Social Security Organisation of Malaysia

Investing in People

Return to Work: Challenges and Opportunities

Edmund Cheong, CDMP Social Security Organisation Malaysia
COSH 2011 - OSH: Empowerment. Accountable. Responsive. Kuala Lumpur Convention Centre 19 July 2011

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Investing in People

Health?

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OSH - Definition
Occupational health should aim at: the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations; the prevention amongst workers of departures from health caused by their working conditions; the protection of workers in their employment from risks resulting from factors adverse to health; the placing and maintenance of the worker in an occupational environment adapted to his physiological and psychological capabilities; and, to summarize, the adaptation of work to man and of each man to his job.

Social Security Organisation of Malaysia

Disability Management (RTW)

Case Management is a collaborative process that facilitates recommended efficient treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals. Planning and coordination of health care services appropriate to achieve the goal of medical rehabilitation. Medical case rehabilitation management may include, but is not limited to, care assessment assessment, including personal interview with the client, and assistance in developing implementing and coordinating a developing, medical care plan with healthcare providers as well as the providers, clients and his/her family evaluation of treatment results while promoting cost-effective care. costcost-effective care

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Investing in People

The Relations of OSH & DM

Occupational Safety & Health

Promotion of Health

Disability Management

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Investing in People

SOCSOS RTW/DM PROGRAM

This program is established with the objective of assisting SOCSOs Insured Persons with employment injury as well as those claiming for invalidity pension to be able to return to work. (Disability Management)

Accident Surgery Acute Inpatient Treatment

No Treatment

Prosthesis? Physical Rehab

Pathology of a Claim

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Prolonged Disability Duration? No Treatment

Vocational Rehab

No Treatment

Investing in People

GOAL???

Accident Surgery Acute Inpatient Treatment

No Treatment

Prosthesis? Physical Rehab

Disability Management

Social Security Organisation of Malaysia

No Treatment

Vocational Rehab

No Treatment

Role of the RTW Program? Investing in People

GOAL???

Accident Surgery Acute Inpatient Treatment

No Treatment

Prosthesis? Physical Rehab

Social Security Organisation of Malaysia

No Treatment

Vocational Rehab

No Treatment

GOAL???

Accident Surgery Acute Inpatient Treatment

Prosthesis? Physical Rehab

Social Security Organisation of Malaysia

Vocational Rehab

Investing in People

GOAL???

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Investing in People

SOCSO Disability Case Manager DISABILITY MANAGEMENT

Acute Inpatient Treatment Treatment Workplace Intervention Physical Rehabilitation Healthy Safe and Workplace Vocational Rehabilitation Rehabilitation Constant Communication & DisabilityConstant Monitoring Management Vocational Rehab Prosthesis Physical Rehab Accident Surgery

Improve Disability Durations Maintain Stakeholder Relations Safer recovery Return to Work or Retain @ Work
GOAL???

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Investing in People

Challenges

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Investing in People

The Social Issue

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The Social Issue? The Micro Perspective

Often spouses become disabled as well Injury Leads to Disability

Affecting Love Ones

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The Social Issue? The Micro Perspective

Often spouses Affecting Siblings become disabled as well

Productivity/ Injury Leads to Disability Employers

A MICRO ISSUE Disabled Family A BECOMES A MACRO ISSUE

Affecting Love Ones

Community

Country?

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Cases According to Injury/Diseases
10 3% 7 3 2% 1% 24 6% 116 30% 54 14% 60 16% 5 1% 56 14% 50 13%
Head Neck Trunk/Back Upper Limbs Multiple Locations Lower Limbs General Injuries Unspecified Locations Psychology

Severe to Exteremely Severe Levels (DASS21)

41

N=385

Diseases

31

68

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Investing in People

The Economical Issue

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Investing in People

Social Sustainability

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=
Accident

SOCSO Contributors (Social Solidarity)

Outcome? RTW Possibilities?

No RTW Strategies No Rehabilitation Strategies No Monitoring of Insured Persons Progress

???

Social Security Organisation of Malaysia

=
Accident

Collapse of the SOCSO Contributors (Social Solidarity) Social System

Outcome? RTW Possibilities?

No RTW Strategies No Rehabilitation Strategies No Monitoring of Insured Persons Progress

???

Injured Workers

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=
PREVENTION Accident

Collapse of the Maintaining Balance To the Social System Social System

RETURN Outcome? RTW TO Possibilities? WORK

Disability Case Management No RTW Strategies NoMedical Rehabilitation Rehabilitation Strategies No Monitoring of Insured Persons Vocational Rehabilitation Systematic RTW Strategies Progress

???

Retaining Workers at Work or Return to Work

Injured Workers

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Reported Accidents 2000 - 2010

100,000 95,006 90,000 80,000 70,000 60,000 50,000 40,000 30,000

85,926 81,810 75,386 67,163 63,423 56,249 50,803 43,885 40,617 38,657 35,092 34,376 73,858 69,132 61,182 58,321 57,656

56,339

54,133

55,186

35,616

19,620
20,000 10,000 0 2000

17,170

18,387

17,609

18,329

17,297

17,704

17,682

19,041

20,810

22,040

2001

2002 2003 2004 Total Accidents Reported

2005 2006 Industrial Accidents

2007

2008 2009 Commuting Accidents

2010

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Reported Accidents vs Benefit Payments

350,000,000 300,000,000

306,382,930 274,841,608

250,000,000

200,000,000

150,000,000

214,624,319 187,892,229 171,535,250 70,168,886 1 166,746,360 153,510,745 147,189,831 85,213,889 94,063,947 109,177,424 104,007,611

100,000,000

50,000,000

63,240,962 61,989,990 71,176,577 67,864,706 71,777,133

0 2002 2003 2004 2005 2006 2007 2008 2009 2010

Payment for Temporary Disablement Benefits

Payment For Permanent Disablement Cases

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Contribution vs Payment (Invalidity)

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Crisis in the making?

Investing in People
Number of Current healthy number of workers needed to workers sustain 1 contributing (one) for 1 (one) recipient recipient

Year

Number of Number of Workers Workers Contributing needed to to the Social Compensatio sustain the System Contribution n system

Benefit Recipients

2007 2008 2009 2010

5.45mil 5.67mil 5.62mil 5.47mil

$1.7bil $1.8bil $1.9bil $2.0bil

$1.1bil $1.2bil $1.4bil $1.7bil

3.5mil 3.7mil 4.1mil 4.6mil

290,463 320,615 324,798 347,125

11.89 11.56 12.56 13.34

18.77 17.68 17.31 15.75

2007 Surplus of 6.88 workers 2008 Surplus of 6.13 workers 2009 Surplus of 4.76 workers 2010 Surplus of 2.41 workers

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Crisis?
20.00 15.00 11.89 10.00 6.88 5.00 0.00 11.56 6.12 12.56 18.77 17.68 17.31

Investing in People
15.75 13.34

Strategy? Increase Malaysian Workers population? Increase contribution? RTW? Strategy? Cut down Benefit? Pay for lower quality services/equipment? RTW?

4.75 2.41

2007

2008

2009

2010

No of workers contributing for one untuk satu penerima faedah Jumlah Pekerja yang mencarum benefit recipient

Jumlah Pekerja yang to pay one benefit recipient No of workers needed diperlukan untuk menanggung satu penerima faedah Jumlah Lebihan Pekerja Surplus Workers

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Investing in People

Opportunities?

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Investing in People

RTW in OSH?

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OSH - Definition
Occupational health should aim at: the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations; the prevention amongst workers of departures from health caused by their working conditions; the protection of workers in their employment from risks resulting from factors adverse to health; the placing and maintenance of the worker in an occupational environment adapted to his physiological and psychological capabilities; and, to summarize, the adaptation of work to man and of each man to his job.

Social Security Organisation of Malaysia

Investing in People

Practice in OSH?
Worker gets injured INVESTIGATE
Investigate

What happens to the worker? PREVENT REPORT

ACCIDENT

FIRST AID

Report

PREVENT

Return to Work Retain @ Work

Disability Management

Rehabilitation & Integration

Prevention stops the vicious cycle

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Investing in People

Conclusion

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Oscar Pistorius
the fastest man on no legs In 2007 Pistorius took part in his first international competitions for able-bodied athletes. ableHowever, his artificial lower legs, while enabling him to compete, generated claims that he has an unfair advantage over ableable-bodied runners. runners

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Investing in People Workplace never discriminates those around do Disability is God given, Handicap is man made Opportunity and not sympathy

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Investing in People

Thank you
Pertubuhan Keselamatan Sosial 03-4264 5357
edmund.cheong@perkeso.gov.my BlackBerry PIN:254A5745