applying behavioural insights to return to...

Applying Behavioural Insights to return to work

Dr Rory Gallagher

Managing Director, BIT Australia Asia-Pacific

What I will cover this morning

PAGE 2

Where next? Q&AHow? What?

Bed

Rest

Awake

Tired

Dream

Wake

Snooze

Blanket

Doze

Slumber

Snore

Nap

Peace

Yawn

Drowsy

Let’s start with a quick game

Take a moment to write the words down that you can remember

Do you remember?

Snore

Wake

Blanket

Nap

Sleep

Did you remember ‘sleep’?

c.50%

% of people who falsely remember

Source: Roediger, H. & McDermott, K., (1995), ‘Creating False Memories: Remembering Words Not Presented in Lists’, Journal of Experimental Psychology: Learning, Memory, and Cognition, Vol. 21, No. 4, pp. 803-814.

Danziger et al. 2010

????

The power of context on cognition

Behavioural insights draws on research into behavioural economics and psychology to influence choices

Knowing how humans really behave can help design and implement better policies and services

What are behavioural insights?

System 1

Fast thinking/Automatic intuitive, effortless

2x2

Taking your daily commute

System 2

Slow thinking/Reflective deliberate, analytic

24x17

Planning a trip overseas

“It turns out that the environmental effects on behavior are a lot stronger than most people expect”

Daniel Kahneman

We need to think differently about behaviour

Choice architecture: Helping people make better choices by designing the environment

The EAST framework

EASY

• Use defaults• Simplify• Remove friction costs

Imperial College collaborated with us to simplify hospital prescription charts

Difference in prescribing errors between existing and improved charts

97%

32%11%

100%84%

96%

Doses entered correctly Prescriber's contact numberentered

Frequency of medicationentered correctly

Existing chart Improved chart

61%

83%

44%

76%

Before auto-enrolment After auto-enrolment

Largeemployers

Mediumemployers

3. Increasing the number of people with a workplace pension

22 percentage point increase

32 percentage point increase

What does this mean in people terms?

5.4 million people automatically enrolled so far …

…once fully rolled out:8-9 million people

£11 billion additional savings

Insurers are starting to use BI

How far can the patient

walk without difficulty?

a) 2m

b) 10m

c) 50m

How far can the patient

walk without difficulty?

a) From the couch to

the TV (2m)

b) From their room

to the end of the

driveway (10m)

c) To the end of their

street (50m)

ATTRACTIVE

• Attract attention• Personalise• Rewards & incentives

NSW Enforcement Order Trial

Current Trial intervention

Paid by due date

14.6%17.8%

Control Trial

8,800 fewer licenses cancelled

BIT case stdy

10%15%

18%

27%

Control + Claimant Name + Advisor Name + Reciprocity

Proportion of people who turned up

SOCIAL

• Social norms• Networks• Reciprocity

Nine out of ten people pay their tax on time.

More specific norms are more effective

33.6% 35.1% 35.9% 37.2% 39.0%

Control (8,558) UK Norm (8,300) Local Norm(8,403)

Debt Norm(8,779)

Local + DebtNorm (8,643)

Anti-microbial resistance

In December 2014, a campaign was launched….

• A3 Poster

• A4 Poster

• Handout

• “Treating your infection” leaflet

• Briefing sheet for GPs and practice manager

…versus feedback letter to GPs

n=1,581

100

110

120

130

140

150

160

September (pre)October November December January February March April (post)

An

tib

ioti

c it

ems

dis

pen

sed

per

10

00

wei

ghte

d

po

pu

lati

on

Month

Control Treatment

TIMELY

• Timely reminders• Framing• Commitment

devices

Two different conversations between a parent and child

What homework do you have this

weekend?

Not much, couple of small things. Usual

really.

Conversation 1 (no text condition) Conversation 2 (text condition)

So you have a Maths test on Friday. How

much revision will you need to

do?

The impact of pre-informing parents about upcoming tests

Improved grades by an equivalent of

1 month of schooling on average and

an equivalent of 2 months for bottom

ability cohort

Both pupils and parents liked it and

said they would like to keep receiving

messages!

How can we encourage people to get back to work faster?

Co-design approach

NSW Dept of Premier & Cabinet

SICorp & Treasury Management Fund

NSW Dept of Education & Communities

Allianz+ ++Purpose: Review existing claims practices, with particular focus on the first 30 days to identify opportunities for improvement

Objective: Apply BI techniques to improve practices and processes that ultimately result in faster RTW for workers

Scope: The trial ran from Aug ‘13 to Jun ’14, covering more than 2100 claims, mostly in Sydney Region

New approach

ATTRACTIVEPersonalised messages

EASYDocument redesign

SOCIALSharing recovery plan with all stakeholders

TIMELYRecovery supported from

point of notification

Personalisation, Joint Support

We streamlined communication for the worker

We made it clear who the worker needs to contact and why:

“discuss how we can work together to achieve the best outcome for you.”

“Please email or call for support and information at any time.”

“We look forward to working with you to support your return to work and health.”

New Return to Work Plan

Focuses the worker on returning to work > managing their injury Gets the worker to commit to actions to aid their recovery Removes unnecessary information and process

School staff returned to full capacity significantly faster over 90 days

0%

5%

10%

15%

20%

25%

30%

35%

40%

1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 55 58 61 64 67 70 73 76 79 82 85 88

Days to Return to Full Capacity

Treatment Control

n= 1,403

“I'm noticing from my conversations with injured workers that they actually give us some great information that we can use as goals and actions without even asking for them, we just need to listen more.

The new process has really opened my mind and ears up to what these workers say and how we can work with them”

Case manager

The intervention group got back to work 27% faster than the control group within a 90-day period.

Surveys also indicated improved customer and case manager satisfaction.

Roll out of the trial would make the annual claim costs fall by $6m - 10m.

SOLUTION

TRIALTARGET

EXPLORE

Part of collaborative and empirical project methodology

Where next?

PAGE 39

Implementation Science

Data Science

BehaviouralScience

Thank you Any questions?

Rory.gallagher@bi.team