injury claims database. Alex Collie, Shannon Gray & Tyler Lane - - PowerPoint PPT Presentation

Estimating the burden of work injury in Australia using a comprehensive national injury claims database.

Alex Collie, Shannon Gray & Tyler Lane Insurance, Work and Health Group, Faculty of Medicine Nursing and Health Sciences, Monash University

MONASH MEDICINE, NURSING & HEALTH SCIENCES

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ACKNOWLEDGMENTS

Funding Research findings contained in this presentation have been supported by project funds from WorkSafe Victoria through the Institute for Safety Compensation and Recovery Research; and by SafeWork Australia. Data Provision Some data contained in this presentation is provided for use in the COMPARE project via a data sharing agreement with SafeWork Australia and the following workers compensation authorities: WorkSafe Victoria, WorkCover Tasmania, WorkCover WA, ReturnToWork SA, State Insurance Regulatory Authority

• f NSW, Department of Treasury Qld Govt, ACT Government, NT WorkSafe and Comcare.

WORK INJURY & ILLNESS IN AUSTRALIA, 2014

• Australian labour force = 11.5 million workers
• Nine major workers’ compensation schemes = 10.8 million workers (SafeWork Australia,

2015)

• Self-reported work-related injury = 532,000 (est) (Australian Bureau of Statistics, 2015)
• Accepted workers’ compensation claims = ~242,000 (Lane T, et al, 2016)
• Annual cost estimated at $61.1B or 4.1% of GDP (SafeWork Australia, 2015)

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TRENDS IN WORK INJURY IN AUSTRALIA

• The incidence of self-reported injuries and workers compensation claims has been declining:

e.g., 63.6 self reported injuries per 1000 workers in 2006 to 42.6 in 2014

• But the duration of working time lost to injury has been increasing, at least for some conditions:

e.g., median duration of time loss increased by 4.8% between 2009 & 2012

• So how effective are our prevention programs?
• Is the population burden of work injury and illness in Australia changing?

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Lane TJ, Collie A, Hassani-Mahmooei B. Work injury & illness in Australia, 2004 to 2014. http://www.iscrr.com.au/__data/assets/pdf_file/0020/540830/118_Work-injury-in-Australia-Review-2004-2014.pdf

OBJECTIVE

• To characterise the burden of work disability in Australia over time by age, gender and injury

type.

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DATA & METHOD

DATABASE

• National Dataset of Compensation Based Statistics
• >90% coverage of labour force

INCLUSION CRITERIA

• Accepted workers’ compensation claims from the nine major

Australian jurisdictions

• Nine year time period (2004 to 2012)
• Age 18 to 65 years at time of injury

EXCLUSION CRITERIA

• Cases with missing injury, gender or age data
• Claims without time loss (medical expense only)

BURDEN CALCULATION

• (number of injuries x mean duration of time loss) / number of

covered workers

• weeks lost per covered worker

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Number of cases Percentage of cases GENDER Male 1123168 64.9 Female 607124 35.1 AGE BAND 15-24 years 282152 16.3 25-34 years 375202 21.7 35-44 years 418480 24.2 45-54 years 420112 24.3 55+ years 232944 13.5 Missing 1412 0.1 CONDITION Fractures 127136 7.3 Musculoskeletal 982644 56.8 Neurological 30993 1.8 Mental health conditions 73928 4.3 Minor trauma 441515 25.5 Other diseases 74086 4.3 TOTAL 1730302 100.0

SEX

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0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 2004 2005 2006 2007 2008 2009 2010 2011 2012

Accepted injury claims per 1000 workers

Female Male 0.0 0.5 1.0 1.5 2.0 2.5 3.0 2004 2005 2006 2007 2008 2009 2010 2011 2012

Median weeks time lost per claim

Female Male 0.0 50.0 100.0 150.0 200.0 250.0 300.0 350.0 2004 2005 2006 2007 2008 2009 2010 2011 2012

Total weeks time loss per 1000 workers

Female Male

• 40.0
• 30.0
• 20.0
• 10.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0 Claims per 1000 workers Median weeks time loss per claim Weeks time loss per 1000 workers

% change in outcome 2004 to 2012

Female Male

Number of claims Duration off work Total time loss

AGE

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0.0 5.0 10.0 15.0 20.0 25.0 30.0 2004 2005 2006 2007 2008 2009 2010 2011 2012

Accepted injury claims per 1000 workers

15-24 24-34 35-44 45-54 55+ 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 2004 2005 2006 2007 2008 2009 2010 2011 2012

Median weeks time loss per claim

15-24 24-34 35-44 45-54 55+ 0.0 50.0 100.0 150.0 200.0 250.0 300.0 350.0 400.0 2004 2005 2006 2007 2008 2009 2010 2011 2012

Total week time loss per 1000 workers

15-24 24-34 35-44 45-54 55+

• 40.0
• 30.0
• 20.0
• 10.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0 Claims per 1000 workers Median weeks time loss per claim Weeks time loss per 1000 workers

% change in outcome 2004 to 2012

15 to 24 24 to 34 35 to 44 45 to 54 55 +

Number of claims Duration off work Total time loss (young) Total time loss (older workers)

INJURY / CONDITION

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0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 2004 2005 2006 2007 2008 2009 2010 2011 2012

Claims per 1000 workers

Fractures MSD Mental Health Minor Trauma 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 2004 2005 2006 2007 2008 2009 2010 2011 2012

Median weeks time loss per claim

Fractures MSD Mental Health Minor Trauma 0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 180.0 2004 2005 2006 2007 2008 2009 2010 2011 2012

Total weeks time loss per 1000 workers

Fractures MSD Mental Health Minor Trauma

• 40.0
• 20.0

0.0 20.0 40.0 60.0 80.0 100.0 Claims per 1000 workers Median weeks time loss per claim Weeks time loss per 1000 workers

% change in outcome 2004 to 2012

Fractures MSD Mental Health Minor Trauma

Number of claims Duration off work Total time loss (minor trauma) Total time loss (mental health)

OCCUPATION

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Dr Shannon Gray’s presentation on first responder occupations at 11:10am

SUMMARY & CONCLUSIONS

• The incidence of compensable work injury has been declining.
• The duration of time loss per case has been increasing.
• Overall population burden of work disability has remained stable.
• Population burden varies by gender, age and condition.
• Primary prevention =
• Secondary prevention =
• Future prevention efforts should focus on reducing both the incidence and the severity of work-related

conditions.

• In the Australian context, this means that both OH&S and workers compensation systems need to focus on

preventing disability.

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MAKE CONTACT US

Professor Alex Collie Insurance, Work and Health Group Faculty of Medicine Nursing and Health Sciences Tel: +61 3 9903 0525 Email: alex.collie@monash.edu