Increasing Productivity;

The importance of health and wellness Increasing Productivity; • Dr. Brian Charles • BSc. MBBS MSc. DM (Emerg. Med), SCM • Emergency Physician • Managing Director, • Sandy Crest/Coverley Medical Centres

Objectives • Definitions • Is there a problem? If so, of what magnitude? • Solutions and recommendations

But What are we talking about? • Productivity • Wellness

The Productivity Cycle

Causes of uncertified absenteeism Perceptions of procedural justice Commitment Job Satisfaction Weather Personal Errands Root Causes of Absenteeism

Causes of Certified absenteeism Physical health Work-family/family-work conflicts Need for improvement in management practices Rapid changes in the industry generating stress Root Causes of Absenteeism

Presenteeism

National Insurance Scheme Data Sickness Benefits Paid ($ BDS) • Year • 2005 • 2006 • 2007 • 2008 • 2009 • No disaggregation by disease • 21,430,656 • 15,741,860 • 19,030,204 • 24,817,172 • 23,863,708

Factors affecting productivity • Illness; particularly the NCDs • Fatigue (often caused by poor sleep) • Lack of exercise • Dehydration • Stress

NCDs account for more than 60% of the health budget - QEH: 65% budget: BDS (>$50M): Most on diabetes and hypertension Estimated to consume more that 5% GDP The major causes of illness and death in Barbados – 7 out of every 10 deaths One quarter of all adults have an NCD The common risk factors are physical inactivity, exposure to tobacco smoke, poor diet and harmful use of alcohol Summary of the Impact of NCD's National NCD Commission

Cardiovascular Disease – hypertension, heart attack and stroke Diabetes Mellitus Cancer – prostate, breast, cervix and colorectal Pulmonary Disease What are the chronic non communicable diseases (NCDs)

Risk factors for NCDs Modifiable (70-80%) • Non-Modifiable (20-30%) • Age • Sex • Ethnicity • Genetic susceptibility/ family history • Exposure to tobacco (primary and secondary) • Harmful use of alcohol • Lack of physical activity and exercise • Unhealthy diets e.g. high in saturated fat, cholesterol, salt and simple sugars, low fruit and vegetable intake

80% of chronic disease excluding cancer is preventable using simple lifestyle interventions 30-40% of cancers are preventable using simple lifestyle interventions 50 % of chronic disease occurs in persons < 70 years old 80% of recorded death occur in middle and lower income countries NCDs are Preventable

Absenteeism (certified and uncertified sick days) Board certified (medically unfit) Disability (temporary or permanent) Time away from work accessing the health service Limited/reduced output at work Burden on the caregiver and family NCDs and productivity

The quality or state of being healthy in body and mind. An approach to healthcare that emphasizes preventing illness and improving quality of life, and by extension improving the ability to meaningfully provide for self and others. WHAT IS WELLNESS?

Six Dimensions: Physical Social Intellectual Emotional and Spiritual Environmental Occupational WHAT DIMENSIONS DOES WELLNESS INCORPORATE?

OUTCOMES PERFORMANCE

Work place safe Parking Security Up to standards Lighting Ergonomics Clean No toxins, etc. Smoke-free work place YOUR SPACE!

Physical Activity On-site fitness centers Discounts to local gyms Signs supporting taking the stairs Activity groups (running, walking, swimming, biking, snorkeling, diving) Time off to exercise Subsidize local run/walks Incentive programs Discounted/subsidized personal training LET’S GET PHYSICAL

LET’S GET PHYSICAL • Nutrition • Healthy meals in the cafeteria • Healthy items in the vending machines • Water available at all times • Health food at meetings • Nutrition education • Healthy recipes • Cooking demonstrations • Taste testings • Meals to go

LET’S GET PHYSICAL • Physical Health • Health screenings – cholesterol, glucose, blood pressure, BMI, osteoporosis, body composition • Vaccinations – flu shots, Hepatitis B, etc. • Age appropriate screenings • Smoke free workplace • Annual well checks • Employee Health Offices • Family Health Fairs • Self Care Guides

Communicate with employees Communicate with upper management Share successes Share results Share goals and direction Create a quarterly report and annual report COMMUNICATION

Employee Assistance Programs Pastoral Care Stress management programs and skills Ability to attend support groups – or have them in the workplace Quiet rooms Supportive policies Volunteerism HEART AND SOUL

Tuition reimbursement Flex schedules to go to school Mentoring programs Educational programs at work Job sharing Partnerships with local schools and universities GET SMART

Employee Activity Groups Holiday parties Charity walk/runs Potluck lunches Discounts to local events Building networks, partnerships and trust GETTING TO KNOW YOU

Begins in this room Designated drivers Evidence-based practice Constant messaging with fresh content Patience WHAT WORKS

Thank You

Increasing Productivity;