Towards an IntegratedModel of Workplace Health and Wellbeing: Risk Reduction and Prevention Solutions

Transcription

1 Towards an IntegratedModel of Workplace Health and Wellbeing: Risk Reduction and Prevention Solutions Dr. Tyler Amell EASNA Institute 30 Vancouver May

2 Impact of health on productivity What does this mean for you? Absenteeism Presenteeism 2

3 Impact of absenteeism on health on productivity The average absenteeism rate in Canada in 2015 per FTE 7.8 Days Private 8.9 Days Mean 12.7 Days Public ABSENTEEISM 58.5 Days Presenteeism 7.5X 66.8 Days Presenteeism PRESENTEEISM 95.3 Days Presenteeism Source: Conference Board of Canada 2016 and Statistics Canada

4 Impact of Absenteeism and Presenteeism on the Economy $16.6 Billion Cost of Absenteeism $124.5 Billion Cost of Presenteeism Conference Board of Canada 2016, Statistics Canada

5 IBI Full Cost Estimator

6 Top 10 Drivers of Absenteeism for Employers Chronic Condition % PD* 3 Months PD* 12 Months $ Millions Asthma 7.6% $124 Arthritis 9.8% $135 Back problems 17.5% $621 Diabetes 4.0% $83 Migraine 10.3% $245 Cancer 3.5% $115 Intestinal/stomach ulcers 2.3% $77 Anxiety disorders 3.9% $25 Mood disorders 5.3% $299 Bowel disorders 3.8% $144 * Predicted Absent Days due to 1 Chronic Health condition Scand J Work Environ Health

7 Workplace Investments in: EAP Training Wellbeing Programs Health Promotion Benefits Health and Safety Hazard Identification Hazard Control Insurance WCB STD LTD Vacation Return to Work (RTW) 100% 80% 60% 40% 20% 0% Early Identification / Intervention (Acute) TemporarilyDisabled from Work Therapeutic (Subacute) Prolonged Absence (Chronic) ShiftFocus from Disability Management to Disability Prevention Pre-Absence State (aka Normal) Absence Duration (weeks) 7

8 Diptheria Hepatitis Influenza HPV Encephalitis Measles Meningococcal Mumps Pertussis Pneumococcal Polio Rabies Rubella Shingles Smallpox Tetanus Tuberculosis Typhoid Fever Varicella Yellow Fever Some conditions we have vaccines for But many we do not, so we must control risk through training (resiliency), engineering (design) and administration. 8

9 A common way of thinking about improving workplace health Risk Reduction and Prevention Risk Assessment Hazard Identification and Control 9

10 Personal Relationships Mental Health Personal Stress Life Planning Work Related Parenting Physical Health Family General Addiction 10

11 Chronic diseases impacting health and productivity in your workplace Asthma (7.6%) Fibromyalgia(1.1%) Arthritis (9.8%) Back problems(17.5%) Diabetes (4.0%) COPD (1.6%) Migraine(10.3%) Heart disease(2.2%) Cancer(3.5%) Intestinal/stomachulcers (2.3%) Urinary incontinence(1.3%) Multiple chemical sensitivities(2.4%) Anxiety disorders(3.9%) Mood disorders(5.3%) Bowel disorders(3.8%) Chronic fatigue syndrome(0.8%) Scand J Work Environ Health

12 BMI (Body Mass Index) Normal 47.9% Overweight 34.6% Obese 17.6% Alcohol Use Regular 72.3% Occasional 13.8% None 13.9% Activity Active 29.5% Moderate 26.8% Inactive 43.7% Tobacco Use Current Daily 17.2% Current Occasional 5.9% Former Daily 20.6% Former Occasional 16.9% Never 39.5% Work Stress Not at all Stressful 9.0% Not very Stressful 19.1% A bit Stressful 42.2% Quite a bit Stressful 24.6% Extremely Stressful 5.1% Scand J Work Environ Health

13 Strategies for Reducing Risk of Chronic Conditions 13

14 Strategies for Reducing Risk of Chronic Conditions 14

15 Pillars of Prevention in Risk Reduction Strategies Physical Activity Tobacco Elimination Proper Nutrition Sufficient Quality Sleep Sufficient Hydration Meaningful Social Interaction 15

16 Case Study in Workplace Organization: Towards Integration 1 o Prevention (EHS, ERG, HP, HYG ) 2 o Prevention (Health Surveillance) 3 o Prevention (STD SI Management) WCB Management LTD FI No Active Claims Management EAP Total Rewards (Benefits) Total Rewards (Benefits) EAP 1 o Prevention (EHS, ERG, HP, HYG ) 2 o Prevention (Health Surveillance) 3 o Prevention (STD SI Management) WCB Management LTD FI AcGve Claims Management Linked Technology Data Aggregation Audit Reporting Outcomes Analytics

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18 Work Disability Prevention As work disability is primarily a non-clinical problem, so are the most effective interventions. Interventions aimed at improving employees confidence about returning to work and reducing fear-avoidance beliefs may serve to foster more favorable expectations with regards to the duration of expected RTW. Source: Pransky et al. 2014, Bessen et al

19 Work is good for us! Not working may be even worse for us! You don t get ill workers well to put them back to work. You put them back to work to get them well. Waddell & Burton 2006, Brigham & Christian 2016, Pimentel

20 What about the employee experience? Common thread amongst employer s programming to support the health and wellbeing of the worker is the worker A quote from a work-related perspective, but equally applicable to the work-relevant perspective: Interactions between insurers and injured employees were interwoven in cyclical and pathogenic relationships, which influence the development of secondary injury in the form of psychosocial consequences instead of fostering recovery of injured employees. Source: Kilgour et al

21 What keeps youup? Strong Correlation with Employee Assistance Program (EAP) Data Source: Conference Board of Canada

22 Recent Research on work 27% of Canadians are fatigued most days or every day Linked to physical safety and health Linked to psychological safety and health Source: Conference Board of Canada

23 Recent Research on work 40% of workers said: Their performance at work was somewhat or significantly worse when they did not get enough rest! Source: Conference Board of Canada

24 Fatigue and Alcohol Comparison 17h 21h 24h.05 BAC.08 BAC.10 BAC Source: WorksafeBC; BAC = Blood Alcohol (ethanol) Concentration (measured in % or g/dl) 24

25 Fatigue and Safety Injury Rates 25

26 What are the health effects of fatigue? They are very similar if not the exact same for mental health conditions, physical health conditions and poor diets! Short Term Injury Stress Immune Function Muscle Tension Digestive Problems Long Term Diabetes High Blood Pressure Inflammation Moodiness Depression Anger Heart Disease Obesity 26

27 Thank you 27