m. shaw, iapa president & ceo 1 creating healthy workplaces: a key strategy in the compensation...

M. Shaw, IAPAPresident & CEO

www.iapa.ca 1

Creating Healthy Workplaces:Creating Healthy Workplaces:A Key StrategyA Key Strategy

In The Compensation ContinuumIn The Compensation Continuum

June 28, 2006June 28, 2006Hong Kong SAR, ChinaHong Kong SAR, China

M. ShawPresident & CEOIndustrial Accident Prevention Association

創造一個健康的工作環境連貫賠償各階段的重點策略

邵慕琳行政總裁安大略省工業意外預防協會


www.iapa.ca 2

A world where risks are controlled because everyone believes suffering and loss are morally, socially and economically unacceptable

VisionVision

Industrial Accident Prevention Association Industrial Accident Prevention Association


www.iapa.ca 3

Purpose of Presentation

To demonstrate the importance of integrating prevention into every aspect of the prevention / rehabilitation continuum.

講座的目的

闡述把預防結合於每一由預防至復康各連貫階段的重要性 .


www.iapa.ca 4

Compelling Case

Long-term disability costs account for 80% of all compensation costs in Ontario, Canada amounting to billions of dollars. There are also staggering hidden costs due to workplace stress.

無可異議的例證

加拿大安大略省為長期喪工作能力而付出以億元計的賠償佔總賠償金額的 80%.而由工作壓力引發的潛伏費用亦相當龐大 .


www.iapa.ca 5

Legislative Context法例的意義Legislative Context法例的意義

Employers in Ontario have a statutory requirement to provide a healthy and safe workplace under the Occupational Health and Safety Act

安大略省的雇主需依職業健康安全法令提供一個衛生及安全的工作環境

Employers have a statutory requirement to re-employ their injured workers in prescribed circumstances under the Workplace Safety and Insurance Act

在例須的情况下雇主需依職業健康及安全保險法令重聘受傷雇員


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Ontario’s Injuries, Illness and Fatalities ExperienceOntario’s Injuries, Illness and Fatalities Experience

90,000 accepted lost time claims in 2005 out of a workforce of 4.5 million workers covered by Workers Compensation

Lost time injury rate reduced from 2.46 in 2000 to 1.81 in 2005 (percentage of the workforce)

Severity rate has increased over corresponding period from 130.4 in 2000 to 209.3 in 2005 (days lost per 100 workers) – Schedule 1 employers only

Work days lost increased from 5.5 million in 2000 to 9.3 million in 2005

Fatalities have no defined trend ranging between 99 and 215

Workplace Safety and Insurance Board


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Return to Work (RTW) StatisticsReturn to Work (RTW) Statistics

First 5 days are critical in RTW effectiveness

More difficult to return injured and ill workers back to safe and productive work after 21 business days

Chance of returning to work is 50% after 6 months time off

50% of individuals with permanent partial impairments experience another work disability within 3 years of returning to the workplace

Costs of re-injury are 3 to 5 times that of original injuryWorkplace Safety and Insurance BoardInstitute for Work and Health


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Prevention/Rehabilitation ContinuumPrevention/Rehabilitation Continuum

Employing an integrated approach that incorporates a managed system is essential in managing the continuum of prevention, rehabilitation and compensation. It requires transformational leadership and an understanding that the workplace needs to be viewed organically

All stakeholders must be engaged in the development of a holistic approach to all aspects of the continuum

Key elements of the continuum are: Integrated comprehensive disability prevention strategy Primary prevention Primary rehabilitation Secondary rehabilitation

Prevention/Rehabilitation ContinuumPrevention/Rehabilitation Continuum

Ongoing Prevention, Education, Promotion Strategies

Maureen Shaw, IAPAGreg Hart, Human EffortRevised: June 21, 2006

Up To240 Days

Up To240 Days

• Fit to Work Accommodation• Fit to Work Accommodation

• Prescribed Treatment Program• Prescribed Treatment Program

• Return to Work or Vocational Assessment and Retraining

• Return to Work or Vocational Assessment and Retraining

• Maintain Engagement• Maintain Engagement

• Comprehensive Evaluation

• Comprehensive Evaluation

• Functional AssessmentContinue Rehabilitation

• Functional AssessmentContinue Rehabilitation

• Focus on Abilities

• Focus on Abilities

21 - 56 Days21 - 56 Days

• Injury• Injury

• Maintain Engagement• Maintain Engagement

• Assessment / Treatment Plan• Assessment / Treatment Plan

• Focused Treatment• Focused Treatment

• Workplace Process Psychosocial Evaluation

• Workplace Process Psychosocial Evaluation

• Focus on Abilities• Focus on Abilities

• Rapid, Accurate Diagnosis• Rapid, Accurate Diagnosis

• Incident Investigation• Incident Investigation

0 Days0 Days

Assess Hazards Reduce Exposure

Assess Hazards Reduce Exposure

••

Education & Training / Prevention

Education & Training / Prevention

••

Solutions Based

Consulting

Solutions Based

Consulting

••

Claims Management

Claims Management

••

Workplace Evaluation / Physical

Demands Analysis

Workplace Evaluation / Physical

Demands Analysis

••

Worker Health Assessment

Worker Health Assessment

••

Healthy & Safe WorkplacesHealthy & Safe WorkplacesPe

rson

al

Hea

lth P

ract

ices

Psychosocial Environment

Physical Environment(Biomechanical)

Employee Health, Safety & Well-beingEmployee Health,

Safety & Well-being

Joan BurtonManager Health Strategy, IAPA

“Prevention

An effective prevention strategy prior to a

workplace injury or illness occurring is the most

important first step. Creating a Healthy

Workplace requires employers to implement

an integrated, comprehensive approach.”

Joan Burton, IAPA

“Prevention

An effective prevention strategy prior to a

workplace injury or illness occurring is the most

important first step. Creating a Healthy

Workplace requires employers to implement

an integrated, comprehensive approach.”

Joan Burton, IAPA

Canadian Framework for a Healthy & Safe Workplace

Canadian Framework for a Healthy & Safe Workplace

National Quality Institute, Toronto, Ontario

Health Continuum ParadigmHealth Continuum ParadigmThe goal of the paradigm is to keep people free of symptoms and dysfunction. Rehabilitation is an activity designed to return those who stray below the Safe Zone and establish their new parameters of function focusing on abilities. Even while an individual is dysfunctional in some way, they can be promoted and prevented from further dysfunction.

Optimal Health

Absence of Symptoms

Death

Pre

vail

ing

Eff

ort

of

the

Par

adig

m

Safe ZoneSafe Zone

Hea

lth

Pro

mo

tio

n

Pre

ven

tio

n

Sh

ort

Ter

m R

ehab

.

Lo

ng

Ter

m R

ehab

.

Maureen Shaw, IAPAGreg Hart, Human EffortRevised: June 21, 2006


www.iapa.ca 13

Consensus Based ApproachConsensus Based Approach

Consensus based disability prevention involves the cooperation of all the stakeholders. It is a process that serves as a foundation for management and labour to work together in solving problems at the workplace

It considers the whole person and requires a high level of corporate emotional intelligence

One example is the Consensus Based Disability Management Audit (CBDMA) developed by the National Institute of Disability Management and Research (NIDMAR) located in Victoria, British Columbia, Canada (www.nidmar.ca)


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Disability prevention programs have been shown to significantly reduce the negative social effects of disabling illness or injury on workers and their families

Workplaces have also found that making every reasonable effort to return workers to the workplace is a sound economic decision

預防傷殘計劃顯著的減低受傷員工及其家人在社會上因傷殘而引起的不良效應

雇主亦體驗到盡力安排受傷工人復工是有經濟

’效益的抉擇

Benefits of a Disability Prevention Program預防傷殘計劃的益處Benefits of a Disability Prevention Program預防傷殘計劃的益處


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There is a dignity in work, the sense of accomplishment and belonging it brings, its value to the community and to society

A disability prevention program keeps employees connected to the workplace, focuses on abilities, and moves them back into the “Safe Zone” as quickly and effectively as possible

It is the right thing to do!

它賦與工作的尊嚴 ,帶來成就和歸屬感 ,確定對社區的價值及對社會的貢獻

預防傷殘計劃促使受傷工人和工作間緊密聯繫 ,把重點放於能力復原及使受傷工人儘早返

” ”回工作的安全領域

這是明智之舉 !

Benefits of a Disability Prevention Program預防傷殘計劃的益處

Benefits of a Disability Prevention Program預防傷殘計劃的益處


www.iapa.ca 16

“The data revealed that the coordinated return to work approach led to a dramatic 47% reduction in the

duration of claims (prevention) in 2003 and a 39% reduction in the costs of claims.”

Mike Rushby, Vice President Human Resources, Weyerhauser Company, November 2004 Globe and Mail article (Buddy System Gets Employees back to work)

IAPA’s New Home: The Centre for Health & Safety Innovation

A focal point for innovation and applied learning in the prevention of workplace injuries and illness


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Mission

Provide a meeting place for knowledge exchange, learning and innovation in prevention

VisionCommunities free of injury and illness prevention

远景使社区成员不受损伤和疾病预防的困扰

使命在防治中提供一个交流知识、学习和创新的聚会地点

Centre for Health & Safety Innovation健康 & 安全改革中心Centre for Health & Safety Innovation健康 & 安全改革中心


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Innovative Strategies for Safer and Healthier Workplaces更安全和健康工作场所的改革策略

Innovative Strategies for Safer and Healthier Workplaces更安全和健康工作场所的改革策略

我们邀请您参加2007 IALI 讨论会

2007 年 4 月 18 、 19 & 20 日加拿大安大略多伦多请在大会现场或登录IAPA 网站获取手册

www.iapa.ca

We invite you to attend the 2007 IALI ConferenceApril 18, 19 & 20, 2007

Toronto, Ontario, CANADA Please pick up the brochure

here at the conference or visit the IAPA web site

www.iapa.ca


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Thank you

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m. shaw, iapa president & ceo 1 creating healthy workplaces: a key strategy in the compensation...

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