Embed Size (px)
Citation preview
JEANETTE KINAHANT: 0418 554129E: [email protected] W:www.workhealthsystems.com.au
Total Worker Health – Could we have it all?
March 2013
Today’s Discussion Points
Work Health Systems 2013
Background
Total Worker HealthTM (NIOSH)
Integrated Approaches
Integrated Interventions
Integrated Management Systems
Background
Work Health Systems 2013
Worksite health management – past or present?
Work Health Systems 2013
Independent functions / efforts
Siloed health resources
Fragmented data
Limited resources
Siloed (parallel) management approaches
Are silos getting in the way?
Work Health Systems 2013
Workplace
Insurance
Regulation
Government
Motivation
If you change the way you look at things – the things you look at change
Dr Wayne Dyer
Work Health Systems 2013
We are all connected
Work Health Systems 2013
We are all connected – workplaces, people, communities
World Health Organisation Action Framework
Total Worker Health TM (NIOSH)
Work Health Systems 2013
Definition:
Total Worker Health™ (TWH) is a strategy integrating occupationalsafety and health protection with health promotion to prevent
workerinjury and illness and to advance health and well being (NIOSH
2012).
simply put, where the total health of the worker, in the broadest possible sense, is optimized’ (NIOSH 2013).
Background Reading:Seminal research papers available at:http://www.cdc.gov/niosh/docs/2012-146/pdfs/2012-146.pdf
What is an integrated approach?
Work Health Systems 2013
Health screening & services (i.e. Work Health Checks)
Promoting healthy behaviours
Creating a health promoting environment
Workplace safety measures
Control of workplace hazards
Health & Safety Training
Effective incident & injury / illnessManagement
Decreasing job strain / demands
Fostering social support among workers
Effective stress & conflict management
Supporting work-family balance
Medical care access
Paid sick and personal leave
Child and elder care services
Job training & education
Adequate wages & salaries
Effective leadership
EAP
Preventing work-related illness, injury and
disability
Reducing work -related stress
Expanding work-related
resources and opportunities
Disability prevention approach
Work Health Systems 2013
What is an integrated approach?
Continuum to integration – where are you?
Work Health Systems 2013
OH&S
Independent efforts
Work injuryManagement
Health Promotion
Workers compensationmanagement
Linked messagesIntegrated approaches
Integratedworker health protection & promotion
Integrated management systems
Integrated data and evaluationShared data / reports
What does this look like?
The integrated approach – who could be at the table?
Safety Injury management Workers compensation Health promotion & wellbeing Finance HR Management Employees Union Others (i.e. procurement, consumers)
Work Health Systems 2013
Example – integrated messages
Work Health Systems 2013
‘Gear up for Health’ (Gloria Sorenson – Harvard University)
Target: Smoking cessation & weight management– truck drivers
How: Telephone intervention (at least 1 phone call)
Cohort: 227 agree to participate (697 eligible)40% tobacco users88% BMI 25% or >
Intervention: Telephone counselling with motivational interviewingTailored feedback report Targeted educational materials
Example – integrated messages
Work Health Systems 2013
Targeted messages:
Acknowledge factors on the job – i.e. independencebut also time pressures, weather, traffic, long hours
Linked to behaviours:
‘Tobacco doesn’t fix stress’Interactions of exposures to chemicals & tobaccoEating healthy on the road‘Eat for job security’
Results (Sorenson et al cancer causes and control, 2010)
Adjusted smoking quit rates:
23.9% for participants Vs 9.1% for non participants
Example – Integrated intervention
Work Health Systems 2013
‘Take a stand’ Project (Nico Pronk – Health Partners 2012, Harvard University)
Target: Physical inactivitySedentary office practices
-risk factor for many health issues (occupational & personal)
How: Installation of sit-stand devices7 week project
Example integrated intervention
Work Health Systems 2013
Results
Increased non sitting time by > 1 hour per dayReduced upper back, neck & shoulder painImproved mood statesIncreased face to face time during work
Participants felt: More comfortable, healthier, energised, more focussed, more
productive, happier and less stressed
Removal of the device eliminated most of the improvements due to the intervention
Recent scientific publication on the “Take-a-Stand” project in Preventing Chronic Disease, the CDC e-journal (August, 2012)
Example integrated intervention
Psychological Health – recent example from my practice
Issue: Interpersonal conflict - complaints, disputes, absence, productivity of team, work injury stress claims
Response: - Conflict Management Coaching (individuals), - Mediation between parties involved
Real Issues: - Ineffective supervisory behaviours & responses- Poorly managed organisation change in performance
& management expectations- Inadequate policy & management framework- Inconsistent HR management practices- ‘make it go away’ attitude
Work Health Systems 2013
Example integrated intervention
Psychological Health – recent example from my practice
Action plan:
Resolve immediate conflictsRestore team functionReview management & HR framework
Investigation – employee surveys, injury statistics, absence, claims, culture, compliance, interviews, EAP utilisation
Policy and procedural review & re-development HR – appetite for change in management responses, benefits mix
Psychological risks / health focus to OHS committeeImplementation new policies with training & educationHealth promotion messages linked to behavioural risks of workplace
Work Health Systems 2013
Work Health Systems 2013
Example of an IntegratedManagement System
Integrated Management Systems(Harvard 2012)
Essential Elements
Work Health Systems 2013
Why do it?
Work Health Systems 2013
Why do it - Benefits?
Work Health Systems 2013
Healthier workers:
Less prone to work injury (i.e. MSD)
More resilient to ‘stress’
Absent less, more productive
Recover / RTW sooner from injury
More engaged at work
Manage ‘warning signs’ of illness/disease early
Why do it - benefits?
Work Health Systems 2013
Healthier workplaces:
Most diseases, injuries and other health conditions experienced by working people are multifactorial, as workforce ages
Improved health behaviour results in increased participation in safety programs
Reduces rates of work injury (reduced lost time, workers compensation costs)
Resources are optimised
Workforce health, productivity, resilience & engagement is optimised
Creates more efficient and effective processes & outcomes ‘across the board’
Challenges to integration?
Some include:
Where to begin?Moving beyond compliance Evidence for benefits of health promotion & integration Silos – disciplinary & departmentManagement / employee alignmentEmployee engagement, communicationEstablishing the business case –budget, resources, staff time, tools, ROIPhysical & social environmentCulture, PoliticsData
Work Health Systems 2013
The opportunities?
Challenge & courage
Health in all decisions
Culture of health
Work Health Systems 2013
Motivation
If you change the way you look at things – the things you look at change
Dr Wayne Dyer
Work Health Systems 2013
