KONEKT MARKET REPORT
Welcome Welcome to the inaugural Konekt Market Report which looks at latest trends in the Australian workers compensation market by analysing data across more than 95,000 Konekt cases from the past five years. For some time we have recognised that there is a lack of local Australian data available in the industry to help OH&S professionals, workers compensation specialists, regulators and employers in their decision making. As Australiaâ€™s largest provider of workplace health and safety solutions, we felt that an analysis of our case data from the last five years would provide some interesting insight and would be a useful business tool for our customers. This report is the largest of its type and we believe it provides significant insight into the Australian landscape from the unique perspective of a national rehabilitation provider. The data has been analysed by governing scheme, against socioeconomic data, by injury type and service type. Additionally, with a large pool of non-compensable cases being referred for return to work services, weâ€™ve reported on these two data sets against a number of metrics. We believe this is the first time data of this nature has been made available in Australia. Konekt has partnered with Cortex Solutions, one of Australiaâ€™s most experienced and respected researchers and personal injury management consultants in the area of workers compensation, to analyse the data and to ensure the integrity of the findings. We hope you find the analysis and informed views in this report valuable. Please feel free to contact me, or your regular Konekt contact, if you would like to know more about how we can help your business improve health and safety performance.
Damian Banks CEO, Konekt Limited
Table of contents
Workplace psychological injury
Rehabilitation 6 A profile of rehabilitation referrals
Population differences â€“ Compensable referrals compared with non-compensable referrals
Service and referral type
Differences between compensable and non-compensable referrals
A closer look at cases referred with a psychological injury
The incidence of psychological injuries
Comparing compensable with non-compensable RTW outcomes
Impact of duration of disability on RTW outcomes
Konekt Market Report
Glossary of frequently used terms RTW or Return to Work
Return to full or partial hours.
Compensable Referrals where there is a compensation claim arising. These referrals are typically made by insurers, scheme agents and self-insured employers.
Non-compensable Referrals where there is no compensation claim arising. These referrals are typically made by employers.
Overview The Konekt Market Report is one of the
This second point is important, as research
In this data ‘compensable’ cases refer
most comprehensive reviews of both
overwhelmingly asserts the less time
to those referrals where there is a
compensable and non-compensable
people spend in the compensation system,
compensation claim arising. These referrals
cases in Australia, and allows a genuine
the greater the likelihood of better health
are typically made by insurers, scheme
insight into the impacts on costs,
and return to work outcomes.
agents and self-insured employers.
durations and outcomes.
‘Non-compensable’ cases refer to cases In addition to providing improved return
where there is no compensation claim
Internationally there is strong evidence of
to work outcomes, early referral results
arising and these referrals are typically
the benefits of early referral impacting on
in a lower service cost, with the average
made by employers. Every workers
return to work outcomes. This experience
cost incurred per successful return to work
compensation jurisdiction is represented
is supported by the Konekt data.
being significantly lower. This point is
in the data. The non-compensable
critical for the viability of personal injury
outcomes are more favourable than the
One of the key findings is that early
compensation schemes and employer
compensable outcomes, with the main
referrals result in more successful return
premium stability. However, at this point
contributory factor appearing to be early
to work outcomes, and also result in a
the Australian market is largely immature
referral. Other contributory factors are
decreased period of rehabilitation services.
in its use of genuine early intervention
likely to be the lack of delays caused
strategies and tools.
by being in the workers compensation system and the more holistic preventative approach taken by employers.
Workplace psychological injury Emerging from the data is a unique look at workplace psychological injury, again with the ability to review both compensable and non-compensable cases from some of Australiaâ€™s largest employers. We see a significant difference between the data sets, with almost three times more referrals for psychological injuries in the non-compensable data. Konekt sees this as an important early warning for the likely flow through effects to schemes and insurers. Currently the direct and indirect workers compensation costs associated with psychological injury claims significantly exceeds the costs associated with non-psychological injury claims. Konektâ€™s view is that current and future actuarial and premium assumptions do not yet adequately anticipate this change in injury profile and cost. Additionally, it is likely that we will see an acute shortage of skilled staff to manage these cases by 2017.
Compensation costs In 2008â€“09, Australian workers compensation schemes spent $6.9 billion, of which 55% was paid direct to the injured employee in compensation for their injury or illness, and 23% was spent on medical and other service costs, including occupational rehabilitation. 1
Rehabilitation The Australian workers compensation scheme data reports that 48% of workers with injuries were identified as having participated in some form of rehabilitation, so understanding the population referred to rehabilitation providers is important. 2 Those referred for rehabilitation usually include people at risk of reduced and/or total work incapacity, It has been suggested that this cohort of injured employee makes a significant contribution to compensation scheme costs through increased healthcare costs and increased claim duration. 3
Konekt Market Report
A profile of rehabilitation referrals It is important to note that compensable injuries do not represent all work related injuries. A comparison of compensation claims with the data from the ABS 2005-06 Multipurpose Household Survey indicates that serious workers compensation claims (reported workers compensation claims) represent only one in five work-related injuries.4 In addition, the data from the compensable group presented in this report may not be representative of all workers compensation data â€“ rather it presents a profile of those referred for rehabilitation within compensable schemes.
The data The total population analysed was 95,470 referrals taken from the Konekt case management database KonektivaÂŽ. These referrals were opened in Konektiva between 1 July 2008 and 26 June 2013. Of the 95,470 referrals, 74,395 (78%) were referrals related to cases in the workers compensation system (compensable referrals) and 21,075 (22%) were referrals direct from employers (non-compensable referrals). Of those referred, 77% were for specific services such as functional assessments, activities of daily living assessment, and worksite assessments, and 23% were for return to work (RTW) support and assistance. Closed cases represented 95% of the data analysed, and only these cases were used when analysing outcomes.
Trends The following trends were observed over the 5 year period analysed:
The number of injured people being referred to Konekt for rehabilitation case management services has remained steady.
The number of referrals for RTW services is decreasing while the number of referrals for specific services is increasing. While the non-compensable referral patterns have remained consistent, the compensable referral patterns are changing, contributing to this trend.
The RTW rates have remained consistent at an average of 88% for compensable referrals and 94% for non-compensable referrals.
The number of referrals following musculoskeletal injuries as a proportion of all referrals is decreasing, as is the average cost and duration of the rehabilitation case management service for these injuries. Specifically looking at the compensable data, the overall number of musculoskeletal injuries have not changed.
The average duration of rehabilitation case management service has decreased by an average of 5 weeks from an average of 12 weeks to 7 weeks.
The average time from accident to referral to Konekt or the duration of disability prior to referral was trending down and reached an average low of 69 weeks. However, the data for the immediate past year analysed shows an increase to an average of 90 weeks delay from injury to referral.
As a proportion of all compensable referrals, the proportion of referrals for mental injuries is 9% which has remained consistent.
As a proportion of all non-compensable referrals, those referred for psychological injuries remained static. However, at 24% the average is significantly more than the compensable referrals.
Konekt Market Report
Population characteristics The population being referred for services are on average 41 years old with 51% of all referrals being for people between the ages of 30 – 49 years. Significantly, 27% of all referrals are for those over 50 years, where there is evidence to suggest that recovery may be delayed and RTW more difficult. Overall, 61% of referrals were male. This is marginally above the Australian population data – males account for 56% of work related injuries in Australia. 4 The higher number of work-related injuries among men in the Australian population data is largely due to men making up more than half (54%) of those who were employed at some time during the year. 4
16 – 19 years
20 – 29 years
30 – 39 years
40 – 49 years
50 – 59 years
60 – 69 years
> 70 years
The majority of referrals to Konekt were for musculoskeletal injuries (60%). Overall, 12% were referred for assistance
following a psychological injury. Psychological injury cases incurred the highest average rehabilitation service cost at an average of $1,364 compared to the other injury types.
Referrals by Jurisdiction
Every workers compensation jurisdiction is represented in the data with the majority of referrals from New South Wales followed by Victoria. On average, Victoria and South Australia have the longest delay to referral times at 112 weeks, while
Queensland has the shortest at 34 weeks.
Socioeconomic profiles To understand the socioeconomic profiles of those referred,
and the Index of Education and Occupation (IEO) was used.
a socioeconomic score using data published by the ABS was
Overall, the profile of referrals was largely representative of the
appended to the data. The Socio Economic Index for Areas (SEIFA)
Australian population; however referrals were underrepresented
summarises census variables, at the census district (CD) level.
in the areas with the highest SES profiles on both measures used.
In the analysis the Index of Relative Social Disadvantage (IRSD)
of All Referrals
Figure 1 Socioeconomic profile of referral data as measured by the IRSD and EOI 14 12 10 8 6 4 2 0
Socioeconomic Deciles by SEIFA index
The IRSD measures relative social disadvantage. Social disadvantage is typically associated with low income, high unemployment and low levels of education. Since this index only summarises variables that indicate disadvantage, a low score/decile indicates that an area has many low income families, people with little training and working in unskilled occupations, and may be considered as disadvantaged relative to other CDs. The Index of Education and Occupation (IEO) is designed to reflect the educational and occupational level of communities. The education variables in this index show either the level of qualification achieved or whether further education is being undertaken. The occupation variables classify the workforce into the major groups and skill levels of the Australian and New Zealand Standard Classification of Occupations (ANZSCO) and the unemployed. This index does not include any income variables. A low score indicates relatively lower education and occupation status of people in the area in general. 16
Konekt Market Report
Population differences â€“ Compensable referrals compared with noncompensable referrals Overall the compensable referrals were on average a year younger at 41 years compared to the non-compensable referrals. There were significantly more males in the compensable group (67%) compared with the non-compensable group (43%). However, this is representative of national workers compensation data where males account for two-thirds of all serious workers compensation claims lodged (claims requiring an absence from work of one working week or more). 5 The compensable referrals had lower socioeconomic profile scores (SES) on both the IRSD and the IEO measures. Within the workers compensation referral data those with lower SES
Our data suggests that
compensable referrals have lower SES profiles and an increased period of disability prior to referral compared to the non-compensable referrals which add significantly to the complex nature of cases, particularly in RTW.
profiles had a significantly longer average delay to referral time (102 weeks) compared to those with the higher SES profiles (84
injury) was significantly longer for the compensable referrals
weeks). Previous research suggests that socioeconomic factors
at an average of 90 weeks compared to 17 weeks for non-
may be useful in predicting RTW outcomes, and a recent study
compensable cases. Delays in reporting any injury or referring
of Australian workers compensation rehabilitation data showed
for intervention reduce the ability to control medical costs and
that higher SES profile scores were associated with positive RTW
duration of recovery. The significant disparity between delay
outcomes. 3, 6 This study also confirmed that a longer duration
to referral for compensable and non-compensable injury may
of disability was associated with negative RTW outcomes. 6
reflect the operation of the compensable system itself and the
Our data suggests that workers compensation referrals have
delays that often occur through its administration.
lower SES profiles and an increased period of disability prior to referral compared to the non-compensable referrals.
A higher proportion of compensable referrals was specifically
This adds significantly to the complexity of cases in RTW.
for RTW services (25%), compared with 12% of the noncompensable referrals.
The duration of the rehabilitation service for the compensable referrals was almost double that of the nonâ€“compensable
Referrals for psychological injuries occurred as a significantly
referrals, and the service incurred a significantly higher average
higher proportion in the non-compensable group (24%),
cost. The delay in referral or duration of disability (delay from
compared to just 9% in the compensable group.
Injury type compensable and non-compensable 63%
9% 18% 3%
Compensable Musculoskeletal Injuries Fractures Psychological Disorders Illness and Disease
Table 1: Population data â€“ Compensable and non-compensable referrals
[78% of referrals]
[22% of referrals]
Delay to Referral **
Illness and Disease
Closed cases only ** Only referrals with an accident date from 2000 onwards have been included *
Konekt Market Report
Service and referral type Overall, 77% of those referred were for specific services such
service costs are higher for RTW services compared to specific
as functional assessments, activities of daily living assessment,
services, and the duration of the rehabilitation service is also
and worksite assessments, and 23% were for RTW support
longer for RTW assistance (23 weeks) compared with
services. As would be expected, the average rehabilitation
specific services (7 weeks).
Differences between compensable and non-compensable referrals Notably there were significant differences between the
However, the compensable group were also referred significantly
compensable referrals and the non-compensable referrals,
later post injury for RTW services at an average of 62 weeks post
with the average cost of rehabilitation services for both
injury compared to the non-compensable group at 23 weeks.
RTW and specific services being significantly higher for the
For referrals for specific services the compensable group were
compensable group. A number of studies have shown people
referred on average 98 weeks post injury compared to 15 weeks
to have poorer recovery times as part of a compensable system.
post injury for the non-compensable group. Essentially, this means
The relationship between compensation and health outcomes
that the compensable group had a longer duration of disability
is complex and multivariate. The injured person’s motivation,
at referral. Research is very clear in suggesting that the timing
a perceived lack of control over their recovery, the number
of the initial RTW is critical. It has been found that if an individual
of stakeholders involved in a compensable system, and the
is off work for:
processes that stem from legislative or statutory requirements underpinning a compensable system, are all factors that may
20 days, the chance of ever returning to work is 70%;
contribute to the significant disparity in cost and duration
45 days, the chance of ever returning to work is 50%;
for compensable versus non-compensable injury.
70 days, the chance of ever returning to work is 35%. 8
In addition, the duration of the rehabilitation service was significantly longer for both RTW and specific service referrals compared with non-compensable referrals. The difference in service duration is no doubt reflective of the added complexities involved in rehabilitation within a compensation system.
”The evidence is compelling: for most individuals, working improves general health and wellbeing and reduces psychological distress. Even health problems that are frequently attributed to work – for example, musculoskeletal and mental health conditions – have been shown to benefit from activity based rehabilitation and an early return to suitable work.” 9
Total Economic Cost of Work Related Injury 7
economic cost of work related injury to the Australian economy for the 2008-09 financial year is estimated to be $60.6 billion. This represents 4.8% of GDP for the same period.7
According to the most current data available, the total
2000- 2005- 20082001 2006 2009
Table 2: Referral types â€“ Compensable and non-compensable referrals Referral Type
Average Cost by Referral Type RTW Service
Average [Weeks] Duration of Service RTW Service
Ave. [Weeks] Delay to Referral RTW Service
Konekt Market Report
Injury type Consistent with published work injury data, the majority of
Additionally, the proportion of referrals for psychological
referrals were for those with musculoskeletal injuries (60%)
injuries cases in the compensable group was increasing but
while overall 12% of referrals were for psychological injuries.
remained significantly below the proportion of cases in the
These referral trends remained largely consistent throughout
non-compensable group, which averaged 24% over the period
the period analysed, with musculoskeletal injuries as a proportion
analysed. The most recently published workers compensation
of all referrals showing a slight downward trend. The average
data reports that 6% of accepted claims were for psychological
delay to referral time for musculoskeletal injuries increased in
injuries, and the Konekt referral data shows 9% of workers
the last two years to an average of 90 weeks post injury.
compensation referrals were for psychological injuries. 10 Within the workers compensation group, cases referred for psychological injury have the highest average service cost and the highest average duration of service compared with all other injury types.
A closer look at cases referred with a psychological injury A higher proportion of psychological injury cases, as a proportion
The most significant difference was the average delay in referral
of all injury cases, were referred for RTW service compared with
times which was significantly longer in the ‘other injury’ category,
the other injury category.
the majority of which are musculoskeletal injuries.
Table 3 below provides a comparison of cases referred for
Despite no differences in the average duration of rehabilitation
psychological injuries and those referred for all other injuries.
services, the cost of the service was on average higher compared
There were more females in the group with psychological injuries
with that incurred by the ‘other injury’ group.
compared to the group with other injury types. There were no differences in age and the socioeconomic profiles of the two groups.
Table 3: Profile of cases with mental injuries compared with other injury types Psychological Injuries
Delay to Referral
Table 4: Psychological injury referrals compensable and non-compensable by year
1 JULY 2008 – 30 JUNE 2009
n = 74,395
Referrals n = 21,075
% of Referrals
% of Referrals
1 JULY 2012 – 30 JUNE 2013
1 JULY 2011 – 30 JUNE 2012
1 JULY 2010 – 30 JUNE 2011
1 JULY 2009 – 30 JUNE 2010
place mental injur y referrals between compensable and non- compensable cases, there is a sig nificant difference betwee n the data sets, wi th almost three times more referrals for menta l injuries in the noncompensable data .
10% 18% 9%
24% Konekt Market Report
The incidence of psychological injuries A recent report into the incidence of accepted workers
(casual) who do not have permanent job security [LaMontagne
compensation claims for mental stress in Australia by Safe
et al. 2010b; and van Wanrooy et al. 2009]. However, the
Work Australia revealed a downward trend in psychological
proportion of workers casually employed in Australia has
injury cases. The report suggests that,
remained relatively constant at about 20% of the workforce since 1999 [ABS 2012, p. 2]”. 10
“It is difficult to know how many employees experience mental stress at any given time because the workers compensation
This leads us to ask what the real incidence of psychological
data is administrative data collected from accepted workers
injuries may be. With significantly higher levels of cases in
compensation claims. It does not include any information
the non-compensable space we can’t necessarily assume that
on unsuccessful claims, any insight into the number of
psychological injuries are on the decline. Employers are obviously
workers who experience mental stress but choose not to
still grappling with this issue and while our data shows that those
claim workers compensation or on workers who are not
with psychological injuries are being referred earlier than those
covered by compensation. This means that the workers’
with physical injuries, the average delays to referral times are
compensation data are skewed towards those workers who
increasing. In the last financial year the average delay to referral
are more likely to claim based on their occupation, age,
was 24 weeks for non-compensable claims and 103 weeks for
industry of employer, and where they have secure employment”. 10
Additionally, the report states that “There are a number of
Again this highlights the importance of early intervention.
factors that may explain the recent downward trend in successful
Successful RTW outcomes are being achieved across the board.
workers compensation claims for mental disorders caused by
However, those who returned to work on full or partial hours
work-related mental stress. Research has found North American
experienced a significantly shorter average delay to referral
employees deferred claiming compensation because they feared
time in both the compensable and non-compensable groups
job loss [Institute for Work & Health 2009]. This may also apply
of 43 and 17 weeks respectively. This is compared to those
to Australian employees who have experienced job insecurity
with unsuccessful RTW outcomes where the average delay to
because of their precarious work status. Around one-fifth of
referral time was 97 weeks and 32 weeks for the compensable
Australia’s workforce are employees without leave entitlements
and non-compensable groups respectively. See table 5.
Table 5: Psychological injuries by scheme; cost; RTW outcomes Compensable Referrals
Non-compensable Referrals Ave. Delay
% of Referrals
% of Referrals
RTW Achieved No RTW
RTW Achieved Non-compensable Referrals
RTW outcomes Overall the RTW rates achieved for those referred specifically
The RTW rates for those with psychological injuries were
for RTW services remained consistent throughout the period
also consistent, with 86% of those with a psychological
analysed at an average of 88%, with an average of 74%
injury achieving a RTW, while the RTW for those with
returning to full pre-injury hours.
all â€˜otherâ€™ injuries was marginally higher at 89%.
Those who did not achieve a RTW outcome had a significantly
The delay to referral time is significantly longer for those who
longer average delay in referral time at 115 weeks compared to
did not achieve a RTW outcome. The average service cost
those who did achieve a RTW outcome at an average of 39 weeks.
incurred on those cases where there was no RTW outcome was higher than the cases where a successful RTW was achieved.
Table 6: Comparison of those who achieved a RTW and those who did not RTW Achieved
Delay to Referral
Psychological Injury (PI)
% of all P I
Other Injury (OI)
% of all OI
% of all C
% of all NC
Referral Type Compensable Referrals
Konekt Market Report
Comparing compensable and non-compensable RTW outcomes Overall the RTW rates over the period analysed remained
non-compensable group were done in a lower average service
consistent at an average of 88% for compensable referrals and
time of 14 weeks compared with an average of 23 weeks for
94% for non-compensable referrals. The rate of compensable
the compensable group. The RTW for the non-compensable
referrals which did not result in a RTW was 12%, double that
group were achieved at a lower average service cost of $1,430
for non-compensable referrals.
compared with $2,745 for those achieving successful outcomes in the compensable group.
Significantly, the non-compensable referrals were referred earlier for both RTW and specific services. Perhaps because of
Overal the non-compensable cases had a higher RTW rate at 94%,
this early intervention and preventative approach by employers,
at a lower average service cost; however they are referred for the
the RTW rates were better. The RTW rates achieved by the
rehabilitation service much earlier than the compensable referrals.
Table 7: Comparison of compensable and non-compensable RTW outcomes RTW Outcome
Outcome as % of RTW Referrals No RTW
RTW – Full Hours
RTW – Partial Hours
Ave. Service Cost No RTW
RTW – Full Hours
RTW – Partial Hours
Ave. [Weeks] Duration of Service No RTW
RTW – Full Hours
RTW – Partial Hours
Ave.[Weeks] Delay to Referral No RTW
RTW – Full Hours
RTW – Partial Hours
Impact of duration of disability on RTW outcomes A closer look at the impact the duration of disability has on
These outcomes are achieved at a lower average cost and
successful RTW outcomes clearly demonstrates that the earlier
have a lower average period of rehabilitative assistance
the referral is made post injury, the greater the likelihood of a
across all categories compared to the compensable referrals.
successful RTW. For all RTW referrals, 94% of those referred within the first 6 months post injury achieved a RTW compared
Looking at the compensable data only, 94% of the referrals
to only 76% referred 12 months post injury. Our data again
made within the first 6 months post injury achieved a successful
shows differences between the compensable population and
RTW compared to 86% of those referred between 6 and 12
non-compensable population with 82% of the non-compensable
months post injury. The proportion of referrals that had a
referrals being made within the first 6 months post injury achieving
successful RTW reduced to 68% for those referred more than
a RTW compared to 63% of the workers compensation referrals.
two years post injury. Our data is consistent with previous findings that suggest that a key factor in achieving successful
Across all duration of disability categories the non-compensable
RTW outcomes is the length of time the person had been
referrals have a higher percentage of successful RTW outcomes.
â€˜disabledâ€™ due to their injury prior to being referred.11,12
Table 8: Impact of duration of disability on compensable and non-compensable RTW outcomes Compensable RTW Referrals n = 11,649 Ave. Duration
% of Referrals
% of Referrals
> 24 months
Compensable RTW Referrals 94%
Non-compensable RTW Referrals n = 1,884
Non-compensable RTW Referrals 95%
Konekt Market Report
In summary Early intervention is the key to improved cost effective outcomes There are significant differences in the population referred and outcomes achieved for compensable and non-compensable referrals There is a need to better understand the incidence of workplace psychological injury. Internationally the evidence of the benefits of early referral impacting on return to work outcomes is strong. This experience is supported by the Konekt data where 94% of those referred within the first 6 months post injury achieve a RTW compared to 76% referred 12 months post injury. However, our data also
As well as providing improved return to work outcomes, early referral results in a lower average rehabilitation service cost, with the average cost incurred per successful RTW being significantly lower. This point is critical for the viability of personal injury compensation schemes and employer premium stability; however the Australian market is largely immature in its use of genuine early intervention strategies and tools.
suggests that the ability of the rehabilitation provider to provide early intervention may be compromised due to the length of
The compensable and non-compensable groups referred have
time between the injury and when the referrals are made â€“
different profiles, with the compensable cases more likely to be
at an average 62 weeks and 23 weeks post injury for compensable and non-compensable cases respectively
male, have a lower socioeconomic profile, and have a longer
It is not suggested that those with prolonged durations of
compared to 17 weeks for the non-compensable group.
disability do not benefit from rehabilitation, as they do achieve
The non-compensable outcomes are more favourable, with
successful RTW outcomes. Our data shows that of those
the main contributory factor appearing to be early referral.
referred greater than 12 months post injury, 76% achieved a
Other contributory factors are likely to be the lack of delays
successful RTW outcome. Overall, however, the data supports
caused by being in the workers compensation system and
early referral for improved RTW rates.
the more holistic preventative approach taken by employers.
period of disability prior to referral at an average of 90 weeks
It is also possible that the non-compensable referrals are for As well as providing improved return to work outcomes, early
injuries of a lesser severity. The compensable group incurred
referral results in a lower average rehabilitation service cost,
a higher average cost of rehabilitation services for both RTW
with the average cost incurred per successful RTW being
and specific services and a significantly longer period of
significantly lower. This point is critical for the viability of
personal injury compensation schemes and employer premium stability; however the Australian market is largely immature
With a substantial body of evidence supporting the benefits
in its use of genuine early intervention strategies and tools.
of work on health, rehabilitation efforts need to be directed towards staying in the workplace, and if away from the
Early referrals also result in a decreased period of rehabilitation
workplace towards RTW. This is effectively done by ensuring
services. For compensable referrals this is particularly important,
injured people have the necessary supports in place as soon
as research suggests that exposure to the compensation system,
as possible following their injury â€“ early intervention.
and specifically duration of exposure to the compensation system, has a negative impact, so the less time people spend in the system,
Finally, our data suggests a closer look at the incidence of
the greater the likelihood of better health and RTW outcomes.
psychological injury cases in Australian workplaces may be
warranted. Our data shows there are a significantly higher proportion of referrals for mental injuries in the non-compensable group (24%) compared to just 9% in the compensable group over the period analysed.
References 1 Safe Work Australia. Workplace Relations Ministers’ Council 2010. Comparative Performance Monitoring Report. 12th edition. 2 Heads of Workers’ Compensation Authorities (HWCA) 2010. Australia and New Zealand Return to Work Monitor 2009/2010. 3 Krause N, Frank JW, Dasinger LK. et al. 2001. Determinants of duration of disability and return-to-work after work-related injury and illness: challenges for future research. Am J Ind Med. 2001; 40:464–84. 4 Australian Bureau of Statistics (ABS), 2011. Australian Social Trends, June 2011. Work and Health Cat no. 4102.0. 5 Safe Work Australia, 2013. The Compendium of Workers’ Compensation Statistics 2010-11. 6 Casey PP, Guy L, & Cameron, ID. Determining return to work in a compensation setting: A review of New South Wales workplace rehabilitation service provider referrals over 5 years. Work 03/2013; DOI:10.3233/WOR-131608. 7 Safe Work Australia. 2012. The Cost of Work-Related Injury and Illness for Australian Employers, Workers and the Community: 2008-09. 8 Australasian Faculty of Occupational and Environmental Medicine (AFOEM). 2011. Realising the health benefits of work, The Royal Australasian College of Physicians. 9 Australian Faculty of Occupational Environmental Medicine (AFOEM). 2010. Realising the Health Benefits of Work: A Position Statement. 10 Safe Work Australia, 2013. The Incidence of Accepted Workers’ Compensation Claims for Mental Stress in Australia. 11 Krause N, Ragland D. Occupational disability due to low back pain: A new interdisciplinary classification based on a phase model of disability. Spine 1994; 19: 1011-20. 12 Krause, N, Dasinger, LK, Deegan, LJ, Rudolph L, Brand RJ. 2001. Psychosocial job factors and return-to-work after compensated low back injury: A disability phase-specific analysis. Am J Ind Med 374-392. 13 Jordan, K. D., Mayer, T. G., & Gatchel, R. J. (1998). Should extended disability be an exclusion criterion for tertiary rehabilitation?: Socioeconomic outcomes of early versus late functional restoration in compensation spinal disorders. Spine, 23(19), 2110-2116. 14 Harris I, Mulford J, Solomon M, et al. Association between compensation status and outcome after surgery: a meta-analysis. JAMA 2005;293:1644–52. 15 Casey, P P, Feyer, A M, & Cameron, I D. (2011). Identifying predictors of early non-recovery in a compensation setting: The Whiplash Outcome Study. Injury, 42(1), 25-32. 16 Australian Bureau of Statistics (ABS) 2008. Information Paper: An introduction to Socio-Economic Index for Areas (SEIFA) (2039.0). Canberra: Australian Bureau of Statistics.
Konekt Market Report
the leader in workplace health solutions Konekt Sydney Level 12, 234 Sussex Street, Sydney NSW 2000 T: (02) 9307 4000 F: (02) 9307 4044 Adelaide Level 7, 41 Currie Street, Adelaide SA 5000 T: (08) 8214 4000 F: (08) 8214 4040 Canberra Fern Hill Technology Park, Ground Floor, Unit 2, 9 Thynne Street, Bruce ACT 2617 T: (02) 6129 5200 F: (02) 6129 5222 Darwin Tenancy 9, Level 1, 396 Stuart Highway, Winnellie NT 0820 T: (08) 8995 8300 F: (08) 8995 8333 Hobart Level 11, 39 Murray Street, Hobart TAS 7000 T: (03) 6225 8000 F: (03) 6225 8050 Brisbane Suite 3.3, Level 3, 67 Astor Terrace, Spring Hill QLD 4001 T: (07) 3230 8333 F: (07) 3230 8399 Melbourne Level 4, 179 Queen Street, Melbourne VIC 3000 T: (03) 9624 5000 F: (03) 9624 5055 Perth Level 3, 8 Outram Street, West Perth WA 6005 T: (08) 9219 7222 F: (08) 9219 7233 Konekt has more than 35 offices nationally, for contact details of all offices go to www.konekt.com.au or call 1300 723 375.
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Authors Konekt: Megan Connell, Matt May, Philip Paysden Cortex Solutions: Petrina Casey
M001037 Iss 1 Nov 13 © Konekt Limited 2013 Konektiva is a trademark of Konekt Limited.
Konekt Market Report November 2013