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Collaborating for a Healthier World: A Corporate Perspective The Dow Chemical Company July 7-8, 2008 Catherine Baase, M.D. Global Director Health Services Agenda Dow’s Commitment to Health Policies Non-Policy Actions Population Health A Parallel Path Annual sales of $54 billion

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Collaborating for a Healthier World:A Corporate PerspectiveThe Dow Chemical CompanyJuly 7-8, 2008

Catherine Baase, M.D.

Global Director

Health Services


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Agenda

  • Dow’s Commitment to Health

  • Policies

  • Non-Policy Actions

  • Population Health

  • A Parallel Path


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  • Annual sales of $54 billion

  • 46,000 employees worldwide

  • Diversified chemical company

  • Customers in ~160 countries

  • Leader in science and technology with a passion for improving human life


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2015 Sustainability Goals – Our Commitments

  • Citizenship

  • Local Protection of Human Health

  • & the Environment

  • Contributing to Community Success

  • Solutions

  • Product Safety Leadership

  • Sustainable Chemistry

  • Breakthrough to

  • World Challenges

  • Footprint

  • Energy Efficiency & Conservation

  • Addressing Climate Change


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Committed to Health

Committed to Healthy Employees

  • Our investments aim to optimize the health of our people

    Committed to Healthy Communities

  • Dow strives to make positive contributions to community health and safety

    Committed to Healthy Products

  • Innovation leads to health benefits


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Committed to Healthy Employees

Dow succeeds when our employees are healthy.

  • Our investments aim to optimize the health of our people

  • Health Platform

  • Fostering Involvement and Commitment

  • Award-winning health promotion programs

  • Comprehensive Global Health Strategy


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Committed to Healthy Communities

Dow’s success aligns with protection of public health.

  • Long history of conducting health research studies

  • Contributing to Community Success

  • Local Protection of Human Health & the Environment

  • Site medical department partnership with local community health services

  • Corporate giving


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Committed to Healthy Products

Dow succeeds when our products create health benefits /

meets health needs.

  • Healthier Eating –

  • NATREON™ canola and sunflower oils

  • FORTEFIBER™ Soluble Dietary Fiber

  • Clean, Fresh Water – FILMTEC™ reverse osmosis water purification technology

  • Preventing Diseases – GLUTEX™ and other Dow Biocides products


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Policies & Commitments

EH&S Policy

  • Protecting people and the environment is part of everything we do and every decision we make

    Tobacco Policy

  • Support employees and contractors to quit tobacco and remain tobacco-free

    Product Stewardship Policy

  • We are dedicated to the health and safety of all who make, distribute and use our products

  • Product Safety Leadership


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Fostering a Culture of Health & Sustainability

Dow provides the optimal array of “best practice” programs and services globally to minimize and/or reduce health risks and enhance the overall health of Dow people and company performance.


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Non-Policy Health Actions

  • Health Promotion Management Standard

  • Responsible Care®

  • 2015 Sustainability Goals

  • Set the Standard for Sustainability

® Registered service mark of the U.S. American Chemistry Council


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Population Health – A Global Business Asset

What Criteria Definea Business Asset?

  • Size and Importance

  • Critical to Strategy

  • Documented Plan

  • Measurable Performance

  • Direct Influence onBusiness Success

    Health meets those criteria


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The Business Case

  • Total economic impact related to employee and retiree health likely exceeds $750 million/year for Dow.

  • Keeping U.S. health care benefit costs in the lower end of the trend estimates could save Dow as much as $0.07/share in 2008.

  • Many health care experts have estimated that a third of current benefits expenditures may be spent on unnecessary of inefficient care.

  • Most experts agree that 30 – 50% of health care conditions and illness could be modified by preventive health interventions.

  • Significant legislative and regulatory actions are developing and pending which will impact health care, particularly in the U.S.


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Global Health Strategy

c o m m u n i c a t i o n


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Health Strategy – Business Case

  • Indirect Impact

  • Prevention

  • Quality & Effectiveness

  • Advocacy

  • Direct Impact

  • Prevention

  • Quality & Effectiveness

  • Health System Management

  • Advocacy


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US Direct Cost Trend

There is a $66 MM/ yr, or $0.07/share opportunity by 2009.

Source: “conservative” trend, CMS; “aggressive” trend, Kaiser Family Foundation. Includes impact of caps but not Medicare reform savings.


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Innovative Approaches to Health

  • Integrating Prevention and Occupational Health

  • Benefit Plan Innovations

  • Healthy Workplace Index

  • Taking Responsibility for Performance

  • Demonstrating our Commitment

  • Access to Physical Activity


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Health Assessment with Counseling,Referral and Follow-up

Health Surveillance Program Revised

  • Reduce frequency of testing to free resources

  • Apply resources to intensive health counseling, referral and follow up

  • Partnership of occupational health and health promotion staff


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100% coverage:

Comprehensive Tobacco Cessation ($1000/year)

Obesity Management ($750/year)

One PAP test and one mammography per calendar year

Routine colorectal screening at age 50 or older including,

Colonoscopy – 10 years

Flexible Sigmoidoscopy – 5 years

Double-contrast barium enema – 5 years

Fecal occult blood tests (FOBT) – 1 year

Immunizations

Additional Coverage at 85%:

Diabetes education ($400/year)

Breast Pump rental or purchase ($250/pregnancy)

Routine/Preventive Care Medical Plan Coverage

Benefit Coverage Focused on Prevention

  • Second opinions

  • Well baby examinations

  • Preventive Care Allowance ($500/year) including:

    • Routine/Preventative Office Visits

    • Dietary counseling for hypertension or hyperlipidemia

    • Vision Screening

    • Sexually transmitted infection screenings

    • Breast Cancer Genetic Risk Assessment and BRCA Mutation testing

    • Lactation consultation


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Healthy Workplace Index Measures

  • Tobacco Policy Adherence

  • Access to Physical Activity

  • Access to Healthy Foods

  • Stress Management

  • Case Management

  • Workplace Exposure Improvement Score

  • Health Surveillance & Screening Exam participation

  • Medical Surveillance Requirement Exam participation

  • “Healthy Environment” Assessment


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Baseline Measure & Action Plans

Tobacco Policy Adherence

Access to Physical Activity

Access to Healthy Foods

Case Manage-ment

Work Place Exposure Improve-ment Score

HSSE Participation

Dow MSR Participation

Stress Assessment

GEOAS Healthy Environment Questions

TOTAL SCORE

  • Site evaluates their current status for each measure creating a baseline

  • Subject Matter Expert support available if needed

  • Baseline measures AND current health status data of site employees are used to identify improvement areas/opportunities

9

1

9

3

0

3

3

1

1

30


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Bronze Level Award

Silver Level Award

Gold Level Award

Platinum

Site Scoring

Points Total

1 3 9

0 5 3 42 - 47

0 4 4 48 - 59

0 2 6 > 60

0 0 9 81


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Scoring Example: Access to Physical Activity

0 Points

The site has not implemented the ATPA process OR no physical activity options have been implemented by the site.

1 Point

Dow’s ATPA Process has been implemented and a plan to implement recommendations has been established OR the site has physical activity options currently being implemented.

9 Points

A control plan regarding the ATPA and/or best practice options has been established and approved by site leadership.

3 Points

Recommendations from the site ATPA process and plan have been implemented OR

“Best Practice" physical activity options are implemented according to Health Services requirements/audit criteria.




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Access to Physical Activity Process

Process Objectives

  • Standardize the process for evaluating site needs and for making recommendations for employee access to physical activity

  • Optimize response time to sites for determining appropriate access to physical activity options

  • Identify best practice recommendation(s) that can be pursued in an appropriate time given business realities

  • Improve Dow investments in supporting physical activity



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Community Focus Around the World

  • Dow Westside YMCA – Iberville/West Baton Rouge, LA

  • Bay Area Family YMCA – Bay City, MI

  • Hartlepool’s Springwell Community Special School - England

  • Oral Health Program – Brazil

  • Michigan Health Information Alliance (MiHIA)


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Health – A Shared Responsibility

Personal Behavior

Individual/

Employee/Family

Company/Organization

Site/Location/ Geography

Local Culture,Government, Environment

Policies, Tools, Leadership, Resources


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A Parallel Path

  • Dow & CDC

  • Different Strategies

  • Same Goals


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A Parallel Path

CDC GOALHealthy People in Every State of Life

Personal Behavior

Individual/

Employee/Family

Company/Organization

Site/Geography/Location

Local Culture,Government, Environment

Policies,

Resources, Tools

CDC GOALHealthy People in a Healthy World

CDC GOALHealthy People in Healthy Places

CDC GOALPeople Prepared for Emerging Health Threats


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Summary

  • Dow has a broad focus on health

  • Few actual internal “policies”

  • Many commitments and actions that impact health for Dow people and communities

  • Advance health globally through advocacy, industry, community and company actions



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