Workshop: Global Health Governance -Civil Society Approaches to Global Health Governance (Panel 2)

ExxonMobil’s Global Health Department – An Overview

Clarion E. Johnson, M.D.Medical Director

June 26, 2008 Medicine and Occupational Health-Global

Committee on the U.S. Commitment to Global Health

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

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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)

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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)

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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

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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

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MECICINE & OCCUPATIONAL HEALTH

Client requirements (OIMS, CIMS, corporate policies), Regulatory requirements,Health risks (occupational, environmental, and public health)

FinancialManagement

ResourceManagementFacility, Equipment,

Supplies & new Service development

OrganizationalIntegration

InformationManagement

Staffing and ProfessionalDevelopment

Specific Services

Service Delivery

IH IH IH IHIH CLCLCLCLAD AD AD ADAD

Standard service components are implemented locally based on operations/site-specific requirements and needs

SERVICE DELIVERY STRUCTURE

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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.

MEDICINE & OCCUPATIONAL HEALTH

• 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.

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GLOBAL INVOLVEMENT OUTSIDE THE DEPARTMENTOil 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, 2005

Harvard Medical School – Department of Continuing Education

The Global Clinic:

• Healthcare Management for Physician Executives

(Member of the Faculty)

Milbank Memorial Fund

•Programs Committees

(Director)

http://www.ipieca.org/publications/publications_home.php

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Survey Participation Covering Such Subjects As:

• Biodiversity

• Biofuels

• Climate Change

• Health

• Human Rights

• Oil Spills

• Operations, Fuels and Product Issues

• Social Responsibility

• Sustainability Reporting

GLOBAL INVOLVEMENT OUTSIDE THE DEPARTMENT

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MEDICINE & OCCUPATIONAL HEALTH

QUESTIONS ?

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MEDICINE & OCCUPATIONAL HEALTH

SUPPLEMENTAL• Clinical Center of Excellence

• Corporate Overview

SUPPLEMENTAL

Clinical Center of Excellence

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MEDICINE & OCCUPATIONAL HEALTH

Leveraging Our Diversity: Clinical Service TeamsLeveraging Our Diversity: Clinical Service Teams• Address clinical service

delivery issues• Utilize global personnel with

expertise/interest in specificareas

• Have ongoing responsibility for updating standardized forms & procedures

• Monitor new developments and trends

• Recommend evidence-based modifications

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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

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WORLDWIDE COMMUNICATIONS – TRAVEL HEALTH

This is ExxonMobil: Who we are, What we do

CORPORATE OVERVIEW

SUPPLEMENTAL

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Snapshot: Functional Organization

• We operate facilities or market products in nearly 200 countries and territories

• With 84,000 employees

• UpstreamExploration, Development, Production

• DownstreamFuels and Lubricant Refining and Marketing

• ChemicalManufacture and Marketing

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DevelopmentDevelop safe, cost-effective

producing systems for fields identified

ProductionOil and gas fields

put into production

ExplorationIdentify, pursue, capture, and

evaluate all high-quality exploration opportunities

Integrated Petroleum Company

Refining & SupplyEfficient network to provide clean fuels, lubricants, and other high-value products

Fuels MarketingHigh-quality products

sold to customers around the world

Lubricants & Specialties

Mobil 1: world’s premier lubricant

ChemicalProduce, supply/transport,

research, develop and market chemical products

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Positioned to Take on Challenges

History

Technology

WorkforceBusinessStrength

Corporate Citizenship

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Workforce: A Competitive Edge