Total Worker Health – Could we have it all? March 2013

1. Total Worker Health – Could we have it all?March 2013 Jeanette Kinahan T: 0418 554129 E: jeanette@workhealthsystems.com.au W:www.workhealthsystems.com.au

2. Today’s Discussion Points • Background • Total Worker HealthTM (NIOSH) • Integrated Approaches • Integrated Interventions • Integrated Management Systems Work Health Systems 2013

3. Background Work Health Systems 2013

4. Worksite health management – past or present? Independent functions / efforts Siloed health resources Fragmented data Limited resources Siloed (parallel) management approaches Work Health Systems 2013

5. Are silos getting in the way? Workplace Insurance Regulation Government Work Health Systems 2013

6. Motivation If you change the way you look at things – the things you look at change Dr Wayne Dyer Work Health Systems 2013

7. We are all connected We are all connected – workplaces, people, communities World Health Organisation Action Framework Work Health Systems 2013

8. Total Worker Health TM(NIOSH) Definition: Total Worker Health™ (TWH) is a strategy integrating occupational safety and health protection with health promotion to prevent worker injury and illness and to advance health and well being (NIOSH 2012). • simply put, where the total health of the worker, in the broadest possible sense, is optimized’ (NIOSH 2013). Background Reading: Seminal research papers available at: http://www.cdc.gov/niosh/docs/2012-146/pdfs/2012-146.pdf Work Health Systems 2013

9. What is an integrated approach? Expanding work-related resources and opportunities Preventing work-related illness, injury and disability Reducing work -related stress Workplace safety measures Decreasing job strain / demands Medical care access Control of workplace hazards EAP Fostering social support among workers Health screening & services (i.e. Work Health Checks) Paid sick and personal leave Health & Safety Training Effective leadership Child and elder care services Promoting healthy behaviours Effective incident & injury / illness Management Effective stress & conflict management Job training & education Creating a health promoting environment Disability prevention approach Supporting work-family balance Adequate wages & salaries Work Health Systems 2013

10. What is an integrated approach? Work Health Systems 2013

11. Continuum to integration – where are you? Workers compensation management Health Promotion OH&S Work injury Management Integrated worker health protection & promotion Integrated data and evaluation Shared data / reports Integrated management systems Integrated approaches Independent efforts Linked messages Work Health Systems 2013

12. What does this look like? The integrated approach – who could be at the table? • Safety • Injury management • Workers compensation • Health promotion & wellbeing • Finance • HR • Management • Employees • Union • Others (i.e. procurement, consumers) Work Health Systems 2013

13. Example – integrated messages ‘Gear up for Health’ (Gloria Sorenson – Harvard University) Target: Smoking cessation & weight management – truck drivers How: Telephone intervention (at least 1 phone call) Cohort: 227 agree to participate (697 eligible) 40% tobacco users 88% BMI 25% or > Intervention: Telephone counselling with motivational interviewing Tailored feedback report Targeted educational materials Work Health Systems 2013

14. Example – integrated messages Targeted messages: Acknowledge factors on the job – i.e. independence but also time pressures, weather, traffic, long hours Linked to behaviours: • ‘Tobacco doesn’t fix stress’ • Interactions of exposures to chemicals & tobacco • Eating healthy on the road • ‘Eat for job security’ Results (Sorenson et al cancer causes and control, 2010) Adjusted smoking quit rates: • 23.9% for participants Vs 9.1% for non participants Work Health Systems 2013

15. Example – Integrated intervention ‘Take a stand’ Project (Nico Pronk – Health Partners 2012, Harvard University) Target: Physical inactivity Sedentary office practices • risk factor for many health issues (occupational & personal) How: Installation of sit-stand devices 7 week project Work Health Systems 2013

16. Example integrated intervention Results • Increased non sitting time by > 1 hour per day • Reduced upper back, neck & shoulder pain • Improved mood states • Increased face to face time during work • Participants felt: • More comfortable, healthier, energised, more focussed, more productive, happier and less stressed • Removal of the device eliminated most of the improvements due to the intervention Recent scientific publication on the “Take-a-Stand” project in Preventing Chronic Disease, the CDC e-journal (August, 2012) Work Health Systems 2013

17. Example integrated intervention Psychological Health – recent example from my practice Issue: Interpersonal conflict -  complaints, disputes, absence,  productivity of team, work injury stress claims  Response: - Conflict Management Coaching (individuals), - Mediation between parties involved Real Issues: - Ineffective supervisory behaviours & responses - Poorly managed organisation change in performance & management expectations - Inadequate policy & management framework - Inconsistent HR management practices - ‘make it go away’ attitude Work Health Systems 2013

18. Example integrated intervention Psychological Health – recent example from my practice Action plan: • Resolve immediate conflicts • Restore team function • Review management & HR framework • Investigation – employee surveys, injury statistics, absence, claims, culture, compliance, interviews, EAP utilisation • Policy and procedural review & re-development • HR – appetite for change in management responses, benefits mix • Psychological risks / health focus to OHS committee • Implementation new policies with training & education • Health promotion messages linked to behavioural risks of workplace Work Health Systems 2013

19. Integrated Management Systems(Harvard 2012) Example of an Integrated Management System Work Health Systems 2013

20. Essential Elements Work Health Systems 2013

21. Why do it? Work Health Systems 2013

22. Why do it - Benefits? Healthier workers: • Less prone to work injury (i.e. MSD) • More resilient to ‘stress’ • Absent less, more productive • Recover / RTW sooner from injury • More engaged at work • Manage ‘warning signs’ of illness/disease early Work Health Systems 2013

23. Why do it - benefits? Healthier workplaces: • Most diseases, injuries and other health conditions experienced by working people are multifactorial,  as workforce ages • Improved health behaviour results in increased participation in safety programs • Reduces rates of work injury (reduced lost time, workers compensation costs) • Resources are optimised • Workforce health, productivity, resilience & engagement is optimised • Creates more efficient and effective processes & outcomes ‘across the board’ Work Health Systems 2013

24. Challenges to integration? Some include: • Where to begin? • Moving beyond compliance • Evidence for benefits of health promotion & integration • Silos – disciplinary & department • Management / employee alignment • Employee engagement, communication • Establishing the business case –budget, resources, staff time, tools, ROI • Physical & social environment • Culture, Politics • Data Work Health Systems 2013

25. The opportunities? • Challenge & courage • Health in all decisions • Culture of health Work Health Systems 2013

26. Motivation If you change the way you look at things – the things you look at change Dr Wayne Dyer Work Health Systems 2013