Dr. Brian Charles BSc. MBBS MSc. DM (Emerg. Med), SCM Emergency Physician Managing Director, Sandy...
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Dr. Brian Charles BSc. MBBS MSc. DM (Emerg. Med), SCM Emergency Physician Managing Director, Sandy Crest/Coverley Medical Centres Increasing Productivity;
Dr. Brian Charles BSc. MBBS MSc. DM (Emerg. Med), SCM Emergency
Physician Managing Director, Sandy Crest/Coverley Medical Centres
Increasing Productivity; The importance of health and wellness
Slide 2
Objectives Definitions Is there a problem? If so, of what
magnitude? Solutions and recommendations
Slide 3
But What are we talking about? Productivity Wellness
Slide 4
The Productivity Cycle
Slide 5
Slide 6
Causes of uncertified absenteeism Perceptions of procedural
justice Commitment Job Satisfaction Weather Personal Errands Root
Causes of Absenteeism
Slide 7
Causes of Certified absenteeism Physical health
Work-family/family-work conflicts Need for improvement in
management practices Rapid changes in the industry generating
stress Root Causes of Absenteeism
Slide 8
Presenteeism
Slide 9
National Insurance Scheme Data Year Sickness Benefits Paid ($
BDS) 2005 2006 2007 2008 2009 No disaggregation by disease
21,430,656 15,741,860 19,030,204 24,817,172 23,863,708
Slide 10
Factors affecting productivity Illness; particularly the NCDs
Fatigue (often caused by poor sleep) Lack of exercise Dehydration
Stress
Slide 11
NCDs account for more than 60% of the health budget - QEH: 65%
budget: BDS (>$50M): Most on diabetes and hypertensionNCDs
account for more than 60% of the health budget - QEH: 65% budget:
BDS (>$50M): Most on diabetes and hypertension Estimated to
consume more that 5% GDPEstimated to consume more that 5% GDP The
major causes of illness and death in Barbados 7 out of every 10
deathsThe major causes of illness and death in Barbados 7 out of
every 10 deaths One quarter of all adults have an NCDOne quarter of
all adults have an NCD The common risk factors are physical
inactivity, exposure to tobacco smoke, poor diet and harmful use of
alcoholThe common risk factors are physical inactivity, exposure to
tobacco smoke, poor diet and harmful use of alcohol Summary of the
Impact of NCD's National NCD Commission
Slide 12
What are the chronic non communicable diseases (NCDs)
Cardiovascular Disease hypertension, heart attack and stroke
Diabetes Mellitus Cancer prostate, breast, cervix and colorectal
Pulmonary Disease
Slide 13
Risk factors for NCDs Non-Modifiable (20-30%)Modifiable
(70-80%) Age Sex Ethnicity Genetic susceptibility/ family history
Exposure to tobacco (primary and secondary) Harmful use of alcohol
Lack of physical activity and exercise Unhealthy diets e.g. high in
saturated fat, cholesterol, salt and simple sugars, low fruit and
vegetable intake
Slide 14
NCDs are Preventable 80% of chronic disease excluding cancer is
preventable using simple lifestyle interventions 30-40% of cancers
are preventable using simple lifestyle interventions 50 % of
chronic disease occurs in persons < 70 years old 80% of recorded
death occur in middle and lower income countries
Slide 15
NCDs and productivity Absenteeism (certified and uncertified
sick days) Board certified (medically unfit) Disability (temporary
or permanent) Time away from work accessing the health service
Limited/reduced output at work Burden on the caregiver and
family
Slide 16
WHAT IS WELLNESS? The quality or state of being healthy in body
and mind. An approach to healthcare that emphasizes preventing
illness and improving quality of life, and by extension improving
the ability to meaningfully provide for self and others.
Slide 17
WHAT DIMENSIONS DOES WELLNESS INCORPORATE? Six Dimensions:
Physical Social Intellectual Emotional and Spiritual Environmental
Occupational
Slide 18
OUTCOMES PERFORMANCE
Slide 19
YOUR SPACE! Work place safe Parking Security Up to standards
Lighting Ergonomics Clean No toxins, etc. Smoke-free work
place
Slide 20
LETS GET PHYSICAL Physical Activity On-site fitness centers
Discounts to local gyms Signs supporting taking the stairs Activity
groups (running, walking, swimming, biking, snorkeling, diving)
Time off to exercise Subsidize local run/walks Incentive programs
Discounted/subsidized personal training
Slide 21
LETS GET PHYSICAL Nutrition Healthy meals in the cafeteria
Healthy items in the vending machines Water available at all times
Health food at meetings Nutrition education Healthy recipes Cooking
demonstrations Taste testings Meals to go
Slide 22
LETS GET PHYSICAL Physical Health Health screenings
cholesterol, glucose, blood pressure, BMI, osteoporosis, body
composition Vaccinations flu shots, Hepatitis B, etc. Age
appropriate screenings Smoke free workplace Annual well checks
Employee Health Offices Family Health Fairs Self Care Guides
Slide 23
COMMUNICATION Communicate with employees Communicate with upper
management Share successes Share results Share goals and direction
Create a quarterly report and annual report
Slide 24
HEART AND SOUL Employee Assistance Programs Pastoral Care
Stress management programs and skills Ability to attend support
groups or have them in the workplace Quiet rooms Supportive
policies Volunteerism
Slide 25
GET SMART Tuition reimbursement Flex schedules to go to school
Mentoring programs Educational programs at work Job sharing
Partnerships with local schools and universities
Slide 26
GETTING TO KNOW YOU Employee Activity Groups Holiday parties
Charity walk/runs Potluck lunches Discounts to local events
Building networks, partnerships and trust
Slide 27
WHAT WORKS Begins in this room Designated drivers
Evidence-based practice Constant messaging with fresh content
Patience