Management of Sickness Absence - PowerPoint PPT Presentation

1 / 16
About This Presentation
Title:

Management of Sickness Absence

Description:

Satisfaction check. With apologies to the AMA 'A Physician's Guide to return to Work' ... Background. Biomedical Models. Biopsychosocial. Severe objective ... – PowerPoint PPT presentation

Number of Views:89
Avg rating:3.0/5.0
Slides: 17
Provided by: muc9
Category:

less

Transcript and Presenter's Notes

Title: Management of Sickness Absence


1
Management of Sickness Absence Return to Work
  • Dr. John Luby, FFOM

2
Sickness absence - the scale of the problemCBI
report Pulling together 2001 absence and labour
turnover survey
3
Who manages sickness absence?CBI report Pulling
together 2001 absence and labour turnover survey
4
Absence management toolsCIPD Report Employee
absence a survey of management policy and
practice June 2001
5
Risk factors for high sickness absence Labriola
M, Lund T Burr H, 2006
6
Management of return to work
  • Prolonged absence from ones normal roles,
    including absence from the workplace, is
    detrimental to a persons mental, physical and
    social well being. Physicians should therefore
    encourage a patients return to function and work
    as soon as possible after an illness or injury.
  • Consensus statement of the CMA, ACOEM AAOS.

7
Solutions
  • There are no one size fits all solutions
  • Management of sickness absence return to work
    is heavily influence by
  • Economics
  • Politics
  • Social attitudes
  • Legislation
  • Workers representation
  • Management attitudes
  • Health care worker attitudes

8
Negotiation strategies for return to work
  • Set the stage
  • Uncover the issues
  • Confirm the issues
  • Confirm intent and authority
  • Evaluate the issues
  • Solve the problem
  • Satisfaction check
  • With apologies to the AMA A Physicians Guide to
    return to Work

9
Return to work issues
  • Risk
  • Capacity
  • Tolerance
  • Background
  • Biomedical Models
  • Biopsychosocial
  • Severe objective impairment equals disability
  • Testing
  • Functional capacity evaluation

10
Functional screening questions
  • Return to Work
  • The Grocery Store
  • The Molehill Sign
  • The Obstacle
  • Christian J. Reducing disability days healing
    more than injury. J Workers Comp. 2000930-55.

11
Work prescription
  • Is absence from work medically required?
  • Patient condition / job demand mismatch?
  • Medical restrictions
  • What the patient should not do, or
  • What the employer should do!
  • Functional limitations
  • What the patient is unable to do

12
Predictive factors for return to work
  • Job related
  • Task demands
  • Organisational factors
  • Physical work environment
  • Employee
  • Age
  • Sex
  • Social

13
Evaluation of work ability
  • What does the job involve?
  • What is the employees medical problem?
  • Is the employee a candidate for medical
    retirement?
  • Is there a significant risk of substantial harm
    with work activity?
  • Is the employee physically able to do the job?

14
Impairment and Disability
  • Impairment
  • The loss, loss of use, or derangement of any body
    part, system or function
  • Disability
  • A decrease in , or the loss or absence of, the
    capacity of an individual to meet personal,
    social, or occupational demands, or to meet
    statutory or regulatory requirements because of
    an impairment

15
Guidance on medical restrictions duration of
sickness absence
  • ACOEM Practice Guidelines (ISBN 1-883595-42-8)
  • Also good advice on management of return to work
  • AMA - A Physicians Guide to Return to Work (ISBN
    1-57947-28-7)
  • Also good advice on management of return to work
  • The Medical Disability Advisor Workplace
    Guidelines for Disability Duration (ISBN
    1-889010-03-0)
  • Official Disability Guidelines (ISBN
    1-880891-22-0)

16
Thank you!
Write a Comment
User Comments (0)
About PowerShow.com