Emerging Issues in Disability ManagementMember... · Emerging Issues in Disability Management...
Transcript of Emerging Issues in Disability ManagementMember... · Emerging Issues in Disability Management...
Emerging Issues in Disability Management
Lucette Wesley, Director, Life & Disability Claims BC Life, Pacific Blue Cross
WHAT is: Disability Management
• Partnership between employer, employee, employee’s representative, insurers, service providers
• Goal to: • Prevent illness and promote healthy workplaces • Develop solutions to return workers to the workplace. • Contain costs by:
• early detection • health education (literacy) • lifestyle approaches
Agenda
• Emerging Disability Issues • Paradigm shift in Disability Management • Explore solutions
Emerging Disability Issues • Economy
• Changing Canadian Workplaces • Disability Drivers • Healthcare Climate • Regulatory & Legal • Options
Economy
• Increasing workplace stress • Absenteeism costs increasing
FT average days lost in 2011: 9.3
• Presenteeism costs • Deferred retirement
Category Days Category Days Men 6.4 Women 9.4 < age 20 5.1 Age 55-‐64 11.5 Public sector 12.9 Private sector 8.2
Changing Canadian Workplaces
Aging Workforce
Changing Canadian Workplaces Aging Workforce
TD Economics Feb. 23, 2012 (www.td.com/document/PDF/economics/special/ff0212_older_workers.pdf)
Changing Canadian Workplaces Aging Workforce
• Retain knowledge & experience, but
• Health & Safety • Longer recovery • Job redesign sometimes required • Different types of accommodations
• http://www.ccohs.ca/newsletters/hsreport/issues/2010/08/ezine.html#ontopic
Changing Canadian Workplaces Aging Workforce Canadian Centre for Occupational Health & Safety • Adapt the work environment
• lighting, heat, and ergonomics. • Adjust workstations & match job tasks to physical capabilities and limitations • Offer flexible work arrangements
• job sharing, flexible hours, part time jobs, work from home, reduced work schedules
• Design and provide appropriate training programs • training may have to be more "practical“ & it may take longer to train • may also need more assistance or practice
• Stimulate employees' interests and creativity • Broaden the range of work experience, encouraging mentoring younger workers
• Provide workplace wellness programs with access to services such as Employee Assistance, fitness, and nutrition programs.
• http://www.ccohs.ca/newsletters/hsreport/issues/2010/08/ezine.html#ontopic
Changing Canadian Workplaces
Other Influences
Changing Canadian Workplaces Other Influences
• Needs and wants differ by generation • Non Standard work arrangements • Technology & social media • Sedentary workplaces • Public social programs • Higher incidences of chronic diseases
Disability Drivers
Morneau Shepell –Human Resources Leadership Study(http://www.morneaushepell.com/_private/getpdffile.asp?docId=1550)
LTD Disability Claims
2011 Benchmarking Study- Munich Re & Claims Analytics
Disability Drivers Mental Health
• 1 in 5 • Risk higher in early working years • Odds of recurrence high • Forecasted to grow • Presenteeism impact
Disability Drivers Cancer
• 186,400 cases estimated in 2012 • Continues to rise • 5 year survival rate increasing • Long lasting complications • LTD claims increasing • Integrated cancer care providers
Healthcare Climate • Lack of family physician availability • Long referral wait times • Role of family physician • Reliance on drugs as quick fix, but
• Specialized providers emerging
Regulatory • Workers Compensation changes
• Psychological Health and Safety Standards
Legal
• Duty to accommodate?
• Source: BC Human Rights Code, R.S.B.C. 1996 c. 210
• Case law • Must accommodate a complainant up to the point
of undue hardship
Legal Duty to Accommodate
• Who has duty to accommodate?
• Employer • Union • Complainant • Other employees
Paradigm Shift in Disability Management • Work is essential component of well being • Disability’s discretionary component • Impairment does not equal disability • Focus on functional abilities
• Job Design with demands including cognitive • Early intervention re-defined
• Early recognition, support and intervention • Stay at work (SAW) • Collaboration
Health & Safety
Canadian Centre for Occupational Health & Safety • Comprehensive Workplace Health and Safety Program has
four main components: • Occupational health and safety (the physical work
environment) • Psychosocial work environment (organizational culture
and the organization of work) • Workplace health promotion (wellness) • Organizational community involvement
• http://www.ccohs.ca/healthyminds/promoting/components.html
Explore Solutions
• Know your demographics • Awareness of cost drivers • Invest in Prevention, Wellness, SAW • Harmonized approach to disability management
Explore Solutions Harmonized Approach
• Commit to initiatives • Develop attendance support programs • Optimize benefit plan design • Implement health and wellness programs • Develop accommodation policies • Invest in tools and resources • Corporate culture shift
Resources Mental Health Resources • National Bottom Line Conference2013 Feb. 27-28 (www.cmha.bc.ca/bl) • Celebrating a New Era in Workplace Mental Health: Putting National Standards into Practice • www.mentalhealthcommission.ca/English/Pages/Workplace.aspx • www.gwlcentreformentalhealth.com
Legal Sources • Papers re Duty to Accommodate and Privacy on Alexander Holburn Beaudin + Lang LLP website
www.ahbl.ca/resources/publications/Legal Reference documents
Strategies for Disability Management in the Workplace • www.longwoods.com/content/21943
Providers of Disability Management in the Workplace • www.homewoodhumansolutions.com • www.morneaushepell.com/index.aspx?m=hpsolutions • www.orgsoln.com • www.ohiinc.ca/index_eng.html Occupational Therapists • www.caot.ca/default.asp?pageid=1114
Other • www.cirpd.org/Pages/Default.aspx • www.nidmar.ca/index.asp • www.ccohs.ca/keytopics/health_wplaces.html