Dr Juan Jover - Head of Rheumatology, Hospital Clínico San Carlos Madrid & Chair of Fit for Work Spain

Early Intervention

A cost-effective, evidence-based solution to reduce the burden of MSDs

What does the future hold for us?

Ed Whitlock, 82, running the Toronto Waterfront Marathon in November 2013

82-year-olds with MSDs (musculoskeletal disorders)

MSDs. We’re all in this together.

MSDs are the leading cause of sickness absence and years lived with disability in Europe

By 2030 50% of the population of some EU countries will have an MSD

100 million Europeans are living with musculoskeletal pain

In excess of 40 million workers have an MSD caused by their work

MSDs diminish the European economy by €240 billions (2% GDP loss) every year

Sources: Global Burden of Diseases 2010, Eumusc.net (2013), European Commission, EULAR, Fit for Work Europe

Early Intervention

MSDs can be manageable conditions

What is Early Intervention?An innovative care programme: Early diagnosis Immediate specialist examination Support for return to work Targeted at MSD patients (who got a sick

note)

Purificacion Tejeda, a patient of the Early Intervention Clinic.

Watch her story at blog.fitforworkeurope.eu

What patients will get: Expert clinical management Restraint from bed rest Early mobilisation Stretching exercises Recommendations for optimal levels of

physical activity Ergonomic training Education Return-to-work support

Innovating the MSD care model in Spain

Control Intervention

Days

02

55

07

51

00

0 30 60 90 120 150 180 210 240 270 300 330 360

% o

f p

ati

en

ts b

ac

k t

o w

ork

Duration: 2 years 13,077 patients assessed 7,805 in the control group 5,272 in the intervention group 3,311 patients received in fact Early Intervention

Work Disability

Madrid, Spain

The results of the Spanish Clinic

Return to Work:• Temporary work

disability reduced by 39%

• Permanent work disability reduced by 50%

Patient satisfaction increased:• 90% at Level1

amongst the patients discharged/returned to work

Cost Benefits:• Decreased direct and

indirect costs• Recouped about €11

for every €1 invested

Why it works?

Patient-focused

&

Expert clinical management

Expert assessment

Simple pathway

&

Rapid access

• patient education, self -management

• confirmed diagnosis

• GP referral to rheumatologists within 5 days of sickness absence

Everybody wins with Early Intervention

EI improves patient functionality, work ability and work productivity.

EI eases their work, facilitating timely, accurate patient flow, diagnosis and treatment.

EI is a sustainable solution, increasing the efficiency and effectiveness of the healthcare delivery.It can be adjusted to manage other chronic conditions.

EI contributes to increased cost savings to the health care and welfare (social) systems, as well as the national economies.

EI ensures the maintenance of optimal productivity levels and proper management of sickness absence and presenteeism.

Governments & economies

Patient

Health professionals

Health systems

Employers

Thank YOU!

Dr Juan Jover – Chair of Fit for Work Spain fitforwork@theworkfoundation.com

Fit for Work Europe is led by The Work Foundation and supported by AbbVie and GE Healthcare

www.fitforworkeurope.eu