title: Impact of a musculoskeletal disability management program on medical costs and productivity in a large manufacturing company.
abstract: OBJECTIVE
  To evaluate a program to reduce musculoskeletal disability-related absenteeism at a North American manufacturing facility.
  
  
  METHODS
  Staged communication and educational interventions targeting physicians to improve care of musculoskeletal conditions and reduce related absenteeism.
  
  
  METHODS
  The program was implemented in three 1-year stages. The first stage required physicians to complete assessment forms for employees claiming disability because of musculoskeletal injuries. The second stage added physician education programs focusing on current clinical guidelines. The third stage incorporated local physician education about the facility's onsite physical therapy program. Annual number of work-related injuries, days lost per injury and per scheduled full-time-equivalent (FTE) employee, light-duty days per injury, average annual indemnity per FTE, indemnity per injury, medical costs per FTE, and medical costs per injury were examined to determine the program's effectiveness.
  
  
  RESULTS
  Overall productivity improved by a mean of 12.5 days per injured employee. Mean days lost per work-related injury decreased from 35.1 to 27.6. Number of light-duty days increased from 6.1 to 11.1 per work-related injury. Mean annual indemnity per work-related injury decreased from $9327 to $4493; mean annual medical costs per work-related injury decreased from $4848 to $2679. The annual incidence of musculoskeletal injuries declined by up to 50%.
  
  
  CONCLUSIONS
  This intervention was associated with reduced musculoskeletal disability-related absenteeism and increased productivity. The program reduced medical costs per work-related injury and improved the company's communications and relationship with local physicians.
authors.affiliation: International Truck and Engine Corporation, 10400 W North Ave, Melrose Park, IL 60160, USA.
authors.forename: William B
authors.initials: WB
authors.lastname: Bunn
authors.forename: Robin S
authors.initials: RS
authors.lastname: Baver
authors.forename: Thomas K
authors.initials: TK
authors.lastname: Ehni
authors.forename: Allan D
authors.initials: AD
authors.lastname: Stowers
authors.forename: David D
authors.initials: DD
authors.lastname: Taylor
authors.forename: Anita M
authors.initials: AM
authors.lastname: Holloway
authors.forename: Duyen
authors.initials: D
authors.lastname: Duong
authors.forename: Dan B
authors.initials: DB
authors.lastname: Pikelny
authors.forename: David
authors.initials: D
authors.lastname: Sotolongo
mesh_terms: D000041:Absenteeism; D003363:Cost Control; D006233:Persons with Disabilities; D019468:Disease Management; D005260:Female; D006264:Health Benefit Plans, Employee; D005102:Health Expenditures; D006801:Humans; D007087:Illinois; D007221:Industry; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000453:epidemiology / Q000628:therapy*; D015397:Program Evaluation