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Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Navigating the Minefield Preventing and conquering the barriers to complex injury management cases. The Causal Links Between Organisational Health and Individual Injury Presented on behalf of Self Insurers of Victoria. Insight SRC Pty Ltd Level 9, 34 Queen Street - PowerPoint PPT Presentation
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Navigating the Minefield Preventing and conquering the barriers to complex injury management cases Insight SRC Pty Ltd Level 9, 34 Queen Street Melbourne VIC 3000 Phone: 03 8611 0600 Email: [email protected] Website: www.insightsrc.com.au The Causal Links Between anisational Health and Individual Inj Presented on behalf of Self Insurers of Victoria
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Page 1: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

Navigating the MinefieldPreventing and conquering the barriers to complex injury management cases

Insight SRC Pty LtdLevel 9, 34 Queen StreetMelbourne VIC 3000Phone: 03 8611 0600Email: [email protected]: www.insightsrc.com.au

The Causal Links BetweenOrganisational Health and Individual Injury

Presented on behalf ofSelf Insurers of Victoria

Page 2: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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About Insight SRC…

Insight SRC is a highly-skilled consulting organisation capable of building the productivity and effectiveness of enterprises through innovative and empowering leadership and organisational development strategies.

We deal with the problem, not the symptom, by creating the tools, knowledge and capacity that our clients can then apply to a self-managed process for cultural and organisational change.

Insight SRC works as a strategic partner with our clients to develop long-lasting relationships. You have the expert understanding of your operating environment. We have the deep conceptual knowledge of HR development and the powerful statistical tools and change processes to back it up.

The solutions we develop are not off-the-shelf formats. Our flexibility in thinking and deployment is a result of a holistic approach to organisational issues.

Together we work to give you insight into the way your people work, and the pathways for improvement.

As partners, we create knowledge – the most powerful tool of the contemporary organisation.

Page 3: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Our theoretical frameworks …

Insight SRC has been instrumental in creating the knowledge and setting the standards in the HR, consulting and scientific management communities:

research awards(e.g., we have received many prestigious research awards, at the national and international levels, for the quality of our organisational research, and have been rated in the top 10% of researchers worldwide)

creating the knowledge that drives international thinking(e.g., we our recognised as thought leaders on the key drivers of wellbeing, motivation and performance, and have published extensively in the top-tier scientific journals in management and organisational psychology)

establishing the theoretical frameworks that underpin policy and practice(e.g., we developed the organisational health framework that now underpins the policies and practices in a wide range of private and public sector organisations to build accountability and improvement in people issues)

Our research highlights four fundamental truisms that build effective performance

Empathy – building trust, respect, and understanding

Clarity – building dialogue, discussion, focus and accountability

Engagement – building teamwork, empowerment, and shared ownership

Learning – building in feedback, personal growth and challenge

… these underpin the key team and individual behaviours that drive wellbeing

Page 4: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Our focus, on establishing and understanding the link between people and performance has clearly demonstrated that engaged employees are the foundation of effective organisations.

The Russell Investment GroupA study of the companies on Fortune’s annual list of “100 Best Companies to Work For” showed that these companies returned five times as much to investors as the market in general

Towers Perrin/ISRUsing data from 664,000 employees across 50 countries worldwide, Towers Perrin/ISR found that companies with highly engaged employees had lower turnover, lower absence, higher customer satisfaction

McKinseyLowell L. Bryan, a McKinsey Director, argues that companies focus too much on measuring returns on invested capital and not enough on measuring the contributions of their people, and believes that we should use financial-performance metrics to focus on returns on talent rather than returns on capital

Insight SRCWorking with a range of Australian private and public sector organisations, we have established a strong link between engaged employees and business performance:

Boeing Australia – engaged employees drive business excellence (2003 Gold Award)

Medium-sized Bank – engaged employees drive financial performance (2006)

RACV – engaged employees drive retail and call centre customer satisfaction (2002 SIOP)

Victorian Education – engaged employees drive student retention and academic achievement (2007)

State and Commonwealth Public Sector – engaged employees lead to lower costs (1992-2007)

Engagement is the critical path to wellbeing and performance …

Page 5: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

5

Typical challenges when building engagement …

Building engagement can be a time consuming, costly and threatening pursuit:

Getting it right(e.g., organisations often embark on engagement programs without first establishing the root cause ofwellbeing and performance outcomes)

Survey fatigue(e.g., organisations often implement a range of diagnostic activities, including culture and climate surveys,stress audits, 360 degree feedback surveys, pulse surveys, engagement surveys, etc)

Lack of common language(e.g., embedding a common cultural language around ‘people’ is not helped by the use of different frameworks, tools and providers that all come with their own ways of talking about leadership and culture)

Lack of integration(e.g., different diagnostic tools usually draw on different conceptual frameworks, resulting in fragmentation and competing messages, a lack of ownership for core issues, and time consuming development processes)

The blame game(e.g., organisations sometimes struggle to build ownership of development needs at the right level, withmanagers blaming employees, and employees blaming managers – finger pointing is much easier than change)

Page 6: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Through a range of scientific and commercial projects, we have examined the key drivers of organisational health with data from over 1,000,000 employees world-wide.

Public Sector

Accountants and Economists

Community Services Workers

Emergency Services Workers

Hospital Staff

Local Government Employees

Police Officers

Primary & Secondary Teachers

TAFE Employees

Transport Workers

Airline Employees

Engineering Employees

Finance Sector Employees

Information Technology Employees

Insurance Employees

Resource Industry Employees

Retail Employees

Telecommunications Employees

Utilities Employees

Private Sector

Using organisational health as an integrative framework …

Page 7: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

7

NegativeExperiences

Emotionality

PositiveExperiences

Org.Climate

EmotionFocusedCoping

ProblemFocusedCoping

Sociability

Stress

JobSatisfaction

Morale

_

_

_

_+

+

+

+

+

+

+

_

++

++

+

+

_

++

+

StressLeave

Non certifiedSick leave

TurnoverIntentions

DiscretionaryPerformance

CustomerExperience

Profitability

The Organisational Health Framework …

Based on Hart & Cooper (2001)

Page 8: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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IndividualCharacteristics

OrganisationalCharacteristics

Distress OrganisationalPerformance Morale

Simplifying the Organisational Health Framework …

we actually control those things that makethe most difference to wellbeing and performance …

Page 9: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

9

IndividualMorale

IndividualDistress

WorkplaceMorale

OrganisationalClimate

Sociability

Emotionality

PositiveWork Experiences

NegativeWork Experience

51

30

-30

28

-18

Emotionality

OrganisationalClimate

NegativeWork Experiences

PositiveWork Experiences

Sociability

EmotionFocused Coping

67

-36

23

-10

05

03

OrganisationalClimate

Emotionality

Sociability

85

-29

15

OrganisationalClimate

Emotionality

NegativeWork Experiences

EmotionFocused Coping

-60

45

25

04

WorkplaceDistress

Research evidence …

Page 10: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

10

JobSatisfaction

Workers’ Compensation

NoncertifiedSick leave

OrganisationalClimate

Emotionality

PositiveWork Experiences

NegativeWork Experiences

Sociability

77

-36

34

-23

11

Emotionality

Individual Distress

Individual Morale

OrganisationalClimate

Sociability

NegativeWork Experiences

EmotionFocused Coping

PositiveWork Experiences

55

28

-28

-26

13

12

12

-11

OrganisationalClimate

Job Satisfaction

Emotionality

Workplace Distress

NegativeWork Experiences

PositiveWork Experiences

-19

-16

11

11

06

-06

Emotionality

OrganisationalClimate

Individual Morale

Individual Distress

PositiveWork Experiences

NegativeWork Experiences

Workplace Morale

Sociability

Job Satisfaction

40

-39

-34

22

-14

13

-10

09

-06

TurnoverIntentions

Even more research evidence …

Page 11: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

11

Linking wellbeing and service delivery in a call centre environment

23

52Customer

Experience

Innovation

StaffWell-Being

Retention

Leadership OrganisationalClimate

Improving service delivery …

Page 12: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

12

Neal, Griffin & Hart (2000) Safety Science

Organisational climate and safety behaviours …

2358

SafetyParticipation

OrganisationalClimate

SafetyClimate

SafetyCompliance

SafetyMotivation

SafetyKnowledge

35

29

23

57

28

43

54

Workgroups Individuals Outcomes

Page 13: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

13

Hart, Norris, Wearing, McMurray, Disler & Malinovskaya (1997) University of Melbourne

2348 42

67

42Catastrophise

OrganisationalClimate

DaysCompensated

ImpactOn Life

23

-22

-20

ClaimsManagement

PainSeverity

Days compensated after back injury …

Page 14: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

14

Hart, Norris, Wearing, McMurray, Disler & Malinovskaya (1997) University of Melbourne

2348

Returnto Work

PainSeverity

ClaimsManagement

47

-38

-31

80

50Catastrophise

OrganisationalClimate

DaysCompensated

ImpactOn Life

41

-28

Return to work after back injury …

Page 15: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

15

There are no magic silver bullets when it comes to improving organisational health. Nevertheless, we can develop a set of principles and practical tools that enable us to structure our thinking and improvement activities.

Concerns and/orOpportunities

?

OrganisationalPerformance

LeadershipBehaviours

CulturalBehaviours

EmployeeWellbeing

Energy

Enthusiasm

Pride

Passion

Empathy

Clarity

Engagement

Learning

Core Business

Change Management

Development

People Symptoms

Putting the pieces together …

a strategic approach focuses on the causes, not the symptoms…

Page 16: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

16

Stress is a systemic concept that may be observed when two conditions are met:

a state of disequilibrium exists within the system of variables relating people to their environment;

and

this state of disequilibrium brings about change in people’s normal levels of psychological well-being.

Dynamic equilibrium theory of stress …

Page 17: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Distress refers to the negative feelings that people

experience as a result of their work(e.g., anxiety, depression, frustration, worry)

Morale refers to the positive feelings that peopleexperience as a result of their work

(e.g., energy, enthusiasm, pride, team spirit)

Practical definitions …

Page 18: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

18

Employee Satisfaction

Quality of Work Life

Employee Wellbeing

Job SatisfactionLow High

Low

High

Distress

Morale Presenteeism

Utopia Go, go, go ...

#$*!#!

Emotion is the key to staff wellbeing …

Page 19: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

19

NegativeExperiences

Victims

Danger

Dual Careers

Personality Clashes

Activity

Insecurity

Frustration

Complaints

External

Career Opportunities

Coworkers

Outside Support

Work & Home Life

Workload

Resources

Communication

Supervision

Administration

22

24

35

47

48

49

49

49

50

52

56

61

62

66

67

71

83

84

PositiveExperiences

Decision-Making

The Job Itself

Management

Administration

Customer Service

Workload

Amenities

Coworkers

Work Schedule

Equip. & Resources

Family

Victims

Offenders

73

71

68

67

65

58

57

56

56

54

29

18

78

Police experiences and their wellbeing …

Page 20: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

20

OrganisationalHealth

Consulting through balloons and weights …

By focusing on the actual experiences that an employee has had over the past 1-2 months, it is possible to identify the key factors that contribute to staff wellbeing and overall performance – without ‘loading’ the dice through a checklist or questionnaire.

Page 21: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Employee Development

Co-worker Interaction

Feedback

Goal Alignment

Participative Decision-Making

Role Clarity

Supportive Leadership

Work Demands

50% of Individual Morale

85% of Workgroup Morale

80% of Workgroup Distress

45% of Individual Distress

Explains

Causes

Key drivers of motivation and wellbeing…

Page 22: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Research in a wide variety of private and public sector organisations demonstrates that the following four cultural pillars underpin wellbeing, motivation and performance in all organisations:

• Empathy (Supportive Leadership)

• Clarity (Role Clarity)

• Engagement (Teamwork, Empowerment, Ownership)

• Learning (Feedback, Employee Development)

Importantly, the relative strengths and weaknesses across these four pillars differs across teams. This indicates that improvement strategies have to be tailored to the specific needs of individual teams.

Clarity

Empathy

Engagement

Learning

Building a quality organisational culture …

Page 23: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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RoleClarity

SupportiveLeadership

ExcessiveWork

Demands

Teamwork

Feedback

Empower-ment

EmployeeDevelopment

Ownership

IndividualMorale

WorkplaceMorale

WorkplaceDistress

IndividualDistress

20

24

40

40

33

29

-41

66

30

40

38

56

33

334772

45

44

59

39

-55

-21

30

-42

22

EngagingClarity LearningEmpathy

Leadership and Management Culture

Building the culture that underpins high performance …

ServiceDelivery

Retention

StressClaims

Absenteeism

DiscretionaryEffort

Page 24: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Workgroup Morale Workgroup Distress Individual Morale Individual Distress

Supportive Leadership

Coworker Interaction

Role Clarity

Goal Alignment

ParticipativeDecision-Making

74

74

45

39

15

ExcessiveWork Demands

Supportive Leadership

Goal Alignment

ParticipativeDecision-Making

Individual Morale

Role Clarity

66

-60

-41

-19

-14

-18

Supportive Leadership

Role Clarity

Employee Development

ParticipativeDecision-Making

Coworker Interaction

Appraisal & Recognition

52

48

30

16

13

12

Supportive Leadership

Role Clarity

ExcessiveWork Demands

-42

-41

30

Understanding what is most important …

Page 25: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

25

Focus on People

Manages People

Seeks Feedback

Builds Relationships

Supports Staff

Focus on Development

Coaches Staff

Effectively Manages Change

Values Training & Development

Focus on Core Business

Builds Own Skills

Is Entrepreneurial

Creates a Quality Environment

Provides Direction

Effectively Manages

Projects

SupportiveLeadership

being approachable

knowing the problems staff face

supporting staff

communicating wellwith staff

can be relied upon

What is behind supportive leadership – a transformational approach…

Page 26: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Research in a wide variety of private and public sector organisations demonstrates that the following four cultural pillars underpin engagement and performance in all organisations:

Empathy the extent to which workgroup leaders understand the needs of workgroup members

Clarity the extent to which workgroup members have a sense of purpose and know what is expected of them

Engagement the extent to which workgroup members collaborate, share ideas and solve problems together, leading to shared Goal Alignment of workgroup goals

Learning the extent to which workgroup members feel their efforts are being recognised and their capability is being developed through appropriate learning and development opportunities

These four pillars underpin Goleman, Boyatzis and McKee’s (2002) emotional intelligence approach to leadership - their six styles of leadership include visionary, coaching, affiliative, democratic, pacesetting and commanding.

Moving toward an emotional intelligence framework …

Page 27: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Why are the four pillars of culture so important?

Clarity

Empathy

Engagement

Learning

Four Pillars of Leader and Cultural Behaviour

Wellbeing & Motivation

Customer Experience

SalesPerformanceRetention

LoyaltyBehaviours

85% 50%60% 25% 15%

AbsenceCost

55%

the leader and cultural behaviours that form the foundations of engagement and performance

Page 28: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Minimum chance of success:

Building knowledge (e.g., sharing ideas, reflection, one-off training days, etc)

Maximum chance of success:

Changing behaviour (i.e., if behaviour does not change, improvement does not occur)

People can see and experience behaviour change in others, but they can’t always see and experience change in other people’s knowledge!

Behaviour change – the difficult part when improving wellbeing …

Bringing about a change in the factors that contribute to employee wellbeing is not straightforward. Pre and post-test evidence, from a range of different improvement programs over the past 17 years, has demonstrated that action-learning programs that focus on behaviour change have the greatest chance of success.

Page 29: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Improvement in organisational health should be strategic and holistic!

Engagement:1. Do staff have a shared view about the organisation’s strengths and weaknesses?2. Are staff on board with the proposed improvement process?

Clarity:3. What are the organisation’s improvement goals?4. How do these goals fit in with the strategic plan for the organisation?

Empathy & Engagement:5. Do we need to implement an action learning process?6. How should we create project teams and champions?

Learning:7. What learning activities do we need to build into the process?8. Do we need to review the leadership structure and roles?9. Do we need to develop a vision and strategic plan?10. Do we need to build empathy among leaders?11. Do we need to improve meetings?12. … what can I do personally to make a difference?

Key questions of leaders coming into the program …

Page 30: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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$771,004

$469,967

$270,610$193,652

$0

$200,000

$400,000

$600,000

$800,000

$1,000,000

Baseline End Year 1 End Year 2 End Year 3Change Program

Improving the four pillars will reduce workers’ compensation costs …

$1,378,783 saving over three years in one worksite of 80 people!

Page 31: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

31

There is no ‘magic silver bullet’ that will enable us to improve wellbeing and performance. However, there are common factors in the leader and cultural behaviours that underpin success in all organisations:

Key learnings …

Distress and morale are central to staff well-being

The quality of the organisational climate you create is criticalto staff well-being and organisational performance

Empathy, Clarity, Engagement, and Learning is the key to success

High performing workgroups can only be established by working‘collaboratively’ to build an engaging environment that motivatesemployees and delivers core business results

Action-learning is the best way to create new behavioural habits

Page 32: Navigating the Minefield Preventing and conquering the barriers to complex injury management cases

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Dr Peter Hart

Managing DirectorInsight SRCLevel 9, 34 Queen StreetMelbourne, 3000Phone: +61 3 8611 0600Email: [email protected]

Roger Dingle

Senior ConsultantInsight SRCLevel 9, 34 Queen StreetMelbourne, 3000Phone: +61 3 8611 0600Email: [email protected]

Our contact details…


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