Presentation Transcript

1. NSC Strategy Overview May 3, 2012
2. Mission Statement The National Safety Council saves lives by preventing injuries and deaths at work, in homes and communities, and on the roads through leadership, research, education and advocacy.
3. Impact By 2014, NSC is going to prevent an additional 10,000 deaths and 1 million injuries by helping people live safer lives through leadership, research, education and advocacy. In the workplace, we will maximize the value employers receive through their investment in safety and help them and their employees take safety home. On the roads, we will dramatically reduce the use of cell phones and other electronic devices while driving and focus on keeping teens safe in cars. In FY12, NSC will prevent 240,000 injuries and save 1,800 lives.
4. Data Trend Snapshot Fatalities 20101 Fatalities 20142 Issue No. % No. % Workplace Poisoning Motor Vehicle Workplace MV Duplication Falls Falls (Non-work) Workplace Falls Duplication Total Others Total fatalities 3,783 35,600 35,500 (1,717) 27,365 (635) 28,000 25,569 126,100 3 28 28 (1) 22 (<1) 22 20 100 4,600 36,000 to 57,0003 43,000 (1,600) 36,200 (850) 35,000 22,580 144,000 to 160,000 3 26 to 36 26 to 30 (1) 22 to 25 (<1) 22 to 26 14 to 18 100 1. Injury Facts 2012 edition 2. NSC projection based on historical data from 1992 to 20083. Because of the extraordinary increase in poisoning fatalities the last few years, making meaningful projections is difficult. The range is based on two competing statistically significant regression analyses.

5. Future Strategic Issues

6. Reviewing the Five IssuesRecommended PREVIEW OF THE PRESENTATIONS Overview of the Issue Key Strategies Impact Budget required to execute strategies How we measure success Annual/1-3 year issue-specific metrics 3-5 year trends of key injury/fatality
7. Funnel Analysis WorkplaceTransportationHome/Community Journey Safety Diverse Unfit Young Mobile Older Seat Pres. Safe OTJ Older Excel. Worker Workers Drivers Tech. Drivers Belts Drugs Comm. Falls Is there under addressed space ? If an organization were to address, could there be significant impact? Yes for co./no on national injury data uncertain to small impact Does NSC have the required capabilities Does NSC have the required capabilities? Some Some Are the economics feasible 5-yr. $ M YES NO NO YESYES NO NO YES YES NO NO $3-5M>$5M $1-3M >$5M $3-5M >$5M$3-5M $3-5M $1-3M $1-3M >$5M (for co.)
8. How Long Do We EngageOn A Strategy?When Does NSC Declare “Victory”? For Workplace, never. We will always be engaged in workplace safety. For other issues, one of these conditions should be met: When the issue is no longer a top ten cause of injury or injury death in the U.S. When others are giving sufficient attention to the issue, the right kind of measured impact is being made, and additional NSC involvement will drive little additional impact.

9. Expanded Use of Mobile Technology While Driving

10. Overview of Issue Cell phone use while driving makes one 4x as likely to be in a crash. Texting is an 8x risk. Texting is the greater risk, but because cell phone use is more prevalent, it is involved in more crashes. NSC estimates 21% of all crashes involve cell phone use, while 3% involve texting. Public behavior change has slowly occurred – 11% observed use in 2008 dropped to 9% in 2009, where it remains. Employer total ban policies are increasing, now covering an estimated 3 million employees. 31 states now have total teen bans (most only during GDL period), 35 have total texting bans, 7 have teen texting bans.
11. NSC Involvement Public Education NSC put the distraction issue on the map in January, 2009 when it became the first organization to call for a total ban on cell phone use while driving. Efforts have included white paper on cognitive distraction, support of victims advocacy group Focus Driven, widely-published NSC estimates of crashes involving cell phones and several educational campaigns. Government/legislative and Regulatory actions Worked with U.S. Secretary of Transportation LaHood and DOT agencies to participate in joint press conferences, national summits, helping craft model law language and reviewing research and proposed regulations. NSC was principal driver of distraction legislation written into U.S. Senate and House transportation bills (pending). NTSB consulted with NSC prior to the Safety Board recommending that states pass laws banning all cell phone use. NTSB Chair Hersman called the NSC release of the white paper on cognitive distraction a “key event”. NSC staff have testified to committees of the U.S. Senate and House of Representatives, FCC hearings and several state legislative committees. Corporate Policies Efforts have included a white paper on corporate liability, consulting with major companies, and more than 50 presentations to company and industry groups.
12. 5-Year Strategies Education Cognitive distraction and risk/prevalence that distinguishes cell phones from other distractions. Effective use of victims’ advocates. Legislation, Regulations and Enforcement Teen cell phone bans and total state bans. Statewide handheld bans, based on measured behavior change of people stopping phone use entirely from such bans, rather than from risk reduction of the hands-free devices or from crash reduction, which is not yet an established, assured outcome. Total bans for all regulated drivers (motor carriers). Expansion of USDOT distraction guidelines for in-vehicle and nomadic devices to include focus on cognitive distraction. Local ordinance total bans. Employer Policies Consulting and research strategies to support existing employer education programs to speed employer adoption.
13. 5-Year Goals Education Achieve reduction from 9% observed national daytime use to 7% in 5 years; measure improved understanding of cognitive distraction and reduced self-reported use while driving. Legislation, Regulations and Enforcement State laws – Increase teen cell phone bans from 31 states to 40; enact at least one total statewide ban. Hand-held bans – Support hand-held bans and seek doubling of states with hand-held bans from 9 to 18. USDOT distraction guidelines – Achieve DOT focus/statement on cognitive distraction and inclusion of recommendations for automakers to install technology “lockouts”. Employer Policies Achieve 33% of NSC member companies and 10 million employees nationally covered under at work total cell phone bans.
14. Strategies for Next Year Education – Develop 5-year strategies to improve public understanding of risk/prevalence, cognitive distraction and impact of victims. Research – Develop 5-year strategies to produce better measures for lives saved and productivity measures for employer policies, and to improve cognitive distraction research. Advocacy/Policy/Legislation/Regulation – Identify target states, regulations and grassroots advocacy strategies Employer policies Hold an employer forum with leaders from companies with total bans, NSC delegates and others to identify: How can employers with total bans help NSC to lead others in their industries to adopt total bans? What is needed to achieve widespread adoption of total bans by NSC member companies of all sizes?
15. Estimated 5-Year Budget $3-5 million/5 years budget to support research, education, legislative advocacy and employer policy strategies. Existing staff to execute this strategy, with possible addition of one new staff member, and use of outside resources. 1 director 1/2 manager/technical expert (other ½ of this person’s time is devoted to teen driving) 1 staff manager for victims advocacy and communications support 25% administrative support Possible addition of an additional staff member (year uncertain) to manage increased demands from employers enacting policies. Internal government relations support, and perhaps external lobbyists for state legislative advocacy.
16. Distracted DrivingHow Do We Measure Success? Annual Measures 1. Decrease in the % of drivers using cell phones while driving. (Measure at any moment in daylight hours -- 2008-11%, 2009-9%, 2010-9%) Texting bans and teen bans. # employees covered by total employer bans (estimate 1 million +). Lives saved/injuries prevented from these measures. 3-5 year Measures 1. Decrease in the % of crashes (3-year moving average, NSC estimate) involving cell phone use. (2008-25%, 2009-21%, 2010-21%). Progress toward a national (regulatory) ban.

17. Teen Drivers

18. Overview of Issue Motor vehicle crashes are the number one cause of death among these teens. Drivers age 16 have the highest risk – the first 12 months and the first 1,000 miles of driving are the riskiest of a lifetime. Substantial progress has been made in the last ten years in reducing teen driving crashes, injuries and deaths. In 2003, more than 9,000 people died in crashes involving young drivers. In 2010, 5,021 died. Teens are still over-represented in fatal crashes, but the gap between adults and teens in crash involvement is narrowing.
19. NSC Involvement Promoting Graduated Driver Licensing, the method proven to be most effective in reducing teen driving crashes. Advocacy with U.S. Congress, including working with member and committee staffs to write provisions into U.S. Senate and House bills that give incentives to states to pass GDL laws. Testimony and direct lobbying in several states on GDL bills, involving paid lobbyists, staff engagement and member grassroots advocacy/letter-writing to legislators. Built 10 state coalitions, funded for two years with $1.7 million from The Allstate Foundation, that are providing education for parents and teens and GDL advocacy. Creating a unique parent education campaign, driven by engaging content and social media strategies. Training more than 100,000 teens each year through Alive at 25.
20. 5-Year Strategies Education Execute Parent Education strategy using video, web and social media to express the need for significant practice driving by teens, the importance of parental involvement and management of their teens’ driving experiences, and to explain behaviors and situations that lead to teen crashes. Parent education knowledge and tools will be widely shared with NSC members, their employees, corporate partners and their customers/employees, and coalition partners. Examine how parent education strategies can be adapted for teens and determine how social media strategies might impact teens, compared to existing (peer-to-peer, classroom, community and parental) programs. Coalition Building Build effectiveness of state coalitions in sharing education, achieving grassroots advocacy successes and reducing crashes. Advocacy Continue to advocate for Federal incentives and state GDL laws. Research Develop improved measures for lives saved and for effectiveness of education.
21. 5-Year Goals Education Reach goal of 1 million parents reached annually through the parent education campaign. Measure parent education campaign efficacy -- behavior change of parents and teens and crash involvement of teens. Develop strategies to expand proven methods to better influence teens. Research Develop improved measures for lives saved and for effectiveness of education. Advocacy Achieve at least 10% annual improvement (measurements/methods to be determined) in quality of GDL laws in the nation. Coalition Building Develop goals for coalitions that are not just activity-based, but also outcome-based.
22. Strategies for Next Year Education – Develop 5-year strategies for educating parents, teens and legislators. Advocacy/Policy/Legislation/Regulation – Identify target states, regulations and grassroots advocacy strategies. Organize a forum/symposia on teen driving, involving coalitions, researchers and partners. Research – Develop 5-year strategies to produce better measures for lives saved and parent education and coalition effectiveness.
23. Estimated 5-Year Budget $3-5 million/5 years budget to support education, research, advocacy, and coalition strategies. Existing staff to execute this strategy and some use of outside resources: 1 manager leading teen coalitions. 1/2 manager/technical expert (other ½ of this person’s time is devoted to teen driving) 1 staff for victims advocacy 1 staff for communications support 25% administrative support 1-2 staff members supporting parent education -- video and social media. Internal government relations and possible external lobbyists to advocate for GDL laws.
24. Teen DrivingHow Do We Measure Success? Annual Measures 1. GDL laws enacted. Parent education metrics. Lives saved/injuries prevented. 3-5 year Measures Decrease in rates of teen driver crashes, injuries and fatalities. (3-year moving average). Decrease in total teen driving-related fatalities to approximately 3,500 deaths/year or less (currently 5,600) – which would move it out of the top ten leading causes of injury death in the U.S.

25. Overdoses of Prescription Painkillers

26. States with High Opioid Sales Have High Overdose Death RatesDrug overdose death rate in 2008 andopioid pain reliever sales rate in 2010 Kg of opioid pain relievers used per 10,000 Age-adjusted rate per 100,000 National Vital Statistics System, 2008; Automated Reports Consolidated Orders System (2010)
27. Overview of Issue & NSC Involvement Prescription drug overdose is now the single leading cause of unintentional injury death in America. An estimated 26,000 people died in 2008. There were 306,000 hospital admissions for opioid-related health issues and “injuries”. It is not clear how many of these ultimately became fatalities. There is a direct correlation in states among sales of opioid painkillers and overdose death rates. An analysis of opioid prescribing patterns shows that a small subset (10% - 20%) of physicians prescribe more than 80% of opioids dispensed and prescribe higher daily dosages. Patients with private insurance and chronic pain diagnosis consumed more than 80% of opioids dispensed. A small percentage (20%) are prescribed high daily dosages.
28. 5-Year Strategies State Legislative Advocacy -- Advocate for expanded legal/regulatory action on prescribers and individuals who are outside of the range of clinically accepted practice. Many states have some of these laws, but none have all of them. Prescription Drug Monitoring Programs -- state-based web-based databases showing each person’s prescription history. Patient Review and Restriction Programs -- health and safety programs that seek to control the over-utilization and inappropriate use of medical services. Doctor Shopping Laws – state laws prohibiting people from going to multiple doctors to receive multiple prescriptions. Pill Mill Laws that restrict prescriber behavior and usually address retail stores and internet outlets that sell large volumes of prescription drugs in states with weak laws. Laws and enforcement of Criminal Prescribers (doctors and even people without medical licenses who prescribe drugs in violation of laws). Tighten rules for the writing of prescriptions and pain-treatment plans. Penalize doctors who over-prescribe painkillers. Require doctors to use electronic or counterfeit-proof prescription pads. Require wholesalers who sell controlled substances to pharmacies to report distribution data to the state (tightening the oversight of the supply chain).
29. 5-Year Strategies (continued) State Coalition Strategy Convene high-level taskforces in five target states and build these state programs in years 1-2, modeled after successful Utah strategy. Develop State Work plan and convene stakeholder forum to examine regulatory and legislative review, prescriber and public education strategies, grassroots advocacy needed, funding required. Execute strategies in five target states, document results and expand programs to other states in years 3-5. Community Outreach Develop a community mobilization strategy, incorporating community education, surveillance of drug prescription and use, develop community prescription disposal programs, rescue/treatment for addicted people, and program evaluation. Education Promote the value of local drug take back/medication disposal programs (usually community-based depositories for unused drugs). Introduce better clinical management of drug-seeking patients 1) guidelines for emergency room physicians, 2) use of consistent care best practices, and 3) patient review and restriction programs.
30. Strategies for Next Year Hold a national partners meeting among government agencies, researchers, advocates and interested industry partners to discuss overall strategies and set priorities, partnerships and agenda for action. Select the first target state, build initial coalition and partners, set in motion planning for first stakeholder forum in that state and potential strategies for that state. Advocacy/Policy/Legislation/Regulation – Identify first five target states, examine laws and begin seeking funding and building coalitions in those states. Community Outreach – Organize community outreach in selected communities, particularly among NSC Safe Communities in the 22 states that have serious problems. Research – Develop 5-year strategies to produce measures for lives saved and other measures of impact.
31. Estimated 5-Year Budget $3-$5 million/5 years for staff and program costs to manage state coalitions, advocacy and community outreach. A possible additional investment (to be determined) of $3-$5 million/5 years to fund public education campaigns. (Sponsor support, likely from pharmaceuticals industry and government, will be necessary and sought if this strategy is pursued). One existing program manager will be assigned to this initiative to begin the program in FY 13. New staff and/or combination of outside resources will be needed Senior Director, possibly a physician, to lead the effort (Target 2nd half of FY 13) Technical Writer to produce white papers and reports for medical community and legislators (Target FY 14) Legal Specialist to conduct State-specific analysis of laws and regulations (one part-time intern in FY 13) Public Education (to be determined)
32. Rx Drug OverdosesHow Do We Measure Success? Annual Measures # state laws enacted, measured impact in the states. # community initiatives enacted. % change in hospital emergency room visits and fatalities. 3-5 year Measures Decreases in the national prescription drug overdose fatality rate and emergency room visit rate. 3-year (rolling average) trend of reduced rates. 2. Real decrease in the national fatality numbers – stop the increase and begin a downward trend.

33. Workplace SafetyJourney to Safety Excellence

34. Overview of the Issue Economic, technological, legal, political and other forces have led to dramatic changes in the organization of work. Restructuring, downsizing, increased reliance on temporary workers and contractors, and more flexible and lean production systems are some of the results. Increased demands on individual employees include expectations for greater output (work pace and hours), while the growing trend for greater employee engagement represents opportunity. Several issues remain the leading cause of injury at work (overexertion, falls, bodily reaction, struck by, motor vehicle) and the risk of these incidents is affected by the organization of work. These issues can be effectively addressed by focusing on employers and their adoption of best practices that make up the Journey to Safety Excellence and core pillars of Leadership-Engagement-Culture, Safety Management Systems, Risk Reduction, and Performance Measurement.
35. Injures with Lost Workdays & Costs of Disabling Injuries ($13b in disabling injury costs) ($8b in disabling injury costs) ($5b in disabling injury costs) ($5b in disabling injury costs & #2 cause fatality) Plus possible hidden burden of occupational illness with estimates as high as 53k fatalities, 427k illnesses at cost of $58b ($2b in disabling injury costs & #1 cause fatality) Source: Bureau of Labor Statistics LM Workplace Safety Index
36. JSE – “Moving the Curve” Gap between reality & vision? Plan for gap closure? Means to measure progress? Advocacy Objective No. Companies Translate Best Practice Capture Best Practices Influence Influence C-level Influence MBA/Eng. Curriculum Free / Member / Product/Service OSHA Aim Campbell Institute Enforce Voluntary Participation Safety Performance
37. Strategy Research: Review and consolidate research, contribute to data strategies, partner with NIOSH and other research organizations. Advocacy: Continue to work with OSHA, NIOSH and other partners to influence progress with Injury and Illness Prevention Program (SMS) rule and enhanced focus on early reporting of hazards and near miss events in addition to injury/illness reporting. Journey to Safety Excellence (JSE): Develop practical system and risk based tools to support companies improvement process and reduce incidents, disabling injury impact, fatalities, and potential for serious and fatal injuries. Incorporates a data strategy leading to prediction and prescription Education and Training: Use events to educate and raise awareness of issues and solutions, and enhance practical training to develop skill and capability within companies to address risk and JSE process of improvement. Best Practice: Campbell Institute framing best practices within the concept of the JSE and its impact on proper work organization that maximizes EH&S and overall corporate performance and integration into business practice.
38. Progress to Date NIOSH: co-sponsor “Research to Practice” track at Congress. Continued formal partnership agreement to provide research and out-reach. Partner to support 10th International Work, Stress and Health Conference NACOSH: priority focus on I2P2 (SMS) and recommendation for national symposium on safety management systems OSHA: Alliance with focus on I2P2 and near miss reporting. Construction Roundtable with focus on falls from heights US-EU Tripartite Safety Conference industry delegate with role in planning NSC Navigator for JSE delivery with data strategy for predictive and prescriptive modeling Executive Track at Congress targeting senior level managers and safety professionals with over 2,700 engaged from 2008 to 2011 Enhancing services and growing virtual presence increasing touch and influencing change
39. Progress to Date Campbell Institute established. Institute Steering and Advisory committees active with the following functioning sub-committees:
40. Strategic Plan and Impact
41. Budget Required to Execute Strategy Estimate -- $10 million/5 years Source: Campbell Institute Research Staff Conventions, Publications Marketing, Communications Product Development NSC Navigator Workplace Training, DDC, First Aid Sales, Account Management Advocacy
42. How Do We Measure Success? Lives saved/injuries prevented through metrics related to NSC member injury rates or NSC programs. NSC Navigator survey and rates measuring improvement over baseline and against average. # companies and employees covered by employers’ SMS/I2P2. Decreases in national work injury rates -- disabling injuries and fatalities, and decreases in injury rates for specific injury categories (falls, overexertion, motor vehicle, etc.) 3-year (rolling average) trend of reductions.

43. Safe Communities America

    Prepared for: NSC Board of Directors April 19, 2012
44. On-the-Job Compared to Off-the-Job Safety On-the-Job 147 million workers at risk 4,303 on-the-job deaths 3.2 million disabling injuries $183.0 billion in costs to society Off-the-Job 147 million workers at risk 52,300 worker OTJ deaths 9.4 million worker OTJ disabling injuries $253.3 billion in OTJ costs to society Source: Injury Facts, 2011 Ed.
45. What is Safe Communities America? US arm of international program, affiliated with World Health Organization Collaborating Center for Community Safety Promotion, to reduce worldwide injuries/deaths from preventable causes Proven community coalition-based approach to injury reduction involving business, civic organizations, local government, non-profits and local residents – all community sectors Communities take the lead in collaboration with NSC/Safe Communities America to identify leading causes of death & injuries, and develop & implement coordinated strategies to improve local safety Communities demonstrate long-term commitment to ongoing evaluation of proven & promising practices
46. Safe Communities Quick Facts: 20 designated communities in the US/270 worldwide 11 additional US communities currently pursuing designation 5.1 million people currently live in a designated US Safe Community – our goal is 10 million people by 2017 Preliminary analysis shows 9% reduction in fatalities in Safe Communities compared to similar communities NSC is designated certification center for Safe Communities America Advisory Board members-DuPont, First Group, CN, Boeing, UPS
47. Proposed Strategy Create pro-active, outbound recruitment strategy in Kentucky counties with high injury & fatality rates 25 local Kentucky communities over a five year period (June 2012- July 2017) 45% of the population reached (2 million residents) Engage local corporate and government leaders throughout Kentucky to gain support and involvement on county-level coalitions Partner with Center of Disease Control (CDC) & KIPRIC to evaluate promising & proven practices Develop model to replicate in other states 49
48. Budget Required to Execute Strategies 50 Estimated cost: $300,000 - $350,000 annually Technical Assistance (1.5 FTE new staff) Assist communities nationwide in application process, identify best practices and share resources Recruit and support local Kentucky communities
49. How Do We Measure Success? Annual Measures # communities enrolled/designated as Safe Communities # citizens living in Safe Communities Measured injury impact/comparisons to previous years in Safe Communities that have been operational at least one year Lives saved/injuries prevented using NSC metrics 3-5 year Measures 10 million people live in Safe Community by 2017 Decreases in Kentucky home and community injury and fatality overall rates and the rates for individual injury issues Model established to replicate in other states

50. Board of DirectorsLives Saved Model

51. Lives Saved & Injuries PreventedCurrent 5-Year Projections

52. FY13 Corporate Goals

53. Objective: Maximize impact - save lives and prevent injuriesMeasurement: Save 2,200 lives and prevent 270,000 injuries
54. Objective: Optimize the impact of our businessMeasurement: Generate revenue of $48.6 million resulting in profits of $3 million
55. Objective: Understand our customers needs, enhance our delivery of servicesMeasurement: Build training competency. Effectivelyengage channels. Deepen understandingof customers.
56. Objective: Create a high performing cultureMeasurement: Develop effective supervisors / managers Continue to employ Journey to Safety Excellence tools