The American workplace continues to be at a crossroads. Global economic competition demands increased productivity; technology is rapidly influencing the dynamics of industries and marketplaces; and major demographic shifts are changing the face of the American workforce.

At the same time, work-related illness and injuries continue to impose a tremendous burden. Each day, an average of 137 people die from work-related illness and an additional 17 die from work-related injuries. According to the National Safety Council, work injuries cost Americans more than $132 billion a year – or $970 per worker – in lost wages, lost productivity, health care expenses and other costs.

And now a new factor – chronic disease – has entered the picture. As the percentage of older workers grows in the United States, it is expected that chronic diseases such as diabetes and cancer will cost employers heavily as they provide medical benefits for employees and absorb the costs of long and short term disability claims. One study found that of the nation's $2 trillion in medical spending, 75 percent goes toward care for chronic conditions.

Caught in the middle of this continuously evolving workplace, employers grapple with a growing issue: The impact of worker health on company productivity. As the link between health and productivity has been studied a new discipline has emerged, known as Health and Productivity Management.

Simply defined, Health and Productivity Management, or HPM, is a concept that directs corporate investment into interventions that improve employee health and business performance. It can also be described as the integrated management of health risks, chronic illness, and disability to reduce employees' total health-related costs, including direct medical expenditures, unnecessary absence from work, and lost performance at work - also known as "presenteeism."

A growing body of evidence suggests that worker health can be measured and better managed for increased profitability and organizational effectiveness. More and more employers have begun to embrace this concept as the relationship between the health of workers and the bottom line of American business has become increasingly clear.

Proponents of HPM view the workforce as human capital, which should be managed with the same level of focus and interest that is applied in the management of financial capital. They recognize the value of managing human capital by focusing on health in the workplace environment. With healthier employees, companies perform better.

At the heart of the HPM process is measurement of workplace health costs, accurate evaluation of the factors that are driving those costs, and the creation of health enhancement programs and strategies for workers. Occupational and environmental physicians can play a pivotal role in helping the workplace understand these concepts and the relationship between health and productivity.

HPM promotes better individual health, which in the long-term improves the overall health of our nation and the stability of our health care system. HPM becomes a win-win, benefiting both the employee and the employer.

Bottom line: good health is good business, and HPM helps achieve both.



I would like to subscribe to the HPM Toolkit >
JOEM Study Chosen for DMAA Award

 

The Disease Management Association of America has singled out a study on health and productivity management in the April issue of JOEM for its 2009 Population Health Improvement Leadership Award for Outstanding Journal Article. The study, titled "Health and Productivity as a Business Strategy: A Multiemployer Study," explored methodological refinements in measuring health-related lost productivity and assessed the business implications of a full-cost approach to managing health.

 

Conducted by Alere, ACOEM and the Integrated Benefits Institute and funded by the National Pharmaceutical Council, the study measured productivity loss among 10 employers with 51,648 employee respondents and analyzed 1.13 million medical and pharmacy claims. Researchers found that health-related productivity costs significantly exceed medical and pharmacy costs - on average 2.3 to 1 -- and that depression, obesity, arthritis, back and neck pain and anxiety drive the majority of costs when looking at both productivity and medical and pharmacy costs. The study also found presenteeism to be a bigger drain on productivity than absenteeism.

 

ACOEM President Pam Hymel , MD, and ACOEM Board member Ron Leoppke, MD, were among the lead researchers on the study. Hymel and Loeppke are also co-chairs of the ACOEM Section on Health and Productivity.