Ergonomic Program Management:

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1 Ergonomic Program Management: Tips, Tools and Techniques to Save Million$ Presented By: Contra Costa County Ergonomic Program Team 1

2 Charity Introduction Background In 2004, Workers Compensation reserve costs doubled at the County from previous years Grand Jury required cost control measures 60 WC Costs (millions)

3 Charity Introduction Background Identified solutions to reduce claims and costs: Refined Claims Management Process Return to Work Program Improved Safety Programs Including an Effective Ergonomics Program

4 Charity Introduction Starting an Ergonomics Program Reviewed existing ergonomics program limitations Developed vision of new ergonomics program Identified needs Implemented plan Use of internal support Internal evaluators Program oversight Assistance from consultants Ergonomic Program & Lab Coordinator Develop forms, equipment list, and streamline process Third party evaluators

5 Charity Introduction State Ergonomics Standard 8 CCR 5110 Ergonomics 1 or more repetitive motion injuries: In a work-related setting Medically diagnosed Within the past 12 months Must have Controls & Training

6 Charity Outline 4 Money Saving Components by Priority 1. Education 2. Metrics 3. Ergonomic Evaluation Processes 4. Vendor Contracting Results and Conclusion Q&A Time

7 Charity Education Educate Executive Management Board of Supervisors/Management meeting Establish county-wide support for program Teach purpose and goals of program Return on investment (ROI) of program Preventative Evaluation Costs Post Injury Evaluation Costs

8 Kerri Employee Training Integral part of the evaluation process Encourage work habit changes Empower employees to control their own comfort Multi-path approach: One on one education during the evaluation Online Training accessible, trackable, certificates Onsite Training interactive, customized

9 Kerri Employee Training PHILOSOPHY Ergonomics Everyday Daily Discipline Not a Set it and Forget it concept EXERCISES Turn principles into physical muscle memory Practice exercise

10 Tony Metrics Decide what to track What is important to your organization? Program activity and effectiveness Injury trends - frequencies and severities Implementation of tracking tool for documentation Number of WC vs. Preventative evaluations Evaluation costs Equipment types and costs Equipment re-use and distribution Savings from process streamlining Timeliness of everything referrals, evaluations, equipment orders, installations, follow-ups

11 Tony Metrics How to start tracking: Baseline and Ongoing WC trends and costs Injury frequency Ergo evaluation counts Preventative and WC Historical trends vs. benchmark

12 Tony Workers Compensation Cost Trends WC Cash Flow $25,000,000 $20,000,000 $15,000,000 $10,000,000 $5,000,000 $- FY00-01 FY01-02 FY02-03 FY03-04 FY04-05 FY05-06 FY06-07 FY07-08 FY08-09 FY09-10 WC Cash Flow

13 Tony Frequency Trends WC Claim Frequency 1,200 1, FY00-01 FY01-02 FY02-03 FY03-04 FY04-05 FY05-06 FY06-07 FY07-08 FY08-09 FY09-10 Claims

14 Dan Ergonomic Evaluation Processes Develop different processes for evaluation needs and types: Preventative Group vs. Individual evaluations Workers Compensation Special Cases / ADA Chair fittings only

15 Farrah Ergonomic Evaluation Process Request Generated Request Evaluation Notify Evaluator Schedule Evaluation Evaluation Conduct Evaluation Report Training Supervisor Approval Follow-up Order Product Facility Changes Follow-up Visit Invoicing Tracking

16 Farrah Ergonomic Lab Centralized Control of Program Control & Store Equipment Fit & Feel Test Access to Surplus Equipment Track Repairs & Warranties Installation Coordination Facilities Maintenance (internal) Information Technology (internal) External Subcontractors

17 Dan and Tony Vendor Contracting Process Recommended Equipment List Standardizes equipment recommendations Annual Bid Process Controls Equipment Costs Lowest cost Good quality and durability Warranty period / repair policy evaluated Order some items in bulk (headsets, keyboards, mice) Install and support for certain items Local vendors

18 Farrah and Dan Evaluator Management Evaluator Pool Annual Meeting Standardized Reports Photos, recommendations, forms, tiered approaches Consistency and quality across evaluators

19 Evaluator Management Dan

20 Evaluator Management Dan

21 Kerri Moving Forward Continual to Improvement Streamlining Online Case Management Tools Behavior Software Safety by Design New buildings & Remodels

22 Tony End Results of Efforts Reduce injury frequency Reduce WC cash flow Benchmark comparison

23 Tony Claim Frequency 1,200 1, Claims

24 Tony Workers Compensation Cash Flow $25,000,000 $20,000,000 $15,000,000 $10,000,000 $5,000,000 $0 FY00-01 FY01-02 FY02-03 FY03-04 FY04-05 FY05-06 FY06-07 FY07-08 FY08-09 FY09-10 FY10-11 WC Cash Flow

25 Tony Benchmark Comparison WC Indemnity & Medical Cash Flow $16,000,000 $14,000,000 $12,000,000 $10,000,000 $8,000,000 $6,000,000 $4,000,000 $2,000,000 $0 FY05-06 FY06-07 FY07-08 FY08-09 FY09-10 FY10-11 FY11-12 FY12-13 CCC Benchmark

26 Charity Summary 4 Money Saving Components 1. Education 2. Metrics 3. Ergonomic Evaluation Processes 4. Vendor Contracting

27 QUESTIONS? Charity Camaddo-Nicolas Assistant Risk Manager for Loss Control Contra Costa County Kerri Greene Senior Consultant EORM Daniel Chodos EHS Consultant EORM Tony Su President TCS Risk Management Services Farrah Figuera Program Coordinator TCS Risk Management Services

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