Return To Wok: Challenges & Opportunities by Mr Edmund Cheong
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Return To Wok: Challenges & Opportunities by Mr Edmund Cheong

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COSH 2011

COSH 2011

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Return To Wok: Challenges & Opportunities by Mr Edmund Cheong Return To Wok: Challenges & Opportunities by Mr Edmund Cheong Presentation Transcript

  • Social Security Organisation of Malaysia Investing in People Return to Work: Challenges and Opportunities Edmund Cheong, CDMP Social Security Organisation Malaysia COSH 2011 - OSH: Empowerment. Accountable. Responsive. Kuala Lumpur Convention Centre 19 July 2011
  • Social Security Organisation of Malaysia Investing in People Health?
  • Social Security Organisation of Malaysia OSH - Definition Occupational health should aim at: • the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations; • the prevention amongst workers of departures from health caused by their working conditions; • the protection of workers in their employment from risks resulting from factors adverse to health; • the placing and maintenance of the worker in an occupational environment adapted to his physiological and psychological capabilities; and, to summarize, the adaptation of work to man and of each man to his job.
  • Social Security Organisation of Malaysia Disability Management (RTW) Case Management is a collaborative process that facilitates recommended efficient treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals. Planning and coordination of health care services appropriate to achieve the goal of medical rehabilitation. Medical case rehabilitation management may include, but is not limited to, care assessment assessment, including personal interview with the client, and assistance in developing implementing and coordinating a developing, medical care plan with healthcare providers as well as the providers, clients and his/her family evaluation of treatment results while promoting cost-effective care. cost- cost-effective care
  • Social Security Organisation of Malaysia Investing in People The Relations of OSH & DM Occupational Promotion Disability Safety & of Health Management Health
  • Social Security Organisation of Malaysia Investing in People SOCSO’S RTW/DM PROGRAM • This program is established with the objective of assisting SOCSO’s Insured Persons with employment injury as well as those claiming for invalidity pension to be able to return to work. (Disability Management)
  • Accident SurgeryAcute Inpatient TreatmentNo Treatment Prosthesis?Physical Rehab Pathology of a ClaimNo Treatment Social Security Organisation of Malaysia Vocational Prolonged Disability Duration? RehabNo Treatment GOAL??? Investing in People
  • Accident SurgeryAcute Inpatient TreatmentNo Treatment Prosthesis?Physical Rehab Disability ManagementNo Treatment Social Security Organisation of Malaysia Vocational RehabNo Treatment GOAL??? Role of the RTW Program? Investing in People
  • Accident SurgeryAcute Inpatient Treatment No Treatment Prosthesis?Physical Rehab No Treatment Social Security Organisation of Malaysia Vocational Rehab No Treatment GOAL???
  • Accident SurgeryAcute Inpatient Treatment Prosthesis?Physical Rehab Social Security Organisation of Malaysia Vocational Rehab GOAL??? Investing in People
  • Social Security Organisation of Malaysia Investing in People SOCSO Disability Case Manager DISABILITY MANAGEMENT Improve Disability Durations Acute Inpatient Physical Rehab Treatment Workplace Intervention Vocational Maintain Treatment Prosthesis GOAL???Accident Physical Rehabilitation Healthy Surgery Safe and Rehab Vocational Rehabilitation Workplace Stakeholder Constant Communication Rehabilitation Relations & DisabilityConstant Monitoring Management Safer recovery Return to Work or Retain @ Work
  • Social Security Organisation of Malaysia Investing in People Challenges
  • Social Security Organisation of Malaysia Investing in People The Social Issue
  • Social Security Organisation of MalaysiaThe Social Issue? – The Micro Perspective Often spouses Injury Leads to Disability become disabled as well Affecting Love Ones
  • Social Security Organisation of Malaysia The Social Issue? – The Micro Perspective Often spouses Productivity/Affecting Siblings become Injury Leads to Disability Employers disabled as well A MICRO ISSUE Disabled Family A BECOMES A MACRO ISSUE Affecting Love Ones Community Country?
  • Social Security Organisation of Malaysia Cases According to Injury/Diseases “Severe” to “Exteremely Severe” Levels (DASS21) 10 5 Head 3% 1% Neck 7 60 41 3 56 Trunk/Back 2% 16% 1% 14% Upper Limbs 24 6% 50 Multiple Locations 13% Lower Limbs 116 54 General Injuries 30% 14% Unspecified Locations Psychology N=385 Diseases 31 68
  • Social Security Organisation of Malaysia Investing in People The Economical Issue
  • Social Security Organisation of Malaysia Investing in People Social Sustainability
  • Social Security Organisation of Malaysia = SOCSO Contributors (Social Solidarity) No RTW Strategies ??? Accident Outcome? No Rehabilitation Strategies RTW No Monitoring of Insured Person’s Possibilities? Progress
  • Social Security Organisation of Malaysia Collapse of the = SOCSO Contributors (Social Solidarity) Social System No RTW Strategies ??? Accident Outcome? No Rehabilitation Strategies RTW No Monitoring of Insured Person’s Possibilities? Progress Injured Workers
  • Social Security Organisation of Malaysia Collapse of the = Maintaining Balance To the Social System Social System PREVENTION Disability Case Management No RTW Strategies RETURN ??? Accident Outcome? NoMedical Rehabilitation Rehabilitation Strategies No Monitoring of Insured Person’s Vocational Rehabilitation TO RTW Possibilities? Systematic RTW Strategies Progress WORKRetaining Workers at Work or Return to Work Injured Workers
  • Social Security Organisation of MalaysiaReported Accidents 2000 - 2010100,000 95,00690,000 85,926 81,81080,000 75,386 73,858 69,13270,000 67,163 63,423 61,182 58,321 57,65660,000 56,249 56,339 55,186 54,133 50,80350,000 43,885 40,617 38,65740,000 35,092 35,616 34,37630,000 20,810 22,040 19,620 18,387 18,329 19,04120,000 17,170 17,609 17,297 17,704 17,68210,000 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Total Accidents Reported Industrial Accidents Commuting Accidents
  • Social Security Organisation of Malaysia Reported Accidents vs Benefit Payments350,000,000300,000,000 306,382,930 274,841,608250,000,000 214,624,319200,000,000 187,892,229 166,746,360 171,535,250 70,168,886 1150,000,000 153,510,745 147,189,831100,000,000 109,177,424 104,007,611 85,213,889 94,063,947 63,240,962 61,989,990 71,176,577 67,864,706 71,777,133 50,000,000 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 Payment for Temporary Disablement Benefits Payment For Permanent Disablement Cases
  • Social Security Organisation of MalaysiaContribution vs Payment (Invalidity)
  • Social Security Organisation of MalaysiaCrisis in the making? Investing in People Number of healthy Current Number of Number of workers number of Workers Workers needed to workers Contributing needed to sustain 1 contributing to the Social Compensatio sustain the Benefit (one) for 1 (one) Year System Contribution n system Recipients recipient recipient 2007 5.45mil $1.7bil $1.1bil 3.5mil 290,463 11.89 18.77 2008 5.67mil $1.8bil $1.2bil 3.7mil 320,615 11.56 17.68 2009 5.62mil $1.9bil $1.4bil 4.1mil 324,798 12.56 17.31 2010 5.47mil $2.0bil $1.7bil 4.6mil 347,125 13.34 15.75 2007 – Surplus of 6.88 workers 2008 – Surplus of 6.13 workers 2009 – Surplus of 4.76 workers 2010 – Surplus of 2.41 workers
  • Social Security Organisation of MalaysiaCrisis? Investing in People Strategy?20.00 Increase Malaysian 18.77 17.68 17.31 Workers population?15.00 15.75 13.34 Increase contribution? 11.89 12.56 RTW? 11.5610.00 6.88 6.12 5.00 4.75 Strategy? 2.41 Cut down Benefit? 0.00 Pay for lower quality services/equipment? 2007 2008 2009 2010 RTW? Jumlah Pekerja yang mencarum benefit recipient No of workers contributing for one untuk satu penerima faedah Jumlah Pekerja yang to pay one benefit recipient No of workers needed diperlukan untuk menanggung satu penerima faedah Jumlah Lebihan Pekerja Surplus Workers
  • Social Security Organisation of Malaysia Investing in People Opportunities?
  • Social Security Organisation of Malaysia Investing in People RTW in OSH?
  • Social Security Organisation of Malaysia OSH - Definition Occupational health should aim at: • the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations; • the prevention amongst workers of departures from health caused by their working conditions; • the protection of workers in their employment from risks resulting from factors adverse to health; • the placing and maintenance of the worker in an occupational environment adapted to his physiological and psychological capabilities; and, to summarize, the adaptation of work to man and of each man to his job.
  • Social Security Organisation of Malaysia Investing in People Practice in OSH?Worker gets What happens to injured the worker? Investigate INVESTIGATE Report Return ACCIDENT PREVENT FIRST AID PREVENT REPORT to Work Disability Retain Management Rehabilitation & Integration @ Work Prevention stops the vicious cycle
  • Social Security Organisation of Malaysia Investing in People Conclusion
  • Social Security Organisation of Malaysia Oscar Pistorius the fastest man on no legs In 2007 Pistorius took part in his first international competitions for able-bodied athletes. able- However, his artificial lower legs, while enabling him to compete, generated claims that he has an unfair advantage over able- able-bodied runners. runners
  • Social Security Organisation of Malaysia Investing in People “Workplace never discriminates… those around do…” “Disability is God given, Handicap is man made…” “Opportunity and not sympathy…”
  • Social Security Organisation of Malaysia Investing in People Thank you Pertubuhan Keselamatan Sosial 03-4264 5357 edmund.cheong@perkeso.gov.my BlackBerry PIN:254A5745