Thinking Differently About Health

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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? ????
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M. Shaw, IAPA President CEO www.iapa.ca
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Industrial Accident Prevention Association
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Industrial Accident Prevention Association
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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

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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

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  ?????????????????????????

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• 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

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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

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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

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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

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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

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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

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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

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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
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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
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Evidence Based Data and Research???????????
The transfer of evidence-based research outcomes
is not about the collection and dissemination of
information

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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

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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
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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
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The Case for Action
Lost Time Injury Rate Employment Growth In
Ontario 1976-2004
Source Ministry of Labour
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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

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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

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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

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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

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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
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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

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• - ????????????,???????????????????

Source www.wsib.on.ca/wsib/wsibsite.nsf/public/S
afetygroups
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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

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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
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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

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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

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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

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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

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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

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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

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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

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Summary of Ontarios LTI Statistics
Source Ministry of Labour
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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

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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

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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

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Centre for Health Safety Innovation????????
Vision Communities free of injury and illness
prevention

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• ?????????????????
• ??
• ???????????????????????

• Mission
• Provide a meeting place for knowledge exchange,
  learning and innovation in prevention

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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

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Coming together is a beginning, staying together
is progress, and working together is
success ? Henry Ford
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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

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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

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Vision