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Spi nning the worker health problem (pt 3)
- 1. A Worker Health Problem: Why New, Effective Solutions Are Needed to Enhance Workers’ Comfort & Performance
- 2. 2 Types of Trauma Not All Trauma is Created Equal Reactive vs. Proactive Impact on Health Care Costs Spending on spine problems rose 82% in less than a decade from $19.4B in 1997 to $35.1B in 2006. Costs include hospitalization, prescription medication, & ER visits (Source: Spine, 2009; 34:2077-84) 52% increase in metro areas & 371% surge in rural regions in rate of unintentional drug overdose deaths related to prescription opioids from 1999-2004. Now an estimated 22.3M people (7% of population) with diagnosed diabetes. A company of 300 employees will spend $810,000 annually in insurance costs for employees with diabetes & pre-diabetes (Kaiser Family Foundation data) KineticEdgePT.com
- 3. 3 Types of Trauma Not All Trauma is Created Equal Reactive vs. Proactive Impact on Health Care Costs Medical necessity of diagnostic imaging. 43% of specialists use imaging in clinically unnecessary circumstances (Suddert et al, JAMA 2005;293(21):2609- 2617) Impact of the knowledge of MRI results = chronicity, 2-3 fold increase in lumbar fusions (Flynn et al, JOSPT 2011;41(11):838-46) KineticEdgePT.com
- 4. 4 Types of Trauma Not All Trauma is Created Equal KineticEdgePT.com
- 5. 5 Types of Trauma Not All Trauma is Created Equal KineticEdgePT.com Cost
- 6. Fatigue Discomfort Pain Injury Work related factors Non-work related factors Types of Trauma The Bucket Analogy
- 7. Types of Trauma The Bucket Analogy • Slow the drip = Ergonomics • Get a bigger bucket = BioErgonomics • Open the valve = Postural Relief
- 8. 8 True Cost of WMSDs The Exponential Impact of Injuries KineticEdgePT.com Like an iceberg, 80% of work injury costs are hidden indirect expenses. Indirect Costs Direct Costs Medical Costs -1/3 Wage Benefit -2/3 Replacement Training Repair Production Quality Insurance Legal (4.6x Med) $40.1 B* $200+ B* *Source: Liberty Mutual – 1999 Data
- 9. 9 True Cost of WMSDs The Exponential Impact of Injuries KineticEdgePT.com Direct Cost + Indirect Cost (2x) = Total Cost $38,000* + $76,000 = $114,000 Now, let’s consider a 10% profit margin (PM) Revenue Required to Offset the Loss = Total Cost / (PM% / 100) $114,000 / (10/100) = $1.14M With a factor of 5x, revenue required increases to $2.28M * Average work related injury direct cost according to NSC
- 10. ABCs of WIMP The Traditional Approach
- 11. ABCs of WIMP The Traditional Approach: Reactive Model
- 12. ABCs of WIMP The Better Approach: Proactive Model
- 13. SYMPTOM THRESHOLD TIME TISSUEDAMAGE 1. Injury avoidance 2. Expanded tolerance 3. Prescriptive recovery ABCs of WIMP The Better Approach: Proactive Model
- 14. A = Administrative Controls B = Behaviors/Techniques C = Capacity D = Demands A DC B BioErgonomics Training Ergonomics Policies ABCs of WIMP Identifying & Mitigating Risk
- 15. Early lntervention FJDs Job Matching FCEs A B BioErgonomics Training Ergonomics Policies A = Administrative Controls B = Behaviors/Techniques C = Capacity D = Demands C D ABCs of WIMP Identifying & Mitigating Risk
- 16. Next Session I’ll discuss… FIRST AID vs. MEDICAL CARE – how to determine the difference and why it’s important in workers’ compenation 1 6KineticEdgePT.com