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Southern Company Keynote
2
Using Preventive Medicine as a Strategy for Achieving Safety First
Jon Kabance, RKT
Jon Kabance, RKT
My
background
START
As a registered Kinesiotherapist and President of BIOKINETIX, Jon has been masterful in combining his expertise in exercise science, kinesiology and education with the real-world demands companies face every day as they look to reduce employee injury rates.
Fifteen years ago, Jon founded BIOKINETIX with the idea of reversing how medicine is practiced. Rather than simply reacting by treating employee injuries, his vision was to proactively reduce the risk of injury using exercise and education.
Through Jon’s thought leadership, BIOKINETIX has served nearly 40,000 industrial athletes and helped companies save over $200 million in injury costs through strategic prevention and well-being programs.
Evolving Your Safety Management System
Title
Interdisciplinary collaboration
Old thinking vs. new approach to how safety professionals engage with medical professionals
Title
Introduction
Introduction
Introduction
Introduction
Safety First Drives Towards UpTime
- Safety First starts with the individual employee in mind
- Safety culture cannot be improved unless engaged in processes that affect each worker, personally
Introduction
Safety First Drives Towards UpTime
- We ask our employees to invest their body at work—at what cost?
- Safety First organizations and leaders have a responsibility to provide value back to employees in a meaningful and impactful way: by using the workplace as an opportunity to invest in their well-being
- This Safety First approach creates engaged employees dedicated to the mission of the organization
Virtuous Cycles
Virtuous Cycles of Mutual Benefit
Virtuous Cycles Of Mutual Benefit
Title
Safety First is Not The What
- Safety First isn’t a Tug of War with employees making sure they follow rules
- Safety First is instilling a desire within employees to live safely
Start With The Why
- We know people don’t follow initiatives or rules, they follow the WHY behind those.
(Simon Sinek: We need to always start with our why.)
- Target Zero misses the why and focuses on the WHAT.
- Safety First better captures hearts and minds because it emphasizes the why over the what.
Shifting to a New Paradigm
Shifting the Paradigm
"Individuals do not leave the impacts of their personal health risks on the doorstep when they leave for work, just as they cannot leave the impacts of their workplace exposures when they return home.
Therefore, workplace health initiatives are uniquely positioned to leverage coordinated health and productivity enhancement strategies that can deal with the whole person in an integrated manner and the whole population across the entire health continuum.”
— Loeppke, R. (1995), “Prevention and managed care: the next generation”, Journal of Occupational and Environmental Medicine, Vol. 37 No. 5, pp. 558-62.
The Total Worker Health Framework
The Total Worker Health Framework
- NIOSH evolving the mindset of safety in the workplace
- Main objective: establish policies, programs, and practices within the workplace that advance the safety, health, and well-being of the workforce
- Your employees should leave work better and healthier than they did when they came into work
How do we get there?
Understanding Injury Risk Through Systems Thinking
- The risk of musculoskeletal injuries is not compartmentalized.
- Repetitive stress and improper biomechanics heighten the risk of overuse regardless of setting, whether employees are loading materials onto a pallet or lifting boxes down from a shelf in their own garage.
- More often than not, recordable strains or sprains occur as a result of a combination of work-related and non-work-related factors.
Understanding Injury Risk Through Systems Thinking
- If the problem is multi-variant, the solution must be as well
- Sports medicine is a multi-variant solution because it affects the body as a whole; that same “work-body” and “home-body”
- This enhances employee UpTime because they have an enhanced capacity for work-related activities and at-home activities that provide fulfillment
Human Performance
Human Performance:
Setting Up A Fertile Environment
"The most important tool you have to manage success and failure in your organization is understanding and controlling the context in which your workers conduct work.
Good systems have the ability to help you manage the uncertain operational outcomes you will always have."
— Todd Conklin, The 5 Principles of Human Performance
Human Performance Principles
The solid foundation that drives and sustains these programs
Soft-tissue injuries are NOT an inevitable end to working in this industry
...Neither are the EFFECTS of these injuries in the context of recovery.
1. People are fallible, and even the best people make mistakes
2. Error-likely situations are predictable, manageable, and preventable
3. Individual behavior is influenced by organizational processes and values
4. People achieve high levels of performance because of the encouragement and reinforcement received from leaders, peers, and subordinates
5. Events can be avoided through an understanding of the reasons mistakes occur and application of the lessons learned from past events (or errors)
The Preventive Healthcare Model
Achieving Safety First
Sports Medicine
Sports Medicine
Medical Ergonomics
Education
Exercise
Why Exercise?
Exercise interventions have great value from a behavioral standpoint, but this value is derived from the effectiveness of the activity on a physiological level.
In order to successfully reduce sprains, strains and other soft-tissue injuries, the exercise modality must improve function on the soft tissue level…
Exercise is an incredibly effective method of physiological preparation and conditioning because:
Increases soft-tissue capacity
Increases soft-tissue resilience
Increases soft tissue’s ability to repair & recover
Why On-Site Exercise?
Exercising in the workplace has the greatest potential to maximize employee performance and increase engagement.
Moving beyond passive stretching programs
Warming Up
Stretching
Warming Up
Resistance-based exercise that activates muscle groups opposite to the ones being repetitively used, creating symmetry.
Warming Up
Increases blood circulation
Increases body temperature
Prepares joints for movement
Improves balance & coordination
Resetting:
Resistance-based exercise that activates muscle groups opposite to the ones being repetitively used, creating symmetry.
Resetting
Mitigates repetitive stress of specialized tasks
Increases
physical resilience
Creates symmetry in overused muscles & joints
Prevents poor posture
Improves manual dexterity
Strength & Conditioning
Resistance-based conditioning to increase muscle strength + endurance
Strength & Conditioning
Increases condition of muscles
to recover from repetitive stress
Increases force generation for lifting, pushing, pulling and carrying
Increases tensile force in muscles to reduce strains & sprains
Total Worker Health
Total Worker Health
Why exercise is uniquely positioned as a Total Worker Health intervention:
- Enhances physical well-being by conditioning the body for job tasks and protection against injuries
- Enhances the mental and social dimensions of well-being by optimizing cognitive function
Total Worker Health
Total Worker Health and the Aging Workforce
- By 2024, 25% of U.S. workers will be age 55+
- While accident frequency decreases with age, injury severity and fatality increase
- Exercise is one of the most significant modifiable variables proven to improve the functional ability of an aging population
Preventive Healthcare In Practice
Preventive
Healthcare
in Practice
Acting Out Safety
Acting Out Safety
- Using the strategy of Preventive Healthcare to act out safety on a daily basis—on both individual & organizational levels
“You can only find out what you actually believe (rather than what you think you believe) by watching how you act."
–Jordan Peterson, 12 Rules For Life
Practical Implementation
Practical Implementation
Effective occupational exercise programs...
Group Exercise
Warming Up
- Incorporates job-task-specific exercises into a highly effective yet time-efficient program
- Employees are engaged in short, impactful exercise sessions that are integrated seamlessly into daily routine
Resetting
- Performed after job tasks to help the body recover from repetitive stress by lengthening tight muscles, improving posture & range of motion, and reducing muscular asymmetries.
Personal Exercise
Early Intervention Programs
Directs specialized attention to individual areas of risk, including:
- Aging workforce
- Sedentary lifestyle
- Chronic/comorbid health conditions
- Nutrition
- Stress & fatigue
Corrective Exercise
Personalized programs which serve to mitigate dysfunctional movement patterns with the goal of improving...
- Mobility: the ability of the neuromuscular system to allow for efficient movement of a joint or series of joints through a full, unrestricted, pain-free range of motion.
- Stability: active muscular control exerted on a joint to redirect force and control movement in the presence of normal muscular flexibility and joint mobility.
Medical Ergonomics
Body Mechanics
Utilize insights derived from job-site observations to create awareness training for specific job tasks.
- Body positioning to reduce risk of injury
- Joint mechanics to increase efficiency of movements
- Reduces stress on joints
Muscle Activation
Teach employees how to engage muscle groups to protect vulnerable structures
- Pinch Your Blades to protect your rotator cuff
- Tighten Your Gut to protect your low back
- Use large muscles to protect small muscles
Education
Well-Being
Injury Prevention
Proactively mitigates the risk of injury by creating improved employee awareness of proper body positioning & safety techniques.
Helps employees adopt & maintain positive health behaviors. Topics include: Nutrition, Hydration, Diabetes Prevention, Sleep Strategies, and Stress Management.