Bausch Health Companies Inc. is a global, diversified pharmaceutical organization headquartered in Quebec, Canada operating across more than 90 countries.
The company develops, manufactures, and markets a range of pharmaceuticals and over-the-counter products. With a strong presence in gastroenterology, dermatology, neuroscience, and eye health, Bausch Health operates within a complex, highly regulated healthcare environment.
Formerly known as Valeant Pharmaceuticals International, the organization rebranded as Bausch Health in 2018 to reflect its evolving strategic direction.
With the company’s transformation and its workforce spread across continents, a structured, enterprise-wide listening program became a strategic priority. The initiative was led by Lauri Romano, Director of Learning & Development, who guided the effort across regions.
Read about Bausch Health’s experience with CultureMonkey from their CHRO.
Challenges: Limited infrastructure to measure engagement across regions
As Bausch Health expanded across geographies and business units, understanding employee sentiment at scale required a more structured and consistent approach. The organization faced operational, language accessibility barriers, and cross-regional alignment complexities that made enterprise-wide engagement measurement challenging.
Restricted visibility into engagement across global operations
With employees spread across 36 countries, 24 divisions, and 62 locations, Bausch Health operates within a highly distributed organizational structure.
- Internal listening practices varied by location, limiting comparability across countries.
- Absence of a single, shared platform to measure engagement across regions.
- Widely dispersed workforce required leadership to identify patterns while accounting for local nuances.
Engaging a predominantly frontline, multilingual workforce
A significant percentage of Bausch Health’s workforce consists of blue-collar employees across multiple countries. Many are non English speakers with limited or no access to email, making accessible survey deployment a critical operational priority.
Aligning regional leaders for a first global engagement effort
Launching the company’s first structured engagement initiative required coordination across HR leaders and stakeholders in over 30 countries. Survey communication and translation had to meet enterprise standards and reflect regional input.
Solution: Building a structured and accessible engagement framework
To address scale, accessibility, and coordination challenges, Bausch Health established a structured engagement program designed to support participation across regions and workforce segments. The approach balanced global standards with local accessibility, enabling meaningful insight at every level of the organization.
Global survey deployment in five weeks
Working closely with regional HR leaders across locations, survey communication, translations, and deployment workflows were aligned to regional requirements, enabling a coordinated global rollout.
Making surveys accessible for frontline employees
Ensuring clarity for non-English speaking frontline employees enabled broader participation across regions, supporting consistent engagement across a diverse workforce.
Expanding access beyond traditional email channels
Reducing reliance on corporate email made the survey accessible to employees with limited digital access, supporting broader participation across frontline operations.
Giving leaders access to team insights
Improved visibility into team-level engagement enabled HR leaders to track trends over time and respond more quickly to areas requiring attention.
Results: Establishing a clear global engagement baseline
The engagement initiative delivered measurable participation, structured insight, and actionable clarity across regions. Leadership gained a reliable baseline, deeper sentiment visibility, and clear direction to guide ongoing engagement efforts.
- High participation across regions: Achieved 85% participation from 6,000+ employees by reducing language barriers and broadening access across frontline teams.
- Strong overall engagement score: An overall engagement score of 8.2 gave leadership a clear baseline to track progress and prioritize improvements across teams.
- Richer context into employee sentiment: Identified recurring themes across regions through analysis of 8,000+ open-text responses, enabling more focused and informed action.
- Greater clarity on engagement drivers: Clearer visibility into what is working well and where engagement can be further strengthened across regions and teams.
With CultureMonkey, Bausch Health’s leadership gained clearer visibility into frontline experiences that may not have surfaced through traditional reporting channels. Region-specific analytics and structured sentiment analysis brought practical, day-to-day concerns into focus across teams.
This listening approach strengthened organizational awareness and supported more informed decision-making.