Our Commitment to Responsible Practices SUSTAINABILITY STATEMENT OUR SUSTAINABILITY ROADMAP AND GOVERNANCE A roadmap to our first Sustainability Statement Guided by Bursa Malaysia s Sustainability Reporting Guide, we have implemented a thorough process, which is illustrated in Our sustainability journey chart, on the basis of balanced, comparable and meaningful information around material sustainability matters in the Sustainability Statement. This Statement is divided in Two Sections. The First Section outlines how our sustainability governance is implemented and discusses our approach to the identification and prioritisation of risks and opportunities associated with the economic, environmental and social impacts of our business operations i.e. the material sustainability matters. This Section also touches upon our stakeholder engagement activities. The Second Section details our management approach and performance relating to those material sustainability matters. Our sustainability journey Sustainability Governance Engagement Materiality Assessment Sustainability governance at IHH Managing Material Sustainability Matters Instilling Sustainability Culture in IHH Our Patients Our People Our Organisation Our Community A robust governance framework underpins our strategic sustainability vision. This framework encompasses our Board of Directors as well as our Sustainability Management Committee ( SMC ) and Sustainability Working Group ( SWG ), who together keep us focused and accountable for sustainable practices on a daily basis. This is illustrated in the chart below. The SMC serves as an advisor and sounding board to the Board of Directors in fulfilling the Board s duty in relation to ensuring accountability, oversight and review of the process of identification, monitoring and management of sustainability matters. Our Managing Director and Chief Executive Officer ( MD & CEO ) is mandated by the Board of Directors to oversee the delegation of duties of SMC in relation to sustainability reporting. Sustainability champions within the respective home markets of IHH Group take part in the SWG. They are responsible for the implementation and monitoring of the measures based on the sustainable strategy as supervised by the SMC under the direction of the Board. A Group-wide Sustainability Taskforce supports the SWG in addressing specific sustainability matters with real or potential impact for the Group. IHH Board of Directors Annual Sustainability Statement Reporting MD & CEO Audit & Risk Management Committee Sustainability Risk Reporting integrated into the ERM Group Internal Audit Internal Sustainability Assurance Office of Sustainability Secretariat to SMC Sustainability Management Committee SMC forms Group-wide taskforce as necessary Sustainability Taskforce PPL Sustainability Working Group Parkway (Singapore) (2 to be designated) Gleneagles/Pantai (Malaysia) (2 to be designated) Acibadem Sustainability Working Group Acibadem Hospitals (2 to be designated) IMU Sustainability Working Group International Medical University Energy & Water Waste Disposal Green Design & Construction Sustainability Procurement Sustainable Food Sustainability Champions appointed in each hospital and represented in respective Country Sustainability Working Groups Pilot phase remaining hospitals will progressively come onboard 86 IHH Healthcare Berhad
The Board-approved Terms of Reference for the SMC defines the roles and responsibility of the SMC supported by the SWG, as follows: Sustainability Management Committee (SMC) Establish, monitor, manage and coordinate the IHH sustainability strategy and its implementation based on annual objectives and an action programme approved by the Board. Chaired by the Chief Sustainability Officer, who is the Group Head, Corporate Secretarial & General Counsel and supported by: Group Chief Financial Officer Group Head, Risk Governance Group Head, Human Capital Management Group Head, Corporate Communications Chief Procurement Officer Develop and increase stakeholder awareness (both internal and external) of the need for and benefit of sustainable behaviours. Oversee the development and implementation of policies and practices to ensure the Group complies with sustainability obligations and commitments. Oversee the development and implementation of operating company-wide processes and procedures (including reporting systems and investigations) to ensure compliance with the Group s policies and legal and regulatory obligations relating to sustainability. Ensure proper and satisfactory internal systems and controls are in place to identify and manage material sustainability matters in terms of economic, social and environmental risks and that the Group and its operating companies businesses are conducted in a responsible manner. Monitor key performance indicators and targets that underpin the Group s sustainability strategy and which are supported by our operating companies. Identifying key stakeholders To identify and understand the sustainability risks and opportunities that are most important to the Group and which guide our approach to materiality, IHH conducted a structured process to identify key stakeholders and engage with them. For our maiden Sustainability Statement, the process shown in Diagram 1 below, presents an overview of stakeholder identification and prioritisation in the order of events, giving rise to categorised and prioritised stakeholder groups relevant to IHH. We assessed the significance and importance of each stakeholder group to IHH to identify those stakeholder groups that are key to the business (both internal and external stakeholders), based on the following considerations: level of influence stakeholder groups have on IHH; and level of influence IHH has on stakeholder groups. Following this prioritisation exercise, as illustrated in Diagram 2, key stakeholder groups, whether internal (e.g. Nurses, Senior Leadership, Doctors, etc.) or external (e.g. Shareholders, Ministry of Health, Industry specific magazines, patients, etc.), were found to have the highest influence as well as highest dependence on our business operations. They require most attention from IHH, to be engaged and communicated with. For our first year of reporting, we have decided to engage with key internal stakeholder groups which include Nurses (PPL), Senior Management (PPL), Doctors (Pantai Hospital Kuala Lumpur and Pantai Hospital Ampang), IMU Deans/Faculty and a major Shareholder, to gauge their perceptions of IHH s sustainability matters. groups Identification & Mapping Categorised stakeholder groups Categorisation Key internal & external stakeholder groups Prioritisation Diagram 1: identification and prioritisation Annual Report 2016 87
Our Commitment to Responsible Practices SUSTAINABILITY STATEMENT 3.0 2.8 2.4 Consult/Involve Suppliers of major medical equipment, consumables, etc) Collaborate/Empower Admin Staff Support Function staff Ministry of Health Shareholders/ Investors (e.g. Khazanah) Occupational, Health and Safety Department Nurses Patients Doctors Senior Leadership 2.0 1.6 1.2 Trade Associations IMU Deans Local charity organisations and NGOs Local state government Peers company Students Local surrounding community Malaysian Society for Quality in Health ( MSQH ) Industry specific magazines (e.g. IR Magazine, Healthcare Asia Magazine, etc.) Regional/ Local media coverage (e.g. newspaper coverage in Malaysia/ India/ Turkey) Department of Labour Relations Joint Commission on Accreditation of Healthcare Organizations ( JCI ) Department of Environment Admin Staff Support Function staff Patients Doctors Nurses Senior Leadership 0.8 Patient relatives Malaysian Qualification Agency ( MQA ) (IMU Context) Ministry of Higher Education (IMU Context) Ministry of Health Shareholders/ Investors (e.g. Khazanah) Sports community (Acibadem context) 0.4 Ministry of Finance (Acibadem Context) Social Security Instituitions Keep Informed (minimum efforts) Inform/Engage 0.0 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 3.0 3.1 Occupational, Health and Safety Department Diagram 2: Detailed Prioritisation Matrix based on sub-groups of stakeholders Engaging with stakeholders We believe that proactive stakeholder engagement will act as a structured dialogue process between IHH and its stakeholders. This is essential if we are to identify and respond effectively to key stakeholders concerns and expectations about our sustainability performance. IHH understands that good stakeholder engagement also provides a platform from which strategic partnerships are formed when it comes to addressing complex issues. The channels of engagement also vary depending on the influence and dependence a particular stakeholder group has on IHH and vice-versa. This is reflected by our main modes of stakeholder engagement, as shown in Table 1. These stakeholder engagement channels are already in place to manage areas involving talent retention and attraction activities, training and development efforts as well as employee welfare initiatives. 88 IHH Healthcare Berhad
Groups Senior Management Doctors/ Nurses Shareholder(s) IMU Dean/ Faculty Patients Main Engagement Channel (frequency) CEO Council Meeting (Monthly) Employee engagement survey (Biennially) Townhall (Biennially) Council Meeting (Quarterly); Focus group session (Biennially) Employee engagement survey (Biennially) AGM (Biennially) EGM Investor conference (Biennially) Townhall (Biennially) Deans/Faculty Meeting (Monthly) Staff ibarometer Survey (Biennially) Patient Satisfaction Survey (reported on a quarterly basis) Table 1: Main engagement channels for respective stakeholder groups In addition, in the third quarter of 2016, we conducted stakeholder engagement surveys specifically aimed at identifying material sustainability matters for IHH. The stakeholder engagements involved key internal stakeholders i.e. Nurses, Doctors, Senior Management from PPL, major Shareholder (Khazanah Nasional Berhad) and IMU Deans/Faculty. Respondents were asked to rate the importance of sustainability matters that were categorised across four focus areas, i.e. Environment and Climate Change, Good Corporate Citizenship, Quality Care and Economic Performance. Responses from a total of 173 stakeholders were obtained and analysed in order to prioritise our sustainability matters. Annual Report 2016 89
Our Commitment to Responsible Practices SUSTAINABILITY STATEMENT 2.55 2.5 2.45 2.4 2.35 2.3 High for the stakeholder but low for the management Water availability Waste disposal Security and asset protection Management of human rights across the value chain Hazardous waste management Training & development Emergency preparedness Availability of beds Higher hospital infrastructure and employee insurance cost Privacy of medical records High for both the management and the stakeholder Employee welfare Patient & family safety Talent retention Availability of skilled manpower High maintenance cost Employee health & safety Attracting talent of relevant competencies Ethics & Integrity Patient satisfaction/ expectation 2.25 2.2 2.15 2.1 2.05 Carbon emissions Affordable treatment & accessibility of medical treatment to inland community Land Bank Food quality Green design & construction Plastic waste management Low for both the management and the stakeholder 2 0.41 0.46 0.51 0.56 Diagram 3: IHH s Materiality Matrix Vendor and supplier development Community development Energy conservation Innovation Compliance and regulatory risks Emergency preparedness ilability f beds Training & development Patient & family safety Employee welfare Patient satisfaction/ expectation Talent retention Attracting talent of relevant competencies Privacy of medical records Availability of skilled manpower High for management and low for stakeholder Ethics & Integrity r hospital infrastructure mployee insurance cost maintenance cost Employee health & safety Aligning business objectives and stakeholders expectations We analysed survey responses from stakeholders who participated in the engagement, resulting in a materiality matrix that depicts the matters of significance to our business and stakeholders, as shown in Diagram 3 on this page. Patient & Family Safety, Patient Satisfaction/ Expectation, Talent Retention, Training & Development and Attracting Talent of Relevant Competencies emerged as the top five sustainability matters. Such matters are of high significance to both stakeholders and management. 90 IHH Healthcare Berhad
Our Patients Our People Our Organisation Our Community Patient & Family Safety Patient Satisfaction/ Expectation Attracting Talent of Relevant Competencies Training & Development Availability of Skilled Manpower Talent Retention Employee Welfare Table 2: Material sustainability matters categorised across four themes Employee Health & Safety Emergency Preparedness Community Development As shown in Table 2 on this page, we have categorised the top ten material sustainability matters across four themes, namely Our Patients, Our People, Our Organisation and Our Community. Community Development remains a key component of IHH s strategy, as outlined in this Statement. We utilise our healthcare expertise to improve social wellbeing as well as indirectly enhance the economic conditions of the communities in the areas where we are operating. All sustainability matters shown in Diagram 3 are continuously monitored for its effectiveness by having the relevant policies, procedures and monitoring mechanisms in place. It was also noted that, the management of medical record privacy is critical to IHH s business operations and as such has been identified as a material sustainability matter. The Group is currently developing a system to manage its medical record privacy. Information on this material matter will be addressed and disclosed in future publications. Annual Report 2016 91
Our Commitment to Responsible Practices SUSTAINABILITY STATEMENT Integrating material sustainability matters into the IHH Enterprise Risk Management ( ERM ) Framework One of our important goals for IHH is to ensure an effective level of strategic integration and cooperation among our healthcare operating units. Our approach to managing sustainability risks is no different. It calls for the complete integration of sustainability risks with the ERM framework across IHH companies. The governance of our sustainability efforts extends from our Board of Directors, to IHH Group management, via the IHH SMC, with the support of SWG with representatives from companies of the IHH Group. The IHH Group Head, Risk Governance sits on the SMC and provides risk perspectives as well as advice on sustainability issues. Sustainability risks, whether strategic or operational, are treated in the same way as other strategic or operational risks to our business. These risks are reported quarterly to the IHH Audit and Risk Management Committee ( ARMC ). Using our materiality assessment process, key business risks are considered early on in the identification and assessment of material sustainability matters. Once the material sustainability matters are validated by the SWG, endorsed by the SMC and approved by the IHH Board, the corresponding sustainability risks are then defined and rated based on our ERM risk rating criteria for their impact and the likelihood of these risks taking place. The approach as depicted in Diagram 4 below, assures us of a consistent measure of risk and comparability with other risks to our business. Risk Treatment, Monitor and Review Process Review Risk Evaluation, Communication and Consultation Risk Management Corporate Strategy Materiality Assessment Engagement and Prioritisation Risk Identification and Analysis Diagram 4: Managing Sustainability Risk Framework Identification and Categorisation of Sustainability Issues Risk owners have been appointed to manage the sustainability risks and develop appropriate levels of controls to be adopted by the affected IHH operating entities in countering threats and capitalising on opportunities throughout our sustainability journey. Our annual risk review augmented by an independent internal audit function, provides the Board of Directors the assurance that the sustainability risk management framework and processes are sound and effective in meeting its objectives. Our holistic risk management framework is integral to our sustainability commitment. Please refer to page 142 of this Annual Report, for our Statement on Risk Management and Internal Control. 92 IHH Healthcare Berhad
Why are these sustainability matters important? Based on the materiality assessment conducted this year, we obtained a diverse range of views from our stakeholders. This process assisted us to identify, review and prioritise material economic, environmental and social risks and opportunities based on their significance to our stakeholders and our business. The material sustainability matters, as described in the table below, are important to IHH, and in addressing the concerns of our key stakeholders, provide us with a basis for developing the content of our reporting, as well as shaping our future sustainability strategy and financial performance. Sustainability Matters Why is this important to IHH? How it relates to our stakeholder groups concerns? Addressing relevant stakeholder groups concerns Our Patients Patient and Family Safety Patient Satisfaction/ Expectation Our commitment to delivering premium healthcare quality places this matter as high on our priority radar. The demand for quality healthcare is increasing rapidly, specifically to meet the changing needs and demographics of the communities that we serve. Patients Local community Business partners (e.g. accredited consultant) Regulators (e.g. Ministry of Health) Visitors Our People Our Organisation Talent Retention Attracting Talent of Relevant Competencies Training and Development Employee Welfare Availability of Skilled Manpower Employee Health and Safety Emergency Preparedness We acknowledge that the responsibility to deliver exceptional patient quality care rests primarily with our professional and medical support team. As a responsible employer, it is our responsibility to provide a safe, healthy, stimulating and supporting working environment for our employees and contractors. Career development opportunities, effective performance management as Patients well as recognition and effective employee relations are key matters where we need to pay particular attention to draw our employees commitment and ensure they continue to deliver excellent service. A safe and healthy working environment provides a sense of security in the workplace and motivates employees and contractors to deliver excellent service. Employees (existing & potential) Business partners (e.g. accredited consultants) Employees Patients Visitors Contractors / Third-party vendors Our Community Community Development Our investment in the community supports the growth of both the economy and social wellness of the people in the areas where we operate our business. Ensures transparency in reporting our initiatives and results, focusing on addressing issues and meeting communities expectation. Local community Annual Report 2016 93