Healthy Workplaces

“Leading the Way – An Integrated Approach to Workplace Health”

Presentation to HEABC AGM June 20th 2005

Why Integrated Approach to Healthy Workplace

• To improve the quality and safety of the health system.

• To improve the health of the population.

• To improve the health of Fraser Health employees, physicians and volunteers.

• To manage fiscal pressures.

Healthy workplaces:Trust, respect, fairness, commitmentResources Autonomy & inputEffective supervision & communicationChallenging but not overworkedRewards & recognition

Employee & physician capabilities: Healthy Engaged Skilled Adaptable

Results:InnovationPerformance +▲ Quality care & servicesPatient Safety

This Is ‘Population Health’ Thinking

Here’s how a healthy workplaces, employee capabilities, and organizational goals are linked:

Copyright © 2004 Graham Lowe Group

Gallup’s Engagement Hierarchy

What do I get?

What do I give?

Do I belong?

How

can we

grow?

Opportunities to learn and growProgress in last six months

Best friendCo-workers committed to qualityMission/purpose of organizationMy opinions count

Encourages developmentSupervisor/someone at work caresRecognition last seven daysDo what I do best every day

Materials and equipmentI know what is expected of me at work

Growth

Teamwork

Management

Support

Basic

needs

Copyright © 1992-1999 The Gallup Organization, Princeton, NJ. All rights reserved.

Healthy Workplace Model

Employment Relationship

Healthy and Safe

Physical Environment

Healthy People,

Healthy

Workplace

Better

Health

Better Organizational & Individual Health

Population Health Approach•Link with Quality Outcomes/Practice•Integrate Practice•Determinants of Health •Interventions at Unit Level•Management Capacity & Accountability

Traditional Safety and Health Programs•Primary Prevention•Integrated into Business Practices•Traditional cost drivers•Most efforts to date

Pay, Benefits, Safety Net (Sick, LTD, WCB)

Retention

Population

Health

ModelPrimary

Prevention

Basic

needs

Copyright © 1992-1999 The Gallup Organization, Princeton, NJ. All rights reserved.

We are here

Healthy Workplaces/engagement

EXECUTIVE LEADERSHIP

Ongoing Executive leadership as demonstrated through role modeling, priorization of healthy workplace assessment in the scheduling of initiatives, establishing a clear accountability for all leaders to take action on the Healthy Workplaces vision; and.

MANAGEMENT CAPACITY

Sufficient capacity on the part of those leaders to fulfill their established roles. Meaningful results will occur only where directors, managers, employees and physicians feel empowered to select among competing demands to create their own healthy workplace action plans, consistent with the Healthy Workplaces vision outlined above.

FH Action Plan

• Integrate Workplace Health with Clinical & Business Practices

• Enterprise Risk Management-Based Approach– Risk Focus and Prioritization Methods Developed

• Population Health Approach for “Fraser’s Health”– Determinants of Workplace Health at a Unit Level

• Link Healthy Workplace with Patient Outcomes/Patient Safety

• Primary and Secondary Prevention integrated at unit level

• Creating accountability for healthy workplace actions– Integrate into Management Performance Planning

Integrated Prevention Model

FH Action Plan

• Safe needles and syringes– First HA to change on this scale in Canada (acute, residential,

community)– Joint task group to manage change process

• Prevention and Management Aggressive Behaviour– Collaborative Effort with Protection Services and Clinical Practice

Leaders– Enhanced Training for ER and Psych Staff– Risk Assessments/Policy and Protocol Development – integrated with

Clinical• “No Lift” – Safe Client Handling Policy

– Advisory Committees in acute, community, residential to sustain policy and program

– Acute care systems approach for ceiling lift utilization linked with patient flow

• Immunization– Varicella, Influenza

• Respiratory Protection– Fit-testing of 6000 “At-risk staff”– Part of SRI and Pan-Flu Planning

Primary Prevention Priorities

FH Action Plan

• PEARS Expansion – base budget funding – moved beyond pilot.– Expand to include primary, secondary and tertiary depression

management strategies.• Disability Mgmt Practices – Integrated for WCB, LTD Sick and

ICBC.– LTD Help Centre – links employees and managers with prevention

and case management resources.• Critical Incident Stress Management Program.

– BCNU Joint project.– Service available to all FH employees and physicians.– Linked with EFAP.

• Mental Health.– Screening.– Access to Guideline Level Care.– Integrated with LTD Case Management.

• Outbreak Management Protocols.– TB, Varicella, Rabies, Meningitis,– Joint project with Infection Control and Public Health

Secondary Prevention

Partnerships/research

• WCB Projects– Risk Assessment, Early Intervention, Aggression in ECU, Activation

of OSH Committees

• WCB Research Secretariat – Modeling Chemical Spill Exposures

• OHSAH– PEARS– WHITE

• University College of Fraser Valley– MOU signed to utilize FH’s Safe Client Handling Program as

curriculum– FH funding establishment of “Safety lab” including lifts, safe

needles and fit-testing– FH hires approx 80% of RN, LPN and RCA grads from UCFV

Partnerships/research

• Health Canada Funding– Population Health Model being developed for “Fraser’s Health”– Accountability Framework and first annual report on “Fraser’s

Health”

• Research – CIHR – SARS compliance barriers – Michael Smith Foundation Health Research (4 submissions with

OHSAH/other HAs)

• MoH Nursing Directorate– Joint research and evaluation on Aggression in Complex Care

Settings– Application submitted for Phase 3 funding

• Professional Practice/CNO– Participating in CHSRF (EXTRA Fellowship) – assess, evaluate and improve identified aspects of client & worker

safety in the delivery of home health care

Indicators

DATA– Good Data – 3 years of injury data – Health Report Card for Exec/HSAs for fiscal 04/05– WHITE Implementation

INDICATORS - Leading – Risk Assessments, Surveys, – Gallup Q12

INDICATORS - Lag – Sick, LTD, WCB, Extended Health – Targeted interventions show declining WCB, LTD

incidence rates

Evaluation

• Good Data - WHITE• Ongoing Research and Evaluation• Population Health – Accountability

Framework• Unit Level Reporting• Targeted Interventions• Connected to Performance-based• Lead to Healthy Outcomes