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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

21

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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