Return on Investment (ROI) and Development of a Workplace Disability Management Program in a Hospital-A Pilot
Vincenzo Camisa1,2, Francesco Gilardi1, Eugenio Di Brino3
1Health Directorate, Occupational Medicine Service, Bambino Gesù Children's Hospital IRCCS, 00165 Rome, Italy.
Insights
A Workplace Disability Management Program (WDMP) significantly reduced sick leave days by 66.6% in healthcare workers (HCWs). This effective program improved productivity and reduced absenteeism costs, demonstrating a strong return on investment.
Area of Science:
- Occupational Health
- Healthcare Management
- Public Health
Background:
- Aging workforce and rising chronic diseases impact worker capacity.
- Healthcare workers (HCWs) face unique occupational health challenges.
- Effective disability management is crucial for maintaining workforce productivity.
Purpose of the Study:
- To evaluate the effectiveness of a Workplace Disability Management Program (WDMP) in a pediatric hospital.
- To assess the economic impact of the WDMP on absenteeism and productivity.
- To determine the Return on Investment (ROI) and Break-Even Analysis (BEA) of the WDMP.
Main Methods:
- The study evaluated absenteeism rates and costs pre- and post-WDMP implementation.
- Economic impact was assessed using ROI, BEA, and average annual productivity calculations.
- Data were collected from 131 HCWs participating in the Disability Management (DM) interventions.
Main Results:
- Sick leave days decreased by 66.6% (p < 0.001) in the year following WDMP.
- Total absenteeism cost reduction was estimated at 427,896€ annually.
- ROI was 27.66€, with a BEA indicating program effectiveness at 3.27 HCWs.
Conclusions:
- The implemented WDMP model is highly effective in improving HCW productivity.
- The program positively influences factors affecting work limitations and capacity.
- WDMP offers a cost-effective solution for managing healthcare workforce health and productivity.
Abstract:
The progressive ageing of the working population and the increase in related chronic diseases tend to affect working capacity. The aim of this study was to evaluate a Workplace Disability Management Program (WDMP) within a pediatric hospital. Absenteeism due to healthcare workers' (HCWs) pre- and post- WDMP and the related costs were used for the program evaluation. The Return on Investment (ROI), the Break-Even Analysis (BEA) and the value of the average annual productivity of HCWs who took advantage of the Disability Management (DM) interventions to assess the economic impact of the program, were also used. The HCWs enrolled in the program were 131 (approximately 4% of hospital staff), of which 89.7% females and with an average age of 50.4 years (SD ± 8.99). Sick leave days of the HCWs involved decreased by 66.6% in the year following the end of WDMP compared to the previous one (p < 0.001). The total estimated cost reduction of absenteeism is 427,896€ over a year. ROI was equal to 27.66€. BEA indicated that the break-even point was reached by implementing the program on 3.27 HCWs. The program evaluation demonstrated the particular effectiveness of the implemented WDMP model, acting positively on the variables that affect productivity and the limitation to work.
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