Risk Management Office
Health & Wellness 2009
Eugene A. Jones
Fire Chief
1
MISSION
Eugene A. Jones
Fire Chief
“To prevent and manage the occurrence of work place
injury, illness and property loss, while maintaining
optimal health and productivity of our
employee’s/members.”
Vision
“The Prince George’s County Fire/EMS Department
workforce will have widespread and spirited
advantages through the health and fitness of
individuals, prevention and protection from injury,
illness, and property loss and proper medical and
rehabilitative care.”
2
Risk Management
Office
Wellness/Fitness
Medical Director
Eugene A. Jones
Fire Chief
Claims Management
Concentra
•Office Hours: M-F
0800 to 16:00
hours
Infection Control
Officer
Operational
Safety Program
Red Flag Program
Employee
Assistance Program
Wellness/Fitness
Safety Management
•Available for
emergency
response during
all other hours
Administration
Disability
Recruits/Applicants
Proactive Improvement
Senior Aide
Light Duty
Fitness Center/PFT
Field Training
Information
Management
FMLA
Annual Medical
Evaluations
Safety Committee
Records
Management
3
Problems and Obstacles
Eugene A. Jones
Fire Chief
Adjusting approach to “Cultural Shift” vs. “Only Adding
Programs”
Departmental “Resistance to Change”
The National and Departmental “Cultural Attitude” Towards
Wellness and Fitness
Health Care System Policy and Procedure
Failure Rate of Programs
Alcoholism/substance abuse
Addictive/Extreme behaviors
Psychological Stress of the public safety officer
Physiological Stress of the public safety officer
Departmental Bureaucracy
Organizational and Individual Workload
Recruitment and Hiring Process
Economics
4
Performance and Health
“Disconnect”
Eugene A. Jones
Fire Chief
Health
Performance
Employee
5
The “Connection”
Eugene A. Jones
Employee
Fire Chief
Performance
Total
Health
Risk
Management
Health
6
Making the Change
Eugene A. Jones
CHARACTER
Fire Chief
HABITS
OUTCOME
Wellness and Fitness
Reality
ACTIONS/WORDS
THOUGHTS
7
WELLNESS AND FITNESS CULTURAL MOVEMENT
“Positively Influencing Everyone”
Eugene A. Jones
Fire Chief
Community
Society
Retirees
People
Dependants
Leadership
Employees
8
Psychological Process of Injury/Illness
Emotional Cycle
Eugene A. Jones
Distress
Fire Chief
Determined Coping
• Investigation (goal setting, seeking
support and education, treatment options)
• Dedication (cooperation, focus, vision,
positive approach to rehab and healing)
Fear, anxiety, anger,
depression, guilt,
re-directed anger, self-doubt
bargaining
Denial
• Disbelief injury exists
• Minimizing severity of injury
and effect to job performance
• Avoiding medical treatment
• Unacknowledged feelings of
loss and stress of separation from
co-workers
9
Wellness and Fitness as a Valued service
“Trust”
Eugene A. Jones
Fire Chief
Office of Human
Resource
Management
Risk
Management
•De-Conditioned
•Injured
•Poor Health
Family and
Friends
Workman’s
Comp
Attorneys
State of the Art
Medical Care
Labor
Other
Officers
10
Fitness
Centers
Organizational
Leadership
HR/Benefits
Training
Academy
Labor
Organizations
Risk
Management
Information
Management
External
Vendors
EAP/
Behavioral Health
11
WELLNESS AND FITNESS CONNECTION TO PERFORMANCE
“Integrated and Focused Organizational Involvement”
Labor Organizations
Eugene A. Jones
Fire Chief
External Health Vendors
Fitness Centers
EAP/Behavioral Health
Wellness and Fitness
Training Academy
Cultural Movement
Information Management
HR/Benefits
Organizational Leadership
Risk Management
12
Total Health Risk Management
Eugene A. Jones
Fire Chief
The systems of Total Health Risk Management are designed to
protect the health and well being of the individuals in the Prince
George’s County Fire/EMS Department. They also decrease the fiscal
impact of injury, illness, and sick leave use. The following three major
systems of health and safety are focused:
•
•
•
Health and Fitness of Individuals
Prevention and Protection from Injury and Illness
Proper Medical and Rehabilitative Care
Wellness and Fitness Program Components
and Descriptions
The following are components and task descriptions of the Total
Health Risk Management Systems. These are Wellness and Fitness
Program components that are currently implemented and/or completed
as of January 2008.
13
Risk Management Office
Eugene A. Jones
Fire Chief
• Departmental Wellness and Fitness
Program Components
– Include:
• Departmental Annual Medical Physical
Program that administers the Employee
Medical Services Contract
• Departmental Injury/Illness Back To Work
Program
14
Risk Management Office
(Departmental Wellness and Fitness Program Components Cont.)
Eugene A. Jones
Fire Chief
 Administer Departmental Peer Fitness Trainer
Program
 Coordination of Departmental Pre-Hire
Medical Screening Program
 Administer and Coordinate Departmental PreHire Fitness Preparation Program
15
Risk Management Office
Eugene A. Jones
(Departmental Wellness and Fitness Program
Components Cont.)
Fire Chief
 Coordinate Recruit Fitness Training
Program
 Coordinate Company 30 Fitness
Center Operations
16
Eugene A. Jones
Fire Chief
So What?
17
Improvement
Increased Levels of Health & Safety
Eugene A. Jones
Fire Chief
Maintenance Phase
Implementation Phase
0
2004
1
2
3
Years
4
5
6
7
2009
18
Risk Management – Wellness/Fitness/Injury
Tracking System
Eugene A. Jones
Fire Chief
Goal: To provide tangible and effective information that
substantiates the investment of resources towards the Department’s
Wellness and Fitness Program.
Objectives: By FY2008 have “real time” technology processes in
place to track non-productive hours due to illnesses, failed medical
physicals, injuries and orthopedic injuries.
Key Service: Total Health Risk Management will focus on the
appraisal, planning and management of the wellness and fitness of
personnel. This will improve the Department’s safety, readiness and
resources as it protects the community.
19
INPUT
# OF EMPLOYEES
# OF MEDICAL PHYSICALS
# OF FITNESS EVALUATIONS
Eugene A. Jones
OUTPUT
# OF EMPLOYEES WITH CORONARY RISK FACTORS (overweight, hypertension, smokers,
abnormal lipid profile)
# OF EMPLOYEES FAILING MEDICAL PHYSICALS
# OF EMPLOYEES WITH AVERAGE OR BELOW AVERAGE FITNESS LEVEL
Fire Chief
OUTCOMES
# OF NON PRODUCTIVE HOURS DUE TO:
ILLNESSES
FAILED MEDICAL PHYSICALS
INJURIES
ORTHOPEDIC INJURIES
EFFICIENCY
% OF REDUCTION OF SICK LEAVE USE DUE TO EMPLOYEE ILLNESS
% OF REDUCTION OF OVERALL INJURY RATE
% OF REDUCTION OF EMPLOYEES WITH CORONARY RISK FACTORS
% OF REDUCTION OF FAILED MEDICAL PHYSICALS
% OF INCREASE OF FITNESS LEVEL TO ABOVE AVERAGE
% OF REDUCTION ORTHOPEDIC INJURIES
% OF REDUCTION OF DURATION EMPLOYEES SPEND ON IOJ AND MODIFIED DUTY
QUALITY
% OF REDUCTION OF NON PRODUCTIVE HOURS DUE TO:
ILLNESSES
FAILED MEDICAL PHYSICALS
INJURIES
ORTHOPEDIC INJURIES
20
Benefits and Progress
Eugene A. Jones
Fire Chief
Health data from medical physicals indicate that there has
been a reduction in cardiac risk factors as of December
2008. In addition, there has been a reduction of career
personnel that are positive for three or more coronary risk
factors.
Age
Family Cardiac History
Abnormal Cholesterol Levels
High Blood Pressure
Obesity
Sedentary Lifestyles
Smoking
Diabetes
3+ cardiac risk factors
2005
21%
21%
2006
18%
18%
57%
21%
47%
26%
19%
. 08%
54%
20%
45%
26%
17%
.1%
52%
39%
2007
16%
16%
2008 2009
11% 10%
12% 10%
53% 46% 42%
18% 12% 14%
42% 36% 32%
28% 23% 19%
16% 13% 9%
1%
1% .8%
34%
25%
22%
21
Benefits and Progress
2005-2009
Eugene A. Jones
Fire Chief
• 67 health related findings from medical physicals needing
follow up.
• 28 confirmed serious and/or life threatening medical
findings.
• 11 serious cardiac related detections
• 8 early cancer detections
• 9 previously unknown severe hypertension detections
• 23 returned to full duty
• 5 selected retirement
• 2 with disability retirement
• 3 with normal 20+ retirement
**No punitive action taken against employee**
22
Life Threatning Medical Conditions
Identified by Medical Physicals
Eugene A. Jones
Case
Outcomes
Medical
Separation
Rate per 100
employee’s –
0.27
2005 to 2009
25
Fire Chief
20
15
10
5
0
Full Duty Disability Normal
23
Positive impact on Health-Related Costs
Disability Cost ONLY
Eugene A. Jones
Fire Chief
2001
2002
2003
2004
$519,386.22 Paid
$749,221.31 Paid
$893,252.69 Paid
$1,035,849.34 Paid
2005
2006
2007
2008
2009
$655,276.73 Paid
$475,584.56 Paid
$407,680.00 Paid
$253,703.00 Paid
$467,932.00 Paid
36.5% increase over 2000
30.6% increase over 2001
16.1% increase over 2002
13.7% increase over 2003
-36.7% decrease over 2004
-27.4% decrease over 2005
-14.2% decrease over 2006
-38.8% decrease over 2007
+46.0% increase over 2008
Pre-contemplation
Contemplation
Preparation
Action
Maintenance
Other Decreasing Costs
Disability Backfill (OT)
Light Duty Backfill
FMLA Salaries
FMLA Backfill
24
Disability Claim Performance
Eugene A. Jones
 Average
hours/claim
 2008
84 hrs/claim
 2009
74 hrs/claim
 12% Reduction
250
Fire Chief
200
150
100
50
 2004-2009
 333% Reduction
0
2004
2006
2008
25
Disability Leave Analysis
Average Hours/Claim
Eugene A. Jones
Fire Chief
Listed below is a disability leave usage chart showing the number of employees using
disability leave/hours used and amounts paid to public safety employees as of December
31, 2009.
AGENCY
CORRECTIONS
NUMBER OF
HOURS
EMPLOYEES
USED
CY09
AMT PAID
39
6,042
$162,998
FIRE
172
12,747
$467,932
POLICE
227
38,922
$1,277,516
61
9,678
$271,678
499
67,389
$2,180,125
SHERIFFS
SUB TOTAL
In CY08, 434 public safety employees used a total of 56,983 hours at a cost of
$1,687,893. In CY09, 499 employees used 67,389 hours at a cost of $2,180,125, an
increase of $492,232.
26
Disability Leave Analysis
Average Hours/Claim
Disability Leave Analysis Average Hours/Claim
450
Eugene A. Jones
400
Fire Chief
350
Avg. Hours/Claim
300
250
200
150
100
50
0
CY2004
CY2005
CY2006
CY2007
CY2008
CY2009
Police
345.35
423.34
279.48
186.28
147.96
171.46
Fire
221.63
153.67
139.29
121.25
83.92
74.11
Corrections
160.00
343.71
135.96
173.10
166.47
154.92
Sheriff
213.13
267.80
188.32
170.37
177.85
158.66
185.76
162.75
Average Total
235.03
297.13
131.30
135.05
27
INJURY and ILLNESS LOSS PREVENTION STATISTICS
Light duty and Overtime Coverage
Stats 2007
Number of injuries that resulted in lost time:
136
How many days (8hr blocks) were lost as a result of these injuries: 2936 lost days
Eugene A. Jones
Pay for injured employee
Pay for OT coverage
Fire Chief
2936 X 8 hrs X $36.00 =
$845,568
2936 X 8 hrs X $53.00 =
$1,244,864
Total = $2,090,432
Stats 2008
Number of injuries that resulted in lost time:
76
How many days (8hr blocks) were lost as a result of these injuries: 1,137 lost days
Pay for injured employee
Pay for OT coverage
1137 X 8 hrs X $36.00 =
1137 X 8 hrs X $53.00 =
Total =
$327,456
$482,088
$809,544
Stats 2009
Number of injuries that resulted in lost time:
116
How many days (8hr blocks) were lost as a result of these injuries: 1930 lost days
Pay for injured employee
Pay for OT coverage
•
•
•
•
1930 X 8 hrs X $36.00 =
$555,840
1930 X 8 hrs X $53.00 =
$818,320
Total = $1,374,160
Injury Reduction from 2007 to 2008 = 60
Direct Cost Savings from 2007 to 2008 = $1,280,888
Injury Increase from 2008 to 2009 = 40
Direct Cost Increase from 2008 to 2009 = $564,616
28
Sick Leave Usage Rate
90
Eugene A. Jones
Fire Chief
 Average
hours/employee
 CY 99-03 averaged
89 hours/employee
 CY 04-09 averaged
64 hours/employee
 Direct Impact
80
70
60
50
40
30
20
10
0
2004
2006
2008
29
Eugene A. Jones
Acting Fire Chief
Questions?
30