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Increasing Productivity;
The importance of health and wellness Introduce woman parking video, ethnic fatigue... Dr. Brian Charles BSc. MBBS MSc. DM (Emerg. Med), SCM Emergency Physician Managing Director, Sandy Crest/Coverley Medical Centres
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Objectives Definitions Is there a problem? If so, of what magnitude?
Solutions and recommendations
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But What are we talking about?
Productivity Wellness effectiveness of production effort the state or condition of being in good physical and mental health
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The Productivity Cycle
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Root Causes of Absenteeism
Causes of uncertified absenteeism Perceptions of procedural justice Commitment Job Satisfaction Weather Personal Errands
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Root Causes of Absenteeism
Causes of Certified absenteeism Physical health Work-family/family-work conflicts Need for improvement in management practices Rapid changes in the industry generating stress
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Presenteeism
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National Insurance Scheme Data
Year Sickness Benefits Paid ($ BDS) 2005 2006 2007 2008 2009 No disaggregation by disease 21,430,656 15,741,860 19,030,204 24,817,172 23,863,708 How do we relate sickness, absenteeism, and productivity? NCD's are a common denominator. There are others, like poor work environment, stress, etc
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Factors affecting productivity
Illness; particularly the NCDs Fatigue (often caused by poor sleep) Lack of exercise Dehydration Stress
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Summary of the Impact of NCD's
NCDs account for more than 60% of the health budget - QEH: 65% budget: BDS (>$50M): Most on diabetes and hypertension Estimated to consume more that 5% GDP The major causes of illness and death in Barbados – 7 out of every 10 deaths One quarter of all adults have an NCD The common risk factors are physical inactivity, exposure to tobacco smoke, poor diet and harmful use of alcohol National NCD Commission
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What are the chronic non communicable diseases (NCDs)
Cardiovascular Disease – hypertension, heart attack and stroke Diabetes Mellitus Cancer – prostate, breast, cervix and colorectal Pulmonary Disease
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Risk factors for NCDs Non-Modifiable (20-30%) Modifiable (70-80%) Age
Sex Ethnicity Genetic susceptibility/ family history Exposure to tobacco (primary and secondary) Harmful use of alcohol Lack of physical activity and exercise Unhealthy diets e.g. high in saturated fat, cholesterol, salt and simple sugars, low fruit and vegetable intake
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NCDs are Preventable 80% of chronic disease excluding cancer is preventable using simple lifestyle interventions 30-40% of cancers are preventable using simple lifestyle interventions 50 % of chronic disease occurs in persons < 70 years old 80% of recorded death occur in middle and lower income countries
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NCDs and productivity Absenteeism (certified and uncertified sick days) Board certified (medically unfit) Disability (temporary or permanent) Time away from work accessing the health service Limited/reduced output at work Burden on the caregiver and family Introduce video 'Office' What can we do to dissociate this link?
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WHAT IS WELLNESS? The quality or state of being healthy in body and mind. An approach to healthcare that emphasizes preventing illness and improving quality of life, and by extension improving the ability to meaningfully provide for self and others.
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WHAT DIMENSIONS DOES WELLNESS INCORPORATE?
Six Dimensions: Physical Social Intellectual Emotional and Spiritual Environmental Occupational
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OUTCOMES PERFORMANCE
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YOUR SPACE! Parking Security Lighting Ergonomics Clean No toxins, etc.
Work place safe Parking Security Up to standards Lighting Ergonomics Clean No toxins, etc. Smoke-free work place
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LET’S GET PHYSICAL Physical Activity On-site fitness centers
Discounts to local gyms Signs supporting taking the stairs Activity groups (running, walking, swimming, biking, snorkeling, diving) Time off to exercise Subsidize local run/walks Incentive programs Discounted/subsidized personal training
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LET’S GET PHYSICAL Healthy meals in the cafeteria
Nutrition Healthy meals in the cafeteria Healthy items in the vending machines Water available at all times Health food at meetings Nutrition education Healthy recipes Cooking demonstrations Taste testings Meals to go
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LET’S GET PHYSICAL Physical Health
Health screenings – cholesterol, glucose, blood pressure, BMI, osteoporosis, body composition Vaccinations – flu shots, Hepatitis B, etc. Age appropriate screenings Smoke free workplace Annual well checks Employee Health Offices Family Health Fairs Self Care Guides
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COMMUNICATION Communicate with employees
Communicate with upper management Share successes Share results Share goals and direction Create a quarterly report and annual report
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HEART AND SOUL Employee Assistance Programs Pastoral Care
Stress management programs and skills Ability to attend support groups – or have them in the workplace Quiet rooms Supportive policies Volunteerism
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GET SMART Tuition reimbursement Flex schedules to go to school
Mentoring programs Educational programs at work Job sharing Partnerships with local schools and universities
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GETTING TO KNOW YOU Employee Activity Groups Holiday parties
Charity walk/runs Potluck lunches Discounts to local events Building networks, partnerships and trust
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WHAT WORKS Begins in this room Designated drivers
Evidence-based practice Constant messaging with fresh content Patience Introduce pool break video
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Thank You
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