# Cost of Accidents and Ill- Health at Work Towards an EU-28 Estimate 19 th June 2014, Bilbao

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1 Cost of Accidents and Ill- Health at Work Towards an EU-28 Estimate 19 th June 2014, Bilbao

2 Estimating the cost of work-related injury and illness to the Australian economy

3 Background Industry Commission, Work, Health and Safety, September % of the costs of work-related incidents were indirect (lost productivity, lost income and quality of life). NOHSC (a predecessor to Safe Work) revisited the estimation process in 2004, enhancing the methodology by including additional estimates for indirect costs that were identified but not included in the Industry Commission study, Further estimates from the methodology have been released in 2008 ( financial year) and 2012 ( financial year), The methodology has been refined through the process 3

4 Methodological steps Steps to derive a cost estimate 1. Define key differentiators in the model (economic agents, type of cases); 2. Identify and define the major categories of economic costs borne by economic agents (workers, employers and the community); 3. Define the levels of severity of injury and disease to differentiate between incidents with different cost structures; 4. Identify correspondence between cost items and severity categories; 5. Determine the number of incidents in each severity category; 6. Calculate the average cost of a typical incident in each severity category; 7. Calculate the total cost of all work-related incidents by combining the typical cost of an incident with the estimates of the number of incidents. 4

5 Key methodological points Human cost: Costs associated with actual injuries or illnesses are included in the cost estimate; Incidence approach: Estimate the number of people entering the compensation (or medical) systems during a particular year as a result of work-related accident or illness and the costs (both current and expected future costs) associated with those cases; Since only new cases are measured under the incidence approach, the expected future cost of new cases over the lifetime of a case is used to proxy the cost in the reference year of cases that were already in the system at the start of the current reference year; 5

6 Key methodological points The lifetime cost approach makes the assumption that the level and structure of current costs will accurately reflect ongoing costs into the future. A discount rate approach is used to dollar values into equivalent reference year monetary values; Ex-post approach; costs are attributed to incidents after they occur and as a direct result of the incident. The ex-post view of costs is generally associated with the incidence approach to measuring total cases. 6

7 Methodology continued The number of total (non-fatal) incidents are estimated by combining workers compensation claims with Australian Bureau of Statistics (ABS) Work Related-Injuries survey estimates of work-related injury and illness, Total fatalities are estimated using a combination of compensated fatalities, estimates of traumatic injury fatalities and estimates of disease fatalities which can be attributed to workplace exposure (through population attributed fractions) 7

8 Methodology continued Five severity categories are defined, Incidents are dimensioned by injury and disease cases, and between compensated and uncompensated cases, A distinction is made between economic agents workers, employers and the community. 8

9 Conceptual cost categories Production disturbance costs costs incurred in the short term until production is returned to pre-incident levels Human capital costs long run costs, such as loss of potential output, occurring after a restoration of pre-incident production levels Medical costs costs incurred by workers and the community though medical treatment of workers injured in work-related incidents Administrative costs costs incurred in administering compensation schemes, investigating incidents and legal costs Transfer costs deadweight losses associated with the administration of taxation and welfare payments, and Other costs includes costs not classified in other areas, such as the cost of carers and aids and modifications. 9

10 Conceptual cost categories 10

11 Severity categories 11

12 Severity and cost categories 12

13 Key parameters Discount rate (opportunity cost of not saving) Inflation rate Productivity rate (productivity improvements over time) Human capital loss for permanent cases and fatalities Rate of disputation for prosecutions Private health cover take up Average weekly earnings Average duration of absence by severity category Average age at incident by severity category Average medical, investigation and travel costs per incident by severity category 13

14 Key parameters Item Description Estimate Average earnings Proxy for productivity, ABS Employee Earnings and Hours survey (ABS Cat. No ), May Average weekly total earnings, persons, all employees. \$1 313 pw \$1 370 pw + overtime Discount rate Opportunity cost of money: Average of rates of return for private and government saving instruments and RBA target for January 1990 to June 2009 (RBA table F2). 6.00% p.a. Inflation rate Productivity rate Bulk-billing rate Average of annual weighted ABS Consumer Price Index (CPI, ABS Catalogue ), March 1993 to June Annual increase in workers productivity. Commonwealth Government Intergenerational Report. Proportion of consultations that are bulk-billed (source: DoHA Medicare statistics). 2.60% p.a. 1.75% p.a. 74.0% of cases Private Health Insurance take-up Private Health Insurance Administration Commission (PHIAC) estimates of coverage of health insurance, September % of cases Reduced life expectancy for long term cases AIHW Healthy Life Expectancy (HALE) (Source: AIHW Mortality, Life Expectancy, 73 years Retirement age Average time to settlement of claims Average overtime pay rate Median retirement age of older Australians (Source: ABS Retirement and Retirement Intentions, December 2009, ABS Catalogue ). Average of weighted average of expected term to settlement (Workers compensation jurisdiction annual reports, ). Difference between average weekly ordinary time earnings and average weekly earnings (Source: ABS Employee Earnings and Hours, May 2010, ABS Catalogue ). 64 years 3 years 4.5% Medical costs a Total medical costs per claim: 72% of goods and services payments per claim, by severity and nature (NDS). Dependent on severity category (Table A2) Travel costs a Total travel expenses per claim: 6% of non-compensation payments per claim, by severity and nature (NDS). Dependent on severity category (Table A2) 14

15 Estimation process The average cost of a work-related incident is estimated by aggregating the estimated average cost associated with each relevant indirect cost item, Relevant items are determined by the severity category and the economic agent, The total cost of work-related injury and disease is calculated by combining the number of work-related incidents and the average cost of an incident by severity category. 15

16 Summary of economic cost estimates Estimation period Economic agent Estimated economic cost (\$b) GDP (\$b) a Economic cost as % of GDP Australian Workforce ( millions) b Total \$34.3 \$ % 9.09 Employer 7% Workers 44% Community 53% Total \$57.5 \$ % Employer 3% Workers 49% Community 47% Total \$60.6 \$ % Employer 5% Workers 74% Community 21% a ABS Catalogue , Australian System of National Accounts, b ABS Catalogue , Labour Force Australia, May

17 Examples of presentation of results Estimate 17

18 Economic cost estimate Agent Type Short absence Long absence Partial incapacity Full incapacity Fatality Overall cost Employer Injury * 0* Disease 0* * Total Worker Injury 0* Disease 0* Total Community Injury Disease Total All Injury Disease Total

19 Distribution of total costs (\$b) 19

20 Economic cost estimate Type of incident % Short absence Long absence Partial incapacity Full incapacity Fatality Overall cost Injury Incidents 65% 27% 8% 1% 0% 100% Costs 3% 11% 61% 23% 3% 100% Disease Incidents 30% 40% 27% 1% 1% 100% Costs 0% 5% 77% 9% 8% 100% Total Incidents 55% 30% 13% 1% 0% 100% Costs 1% 8% 69% 16% 5% 100% Economic agent Short absence Long absence Partial incapacity Full incapacity Fatality Overall cost Employer 22% 33% 3% 0% 3% 5% Worker 0% 12% 88% 52% 72% 74% Community 78% 55% 9% 48% 25% 21% 20

21 Economic cost estimate Industry division Injury cost Disease cost Total cost % of costs % of incidents % of workforce Unit cost Manufacturing % 16% 9% Health & Community Services % 12% 11% Construction % 9% 9% Retail Trade % 8% 11% Transport & Storage % 7% 5% Property & Business Services % 11% 9% Education % 6% 8% Government Administration & Defence % 7% 10% Personal & Other Services % 5% 4% Wholesale Trade % 5% 4% Accommodation, Cafes & Restaurants % 4% 7% Agriculture, Forestry & Fishing % 3% 3% Mining % 2% 2% Cultural & Recreational Services % 2% 2% Finance & Insurance % 1% 4% Communication Services % 1% 2% Electricity, Gas & Water Supply % 1% 1% Australia % 100% 100%

22

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