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The Business Case for
Global Sustainable
Strategies
Bernard Fontaine, Jr., M.T. ,M.Sc., CIH, CSP
Mainstream Media / Awakened Public
Mainstream Media / Awakened Public
Sustainability “3-Legged Stool”
Morale Imperative Approach
The World’s Problems
- poverty - loss of biodiversity - lack of basic freedoms - climate change
- hunger - resource depletion - environmental degradation - inequity
Corporate Sustainability
- companies are essential to solving these problems Social Responsibility
- society can withhold their license to operate if they don’t TBL reporting
Happens to be
Good for Business
Consumers
SR
I - statistical correlations
- case studies of select companies
Employees
Gov
Banks and Investors Taking Action
• Citigroup: largest U.S. bank; (Jan 06) will reduce
GHGs from its 13,000 properties by 10% by 2011
• Bank of America: second largest U.S. bank; (Apr
05) $3K rebates on employee hybrids; (Mar 07)
$20B over 10 years to support growth in
environmentally friendly activities and reduce global
warming; reduced mortgage rates on energy
efficient homes
• Goldman Sachs: (Nov 06) first major investment
bank to adopt a comprehensive environmental
policy; investing $1B in clean energy projects
• JP Morgan Chase: (Apr 05) adopted Equator
Principles
• 348 shareholder resolutions on ESG issues
2005 (up 16% from 2003); 177 social resolutions
reached a vote (up 22% from 2003)
Risk Governance
XWe Cannot Avoid
XNot Effective
Limited Insurance
Coverage
Business Continuity
Management
Sustainability as a Responsible
Care Initiative
Sustainability is linked to
♦ Operating discipline
♦ Raw material selection
♦ Supply chain
optimization
♦ Sustainable product
development
♦ Social responsibility
commitments
Sustainability “Old and New Models”
♦ Environmental Water & Air Pollution
♦ Occupational Injuries/Illness & Disease
♦ Unsafe/Unhealthful Work Environment
♦ Untrained workforce in health & safety
♦ Unsafe/healthful product for consumer
♦ Hazardous raw materials
New ModelOld Model
♦ Reduced air and water pollution
♦ Written SOPs and business rules
♦ Integrated safety management plan
♦ Application of risk governance
♦ Engagement of all stakeholders
♦ Product stewardship and lifecycle
Workplace Fatalities: 2.3M Deaths/Yr.
Communicable
Diseases 27%
Malignant
Neoplasms 27%
Other
Fatalities 2%
Respiratory System
Diseases 6%
Circulatory
System
Diseases 22%
Accidents &
Violence 16%
Keys for Success in
Sustainable Development
Maintain the balance between economic growth, environment,
occupational health and safety, and social aspects by:
♦ An integrated approach for business operations;
♦ Partnerships and collaboration among all stakeholders;
♦ A cross-disciplinary approach using OESH professionals;
♦ Control all risks and develop a business continuity plan
Profit
Planet
PeopleOccupational health
and safety equity
Natural resources
and environment
Roles and Responsibilities
VALDEZ
1948: Declaration of human rights
1961: WWF, Amnesty International
1970s: Environmental movements in air, water, and land pollution
1980s: 1984: Bhopal; 1986: Chernobyl; 1989: Exxon Valdez…
2002: Enron, WorldCom…
2010: BP Deep Water Horizon, mine explosions in Chile, WV, and China
2011: Fukushima Daiichi nuclear plant, Conoco/Phillips oil spill in China
Global Framework and
Initiatives
SarbOx
The search for solutions is happening on a global scale and is being led by both
public institutions and as part of private initiatives. Solutions include new
legislation, stakeholder partnerships, voluntary agreements, codes of conduct,
multilateral agreements, interdependent actions, etc.
Environmental Health and
Safety as New Benefit Area
Global Warming
Water, Air, &
Land Pollution
Resource
Depletion
Ozone
Depletion
Reduction
of Biodiversity
Population
Increase &
Economic Growth
Business Continuity Recovery
Model
Success, recovery or failure?
Critical
recovery point
B
No BCM – lucky
escape
C No BCM –
usual outcome
A
Fully tested
effective BCM
Levelofbusiness
Land and Water Pollution
Agriculture + industrial activities + waste generation
- Intensive use of chemical fertilizers storm water runoff
- Intensive land and water exploitation
Global Consumption of Fertilizers
0
40000
80000
120000
160000
1960 1970 1980 1990 2000
Year
KtonsofNPKnutrient
Fertilizer consumed
Air Pollution
Main environmental threat to human health
-SO2 and NO2 emissions  Acid rain
- Carbon monoxide and Carbon dioxide 
Global climate change
- Particulates  Respiratory disease
CITY PARTICLES
(μg/m3) [1995]
SO2
(μg/m3) [1998]
NO2
(μg/m3) [1998]
WHO STANDARDS < 90 < 50 < 50
PARIS 14 14 57
NEW YORK .. 26 79
BEIJING 377 90 122
BOMBAY 240 33 39
TOKYO 49 18 68
STOCKHOLM 9 3 20
Environmental and Occupational Health
and Safety Market Segments
♦ Building and Construction
♦ Aerospace and Aviation
♦ Chemicals
♦ Energy and Utilities
♦ Food and Beverage
♦ Hospitality
♦ Manufacturing
♦ Mining and Metals Processing
♦ Oil and Gas
♦ Pulp and Paper
♦ Transportation
Roadmap Path Forward
Key Capabilities / Core Competencies
Risk Governance
Use sustainability principles to drive project experience toward risk
communication, risk assessment, risk management, and risk planning
Use sustainability in modeling and decision support tools to include root
cause analysis related to occupational safety and health and environmental
issues
Use sustainability to enhance product line to analysis of natural disaster
likelihood and impacts of climate change (supports flood /drought damage,
tornados/hurricanes, and consequence of business interruption)
Independent Verification and Validation and Alternatives (VV&A) Analysis
Use sustainability to evaluate business investment / acquisition cost and
performance models in situations of uncertainty, product stewardship,
workforce development, and lifecycle analysis
Use sustainability in economic risk modeling applications involving both
occupational and environmental health and safety
Roadmap Path Forward
Key Capabilities / Core Competencies
Quality Management and Certification can use sustainability to:
♦Expand role of professional certified auditors for ISO standards through
quality evaluations
♦Meet business requirements of ISO 9000, 14000, and 26000
♦Synchronize and innovate offerings for training, and education while
promoting other business-related services
New Occupational and Environmental Health and Safety (OEHS) Consulting
Products and Services can use sustainability to:
♦Develop as a center of excellence to support business development
and diverse growth into other market segments
♦Promote risk governance principles to manage risk
♦Align GRI index to include all aspects of OEHS
BLUF: Sustainability is an innovative index of excellence
Roadmap Path Forward
Implementing Sustainable
Development
Has your company taken any SD initiatives?
Can you identify any gaps?
What can you do as an individual, as a team,
function or company, to contribute to
limit use of energy, water and other
resources?
What resources will enable you to achieve
this? Can you identify any barriers?
 Alternative model: The Sigma Guidelines provide a systematic model of 
sustainability management (www.projectsigma.com). 
Assess the 
situation
Implement  
a strategy
Develop a 
strategy
Measure 
success
5 Stages and Emerging Drivers
5. Purpose /
Passion
4. Integrated Strategy
3. Beyond Compliance
2. Compliance
1. Pre-Compliance
• Eco-Efficiencies
• Regulatory/Litigious Threat
• Public Relation Crisis
• Strong Leadership
• Innovative Planning
• Regulatory Pressure / Enforcement
• NGO Social/Political Pressure
P r o a c t I v e
R e a c t I v e
• Business Opportunities – “Carrots” 
• Risk Management – “Sticks”
The Sea of Demanding Stakeholders
Company Value
Non-financials
/ Reputation
Financials
Employees
Customers
Mainstream Media
Economists
Scientists
NGOs / Civil Society
Competitors
Global Markets / EU
Governments at all levels
Banks & InsurersAwakened Public
Shareholders & Investors
Mega-Issues + Stakeholders = New Market Forces
Company Value
Non-financials
Financials
Customers
Mainstream Media
NGOs / Civil Society
Employees
Competitors ScientistsGovernments at all levels
Banks & InsurersAwakened Public
Shareholders & Investors
PandemicsPandemicsErosion
of Trust
Erosion
of Trust
Water
Crisis
Water
Crisis
Pollution &
Health
Pollution &
Health
Energy
Crisis
Energy
Crisis
Climate
Crisis
Climate
Crisis
Climate 
Crisis
Climate 
CrisisClimate 
Crisis
Climate 
CrisisOther …Other …
Global Markets / EU
Economists
Two-part Business Case
Company Value
Non-financials
/ Reputation
Financials
Customers
Mainstream Media
Economists
Scientists
NGOs / Civil Society
Employees
Competitors
Global Markets / EU
Governments at all levels
Banks & InsurersAwakened Public
Shareholders & Investors
1. Standardize senior leadership approach
 Include SD in vision / mission / strategies
 Reinforce it as a business strategy rather than a compliance 
requirement or philanthropy issue
 Avoid “green-washing” hype
 Visible support: speeches, questions, actions
2. Engage, empower, and innovate entire company
 Solicit ideas from the workforce
 Provide  cross training and education of science and business
3. Align and synchronize performance metrics
 Develop measurement / management systems
 Integrate into recognition / reward systems
The Catch
 
The Business Case for Sustainable
– Example: Cleaner Production
 Cost savings on water, energy, raw materials, 
     directly add to bottom-line result
 Improved efficiency = reduced waste/leakage
 Technology leadership
 Contribution to solve environmental issues
 Positive company reputation and brand name
Efficient use of water, energy, raw materials
Starting “at the source” (not end-of-pipe)
 
The Business Case for Sustainable
– Example: Eco-Efficient Products
 Preferred by consumers = lower running cost 
of equipments & tax breaks = lower cost in 
the life cycle = company can place a price 
premium = higher profits
 Technology leadership and brand recognition
 Contribution to solve environmental issues
 Less concern for the waste if using less toxic 
materials = more appealing products
More efficient and eco-friendly products
Example: Energy Star products (the US)
Blue Angel (Germany)
Occupational Health and
Safety as New Benefit Area
Occupational Health and
Safety as New Benefit Area
Projected Prevalence of Chronic Conditions
Number of People With Chronic Conditions (in millions)
• Between 2000 and 2030 
the number of Americans 
with chronic conditions will 
increase by 37 percent, to 
over half of the population, 
an increase of 46 million 
people.
Source: Wu, S. and Green, A. (2000). Projection of Chronic Illness Prevalence and Cost Inflation. RAND Corporation in
Anderson, G. (2010) . Chronic Care: Making the Case for Ongoing Care. Robert Wood Johnson Foundation.
http://www.rwjf.org/pr/product.jsp?id=56828.
Occupational Health and
Safety as New Benefit Area
The Prevalence of Multiple Chronic Conditions
Percentage of All Americans• In 2006, 22 percent of all 
Americans had at least one 
chronic condition and  28 
percent had two or more 
chronic conditions.
• Thus, 50% of the population 
was affected by  a chronic 
condition.
• As the population ages, 
these percentages will 
increase.
Source: Medical Expenditure Panel Survey, 2006 in Anderson, G. (2010). Chronic Care: Making the Case for Ongoing
Care. Robert Wood Johnson Foundation. http://www.rwjf.org/pr/product.jsp?id=56888.
 
Occupational Health and
Safety as New Benefit Area
Prevalence of Multiple Chronic Conditions
Increases with Age
Percentage of Population With Chronic Conditions
Source: Medical Expenditure Panel Survey, 2006 in Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care.
Robert Wood Johnson Foundation. http://www.rwjf.org/pr/product.jsp?id=56890.
• Prevalence of chronic
conditions increases at all
ages.
• 73% of people age 65 and
older have multiple
chronic conditions.
Occupational Health and
Safety as New Benefit Area
Healthcare Spending Almost Doubles with
People Who Have Chronic Disease
Average Annual Health Care Expense Per Person
Source: Medical Expenditure Panel Survey, 2006 in Anderson, G. (2010). Chronic Care: Making the Case for
Ongoing Care. Robert Wood Johnson Foundation http://www.rwjf.org/pr/product.jsp?id=57010.
Occupational Health and
Safety as New Benefit Area
Lost Productivity and Chronic Diseases
Occupational Health and
Safety as New Benefit Area
Productivity Losses and Selected
Chronic Conditions
Occupational Health and
Safety as New Benefit Area
Chronic Conditions and Average Annual
Days Lost by Age of Worker
Occupational Health and
Safety as New Benefit Area
(Estimated) Average Annual Cost of Absenteeism
per Employee by Chronic Condition
Occupational Health and
Safety as New Benefit Area
Why Should Employers Be Interested in
Addressing Chronic Diseases at Work?
• Workforce is aging – chronic disease burden growing!
Preventable illness makes up 70% of the total burden of disease and
their associated costs
10 modifiable risk factors account for approximately 25% of all
healthcare expenditures (Anderson, 2000)
Employer medical costs average $7910 per employee annually
(O’Donnell, 2010); as RFs increase, so do costs
Effective worksite health promotion programs have demonstrated a
positive impact on employee morale, employee health and risk
behaviors, productivity, health care costs and ROI range between
$3-$5 to $1
Occupational Health and
Safety as New Benefit Area
• Increase the proportion of worksites that offer an employee
health promotion program to their employees.
• Increase the proportion of worksites that offer nutrition or weight
management classes or counseling.
• Increase the number of employed adults that have access to and
participate in employer-based exercise facilities and exercise
programs
• Reduce the rate of illness and injury cases involving days away
from work due to overexertion or repetitive motion.
• Reduce occupational skin diseases or disorders among full-time
workers
• Reduce new cases of work-related, noise-induced hearing loss
Healthy People 2020
Worksite Health Promotion-Related Objectives
The Business Case for Sustainable
– Example: Health and Safety
 Reduced medical costs for employees
 Fewer restricted or lost working days
 Increase in productivity and quality of life
 More efficient/productive workforce
 Happy, health/safety conscious
consumers
 Positive company reputation/brand name
 Access to highly qualified human capital
Healthier and happy workforce,
better neighbors, healthier and
safer products, lower risks, and
reduced impact on the environment
What would success
look like?....
♦ A widely-shared synchronized understanding of the role of
occupational and environmental sustainability
♦ Clear alignment behind key strategic objectives
♦ Strong and effective global investment capacity for
shareholders
♦ Unification, standardization, and alignment of all
stakeholders
♦ Effective internal and external collaboration and innovation
of products and services
♦ An emphasis on continual learning (from both success and
failure)…
Questions?

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AIHA 2012 Sustainability Presentation

  • 1. The Business Case for Global Sustainable Strategies Bernard Fontaine, Jr., M.T. ,M.Sc., CIH, CSP
  • 2. Mainstream Media / Awakened Public
  • 3. Mainstream Media / Awakened Public
  • 5. Morale Imperative Approach The World’s Problems - poverty - loss of biodiversity - lack of basic freedoms - climate change - hunger - resource depletion - environmental degradation - inequity Corporate Sustainability - companies are essential to solving these problems Social Responsibility - society can withhold their license to operate if they don’t TBL reporting Happens to be Good for Business Consumers SR I - statistical correlations - case studies of select companies Employees Gov
  • 6.
  • 7. Banks and Investors Taking Action • Citigroup: largest U.S. bank; (Jan 06) will reduce GHGs from its 13,000 properties by 10% by 2011 • Bank of America: second largest U.S. bank; (Apr 05) $3K rebates on employee hybrids; (Mar 07) $20B over 10 years to support growth in environmentally friendly activities and reduce global warming; reduced mortgage rates on energy efficient homes • Goldman Sachs: (Nov 06) first major investment bank to adopt a comprehensive environmental policy; investing $1B in clean energy projects • JP Morgan Chase: (Apr 05) adopted Equator Principles • 348 shareholder resolutions on ESG issues 2005 (up 16% from 2003); 177 social resolutions reached a vote (up 22% from 2003)
  • 8. Risk Governance XWe Cannot Avoid XNot Effective Limited Insurance Coverage Business Continuity Management
  • 9. Sustainability as a Responsible Care Initiative Sustainability is linked to ♦ Operating discipline ♦ Raw material selection ♦ Supply chain optimization ♦ Sustainable product development ♦ Social responsibility commitments
  • 10. Sustainability “Old and New Models” ♦ Environmental Water & Air Pollution ♦ Occupational Injuries/Illness & Disease ♦ Unsafe/Unhealthful Work Environment ♦ Untrained workforce in health & safety ♦ Unsafe/healthful product for consumer ♦ Hazardous raw materials New ModelOld Model ♦ Reduced air and water pollution ♦ Written SOPs and business rules ♦ Integrated safety management plan ♦ Application of risk governance ♦ Engagement of all stakeholders ♦ Product stewardship and lifecycle
  • 11. Workplace Fatalities: 2.3M Deaths/Yr. Communicable Diseases 27% Malignant Neoplasms 27% Other Fatalities 2% Respiratory System Diseases 6% Circulatory System Diseases 22% Accidents & Violence 16%
  • 12. Keys for Success in Sustainable Development Maintain the balance between economic growth, environment, occupational health and safety, and social aspects by: ♦ An integrated approach for business operations; ♦ Partnerships and collaboration among all stakeholders; ♦ A cross-disciplinary approach using OESH professionals; ♦ Control all risks and develop a business continuity plan Profit Planet PeopleOccupational health and safety equity Natural resources and environment
  • 13. Roles and Responsibilities VALDEZ 1948: Declaration of human rights 1961: WWF, Amnesty International 1970s: Environmental movements in air, water, and land pollution 1980s: 1984: Bhopal; 1986: Chernobyl; 1989: Exxon Valdez… 2002: Enron, WorldCom… 2010: BP Deep Water Horizon, mine explosions in Chile, WV, and China 2011: Fukushima Daiichi nuclear plant, Conoco/Phillips oil spill in China
  • 14. Global Framework and Initiatives SarbOx The search for solutions is happening on a global scale and is being led by both public institutions and as part of private initiatives. Solutions include new legislation, stakeholder partnerships, voluntary agreements, codes of conduct, multilateral agreements, interdependent actions, etc.
  • 15. Environmental Health and Safety as New Benefit Area Global Warming Water, Air, & Land Pollution Resource Depletion Ozone Depletion Reduction of Biodiversity Population Increase & Economic Growth
  • 16. Business Continuity Recovery Model Success, recovery or failure? Critical recovery point B No BCM – lucky escape C No BCM – usual outcome A Fully tested effective BCM Levelofbusiness
  • 17. Land and Water Pollution Agriculture + industrial activities + waste generation - Intensive use of chemical fertilizers storm water runoff - Intensive land and water exploitation Global Consumption of Fertilizers 0 40000 80000 120000 160000 1960 1970 1980 1990 2000 Year KtonsofNPKnutrient Fertilizer consumed
  • 18. Air Pollution Main environmental threat to human health -SO2 and NO2 emissions  Acid rain - Carbon monoxide and Carbon dioxide  Global climate change - Particulates  Respiratory disease CITY PARTICLES (μg/m3) [1995] SO2 (μg/m3) [1998] NO2 (μg/m3) [1998] WHO STANDARDS < 90 < 50 < 50 PARIS 14 14 57 NEW YORK .. 26 79 BEIJING 377 90 122 BOMBAY 240 33 39 TOKYO 49 18 68 STOCKHOLM 9 3 20
  • 19. Environmental and Occupational Health and Safety Market Segments ♦ Building and Construction ♦ Aerospace and Aviation ♦ Chemicals ♦ Energy and Utilities ♦ Food and Beverage ♦ Hospitality ♦ Manufacturing ♦ Mining and Metals Processing ♦ Oil and Gas ♦ Pulp and Paper ♦ Transportation
  • 20. Roadmap Path Forward Key Capabilities / Core Competencies Risk Governance Use sustainability principles to drive project experience toward risk communication, risk assessment, risk management, and risk planning Use sustainability in modeling and decision support tools to include root cause analysis related to occupational safety and health and environmental issues Use sustainability to enhance product line to analysis of natural disaster likelihood and impacts of climate change (supports flood /drought damage, tornados/hurricanes, and consequence of business interruption) Independent Verification and Validation and Alternatives (VV&A) Analysis Use sustainability to evaluate business investment / acquisition cost and performance models in situations of uncertainty, product stewardship, workforce development, and lifecycle analysis Use sustainability in economic risk modeling applications involving both occupational and environmental health and safety
  • 21. Roadmap Path Forward Key Capabilities / Core Competencies Quality Management and Certification can use sustainability to: ♦Expand role of professional certified auditors for ISO standards through quality evaluations ♦Meet business requirements of ISO 9000, 14000, and 26000 ♦Synchronize and innovate offerings for training, and education while promoting other business-related services New Occupational and Environmental Health and Safety (OEHS) Consulting Products and Services can use sustainability to: ♦Develop as a center of excellence to support business development and diverse growth into other market segments ♦Promote risk governance principles to manage risk ♦Align GRI index to include all aspects of OEHS BLUF: Sustainability is an innovative index of excellence
  • 23. Implementing Sustainable Development Has your company taken any SD initiatives? Can you identify any gaps? What can you do as an individual, as a team, function or company, to contribute to limit use of energy, water and other resources? What resources will enable you to achieve this? Can you identify any barriers?  Alternative model: The Sigma Guidelines provide a systematic model of  sustainability management (www.projectsigma.com).  Assess the  situation Implement   a strategy Develop a  strategy Measure  success
  • 24. 5 Stages and Emerging Drivers 5. Purpose / Passion 4. Integrated Strategy 3. Beyond Compliance 2. Compliance 1. Pre-Compliance • Eco-Efficiencies • Regulatory/Litigious Threat • Public Relation Crisis • Strong Leadership • Innovative Planning • Regulatory Pressure / Enforcement • NGO Social/Political Pressure P r o a c t I v e R e a c t I v e • Business Opportunities – “Carrots”  • Risk Management – “Sticks”
  • 25. The Sea of Demanding Stakeholders Company Value Non-financials / Reputation Financials Employees Customers Mainstream Media Economists Scientists NGOs / Civil Society Competitors Global Markets / EU Governments at all levels Banks & InsurersAwakened Public Shareholders & Investors
  • 26. Mega-Issues + Stakeholders = New Market Forces Company Value Non-financials Financials Customers Mainstream Media NGOs / Civil Society Employees Competitors ScientistsGovernments at all levels Banks & InsurersAwakened Public Shareholders & Investors PandemicsPandemicsErosion of Trust Erosion of Trust Water Crisis Water Crisis Pollution & Health Pollution & Health Energy Crisis Energy Crisis Climate Crisis Climate Crisis Climate  Crisis Climate  CrisisClimate  Crisis Climate  CrisisOther …Other … Global Markets / EU Economists
  • 27. Two-part Business Case Company Value Non-financials / Reputation Financials Customers Mainstream Media Economists Scientists NGOs / Civil Society Employees Competitors Global Markets / EU Governments at all levels Banks & InsurersAwakened Public Shareholders & Investors
  • 28. 1. Standardize senior leadership approach  Include SD in vision / mission / strategies  Reinforce it as a business strategy rather than a compliance  requirement or philanthropy issue  Avoid “green-washing” hype  Visible support: speeches, questions, actions 2. Engage, empower, and innovate entire company  Solicit ideas from the workforce  Provide  cross training and education of science and business 3. Align and synchronize performance metrics  Develop measurement / management systems  Integrate into recognition / reward systems The Catch
  • 29.   The Business Case for Sustainable – Example: Cleaner Production  Cost savings on water, energy, raw materials,       directly add to bottom-line result  Improved efficiency = reduced waste/leakage  Technology leadership  Contribution to solve environmental issues  Positive company reputation and brand name Efficient use of water, energy, raw materials Starting “at the source” (not end-of-pipe)
  • 30.   The Business Case for Sustainable – Example: Eco-Efficient Products  Preferred by consumers = lower running cost  of equipments & tax breaks = lower cost in  the life cycle = company can place a price  premium = higher profits  Technology leadership and brand recognition  Contribution to solve environmental issues  Less concern for the waste if using less toxic  materials = more appealing products More efficient and eco-friendly products Example: Energy Star products (the US) Blue Angel (Germany)
  • 31. Occupational Health and Safety as New Benefit Area
  • 32. Occupational Health and Safety as New Benefit Area Projected Prevalence of Chronic Conditions Number of People With Chronic Conditions (in millions) • Between 2000 and 2030  the number of Americans  with chronic conditions will  increase by 37 percent, to  over half of the population,  an increase of 46 million  people. Source: Wu, S. and Green, A. (2000). Projection of Chronic Illness Prevalence and Cost Inflation. RAND Corporation in Anderson, G. (2010) . Chronic Care: Making the Case for Ongoing Care. Robert Wood Johnson Foundation. http://www.rwjf.org/pr/product.jsp?id=56828.
  • 33. Occupational Health and Safety as New Benefit Area The Prevalence of Multiple Chronic Conditions Percentage of All Americans• In 2006, 22 percent of all  Americans had at least one  chronic condition and  28  percent had two or more  chronic conditions. • Thus, 50% of the population  was affected by  a chronic  condition. • As the population ages,  these percentages will  increase. Source: Medical Expenditure Panel Survey, 2006 in Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Robert Wood Johnson Foundation. http://www.rwjf.org/pr/product.jsp?id=56888.  
  • 34. Occupational Health and Safety as New Benefit Area Prevalence of Multiple Chronic Conditions Increases with Age Percentage of Population With Chronic Conditions Source: Medical Expenditure Panel Survey, 2006 in Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Robert Wood Johnson Foundation. http://www.rwjf.org/pr/product.jsp?id=56890. • Prevalence of chronic conditions increases at all ages. • 73% of people age 65 and older have multiple chronic conditions.
  • 35. Occupational Health and Safety as New Benefit Area Healthcare Spending Almost Doubles with People Who Have Chronic Disease Average Annual Health Care Expense Per Person Source: Medical Expenditure Panel Survey, 2006 in Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Robert Wood Johnson Foundation http://www.rwjf.org/pr/product.jsp?id=57010.
  • 36. Occupational Health and Safety as New Benefit Area Lost Productivity and Chronic Diseases
  • 37. Occupational Health and Safety as New Benefit Area Productivity Losses and Selected Chronic Conditions
  • 38. Occupational Health and Safety as New Benefit Area Chronic Conditions and Average Annual Days Lost by Age of Worker
  • 39. Occupational Health and Safety as New Benefit Area (Estimated) Average Annual Cost of Absenteeism per Employee by Chronic Condition
  • 40. Occupational Health and Safety as New Benefit Area Why Should Employers Be Interested in Addressing Chronic Diseases at Work? • Workforce is aging – chronic disease burden growing! Preventable illness makes up 70% of the total burden of disease and their associated costs 10 modifiable risk factors account for approximately 25% of all healthcare expenditures (Anderson, 2000) Employer medical costs average $7910 per employee annually (O’Donnell, 2010); as RFs increase, so do costs Effective worksite health promotion programs have demonstrated a positive impact on employee morale, employee health and risk behaviors, productivity, health care costs and ROI range between $3-$5 to $1
  • 41. Occupational Health and Safety as New Benefit Area • Increase the proportion of worksites that offer an employee health promotion program to their employees. • Increase the proportion of worksites that offer nutrition or weight management classes or counseling. • Increase the number of employed adults that have access to and participate in employer-based exercise facilities and exercise programs • Reduce the rate of illness and injury cases involving days away from work due to overexertion or repetitive motion. • Reduce occupational skin diseases or disorders among full-time workers • Reduce new cases of work-related, noise-induced hearing loss Healthy People 2020 Worksite Health Promotion-Related Objectives
  • 42. The Business Case for Sustainable – Example: Health and Safety  Reduced medical costs for employees  Fewer restricted or lost working days  Increase in productivity and quality of life  More efficient/productive workforce  Happy, health/safety conscious consumers  Positive company reputation/brand name  Access to highly qualified human capital Healthier and happy workforce, better neighbors, healthier and safer products, lower risks, and reduced impact on the environment
  • 43. What would success look like?.... ♦ A widely-shared synchronized understanding of the role of occupational and environmental sustainability ♦ Clear alignment behind key strategic objectives ♦ Strong and effective global investment capacity for shareholders ♦ Unification, standardization, and alignment of all stakeholders ♦ Effective internal and external collaboration and innovation of products and services ♦ An emphasis on continual learning (from both success and failure)…