Bunn W B, Pikelny D B, Slavin T J, Paralkar S
Navistar, 455 North Cityfront Plaza Drive, Chicago, IL 60611, USA.
J Occup Environ Med. 2001 Jan;43(1):47-55. doi: 10.1097/00043764-200101000-00010.
The Health and Productivity Management model at International Truck and Engine Corporation includes the measurement, analysis, and management of the individual component programs affecting employee safety, health, and productivity. The key to the success of the program was the iterative approach used to identify the opportunities, develop interventions, and achieve targets through continuous measurement and management. In addition, the integration of multiple disciplines and the overall emphasis on employee productivity and its cost are key foci of the International Model. The program was instituted after economic and clinical services' analyses of data on International employees showed significant excess costs and a high potential for health care cost reductions based on several modifiable health risk factors. The company also faced significant challenges in the safety, workers' compensation, and disability areas. The program includes safety, workers' compensation, short-term disability, long-term disability, health care, and absenteeism. Monthly reports/analyses are sent to senior management, and annual goals are set with the board of directors. Economic impact has been documented in the categories after intervention. For example, a comprehensive corporate wellness effort has had a significant impact in terms of reducing both direct health care cost and improving productivity, measured as absenteeism. Workers' compensation and disability program interventions have had an impact on current costs, resulting in a significant reduction of financial liability. In the final phase of the program, all direct and indirect productivity costs will be quantified. The impact of the coordinated program on costs associated with employee health will be analyzed initially and compared with a "silo" approach.
国际卡车与发动机公司的健康与生产力管理模型包括对影响员工安全、健康和生产力的各个组成项目进行衡量、分析和管理。该项目成功的关键在于采用迭代方法，通过持续的衡量和管理来识别机会、制定干预措施并实现目标。此外，多学科的整合以及对员工生产力及其成本的总体重视是该国际模型的关键重点。在对国际员工数据进行经济和临床服务分析后发现，基于若干可改变的健康风险因素，存在显著的超额成本以及大幅降低医疗成本的潜力，于是设立了该项目。该公司在安全、工伤赔偿和残疾领域也面临重大挑战。该项目包括安全、工伤赔偿、短期残疾、长期残疾、医疗保健和旷工管理。每月向高级管理层发送报告/分析结果，并与董事会设定年度目标。干预后各方面的经济影响都有记录。例如，一项全面的企业健康计划在降低直接医疗成本和提高生产力（以旷工率衡量）方面都产生了重大影响。工伤赔偿和残疾项目干预措施对当前成本产生了影响，大幅减少了财务负债。在该项目的最后阶段，将对所有直接和间接生产力成本进行量化。将首先分析协调项目对与员工健康相关成本的影响，并与“竖井式”方法进行比较。
