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SANS 16001:2013 WELLNESS & DISEASE
MANAGEMENT SYSTEM TECHNICAL CHANGES
8 MARCH 2013 LINZI SMITH
TOPICS TO BE COVERED
1. Justification for the changes
2. Changes to the SANS 16001 management system standard
3. Alignment to the other most common management system standards
Topic 1:
Justification for the change from HIV management only - to the management of both wellness and disease of non-
occupationally induced illnesses/conditions that cause
a ‘burden’ to the workplace
Justification • Workplaces are fatigued by HIV even though it
still represents the highest burden of disease in South Africa
• A new fashion has taken over…. “Wellness”
• Some companies have simply changed the name of their HIV programme to a wellness programme but continue doing the same thing
• Others are really implementing integrated wellness programmes – SANS 16001 will enable these companies to benchmark their programmes against the standard
What does ‘wellness’ really mean?
Disability or Premature
Death
High level
wellness
1. Medical or Clinical Model Focus: Diagnosis & Treatment of
illness & disease
2. Pathogenic or Public Health Model Focus: Identify & deal with risk factors
(in order to prevent serious illness or disability)
3. Salutogenic & Fortigenic Model Focus: Process of developing
Strength & Fortitude or Resilience
Illness/Wellness Continuum
What causes
sickness & disease
FOCUS
What causes
Health & Wellness
FOCUS
Disability or Premature
Death
High level
wellness
Treatment and rehabilitation programmes for diagnosed illness
Programmes: Prevention of ill health and
Promotion of high levels of wellness
The previous standard focused on DISEASE management only
Topic 2:
Changes to the
SANS 16001
management system standard
SANS 16001:2013
• Previously SANS 16001:2007 focused only on HIV and AIDS
• SANS 16001:2013 includes non-occupationally induced illnesses or conditions that may have a negative impact on the workplace and contribute to the burden of disease on the company
• SANS / OHSAS 18001:2007 focuses on occupationally induced conditions
Definition of burden of disease
• The burden, that a particular disease process has, in a particular area, as measured by:
• cost,
•morbidity (sickness)
•mortality (death).
SANS 16001:2013
Non-occupationally induced illnesses that contribute to the workplace burden of disease include:
11
colds and flu (short term absenteeism)
Mental illnesses such as stress, anxiety disorders and mood disorders such as depression
Hypertension
Heart conditions
Diabetes HIV
Obesity TB
and other conditions as determined by the identified determinants and risk assessment PLUS the precursors to these conditions (lack of exercise, poor nutrition, smoking and excessive alcohol intake)
Cumulative gains
2. Planning
4. Monitoring
5. Evaluation
3. Implementation
1. Assessment
The
SANS 16001
APIME
Cycle
SANS 16001:2013 Roadmap
13
BASELINE ASSESSMENT PHASE TO IDENTIFY DETERMINANTS AND RISKS
Risk Assessment tools:
Comp. Health Risk KABP survey
Prevalence survey Combined with testing
Situational analysis of management systems
PLANNING PHASE
Policy & procedure
development
Committee training &
development
Strategic and operational
planning, then annual re-planning
Setting of targets and
objectives and indicators
IMPLEMENTATION PHASE
Information, Education & Communication
(IEC) & BCC
Counselling & Health Testing
Diagnoses & Treatment
EVA LUA T I ON
PHAS E
Evaluation of operational plan
targets, objectives and indicators
External audit of HIV management system
against SANS 16001
Act on gaps and non-conformities for
continual improvement
SANS 16001
COMPREHENSIVE
WELLNESS & DISEASE
MANAGEMENT SYSTEM
Prevention programmes &
campaigns
MONITORING
Care & Support
Continuous improvement cycle
MONITORING M
ON
ITO
RIN
G
MO
NIT
OR
ING
START
CSI -Community Intervention
Ongoing HR and clinic stats & data
Roadmap
BASELINE ASSESSMENT PHASE
Risk
Assessment tools:
Comprehensive Health Risk
Assessment KABP Survey –
employees
Health Screening via annual
medicals and or campaigns
Situational analysis of
management systems
Ongoing assessment via monthly statistics: HR - Absenteeism, poor performance management for ill health, dismissal for incapacity ill health, disability claims,
abscondment due to ill health, deaths & clinic/medical aid data.
Roadmap
PLANN I NG
PHASE
Policy & procedure Development
Committee training & development
Strategic and operational planning,
then annual re-planning
Setting of targets and objectives with
outcome indicators
Roadmap
1. Information, Education &
Communication (IEC)
4. Diagnoses, Treatment
& Absenteeism management
5. Care &
Support (EAP)
6. CSI -Community Intervention (optional if capacity)
2. Prevention programmes and
campaigns
Implementation
3. Counselling &
Testing
NB: Behaviour Change
Communication
The interacting depts. & employees in SANS 16001
7.1 HR Dept.
4.2.3 Document controller
5.4.3 Communications
department
5.5.2 Managers & Supervisors
5.6 SHERQ manager
5.6 Safety reps
5.6 Cleaners
External audit
7.5 Management review
6.2 Training manager
7.4 Internal audit
6.2 Skills development
facilitator
5.2 Legal register
7.2 Medical aid
7.2 Pension & or provident fund
5.4.1 HIV or Wellness
Committee
Finance & Senior
Management
5.4.1 Organised
labour
CSI/LED/Sustainable development
5.5.2 Peer educators
5.5.2 EAP
5.5.2 Health workers
5.1 Risk & researchers
5.4.2 Appointee : Wellness Coordinator or Manager to implement
the system
5.6 First aid personnel
1 Development of Wellness committee – 3 days (part of the planning phase) 2 Implementing SANS 16001:2012(5 days) For Wellness manager/coordinator &
HR 3 Senior management training – ½ day 4 Training for middle management, supervisors and union leaders – 2 days 5 Peer educator/Wellness educator/champion training (7 to 10 days)
Accredited against SAQA US’s 6 Peer educator mentorship and coaching (1 day per month) 7 Induction (SANS 16001 components only) 8 SHE manager and SHE reps (SANS 16001 components only) 9 First aid personnel (SANS 16001 components only)
10 Cleaners (SANS 16001 components only) 11 SANS 16001:2007 Auditor training (5 days) SAATCA approved 12 Counsellor training (if relevant)
Step 1. IEC & BCC Information, Education & Communication &
Behaviour Change Communication
Roadmap
2nd step in Implementation phase
2. Prevention activities
1. Biggest loser campaign 2. Nutrition education and counselling 3. Condom distribution 4. Promotion of Male Medical Circumcision 5. Cough and sneeze campaign 6. Hand-washing and hygiene campaign 7. Good air flow to avoid cross infection of
respiratory infections (colds, flu & TB) 8. Smoking cessation 9. Exercise promotion and activities 10.Responsible alcohol intake programme
SANS 16001:2013
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Roadmap
3rd step in Implementation phase
3. Counselling &
Testing
1. HIV 2. Glucose 3. Cholesterol 4. Hb for anaemia 5. Blood pressure 6. BMI – Body Mass Index 7. STI screen 8. TB screen 9. Depression & Anxiety disorder screen 10.Cancer screens
SANS 16001:2013
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Roadmap
ONGOING MONITORING
& EVALUATION
ONGOING MONITORING
& EVALUATION
ON
GO
ING
MO
NIT
OR
ING
& E
VA
LU
AT
ION
ON
GO
ING
MO
NIT
OR
ING
&
EV
AL
UA
TIO
N
What is WELLNESS? Roadmap
EVALUAT I ON
PHASE
First party audit - Conformance with own
policy, procedures targets, objectives,
indicators, legislation and this standard –
Management review.
Certification audit
Act on gaps, non-conformities, corrective and preventive actions
for continual improvement
Topic 3:
Alignment to the other most commonly used management system
standards
Clause
no. ISO 9001 Clause
no. ISO 14001 Clause
no. OHSAS
18001
Clause
no. SANS 16001
1 Scope 1 Scope 1 Scope 1 Scope
2 Normative
references
2 Normative
references
2 Reference
publications
2 Normative
references
3 Terms &
definitions
3 Terms &
definitions
3 Terms &
definitions
3 Terms &
definitions
4 QMS gen & doc
requirements
4 Environmental
management
system
requirements
4.1 to 4.6
4 OH & S
management
system
requirements
4.1 to 4.6
4 Requirements
for Wellness &
Disease
management
systems
5 Management
responsibility
5 Assessment &
Planning
5.1 to 5.6
6 Resource
management
6 Resource
management
7 Product
realisation
7 Measurement,
analysis &
improvement of
WDMS
8 General
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