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SAFETY

AWAKENING

SIMILIARITY

STORIES

PRACTICES

What is the main purpose of

workplace health promotion?

What is the main purpose of

workplace health protection?

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PURPOSESAFEHEALTHYVIBRANTENGAGEDHIGH PERFORMINGIN WORK AND LIFE…

Creating a culture of…

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Shared belief system of practices that integrate __________ into business operations at every level of the organization

WHY WE NEED WELLNESS & SAFETY

Annually, employees report nearly 4 million nonfatal

workplace injuries and illnesses

5,190 occupational deaths/year; 14/day

Nearly 50% of Americans have one chronic health condition,

and almost 1/2 of this group have more than 1 condition

By 2020, 1 in 4 American workers will be 55 years of age+

74% of Americans report work as major stressor

NIOSH Top Reasons to Create a New Pathway for a Safer and Healthier Workforce, 2014 7

Healthcare (Direct Costs)

Medical claims

Pharmaceutical

Lost Productivity (Indirect Costs)

Presenteeism

Short Term Disability

Long Term Disability

Absenteeism

Workers Compensation

Visible Costs

Non-Visible Costs

Indirect costs represent 2-3 times direct medical costsCCH Survey, October 26, 2006; Loeppke, etal., JOEM, 2003.

67%

33%

Healthcare (Direct Costs)

Medical costs & Premiums

Indemnity

Disability payments (TTD, PPD)

Claims handling

Lost Productivity (Indirect Costs)

Equipment & materials damages

Productivity delays

Loss work time & Temp work

Retraining

OSHA fines

Morale & Customer relationships

Visible Costs

Non-Visible Costs

Indirect costs 2-3 times larger

CCH Survey, October 26, 2006; Loeppke, etal., JOEM, 2003.

Burden ofWork-related

Injury, Disease, Death

Economic losses

Loss of ability to perform family and social roles

Depression

Anxiety

Impaired relationships

Divorce

Direct medical costs

Vocational rehab expenses

Pensions and wage-replacement

Indirect costs (productivity): Production interruption, Accident investigation, Recruiting and training replacement

Percent of GDP

Higher consumer prices

Productivity

Loss of human capital

Work-related costs in private insurance

Burden of Occupational Injury & Illness

(Dembe 2001, Schulte 2005, Leigh 2011, Takala et al. 2014)

WORKER WORKER’SFAMILY

EMPLOYER SOCIETY

Disability

Economic loss Living and working with pain

Loss of contribution to community life

Loss of opportunities

Emotional impact

SAFETY ALREADY EMBEDS WELLNESS

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Days TTD 285% higher for WC claims with multiple comorbidities and 274% for those with an addiction

Surgery rates increased 140% for WC claims involving obesity

Total incurred costs increased 341% for claims with multiple comorbidities

Harbor Health Systems 2016

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Employees with high levels of physical fitness recover from injuries faster?

Harbor Health Systems 2016

TRUE OR FALSE?

Risk Assessment

WELLNESS SAFETY

Habits

Health status/checks

& compliance

Hazards

Policy/Practice

compliance

BEHAVIORS

Risk Process

ASSESS

STRATEGY

SYSTEMATICSAFETY ALREADY

EMBEDS WELLNESS

Extraordinary power of

care

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Colorado School

Public Health

Listen with intent to teach

3 Key findings

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What predicts health-related

productivity at work?

1. Previous work injury (past year)2. Physical task difficulty3. Average-level chronic health conditions

What did you hear? What does this mean?

Singing the same song, how write the music

together

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INTEGRATION

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SFM Mutual InsuranceListen with intent to teach

Key message?

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1. List health promotion

2. List health protection

Already Exists

wellness

safety

workers

management

Coordinated

planning

All levels

participate

Integrated Approach

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Why a participatory process?

Employee health

self-confidence

Knowledge from

employees’ experience

…to change behaviors

…to change conditions

…to make decisions

…to support co-workers

…to sustain the program

…to discover root causes of

physical, social, mental stress

…to discover root causes of

unhealthy behaviors

…to contextualize solutions

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1. List health promotion

2. List health protection

3. List opportunities for

cross-pollinating

Already Exists

Organizational Culture & Leadership1. Develop a “Human Centered Culture”2. Demonstrate Leadership3. Engage Mid-Level Management

Program Design4. Establish Clear Principles5. Integrate Relevant Systems6. Eliminate Recognized Occupational

Hazards7. Be Consistent8. Promote Employee Participation9. Tailor Programs to the Specific

Workplace10. Consider Incentives and Rewards

11. Find and Use the Right Tools

12. Adjust the Program as Needed

13. Make Sure the Program Lasts

14. Ensure Confidentiality

Program Implementation & Resources15. Be Willing to Start Small & Scale Up

16. Provide Adequate Resources

17. Communicate Strategically

18. Build Accountability into Program

Implementation

Program Evaluation19. Measure and Analyze

20. Learn from Experience

Essential Elements of Integrated Programs

Stories from the field…

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Human Centered DesignHealth Belief Model RTW

Fear of Avoidance Model

Human Centered DesignHealth Belief Model RTW

Fear of Avoidance Model

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Review list opportunities for

cross-pollinating

Opening Doors

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CLOSING THOUGHTS

Purpose Process People are the same!

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SCOPEWELLNESSNSC Principles Occupational Health & SafetyNSC Safety Management Techniques

SAFETYACE Behavior Change SpecialistACE Health Coach

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SYNERGY

What new insights are beginning emerge?