Logic Health. It makes sense
5 Essential considerations to
implementation of a
musculoskeletal or
cardiovascular risk redu...
Logic Health. It makes sense
My Background
Logic Health. It makes sense
Logic Health. It makes sense
Background
Logic Health. It makes sense
In the past ten years there has been a significant in...
Logic Health. It makes sense
Outline
1) Essential Research
2) Designing Metrics
3) Collecting Baseline
4) Implementation
5...
Logic Health. It makes sense
Outline
“While health and wellbeing programs are flourishing in the
workplace and the breadth...
Logic Health. It makes sense
Why
“The increase in preventable disease and workplace injury
resulting from unhealthy living...
Logic Health. It makes sense
Why
Employees are a companies greatest asset.
It is estimated that we spend about 50% of our ...
Logic Health. It makes sense
Why
Logic Health. It makes sense
Logic Health. It makes sense
Why – Cardiovascular Risk
Logic Health. It makes sense
3 in 5
Australian adults are overweigh...
Logic Health. It makes sense
Why – Cardiovascular Risk
Logic Health. It makes sense
Over 30%
more people living in outer r...
Logic Health. It makes sense
Why – Musculoskeletal Risk
Logic Health. It makes sense
Sprains & strains of joints & adjacen...
Logic Health. It makes sense
Why – Musculoskeletal Risk
Logic Health. It makes sense
Manual handling mechanisms (Muscular ...
Logic Health. It makes sense
1. Essential Research
Logic Health. It makes sense
Logic Health. It makes sense
Essential Research-Best Practice
“Best practice programs are;
• Well planned,
• Designed and ...
Logic Health. It makes sense
Essential Research
Building the foundations of a program is arguably the most
important consi...
Logic Health. It makes sense
Know your why
Why do you want to implement a program?
What do you want to achieve?
• Current ...
Logic Health. It makes sense
Support
Senior Management –
Management support for both the program and participants is
essen...
Logic Health. It makes sense
Support
HAPIA suggests roles that must be embraced by senior leadership
1) Creating the visio...
Logic Health. It makes sense
Tips for Managment Support
To gain management support provide evidence of the issue/pain
and ...
Logic Health. It makes sense
Tips for Managment Support
Your ROI needs to outline the current cost of your pain. For
examp...
Logic Health. It makes sense
Tips for Managment Support
Logic Health. It makes sense
Tips for Managment Support
Logic Health. It makes sense
Tips for Managment Support
Logic Health. It makes sense
Support
Key Stakeholders – HSE, HR, Brokers/Insurers
This needs to be embraced by each stakeh...
Logic Health. It makes sense
Essential Research
Employees
What would employees like to see and would they be happy to
cont...
Logic Health. It makes sense
Essential Research
Budget – Identify your budget – Management, Broker/Insurer,
Employees
What...
Logic Health. It makes sense
Essential Research
Once you have buy in from all levels you need to start designing
your prog...
Logic Health. It makes sense
Relevant & Realistic
What is wrong with teaching people how to lift safely?
For example “bend...
Logic Health. It makes sense
2 & 3 Designing & Collecting
Metrics
Logic Health. It makes sense
Logic Health. It makes sense
Designing & Collecting Metrics
Majority of programs implemented are not measured therefore
th...
Logic Health. It makes sense
Designing & Collecting Metrics
Metrics should be directed by what you want to target– If your...
Logic Health. It makes sense
Metric Considerations
Are your metrics cost effective?
Are they lagging?
Do you need to engag...
Logic Health. It makes sense
Designing & Collecting Metrics
HR – Absenteeism, Turn Over, Pre-Employment scores
HSE – Manua...
Logic Health. It makes sense
Designing & Collecting Metrics
1. Ensure a regular, comprehensive, systematic evaluation proc...
Logic Health. It makes sense
Designing & Collecting Metrics
5. Assess if the program is attracting the volume of participa...
Logic Health. It makes sense
4. Implementation
Logic Health. It makes sense
Logic Health. It makes sense
Implementation - Relevant
Once you have management support this process is a lot simpler
Prog...
Logic Health. It makes sense
Implementation - Inclusive
You must involve all stakeholders – An injury prevention program
c...
Logic Health. It makes sense
Implementation -Promotion
Hold a program launch such as a lunch BBQ or Breakfast:
An event to...
Logic Health. It makes sense
Engagement & Sustainability
Incentives and rewards: Offering incentives and rewards for
parti...
Logic Health. It makes sense
Engagement & Sustainability
Privacy and confidentiality – alleviate concerns of data
ownershi...
Logic Health. It makes sense
Implementation
• What resources are you going to utilise and are they readily
accessible to s...
Logic Health. It makes sense
Implementation
Tips
• Utilise free resources
• Apply for funding
• Incorporate the family
• H...
Logic Health. It makes sense
5. Measuring Success
• Repeat of collecting baseline
• This may simply be collating statistic...
Logic Health. It makes sense
Further Resources
• HAPIA
• WELCOA
• Work Safe Australia
• Healthier Workplaces WA
• Live Lig...
Logic Health. It makes sense
Thank You
Eoghan McKenna
0409 201 482
Logic Health
eoghan@logichealth.com.au
Logic Health. It...
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Eoghan McKenna - Logic Health - Essential steps in designing a health & injury prevention program to reduce workers compensation premiums

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Eoghan McKenna delivered the presentation at the 2014 Perth Safety in Action Conference.

The 2014 Perth Safety in Action Conference focused on enhancing compliance, productivity and affordability for big and small business. Highlights included an international keynote address from Neville Rockhouse, the Safety and Training Manager for Pike River Coal in New Zealand.

For more information about the event, please visit: http://www.safetyinaction.com.au/SIAPerth14

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Eoghan McKenna - Logic Health - Essential steps in designing a health & injury prevention program to reduce workers compensation premiums

  1. 1. Logic Health. It makes sense 5 Essential considerations to implementation of a musculoskeletal or cardiovascular risk reduction program Logic Health. It makes sense
  2. 2. Logic Health. It makes sense My Background Logic Health. It makes sense
  3. 3. Logic Health. It makes sense Background Logic Health. It makes sense In the past ten years there has been a significant increase in workforce cardiovascular & musculoskeletal programs, in the form of health & wellbeing programs and injury prevention programs.
  4. 4. Logic Health. It makes sense Outline 1) Essential Research 2) Designing Metrics 3) Collecting Baseline 4) Implementation 5) Measuring Success Logic Health. It makes sense
  5. 5. Logic Health. It makes sense Outline “While health and wellbeing programs are flourishing in the workplace and the breadth of the programs being implemented is wide, it is not always the case that their planning, design, implementation and evaluation is based on best practice”. Effective Health & Wellbeing Programs – Australian Government Comcare, 2010 Logic Health. It makes sense
  6. 6. Logic Health. It makes sense Why “The increase in preventable disease and workplace injury resulting from unhealthy living and low levels of physical activity are a major cause of workplace absence or disruptions. Many workplaces are reporting high levels of sick leave, high staff turnover, high staff stress levels, poor job satisfaction, workplace accidents & reduced productivity. ACT Work Safety Commissioner, 2009, Premiers Physical Activity Council, Tasmania 2007 Logic Health. It makes sense
  7. 7. Logic Health. It makes sense Why Employees are a companies greatest asset. It is estimated that we spend about 50% of our waking life at work. Therefore it is an ideal setting to improve population cardiovascular and musculoskeletal health. In order of importance, the workplace is matched only by the education system as the most significant setting to address chronic disease and promote wellness. Centres for Disease Control and Prevention, 2003 Klein, D. (2005). The Case for Corporate Health and Well-being Programs. www.cch.com.au Logic Health. It makes sense
  8. 8. Logic Health. It makes sense Why Logic Health. It makes sense
  9. 9. Logic Health. It makes sense Why – Cardiovascular Risk Logic Health. It makes sense 3 in 5 Australian adults are overweight or obese. That's over 12 million people! 1 in 4 Australian children are overweight or obese. http://www.aihw.gov.au/overweight-and-obesity/
  10. 10. Logic Health. It makes sense Why – Cardiovascular Risk Logic Health. It makes sense Over 30% more people living in outer regional and remote areas are obese than people living in major cities. FIFO workforce. 3rd place Overweight and obesity is only beaten by smoking and high blood pressure as a contributor to burden of disease http://www.aihw.gov.au/overweight-and-obesity/
  11. 11. Logic Health. It makes sense Why – Musculoskeletal Risk Logic Health. It makes sense Sprains & strains of joints & adjacent muscles alone accounting for 42% of all serious claims, with an average claim cost of $33,034 (SRCC 2009). A mental stress claim on average costs 4.5 times more than a body stressing claim. Ageing workforce (48% of seafarers are over 45yrs or older and they accounted for 59% of accepted claims)- Seafarers WorkSafe Australia Compendium of Compendium of Workers’ Compensation Statistics Australia 2010–11
  12. 12. Logic Health. It makes sense Why – Musculoskeletal Risk Logic Health. It makes sense Manual handling mechanisms (Muscular stress while lifting objects and Muscular stress while handling objects) resulted in 33% of all serious claims in 09/10 Median time lost from work has risen 17% from 3.6 working weeks to 4.2 weeks WorkSafe Australia Compendium of Compendium of Workers’ Compensation Statistics Australia 2010–11
  13. 13. Logic Health. It makes sense 1. Essential Research Logic Health. It makes sense
  14. 14. Logic Health. It makes sense Essential Research-Best Practice “Best practice programs are; • Well planned, • Designed and developed with very strong ownership and input from workers, • Are targeted at the stated needs of workers, • Are suitable for the workplace environment, • Are implemented and managed within a strong OHS policy framework, and • They are regularly monitored and evaluated” Effective Health & Wellbeing Programs – Australian Government Comcare, 2010 Logic Health. It makes sense
  15. 15. Logic Health. It makes sense Essential Research Building the foundations of a program is arguably the most important consideration. Must be robust and well planned, this stage may take longer than expected. • Know your why • Set SMART (specific, measurable, achievable, realistic & timely) • Get support • Multi-dimensional focus Logic Health. It makes sense
  16. 16. Logic Health. It makes sense Know your why Why do you want to implement a program? What do you want to achieve? • Current pain (injuries, increased absenteeism, high turn over) • Increase social standing, • Decrease workers compensation premiums • Proactive approach You must identify where organisation factors, not just employee factors, contribute to poor cardiovascular and musculoskeletal health. Logic Health. It makes sense
  17. 17. Logic Health. It makes sense Support Senior Management – Management support for both the program and participants is essential, as well as their active participation. HAPIA suggests that senior management support is critical to building and sustaining successful programs. The wellness council of America states that “when CEO’s value healthy lifestyles and openly practice good health habits, the rest of the organisation is likely to follow in their footsteps. This does not mean they need to be a marathoner it means they just need to value and protect health & wellbeing. Logic Health. It makes sense
  18. 18. Logic Health. It makes sense Support HAPIA suggests roles that must be embraced by senior leadership 1) Creating the vision 2) Gaining Budget & resource commitment 3) Sharing the vision 4) Serving as a role model 5) Rewarding success Logic Health. It makes sense
  19. 19. Logic Health. It makes sense Tips for Managment Support To gain management support provide evidence of the issue/pain and the benefits/ROI of the program. You could do this by: • Developing a written business case proposal on why it makes good sense • Deliver a presentation on the benefits on investing in a program and potential ROI Healthier Workplaces W.A have a template to use.
  20. 20. Logic Health. It makes sense Tips for Managment Support Your ROI needs to outline the current cost of your pain. For example if you want to implement an musculoskeletal risk reduction program you can estimate the cost of an injury using Worksafe Queensland calculator Utilise your insurance broker to discuss potential ROI on musculoskeletal & cardiovascular health and possible contributions. For health costs there are numerous ROI calculators such the one on health workplaces WA.
  21. 21. Logic Health. It makes sense Tips for Managment Support
  22. 22. Logic Health. It makes sense Tips for Managment Support
  23. 23. Logic Health. It makes sense Tips for Managment Support
  24. 24. Logic Health. It makes sense Support Key Stakeholders – HSE, HR, Brokers/Insurers This needs to be embraced by each stakeholder and have their active participation. For example a musculoskeletal program needs to have: • HR form a robust pre-employment and return to work process and procedure, • HSE’s actively involved in risk identification and elimination. • Brokers/Insurance: Rebates & Assistance Ensure departments work together not fragmented. They must embrace the synergies. Logic Health. It makes sense
  25. 25. Logic Health. It makes sense Essential Research Employees What would employees like to see and would they be happy to contribute to some of the initiatives? For example paying a reduced fee for lunchtime resistance band sessions by an external provider. Introduce the concept and conduct a needs analysis – Small focus groups, surveys, workplace environmental audits (facilities). Does the work environment actually support a program? Logic Health. It makes sense
  26. 26. Logic Health. It makes sense Essential Research Budget – Identify your budget – Management, Broker/Insurer, Employees What external resources exist that can be implemented? • Safe Work Australia • PERFORM Program • Live Lighter • Healthier Workplaces WA Does not need to be expensive, utilisation of government resources and funding from broker/insurer can assist. Can you cost share with your neighbours? Logic Health. It makes sense
  27. 27. Logic Health. It makes sense Essential Research Once you have buy in from all levels you need to start designing your program. It must include elements from employee feedback and it also has to relevant, realistic and easy to access. • Establish a vision, clear goals and objectives • Design a calendar – Plan how to best implement the program. • Have a staged approach • Have champions & a committee – They must be allocated time. • Don’t just focus on the employee must address (Environmental, Cultural, Policy) Logic Health. It makes sense
  28. 28. Logic Health. It makes sense Relevant & Realistic What is wrong with teaching people how to lift safely? For example “bend your knees keep your back straight” Logic Health. It makes sense
  29. 29. Logic Health. It makes sense 2 & 3 Designing & Collecting Metrics Logic Health. It makes sense
  30. 30. Logic Health. It makes sense Designing & Collecting Metrics Majority of programs implemented are not measured therefore they can not be optimised. Very hard to have sustainability and success if not supported by metrics. According to HAPIA evaluation is the cornerstone of best practice workplace health programs. It enables you to identify success and ensure the program meets the needs of the workforce. Logic Health. It makes sense
  31. 31. Logic Health. It makes sense Designing & Collecting Metrics Metrics should be directed by what you want to target– If your issues are increasing sprain and strain injuries you need to decide on metrics specific to this for example duration, cost of claim, severity etc. Logic Health. It makes sense
  32. 32. Logic Health. It makes sense Metric Considerations Are your metrics cost effective? Are they lagging? Do you need to engage outside support or input? Do measurement tools already exist? For example Government resources that put a dollar value on the metrics. • Ache, Pain Discomfort Questionnaires • Active Australia Survey • Workers Compensation Premiums • Perception Mapping • Healthier Workplaces WA calculator Logic Health. It makes sense
  33. 33. Logic Health. It makes sense Designing & Collecting Metrics HR – Absenteeism, Turn Over, Pre-Employment scores HSE – Manual Handling Audits conducted and musculoskeletal risks eliminated, procedures reviewed and or changed Staff participation rates Logic Health. It makes sense
  34. 34. Logic Health. It makes sense Designing & Collecting Metrics 1. Ensure a regular, comprehensive, systematic evaluation process has been documented. 2. Carry out ongoing evaluation of program goals and objectives. 3. Identify opportunities for improvement in the program 4. Provide feedback on a regular basis to continually improve the program. Logic Health. It makes sense
  35. 35. Logic Health. It makes sense Designing & Collecting Metrics 5. Assess if the program is attracting the volume of participants that it intended. 6. Assess the overall worker and management satisfaction with the program. 7. Identify the health outcomes (behaviours and status) of the program against measurable criteria. Logic Health. It makes sense
  36. 36. Logic Health. It makes sense 4. Implementation Logic Health. It makes sense
  37. 37. Logic Health. It makes sense Implementation - Relevant Once you have management support this process is a lot simpler Program must be relevant and realistic – A health program for a labour intensive workforce that promotes physical activity as the major step in improving health will struggle to be successful. The focus needs to be nutrition. Having an injury prevention program for a construction workforce that focuses on bending your knees and keeping your back straight as the most important way to mitigate injuries will struggle to get traction with employees. Logic Health. It makes sense
  38. 38. Logic Health. It makes sense Implementation - Inclusive You must involve all stakeholders – An injury prevention program cannot be successful if the sole focus is education. You need to have : • HR input in the pre-employment process and they need to understand the musculoskeletal risks of the jobs they recruit for as well as the implications of injured workers. • HSE input into polices, procedures, job demand assessments etc Logic Health. It makes sense
  39. 39. Logic Health. It makes sense Implementation -Promotion Hold a program launch such as a lunch BBQ or Breakfast: An event to announce the commencement of the program raises awareness about the program and its activities within the organisation. Seeking the support of your most senior manager, or respected guest speaker, can add a sense of occasion Newsletters: Provide information and promote activities in newsletters, online and in employee emails. Send reminders about up and coming activities and events Send letters home: Incorporating the family is a powerful tool Logic Health. It makes sense
  40. 40. Logic Health. It makes sense Engagement & Sustainability Incentives and rewards: Offering incentives and rewards for participation can help motivate employees to get started in the program, and may assist with maintaining their motivation over the long term. Integrate community resources & organisations: Build relationships with government bodies, NGO’s and external clubs Simplicity - clear outline of benefits and how to participate HAPIA – Best Practice Guidelines, Workplace Health in Australia Healthy Workplace Guide – Ten Steps to implementing a workplace health program Logic Health. It makes sense
  41. 41. Logic Health. It makes sense Engagement & Sustainability Privacy and confidentiality – alleviate concerns of data ownership and access Goals – setting specific goals (e.g. raising money for charity Cost - free or cost-sharing basis to foster commitment & buy in Support – peer (e.g. buddy systems), management or professional support (e.g. coaching), and extension to family members (where appropriate) Logic Health. It makes sense
  42. 42. Logic Health. It makes sense Implementation • What resources are you going to utilise and are they readily accessible to staff? • Weekly Committee meetings • Constant promotion and usage of resources and technology • Workforce buy in. • Gold standard programs have participation rates of around 60% You must identify where organisation factors, not just employee factors, contribute to poor cardiovascular and musculoskeletal health. Logic Health. It makes sense
  43. 43. Logic Health. It makes sense Implementation Tips • Utilise free resources • Apply for funding • Incorporate the family • Have a staged approach • Run competitions Logic Health. It makes sense
  44. 44. Logic Health. It makes sense 5. Measuring Success • Repeat of collecting baseline • This may simply be collating statistics that are kept along the way. • Needs to be the same process, assessments & participation. • The results need to be utilised to enhance and analyse the program • Must report to stakeholders • Translate into a ROI Logic Health. It makes sense
  45. 45. Logic Health. It makes sense Further Resources • HAPIA • WELCOA • Work Safe Australia • Healthier Workplaces WA • Live Lighter Logic Health. It makes sense
  46. 46. Logic Health. It makes sense Thank You Eoghan McKenna 0409 201 482 Logic Health eoghan@logichealth.com.au Logic Health. It makes sense

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