Date post: | 14-Apr-2017 |
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Speaker : Bertus van NiekerkPresentation Title : Unlocking the true potential of integrated occupational health and safety and corporate wellness programmes
Synopsis
can be increased exponentially
This presentation argues the value of integrated occupational health and safety
and corporate wellness programmes
• by integrating personal data collected from • a host of stand-alone safety technologies with • the e-Health record and • integrating this information with existing ERP systems.
Today, most organisations manage occupational health and safety and wellness programmes as
mutually exclusive.
• Human resource managementfocus on health and wellness programs focusing on chronic diseases to reduce healthcare costs.
• Risk management teams focus on occupational health and safety in the workplace environment to reduce workers compensation costs.
Global Health ChallengesThe Health sector vision is to deliver cost effective and quality services for a demanding Health market and in doing so, must consider a number of fluid political, economic,
social and digitalisation factors. The following drivers must be carefully considered to plan appropriately to overcome the challenges.
Changing medical technology and capabilities Rising Costs and ExpensesRising cost and expenses (incl. employee absenteeism) together with fraud and wastage in the prevailing financial climate of strained budgets as well as raising expectation of service delivery are putting all health organisations and employers under pressure to contain costs.
Life Expectancy Compliance
Health Skill Shortages Health Stakeholders Collaboration
Commercial Nature of HealthData Consistency & Information Sharing (EHR)
The raise of phenomenal modern medical technology and capabilities including mobility and wearables is challenging the health industry to a substantially up-scaled and more diverse operational model i.e. Tele-medicine, Wellness Management, etc.
The life expectancy of the average human is increasing world wide. This aging population is putting financial pressure on Healthcare Budgets in both Private and Public sectors.
There is a shortage of skills in the healthcare industry, with an increasing portion of healthcare workers approaching retirement age. Fewer nurses and doctors are also being trained and with an aging population, demands on healthcare system are increasing.
More Demanding Customers
Increased Patients Safety & Quality of Care
Chronic Disease Prevention
The competitive commercial nature of medical services provision (professional staff, presentable infrastructure, services relationships, reputation, cost, etc.) challenges all health providers for business agility and market dominance.
Health organisations are compelled to adhere to a multitude of varied international, governmental, industrial, technical, etc. regulations, personal data, procedures and standards forcing additionally costs impacts.
Collaboration between manufacturers, suppliers, other health organisations, customers “patients” in an integrated manner required to ensure effective service delivery and cost competiveness.
Sharing of data through an efficient Electronic Health Record is key to ensure availability of consistent operational and management information for key Health decision makers, Health Bodies and patients to improve medical practice management.
Healthcare customers are better informed and expect therefore discerned quality in health services they received. They expect faster responses, improved attention and improved collaboration between healthcare organisations on a modern digitalised platform.
Patient safety is of critical importance (“medical liability claims” ) and with the vast volume and multitude of new drugs and treatment available today, it is of the utmost importance that healthcare providers keep abreast with results of treatments to safeguard patients.
With chronic diseases on the rise in the middle age population group, chronic diseases prevention is of the upmost importance to prevent out of control medical costs.
Human Resource Management View
Corporate Health Challenges & Wellness
Lifestyle Behaviors
Physical Inactivity
Poor NutritionSmoking
Chronic DiseasesDiabetes
Heart DiseaseLung Disease
Cancer
Increased Mortality/ Sickness
Over 50% of Deaths(36 million, 5% of all
deaths)
12 % to 30% less productivity
Medical technology, IT & wearable device
advances
Global increase in wellness offerings
(Insurers/Employers)
Improved Health
Leading cause of death is personal decision making in lifestyle choices.
Obesity
80% increase in healthcare costs last
10 years
Sources: Medisys healthcare results 2013CDC: Centers for Diseases and control Preventation
Wellness Programmes Landscape
EHR
Wellness Activity Profile Trackers
Wellness Reward
ParticipantsMember
Medical Insurance
Employers(workplace wellness
programmes)Fitness Service Providers
Medical Services Providers
Wellness Programme
Administration
-Social-Commercial
HRM
Typical Wellness Parameters
• Education and Information• Motivation• Health Risk Assessments (HRA)• Weight Management• Blood Pressure• Cholesterol• Tobacco Cessation• Alcohol consumption• Lifestyle Coaching
• Activity Profile• Diet• Stress Management
• Workplace Programmes• Incentives (financial and other
benefits)• Medical Insurance• Employer
40% of US companies over 200 employees have workplace programmes offering on average $500 per year rewards
Wellness programs include activities such as company-sponsored exercise, weight-loss competitions, educational seminars, tobacco-cessation programs and health screenings that are designed to help employees eat better, lose weight and improve their overall physical health.
Corporate Wellness Benefits
Source: Medisys healthcare results 2013
Note cost savings do materialise until wellness program has been in operation for at least 5 years.
Effective Health and productivity Programs experienced superior human
capital and financial outcomes, including:
• 11% + higher revenue per employee• 1.8 + fewer days absent per employee per
year• 28% + higher shareholder returns
American research conducted by Harvard University found that workplace
wellness programs also delivered significant cost savings for
employers. For every $1.00 spent on wellness programs
• medical costs fall by about $3.27• absenteeism costs fall by about $2.73
What Canada’s top 100 employers know about wellness programs:
• Boosts employee engagement by 96%• Improves productivity by 76%• Reduces drug benefit and disability
costs by 54%
Corporate wellness value and the risk management imperative
Sources: Bureau of Labor Statistics Journal of occupational & Environmental Medicine
The Bureau of Labor Statistics (BLS) reported
• Incurred a 26% cost per hour increase in workers compensation expenses from 2001 to 2011
Impact of unhealthy behaviours on these costs significant
• Business pay an average of $2,189 in workers compensation costs for smokers, versus $176 for non smokers
• Morbidly obese workers • filed 45% more claims• And has 13 times the number of lost days• 7 times higher medical costs claim• 11 times higher indemnity costs
According to NIOSH, “comprehensive practises and policies that take into account the work environment – both physical and organisational – while also addressing the personal health risks of individuals are more effective in preventing
diseases and promoting health and safety that each approach taken separately.
Key Practises for Integrating Occupational Health & Safety and Wellness Programs
Break Down Silo’s
Treat occupational health and health as the same goal to benefit the entire company
Customise Solutions
Customise Wellness Solutions for Your Organisation and include incentives
Engage Workers & Management
Actively consult with employees throughout program from design to evaluation to ensure participation including safety stakeholders.
Ensure Adequate Staff & Resources
Dedicate adequate personnel, funding, and time to implement program to ensure success.
Evaluate & Adapt
Regularly evaluate a blended safety and wellness program for positive outcomes.
Integrated Information Management Solution (Foundation off success to implement Integrating Occupational Health & Safety and Wellness Programs)
Employees with chronic health conditions often have more workplace injuries and more costly workers compensation claims. An integrated risk management and wellness program don’t only reduce medical costs and increase productivity, it also improve employee
morale and health reducing frequency and severity of workers compensation claims.
Reduce CostsIncreased Productivity
Source: PMA Integrating Risk Management & Wellness Programs
Integrated Information Management Solution Global ICT Health Drivers for Change
• Electronic Health Record• Medical Insurance Administration• Wellness• Tele-Health• Practice Management• Hospital Management• Specialist Health Services Management• Health Analytics• Health Compliancy
Key ICT Significant Domains
Integrated Information Management Solution E_Health Record
An e-health record is a database containing personal body parameters, medical history and supports diagnosis and prevention-based treatment. This information can be used to support diagnoses, verify the success or impact of medication and lead to the prevention of health incidents.
The Personal Health Holy Grail – the e-Health record
Integrated Information Management Solution E_Health Record
Electronic Health Record
DiagnosticsInsurancePrescriptionsBilling/ClaimsDocumentsWellness Dashboard
VitalsMedication
AllergiesMedical History
Examinations
• Weight• Height• Body Compensation• BMI• Activity• Cholesterol• Blood Sugar• Blood Pressure• Oxygen• Sleep• Alcohol Consumption• Tobacco Usage • Diseases
• Cardiovascular• Diabetes• TB• Malaria• HIV• STI
WEARABLE TECHNOLOGY
Integrated Information Management SolutionWearable Technology
Wearable technology is clothing and accessories that incorporate computer and advanced electronic technologies. The designs often incorporate practical functions and features, but may also have a purely critical or aesthetic agenda.
Wearable Usage Market Forecast
Predicts 100% increase of wearable units in next two years. Has called the “Next big Thing” with sales increase from 5$ Billion to $50 Billion in 2020.
Wearable Devices Types Meaningful Aggregated Data
Wearable Usage Trends Device Makers Wellness Programs
Commonly used to monitor fitness (movement tracking) . Also monitor sleep, heart rate, body temperature, blood oxygen level, respiration, glucose and some cases specialist industry (mining, security, etc.) applications i.e. fatigue monitoring, body positioning monitoring, stress level monitoring, alcohol monitoring and fall detection. .
Devices are typically in form of bracelet, smart watch or chest straps that can sync with mobile phone. Latest innovations are glasses, sensors in pills and devices and “smart garments” i.e caps, shirts and pants.
Awareness and usage of wearables are on the rise. 60% obtained the devices in last 6 months with 15% using it in daily lives. Half of users between 18 and 34 years (young and affluent). Fitness band devices (61%) and smart watches (45%). Device commitment is increasing but one third of users who obtained more than 12 months ago are no longer using it today..
Future will allow for more open platforms to allow easier integration (sharing) of fitness, nutrition, etc. and personal data (personal health record). Companies will be require summarise and analyse the data in meaningful ways to realise value of aggregated data.
Fitness monitoring device makers are expanding their offerings into corporate wellness programmes, with participant activity validated by their devices. It include incentivised rewards and challenges as well as social interaction among employees.
Companies provide a communication platform and rewards for quantified activity including discounts on merchandise, travel rewards, or charitable donations (ready to use therapeutic food to undernourished and malnourished individuals.
Wearable devices is being proven to be a major catalyst to ensure improved physical fitness and health. Physical fitness is associated with lower all-cause mortality due to lower rated of chronic diseases reducing costs to employers and health insurers.
Fitness Communities
Effectiveness
Integrated Information Management Solution ICT Risk Management Drivers for Change
Systems in mining and construction that track and measure human conditions such as fatigue, position, health status, etc. are mostly ‘stand-alone’ systems focused on personal safety
and usually aimed at complying with safety legislation. Based on pattern analysis, it is for example possible to predict at
what point during a shift an operator usually gets tired and what the impact of his condition will be on his outputs or production.
BUT data and outputs from these technologies are usually not integrated with the employee health record or ERP systems,
achieving only a fraction of the true potential value.
Stand-alone risk management technologiesIntegrated systems and data analytics
With Through data-analytics it is possible to optimise individual productivity, increase production efficiency
through support of overall production planning and scheduling activities as well as minimising potential safety
risks.
Feeding this ‘stand-alone’ systems’ collected data into the e-Health record and integrating this information with ERP will
ensure the realisation of these benefits.
Integrated Information Management SolutionAn Example Solution PlatformIn accordance with an Integrated Information Management Solution strategic objectives, an example technology platform has been formulated below. The proposed platform
enables a balance between resource optimisation and service efficiency and is future-ready, from which automation, efficiency and enhanced performance can be realised.
Production Site
Workers
Employee Home
Production Station
Centralised Cloud Based Administration• Centralised Group ERP• Centralised Wellness Programme Management• Centralised EHR Services• Centralised Environment Health & Safety
HR Department
SHEProduction Department
Corporate
Compensation Mgmt.Performance & GoalsWorkforce Planning
Org. ManagementWellness Management
Environment, Health and Safety
Governance, Risk and Compliance
Performance Management Analytics
Connected Devices including wearables,
proximity devices, etc.
Maintenance Planning
Production Planning
Vitals, Alerts, Incidents
Monitoring
Health StakeholdersPatient Portal
Patient ManagementElectronic Health Record
Clinical Care
Healthcare Analytics
Social Media
FIN Department
Planning, Budgeting and Forecasting
Financial Information ManagementNotifications
Data
Integrated Information Management Solution Benefits
• Ensure Proactive Decision Making - Optimised by analytics allowing for right information in hands of employers in real time
• Allow for Empowered Employees- Enables Employees to make better decisions that can result in greater community health as well as Promote Personal Responsibility through Personal Ownership resulting in Higher Motivation
• Ensure Proactive and efficient work force management - Increase work force potential• Allow for Wellness Benefit quantification• Allow to monitor Safety & Health Governance impact and effectiveness - Ensure
compliancy by tracking and obtaining Information regarding compliancy requirements• Provide Empirical data to Insurers - Lower Risk Pool for insurers • Ensure Business Process Automation - Automated and integrated end to end business
processes between Production, HR, FIN, SHE, Corporate, Employee and with Systems of Record (E_Health record “Holy Grail”)
Integrated systems and data analytics
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Integrated Information Management Solution Benefits Challenges
• Employee buy-in to share information• Legal Confidentiality (e.g. POPI Act)• Workers Union support• Establishing secure record keeping, reconciliation and audit capabilities • Infrastructures and Connectivity (e.g. wearables, production plants, mining site, rural
or mobile medical services)• Representative implementation footprint (EHR completeness) and interpretation risk
Challenges
ConclusionAn integrated risk management and wellness program cannot only reduce health costs and increase productivity, it can also improve employee morale and health as well as reduce the frequency and severity of workers compensation claims.
However, for such a high quality program to be efficient an Integrated Information Management Solution is a key success factor and the
Foundation off success to implement Integrating Occupational Health & Safety and Wellness Programs.
Questions
Thank you