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Social Security Organisation of Malaysia
REHABILITATION, REINTEGRATION OF INJURED WORKERS
Datin Dr. Nik Amsharija bt Mohamed
General Manager
Medical and Rehabilitation Department
Operation Division
SOCSO
ILO/ISSA INTERNATIONAL SAFETY AND HEALTH CONFERENCE CHALLENGES AND SOLUTIONS IN A GLOBAL ECONOMY-GLOBAL ACTION FOR PREVENTION Dussedoff, Germany 28th -29th October 2015
Social Security Organisation of Malaysia
• Statutory Organization governing Employment Injury Insurance Scheme & Invalidity Pension Scheme in Malaysia.
o CORPORATE GOAL - To provide comprehensive social security protection for Malaysians.
o CORPORATE OBJECTIVE - To ensure and guarantee the timely and adequate provision of benefits in a socially just manner and to promote occupational health and safety.
SOCSO Malaysia
Social Security Organisation of Malaysia
Currently insuring 15.5 million workers & 976,039 employers
(All workers with income of RM3000 and below)
Contribution of 2.25% of the average salary
1.25% Employment Injury Scheme (Funded by Employer)
& 1% for Invalidity Pension Scheme (Equally Shared by Employer and Employee)
Manage over 111,926 new Claims/per year
Over 63,331 accidents
Over 18,490 permanently disabled
Over 18,072 claiming for invalidity (≈7000 certified invalid)
Over 12,033 claiming for survivor’s pension.
SOCSO Malaysia
SOCSO’s RTW Programme
In 2007, SOCSO launched the RTW Program to assist SOCSO
Insured Person to return to employment through
systematic disability case management
Social Security Organization of Malaysia Social Security Organization of Malaysia
Comprehensive Case Management Early Intervention
Successful Rehabilitation and Return To Work
Social Security Organisation of Malaysia
Social Security Organisation of Malaysia
Disability Evaluation Pathway
Establishing a relationship between injury and workplace: (CAUSATION) Establishing illnesses or morbidity : Invalidity Scheme
Accurate Diagnosis, Prompt Treatment and Rehabilitation process
RTW Program and reducing unnecessary Disability Duration
Impairment and Disability Evaluation
Settlement and Resolution
Standard Case Management Protocols
Systematic but individualized protocols are applied during the whole process. Rehabilitation plans are personalized by SOCSO’s Case Managers. Every Case is different!
Social Security Organisation of Malaysia
Biopsychosocial Intervention
Physical
Social Psychological
Social Security Organisation of Malaysia
Social Security Organisation of Malaysia A
ccid
ent
Surg
ery
Acu
te In
pat
ien
t Tr
eat
me
nt
No
Tre
atm
en
t
Ph
ysic
al R
eh
ab
No
Tre
atm
en
t
Vo
cati
on
al
Re
hab
GO
AL?
??
Pro
sth
esi
s?
No
Tre
atm
en
t
Pathology of a Disability
Prolonged Disability Duration?
No
Tre
atm
en
t
No
Tre
atm
en
t
No
Tre
atm
en
t
Role of Disability Management
Social Security Organisation of Malaysia A
ccid
ent
Surg
ery
Acu
te In
pat
ien
t Tr
eat
me
nt
No
Tre
atm
en
t
Ph
ysic
al R
eh
ab
No
Tre
atm
en
t
Vo
cati
on
al
Re
hab
GO
AL?
??
Pro
sth
esi
s?
No
Tre
atm
en
t
Social Security Organisation of Malaysia A
ccid
ent
Surg
ery
Acu
te In
pat
ien
t Tr
eat
me
nt
Ph
ysic
al R
eh
ab
Vo
cati
on
al
Re
hab
GO
AL?
??
Pro
sth
esi
s?
No
Tre
atm
en
t
No
Tre
atm
en
t
No
Tre
atm
en
t
Social Security Organisation of Malaysia A
ccid
ent
Surg
ery
Acu
te In
pat
ien
t Tr
eat
me
nt
Vo
cati
on
al
Re
hab
GO
AL?
??
Ph
ysic
al R
eh
ab
Pro
sth
esi
s?
Social Security Organisation of Malaysia A
ccid
ent
Surg
ery
Acu
te In
pat
ien
t Tr
eat
me
nt
Vo
cati
on
al
Re
hab
GO
AL?
??
Ph
ysic
al R
eh
ab
Pro
sth
esi
s Treatment Physical Rehabilitation
Vocational Rehabilitation Constant Communication
Constant Monitoring
Improve Disability Durations Maintain Stakeholder Relations Safer recovery Return to Work or Retain @ Work
DISABILITY MANAGEMENT
Rehabilitation & Disability Management
Workplace Intervention Safe and Healthy
Workplace
SOCSO Disability Case Manager
Job Placement
Treatment
RTW Goals
Same Job Same Employer
Similar Job Same Employer
Different Job Same Employer
Rehabilitation
Modifications
Same Job Different Employer
Similar Job Different Employer
Different Job Different Employer
Vocational Retraining
1 2 3 4 5 6
Orthotics & Prosthetics
Social Security Organisation of Malaysia
1. Physical Rehabilitation -Orthotics -Prosthetics -Implant -Assistive devices 2. Vocational Rehabilitation 3. Return To Work program
Rehabilitation Facilities
KEMENTERIAN SUMBER MANUSIA
Social Security Organization of Malaysia
Social Security Organisation of Malaysia
The SOCSO Rehabilitation Centre A 55 Acre Facility Dedicated to Return-to-Work
Social Security Organisation of Malaysia
$3,239.38
$7,884.06
$0.00
$1,000.00
$2,000.00
$3,000.00
$4,000.00
$5,000.00
$6,000.00
$7,000.00
$8,000.00
$9,000.00
Average Program Cost PerInsured Person
Average Returns to SOCSO
Cost Analysis
Average Program Cost per Insured Person
RM3,239.38 (≈US$1,063)
Average Possible Returns (Social System)
RM7,884.06 (≈US$2,588)
N = 1008
Net Benefit of (RM7,844.06 – RM3,239.38) = RM4,644.68
Other Social (qualitative)
Benefits
+
DM program benefits outweigh costs by a 1.43 : 1
ratio.
Rehabilitation & RTW: An investment!
5.12 5.10 6.00 5.93 6.03 5.56 6.04 6.42 6.45
7.20 7.10 7.47 6.86 7.15
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
Before After
14.64 13.21 14.93
8.21 7.04
8.75
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
Depression Anxiety Stress
Before Programme After Programme
Significant increase in
skills, career goals,
independence, self-
esteem, self-confidence,
health condition and pain
tolerance.
Decrease in depression,
anxiety and stress.
“
”
Social Security Organisation of Malaysia Social Security Organisation of Malaysia
Social Security Organisation of Malaysia
Social Sustainability and Stability?
Social Security Organisation of Malaysia
Acc
iden
t Poor Case Management No Rehabilitation Strategies
No Monitoring of Insured Person’s Progress
Outcome? RTW
Possibilities? ???
= Contribution Based (Social Solidarity)
Social Security Organisation of Malaysia
Acc
iden
t Poor Case Management No Rehabilitation Strategies
No Monitoring of Insured Person’s Progress
Outcome? RTW
Possibilities? ???
= Contribution Based (Social Solidarity)
Injured Workers
Sustainability of the Social System?
Social Security Organisation of Malaysia
Acc
iden
t Poor Case Management No Rehabilitation Strategies
No Monitoring of Insured Person’s Progress
Outcome? RTW
Possibilities? ???
= Maintaining Balance To the Social System
PR
EVEN
TIO
N
Disability Case Management Medical Rehabilitation
Vocational Rehabilitation Systematic RTW Strategies
RETURN TO
WORK
Retaining Workers at Work or Return to Work
Injured Workers
Sustainability of the Social System?
Social Security Organisation of Malaysia
11878 WORKERS SUCCESSFULLY RTW
(Source : SOCSO RTW PROGRAM Jan 2007 -31 August 2015 )
‘Work is a good indicator of health’
The Right to work: Innovative Policies and Good Practices For Persons With Disabilities,
2012
Good Practices Award (Certificate of Merit) For Asia & Pacific, 2012 Human Rights Award, Malaysia (2013)
