Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
Integrated Health &
Safety Management:
Integrating Health Protection and
Health Promotion for Individual
and Organizational Wellbeing
E. Andrew Kapp, PhD, CSP, CHMM
Research Manager, Workplace Health and Safety
Underwriters Laboratories Inc.
2
Integrated Health and Safety (IHS) is the strategic
and systematic integration of distinct health and safety
programs and policies into a continuum of organizational,
personal, occupational, community and environmental
activities that are replicable, measurable, and integrated
across institutional silos, enhancing the overall health and
well-being of workers and their families and preventing
work-related injuries and illnesses
Definition of Integrated Health and Safety
Why integrate?
$.07
$685,000,000
1 Workplace Safety Index, Winter 2008, Liberty Mutual Research Institute for Safety
2NCCI Holdings, Inc. – Annual Issues Symposium 2008, “State of the Line”
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
$18,000
$20,000
1997 1998 1999 2000 2001 2002 2003 2004
Fre
qu
en
cy
Cla
im C
ost
s
Policy Year
WC Frequency and Severity Trends
Indemnity Severity
Medical Severity
Frequency per 100K Workers
Claims Frequency and Severity
• Medical severity rose more than twice as fast as the
medical CPI from 1995 through 2007 (8.3% vs. 4%)1
• Recent Indemnity severity trends exceed wage inflation
• Medical claim costs have increased 9+% since 20022
U.S. Workforce is Aging
Median Days Away From Work Due to Injury,
by Age Group
$0
$3,000
$6,000
$9,000
$12,000
19-34 35-44 45-54 55-64 65-74 75+
$1,776
$2,193 $2,740
$3,734 $4,613
$5,756 $2,565 $3,353
$4,620
$6,625
$7,989
$8,927 $5,114
$5,710
$7,991
$10,785
$11,909 $11,965
Annual Medical Costs
Age Range
Low
Med Risk
High
Healthcare Costs: Effects of Age
Edington DW. Zero Trends: Health As a Serious Economic Strategy. Health Management Research Center, University of Michigan. 2009. Edington, American Journal of Health Promotion. 15(5):341-349, 2001
But retirement will
take care of the
aging workforce
“problem”, right?
15
16
17
18
19
20
$0
$3,000
$6,000
$9,000
$12,000
19-34 35-44 45-54 55-64 65-74 75+
$1,776
$2,193 $2,740
$3,734 $4,613
$5,756 $2,565 $3,353
$4,620
$6,625
$7,989
$8,927 $5,114
$5,710
$7,991
$10,785
$11,909 $11,965
Annual Medical Costs
Age Range
Low
Med Risk
High
Healthcare Costs: Effects of Age and Health Risk
Edington DW. Zero Trends: Health As a Serious Economic Strategy. Health Management Research Center, University of Michigan. 2009. Edington, American Journal of Health Promotion. 15(5):341-349, 2001
Estimated Health Risks of Working Population
Body Weight
Stress
Safety Belt Usage
Physical Activity
Blood Pressure
Life Satisfaction
Smoking
Perception of Health
Illness Days
Existing Medical
Problem
Cholesterol
Alcohol
Zero Risk
41.8%
31.8%
28.6%
23.3%
22.8%
22.4%
14.4%
13.7%
10.9%
9.2%
8.3%
2.9%
14.0%
22
Overall Risk Levels
Low Risk 55.3%
Medium Risk 27.7%
High Risk 17.0%
$90,000
Healthcare Costs
Productivity Loss
$1.00
$2.30
25
Non-Fatal Occupational Injury and Illness
Rates per 100 FTE
26
Fatal Work Injuries per 100,00 FTE
27
Increases in Frequency and Severity of Injuries
Associated with Poor Baseline Health
• Numerous studies have shown an increased
likelihood of workplace injuries and illnesses for
those with poor baseline health
• Not just strain/sprains and WRMSD
• Even greater research on increased severity (i.e.,
increased duration of recovery, increased
cost/healthcare utilization, decreased likelihood of
full recovery, increased risk of complications)
28
30
Opportunities
70 % of illness is lifestyle related and thus
may be preventable
Mayo Clinic (2003), Direct and Indirect Benefits of Health Promotion
Programs
Integrating Health and Safety
Health
Focus today is how to best integrate health and safety programs to achieve optimal benefits
Safety
3 Logics of Integration
1. Avoid Gaps
2. Avoid Duplication of
Efforts
3. Avoid Sub-
Optimization/Risk
Shifting
35
20000
18000
16000
14000
12000
10000
8000
6000
4000
2000
0
Do
lla
rs
Publicly Traded CHAA Employers vs. S&P 500
$17,569.21
$9,923.14
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Portfolio Worth (6/30) S&P 500
Study Linking Worker Health with the Market Performance
Fabius R, et al. The link between workforce health and safety and the health of the bottom line:
Tracking market performance of companies that nurture a “culture of health.” J Occup Environ Med. 2013;55(9):993-1000.
VOI Study Linking Worker Health with the Market
Performance
Taking Integration to the Next Level:
The Integrated Health & Safety Summit
Gaining traction among thought leaders
Journal for Occupational and Environmental
Medicine
The Process
Plan Rationale & Motivation
Integrating Health &
Safety for Operational Excellence
Monitor & Evaluate
Plan
Review & Adjust Plan
Assess & Evaluate Current
Standings
Implement Plan
A New Integrated Health & Safety Index
aligned with the Dow Jones Sustainability Index
Dow Jones
Sustainability
Indices
Integrated
Health
& Safety
Index
Leadership & Management
Healthcare Cost, Absence &
Disability Management
Integrated Health & Productivity
Culture of Health & Safety
Healthy & Safe Environment
Healthy & Safe Workers
Prevention & Wellness
Value Based Benefits Management
Corporate Social Responsibility
impacting Community Health
Economic
Environmental
Social
Loeppke, R; Hohn, T; et.al. “Integrating Health and Safety in the Workplace: How Closely Aligning Health and Safety Strategies
can Yield Measureable Benefits.” Journal of Occupational & Environmental Medicine 2015: 57 (5): 585-597. May, 2015.
Integrated Health & Safety
1. Create an overarching management structure
2. Use a holistic approach
3. Make a commitment
4. Present the business case
5. Prepare for new education for business
professionals
6. Get everyone involved
7. Nurture a culture of health & safety
Roundtable Outcomes – The Non Negotiable
Standard
UL904Z:
Integrated Health
and Safety in the
Workplace
http://www.comm-2000.com/
UL-ASSE Integrated Health and Safety
Program Survey
23%
12%
19%
7% 2%
37%
Manufacturing
Oil & Gas
Services
Public Sector
Other
Not Specified
26 69 49 45
283
< 50 50 - 249
250 - 499
500 - 999
1,000+
• 472 ASSE members
surveyed
• Regression analysis
• Investigating the
influence of
organizational
structure, leadership
and communications
• On the perception of
degree of integration of
health and safety
Company Size
10 Factors Supporting Integrated Health and
Safety Management
1. Written policy
2. Incorporation into larger business plans
3. A discrete budget
4. Multiple ways of communicating
5. Frequent communications
6. All stakeholders coordinated in the implementation
7. At least one person
with responsibility
8. Senior management is
commitment
9. Mid-level managers
and supervisors are
committed
10. Mid-level managers
and supervisors
accept their
responsibilities
Organizational Structures: Policy & Budget
ß = .63, R2 =.39
p < .001 ß = .58, R2 =.30
p < .001
Policy Budget
Organizational Structures: Champion in Place &
Part of Larger Business Plan
ß = .67, R2 =.41
p < .001
ß = .48, R2 =.22
p < .001
Part of Larger Plan Champion
Leadership: Senior Management Commitment
ß = .65, R2 =.37
p < .001
Senior
Management
Commitment
Communications: Methods & Frequency
ß = .68, R2 =.42
p < .001
ß = .70, R2 =.39
p < .001
Multiple Means of
Communication
Frequent
Communications
Stakeholder Engagement
ß = .60, R2 =.33
p < .001
Stakeholder
Engagement
UL-ASSE Integrated Health and Safety Program
Survey - Key Takeaways
• Begins with senior management commitment
• A well written policy
• IHS is incorporated into larger business plans
• Frequent and diverse communications with
stakeholders throughout design and
implementation
Success Stories
Dow Chemical Priorities:
For Integrating Health and Safety
• Health as a Business Performance Driver and Manage Costs
• Safety
• Reliability
• Human Capital Priorities
• Engagement
• Talent: Attract and Retain
• Human Performance
• Sustainability
• Corporate Social Responsibility
• Corporate Reputation
58
Source: Dr. Cathy Baase
Corporate Medical Director, Dow Chemical
Target Behaviors and Risks that Impact
Health, Safety and Performance
59
Source: 2010 World Economic Forum
8 risks
and
behaviors
drive 15 chronic conditions
Accounting
for
80%
of total costs
for all chronic
illnesses
worldwide
Companies that target 3 major modifiable risk factors can save an average of
$700/employee/year in health care costs and productivity improvements.
1. Diabetes 2. Coronary artery disease 3. Hypertension 4. Back pain 5. Obesity 6. Cancer 7. Asthma
8. Arthritis 9. Allergies 10. Sinusitis 11. Depression 12. Heart failure 13. Pulmonary disease 14. Kidney disease 15. High cholesterol
Source: Dr. Cathy Baase
Corporate Medical Director, Dow Chemical
Dow Outcomes from Integrated Health & Safety Strategies
Health
• 9% better health risk profile
• 17% less chronic health conditions
• 17% less spend on chronic health conditions
Safety
• Dow workers are 20 times less likely to experience injury and illness when
compared to overall U.S. manufacturing injury and illness rate.
• In 2011, the Dow Injury and Illness rate was 0.28 per 200,000 hours of work.
• The 2015 Goal of 0.12 per 200,000 hours (75% improvement from 2005 rate).
Economic
• 5 + year healthcare cost trend is < 2%
• Cumulative savings since 2004 is > $150MM
Source: Dr. Cathy Baase
Corporate Medical Director, Dow Chemical
$
Health
Work Safety