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Copy of Copy of Copy of Wellness Comp

Is there Room for Workplace Wellness to decrease injuries?

Joanne Sargent

on 30 January 2014

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Transcript of Copy of Copy of Copy of Wellness Comp

Thank you for your attention!
Do we really know what to look for?
Transforming our thinking for our I.W.
parts and the whole.
Photography by BruceTurner
Supporting Employee Well-Being
Americans now work 164 more hours per year than 20 years ago.
People are becoming less active due to advances in automated transportation, technology at home and more passive life pursuits.
An aging work force
The cost of healthcare has increased 274 times what is was in 1950 even though the average cost of all other goods and services increased only 8 times
Work plays an important role in our health and social well-being.
Photography By Victor1558
A healthier worker is a healthier bottom line
Healthier individuals are healthier workers.
Businesses recognize that poor health means lower productivity, higher health care costs and slower return-to-work after an injury.
Because what's important is
Healthier workers have fewer job-related injuries and illnesses.
Healthier workers have fewer health claims.
If food prices had risen at the same rates as medical inflation since the 1930's, we would be paying an astronomical amount for common grocery items as evidenced below.
1 dozen eggs $80.20
1 pound apples $12.23
1 pound sugar $13.70
1 dozen oranges $107.90
1 roll of toilet tissue $24.20
10 items total $586.56
1 pound butter $102.07
1 pound bananas $16.04
1pound bacon $122.48
1 pound beef shoulder $43.57
1 pound of coffee $64.17
You can't predict accidents or change the hands of time
Health is created and lived by people within the settings of their everyday life;

Where they learn, work and play.
Work environments are a perfect opportunity for promoting Health & Wellness.
An aging workforce
Prevention of injuries, increase prod. morale and decrease absenteeism are just a few of the goals.
Workplace wellness programs are one way to reduce injuries and affiliated costs. Some studies suggest it can lower workers compensation costs about 30%.
Photography By mscaprikell
Understanding employer role/resp.
What are the Challenges?
CM's and practitioners need to understand, address
and work together towards I.W. Wellbeing
Case Study
Health Practitioners not use to having wellness discussions with their patients
Language barriers, Cultural differences,
Traditional health habits
Other Chronic Diseases, Diabetes, Heart Disease, Stroke
= Absenteeism
As nurses we are use to working with sick people
75% of the $2.47 trillion in U.S. health care costs stems from chronic diseases, many of which can be prevented or delayed by lifestyle choices
Script for exercise
but we can see complications coming miles away
So why is wellness important for all of us?
Should we begin the dialogue with our injured workers?
Photography By Victor1558
Photography By Co-operative
What treating practitioners can do?
Health & Wellness within
The Management
of Injuries

Injury Management Integration
Partners for Health
Workers' Comp.
Food for Thought
Photography By Alan Cleaver
Where do we Start ?
Injury and whole person assessment
Identify recovery challenges due to co-morbidities that can impede recovery time
Have that difficult conversation
Evaluate readiness to change
The concept is simple, but the mechanics are not as simple
Employers understand the importance of wellness but typically rely on their vendors, such as nurse case managers to speak to injured workers

Is 35 the New ―Older‖ Worker?
Beginning in 2000/2001 Sprain Rotator Cuff
Ranked In the Top 10 for Ages 35 and Older
Beginning in 2000/2001, Tear Medial Cartilage/Meniscus of Knee Ranked In The Top 10 For Ages 25 and Older
Assessment of the injured worker, and identify existing conditions which could delay outcomes will be important
Injuries with a Co-morbidity Diagnosis Are on the rise

Wellness Adapted for Workers' Comp
Practitioners can communicate when it is appropriate for workers' comp adjusters or nurse case managers to telephonically introduce claimants to a health coach
Get comfortable with the questions we need to ask injured employees to learn whether they might benefit from the employer's programs for chronic illnesses such as back pain, respiratory problems or diabetes.
...Teachable moments
Photography by sun dazed
Understanding the Change in role from traditional “injured-care” to active advocates for IW wellness
Promoting wellness coaching as a cutting-edge, innovative solution
Should Practitioners form an alliance with CM's / Health Coaches ?

Occupational safety, health
protection and promotion
Resistance to changing behaviors and no support
Workers are afraid about losing their jobs if they are found to be in poor health
Co-morbidities can be linked to your injury outcomes, employer costs and injury costs
Health Trends Dictate Change
Addressing an I.W. wellbeing
Obesity & smoking trends in our employee population often represent higher cost if they become injured and a slower return to work.
Initial assessment, may include personal interview with the injured employee, but often telephonic.
During this process identify overall health, any significant medical history that could affect the outcome of their recovery.
Medical case management techniques often result in benefits that are difficult to measure in dollars.
The benefits of medical case management beyond the measurable dollars can be categorized in three general areas.

1- medical guidance, 2- utilization control and 3- quality improvement.

Many of the I.W.'s concerns can be addressed by the nurse case manager's medical guidance
This benefits the I.W. by actively involving them in the medical care of their injury.
Begin the dialogue of overall well being we may also identify a readiness to change ie: smoking cessation

The medical case manager can work to prevent exacerbations and complications from co-morbidity issues (obesity, diabetes,) etc.
This results in behavior management and encouragement of the employee to take better care of themselves
Lost days from work: Obese employees lose 13 times more work days for their injury (183.63 days vs 14.19 days).
Medical cost: Obese employees medical cost is seven times higher ($51,901 vs. $7,503)
When our medical community has the difficult conversations with IW about unhealthy behaviors it is often the beginning of assessing their readiness to change. We need to understand that there are multiple health issues at home and in the workplace that overlap.
WHY are Practitioners Important ?
Discuss how smoking can delay healing of orthopedic bone injuries.
Understanding that there is a direct relationship between employees health and return to work outcomes is important
Many employers are clear on their safety responsibilities
But have not always supported an environment of Health
Have the difficult conversation regarding BMI
Work stress can intrude into their families lives and vice-versa
How often do we have that difficult conversation ?
Practitioners Role
Case Mgmt.
Chronic Diseases-which are preventable such as heart disease, stroke are responsible for 70% of deaths in America and 3/4 of the health care spending
Chronic conditions account for an estimated 75% of the nation's $2 trillion medical care costs.
66% of the increase in health care spending can be attributed to increasingly unhealthy lifestyle behaviors
Review the whole person
W/C claims with co-morbidities nearly tripled from
2000 to 2009, growing from a share of 2.4% to 6.6%
Comorbidity diagnosis have about twice the
medical costs of otherwise comparable claims
hypertension is the most prevalent of those
Only a small portion of visits result in the recording
of a co-morbidity diagnosis
Population is Increasing, more people are working longer
The Majority of these co-morbid diagnosis are males
The primary objectives of the (ACA) are to improve patient access to healthcare, enhance healthcare quality and patient safety, and reduce costs.
Treating practitioners are often the first ones to treat an injured worker, so we have a great opportunity to begin the dialogue.
Case Managers
Cross Roads
Workplace injuries are remarkably similar across age groups
Severity are also similar across the various ages
Age-related deterioration is small
An injury in an older worker is not more likely to produce a disability (temporary or permanent) than it is for a younger worker

Credit to employers, As the workforce ages, employers are making efforts to encourage older workers to remain on the job by implementing safety and loss control programs to reduce injuries for older workers.
BUT... consider co-morbidities and the outcomes are not as favorable.
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