Strategies for dealing with the aging worker population
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Strategies for Dealing With the Aging Worker Population. Andrew J. Seter, M.D. Sensia Wellness. Working Longer in Life. 73 Year Old Construction Worker Buried In Work-Site Avalanche 100 Year Old Doctor Still Practicing 91 Year Old Yoga Instructor Going Strong Retirement Being Delayed

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Strategies for dealing with the aging worker population

Strategies for Dealing With the Aging Worker Population

Andrew J. Seter, M.D.

Sensia Wellness


Working longer in life
Working Longer in Life

  • 73 Year Old Construction Worker Buried In Work-Site Avalanche

  • 100 Year Old Doctor Still Practicing

  • 91 Year Old Yoga Instructor Going Strong

  • Retirement Being Delayed

  • The Recession

  • Health Insurance/Benefits


Outline
Outline

  • The Problem

    • US Population and Workforce is Aging

    • Disease Prevalence Increases with Age

    • Injury Rates and Medical Costs Based Upon Age

    • Work Comp Costs Are Rising

  • The Solution

    • On-Site Medical Care

    • Comprehensive Wellness Services

    • Ergonomics/Job Design

    • Human Resource Policy


Not all is bad
Not All Is Bad

  • Experienced, Knowledgeable

  • Dedicated, Loyal

  • Higher Retention

  • Lower Absenteeism

  • Lower Rate of Injury

  • Higher Motivation

  • Attention to Quality


Us census data 2010
US Census Data 2010

  • US Population 309,000,000 in 2010

  • Growth of 9.7% Since 2000

  • Rate of Growth

    • Under 18 – 2.8%

    • 18 to 44 – 0.6%

    • 45 to 64 – 31.5%

    • Over 65 – 15.1%

  • 45 and Older – 39.4%



Statistics
Statistics

  • Median Age US – 37.2

  • Median Age WI – 38.5

  • 15th Oldest State by Age

  • Projections

    • By 2030 – 20% will be 65 and older

    • Current 25% with Care Giving Roles

    • By 2020 – 50% with Care Giving Roles



Obesity statistics
Obesity Statistics

  • Increases Overall Morbidity and Mortality

  • Cost 2-3X Non-Obese Patient

  • High Correlation With Diabetes, OHD, HTN, Colon CA, Breast CA, Ortho

  • Higher Absenteeism, Lower Productivity

  • Work Comp: 2x Claims, 7x Expense, 13x Lost Workdays


Diabetes rates by age
Diabetes Rates by Age

Source: Centers for Disease Control and Prevention.


Diabetes statistics
Diabetes Statistics

  • Directly Related to Obesity

  • Epidemic of Diabetes

  • Cost 2-3x’s Non-Diabetic

  • Disease of Small Blood Vessels

  • Accounts for 20% of Total US Healthcare Cost

  • 3 to 9 Medications Daily

  • Higher Absenteeism, Lower Productivity


Smoking rates by age
Smoking Rates by Age

Percent of Adults aged > 18 years who were current smokers by age group.

Source: National Health Interview Survey, United States 2005-2011


Smoking statistics
Smoking Statistics

  • #1 Cause of Preventable Death and Disease Worldwide

  • Attributable to 90% of Lung CA and COPD

  • High Correlation with CAD, CVA, MI, CA

  • HC Visits 6X Non-Smoker

  • Hospital 2X Non-Smoker

  • Increase Absenteeism/Decrease Productivity

  • Slower Healing Process


Health status by age
Health Status by Age

  • Vision

    • Loss of Acuity, Luminance, Glare

  • Hearing

    • 2-3.5% Loss Per Year, Background Noise,

      Speech Recognition

  • Muscle Mass

    • Gradual Annual Loss, Decrease Strength/Flexibility,

      Loss of Balance

  • Cognition

    • Decreased Ability to learn, Multitask, Speed

  • Shift Work, Heat Stress



Fall rates by age
Fall Rates by Age

Source: Centers for Disease Control and Prevention.


Injury statistics for older workers
Injury Statistics for Older Workers

  • Rate of Injury Similar or Lower Than Younger

  • Longer Duration of Time Off Work

  • Significantly Higher Cost Per Case

  • Highest Rate of Fatal Injuries

  • Highest Rate of Falls and Fractures




Rotator cuff injuries
Rotator Cuff Injuries

  • Series of 4 Muscles

  • Common Work Comp Injury

  • MRI ASX’ic Shoulder

    • 13% 50-59, 20% 60-69

  • Med Costs $50,000-75,000

    • Facility, Surgeon, Rehab

  • 5% PPD $8050

  • 1 Month TTD


Lumbar spine injuries
Lumbar Spine Injuries

  • Most Expensive Diagnosis

  • MRI with High Rate of Abnormalities

  • Discectomy $65-80,000

    • TTD Variable, Six Month Recovery

  • 5% PPD Per Level $16,100

  • Lumbar Fusion $100-125,000

    • TTD Extended, One Year Recovery

  • 10% PPD Per Level $32,100

  • Vocational Rehab $40-50,000

  • Loss of Earning Potential


Summary
Summary

  • Work Force is Aging

  • Increase Obesity, Infirmity

  • Higher Cost Per Injury

  • WC Trends are Troublesome

  • Affordable Care Act



The solution
The Solution Interests?

  • Commitment from Management

  • On-Site Medical Provider(s)

  • Comprehensive Wellness Services

  • Ergonomics/Job Site Safety

  • Human Resource Policy

  • Incent Employees for Referrals


On site medical care
On-Site Medical Care Interests?

  • MD, NP, PA, RN or Combination

  • Start Small and Expand

  • Scalable Scope of Services

  • 50 Employees or Greater

  • Self Insured or Pooled


Equipment cost
Equipment/Cost Interests?

  • Office Supplies

  • Medical Equipment

  • Medical Supplies

  • Computer/Phone

  • Internet Access

  • Initial Investment <$6,000

  • Staffing Charges


Wipricepoint com

wipricepoint.com Interests?


On site medical care1
On-Site Medical Care Interests?

  • Improve Access to Healthcare

  • Treat Common Injuries/Illnesses

  • Medical Consultation

  • Supplement PCP

  • Most with No PCP

  • Avoid ER/Urgent Care Expenses

  • Referrals


Comprehensive wellness services
Comprehensive Wellness Services Interests?

  • HRA’s

  • Health Coaching/Wellness Coordinator

  • Smoking Cessation

  • Nutrition/Stress Counseling

  • Exercise Participation

  • Incentive Tracking

  • Year Round Programming


Human resource policy
Human Resource Policy Interests?

  • Safety Committee

  • Ergonomics/Job Design

  • Hiring/Drug Testing Policies

  • Flexible Scheduling

  • Shift Work

  • On-Site Stretching

  • FFDE


FFDE Interests?

  • Can Request Independent Medical Assessment

  • Job Performance, Safety

  • Medico-Legal Right

  • Employee Obligated to Participate

  • Information, Information, Information

  • Cover Letter, Job Description,

    Medical Records


To do list
To Do List Interests?

  • On-Site Medical Staff

    • Facilities

    • Equipment

    • Staffing

  • Wellness Services

    • HRA

    • Health Coaching

    • Cash Incentive

    • Incentive Tracking

  • Programming

    • Smoking Cessation

    • Exercise Log

    • Nutrition

    • Stress

  • HR Policies

    • Safety Committee

    • Stretching

    • Ergonomics

    • FFDE



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