Working together - WorkSafe Queensland · Working together The importance of health and wellness on...
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Working together The importance of health and wellness on your bottom line
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Transcript of Working together - WorkSafe Queensland · Working together The importance of health and wellness on...
Working together
The importance of health and wellness on your bottom line
Presentation Overview 1.15 pm Helen Creagh, WorkCover Queensland 1.30pm Neil O’Sullivan, Managing Director NOJA 2.00pm Robert McCartney, Occupational Physician 2.40pm Nathan Green, Physiologist 3.00pm Conclusion/Networking
About WorkCover Queensland
• Statutory authority operating as an independent commercial enterprise
• Expert provider of tailored workers’ compensation insurance services
• We strive to maintain Australia’s lowest average premium rate $1.20 (per $100 in wages)
About WorkCover Queensland
• Strong industry alignment means we talk your
language • One of Australia’s best return to work rates • Strike the right balance the needs of employers
and injured workers
• Customer satisfaction drives continuous service improvement and online innovation
• Expert management of the entire claims management life cycle keeps claims costs down
Health benefits of work • Early return to work reduces the risk of long-term
disability and improves quality of life • Injured workers who are offered suitable duties are
twice as likely to return to work • Strong evidence suggests that work absence tends to
perpetuate itself: that is, the longer someone is off work, the less likely they become ever to return
• We encourage stay at, or prompt return to work. This is possible through a suitable duties program or host employment.
The longer someone remains off work the less likely it is they will ever return. If someone is off work for: • 20 days, the chance of ever returning to work is 70% • 45 days, the chance of ever returning to work is
reduced to 50% and • 70 days, the chance is then again reduced to 35%.
Realising the Health Benefits of Work
Claims experience of Manufacturing How much are injuries costing the industry? In the 2013/2014 year this is how the industry performed • Average monthly payments per claim $2,169 • Stay at work rate 61.70% • Total claims 12,099 • Average paid days 23 • Cost to scheme $72M
Industry Alignment Tailoring solutions for your business The importance of health and wellness on your bottom line Research tells us that a healthy workforce, committed to maintaining their fitness can provide not only benefits to the individual, but also positive outcomes for the employer.
How healthy is Manufacturing?
Health indicator analysis of all persons aged 18 years +
National Manufacturing
Current smoker 22% 30% Inadequate fruit and vegetable intake
49% 55%
Physical inactivity 71% 75% BMI measured- obese 23% 25% Alcohol increased lifetime risk
24% 28%
Source: Australian Government Department of Health
Occupational Physician
Robert McCartney
D r R o b M c C a r t n e y
O c c u p a t i o n a l P h y s i c i a n
Health, wellness and maintaining fitness
Benefits to Employees and employers
- Manufacturing Sector -
Why Manage Wellness?
The poor health of workers impacts on business performance and viability. • Absenteeism • Reduced productivity • Increased injury rates and vehicle crashes due to medical
conditions • Protracted claims
Health Risk Factors
• Psychological • Diabetes • Smoking • Obesity • Sleep Apnoea • Alcohol and other drugs • Degeneration
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How to Manage?
Prevention
• Primary • Secondary • Tertiary • Quaternary
How to Manage?
Prevention
Primary Avoid disease / injury either through eliminating disease agents or increasing resistance
Secondary Methods to detect and address existing disease prior to the appearance of symptoms
Tertiary Methods to reduce negative impact of disease / injury such through case management (treatment and rehabilitation)
Quaternary Complex case management / loss mitigation
Yellow Flags
• Yellow flags are indicators of psychosocial, workplace and other factors that increase the risk of developing or perpetuating long-term disability and work loss associated with musculoskeletal conditions.
• Identification of risk factors should lead to appropriate management of the individual, interpersonal, work and other relevant issues.
• Assessing the presence of yellow flag risk factors can identify – whether more detailed assessment is required,
– specific treatment/intervention is required and/or
– it may identify salient factors that can be the subject of specific
intervention.
•
Yellow Flags
• Yellow flags should be identified early (in the first few weeks of a case wherever possible)
• Yellow flags are psychosocial (interaction between the injured workers and their social environment with the subsequent influence on their behaviour) and include: – Personal, family and social issues
– Workplace and injured workers interaction
– Workers compensation, financial and legal issues
Personal, family and social issues
• Issues around:
– High levels of pain
– Attitudes and beliefs about their pain and dysfunction
(avoidance, fear of re-injury, catastrophizing)
– Diagnosis and treatment
– Emotional state (e.g. anxiety, depression, grief)
– Family / relationship difficulties
Assessing Yellow Flags
• Prior pain in the same body region (strongest indicator)
• Job dissatisfaction (employer / fellow workers)
• Belief that pain is harmful or disabling
• Chronic depression • Low socio-economic status or
manual worker
• Current disability income
Presence of 4 or more (especially the below 6) are indicative of psychosocial factors negatively impacting on a physical injury.
Assessing Yellow Flags
Other relevant factors
• Fear of more pain with
activity or work
• Smoking
• Low activity level
• High pain or illness behaviour
• Passive attitude to rehabilitation
• Back to work in next 3-6 months
• Litigation
Team characteristics to minimise W/C
• strong team morale • collaborative peer working relationships
• supportive manager behaviours
• managers provide high quality formal and informal feedback
• strong focus on quality client service
• managers role model organisational values
Physiologist
Nathan Green
EXERCISE FOR INJURY PREVENTION
Workplace Exercise Programs: What are the benefits and how
to make them effective.
WORKPLACE EXERCISE PROGRAMS: WHY?
Musculoskeletal disorders are the most common type of occupational injuries that result in lost time, medical and rehabilitation expenses.
Occupational risk factors for these injuries are repetitive motion, awkward or sustained postures and forceful actions.
WORKPLACE EXERCISE PROGRAMS: WHY?
Personal risk factors are poor fitness, reduced flexibility, reduced strength and age. Widely accepted that stretching can reduce the risk of strains/sprains by improving muscle flexibility and joint ROM, improving posture and improving muscle activation.
TYPES OF WORKPLACE EXERCISE PROGRAMS
Warm-Up/Stretching Programs General Targeted/Individualised Mandatory Vs Voluntary Group Vs Self Initiated
TYPES OF WORKPLACE EXERCISE PROGRAMS
Personal Exercise/Health Plans Stretching Strengthening Cardiovascular conditioning Requires individual assessments
TYPES OF WORKPLACE EXERCISE PROGRAMS
Health/Fitness Promotion Seminars/Presentations
Fitness/Exercise Diet/Nutritional advice Smoking Cessation
Health Fairs/Assessments Blood Pressure Blood Glucose/Cholesterol Height/Weight/Body Fat
Pamphlets/Brochures Gym memberships
BENEFITS OF WORKPLACE EXERCISE PROGRAMS
1998 Manufacturing Facility in US – 2 month stretching program
Significant ↑ in back and shoulder flexibility ↑ in participants perception of physical conditioning, self worth, attractiveness and strength
BENEFITS OF WORKPLACE EXERCISE PROGRAMS
1990 US Firefighters stretching program
Stretchers more flexible than non stretchers In 2 year follow up 48 injuries to stretchers Vs 52 injuries to non stretchers – not sig. Total dollars spent because of injury $85,372 for stretchers Vs $235,131 for non stretchers – highly sig. Time lost for comparable injuries less for stretchers Vs non stretchers
BENEFITS OF WORKPLACE EXERCISE PROGRAMS
1994 Manufacturing Employees One group did strength training alone One group did strength + stretching Flexibility increased in combined group but not strength group Bigger improvements in static and dynamic strength in combined group Vs strength training alone Bigger reduction in incidence of soft tissue injuries in combined group but both showed improvements
BENEFITS OF WORKPLACE EXERCISE PROGRAMS
2006 Manufacturing Facility US -Comprehensive ergonomics program including stretching and individual manual handling/ergonomics training
67% ↓ time lost from all musculoskeletal injuries 50% ↓ overall musculoskeletal injuries Average employee satisfaction 8/10 75% employees agreed stretching should definitely be a part of daily work schedule
BENEFITS OF WORKPLACE EXERCISE PROGRAMS
2009 – European Manufacturing Facility implemented a stretching and strengthening program
↓ incidence/duration of back and shoulder pain ↑ shoulder elevation strength ↓ back and shoulder injuries by 35% over 2 years
BENEFITS OF WORKPLACE EXERCISE PROGRAMS
2005 BHP BILLITON FIFO MINING SITE IN NORTH QUEENSLAND
500+ employees mandatory attended individual health assessment by AEP Employees given individual exercise programs and dietary advice +/- referral to specialist/GP if necessary 76% reduction in sprain/strain injuries over 2 years 62% reduction in lost time days due to injury/illness
BENEFITS OF WORKPLACE EXERCISE PROGRAMS
2009 Oostrom et al – Systematic review of 6 RCTs
Moderate quality evidence to support the use of workplace exercise interventions Prevent disability and facilitate RTW in workers with musculoskeletal injuries ↑ flexibility and ROM ↓ pain and discomfort
BENEFITS OF WORKPLACE EXERCISE PROGRAMS
2011 Gartley & Processor Odds of experiencing a work related musculoskeletal injury 7.69 times higher for non stretchers than those who took part in stretching program
Savings made due to stretching program 3 times higher than costs of implementing program
SUMMARY OF BENEFITS Improved flexibility and strength Decreased musculoskeletal pain severity Decreased incidence and severity of musculoskeletal injuries/disorders Decrease in costs due to lost time from injuries and general illness Decrease in medical/rehabilitation costs Improved perception of health, flexibility, fitness, strength, self worth and appearance
MAKING WORKPLACE EXERCISE PROGRAMS EFFECTIVE
Programs need to be targeted The more specific, the more effective At least targeted at different job roles
Exercises need to be performed correctly
Stretches 3 x 30 secs, bilateral, mild discomfort Strength exercises with good control and technique
MAKING WORKPLACE EXERCISE PROGRAMS EFFECTIVE
Exercise at appropriate times throughout the day
Pre-start programs not always the best May need to do several times through day
Trained instructors should lead or monitor programs
Programs need to be developed by suitably qualified person Helps ensure compliance and appropriate technique
MAKING WORKPLACE EXERCISE PROGRAMS EFFECTIVE
Mandatory programs work better than voluntary programs
Better outcomes with greater involvement Education/Collaboration important
Compliance should be monitored Helps to monitor success of program
Exercise programs need to be completed regularly
2-3 times a week minimum
MAKING WORKPLACE EXERCISE PROGRAMS EFFECTIVE
Business must be committed to program at all levels
All levels of employees involved No negative comments Committed to cost and work time required
Exercise programs should be part of an overall injury prevention initiative
Stand alone programs not as effective
QUESTIONS??
Conclusion
Thank you for your attendance
Thank you to NOJA Power for hosting
Thank you to our guest speakers Nathan Green and Dr Robert McCartney
Feedback forms
Contact us
If you would like more information, please call or email me: • 07 3006 6642 • [email protected]
workcoverqld.com.au
