Committee on the U.S. Commitment to Global Health

Transcription

1 Committee on the U.S. Commitment to Global Health Workshop: Global Health Governance - Civil Society Approaches to Global Health Governance (Panel 2) ExxonMobil s Global Health Department An Overview June 26, 2008 Clarion E. Johnson, M.D. Medical Director Medicine and Occupational Health-Global

2 OVERVIEW ExxonMobil s Global Health Department Provides Occupational Health services as well as oversight of primary medical care in developing countries Receives functional guidance from ExxonMobil Safety, Health and Environmental (SHE) organization Global Medical Director reports to the Vice President for SHE MOH is well integrated with Human Resources globally

3 MEDICINE & OCCUPATIONAL HEALTH Worldwide staffing: 470 including ~ 100 physicians on staff Operations around the globe: North America: Canada (Imperial Oil), Mexico, USA (10 cities) South America: Argentina, Brazil, Chile, Colombia Europe: Benelux, Eastern Russia (Moscow), France, Germany, Italy, Norway, UK Africa: Angola, Chad, Cameroon, Equatorial Guinea, Nigeria Middle East: Qatar Asia Pacific: Australia/Pac Islands, Indonesia, Japan, Malaysia, Singapore, Thailand, Western Russia (Sakhalin) 3

4 MEDICINE & OCCUPATIONAL HEALTH GLOBAL CORE SERVICES Emergency response support Assessment and management of health risks Worker health protection programs (e.g. Hearing conservation, Benzene, Asbestos) Fitness for duty Work-related Injury/illness management - Prompt, adequate and appropriate - Communication with safety and line management Alcohol and Drug Use (ADU) policy support Travel health services including EMERS (Emergency Medical Response System) Operational Integrity Management System (OIMS) support Malaria prevention programs Oversight of field medical services (offshore platforms, pipelines, small facilities, terminals) 4

5 MEDICINE & OCCUPATIONAL HEALTH GLOBAL AREAS OF FOCUS Globally, the types of services are quite similar to the U.S., but methods and settings may differ Some on-site services are provided (varies by country) Some primary care services are provided (varies by country, e.g. where legally mandated or no local infrastructure) Some overlap between provision of primary care and occupational health services More remote oversight of MOH activities Challenging medical issues Challenging public health issues Infectious diseases Sanitation and potable water Availability of local medical services Evacuation of personnel with critical medical issues Language and cultural issues 5

6 MEDICINE & OCCUPATIONAL HEALTH GLOBAL AREAS OF FOCUS ExxonMobil s MOH infrastructure is well-established globally MOH activities are consistent across regions Provision of MOH services, and types of services, follows the MOH Global model Specific services and programs may vary based on local and regional needs United States, United Kingdom, Europe, Australia, Japan, South America and Norway have mature sites, with similar occupational and personal medical infrastructure and readily available medical resources Developing markets Africa, Russia (Sakhalin Island), Indonesia, Malaysia, Qatar have unique environments, varied public health and occupational health challenges and differing availability of services and providers 6

7 MECICINE & OCCUPATIONAL HEALTH SERVICE DELIVERY STRUCTURE Standard service components are implemented locally based on operations/site-specific requirements and needs Specific Services IH AD AD CL IH AD IH CL AD AD IH IH CL CL Staffing and Professional Development Financial Management Service Delivery Information Management Resource Management Facility, Equipment, Supplies & new Service development Organizational Integration Client requirements (OIMS, CIMS, corporate policies), Regulatory requirements, Health risks (occupational, environmental, and public health) 7

8 MEDICINE & OCCUPATIONAL HEALTH OCCUPATIONAL HEALTH CENTERS OF EXCELLENCE (COE) MISSION: To create value and preserve ExxonMobil s license to operate by protecting the health of our employees, business partners and customers through evidence-based, cost-effective occupational health services which meet applicable regulations, ExxonMobil policies and OIMS expectations. Pursuing Globalization / Harmonization Opportunities in the areas of: Workplace Injury / Illness Stewardship Global IH / OH Practices Exposure reduction for activities identified in the Exposure Assessment System (EAS) as higher risk Travel Medicine Occupational Evaluations Achieved through development of global common processes, tools & training, effective use of technology and cost-efficient delivery of clinical services. 8

9 GLOBAL INVOLVEMENT OUTSIDE THE DEPARTMENT Oil and Gas Producers International Petroleum Industry Environmental Conservation Association (OGP-IPIECA) Contributions to key publications: Health Performance Indicators, 2008 Managing Fatigue in the Workplace, 2007 A Roadmap to Health Risk Assessment in the Oil & Gas Industry, 2006 A Guide to Health Impact Assessments in the Oil & Gas Industry, 2005 Oil & Gas Industry Guidance on Voluntary Sustainability Reporting, Milbank Memorial Fund Programs Committees (Director) Harvard Medical School Department of Continuing Education The Global Clinic: Healthcare Management for Physician Executives (Member of the Faculty) 9

10 GLOBAL INVOLVEMENT OUTSIDE THE DEPARTMENT Survey Participation Covering Such Subjects As: Biodiversity Biofuels Climate Change Health Human Rights Oil Spills Operations, Fuels and Product Issues Social Responsibility Sustainability Reporting 10

11 MEDICINE & OCCUPATIONAL HEALTH QUESTIONS? 11

12 MEDICINE & OCCUPATIONAL HEALTH SUPPLEMENTAL Clinical Center of Excellence Corporate Overview 12

13 SUPPLEMENTAL Clinical Center of Excellence

14 MEDICINE & OCCUPATIONAL HEALTH Address clinical service delivery issues Utilize global personnel with expertise/interest in specific areas Have ongoing responsibility for updating standardized forms & procedures Monitor new developments and trends Recommend evidence-based modifications Leveraging Our Diversity: Clinical Service Teams 14

15 CLINICAL CENTER OF EXCELLENCE Key 2007 Accomplishments Reviewed and updated as needed all Occupational Evaluations Developed the Cardiovascular Disease scorecard Developed & provided training on Guidelines for Interpretation of an Audiogram Developed Generic, Diabetes and Cardiovascular Fitness for Work evaluation guidelines Developed tools for the assessment of external health care providers and medical resources including quality clinical assessment Developed & provided training on Reducing the Risk of Deep Vein Thrombosis /Pulmonary Embolism in ExxonMobil Travelers Completed review of pre-departure business traveler process and developed best practice documents Developed an Emergency Preparedness & Response Global Template State of the art reviews Aging Workforce Evaluation of Sleep Apnea in the Petrochemical Worker Developed a Core Element Document for tracking required training 15

16 WORLDWIDE COMMUNICATIONS TRAVEL HEALTH 16

17 SUPPLEMENTAL CORPORATE OVERVIEW This is ExxonMobil: Who we are, What we do

18 Snapshot: Functional Organization We operate facilities or market products in nearly 200 countries and territories With 84,000 employees Upstream Exploration, Development, Production Downstream Fuels and Lubricant Refining and Marketing Chemical Manufacture and Marketing 18

19 Integrated Petroleum Company Exploration Identify, pursue, capture, and evaluate all high-quality exploration opportunities Development Develop safe, cost-effective producing systems for fields identified Production Oil and gas fields put into production Refining & Supply Efficient network to provide clean fuels, lubricants, and other high-value products Fuels Marketing High-quality products sold to customers around the world Lubricants & Specialties Mobil 1: world s premier lubricant Chemical Produce, supply/transport, research, develop and market chemical products 19

20 Positioned to Take on Challenges History Workforce Corporate Citizenship Business Strength Technology 20

21 Workforce: A Competitive Edge 21