3,500 products in locations across the country.

Over the past three decades, I’ve managed, invested in, or founded more than 50 companies around the world. I chose Nagoya as the location for Oak Lawn Marketing because it’s where I lived when I first came to Japan. As an undergraduate and law student in the United States, I participated in study abroad programs at Nanzan University, where I met my wife.

Starting a business in a foreign country—in my second language—was challenging to say the least. Today it is much easier, and there are so many solid business reasons to choose the supportive environment of Nagoya.

Big Market for Small Business

With so many people from abroad now doing business in Japan, the business community in Nagoya has become much more accustomed to working with non-Japanese. It is also very open to entrepreneurs. While Nagoya is one of Japan’s largest cities, it is somewhat off the beaten track. Yet, with 2.3 million residents, it offers a market that is large enough to develop critical mass. In addition, the cost of living is a fraction of what it is in Tokyo.

Government support for small businesses and entrepreneurship has increased incrementally over the past 20–30 years, and these enhancements all add up to creating a solid environment for foreign entrepreneurs to do business in Japan.

In addition, the government fosters entrepreneurial collaboration through communal spaces, education, and networking opportunities. These include the Nagoya Innovator’s Garage, created by the Central Japan Economic Federation and Nagoya City, as well as Nagoya Connéct, powered by Venture Café Tokyo.

Local universities also provide educational and networking opportunities, while organizations—such as the American Chamber of Commerce in Japan’s Chubu chapter—offer outstanding opportunities for networking and mentorship.

Startup Ecosystem

Recently, I participated in a government task force on startups which brought local business leaders together to enhance regional entrepreneurship and innovation by combining different fields and creating new industries. The goal is for central Japan to expand beyond manufacturing into other industries.

I learned that, in 2019, startups in Aichi Prefecture raised the third-largest amount of funds in Japan. The abundance of ideas, technologies, and support services necessary for startups to grow is providing a tailwind for new businesses. Large companies based in Nagoya are instrumental in supporting the startup ecosystem, and smart human resources are further driving the local economy and actively engaging in innovation activities.

In 2020, Aichi–Nagoya was named a “startup ecosystem global hub city” by the Cabinet Office. This ecosystem aims to realize growth that drives the Japanese economy, and the creation of startups and new industries continues to promote innovation in this central region of Japan.

Government and local business leaders, as well as universities, are working together to form a globally cohesive innovation and startup ecosystem by utilizing the deep tech and manufacturing knowledge that is the strength of the region.

As a lifelong entrepreneur, I’m excited about the opportunities offered to a new generation of dreamers and doers. There has never been a better time to start a business, nor a better place to do it than Nagoya!

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Nagoya Resources for Entrepreneurs

Startup Guide Nagoya
Developed by the Nagoya Innovator’s Garage and Nagoya City, this guide—available in digital and print formats—shares practical information about startups, coworking spaces, business programs, schools, and investors.

Nagoya Innovator’s Garage
Created by the Central Japan Economic Federation and Nagoya City, this coworking space furthers entrepreneurial collaboration through social nights, innovation events, and more.

Nagono Campus
Located in Nagoya City, this renovated elementary school offers three types of offices and serves as an incubation space in which to encounter and blend with people to create new values and form new businesses.

Nagoya Connéct
Powered by Venture Café Tokyo, this innovation promotion and exchange program holds a free event on the fourth Friday of each month that includes panel sessions, workshops, and networking opportunities.

National Innovation Complex
Part of Nagoya University, the National Innovation Complex is home to the Promotion Office for Open Innovation, which aims to establish a structure that enables companies and university researchers to promote and manage large-scale joint research projects.

The Tongali Project
Offered by five universities in the Tokai region, this multifaceted program supports the next generation of entrepreneurs.

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HxD 2021

ACCJ drives innovation by bringing together startups and big pharma

Last August, the American Chamber of Commerce in Japan (ACCJ) announced Healthcare x Digital, an XPRIZE-style competition meant to spur industry-changing technologies and connect Japan-based startups with major pharmaceutical companies and public officials.

Driven by the ACCJ Healthcare Committee—with support from the chamber’s Kansai Chapter—the initiative is led by ACCJ Corporate Sustaining Members AstraZeneca K.K., Bayer Yakuhin, Ltd., Deloitte Touche Tohmatsu LLC, and President’s Circle Member Eli Lilly Japan K.K.

The inaugural event was a huge success, with 28 companies submitting proposals. Three finalists were selected from this pool, and each emerged from the December 1 Pitch Event with awards and prize money to help them continue development of their ideas. Honors went to:

• Bisu, Inc.: Best Innovation; the Moonshot Prize
• MediFrame, Inc.: Best Value Proposition
• MICIN, Inc.: Best Product

Great Opportunity

In a follow-up interview, Bisu Chief Executive Officer Daniel Maggs told The ACCJ Journal that participation in the Healthcare x Digital competition was important to them because “it matters for us to have validation and recognition from the medical industry, because we care very deeply about quality.”

Ryoichi Kusama, co-founder and senior vice president of MICIN, said that his company wants to help the medical industry change from within and become a player that can be trusted. Therefore, “the biggest plus is that it has expanded the collaboration with major pharmaceutical companies.”

And Mediframe CEO Atsushi Wada said that it meant a lot to him to be recognized by AstraZeneca, Bayer, and Lilly. “For them to see the potential in my company made me feel very pleased and encouraged.”

This year’s competition will once again bring together global healthcare leaders with top and emerging tech companies, entrepreneurs, and innovators in the search for new ideas.

Three Challenges

Healthcare x Digital 2021 will carry forth the goal of forging new partnerships and creating new solutions to solve Japan’s most critical community healthcare and individual patient challenges by focusing on three areas:

• Overcoming the urban vs. rural healthcare divide
• Reimagining the hospital of the future
• Empowering patients to own their healthcare

These areas tie into the digital transformation of society and can help Japan continue to take care of—and provide even better care for—all its citizens. Demographic and economic trends are creating a strong contrast between rural and urban regions, and these shifts will require Japan to adopt new healthcare approaches and solutions. One question being asked in this year’s competition is how digital technology can break down the boundaries of distance to provide great and uniform care for everyone, no matter where they live.

Of course, reform of the healthcare system puts great pressure on hospitals to transform themselves and make better use of tools and resources. Technology is certainly key to that makeover, but what are the most innovative digital levers that can open up those paths to greater efficiency?

Another important part of ensuring that the healthcare system remains sustainable is empowering individuals to monitor their own health. A great example of such a tool is Bisu’s home health lab, for which the startup won ¥1 million in funding at last year’s competition. The elegant and easy-to-use system supports a range of tests that anyone can perform at home, allowing early disease detection and providing a way for individuals to track their health and adjust their daily lifestyle habits and decisions.

Joining Forces

At the core of Healthcare x Digital is the goal of bringing together emerging players—who have healthcare ideas, but require partners—with established players looking for innovative ideas to solve healthcare challenges.

This is made possible through the Healthcare x Digital ecosystem, which comprises four groups:

• Innovators and startups
• Established companies
• Government organizations
• Academic and non-profit institutions

These public, private, and non-profit sector players join forces to deliver all the pieces required to envision and execute groundbreaking solutions.

In the private sector, startups often have innovative digital healthcare ideas, but they lack the partnerships to evolve them. Teaming up with established companies that have the resources to develop an idea and bring it to market can allow the startup not only to grow as a company, but to change the course of future healthcare.

In the public and non-profit sectors, government bodies are searching for solutions to long-term healthcare challenges, such as cost, quality, and access. They want to drive innovation, which can lead to economic growth, but how to drive that change is not always clear. Academics and research institutions have insights that can help effect change, and they need a way to translate this into real-impact non-profit organizations.

Pitch Your Idea

Healthcare x Digital 2021 began accepting submissions on July 1 and the deadline is October 1. Evaluation of submissions is set to start on October 5. Pitches will be evaluated according to the following criteria:

• Focus on patient and community needs
• Healthcare x Digital value proposition
• Need for an ecosystem to flourish

Everyone who participates in Healthcare x Digital will benefit from having their ideas reviewed by top executives from leading international healthcare and technology companies.

Those selected to participate in the Pitch Day will be invited to the full-day virtual event on October 14. Finalists will then take part in the HxD Ideas Day on November 11, a hybrid in-person and virtual event at which they will present to a panel of leading healthcare and pharmaceutical executives—all empowered to initiate business deals and new relationships on behalf of their global brands.

Monetary prizes will also be awarded, and the finalists will meet with senior executives from the organizing sponsors. Winning companies will receive mentoring and support from healthcare professionals and executives from organizing sponsors.

Join us to discover Japan’s most innovative healthcare ideas and develop partnerships to make them a reality.

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Sponsors

President’s Circle Sponsor

Eli Lilly Japan K.K.

Organizing Sponsors

AstraZeneca K.K. | Bayer Yakuhin, Ltd. | Deloitte Touche Tohmatsu LLC | i2.JP (Innovation Infusion Japan)

Contributing Sponsors

Dentsu | K&L Gates LLP | NRW Global Business | Omron Corporation | Trilations G.K. | Real Life Sciences

Supporting Organizations

City of Kobe | Embassy of the United States, Tokyo | Foundation for Biomedical Research and Innovation at Kobe | Global Venture Habitat | GVH#5 | LINK-J | Osaka Innovation Hub

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Digital Transformation of Committees

Removing barriers and ensuring continuity through centralized tech

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When the American Chamber of Commerce in Japan (ACCJ) kicked off the transformation of its website platform early last year, the process sparked a conversation among members of the Chubu chapter about what digital tools our committee leaders need to succeed in bringing value to members and addressing pain points.

Following ACCJ President Jenifer Rogers’s directive to improve succession planning, the Chubu chapter reviewed the impediments that committees were facing. The takeaway was that the committee chair usually has all the documents, templates, and contact lists on their computer, and no one else has access.

As Chubu Programs Committee Chair Ray Proper explained, “I have years’ worth of information about my committee activities on my own shared drive—for my current and past committees—that I think would be much more useful were it accessible to others as part of a formal arrangement.”

Sudden Shift

Often in the past, without warning a committee member may have had to move out of Japan for work. This made it difficult for the remaining members to continue with the committee’s activities. Similarly, if the chair had a sudden medical event or accident, the committee would tread water until they could get back on track. This meant that the bus factor—the minimum number of people who can be hit by a bus before a project comes to a stop—effectively has been one.

Lastly, for committee leaders, an ongoing issue has been new member retention. Sometimes, a person joins a committee, attends a meeting, then never attends another. The feedback we have received from such members to date is that it’s hard to get up to speed, because they don’t know what has been discussed in previous meetings, are unsure how they can contribute, and don’t know what tasks need to be carried out.

Centralizing

To address these issues, the Chubu chapter began piloting the use of cloud storage for the Chubu Walkathon. This was then rolled out to the other committees.

Chubu Community Service Committee Chair Erin Sakakibara shared how the move made a difference this year: “Thanks to cloud storage, we were able to organize all our content and collaborate. It was particularly valuable in providing a base and continuity to build on in subsequent years of the Walkathon,” she said.

“But to be honest,” she added, “though technology is the tool, it also takes human management. You need someone who is organizing files and providing guidance for the team to get the full benefit of the technology. We couldn’t have pulled off the Walkathon without the cloud capability or our captain, who kept us organized and honest in our tasks.”

Having a cloud drive reduced the amount of management required on the part of the chair, as individual members could update and share documents on which they were working. This also eliminated the question of whether a document was the latest version—a crucial timesaver for an event with 220 files, scattered among more than 45 folders, being worked on by 20 people over the course of six months.

Onboarding

Getting new committee members up to speed becomes easier when you can point them to a cloud drive and they can review all the materials and meeting minutes. This helps them quickly get an idea of the committee’s activities, as well as how the group is organized and managed.

The Chubu chapter has also created LINE groups for each committee, allowing speedier communication while also making things more accessible to new members, increasing engagement by adding more touch points.

For successor planning, cloud storage moves the breadth of knowledge from the chair into a repository that all can reference. This can remove the barrier to entry for members and allow current chairs to step down with minimum disruption.

The Chubu chapter will continue to look into other technologies to address issues as well as assist leaders and members, so that the chamber can provide more value to everyone involved.

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