This presentation is about reflecting on disability management based on international observations

1. © 2014 IBM Corporation
Smarter Social Programs
June 2014
Is there a new momentum for disability management?
A reflection based on international observations
Hector Upegui,
IBM Cúram Research
Institute, Germany

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Smarter Social Programs
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IBM response to social security/social services
Research &
Knowledge
1. IBM Cúram
Research Institute
2. IBM Cúram
Solution
Specialized
application for social
security and social
services
The IBM Cúram Research Institute and the
IBM Cúram Software are two specialized
structures of IBM responding to social
security and social services

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Smarter Social Programs
What is the IBM Cúram
Research Institute?
The IBM Cúram Research Institute is IBM’s social
policy research arm
Research Focus
The Institute's research focuses on the cross-over
from policy to service delivery with the aim of
developing new social business models and the
best practices that they encompass
Mission
To foster the development of best practice service
delivery models and evidence-based solutions for
social program organizations
EISS
Bridging the gap between Policy & Citizen-Centered Service DeliveryBridging the gap between Policy & Service Delivery
www.ibm.com/curam-research-institute
The Cúram Research Institute creates
cutting edge research in partnership
with:
— Universities with a focus on new social trends
— Multi-lateral agencies
— Think Tanks
— Non-Governmental Organizations
1. IBM Cúram Research Institute

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Smarter Social Programs
The IBM Cúram Research Institute publishes Thought Leadership
papers
The IBM Cúram Research Institute’s research is
categorized into the following sections:
Industry Point of Views:
Published research undertaken with social
enterprises, national and international bodies and
partner research organisations
Position Papers:
Published papers that describe a specific industry
issue and provide opinion on best practices.
Industry Consultations:
Input provided by the Cúram Research Institute
to public consultations on social policy related
issues that reflect policy or service delivery
reform objectives.
Client Advice:
Advice provided by the Cúram Research Institute
to clients on their reform agendas.
1. IBM Cúram Research Institute

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Smarter Social Programs
To show that:
• Numbers of people with disability will
increase (new cases & visibility)
• Technology is rapidly changing
• Social demands will be higher
• Values are changing
I will use information from:
• Data from some surveys
• International observations
This presentation is about reflecting on disabilitiy
management based on international observations
To ask:
• Is there a new time for
Disability management?

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Smarter Social Programs
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7%2-4%>15%
of people with severe
disabilities are children
between 0-14
13 m.
of all people with severe
disabilities are children
between 0-14 years
people have very significant
difficulties in functioning
190 m.
of people with disabilities
have very significant
difficulties in functioning
of the world’s population
are estimated to live with
some form of disability
> 1 billion
of the world’s population
based on 2010 global
population figures
Impact of risk factors on moderate and severe disability **
17%73%of moderate and severe
disabilities result from
daily life
Disability has to be addressed
* WHO World Health Survey of 2002–2004 and the Global Burden of Disease (GBD) 2004
** IBM Cúram Research Institute based on GBD data-2004 –Years lost to disability (YLD)
10%
of moderate and severe
disabilities result from
occupational risks
of moderate and
severe disabilities
result from road
traffic risks

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The number of people with disabilities is increasing, mainly for
the following reasons/challenges:
The number of
people with
disabilities is
increasing and
will keep on
increasing.
The following
reasons,
converted in
challenges, are
the reasons for
that
•Demographic changes
•Chronic diseases
•Behavioral changes
•Shift of traditional to non-
traditional risks (for example
from asbestos to psychological
risks)
•Technological changes (new
risks)
•Armed conflicts and violence
•Demands for economic and
social equality
Challenges

8. © 2014 IBM Corporation 8
Smarter Social Programs
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The number of people with disabilities is increasing, mainly for
the following reasons/challenges:
The number of
people with
disabilities is
increasing and
will keep on
increasing.
The following
reasons,
converted in
challenges, are
the reasons for
that
•Demographic changes
•Chronic diseases
•Behavioral changes
•Shift of traditional to non-
traditional risks (for example
from asbestos to psychological
risks)
•Technological changes (new
risks)
•Armed conflicts and violence
•Demands for economic and
social equality
Challenges

9. © 2014 IBM Corporation 9
Smarter Social Programs
Example of a population (demographic changes-Chronic diseases)

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Smarter Social Programs
Baby Boomers Generation X Generation Y (Millennia) Generation Z
Exercise: Let us assume that we can travel in time to visit a 30 years old
expert from a workers compensation insurance company. What might
be the discussions around occupational diseases diagnosis?
• Cancer
• Lung diseases
• Alergies
• Skin diseases
• Noise-Induced
hearing loss
• Musculoskeletal
• Cancer
• Lung diseases
• Alergies
• Skin diseases
• Noise-Induced
hearing loss
• Psychological
• Musculoskeletal
• Cancer
• Lung diseases
• Alergies
• Skin diseases
• Noise-Induced
hearing loss
• ??????
• Psychological
• Musculoskeletal
• Cancer
• Lung diseases
• Alergies
• Skin diseases
• Noise-Induced
hearing loss
Moredemandingsociety
Travel
20 to 30
years
back
Travel
4 to 19
years
back
Travel
4 years
back
Travel
27 years
in the
future

11. © 2014 IBM Corporation 11
Smarter Social Programs
Variety
Volume Velocity
Veracity
of Tweets
create daily
12 terabytes
trade events
per second
5million
Of video feeds from
surveillance cameras
100’s
“We have for the first time
an economy based on a
key resource
[Information] that is not
only renewable, but self-
generating.
Running out of it is not a
problem, but drowning in
it is.”
– John Naisbitt
Decision
makers trust
their information
Only 1 in 3
We’ve Moved into a New Era of Computing
40 Million books each
of 100 pages per day

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Smarter Social Programs
The apps use the GPS and compass in your phone to pinpoint your location
and show you where all the surrounding celestial bodies are, even if your view
is blocked. Most of the apps don't even need an Internet connection to function
so you can take them on camping trips.
Just open the app, point your smartphone at the sky, and the app will identify
the planets and stars around you.
“taken from Business insider”

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Social Determinants of Return to Work – Prevention over Reaction
• Most of the 20th century’s 30 year increase in life expectancy has been
attributable to public health interventions, e.g. water, food transportation,
workplace safety and smoking reductions
6 miles apart with a
20 year difference
in life expectancy
Source: Lloyd B. Minor, M.D. John
Hopkins
Source: Sowad, Barbara J. A call to be whole:
the fundamentals of health care reform, CT. 53
The medical systems treats
people and then sends them
back to the conditions that
made them ill
What are the social
determinants that we
would like to address to
better predict outcomes
from return to work
programs?

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Smarter Social Programs
More leverage for disability management?
This means Disability Management
new opportunities, new strategies for implementing
Socio-economic demands
Values Technology
Demographic changes (dependency, chronic
diseases, job/risks matching), migration
Generations, communication,
family and community support,
equality,
Adaptive tools and strategies,
data management, information
as an asset
Disability
management
From prevention
to social inclusion

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