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JEANETTE KINAHAN T: 0418 554129 E: Total Worker Health – Could we have it all? March 2013.

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Presentation on theme: "JEANETTE KINAHAN T: 0418 554129 E: Total Worker Health – Could we have it all? March 2013."— Presentation transcript:

1 JEANETTE KINAHAN T: 0418 554129 E: Total Worker Health – Could we have it all? March 2013

2 Today’s Discussion Points Work Health Systems 2013 Background Total Worker Health TM (NIOSH) Integrated Approaches Integrated Interventions Integrated Management Systems

3 Background Work Health Systems 2013 RESPOND PREVENT MANAGE IMPROVE PROTECT

4 Worksite health management – past or present? Work Health Systems 2013 Independent functions / efforts Siloed health resources Fragmented data Limited resources Siloed (parallel) management approaches

5 Are silos getting in the way? Work Health Systems 2013 Workplace Insurance Regulation Government

6 Motivation If you change the way you look at things – the things you look at change Dr Wayne Dyer Work Health Systems 2013

7 We are all connected Work Health Systems 2013 We are all connected – workplaces, people, communities World Health Organisation Action Framework

8 Total Worker Health TM (NIOSH) Work Health Systems 2013 Definition: Total Worker Health™ (TWH) is a strategy integrating occupational safety and health protection with health promotion to prevent worker injury and illness and to advance health and well being (NIOSH 2012).  simply put, where the total health of the worker, in the broadest possible sense, is optimized’ (NIOSH 2013). Background Reading: Seminal research papers available at:

9 What is an integrated approach? Supporting healthier behaviours through workplace environments and services offered at work Work Health Systems 2013 Health screening & services (i.e. Work Health Checks) Promoting healthy behaviours Creating a health promoting environment Workplace safety measures Control of workplace hazards Health & Safety Training Effective incident & injury / illness Management Decreasing job strain / demands Fostering social support among workers Effective stress & conflict management Supporting work-family balance Medical care access Paid sick and personal leave Child and elder care services Job training & education Adequate wages & salaries Work-based Health Protection & Health Promotion Strategies Effective leadership EAP Preventing work-related illness, injury and disability Reducing work -related stress Expanding work-related resources and opportunities Disability prevention approach

10 Work Health Systems 2013 What is an integrated approach?

11 Continuum to integration – where are you? Work Health Systems 2013 OH&S Independent efforts Work injury Management Health Promotion Workers compensation management Linked messages Integrated approaches Integrated worker health protection & promotion Integrated management systems Integrated data and evaluation Shared data / reports

12 What does this look like? The integrated approach – who could be at the table?  Safety  Injury management  Workers compensation  Health promotion & wellbeing  Finance  HR  Management  Employees  Union  Others (i.e. procurement, consumers) Work Health Systems 2013

13 Example – integrated messages Work Health Systems 2013 ‘Gear up for Health’ (Gloria Sorenson – Harvard University) Target:Smoking cessation & weight management – truck drivers How:Telephone intervention (at least 1 phone call) Cohort:227 agree to participate (697 eligible) 40% tobacco users 88% BMI 25% or > Intervention:Telephone counselling with motivational interviewing Tailored feedback report Targeted educational materials

14 Example – integrated messag es Work Health Systems 2013 Targeted messages: Acknowledge factors on the job – i.e. independence but also time pressures, weather, traffic, long hours Linked to behaviours: ‘Tobacco doesn’t fix stress’ Interactions of exposures to chemicals & tobacco Eating healthy on the road ‘Eat for job security’ Results (Sorenson et al cancer causes and control, 2010) Adjusted smoking quit rates: 23.9% for participants Vs 9.1% for non participants

15 Example – Integrated intervention Work Health Systems 2013 ‘Take a stand’ Project (Nico Pronk – Health Partners 2012, Harvard University) Target: Physical inactivity Sedentary office practices - risk factor for many health issues (occupational & personal) How:Installation of sit-stand devices 7 week project

16 Example integrated intervention Work Health Systems 2013 Results Increased non sitting time by > 1 hour per day Reduced upper back, neck & shoulder pain Improved mood states Increased face to face time during work Participants felt:  More comfortable, healthier, energised, more focussed, more productive, happier and less stressed Removal of the device eliminated most of the improvements due to the intervention Recent scientific publication on the “Take-a-Stand” project in Preventing Chronic Disease, the CDC e-journal (August, 2012)

17 Example integrated intervention Psychological Health – recent example from my practice Issue:Interpersonal conflict -  complaints, disputes, absence,  productivity of team, work injury stress claims  Response:- Conflict Management Coaching (individuals), - Mediation between parties involved Real Issues:- Ineffective supervisory behaviours & responses - Poorly managed organisation change in performance & management expectations - Inadequate policy & management framework - Inconsistent HR management practices - ‘make it go away’ attitude Work Health Systems 2013

18 Example integrated intervention Psychological Health – recent example from my practice Action plan: Resolve immediate conflicts Restore team function Review management & HR framework  Investigation – employee surveys, injury statistics, absence, claims, culture, compliance, interviews, EAP utilisation  Policy and procedural review & re-development  HR – appetite for change in management responses, benefits mix Psychological risks / health focus to OHS committee Implementation new policies with training & education Health promotion messages linked to behavioural risks of workplace Work Health Systems 2013

19 Example of an Integrated Management System Integrated Management Systems (Harvard 2012)

20 Essential Elements Work Health Systems 2013

21 Why do it? Work Health Systems 2013

22 Why do it - Benefits? Work Health Systems 2013 Healthier workers: Less prone to work injury (i.e. MSD) More resilient to ‘stress’ Absent less, more productive Recover / RTW sooner from injury More engaged at work Manage ‘warning signs’ of illness/disease early

23 Why do it - benefits? Work Health Systems 2013 Healthier workplaces: Most diseases, injuries and other health conditions experienced by working people are multifactorial,  as workforce ages Improved health behaviour results in increased participation in safety programs Reduces rates of work injury (reduced lost time, workers compensation costs) Resources are optimised Workforce health, productivity, resilience & engagement is optimised Creates more efficient and effective processes & outcomes ‘across the board’

24 Challenges to integration? Some include: Where to begin? Moving beyond compliance Evidence for benefits of health promotion & integration Silos – disciplinary & department Management / employee alignment Employee engagement, communication Establishing the business case –budget, resources, staff time, tools, ROI Physical & social environment Culture, Politics Data Work Health Systems 2013

25 The opportunities? Challenge & courage Health in all decisions Culture of health Work Health Systems 2013

26 Motivation If you change the way you look at things – the things you look at change Dr Wayne Dyer Work Health Systems 2013

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