SANS 16001:2013 WELLNESS & DISEASE MANAGEMENT Click to add SYSTEM title TECHNICAL CHANGES 8 MARCH 2013 LINZI SMITH
TOPICS TO BE COVERED 1. Justification for the changes 2. Changes to the SANS 16001 management system standard 3. Alignment to the other most common management system standards
Topic 1: Justification for the change from HIV management only - to the management of both wellness and disease of nonoccupationally induced illnesses/conditions that cause a burden to the workplace
Justification Workplaces are fatigued by HIV even though it still represents the highest burden of disease in South Africa A new fashion has taken over. Wellness Some companies have simply changed the name of their HIV programme to a wellness programme but continue doing the same thing Others are really implementing integrated wellness programmes SANS 16001 will enable these companies to benchmark their programmes against the standard
What does wellness really mean?
FOCUS High level wellness What causes Health & Wellness Illness/Wellness Continuum 3. Salutogenic & Fortigenic Model Focus: Process of developing Strength & Fortitude or Resilience FOCUS What causes sickness & disease Disability or Premature Death 2. Pathogenic or Public Health Model Focus: Identify & deal with risk factors (in order to prevent serious illness or disability) 1. Medical or Clinical Model Focus: Diagnosis & Treatment of illness & disease
High level wellness The previous standard focused on DISEASE management only Programmes: Prevention of ill health and Promotion of high levels of wellness Treatment and rehabilitation programmes for diagnosed illness Disability or Premature Death
Topic 2: Changes to the SANS 16001 management system standard
SANS 16001:2013 Previously SANS 16001:2007 focused only on HIV and AIDS SANS 16001:2013 includes nonoccupationally induced illnesses or conditions that may have a negative impact on the workplace and contribute to the burden of disease on the company SANS / OHSAS 18001:2007 focuses on occupationally induced conditions
Definition of burden of disease The burden, that a particular disease process has, in a particular area, as measured by: cost, morbidity (sickness) mortality (death).
SANS 16001:2013 Non-occupationally induced illnesses that contribute to the workplace burden of disease include: colds and flu Mental illnesses such as (short term absenteeism) stress, anxiety disorders Hypertension and mood disorders such as depression Heart conditions Diabetes Obesity HIV and other conditions as determined by the identified determinants and risk assessment PLUS the precursors to these conditions (lack of exercise, poor nutrition, smoking and excessive alcohol intake) 11 TB
2. Planning 3. Implementation The SANS 16001 1. Assessment APIME Cycle 4. Monitoring Cumulative gains 5. Evaluation
MONITORING START SANS 16001:2013 Roadmap Risk Assessment tools: BASELINE ASSESSMENT PHASE TO IDENTIFY DETERMINANTS AND RISKS Situational analysis of management systems MONITORING Comp. Health Risk KABP survey Prevalence survey Combined with testing Ongoing HR and clinic stats & data E V A L U A T I O N P H A S E Act on gaps and nonconformities for continual improvement External audit of HIV management system against SANS 16001 Evaluation of operational plan targets, objectives and indicators Continuous improvement cycle SANS 16001 COMPREHENSIVE WELLNESS & DISEASE MANAGEMENT SYSTEM Committee training & development Policy & procedure development Strategic and operational planning, then annual replanning Setting of targets and objectives and indicators P L A N N I N G P H A S E MONITORING CSI -Community Intervention Care & Support Diagnoses & Treatment Counselling & Health Testing Prevention programmes & campaigns Information, Education & Communication (IEC) & BCC IMPLEMENTATION PHASE MONITORING 13
Roadmap BASELINE ASSESSMENT PHASE Risk Assessment tools: Situational analysis of management systems Comprehensive Health Risk Assessment KABP Survey employees Health Screening via annual medicals and or campaigns Ongoing assessment via monthly statistics: HR - Absenteeism, poor performance management for ill health, dismissal for incapacity ill health, disability claims, abscondment due to ill health, deaths & clinic/medical aid data.
Roadmap Committee training & development Policy & procedure Development Strategic and operational planning, then annual replanning Setting of targets and objectives with outcome indicators P L A N N I N G P H A S E
Roadmap 1. Information, Education & Communication (IEC) Implementation NB: Behaviour Change Communication 2. Prevention programmes and campaigns 3. Counselling & Testing 4. Diagnoses, Treatment & Absenteeism management 5. Care & Support (EAP) 6. CSI - Community Intervention (optional if capacity)
The interacting depts. & employees in SANS 16001 External audit 7.5 Management review 7.4 Internal audit 6.2 Training manager 6.2 Skills development facilitator 5.2 Legal register 7.2 Medical aid 7.2 Pension & or provident fund CSI/LED/Sustaina ble development 5.4.1 HIV or Wellness Committee 5.5.2 Peer educators Finance & Senior Management 5.4.2 Appointee : Wellness Coordinator or Manager to implement the system 5.5.2 EAP 5.4.1 Organised labour 5.5.2 Health workers 5.1 Risk & researchers 7.1 HR Dept. 4.2.3 Document controller 5.4.3 Communications department 5.5.2 Managers & Supervisors 5.6 SHERQ manager 5.6 Safety reps 5.6 First aid personnel 5.6 Cleaners
Step 1. IEC & BCC Information, Education & Communication & Behaviour Change Communication 1 Development of Wellness committee 3 days (part of the planning phase) 2 Implementing SANS 16001:2012(5 days) For Wellness manager/coordinator & HR 3 Senior management training ½ day 4 Training for middle management, supervisors and union leaders 2 days 5 Peer educator/wellness educator/champion training (7 to 10 days) Accredited against SAQA US s 6 Peer educator mentorship and coaching (1 day per month) 7 Induction (SANS 16001 components only) 8 SHE manager and SHE reps (SANS 16001 components only) 9 First aid personnel (SANS 16001 components only) 10 Cleaners (SANS 16001 components only) 11 SANS 16001:2007 Auditor training (5 days) SAATCA approved 12 Counsellor training (if relevant)
Roadmap 2 nd step in Implementation phase 2. Prevention activities 1. Biggest loser campaign 2. Nutrition education and counselling 3. Condom distribution 4. Promotion of Male Medical Circumcision 5. Cough and sneeze campaign 6. Hand-washing and hygiene campaign 7. Good air flow to avoid cross infection of respiratory infections (colds, flu & TB) 8. Smoking cessation 9. Exercise promotion and activities 10.Responsible alcohol intake programme
SANS 16001:2013 Roadmap 3. Counselling & Testing 3 rd step in Implementation phase 1. HIV 2. Glucose 3. Cholesterol 4. Hb for anaemia 5. Blood pressure 6. BMI Body Mass Index 7. STI screen 8. TB screen 9. Depression & Anxiety disorder screen 10.Cancer screens 20
ONGOING MONITORING & EVALUATION SANS 16001:2013 ONGOING MONITORING & EVALUATION Roadmap ONGOING MONITORING & EVALUATION ONGOING MONITORING & EVALUATION 21
Act on gaps, nonconformities, corrective and preventive actions for continual improvement E V A L U A T I O N What is WELLNESS? Certification audit First party audit - Conformance with own policy, procedures targets, objectives, indicators, legislation and this standard Management review. P H A S E Roadmap
Topic 3: Alignment to the other most commonly used management system standards
Clause no. ISO 9001 Clause no. ISO 14001 Clause no. OHSAS 18001 Clause no. SANS 16001 1 Scope 1 Scope 1 Scope 1 Scope 2 Normative references 2 Normative references 2 Reference publications 2 Normative references 3 Terms & definitions 3 Terms & definitions 3 Terms & definitions 3 Terms & definitions 4 QMS gen & doc requirements 4 Environmental management system requirements 4.1 to 4.6 4 OH & S management system requirements 4.1 to 4.6 4 Requirements for Wellness & Disease management systems 5 Management responsibility 5 Assessment & Planning 5.1 to 5.6 6 Resource management 6 Resource management 7 Product realisation 7 Measurement, analysis & improvement of WDMS 8 General
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