Dr Juan Jover - Head of Rheumatology, Hospital Clínico San Carlos Madrid & Chair of Fit for Work Spain
Early Intervention
A cost-effective, evidence-based solution to reduce the burden of MSDs
What does the future hold for us?
Ed Whitlock, 82, running the Toronto Waterfront Marathon in November 2013
82-year-olds with MSDs (musculoskeletal disorders)
MSDs. We’re all in this together.
MSDs are the leading cause of sickness absence and years lived with disability in Europe
By 2030 50% of the population of some EU countries will have an MSD
100 million Europeans are living with musculoskeletal pain
In excess of 40 million workers have an MSD caused by their work
MSDs diminish the European economy by €240 billions (2% GDP loss) every year
Sources: Global Burden of Diseases 2010, Eumusc.net (2013), European Commission, EULAR, Fit for Work Europe
Early Intervention
MSDs can be manageable conditions
What is Early Intervention?An innovative care programme: Early diagnosis Immediate specialist examination Support for return to work Targeted at MSD patients (who got a sick
note)
Purificacion Tejeda, a patient of the Early Intervention Clinic.
Watch her story at blog.fitforworkeurope.eu
What patients will get: Expert clinical management Restraint from bed rest Early mobilisation Stretching exercises Recommendations for optimal levels of
physical activity Ergonomic training Education Return-to-work support
Innovating the MSD care model in Spain
Control Intervention
Days
02
55
07
51
00
0 30 60 90 120 150 180 210 240 270 300 330 360
% o
f p
ati
en
ts b
ac
k t
o w
ork
Duration: 2 years 13,077 patients assessed 7,805 in the control group 5,272 in the intervention group 3,311 patients received in fact Early Intervention
Work Disability
Madrid, Spain
The results of the Spanish Clinic
Return to Work:• Temporary work
disability reduced by 39%
• Permanent work disability reduced by 50%
Patient satisfaction increased:• 90% at Level1
amongst the patients discharged/returned to work
Cost Benefits:• Decreased direct and
indirect costs• Recouped about €11
for every €1 invested
Why it works?
Patient-focused
&
Expert clinical management
Expert assessment
Simple pathway
&
Rapid access
• patient education, self -management
• confirmed diagnosis
• GP referral to rheumatologists within 5 days of sickness absence
Everybody wins with Early Intervention
EI improves patient functionality, work ability and work productivity.
EI eases their work, facilitating timely, accurate patient flow, diagnosis and treatment.
EI is a sustainable solution, increasing the efficiency and effectiveness of the healthcare delivery.It can be adjusted to manage other chronic conditions.
EI contributes to increased cost savings to the health care and welfare (social) systems, as well as the national economies.
EI ensures the maintenance of optimal productivity levels and proper management of sickness absence and presenteeism.
Governments & economies
Patient
Health professionals
Health systems
Employers
Thank YOU!
Dr Juan Jover – Chair of Fit for Work Spain [email protected]
Fit for Work Europe is led by The Work Foundation and supported by AbbVie and GE Healthcare
www.fitforworkeurope.eu