AUDI Health Management System: Maintaining health in global companies and Advantages of keeping aged people in their jobs Priv.-Doz. Dr. med. Stephan W. Weiler, 27.08.2016 It s more than a job But I m sure you already know
2 Introduction The Audi Health Management System subsumes all actions to stabilize or improve the health situation of all employees at AUDI AG. Therefore it is necessary to use feedback mechanisms to prevent health risks at the workplace, identify occupational causes of health complaints and control/evaluate their eradication. The focus of this lecture is on the structural environment for the AUDI Health Management System and examples of results or actions.
5 Internationalization 2008 2009 2010 2011 2012 2013 2014 2015 Certificates IN 149 123 154 199 223 227 363 599 800 600 400 200 0 2008 2009 2010 2011 2012 2013 2014 2015
6 Promoting health and personal performance Audi Health Management Society Values Change requests Healthy workplaces premium staff management direction and cooperation Ergonomics Healthy staff Promotion of healthy behaviour and fitness Audi Checkup Occupational health prevention Internationalisation Risk assessment Acute care Demographics Hazardous materials (Re-) Integration, adequate work Diversity management Legislation Shift work design & regulations Work life balance Mental health International health care Law, regulations Data Qualification Participation Quality Confidentiality, privacy tolerance, trust, teamwork
Mean 7 age Occupational of Health workers crossing borders. since PD Dr. S. W. Weiler, 1984* 2016-08-27 * At the end of the corresponding year Age (yrs.) 42 40 38 36 34,8 34,7 34,9 35 35,2 35,6 35,3 36,6 36,2 37,8 37,9 38 38 38,2 38,3 37,8 37,4 37,4 40,1 40,4 40,7 40,6 39,6 38,739,2 41 41,2 41,2 41,3 41,4 41,1 41 34 32 30 '84 '85 '86 '87 '88 '89 '90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 05 `06 07 08 09 10 11 12 13 14 15 7
8 Prognosis of age structure at Audi Ingolstadt 6.000 5.000 4.000 3.000 2015 2020 2025 2.000 1.000 0 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 Followed by significant increase in proportion of workers aged 50+ and consecutive increasing count of partially disabled working staff with difficulties in performing tasks count of critically disabled workes (limited line work, limited in standing or walking
9 Age dependency of sick leave
10 Principles of the Audi Health Management System Promoting health is part of management task Staff health is a main goal and pre-condition for high productiveness of the entire company The Aim of the AUDI Health Management System is to win workers of all ages for prevention, development of personal responsibility and self effectiveness believes
11 Dr. Andreas Haller, I/SW-1, Audi Gesundheitsschutz Ingolstadt Audi Health Management Increase of Health Rate and Employee Attendance One to one consulting with leaders Qualification for leaders (in cooperation with Health Department) Reintegration of long-term ill employees (coordination of assignment with departments) Employee oriented measures: Organisational work structuring Work assignment Employee appraisals Optimized target agreements Internal attendance reports Coordination: HR Department Retention and Promotion of Employee Health and Fitness One to one consulting with leaders Qualification for leaders (in cooperation with HR Department) Reintegration of long-term ill employees (definition of work conditions and medical advice for employees) Situational prevention measures: Job design, ergonomics, preventative examinations Management of hazardous materials Further development of medical treatment Behavioural prevention measures: Audi Checkup Further development of health promotion and fitness programs Sensitisation and motivation of employees regarding health and fitness themes Coordination: Health Department
12 Fundamentals of occupational health management Occupational health and Safety ArbSchG, ASiG a. o. Workplace health promotion Ottawa-Charta, 20 SGB V 1, 14 SGB VII Vocational rehabilitation management 84 SGB IX Feedback-Systems, Service providers
13 Actors in AUDI health management system Management / Human ressources (HR) Department Employees Occupational health dept. Occupational safety dept. Company health insurance fund Labour representatives If needed external actors e. g. scientists, special service providers, social pension fund representatives, therapists
14 Health report and activity layers at AUDI Company health statistics (overall, generalising) Health report (departmentalized, diagnosis related) Workplace action statistics
15 Company health statistics details Data aquisition: HR Dept Data evaluation: HR Dept. (anonymized) Target audience: Management Objectives: Trend detection, equation (regional, national, international) Frequency: weekly Company health statistics (overall, generalising) Health report (related to dept., diagnoses) Workplace action stat.
17 Health report details Data aquisition: Company health insurance fund Data evaluation: Company health insurance fund and AUDI occupational medicine dept. Target audience: dept. management Objectives: strategy management Frequency: annually Company health statistics (overall, generalising) Health report (related to dept., diagnoses) Workplace action stat.
Division 1 Subzone 1 A Subzone 1 B Division 2 Subzone 2 A Subzone 2 B Dvision 3 Subzone 3 A Subzone 3 B Subzone 3 C 18 Organisational unit related health report example Dept. noticeable Dept. not noticeable D01 D02/D03 Tumors D04 D05 D06 D07 D08 D09 D10 D11 D12 D13 D14 D15 D16 period D17 D18 Infectious Diseases Metabolic Diseases Psyche Neurological Diseases Eyes Ears Cardiovascular Diseases Pneumological Diseases Gastroenterological Skin Musculoskeletal Disorders Urological Disorders Pregncancy conditions originating in the perinatal Congenital diseases Symptoms D20/21 Accidents D22/23 Otherwise not classified 7
Cases per Employee 19 Trend detection in dept.-based health reports Year diagnosis
21 Actions at individual workplaces Data aquisition: Occupational health services Data evaluation: Occupational health services Trigger: HR dept, line manager, worker itself, Occupational physician, seldom: external therapists Target audience: miscellaneous, e. g.: dept. Management/Science Objectives: improvement of individual case management Frequency: on demand Company health statistics (overall, generalising) Health report (related to dept., diagnoses) Workplace action stat.
22 Stufenweise Wiedereingliederung, Arbeitsversuch Reintegration process
23 Case counts/yr for stepwise reintegration at AUDI 800 700 600 500 400 300 no success success 200 100 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
24 Activities by occupational health specialists for reintegration 0,3% 4,2% 7,0% ergonomical 28,3% preventive advice organizational 60,2% different work different job
26 Effectivity of reintegration/return-to-work-management 1-3 Days 48,4 36,4 5,5 11,7 4-7 Days 29,8 28,16 11,3 20 % WLD Germany >1-2 week 17,1 14,14 13,3 19,1 % WLD Audi >2-4 week 9,3 2,9 7,2 13,8 % cases Germany % cases Audi >4-6 week 3,3 2,9 8,7 10 >6 week 4,2 3,4 32,1 47,5 Data source: Germany: BKK-DV Bericht 2015, Audi: Audi
31 APSA Neckarsulm Ingolstadt B8 Example 2: Assembly of the boot lid / tailgate trim Assembly at Neckarsulm / Ingolstadt plants 25.5cm 175cm 12.5cm
32 Example 3: Adaptation of working heights Before After Height adjustment - PVC booth
33 Example 4: Office ergonomics!
35 Standardized Workplace-Description (APSA) based on European Assembly workplace System EAWS Postures Ziffer 19a Ziffer 19b Ziffer 19c Trunk Arms Legs (Kneeing) Forces / Articular Ziffer 17a Ziffer 17b Ziffer 17c arm/hand forces articular bending finger forces Heavy weights Ziffer 13a Ziffer 13b Lifting/carrying loads pushing/pulling loads
38 Keep your staff healthy: Continuous offers AUDI Check-up In house psychotherapeutic consultation In house smoking cessation guidance Nutritional advice by dieticians Ergonomics consultation e. g. fit for bureau substance abuse counselling
39 Focus actions specifically addressing elder workers: Active against Cancer (Felix Burda award 2016) Nutrition Fit und Gesund (Fit and healthy) Sport kommt zu den Menschen (Sport meets YOU) Horch! (Campaign against hearing impairment due to noise) Vaccination (Influenza, pandemic strategy against flu)
40 The Audi Checkup Individual Prevention Advice Examinations are voluntary for all AUDI AG employees, from apprenticeship to semi-retirement Every 5 years until age 45, after that every 3 years Easy access and highly attractive: Participation is free of charge During paid work time Appointments are organised without waiting time Extensive examination program All results (including blood results) are available during the same appointment Everything is completely confidential Audi BKK offers a 15 Euro refund for the Checkup and certain examinations therein (similar to examinations performed by family and specialist doctors) Dr. Andreas Haller, I/SW-1, Audi Gesundheitsschutz Ingolstadt
41 Betriebliches Gesundheitsmanagement bei Audi Elements of the AUDI Check-up reception Blood withdrawal / Laboratory analysis ECG (above 45 yrs) Hemofec-Test for occult blood in faeces (above 45 yrs) Height/weight Blood pressure Audiometry Visual test Spirometry (lung function) Inbody (body fat/water/muscle analysis) Finger-floor-distance Anamnesis Medical counselling interview, discussion of health profile, information about health promotion possibilities, PROCAM-Score) Duration 60 mins
43 Occupational health 1980 Regulation-oriented Recognising and avoiding hazards Advising the employer "Lecturing" employees Medicine = island in the plant Pointing out deficiencies Occupational health check-up: may or may not be restrictions of employment Safely documenting findings Responding to problems "Fulfilling customer requirements" Interchangeable performance Occupational health 2014 ff. Findings-oriented and legally compliant Avoiding hazards, strengthening resources and employability Advising and "working towards" "Winning over" employees as regards health Acting within the scope of business processes, with many partners and interfaces Developing solution approaches with partners Occupational health check-up: consider requirements for elimination of concerns, counsel and, where necessary, deliver. Systematic evaluation and use of medical data for prevention Acting and formulating with foresight Meeting justified expectations and making unexpected contributions Indispensable and unmistakeable performance for company and employees
44 Future Tracks Prevention rules meet tomorrows requirements in spite of demographic change (~50% of 12.400 occupational physicians are aged 60+) Paradoxical situation: occupational medicine becomes more important from an political point of view, but more and more universities do not keep occ. med. dept. cooperation with other professions (psychologists, ergononomists, health promotion specialists) Taking psychological factors into account: how to measure, how to act New technologies affecting health (e.g. Video-collaboration, 3D-Screens, mobile work, lighting solutions, electrification of cars, new materials like carbon/liion-batteries) Effective Health Management in small and medium business units Keep quality at a high level
45 Conclusions Health and attendance rates can be improved substantially But: a wide variety of health supporting actions is needed Knowledge regarding specific workplace demands is very useful Further research in elder workforce is needed. Than you don t need other drugs
56 Muchas gracias Danke Thank you.