Timothy McLean - Workhealth - Workhealth: Reducing incidences of chronic disease: A Worksafe...
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Transcript of Timothy McLean - Workhealth - Workhealth: Reducing incidences of chronic disease: A Worksafe...
Research and learnings from the WorkHealth program
Understanding the links between lifestyle risks and workplace safety
Page 2
A call to action on worker health
About WorkHealth
A voluntary program dedicated to educating and empowering employers and workers
Delivered 800,000 WorkHealth checks to Victorian workers
Engaged around 38,000 workplaces to deliver WorkHealth programs
Provided seed funding to help 1,800+ businesses introduce health promotion activities
Helped nearly 40,000 at-risk workers take action to reduce risk factors for type 2 diabetes and heart disease
The research
1. WHC dataset
2. Follow up study
3. Impact evaluation study
4. Impact modelling
WORKER
WORKPLACE
VICTORIAN WORKFORCE
The research: What we know from WorkHealth checks
Nearly 93% of workers don’t eat enough fruit/veg
30% of males are at high risk for type 2 diabetes; females 17%
Older workers have healthier lifestyles but have more biomedical risks
27% of workers have high total cholesterol
5,223 (1%) of workers advised to see their GP within 24 hours
Males 2x more likely to receive an urgent GP referral
32% of males had high blood pressure; females 16%
Generally, rural workers have a higher risk of heart disease and type 2 diabetes
90% rated their health as good to excellent
Blue collar workers have poorer lifestyle habits than white collar
Using the WorkHealth check dataset
The research: What happens to ‘at-risk’ workers?
Workers
@ risk
Health behaviour change
GP follow-up
Diagnosis
• 1,306 survey respondents • 1,121 pathology linkage
• 24% @ high risk T2D • 16% @ med-high risk CVD
• fruit intake ▲17%, smoking ▼25%, alcohol ▲22%, waist ▲10%
•smoking ▼70%, exercise ▲ 43%
• 48% visited GP for testing • 40% had 1+ pathology test/s
• 4.5% FBG indicated likely T2D
• 85% normal FBG
The research: WorkHealth’s impact on workplaces
WorkHealth provided first opportunity to
participate in on-site health program
WorkHealth checks have
been powerful for health awareness
The workplace is an effective
setting to target men’s health
50% of workplaces say their
culture is proactive towards health and wellbeing
Workplaces that had WorkHealth checks
and a grant were 3x more likely
to make changes
Employers say they should support
healthy choices, but change is up to the
individual
There has been a ripple effect
beyond CVD and t2d into other areas, e.g.
mental health
Interaction between safety and health in the workplace
9
The research: Modelling and forecasting future impact
X =
Forecast impacts for workers
participating in WorkHealth
▼ Absenteeism
▼Compensable injury / illness
▼ Presenteeism
WH Coach/
Life!
# WHCs
# grants
Program participant data
Average effect sizes of similar interventions from the published
literature
Page 10
The research: Modelling and forecasting future impact
A mix of interventions will have the best impact on workplace productivity.
Presenteeism Injury claims
3-5%
Absenteeism
11-15% up to
5%
Research acknowledgements and how to find the reports
Our research team:
Prof Malcolm Sim, Dr Helen Kelsall, Dr Roslin Botlero, Dr Mohammadreza Mohebbi, Dr Mina
Roberts, Prof Andrew Tonkin, A/Prof Sophia Zoungas, Prof John McNeil, Ms Nerida Joss, Ms
Cassandra Wright, Prof Helen Keleher, Prof Niki Ellis, Dr Anna Peeters, Mr Kumar Pasupathi
Monash School of Public Health and Preventive Medicine, ISCRR, Baker IDI
More information:
Synthesis Report, infographic video, and
industry datasets, available at: worksafe.vic.gov.au
Research summaries at: iscrr.com.au
What more have we learned about workplaces?
Key themes:
The workplace
is a relevant setting for
health promotion
‘Culture of care’, versus ‘culture of
compliance’
Workplace health
promotion works best
when built on sound OHS
Strong leadership / workplace champions
are critical to success
A mix of interventions
works best
• The coordination of workplace health promotion activities typically occurs through HR functions rather than OHS functions.
• Some participants expressed concerns about workplace health promotion resulting in a reduced focus on OHS.
• Workplaces with OHS Committees reported better health behaviours than those without.
• Further research is required to advance understanding of the integration of worker health, wellbeing and safety.
Where to next? Interaction between safety, health and wellbeing in the workplace
OHS + health & wellbeing OHS focus only
Where to next?: ‘Integrated’ approaches are effective for:
Smoking reduction
Prevention & management of musculoskeletal disorders
Reducing stress and poor mental health
Reduced medical costs*
Reduced leave usage
Reduced compensation costs
Where to next? From workplace health promotion to ‘integrated’ approaches
What does integration look like?
• Operates and maintains Melbourne's EastLink tollway
• 210 employees (50 office based, 160 call centre)
• 24/7 operation
• Joint venture
• Dedicated HR, Risk & Safety Manager & Team
• Policies that address both OHS & HP
• Coordinated communication
• Management buy-in and accountability
• Organisational commitment
• Evaluation and monitoring
What does integration look like? Barriers, enablers and outcomes
“we are creating a
culture in which our
employees can
flourish, enjoy their
work and develop
their full potential”
Enablers: • Strong management commitment translated into resourcing, policy
and program visibility
• Organisation history and culture (approach is culturally accepted)
• Employee buy-in
Challenges: • Diverse workforce (different status, job roles and locations)
• Inclusion of external staff (e.g. sub-contractors)
• Operating hours (24/7)
Outcomes:
• Low turnover and high staff retention
• Increased self-esteem and satisfaction
• Strong safety outcomes
• Cost benefit
Timothy McLean Program Manager, WorkHealth
WorkSafe Victoria
t: (03) 9641 1911
worksafe.vic.gov.au