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Thinking Differently About Health

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Successful Partnerships That Make A Difference. SAWS/IALI Conference. April 13 & 14, 2006 ... Greater than 2 times the number of serious offences ... – PowerPoint PPT presentation

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Title: Thinking Differently About Health


1
Thinking Differently About Health Safety
Successful Partnerships That Make A Difference
SAWS/IALI Conference April 13 14, 2006 Beijing,
China
SAWS/IALI ?? 2006?4?13-14? ????
??????? ????? ??????????????
M. Shaw, IAPA President CEO www.iapa.ca
2
Industrial Accident Prevention Association
3
Industrial Accident Prevention Association
4
Ontario Ministry of Labour ??????
  • Mission Is
  • To advance safe, fair and harmonious workplace
    practices that are essential to the social and
    economic well-being of the people of Ontario

???... ??????????????????????????????????
5
Ontario Ministry of Labour (Contd)??????(?)
  • Through the ministrys key areas of occupational
    health and safety, employment rights and
    responsibilities, labour relations and internal
    administration, the ministrys mandate is to set,
    communicate and enforce workplace standards while
    encouraging greater workplace self-reliance
  • ??????????????????????????????????,??????????????
    ?????????????????????????

6
  • To purpose of this presentation is to tell the
    story of the Ontario Canada model of employing a
    cooperative approach through partnerships to
    achieve breakthroughs in establishing healthier
    and safe workplaces

????????????????????,???????????????????????,?????
??
7
Ontario Experience
  • Although enforcement is positioned as an
    important motivator, legislation and enforcement
    alone, do not provide sustainable outcomes
  • Judicious mix of focused evidence-based
    strategies and targeted sectoral-based resources
    are needed
  • Training, education and consulting products
    developed for size and sector of business bring
    greater improvements
  • Resources must reflect an integration of the
    traditional physical work environment with the
    psychosocial work environment including health
    and wellness practices

8
Ontarios Model
  • Model consists of three pillars of prevention
  • Ontario Ministry of Labour
  • Ontario Workplace Safety and Insurance Board
  • 14 Sector-Specific Health and Safety
    Associations
  • Management, labour, research institutes,
    universities, and community colleges support this
    model

9
Pillars of Prevention
Ontario Ministry of Labour (MOL)
  • MOLs mandate is to set, communicate, and enforce
    workplace standards while encouraging greater
    workplace self-reliance
  • Activities include
  • Setting standards through legislation and
    regulations
  • Conducting inspections of high risk firms
  • Conducting investigations and issuing orders
  • Prosecuting for non-compliance
  • Communication with employers, labour, general
    public stakeholders

10
Pillars of Prevention (contd)
Workplace Safety and Insurance Board (WSIB)
  • WSIBs mandate is to ensure prevention,
    return-to-work, rehabilitation and compensation
    (no fault insurance system)
  • Activities include
  • Acting as insurance agency for workplace injuries
    and illness
  • Working with health and safety association to
    promote workplace safety and health
  • Assessing and collecting funds from employers for
    services
  • Instituting surcharges and rebates based on
    performance
  • Promoting and supporting applied research

11
Pillars of Prevention (contd)
  • The fourteen Health and Safety Association in
    Ontario have a mandate to provide programs for
    the prevention of workplace injury and illness
  • Activities include
  • Developing and implementing educational and
    training programs
  • Assisting firms to implement health and safety
    management systems
  • Identifying and communicating best practices and
    standards
  • Providing solutions-based consulting of workplace
    systems
  • Promoting health, safety and wellness and
    psychosocial awareness

12
Occupational Health and Safety Council of
Ontario (OHSCO)
  • OHSCO is a strategic body comprised of the
    leaders of Ontarios Prevention System
  • It plays a strategic and advisory role in
    aligning and enhancing Ontarios Health and
    Safety System
  • It leverages the strengths and resources of its
    member organizations to achieve its vision and
    mission
  • On behalf of workers and employers, OHSCO
    inspires, leads and enables the creation of the
    healthiest and safest workplaces in the world,
    continuously working towards the goal of
    eliminating work-related injuries, illness and
    death in Ontario Canada

13
???????????? ????????????? ???????
Workplace Safety andInsurance Board (WSIB)
  • Continue to exist as an insurance agency
  • Provide injury and illness data to the SWAs and
    other parties
  • Work with the SWAs and others to promote
    safety and health
  • Institute surcharges or rebates to firms based
    on their performance
  • Assess and collect funds from firms to provide
    funding for the purpose of prevention
  • Administer framework for prevention network
  • Research priorities

Health Safety Associations
Ministry of Labour (MOL)
  • Assist firms to implement H S systems
  • Identification communication of best
    practices/standards
  • Situations-based consulting of workplace
    systems
  • Develop implement educational training
    programs
  • Promotion of health, safety and wellness
  • Working with partners
  • Set clear standards
  • Inspections of high risk firms
  • Investigations
  • Issue orders
  • Prosecute for non-compliance where necessary
  • Communicate
  • Working with partners

Workplaces
  • Applied Knowledge Strategies

Training Centres Occ. Hlth Clinics
  • Cross sectoral training information and support

A Network To Enable Ontario Workplaces To
Establish and Maintain Healthier and Safer
Workplaces
Others
  • Health Safety Agencies (local, national,
    international)
  • Institute for Work Health
  • RAC
  • Universities/Community Colleges
  • Consultants
  • ILO
  • WHO
  • Minerva Canada
  • Threads of Life
  • IRSST
  • CSA
  • CME and other Trade Associations

Source Maureen C. Shaw, IAPA
14
Program Logic Model for the Prevention System


Leading Indicators
Trailing




Inputs
Activities/Outputs
Reactions
Outcomes
Research

OHSCO

IWH,
Knowledge
Purpose

RAC

Attitudes

Transfer
To make and
Fewer


Values
keep Ontario as
Set Standards,
MOL

Beliefs

the healthiest
Injuries
Communicate,
safest place in
Knowledge

Enforce

Illnesses
the world to
Strategy, Organization, Resources
work

Information,
SWAs

Systems

Diseases


Training,
Target Clients


Fatalities
Reduced
As
sistance

Ontario
Hazardous
Workers,
WSIB
Financial Incentives,

Employers
Exposures

Social Marketing,
Society

System Support

Effectiveness in Workplace
System Qualities
Source OHSCO System Measurement Sub-Committee
15
Evidence Based Data and Research???????????
The transfer of evidence-based research outcomes
is not about the collection and dissemination of
information
  • ????????????????????????

16
Evidence Based Data and Research
(contd)???????????(?)
  • It is about transforming, interpreting, and
    innovating the knowledge onto a wiser path of
    health and safety awareness to empower, change,
    and evolve organizations and people
  • Knowledge transfer is achieved through an
    exchange of information and dialogue that ensures
    that research is both relevant and applicable

??????????????????????,??????????????,????????????
?????? ?????????????????,?????????????????????
17
Wisdom How Is It Created?
Wisdom using what is understood - informed by
purpose, principles, ethics, and memory
for making better choices
Holistic, subjective, spiritual conceptual,
creative and rare
Separable, mechanistic, objective and abundant
Transformation/Innovation transformation and
innovation of knowledge for use by intervenors
to effect change
Understanding when knowledge is related and
becomes systemic and useful for conceiving,
anticipating, evaluating, judging and predicting
Knowledge integrating information so that it can
be used for taking action
Information assembled data that adds meaning -
that informs, a difference that makes a
difference
Data discernable cognitive patterns, separable,
objective, and linear - cause effect
Noise sensory, pervasive random
Ken Smith Strategic Solutions
Adapted from Dee Hock - Birth of the Chaordic Age
18
The Case for Action
  • 300,000 people injured annually in Ontario
  • 100,000 injured seriously enough to take time off
    work
  • 100 died in traumatic workplace accidents in 2004
  • 196 died due to occupational diseases in 2004
  • 296 Total deaths in 2004
  • 35 fatalities in construction in 2004
  • Workplace injuries cost Ontario economy 12
    billion per year CME/WSIB study
  • Note in 2004, estimated number of workers in
    Ontario was 6.316 million

Source Ministry of Labour and WSIB
19
The Case for Action
Lost Time Injury Rate Employment Growth In
Ontario 1976-2004
Source Ministry of Labour
20
OHS System-wide Partnership Last Chance and
High Risk
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
  • 6000 firms (2 of registered firms with WSIB)
    represent 10 of all LTI, 21 of the claim costs
  • High Risk Initiative (worst 2) Ministry
    lead
  • High risk target list 5000 (05/06), 5800
    (06/07)
  • Reactive HSA assistance workplace demand for HSA
    services driven by compliance orders
  • Goal to build sustainable workplace self-reliance

21
OHS System-wide Partnership Last Chance and
High Risk (contd)
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
  • Motivate next 8 (15,000 last chance) HSAs
    leading
  • proactive HSA assistance motivate workplaces to
    achieve compliance (mitigate potential orders)
    build sustainable workplace self-reliance

22
OHS System-wide Partnership Results Last
Chance and High Risk
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
  • High Risk Activities
  • Year 1 of high risk initiative 132 new
    inspectors targeting over 5000 workplaces 4 times
    a year
  • Greater than 2 times the number of serious
    offences
  • LTI reductions in targeted firms range from 20
    27

23
OHS System-wide Partnership Results Last
Chance and High Risk (contd)
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
  • Last Chance Activities
  • 5 HSAs visit to last chance firms of firms
    taking up HAS assistance range from 12 to 97
  • of firms failing to respond to HSA offer range
    from 0.03 to 2 referrals to MOL

24
Safety Groups Program??????
  • ???????? WSIB ???,???????????,?????????????????
  • The Safety Groups program is sponsored by the
    WSIB and provides for a network of companies who
    share the common goal of reducing injuries and
    illnesses

Source www.wsib.on.ca/wsib/wsibsite.nsf/public/S
afetygroups
25
Safety Groups Program??????
  • Safety Group members pool resources, share best
    practices and help each other develop and manage
    effective health and safety programs
  • While improving workplace safety they can reduce
    their compensation premiums and earn financial
    rebates
  • ?????????????????????,??????????????????????
  • - ????????????,???????????????????

Source www.wsib.on.ca/wsib/wsibsite.nsf/public/S
afetygroups
26
Safety Groups Program
  • Each safety group has a sponsor from a trade
    association or a health and safety association.
    Sponsor promotes group interaction through
    meetings, workshops and guidance on action-plan
    development and tracking progress
  • The Safety Groups Program started in 2000 and is
    now an ongoing prevention program. In 2004 there
    were 40 participating Safety Groups with rebate
    recipients receiving 19,992,371
  • Participating firms average a 25 reduction in
    injuries annually

27
Safe Communities
  • There are 97 Safe Communities world-wide. This
    model is currently supported by 18 communities in
    China
  • 4 communities in China have been designated
  • 1 is projected for 2006
  • 13 have designation in preparation

Source Safe Communities Foundation,
httpwww.safecommunities.ca/milestones.htm
28
Safe Communities Incentive Program (SCIP)
  • SCIP promotes safety in the workplace and helps
    small businesses reduce WSIB insurance premiums.
    It involves a partnership with the WSIB, the 28
    Safe Communities and the Health and Safety
    Associations based in Ontario
  • Participating firms gain access to health and
    safety training programs, resources and access to
    health and safety experts to help them to become
    better, safer workplaces

29
Safe Communities Incentive Program (SCIP)
  • SCIP requires the owner/senior manager to
    participate in The 5 Steps to Managing Health and
    Safety training program
  • SCIP is in its ninth successful year. Since 1997,
    5.400 firms have participated in SCIP and
    received rebates totaling 11 million
  • In 1999, with a control group of 3 communities,
    participating firms experienced a reduction of
    injuries by 23 on average

30
Accreditation Program
  • The general objective of an accreditation program
    is to promote the adoption of good OHS policies,
    programs and practices in workplaces
  • The goal is to encourage employers to adopt an
    Integrated Management System driven by a
    comprehensive continual improvement process,
    designed to assist them in managing and
    integrating their organizations safety, health
    and environmental needs with overall business
    requirements in a manner which is sustainable

31
Accreditation Program
  • Accreditation has the potential to strengthen
    workplace commitment to high standards of OHS
    practice through economic, social and possibly
    legal motivators
  • The WSIB is developing a Health Safety
    Accreditation Plan for Ontario workplaces. An
    Accreditation Working Group has been established
    and recommendations will be made to the WSIB in
    June 2006

32
System Measurement
  • System alignment annual assessment of alignment
    between partners
  • Enforcement
  • MOL orders per 100 workers
  • of orders related to serious contraventions
  • Knowledge and skill transfer
  • Participant days in training per 100 workers
  • Conference attendance per 100 workers
  • Consultant interventions Number of visits and
    number of firms

33
System Measurement
  • WSIB Database on Registered Firms
  • Lost time injury rate per 100 workers
  • Non-lost time injury rate per 100 workers
  • Annual severity rate Number of lost days due to
    severe injuries
  • Fatalities and category of fatality
  • Type of injury and numbers of each
  • Insurable earnings and premiums
  • Long term, short term and health care benefit
    costs

34
Outcomes
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
  • MOL Statistics (2004 to2005)
  • High risk firms (low 2) reduced LTI rate by 28
  • Last chance firms (next 8) reduced LTI frequency
    by 11

35
Summary of Ontarios LTI Statistics
Source Ministry of Labour
36
Recognition??
  • Recognition is an important part of any strategy.
    In this case it must of course be part of a
    formal verification process by organizations
    accredited to undertake the verification to an
    approved set of standards. An organizations
    policies and programs must meet the requirements
    of an effective, integrated occupational health
    and safety management system

???????????????,??????????????????????????????????
??????????????????????????????????
37
Recognition
  • The key objective is to promote effective
    workplace policies, programs and practices and to
    recognize enterprises that go beyond compliance.
    The primary benefit of a Recognition Process
    would be the systematic prevention of injuries,
    illnesses and fatalities as well as the human and
    financial costs
  • Secondly, it verifies and recognizes good
    performers and provides a market-driven standard
  • Thirdly, it allows for focus by enforcement
    bodies on poor performers

38
IAPA Health and SafetyAchievement Awards
  • Recognize a firms progressive achievement in
    health and safety
  • Recognize a firms demonstrated commitment to
    staff, customers,and community
  • Provide guidance to firms in their quest towards
    occupational health and safety
  • Three distinct honours

Achievement Award Marking the progression of a
health and safety program with three levels of
achievement
  • Achievement Award
  • Safety Award
  • Presidents Award

39
(No Transcript)
40
Centre for Health Safety Innovation????????
Vision Communities free of injury and illness
prevention
  • ??
  • ?????????????????
  • ??
  • ???????????????????????
  • Mission
  • Provide a meeting place for knowledge exchange,
    learning and innovation in prevention

41
Centre for Health Safety Innovation
  • The Centre will
  • Provide innovative training and educational
    programs by offering dynamic training
    opportunities to participants
  • Foster evidence-based research in health and
    safety by working with universities, colleges and
    other academic institutions that will result in
    practical solutions
  • Be a key resource in health and safety trends,
    initiatives and issues
  • Develop new health and safety programs in areas
    such as occupational disease
  • Participate in and encourage excellence in
    workplace health and safety by rewarding efforts
    of individuals and employers

42
Coming together is a beginning, staying together
is progress, and working together is
success ? Henry Ford
43
Conclusion
  • Through relationships that have developed, we are
    more prepared to respond to unexpected issues
    that arise
  • Much was learned about the value of these
    structured relationships as a result of the SARS
    outbreak that occurred in the Toronto area in
    2003
  • Recently, when an outbreak of Legionnaires
    Disease occurred, the partners were able to
    respond to the respective stakeholders within a
    few hours with relevant information

44
(No Transcript)
45
Innovative Strategies for Safer and Healthier
Workplaces???????????????
We invite you to attend the 2007 IALI
Conference April 18, 19 20, 2007 Toronto,
Ontario, CANADA Please pick up the brochure here
at the conference or visit the IAPA web
site www.iapa.ca
  • ???????
  • 2007 IALI ???
  • 2007 ? 4 ?18?19 20 ?
  • ?????????
  • ?????????
  • IAPA ??????
  • www.iapa.ca

46
Vision
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