Towards International Standards in Return to Work Edinburgh September 6, 2013

The Disability Management Process Model The National Institute of Disability Management and Research™ (NIDMAR), founded in 1984 by the Disabled Workers Foundation of Canada, is an internationally recognized organization committed to reducing the human, social and economic costs of disability. As a long-term labour-management and multi-party organization committed to disability management in the workplace, the National Institute is supported by an endowment fund created through contributions from the federal and provincial governments, major private corporations, and public organizations.

Global Business Rationale Annually: 2 million work-related deaths 270 million work accidents 160 million work-related health disorders 60 million workers suffer permanent work- related disabilities For a total of – $1.25 trillion US annual cost, or 4% of global GDP The National Institute of Disability Management and Research™ (NIDMAR), founded in 1984 by the Disabled Workers Foundation of Canada, is an internationally recognized organization committed to reducing the human, social and economic costs of disability. As a long-term labour-management and multi-party organization committed to disability management in the workplace, the National Institute is supported by an endowment fund created through contributions from the federal and provincial governments, major private corporations, and public organizations.

What are the issues around the world? Economic / competitive Labour market / demographic changes Social justice Legislative The National Institute of Disability Management and Research™ (NIDMAR), founded in 1984 by the Disabled Workers Foundation of Canada, is an internationally recognized organization committed to reducing the human, social and economic costs of disability. As a long-term labour-management and multi-party organization committed to disability management in the workplace, the National Institute is supported by an endowment fund created through contributions from the federal and provincial governments, major private corporations, and public organizations.

What can we achieve with effective disability management programs? Reduce the socio-economic impact of disabling conditions on employers, workers and society Increase competitive position of businesses through cost reduction and increased productivity

What can we achieve with effective disability management programs? Maximize employer attachment for individuals who acquire a disabling condition Increase the labour force participation of people with disabilities

What can we achieve with effective disability management programs? Address current labour market issues: increasing mental health issues aging workforce reduced labour force availability

DM in Context What can be accomplished with DM? Reduce disability-related expenditures by 30 – 50% Reduce LTD uptake by up to 50% Generate a ROI of $1 : $10 Maintain attachment to pre-disability employer The National Institute of Disability Management and Research™ (NIDMAR), founded in 1984 by the Disabled Workers Foundation of Canada, is an internationally recognized organization committed to reducing the human, social and economic costs of disability. As a long-term labour-management and multi-party organization committed to disability management in the workplace, the National Institute is supported by an endowment fund created through contributions from the federal and provincial governments, major private corporations, and public organizations.

DM in Context What major challenges often influence DM success? Structural barriers Individual circumstances Attitudinal and perceptual factors Benefit / insurance program design and delivery Statutory framework The National Institute of Disability Management and Research™ (NIDMAR), founded in 1984 by the Disabled Workers Foundation of Canada, is an internationally recognized organization committed to reducing the human, social and economic costs of disability. As a long-term labour-management and multi-party organization committed to disability management in the workplace, the National Institute is supported by an endowment fund created through contributions from the federal and provincial governments, major private corporations, and public organizations.

The IDMSC is a federally registered, non-profit society in Canada with Board members representing, at this point (in 2013), 16 countries

International Labour Organization (ILO) Geneva - research initiative in 1996-1998 Evidence-based best practice research

Universal Key Success Factors Injury prevention and safety programs Health promotion and wellness programs Early intervention, combined with formal return to work programs Policies and procedures jointly endorsed by labour and management

Universal Key Success Factors Benefit program design Internal and external communication systems Education Transitional work options Workplace accommodations

Universal Key Success Factors Identification of key workplace personnel Accountability Regulation Supportive enterprise cultures

CBDMA Description Measures compliance Used for Evaluation Monitoring Benchmarking Rate setting Program promotion

CBDMA Functionality 360 TQM tool Unique evidence-based, consensus-based and survey-based questions Administered through Certified Auditors

Elements Joint worker-management support and empowerment Responsibility, accountability and authority Workplace culture and policy development Information and communication management

Elements Benefit design and influences Knowledge and skills of the DM practitioner Accident prevention and safety programs Occupational ergonomics

Elements Health promotion and wellness Injury, disability and lost time patterns Disability cost benefit data Early intervention and worker communication protocol

Elements Case management procedures Return to work coordination Transitional work options Workplace accommodations

Scores at a Glance

Essential Skills and Competencies Disability management theory and practice Legislation and benefit programs Labour-management relations Communication and problem-solving skills Disability case management

Essential Skills and Competencies Return to work coordination Health, psycho-social, prevention and functional aspects of disability Program management and evaluation Ethical and professional conduct

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