REHABILITATION, REINTEGRATION OF INJURED WORKERS Datin Dr. Nik - - PowerPoint PPT Presentation
Social Security Organisation of Malaysia ILO/ISSA INTERNATIONAL SAFETY AND HEALTH CONFERENCE CHALLENGES AND SOLUTIONS IN A GLOBAL ECONOMY-GLOBAL ACTION FOR PREVENTION Dussedoff, Germany 28 th -29 th October 2015 REHABILITATION, REINTEGRATION OF
Social Security Organisation of Malaysia
REHABILITATION, REINTEGRATION OF INJURED WORKERS
Datin Dr. Nik Amsharija bt Mohamed General Manager Medical and Rehabilitation Department Operation Division SOCSO
ILO/ISSA INTERNATIONAL SAFETY AND HEALTH CONFERENCE CHALLENGES AND SOLUTIONS IN A GLOBAL ECONOMY-GLOBAL ACTION FOR PREVENTION Dussedoff, Germany 28th -29th October 2015
Social Security Organisation of Malaysia
Employment Injury Insurance Scheme & Invalidity Pension Scheme in Malaysia.
comprehensive social security protection for Malaysians.
guarantee the timely and adequate provision of benefits in a socially just manner and to promote occupational health and safety.
SOCSO Malaysia
Social Security Organisation of Malaysia
(All workers with income of RM3000 and below)
1.25% Employment Injury Scheme (Funded by Employer) & 1% for Invalidity Pension Scheme (Equally Shared by Employer and Employee)
Over 63,331 accidents Over 18,490 permanently disabled Over 18,072 claiming for invalidity (≈7000 certified invalid) Over 12,033 claiming for survivor’s pension.
SOCSO Malaysia
SOCSO’s RTW Programme
In 2007, SOCSO launched the RTW Program to assist SOCSO Insured Person to return to employment through systematic disability case management
Social Security Organization of Malaysia Social Security Organization of Malaysia
Comprehensive Case Management Early Intervention Successful Rehabilitation and Return To Work
Social Security Organisation of Malaysia
Social Security Organisation of Malaysia
Disability Evaluation Pathway
Establishing a relationship between injury and workplace: (CAUSATION) Establishing illnesses or morbidity : Invalidity Scheme Accurate Diagnosis, Prompt Treatment and Rehabilitation process RTW Program and reducing unnecessary Disability Duration Impairment and Disability Evaluation Settlement and Resolution
Standard Case Management Protocols
Systematic but individualized protocols are applied during the whole process. Rehabilitation plans are personalized by SOCSO’s Case Managers. Every Case is different!
Social Security Organisation of Malaysia
Biopsychosocial Intervention
Physical Social Psychological
Social Security Organisation of Malaysia
Social Security Organisation of Malaysia
Accident Surgery Acute Inpatient Treatment No Treatment Physical Rehab No Treatment Vocational Rehab
GOAL???
Prosthesis? No Treatment
Pathology of a Disability
Prolonged Disability Duration? No Treatment No Treatment No Treatment
Role of Disability Management
Social Security Organisation of Malaysia
Accident Surgery Acute Inpatient Treatment No Treatment Physical Rehab No Treatment Vocational Rehab
GOAL???
Prosthesis? No Treatment
Social Security Organisation of Malaysia
Accident Surgery Acute Inpatient Treatment Physical Rehab Vocational Rehab
GOAL???
Prosthesis? No Treatment No Treatment No Treatment
Social Security Organisation of Malaysia
Accident Surgery Acute Inpatient Treatment Vocational Rehab
GOAL???
Physical Rehab Prosthesis?
Social Security Organisation of Malaysia
Accident Surgery Acute Inpatient Treatment Vocational Rehab
GOAL???
Physical Rehab Prosthesis Treatment Physical Rehabilitation Vocational Rehabilitation Constant Communication Constant Monitoring
Improve Disability Durations Maintain Stakeholder Relations Safer recovery Return to Work or Retain @ Work DISABILITY MANAGEMENT
Rehabilitation & Disability Management Workplace Intervention Safe and Healthy Workplace
SOCSO Disability Case Manager
Job Placement Treatment RTW Goals
Same Job Same Employer Similar Job Same Employer Different Job Same Employer
Rehabilitation Modifications
Same Job Different Employer Similar Job Different Employer Different Job Different Employer
Vocational Retraining
Orthotics & Prosthetics
Social Security Organisation of Malaysia
Rehabilitation Facilities
KEMENTERIAN SUMBER MANUSIA
Social Security Organization of Malaysia
Social Security Organisation of Malaysia
Th The SOC OCSO O Re Rehabilitation bilitation Cent ntre re A 5 A 55 Ac Acre e Facility ility Dedicated icated to Re Return urn-to to-Work Work
Social Security Organisation of Malaysia
$3,239.38 $7,884.06
$0.00 $1,000.00 $2,000.00 $3,000.00 $4,000.00 $5,000.00 $6,000.00 $7,000.00 $8,000.00 $9,000.00
Average Program Cost Per Insured Person Average Returns to SOCSO
Cost Analysis Average Program Cost per Insured Person RM3,239.38 (≈US$1,063) Average Possible Returns (Social System) RM7,884.06 (≈US$2,588)
N = 1008
Net Benefit of (RM7,844.06 – RM3,239.38) = RM4,644.68 Other Social (qualitative) Benefits
+
DM program benefits outweigh costs by a 1.43 : 1 ratio.
Rehabilitation & RTW: An investment!
5.12 5.10 6.00 5.93 6.03 5.56 6.04 6.42 6.45 7.20 7.10 7.47 6.86 7.15
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00
Before After 14.64 13.21 14.93 8.21 7.04 8.75
0.00 2.00 4.00 6.00 8.00 10.00 12.00 14.00 16.00
Depression Anxiety Stress Before Programme After Programme
Significant increase in skills, career goals, independence, self- esteem, self-confidence, health condition and pain tolerance. Decrease in depression, anxiety and stress.
Social Security Organisation of Malaysia Social Security Organisation of Malaysia
Social Security Organisation of Malaysia
Social Security Organisation of Malaysia
Accident Poor Case Management No Rehabilitation Strategies No Monitoring of Insured Person’s Progress Outcome? RTW Possibilities? ???
Contribution Based (Social Solidarity)
Social Security Organisation of Malaysia
Accident Poor Case Management No Rehabilitation Strategies No Monitoring of Insured Person’s Progress Outcome? RTW Possibilities? ???
Contribution Based (Social Solidarity)
Injured Workers
Social Security Organisation of Malaysia
Accident Poor Case Management No Rehabilitation Strategies No Monitoring of Insured Person’s Progress Outcome? RTW Possibilities? ???
Maintaining Balance To the Social System
PREVENTION Disability Case Management Medical Rehabilitation Vocational Rehabilitation Systematic RTW Strategies
RETURN TO WORK
Retaining Workers at Work or Return to Work
Injured Workers
Social Security Organisation of Malaysia
11878 WORKERS SUCCESSFULLY RTW
(Source : SOCSO RTW PROGRAM Jan 2007 -31 August 2015 )
‘Work is a good indicator of health’
The Right to work: Innovative Policies and Good Practices For Persons With Disabilities, 2012 Good Practices Award (Certificate of Merit) For Asia & Pacific, 2012 Human Rights Award, Malaysia (2013)
Social Security Organisation of Malaysia
SOCIAL SECURITY ORGANISATION sharija.mohamed@perkeso.gov.my