1 / 16

Serious Injury Overview

Serious Injury Overview. June 2011. Data Source: ODW and BIA Datamart May 2011. Overview. The purpose of this presentation is to provide a high level overview of Serious Injuries in BC, including: Rationale for Serious Injury Measure Serious Injury Definition

fauve
Download Presentation

Serious Injury Overview

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Serious Injury Overview June 2011 Data Source: ODW and BIA Datamart May 2011

  2. Overview The purpose of this presentation is to provide a high level overview of Serious Injuries in BC, including: • Rationale for Serious Injury Measure • Serious Injury Definition • Costs and Days Lost from Serious Injuries • Serious Injury Rate • Serious Injury Volumes and Percent Contribution to All Claims • Claim Characteristics for Serious Injuries • Sector Overview of Serious Injuries

  3. Rationale for the Serious Injury Measure • Rationale •Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes • Claim Characteristics• Sectors • Why a Serious Injury Measure? • The overall injury rate treats all time loss claims the same. • It is important that we reduce injuries most responsible human suffering and WorkSafeBC’s financial costs. • To do this, we need a measure to target and monitor. • The goal was for the Serious Injury measure to be timely, relevant, and inclusive yet focused.

  4. Serious Injury Definition • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors A claim is considered a Serious Injury claim if at least one of the following is met: • Long Duration (wage loss of 28 or more days) • High Health Care Costs • Fatality • Serious Medical Diagnosis Note also that Serious Injury claims must receive a first-payment in the month of injury or the three months following.

  5. Cost and Days Lost from Serious Injuries (2006-2010 – All BC) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors Serious Injury claims incurred between 2006 and 2010 represented 34% of claims, but 91% claim costs and 86% of the days lost. • Notes: • Claim Costs are based on Fully Reserved Claim Costs(“FRCC”). FRCC costs include early estimates of the 2010 FRCC. • FRCC (fully reserved claim costs): reflects the total raw past payments and the estimated future liabilities (average actuarial abstract) for the identified claims. • Claim Counts, Total Days Paid to date, and Average FRCC are rounded to the near thousand; total FRCC is rounded to the nearest million. • ‘Days lost’ refers to STD Days Paid to Date: The number of short term disability days that have occurred to date on claims incurred in the five year period. This amount will potentially increase over time.

  6. Serious Injury Rate – All BC • Rationale • Definition• Cost of Serious Injuries•Serious Injury Rate• Volumes• Claim Characteristics • Sectors • The Serious Injury Rate is estimated to be 0.82 in 2010. • Overall, the Serious Injury Rate decreased 27% in the last 10 years, but increased by around 4% in 2010. • The 12 month rolling Serious Injury Rate figures have been slowly increasing since February 2010 after a drop in 2009. 2.27 0.82 All BC: Rateable Sectors Serious Injury Rate reflects the number of Serious Injury Claims in a given year divided by the number of Person Years in a given year, multiplied by 100.

  7. Serious Injury Volumes and Contribution to Claims (2006-2010 – All BC) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate•Volumes• Claim Characteristics • Sectors • After a 16% decrease in 2009, the number of Serious Injuries increased by 4% in 2010. • The percentage contribution of Serious Injuries to all time loss claims has increased from 32% in 2007 to 38% in 2010. Total: 90,318 % Serious Injury: Number of Serious Injury Claims divided by the number of Non-Health Care Only claims first paid in the month of injury or in the following three months

  8. Claim Characteristics: Serious Injuries by Accident Type (2006-2010 – All BC) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors MSIs (ergonomic incidents) contribute most to the Serious Injury volume. Volume and % Contribution to Serious Injuries Total: 90,318

  9. Claim Characteristics: Serious Injuries by Accident Type (2006-2010 – All BC) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors 46% of Claims due to a Fall from an Elevation are Serious Injury Claims. Percentage of Claims that are Serious Injuries for the Most Frequent Accident Types

  10. Claim Characteristics: Serious Injuries by Injury Type (2006-2010 – All BC) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors 58% of Serious Injuries are back strains or other strains. Volume and % Contribution to Serious Injuries Total: 90,318

  11. Claim Characteristics: Serious Injuries by Injury Type (2006-2010 – All BC) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors Over 90% of fractures result in Serious Injuries, whereas 16% of cuts result in Serious Injuries. Percentage of Claims that are Serious Injuries for the Most Frequent Injury Types

  12. Claim Characteristics: Serious Injuries by Occupation Type (2006-2010 – All BC) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors Motor Vehicle drivers, trades helpers and support occupations in health services have the most Serious Injuries. Percentage Contribution to Serious Injuries by the Top Occupations

  13. Claim Characteristics: Serious Injuries by Age (2006-2010 – All BC) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors Serious Injuries comprise a greater percentage of claims with increases in age. Percentage of Claims that are Serious Injuries

  14. Claim Characteristics: Serious Injuries by Gender (2006-2010 – All BC) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors Since 2006, the percentage contribution to Serious Injuries for males has decreased, and for females it has increased.

  15. Serious Injuries by Sectors (2006-2010) • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics •Sectors The Service Sector has the greatest volume of Serious Injuries, while time loss claims in the Primary Resources sector have greatest propensity to be a Serious Injury. • All BC • # Serious Injuries - 90,318 • % Serious Injury - 34%

  16. Appendix A: Frequency of the Serious Injuries Across Components in the Definition (2006-2010 – All BC) Component 1: Long Duration (28 days or more) 0.9% 68.5% Component 2: High Health Care Costs 14% (12,900) of the Serious Injury claims meet this criterion. If the Serious Injury Definition did not have the High Health Care Cost component, it would capture 99% of the claims under the current definition. 6.0% 0.6% 6.9% 11.0% Component 4: Serious Medical Diagnosis – select ICD9 Codes 5.8% • Rationale • Definition• Cost of Serious Injuries• Serious Injury Rate• Volumes• Claim Characteristics • Sectors The Long Duration component has the greatest impact on the Serious Injury volume. 92% (83,500) of Serious Injury claims meet this criterion. If the Serious Injury Definition did not have a Long Duration Component, it would capture 31% of the Serious Injuries under the current definition. 25% (22,200) of Serious Injury claims meet this criterion. If the Serious Injury Definition did not have the High Health Care Cost component, it would capture 94% of the claims under the current definition. • Notes: • Some of the areas may not be in exact proportion to the percentage figures • Numbers are rounded to the nearest hundred

More Related