Collaborating for a Healthier World:A Corporate PerspectiveThe Dow Chemical CompanyJuly 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 • 46,000 employees worldwide • Diversified chemical company • Customers in ~160 countries • Leader in science and technology with a passion for improving human life
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
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
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
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
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
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
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.
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
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
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.
Global Health Strategy c o m m u n i c a t i o n
Health Strategy – Business Case • Indirect Impact • Prevention • Quality & Effectiveness • Advocacy • Direct Impact • Prevention • Quality & Effectiveness • Health System Management • Advocacy
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.
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
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
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
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
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
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
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.
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
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)
Health – A Shared Responsibility Personal Behavior Individual/ Employee/Family Company/Organization Site/Location/ Geography Local Culture,Government, Environment Policies, Tools, Leadership, Resources
A Parallel Path • Dow & CDC • Different Strategies • Same Goals
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
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