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Lynn Green APNP-BC, NP-C, MHC, MSN Occupational/Integrative Health Nurse Practitioner

Overview Statistics Focus and scope of Occupational Health Nursing (OHN) Treatment Health Promotion Case Management Hazard Detection Regulatory Aspects

Facts Related to Health Care Costs Approximately 50% of company profits go towards health care Lost productivity from injury and illness cost companies $60 billion yearly Approximately $170 billion spent yearly on work- related injury and illness – directly reducing a company’s bottom line Poor employee health = $1 trillion in costs to businesses annually Sources: Sullivan, S (2000) Wellness programs US Department of Labor, Occupational Safety and Health Administration, Publication 3180 AAOHN (2009)

OHN Impact on Health Care Costs Promote and restore employee wellness Prevent illness and injury Provide cost-effective management of disability and workers comp programs Protect employees from occupational and environmental hazards

OHN Role Positioned to: Collaborate with employees to develop ‘good health habits’ Leverage health related programs and services to increase employee accountability Champion health and safety practices within employee populations Guide the company through regulatory and legal mazes

Realized Cost Savings 20% to 40% reduction in injury and illness costs with established programs (OSHA) 95% of business executives reported positive impact on financial performance as a result of workplace safety (Liberty Mutual Insurance) $24 return on every $1 spent on company wellness programs by small businesses (WELCOA) Sources: WELCOA Absolute Advantage

Key Facts about Health and Wellness Programs $300-$450 savings per employee each year for every $100- $150 spent per employee for participation in corporate wellness programs Productivity losses linked with workers who have chronic diseases are as much as 400% more than the cost of treating chronic disease 57% of all global deaths annually are chronic disease related with an expected increase of 23% over the next years. Sources: WELCOA Absolute Advantage Working towards wellness: Accelerating the prevention of chronic disease (2006) Pricewaterhouse Coopers’ report

Case Management Coordinate and manage work- and non work-related injuries and illness Group health Workers’ compensation Family Medical Leave Act (FMLA) Short term and long term disability (STD & LTD) Americans with Disabilities Act (ADA)

Counseling and Crisis Intervention Work related illness and injuries Substance abuse Psychosocial needs Wellness/health promotion concerns Health concerns Work-related concerns Referral to and management of Employee Assistance Programs (EAP)

Health Promotion and Risk Reduction Design programs Immunization Smoking cessation Exercise/fitness/nutrition/weight control Stress management Monitoring of chronic disease and effective use of medical services

Legal and Regulatory Compliance State and federal regulations Occupational Safety and Health Administration (OSHA) FMLA Health Insurance Portability and Accountability Act (HIPAA) DOT Commercial Drivers

Hazard Detection Recognize and identify hazards Monitor, evaluate and analyze hazards Select and implement preventive and control measures as a continual process

Summary OHNs contribute significantly to the “bottom line.” OHNs help employees develop and maintain healthy and productive lifestyles. OHNs recognize potentially hazardous health conditions and treat or refer before productivity suffers and costs increase. OHNs provide reliable, critical health and safety education which is otherwise nearly impossible to obtain. OHNs guide a company through the maze of regulatory and legal issues.

Lynn Green APNP-BC, NP-C, MHC, MSN Occupational/Integrative Health Nurse Practitioner Green & Associates, Consultants, LLC