ADMINISTRATIVE REPORT DATE: July 10, 1996 TO: Vancouver City Council FROM: Manager, Occupational Health, Safety & Rehabilitation, Human Resource Services in consultation with the Director of Finance SUBJECT: Occupational Health and Safety - Activity Update INFORMATION The City Manager notes significant achievements have already been made in reducing WCB costs and submits this report for INFORMATION. COUNCIL POLICY On June 2, 1994 and March 7, 1995, Council approved the following: - re-focusing of OH&S activities based upon a City-wide Task Force at an annual on-going cost of $414,000; - supporting the principle of expanding OH&S activities as necessary funded by savings in WCB costs subject to Council's approval; - allocating up to $600,000 to fund transitional work opportunities for employees who are temporarily disabled. The source of these funds are $300,000 from long term disability reserves and $300,000 from reduced WCB assessments. The cost of activities in both of these reports were at no net cost to the City. SUMMARY City Departments have been working to change their OH&S programs to meet recommendations made in the 1993 Task Force report. Activities for the past two years have included: working with front line employees through a number of processes giving them more control over OH&S activities, re-focusing the City's claims management efforts, implementation of a comprehensive rehabilitation program, and amalgamation of OH&S staff and activities throughout the City. Results of these and other training initiatives have achieved, from 1994 to 1995, a 16% or $650,000 reduction in WCB wage loss, 13% reduction in reportable claims, a $378,000 reduction in WCB assessment, and a reduction in the WCB wage percentage of the City s total payroll from 1.7% in 1993 to 1.0% in 1995. The Transitional Work Fund established by Council for modified work for temporarily disabled employees was necessary to get our rehabilitation efforts off the ground. The modified work assignments enabled departments to have valuable work performed as well as boosting the morale of the employees involved. The intention of this fund is to establish practices and eventually have the departments fund this work. Of the approved funds for WCB return to work, $200,000 remains. It is desirable to expand the rehabilitation program to include short-term disability absences in 1996. The savings gained by these programs ultimately reduce our overhead costs of operations. As this is a new program, yearly cash pay-back savings will be the norm. At some point, the yearly savings will plateau and provisions will have to be made to keep these programs in place. These programs are necessary for City operations to remain competitive and to help us avoid increased costs in the future. PURPOSE This report updates Council on the implementation of our re-focused occupational health and safety activities. BACKGROUND In March of 1994, Council approved funding to re-focus the City Occupational Health and Safety Activities based on a 1993 Task Force report. In May of 1994, Council also approved creating a one-time Transitional Work Fund. The cost of both of these programs was to be offset by reduced WCB assessments starting in 1997. This report details the results of those two reports. Of the 29 recommendations in the Task Force report, 27 have been implemented. The City s WCB costs have improved due to the coordinated efforts of all departments. In fact, results have occurred sooner than anticipated. Our experience to date is: 1. The City reduced its 1995 WCB Assessment by $378,000. However, because the WCB raises the earnings ceiling each year, the net savings in 1995 was $150,000. We predict the same for 1996 and 1997; 2. The 1995 Actual WCB Wage Loss reduction from 1994 is $646,000(16%); 3. 1995 WCB Loss of Earnings Pension (cost of employees with permanent restrictions) has been reduced by $11.9 million dollars from 1994 due to placement of these individuals in the City system. 4. The number of lost time accidents has been on a steady decline since 1991; the 1993 to 1994 reduction was 9%, and 1994 to 1995 reduction was 13%. Our approach is to develop and implement a contemporary Occupa-tional Health and Safety (OH&S) Program that both lowers costs and focuses efforts and accountability on the work group. The new program combines and reflects Council s priorities for effective service delivery and fiscal responsibility. The activities that the City has undertaken to make reductions are beginning to have effect. The same principles used to create this trend have been applied to our Long Term Disability Plan with similar results. We intend to apply the same principles to non-WCB related injuries and illnesses in 1996, as will be approved in a report to be submitted in future. DISCUSSION WCB assessments are a cost of doing business in British Columbia. The WCB Experience Rating Assessment (ERA) system provides finan-cial incentives to employers for developing safety programs and paying attention to claims management. The ERA system is being reviewed by the WCB and will most likely be changed in 1996 or 1997 to take into account pro-active activities of employers. The history of the City s WCB assessment (provided by the WCB) for the last 5 years is: ERA (%) Wage loss claims Assessment 1991 11.7 *$3,850,192 $4,081,348 1992 13.6 *$4,062,699 $5,506,475 1993 14.5 *$4,921,904 $6,441,065 1994 14.5 *$3,556,419 $6,951,963 1995 14.5 *$3,343,523 $6,819,279 1996(projected) 15.0 N/A $6,350,000 * Includes wage loss and pensions but not medical or rehabilitation costs This does not include reductions anticipated due to the transfer of the Health Department to the Vancouver Health Board. Antici-pated reduction in WCB assessment from this transfer is $500,000. The projected reduction for 1996 is due to reduced WCB claims costs in the previous two years. Preventing accident and injury is the main area of activity for City departments as it yields the best return in the long run. Each department is developing an OH&S program to fit their needs. The downside to these efforts is that the financial return is 7 to 10 years in the future. Each department is developing broad-based best practices that build and learn from prior steps in the process. Effective OH&S systems are not static. They must grow and change with the organization. Building safety cultures is a difficult task. Such a culture must be able to respond well to the immediate requirements of regulatory bodies as well as propel the organization towards its desired future. The pro-active approach being undertaken is geared toward developing a work environment where motivation comes from the work group. The organization plays a constructive and supportive role to the work group in assisting its members to achieve their OH&S goals and objectives. This must occur within regulatory, union-management and corporate frameworks. The 1993 Task Force report defined seven areas to review with the aim of redesigning our processes. The status of each area is outlined below. 1. Focusing OH&S Activities on the Work Group Numerous pilot processes were developed to assist work groups in having more control over OH&S activities that affect their jobs. The pilots are designed to generate best practices that will work in our organization. Eight pilots were completed: three in the Park Board, two in the Fire Department, two in Engineering and one in the Health Department. Basically, the work group with their supervisor develops OH&S goals, implements plans and assesses progress. Overall, the group develops the ability to learn from and improve the quality of their work experience. Traditional problem solving is hierar-chical and leads to a dependency on supervisors for the most rudimentary requests. By developing and monitoring processes and allowing work groups to learn and measure how well they are doing, the work group begins to solve their own problems. The pilots have met with varying success and a detailed report will be released later this year. 2. Setting Health & Safety, Cost Control, and Departmental Accountability as a Priority Intuitively, the saying "what gets measured gets managed" has some merit. The City has not traditionally measured the activi-ties or costs associated with WCB. Consequently, costs have escalated and efforts have been ad hoc. Initial efforts to create an accountability system have focused on providing departmental managers with tools to deal with OH&S issues and WCB claims. 1996 and 1997 will see further refinement of a cost account-ability and statistical system. A report on this will go to Council in the Fall of 1996. WCB is now sending our claims cost statement on computer disk which allows us to track our costs more efficiently. 3. Re-focusing the Role of the City Occupational Health and Safety Committees The role of OH&S Committees has been and still is to ensure departments are complying with WCB regulations. Most departments do. Two pilots, one in Health and one in Engineering, were con-ducted to see if a better focus for these committees could be found. Unfortunately, these committees end up trying to solve problems that no one wants to deal with. This leads to frustra-tion on behalf of committee members who want to make a differ-ence. We still do not have an effective model that works with all committees. Efforts are ongoing to develop a useful model. 4. Becoming Self-Regulating in OH&S The main thrust of the self-regulation process is to achieve compliance with WCB regulations and to prevent accidents through education and consultation with the workforce. Self-regulation means that the City deals with its OH&S problems internally and only involves outside agencies when serious conflict arises. Presently, the City is moving towards self-regulation by meeting with WCB representatives quarterly (claims and safety) to address specific concerns before they translate into orders or fines. The City s pro-active and rehabilitation activities have shown the WCB that the City is serious about the safety of its employ-ees. While not intentional, this has resulted in decreased inspection activity by the WCB. Inspections Orders Fines 1992 110 101 3 1993 74 132 1 1994 76 83 0 1995 59 80 0 All fines were successfully removed because the City was able to show it had trained and supervised employees to the best of its abilities. Our training programs are by far the most comprehen-sive in the region. In fact, other municipalities have sent employees to our OH&S training programs. 5. Involving Unions in the OH&S Process The key to successful OH&S processes is union involvement in priorities. All unions except Vancouver Firefighters and the BCNU were hesitant to be involved in 1993 Task Force recommenda-tions. Activities have included: development of rehabilitation principles and guidelines with CUPE 1004, CUPE 15 and Vancouver Firefighters ; establishment of a rehabilitation committee comprised of Fire Department management and Vancouver Fire-fighters; CUPE 1004 involvement in the work group process and development of a peer audit process in Fire, Police, Park Board and Engineering. 6. Re-focusing the Claims/Attendance System Traditional claims management focuses on getting claims denied and appealing WCB decisions. Our efforts have been re-directed to City employees who get hurt and want to help themselves get better. In the spring of 1995 the City initiated an early inter-vention rehabilitation program. In October of 1995, a one year pilot with the WCB was agreed upon to determine if the benefits of this program can be duplicated in other industries. The two main components of this program are: I. Early Intervention The focus of early intervention rehabilitation is to have employ-ees with temporary injuries or illnesses access appropriate treatment quickly. The City has established a preferred provider network of rehabilitation clinics in the Lower Mainland. These clinics use the sports medicine (active) model of rehabilitation and will admit our employees within 24 to 48 hours after referral by an employee's physician. In 1995, 147 employees attended this type of treatment and only two of these individuals required further ongoing treatment. II. Transitional Work Due to the WCB benefit structure, the City effectively pays an injured employee full wages whether they are at home or at work. The temporary modified work fund allows departments to bring employees back to work in this interim period without penalizing them monetarily. Modified work assignments enable the department to have valuable work performed, as well as boost the morale of the employee involved. Efforts in both areas have reduced our WCB claims costs by 16% as shown below. 1993 1994 1995 %Diff.from 94 Engineering $1,778,117 $2,004,142 $1,873,190 ( 7%) Park Board 614,475 592,128 453,816 (23%) 1993 1994 1995 %Diff.from 94 Police 544,386 631,810 473,097 (25%) Fire 1,080,909 875,571 641,387 (27%) Corp. Serv. 129,913 64,577 124,532 (92%) General 65,483 100,038 56,194 (44%) TOTAL $4,213,283 $4,268,266 $3,622,216 (16%) These costs are the total the City pays and is different from WCB s costs. WCB does not pay the full cost of wage loss because each year they establish a cap. The cap for 1995 was $52,400. Due to contractual agreements, the City is required to pick up any wages above this amount. City departments have had success in creating transitional work without loss of productivity. Council approved funding to pay employees who were temporarily unable to perform their normal job without penalizing the departments. The intention is that even-tually departments will themselves fund this type of temporary work. Permanent modified work has been harder to find. As part of the early return to work program, the City had the WCB purchase two additional litter carts to be used in the Street Cleaning Program. Council recently endorsed these purchases as it will allow two employees to return to work in a modified work situation earlier than would otherwise be possible. WCB is providing the vehicle funding and the City is paying the employees' wages with operating savings that result in reduced WCB pensions. A further refinement of our WCB accountability system this year will hopefully be developed to cover the costs of these positions. While this is a rare event, appropriate work functions such as litter pick-up and anti-graffiti may need to be found in the future instead of letting employees drift onto WCB pensions and out of the City system. Departments have also used the transitional work funding for wages or for buying equipment to create these opportunities. For example, Fire and Police have been successful in identifying jobs for transitional work but lacked the required equipment. Engineer-ing and the Park Board have been successful in locating temporary placements but unfortunately ten employees with permanent disabili-ties had to be funded until permanent placements could be made within the City s existing job bank. Usage is shown below. Engineering $353,000 Police $ 30,000 Fire $ 45,700 Park Board $ 5,000 City $ 13,700 Total $447,400 Of the approved funds for WCB return-to-work, $200,000 remains (as of June 1996). In 1996, City staff wish to apply the rehabilitation program principles to sick leave. this is detailed in a companion report. 7. Consolidating Occupational Safety, Claims Administration and Occupational Health into a Unified Structure. In 1995, Council approved the out-sourcing of Occupational Health Services. This was the last step in combining all OH&S activities in a unified structure. FINANCIAL IMPLICATIONS The trend is positive. Our claims cost, which drives our assess-ment rate, is declining. Council approved two funding sources for the OH&S program: $413,000 for staff and programming costs of the OH&S program plus $600,000 Transitional Work Fund for modified work for temporarily disabled employees. Both of these funds will be offset in reduced WCB assessments and wage loss. We are using 1993 as our benchmark year for comparative purposes and the success of our efforts is evident in the graph below. NOTE: Yearly wage loss costs dictate assessment cost 2 years later The results are clear and our efforts have paid off sooner than expected. Initial investment in this program for 1994, 1995 and 1996 will be $1.02 million. Our WCB assessment to the end of 1996 has been reduced by $900,000. Further reduction will occur because there was an actual reduction in WCB wages and pensions from 1994 of $2.4 million. Our actual WCB wage loss reduction in the program's first year was $650,000. Accurate future predictions concerning the City s WCB assessment are virtually impossible as the WCB is currently reviewing, and will shortly revise, the ERA system. We do, however, know the trend is positive. PERSONNEL IMPLICATIONS Efforts are being made to have staff return to work earlier, which means fewer days lost but potentially fewer opportunities for replacement staff. Our efforts also transfer accountability and the development and maintenance of an effective safety program to front-line staff. This report has been distributed to all Civic unions and employee group representatives. CONCLUSION This is a good initiative for both the City and its employees. We have stopped uncontrolled, increasing costs in this area. We are constantly assessing our safety needs through the processes we have undertaken. Progress has been slower in the initial stages than anticipated but concrete changes have been made. The same approach can and will be used to reduce sick leave costs. * * * * *