COSH 2011

1. Social Security Organisation of Malaysia
Investing in People
Return to Work:
Challenges and Opportunities
Edmund Cheong, CDMP
Social Security Organisation
Malaysia
COSH 2011 - OSH: Empowerment. Accountable. Responsive.
Kuala Lumpur Convention Centre
19 July 2011

2. Social Security Organisation of Malaysia
Investing in People
Health?

3. Social Security Organisation of Malaysia
OSH - Definition
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
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.

4. Social Security Organisation of Malaysia
Disability Management (RTW)
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.
Planning and coordination of health care services appropriate to
achieve the goal of medical rehabilitation. Medical case
rehabilitation
management may include, but is not limited to, care
assessment
assessment, including personal interview with the client, and
assistance in developing implementing and coordinating a
developing,
medical care plan with healthcare providers as well as the
providers,
clients and his/her family evaluation of treatment results while
promoting cost-effective care.
cost-
cost-effective care

5. Social Security Organisation of Malaysia
Investing in People
The Relations of OSH & DM
Occupational Promotion Disability
Safety & of
Health Management
Health

6. Social Security Organisation of Malaysia
Investing in People
SOCSO’S RTW/DM PROGRAM
• This program is established with the
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)

7. Accident
Surgery
Acute Inpatient
Treatment
No Treatment
Prosthesis?
Physical Rehab
Pathology of a Claim
No Treatment
Social Security Organisation of Malaysia
Vocational
Prolonged Disability Duration?
Rehab
No Treatment
GOAL???
Investing in People

8. Accident
Surgery
Acute Inpatient
Treatment
No Treatment
Prosthesis?
Physical Rehab
Disability Management
No Treatment
Social Security Organisation of Malaysia
Vocational
Rehab
No Treatment
GOAL???
Role of the RTW Program? Investing in People

9. Accident
Surgery
Acute Inpatient
Treatment
No Treatment
Prosthesis?
Physical Rehab
No Treatment
Social Security Organisation of Malaysia
Vocational
Rehab
No Treatment
GOAL???

10. Accident
Surgery
Acute Inpatient
Treatment
Prosthesis?
Physical Rehab
Social Security Organisation of Malaysia
Vocational
Rehab
GOAL???
Investing in People

11. Social Security Organisation of Malaysia
Investing in People
SOCSO Disability Case Manager
DISABILITY MANAGEMENT Improve Disability
Durations
Acute Inpatient
Physical Rehab
Treatment
Workplace Intervention
Vocational
Maintain
Treatment
Prosthesis
GOAL???
Accident
Physical Rehabilitation Healthy
Surgery
Safe and
Rehab
Vocational Rehabilitation
Workplace Stakeholder
Constant Communication
Rehabilitation
Relations
& DisabilityConstant Monitoring
Management
Safer recovery
Return to Work or
Retain @ Work

12. Social Security Organisation of Malaysia
Investing in People
Challenges

13. Social Security Organisation of Malaysia
Investing in People
The Social Issue

14. Social Security Organisation of Malaysia
The Social Issue? – The Micro Perspective
Often spouses
Injury Leads to Disability
become
disabled as well
Affecting Love
Ones

15. Social Security Organisation of Malaysia
The Social Issue? – The Micro Perspective
Often spouses Productivity/
Affecting Siblings
become
Injury Leads to Disability
Employers
disabled as well
A MICRO ISSUE Disabled Family
A BECOMES A MACRO ISSUE
Affecting Love
Ones
Community Country?

16. Social Security Organisation of Malaysia
Cases According to Injury/Diseases “Severe” to “Exteremely Severe” Levels (DASS21)
10 5 Head
3% 1%
Neck
7 60 41
3 56 Trunk/Back
2% 16%
1% 14% Upper Limbs
24
6% 50 Multiple Locations
13%
Lower Limbs
116 54
General Injuries
30% 14%
Unspecified Locations
Psychology
N=385 Diseases
31 68

17. Social Security Organisation of Malaysia
Investing in People
The Economical Issue

18. Social Security Organisation of Malaysia
Investing in People
Social Sustainability

19. Social Security Organisation of Malaysia
= SOCSO Contributors
(Social Solidarity)
No RTW Strategies
???
Accident
Outcome?
No Rehabilitation Strategies
RTW
No Monitoring of Insured Person’s
Possibilities?
Progress

20. Social Security Organisation of Malaysia
Collapse of the
= SOCSO Contributors
(Social Solidarity)
Social System
No RTW Strategies
???
Accident
Outcome?
No Rehabilitation Strategies
RTW
No Monitoring of Insured Person’s
Possibilities?
Progress
Injured Workers

21. Social Security Organisation of Malaysia
Collapse of the
= Maintaining Balance
To the Social System
Social System
PREVENTION
Disability Case Management
No RTW Strategies RETURN
???
Accident
Outcome?
NoMedical Rehabilitation
Rehabilitation Strategies
No Monitoring of Insured Person’s
Vocational Rehabilitation TO
RTW
Possibilities?
Systematic RTW Strategies
Progress WORK
Retaining Workers at Work or Return to Work
Injured Workers

22. Social Security Organisation of Malaysia
Reported Accidents 2000 - 2010
100,000 95,006
90,000 85,926
81,810
80,000 75,386 73,858
69,132
70,000 67,163
63,423
61,182
58,321 57,656
60,000 56,249 56,339 55,186
54,133
50,803
50,000
43,885
40,617
38,657
40,000 35,092 35,616
34,376
30,000
20,810 22,040
19,620 18,387 18,329 19,041
20,000 17,170 17,609 17,297 17,704 17,682
10,000
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Total Accidents Reported Industrial Accidents Commuting Accidents

23. Social Security Organisation of Malaysia
Reported Accidents vs Benefit Payments
350,000,000
300,000,000 306,382,930
274,841,608
250,000,000
214,624,319
200,000,000
187,892,229
166,746,360 171,535,250 70,168,886
1
150,000,000 153,510,745
147,189,831
100,000,000 109,177,424
104,007,611
85,213,889 94,063,947
63,240,962 61,989,990 71,176,577 67,864,706 71,777,133
50,000,000
0
2002 2003 2004 2005 2006 2007 2008 2009 2010
Payment for Temporary Disablement Benefits Payment For Permanent Disablement Cases

24. Social Security Organisation of Malaysia
Contribution vs Payment (Invalidity)

25. Social Security Organisation of Malaysia
Crisis in the making? Investing in People
Number of
healthy Current
Number of Number of workers number of
Workers Workers needed to workers
Contributing needed to sustain 1 contributing
to the Social Compensatio sustain the Benefit (one) for 1 (one)
Year System Contribution n system Recipients recipient recipient
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 6.88 workers
2008 – Surplus of 6.13 workers
2009 – Surplus of 4.76 workers
2010 – Surplus of 2.41 workers

26. Social Security Organisation of Malaysia
Crisis? Investing in People
Strategy?
20.00 Increase Malaysian
18.77
17.68 17.31 Workers population?
15.00 15.75
13.34
Increase contribution?
11.89 12.56 RTW?
11.56
10.00
6.88 6.12
5.00 4.75 Strategy?
2.41 Cut down Benefit?
0.00 Pay for lower quality
services/equipment?
2007 2008 2009 2010 RTW?
Jumlah Pekerja yang mencarum benefit recipient
No of workers contributing for one untuk satu penerima faedah
Jumlah Pekerja yang to pay one benefit recipient
No of workers needed diperlukan untuk menanggung satu penerima faedah
Jumlah Lebihan Pekerja
Surplus Workers

27. Social Security Organisation of Malaysia
Investing in People
Opportunities?

28. Social Security Organisation of Malaysia
Investing in People
RTW in OSH?

29. Social Security Organisation of Malaysia
OSH - Definition
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
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.

30. Social Security Organisation of Malaysia
Investing in People
Practice in OSH?
Worker gets What happens to
injured the worker?
Investigate
INVESTIGATE
Report Return
ACCIDENT
PREVENT
FIRST AID
PREVENT
REPORT
to Work
Disability
Retain
Management
Rehabilitation & Integration
@ Work
Prevention stops
the vicious cycle

31. Social Security Organisation of Malaysia
Investing in People
Conclusion

32. Social Security Organisation of Malaysia
Oscar Pistorius
the fastest man on no legs
In 2007 Pistorius took part in his
first international competitions
for able-bodied athletes.
able-
However, his artificial lower
legs, while enabling him to
compete, generated claims that
he has an unfair advantage over
able-
able-bodied runners.
runners

33. Social Security Organisation of Malaysia
Investing in People
“Workplace never discriminates… those
around do…”
“Disability is God given, Handicap is man
made…”
“Opportunity and not sympathy…”

34. Social Security Organisation of Malaysia
Investing in People
Thank you
Pertubuhan Keselamatan Sosial
03-4264 5357
edmund.cheong@perkeso.gov.my
BlackBerry PIN:254A5745