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Occupational and Environmental Health

NursingLynn Green APNP-BC, NP-C, MHC, MSNOccupational/Integrative Health Nurse

Practitioner

OverviewStatisticsFocus and scope of Occupational Health

Nursing (OHN)TreatmentHealth PromotionCase ManagementHazard DetectionRegulatory Aspects

Facts Related to Health Care CostsApproximately 50% of company profits go

towards health careLost productivity from injury and illness cost

companies $60 billion yearlyApproximately $170 billion spent yearly on

work-related injury and illness – directly reducing a company’s bottom line

Poor employee health = $1 trillion in costs to businesses annually

Sources: Sullivan, S (2000) Wellness programsUS Department of Labor, Occupational Safety and Health Administration, Publication 3180AAOHN (2009)

OHN Impact on Health Care Costs

Promote and restore employee wellnessPrevent illness and injuryProvide cost-effective management of

disability and workers comp programsProtect employees from occupational and

environmental hazards

OHN Role Positioned to:

Collaborate with employees to develop ‘good health habits’

Leverage health related programs and services to increase employee accountability

Champion health and safety practices within employee populations

Guide the company through regulatory and legal mazes

Sources: WELCOA Absolute Advantage

Realized Cost Savings 20% to 40% reduction in injury and illness

costs with established programs (OSHA)95% of business executives reported

positive impact on financial performance as a result of workplace safety (Liberty Mutual Insurance)

$24 return on every $1 spent on company wellness programs by small businesses (WELCOA)

Key Facts about Health and Wellness Programs

$300-$450 savings per employee each year for every $100-$150 spent per employee for participation in corporate wellness programs

Productivity losses linked with workers who have chronic diseases are as much as 400% more than the cost of treating chronic disease

57% of all global deaths annually are chronic disease related with an expected increase of 23% over the next 20-25 years.

Sources: WELCOA Absolute AdvantageWorking towards wellness: Accelerating the prevention of chronic disease (2006) Pricewaterhouse Coopers’ report

Case ManagementCoordinate and manage work- and non work-

related injuries and illnessGroup healthWorkers’ compensationFamily Medical Leave Act (FMLA)Short term and long term disability (STD &

LTD)Americans with Disabilities Act (ADA)

Counseling and Crisis InterventionWork related illness and injuriesSubstance abusePsychosocial needsWellness/health promotion concernsHealth concernsWork-related concernsReferral to and management of Employee

Assistance Programs (EAP)

Health Promotion and Risk ReductionDesign programsImmunizationSmoking cessationExercise/fitness/nutrition/weight controlStress managementMonitoring of chronic disease and effective

use of medical services

Legal and Regulatory ComplianceState and federal regulationsOccupational Safety and Health

Administration (OSHA)FMLAHealth Insurance Portability and

Accountability Act (HIPAA)DOT Commercial Drivers

Hazard Detection

Recognize and identify hazardsMonitor, evaluate and analyze

hazardsSelect and implement preventive

and control measures as a continual process

SummaryOHNs contribute significantly to the “bottom

line.” OHNs help employees develop and maintain

healthy and productive lifestyles. OHNs recognize potentially hazardous health

conditions and treat or refer before productivity suffers and costs increase.

OHNs provide reliable, critical health and safety education which is otherwise nearly impossible to obtain.

OHNs guide a company through the maze of regulatory and legal issues.

Occupational and Environmental Health

NursingLynn Green APNP-BC, NP-C, MHC, MSN

Occupational/Integrative Health Nurse PractitionerGreen & Associates, Consultants, LLC

920-606-8600