Health Care Delivery

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Current language: English
The Health Care Delivery industry owns and manages hospitals, clinics and other health care related facilities. Entities provide a range of services, including inpatient and outpatient care, surgery, mental health, rehabilitation and clinical laboratory services. Demand for health care delivery services is driven largely by insurance coverage rates, demographics, illness and injury rates. The industry is characterised by high fixed labour and facilities costs, and an increased regulatory focus on reduced costs of care and improved outcomes. Health care delivery entities also face significant competition for patients and resources from private, non-profit and religious health care systems.

Relevant Issues (11 of 26)

Why are some issues greyed out? The SASB Standards vary by industry based on the different sustainability-related risks and opportunities within an industry. The issues in grey were not identified during the standard-setting process as the most likely to be useful to investors, so they are not included in the Standard. Over time, as the ISSB continues to receive market feedback, some issues may be added or removed from the Standard. Each company determines which sustainability-related risks and opportunities are relevant to its business. The Standard is designed for the typical company in an industry, but individual companies may choose to report on different sustainability-related risks and opportunities based on their unique business model.

Disclosure Topics

What is the relationship between General Issue Category and Disclosure Topics? The General Issue Category is an industry-agnostic version of the Disclosure Topics that appear in each SASB Standard. Disclosure topics represent the industry-specific impacts of General Issue Categories. The industry-specific Disclosure Topics ensure each SASB Standard is tailored to the industry, while the General Issue Categories enable comparability across industries. For example, Health & Nutrition is a disclosure topic in the Non-Alcoholic Beverages industry, representing an industry-specific measure of the general issue of Customer Welfare. The issue of Customer Welfare, however, manifests as the Counterfeit Drugs disclosure topic in the Biotechnology & Pharmaceuticals industry.
General Issue Category
(Industry agnostic)

Disclosure Topics (Industry specific) for: Health Care Delivery

Energy Management
  • Energy Management

    Health Care Delivery entities operate energy-intensive facilities and rely on both purchased electricity and fuel. The consumption of both can contribute to environmental impacts, including climate change and pollution. Legislative attempts to limit these impacts and to incentivise energy efficiency and renewable energy may result in price volatility associated with fossil fuels and conventional electricity. Entities that improve energy efficiency may decrease costs and limit exposure to energy price fluctuations.
Waste & Hazardous Materials Management
  • Waste Management

    Health Care Delivery entities generate a significant amount of regulated medical and pharmaceutical waste. Disposal fees for these types of waste are typically higher than that of conventional waste and may present a significant cost for the industry. Entities that reduce the amount of waste generated by enhanced waste segregation strategies, recycling and reuse may limit their exposure to these costs.
Data Security
  • Patient Privacy & Electronic Health Records

    Many jurisdictions require health care providers to establish administrative, physical and technical safeguards to protect the integrity, confidentiality, interoperability and availability of patient health information. Failure to comply with such regulations may result in civil and criminal penalties.
Access & Affordability
  • Access for Low-Income Patients

    Some care delivery entities will continue to face challenges associated with serving uninsured and low-income patients. Health care delivery entities that develop innovative pricing structures that allow them to profit from increased private insurance enrolment and to expand their patient base may create a positive effect on revenue. Disclosure on how entities manage the provision of care to uninsured populations may allow users to understand the associated risks and opportunities.
Product Quality & Safety
  • Quality of Care & Patient Satisfaction

    Quality care delivery and patient satisfaction are essential value drivers for health care delivery entities. The link between quality of care performance and value creation may be strengthened by effective management focus on improving health care quality measures. In addition, entities may improve health care outcomes and preserve brand value by developing programmes to reduce excessive patient readmission rates and hospital-acquired conditions.
Customer Welfare
  • Management of Controlled Substances

    The Health Care Delivery industry is in a unique position with respect to the evolving use of controlled substances and managing the risk of addiction. As the provider of care, the industry also treats individuals suffering from addiction and related health concerns. Health Care Delivery entities face significant costs in addressing the health care needs of those suffering from addiction and related illnesses. Industry-wide efforts to re-evaluate controlled substance management strategies through the development of new policies, training and oversight may have positive financial effects.
Selling Practices & Product Labeling
  • Pricing & Billing Transparency

    Concern regarding pricing and billing transparency in the Health Care Delivery industry has resulted in increased legal and regulatory scrutiny in some jurisdictions. Coupled with increased attention to health care cost containment, this scrutiny may increase regulatory oversight of pricing and billing practices in this industry. Entities that achieve compliance and institute transparent pricing structures may better protect shareholder value.
Employee Health & Safety
  • Workforce Health & Safety

    The Health Care Delivery industry is heavily dependent on a skilled workforce, and employees routinely are exposed to injury, illness and infection during regular duties. Relative to other industries, Health Care Delivery has one of the highest rates of injury and illness. Entities that manage this issue more effectively may reduce costs associated with workers’ compensation, productivity, morale and employee retention. Entities often mitigate risks by implementing proactive health and safety management protocols, developing employee training requirements, and conducting regular audits of their own safety practices.
Employee Engagement, Diversity & Inclusion
  • Employee Recruitment, Development & Retention

    Health care delivery entities will continue to face increased competition for physicians because of increased demand, which is intensified by current and future shortages. The ability to recruit, develop and retain health care practitioners is critical to success in this industry, and disclosure on related performance indicators allows users to understand how entities are managing this important human capital issue.
Physical Impacts of Climate Change
  • Climate Change Impacts on Human Health & Infrastructure

    An increase in extreme weather events associated with climate change may present physical threats to health care delivery facilities and create challenges in serving affected populations. Coupled with the potential spread of infectious diseases and food and water scarcity, these events may present material implications for the Health Care Delivery industry.
Business Ethics
  • Fraud & Unnecessary Procedures

    Health care delivery entities may be subject to significant fines and penalties if their staff are found to be engaged in medical fraud. Many entities must have written policies for all employees and contractors regarding false claims, false statements and whistle-blower protections. The ability to ensure compliance in this area may have implications for health care delivery entities, including one-time charges and reputational damage.

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Current Industry: Health Care Delivery

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