mr edmund cheong - socso malaysia
TRANSCRIPT
Social Security Organisation of Malaysia
Return to Work:
Challenges and Opportunities
Investing in People
Edmund Cheong, CDMPEdmund Cheong, CDMP
Social Security Organisation
Malaysia
COSH 2011 - OSH: Empowerment. Accountable. Responsive.
Kuala Lumpur Convention Centre
19 July 2011
Health?
Social Security Organisation of Malaysia
Investing in People
Health?
OSH - DefinitionOccupational health should aim at:
• the promotion and maintenance of the highest degree of physical,
mental and social well-being of workers in all occupations;
• the prevention amongst workers of departures from health caused
Social Security Organisation of Malaysia
Occupational health should aim at:
• the promotion and maintenance of the highest degree of physical,
mental and social well-being of workers in all occupations;
• the prevention amongst workers of departures from health caused • the prevention amongst workers of departures from health caused
by their working conditions;
• the protection of workers in their employment from risks resulting
from factors adverse to health;
• the placing and maintenance of the worker in an occupational
environment adapted to his physiological and psychological
capabilities; and, to summarize, the adaptation of work to man and
of each man to his job.
• the prevention amongst workers of departures from health caused
by their working conditions;
• the protection of workers in their employment from risks resulting
from factors adverse to health;
•• the placing and maintenance of the worker in an occupational the placing and maintenance of the worker in an occupational
environment adapted to his physiological and psychological environment adapted to his physiological and psychological
capabilities; and, to summarize, the adaptation of work to man and capabilities; and, to summarize, the adaptation of work to man and
of each man to his job.of each man to his job.
Social Security Organisation of Malaysia
Case Management is a collaborative process that facilitates
recommended efficient treatment plans to assure the
appropriate medical care is provided to disabled, ill or injured
individuals.
Disability Management (RTW)Case Management is a collaborative process that facilitatesfacilitates
recommended efficientefficient treatment plans to assure the
appropriate medical careappropriate medical care is provided to disabled, ill or injured
individuals.
Planning and coordination of health care services appropriate to
achieve the goal of medical rehabilitation. Medical case
management may include, but is not limited to, care
assessment, including personal interview with the client, and
assistance in developing, implementing and coordinating a
medical care plan with healthcare providers, as well as the
clients and his/her family evaluation of treatment results while
promoting cost-effective care.
Planning and coordination of health care services appropriate to
achieve the goal of medical rehabilitationachieve the goal of medical rehabilitation. Medical case
management may include, but is not limited to, care care
assessmentassessment, including personal interview with the client, and
assistance in developingin developing, implementingimplementing and coordinating a coordinating a
medical care planmedical care plan with healthcare providershealthcare providers, as well as the
clientsclients and his/her familyhis/her family evaluation of treatment resultsevaluation of treatment results while
promoting costpromoting cost--effective careeffective care.
The Relations of OSH & DM
Social Security Organisation of Malaysia
Investing in People
Disability
Management
Occupational
Safety &
Health
Promotion
of
Health
SOCSO’S RTW/DM PROGRAM
• This program is established with the
objective of assisting SOCSO’s Insured
Social Security Organisation of Malaysia
Investing in People
objective of assisting SOCSO’s Insured
Persons with employment injury as well as
those claiming for invalidity pension to be
able to return to work. (Disability
Management)
Social Security Organisation of Malaysia
Pathology of a Claim
Prolonged Disability Duration?
Investing in People
Acc
ide
nt
Su
rge
ry
Acu
te I
np
ati
en
t
Tre
atm
en
t
No
Tre
atm
en
t
Ph
ysi
cal R
eh
ab
No
Tre
atm
en
t
Vo
cati
on
al
Re
ha
b
GO
AL?
??
Pro
sth
esi
s?
No
Tre
atm
en
t
Prolonged Disability Duration?
No
Tre
atm
en
t
No
Tre
atm
en
t
No
Tre
atm
en
t
Disability Management
Social Security Organisation of Malaysia
Role of the RTW Program? Investing in People
Acc
ide
nt
Su
rge
ry
Acu
te I
np
ati
en
t
Tre
atm
en
t
No
Tre
atm
en
t
Ph
ysi
cal R
eh
ab
No
Tre
atm
en
t
Vo
cati
on
al
Re
ha
b
GO
AL?
??
Pro
sth
esi
s?
No
Tre
atm
en
t
Social Security Organisation of Malaysia
No
Tre
atm
en
t
No
Tre
atm
en
t
No
Tre
atm
en
t
Acc
ide
nt
Su
rge
ry
Acu
te I
np
ati
en
t
Tre
atm
en
t
Ph
ysi
cal R
eh
ab
Vo
cati
on
al
Re
ha
b
GO
AL?
??
Pro
sth
esi
s?
Social Security Organisation of Malaysia
Investing in People
Acc
ide
nt
Su
rge
ry
Acu
te I
np
ati
en
t
Tre
atm
en
t
Vo
cati
on
al
Re
ha
b
GO
AL?
??
Ph
ysi
cal R
eh
ab
Pro
sth
esi
s?
Social Security Organisation of Malaysia
Improve Disability DISABILITY MANAGEMENT
Investing in People
SOCSO Disability Case Manager
Acc
ide
nt
Su
rge
ry
Acu
te I
np
ati
en
t
Tre
atm
en
t
Vo
cati
on
al
Re
ha
b
GO
AL?
??
Ph
ysi
cal R
eh
ab
Pro
sth
esi
s 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 InterventionWorkplace Intervention
Safe and Healthy Safe and Healthy
WorkplaceWorkplace
Challenges
Social Security Organisation of Malaysia
Investing in People
Challenges
The Social Issue
Social Security Organisation of Malaysia
Investing in People
The Social Issue
Social Security Organisation of Malaysia
The Social Issue? – The Micro Perspective
Injury Leads to DisabilityOften spouses
become
disabled as welldisabled as well
Affecting Love
Ones
Social Security Organisation of Malaysia
The Social Issue? – The Micro Perspective
Injury Leads to DisabilityOften spouses
become
disabled as wellA Disabled Family
Affecting SiblingsProductivity/
Employers
A MICRO ISSUE BECOMES A MACRO ISSUEdisabled as well
Affecting Love
Ones
A Disabled Family
Community Country?
A MICRO ISSUE BECOMES A MACRO ISSUE
10
3%5
1%
56
14%
50
13%
54
14%116
30%
24
6%
3
1%
7
2%60
16%
Cases According to Injury/Diseases
Head
Neck
Trunk/Back
Upper Limbs
Multiple Locations
Lower Limbs
General Injuries
Unspecified Locations
41
“Severe” to “Exteremely Severe” Levels (DASS21)
Social Security Organisation of Malaysia
Unspecified Locations
Psychology
DiseasesN=385
31 68
The Economical Issue
Social Security Organisation of Malaysia
Investing in People
The Economical Issue
Social Sustainability
Social Security Organisation of Malaysia
Investing in People
Social Sustainability
Social Security Organisation of Malaysia
??????
= SOCSO Contributors
(Social Solidarity)
Acc
ide
nt No RTW Strategies
No Rehabilitation Strategies
No Monitoring of Insured Person’s
Progress
Outcome?
RTW
Possibilities? ??????
Social Security Organisation of Malaysia
??????
= SOCSO Contributors
(Social Solidarity)
Collapse of the
Social System
Acc
ide
nt No RTW Strategies
No Rehabilitation Strategies
No Monitoring of Insured Person’s
Progress
Outcome?
RTW
Possibilities? ??????
Injured Workers
Social Security Organisation of Malaysia
??????
= Maintaining Balance
To the Social System
PR
EV
EN
TIO
N RETURN
Collapse of the
Social System
Acc
ide
nt No RTW Strategies
No Rehabilitation Strategies
No Monitoring of Insured Person’s
Progress
Outcome?
RTW
Possibilities? ??????
PR
EV
EN
TIO
N
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
Reported Accidents 2000 - 201095,006
85,92681,810
73,858
69,132
61,18258,321
56,33954,133 55,186
57,656
75,386
67,16363,423
56,249
50,803
60,000
70,000
80,000
90,000
100,000
50,803
43,88540,617
38,65735,092 34,376 35,616
19,62017,170 18,387 17,609 18,329 17,297 17,704 17,682 19,041
20,810 22,040
0
10,000
20,000
30,000
40,000
50,000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Total Accidents Reported Industrial Accidents Commuting Accidents
Social Security Organisation of Malaysia
Reported Accidents vs Benefit Payments
166,746,360153,510,745
171,535,250170,168,886187,892,229
214,624,319
274,841,608
306,382,930
200,000,000
250,000,000
300,000,000
350,000,000
63,240,96261,989,99071,176,57767,864,70671,777,133
85,213,88994,063,947
104,007,611109,177,424
166,746,360147,189,831153,510,745
171,535,250170,168,886
0
50,000,000
100,000,000
150,000,000
2002 2003 2004 2005 2006 2007 2008 2009 2010
Payment for Temporary Disablement Benefits Payment For Permanent Disablement Cases
Contribution vs Payment (Invalidity)
Social Security Organisation of Malaysia
Year
Number of
Workers
Contributing
to the Social
System Contribution
Compensatio
n
Number of
Workers
needed to
sustain the
system
Benefit
Recipients
Number of
healthy
workers
needed to
sustain 1
(one)
recipient
Current
number of
workers
contributing
for 1 (one)
recipient
2007 5.45mil $1.7bil $1.1bil 3.5mil 290,463 11.89 18.77
Social Security Organisation of Malaysia
Crisis in the making? Investing in People
2007 5.45mil $1.7bil $1.1bil 3.5mil 290,463 11.89 18.77
2008 5.67mil $1.8bil $1.2bil 3.7mil 320,615 11.56 17.68
2009 5.62mil $1.9bil $1.4bil 4.1mil 324,798 12.56 17.31
2010 5.47mil $2.0bil $1.7bil 4.6mil 347,125 13.34 15.75
2007 – Surplus of 6.886.88 workers
2008 – Surplus of 6.136.13 workers
2009 – Surplus of 4.764.76 workers
2010 – Surplus of 2.41 2.41 workers
Social Security Organisation of Malaysia
Crisis?
18.7717.68 17.31
15.75
11.89 11.5612.56 13.34
6.88
10.00
15.00
20.00Strategy?Strategy?
Increase Malaysian
Workers population?
Increase contribution?
RTW?
Investing in People
6.88 6.124.75
2.41
0.00
5.00
2007 2008 2009 2010
Jumlah Pekerja yang mencarum untuk satu penerima faedah
Jumlah Pekerja yang diperlukan untuk menanggung satu penerima faedah
Jumlah Lebihan Pekerja
No of workers contributing for one benefit recipient
No of workers needed to pay one benefit recipient
Surplus Workers
Strategy?Strategy?
Cut down Benefit?
Pay for lower quality
services/equipment?
RTW?
Opportunities?
Social Security Organisation of Malaysia
Investing in People
Opportunities?
RTW in OSH?
Social Security Organisation of Malaysia
Investing in People
RTW in OSH?
OSH - DefinitionOccupational health should aim at:
• the promotion and maintenance of the highest degree of
physical, mental and social well-being of workers in all occupations;
• the prevention amongst workers of departures from health caused
Social Security Organisation of Malaysia
Occupational health should aim at:
• the promotion and maintenance of the highest degree of
physical, mental and social well-being of workers in all occupations;
• the prevention amongst workers of departures from health caused • the prevention amongst workers of departures from health caused
by their working conditions;
• the protection of workers in their employment from risks resulting
from factors adverse to health;
• the placing and maintenance of the worker in an occupational
environment adapted to his physiological and psychological
capabilities; and, to summarize, the adaptation of work to man and
of each man to his job.
• the prevention amongst workers of departures from health caused
by their working conditions;
• the protection of workers in their employment from risks resulting
from factors adverse to health;
•• the placing and maintenance of the worker in an occupational the placing and maintenance of the worker in an occupational
environment adapted to his physiological and psychological environment adapted to his physiological and psychological
capabilities; and, to summarize, the adaptation of work to man and capabilities; and, to summarize, the adaptation of work to man and
of each man to his job.of each man to his job.
Practice in OSH?
Social Security Organisation of Malaysia
Investing in PeopleA
CC
IDE
NT
AC
CID
EN
T
FIR
ST
AID
FIR
ST
AID
INV
ES
TIG
AT
EIN
VE
ST
IGA
TE
PR
EV
EN
TP
RE
VE
NT
What happens to What happens to
the worker?the worker?
Worker gets Worker gets
injuredinjuredInvestigateInvestigate
ReportReportPREVENTPREVENT
Return Return
AC
CID
EN
TA
CC
IDE
NT
FIR
ST
AID
FIR
ST
AID
INV
ES
TIG
AT
EIN
VE
ST
IGA
TE
RE
PO
RT
RE
PO
RT
PR
EV
EN
TP
RE
VE
NT
Prevention stops Prevention stops
the vicious cyclethe vicious cycle
ReportReportPREVENTPREVENT
Disability
Management
Rehabilitation & Integration
Return Return
to Workto Work
Retain Retain
@ Work@ Work
Conclusion
Social Security Organisation of Malaysia
Investing in People
Conclusion
Social Security Organisation of Malaysia
In 2007 Pistorius took part in his
first international competitions
for ableable--bodiedbodied athletes.
Oscar Pistoriusthe fastest man on no legs
for ableable--bodiedbodied athletes.
However, his artificial lower
legs, while enablingenabling him to
compete, generated claims that
he has an unfairunfair advantage over
ableable--bodied runnersbodied runners.
“Workplace never discriminates… those
around do…”
“Disability is God given, Handicap is man
Social Security Organisation of Malaysia
Investing in People
“Disability is God given, Handicap is man
made…”
“Opportunity and not sympathy…”
Thank youPertubuhan Keselamatan Sosial
Social Security Organisation of Malaysia
Investing in People
Pertubuhan Keselamatan Sosial
03-4264 [email protected]
BlackBerry PIN:254A5745