Most Employees Call in “Sick” for Reasons Other Than Illness Poor Morale Adds Up to Even More No-Shows Tips for Effective Absence Management Two-thirds
of U.S. workers who call in sick at the last minute do so for reasons
other than physical illness, according to the findings of the 17 th
annual CCH Unscheduled Absence Survey. CCH is a leading provider of
human resources and employment law information and services and part of
Wolters Kluwer Law & Business ( hr.cch.com ).
The
2007 CCH Survey found that while 34 percent of people call in sick to
work at the last minute due to “personal illness,” 66 percent are
taking time off to deal with personal or family issues.
“Most
people today are juggling the demands of busy personal and professional
lives, and are trying to do their very best in both places,” said CCH
Employment Law Analyst Pamela Wolf, JD. “Organizations need to stop the
tug of war with people for their time, and become a partner to
employees to help them, and the business overall, be more successful.”
Employers,
however, have failed to make significant headway against the costly
absenteeism problem that takes billions of dollars off the bottom line
for U.S. businesses. The nation’s largest employers estimate that
unscheduled absenteeism costs their businesses more than $760,000 per
year in direct payroll costs, and even more when lower productivity,
lost revenue and the effects of poor morale are considered.
According
to the 2007 CCH Unscheduled Absence Survey, conducted for CCH by Harris
Interactive®, the absenteeism rate was 2.3 percent in 2007, down
slightly from 2.5 percent last year.
The
CCH Survey also found that for many employers, it’s no surprise when
employees are likely to be no-shows. More than two-thirds (68 percent)
report finding a discernable pattern in unscheduled absences, with 37
percent of organizations reporting the most noticeable pattern is
people calling in sick on Mondays and Fridays, followed by 17 percent
recognizing the most noticeable pattern occurring around holidays such
as Christmas or the Fourth of July and 13 percent reporting their most
noticeable pattern of unplanned absences occurs during flu and hay
fever seasons.
The
CCH Unscheduled Absence Survey, conducted by CCH for the past 17 years,
is the definitive survey on absenteeism in the workplace, measuring the
rate, cost and reasons associated with unscheduled absence in the U.S.
What Keeps People Off the Job
The
survey found that Personal Illness accounts for only 34 percent of
unscheduled absences, while 66 percent of absences are due to other
reasons, including Family Issues (22 percent), Personal Needs (18
percent), Entitlement Mentality (13 percent) and Stress (13 percent).
The
challenge for both employees and employers is that, for many people,
demands on the home front have changed at the same time demands of the
workplace have increased.
“Many
employees today are asked to give 110 percent on the job – to do more
with fewer staff, work long hours and handle work-related issues after
hours from home,” said Wolf. “But these workers may also be part of
dual-earning families, or they may be single parents or caregivers for
aging parents. They are willing to go the ‘extra mile’ for the company,
but they are also taking back the time when they need it to care for
themselves and their families,” said Wolf.
The cost of this tacit give-and-take arrangement is too high to go unchecked, according to CCH.
“Unscheduled
absenteeism is a problem that no organization can afford to ignore –
either from a cost or productivity standpoint. With the appropriate
programs in place, businesses can significantly reduce the number of
last minute no-shows, improve the work environment for all employees
and realize substantial savings,” said Wolf.
Organizations Search for Solutions
One of the first steps in partnering with employees is offering an appropriate range of work-life and absence control programs.
“Traditional
sick leave and inflexible time-off policies may put an employee in the
position of having to conjure up a cold and take off an entire day when
they really just needed two hours to take a parent to a pre-arranged
medical appointment,” noted Wolf.
By
offering a range of programs, employers can reduce last minute
no-shows, benefiting both the business and the employees who keep it
running.
Work-life programs
The
CCH Survey examined a wide range of work-life programs and asked
employers to report on the programs they use and their effectiveness in
controlling unexpected time off.
On a scale
of 1 to 5 (with 5 being most effective), the work-life programs rated
highest for reducing unscheduled absences are Alternative Work
Arrangements (3.6), Telecommuting (3.5), Compressed Work Week (3.3),
Leave for School Functions (3.2)and Flu Shot Programs (3.2).
Of
the work-life programs offered by employers, the top five in use are
Employee Assistance Plans (72 percent), Flu Shot Programs (66 percent),
Wellness Programs (60 percent), Leave for School Functions (54 percent)
and Alternative Work Arrangements (54 percent).
“This
blend of programs, focusing on flexibility and good health, is a
promising sign that employers are trying to partner with employees to
help them balance the personal and professional aspects of their
lives,” said Wolf.
She
notes, however, that companies can be even more effective. Overall,
survey results indicate that companies remain challenged in making sure
they have the most effective programs in place to meet employee needs.
In some cases, the CCH Survey found that the programs employers view as
most effective in combating unscheduled absenteeism are not the
programs that are most used.
“The
fact that two of the programs that companies rated as most effective –
Telecommuting and Compressed Work Week – are not also among the most
used signals the need for employers to step back and assess if they
have the right programs in place for their people,” said Wolf.
The 2007
CCH Unscheduled Absence Survey found that U.S. companies offer an
average of 9 work-life programs, down from 11 in 2006. And, w hile the
majority of employers still offer an array of different programs, the
survey also found a decrease in the number of employers offering
specific work-life programs. Four out of the five most effective
programs showed a decline in use. Among programs seen as “most
effective,” Flu Shots is the only program to see an increase in usage,
now offered by two-thirds (66 percent) of employers, up from 64
percent.
With
health care costs continuing to climb in the U.S., employers may be
trying to offset these high costs by eliminating programs that are
perceived as being “nice to have,” versus “need to have.”
“Some
organizations view work-life programs as a soft benefit that can be
taken away without much pain, but this short-term view can have
negative, far-reaching consequences – on unscheduled absences, employee
morale, recruiting and retention and the bottom line,” warns Wolf.
“Employers need to fully consider the real costs of eliminating these
programs before taking action.”
Effectiveness and Use of Work-life Programs
| Work-life Program |
Effectiveness Rating (1=Not Very Effective; 5=Extremely Effective |
Percent Use |
| Alternative Work Arrangement |
3.6 |
54% |
| Telecommuting |
3.5 |
53 |
| Compressed Work Week |
3.3 |
45 |
| Flu Shot Programs |
3.2 |
66 |
| Leave for School Functions |
3.2 |
54 |
| Emergency Child Care |
3.1 |
32 |
| Job Sharing |
3.0 |
38 |
| On-site Child Care |
2.9 |
32 |
| Employee Assistance Plans |
2.9 |
72 |
| Wellness Programs |
2.9 |
60 |
Absence Control Programs
Employers
report they use an average of 5 absence control programs, down from 6
in 2006. Disciplinary Action remains the single-most used absence
control program, with 89 percent of surveyed organizations reporting
use. The other leading absence control programs in use are Yearly
Review (82 percent), Verification of Illness (74 percent), Paid Leave
Banks (60 percent) and No Fault (59 percent).
The
survey found that Paid Leave Banks (also known as Paid Time Off)
continue to be the most effective absence control program, with a 3.6
rating. Paid Leave Banks / PTO provide employees with a single bank of
hours to be used as they see fit, instead of managing separate days for
sick, vacation and personal time. Other top programs include
Disciplinary Action and Buy Back (3.4), Bonus (3.3) and Verification of
Illness (3.2).
The survey
again found a lack of alignment between what programs employers are
using and what they determine to be most effective. For example, Paid
Leave Banks / PTO were not used by 40 percent of companies surveyed.
Another two of the most effective programs, Buy Back and Bonus
programs, were the least used by companies.
“Year in and
year out, employers report that Paid Leave Banks work best to combat
unscheduled absenteeism,” said Wolf. “They offer employees more
flexibility in how they use their time off, which enables them, and the
business, to plan for most absences.”
It’s a win-win situation, yet Paid Leave Banks / PTO has never taken the top spot in terms of what organizations use.
“Some
employers fear they are losing control if they give employees more
opportunity to manage their time,” she said. “But, the fact is, it is
better for businesses to work with their employees to plan for absences
than to be blindsided by them.”
Wolf
also warns that organizations need to ensure that the absence control
programs they favor do not have unintended consequences.
“Disciplinary
Action, for example, is very popular with employers, and can be
effective, but it can also drive the wrong behavior if it encourages
employees to call in sick with a made-up excuse or to come to work sick
– a costly problem known as presenteeism,” she said.
Effectiveness and Use of Absence Control Programs
| Absence Control Program |
Effectiveness Rating (1: Not Very Effective to 5: Very Effective)
|
Percent Use |
| Paid Leave Banks |
3.6 |
60% |
| Disciplinary Action |
3.4 |
89 |
| Buy Back |
3.4 |
53 |
| Bonus |
3.3 |
51 |
| Verification of Illness |
3.2 |
74 |
| Yearly Review |
2.9 |
82 |
| No Fault |
2.9 |
59 |
| Personal Recognition |
2.6 |
57 |
Lower Morale Leads to Higher Unscheduled Absences
It’s
probably no surprise that the more unhappy employees are, the more
reasons they’ll find not to come to work. The effect of morale is
reflected in the 2007 CCH Unscheduled Absence Survey, which found that
organizations with Good/Very Good morale experienced a 2.0 percent
unscheduled absence rate while those reporting Poor/Fair morale had a
rate of 2.7 percent.
Morale
influences the reasons people call in sick at the last minute, with 70
percent of unscheduled absences attributed to reasons other than
Personal Illness for organizations with Poor/Fair morale, compared to
62 percent for those with Good/Very Good morale.
Organizations
reporting Poor/Fair morale were more likely to experience unscheduled
absenteeism due to Entitlement Mentality (17 percent) and Stress (15
percent) than organizations reporting morale as Good/Very Good (11
percent and 10 percent, respectively).
Employers
are well aware of the effect morale plays on absenteeism. According to
the CCH Survey, more than twice as many employers (44 percent) with
Poor/Fair morale consider absenteeism to be a serious problem, while 21
percent of organizations with Good/Very Good morale share this concern.
Additionally, 27 percent of organizations with Poor/Fair morale report
that absenteeism has risen in the past two years, while only 12 percent
with Good/Very Good morale report an increase. The future outlook is
also pessimistic for employers with Poor/Fair morale, with 36 percent
predicting an increase in unscheduled absenteeism in the next two
years; 19 percent of employers with Good/Very Good morale share this
concern.
Reducing No-shows with Effective Absence Management Programs
With
66 percent of the workforce calling in sick for reasons other than
illness, and the disconnect between programs employers use and those
that are most effective, the CCH Survey shows that companies have the
opportunity to improve the success of their absence management
programs.
“The
first step to implementing an effective absence management program is
to have a good understanding of your employee population and their
needs,” said Wolf.
But,
surprisingly, most employers don’t seem to consider the changing needs
of their workforce when it comes to helping people manage their
professional and personal lives. Given the demographics of the working
population are starting to change dramatically as the Baby Boomers
begin retiring and the millennials are entering the workforce, a whole
new generation with an entirely different outlook and set of
expectations is emerging.
Yet,
the CCH Survey found 79 percent of employers do not anticipate that
changing workforce demographics will affect the work-life or absence
control programs they have in place. That’s a red flag for CCH’s Wolf.
“Organizations
can’t just stand still and hope the same programs they had in place 10
years ago will be effective for the next generation of employees, or
for older workers who are remaining in the workforce longer,” she said.
“Businesses that want to do something to control chronic unscheduled
absenteeism need to act now.”
The
challenge is for a business to balance its performance goals with what
else is important to its people and implement the right mix of
effective work-life and absence control practices that meets these
needs.
CCH recommends that organizations take the following five steps to ensure they have effective programs in place.
Implementing Effective Absence Management Programs
1. Capture and analyze information about absence trends and patterns: Involve management, HR and employees in the process. 2..Research work-life and absence control program options and best practices. 3. Evaluate program options: Assess programs compared with employee and business needs: Conduct program cost-benefit analysis; Evaluate effectiveness, benefits and costs of current programs; Evaluate opportunities, benefits and costs for implementing new programs, as well as eliminating ineffective programs. 4. Communicate programs and policies: Issue
advance information and guidance to managers to help them be effective
in talking to their teams and administering the programs; Issue all-employee communications with information about programs and guidance on how they can be used most effectively; Annually reissue communications to remind employees of programs and policies in place, and their effective use. 5. Formally reevaluate employee and business needs
and effectiveness of absence management programs every three to five
years, or more often if major changes occur within the organization.
Presenteeism: Sick at Work
On
the other side of the absenteeism issue, employers are faced with the
problem of presenteeism – when employees come to work even though they
are ill. While employees are well-meaning, their good intentions may
have ill effects as they deliver lower productivity and also pose
contagion risks to other employees and perhaps customers.
Thirty-eight
percent of employers reported that presenteeism is a problem in their
organizations. Of significant concern is that of the employers who said
presenteeism is a problem, 87 percent report that sick employees who
show up to work are suffering from short-term illnesses such as cold
and flu, which can be easily spread.
“The
cost of presenteeism may be hidden, but it is extremely high,” said CCH
Employment Law Analyst Brett Gorovsky, JD. “The upward spiral begins
with lost productivity and climbs from there – with increased safety
and quality risks, and of course the risk of infecting others. Those
people then also either miss work, or come to work sick where they are
a risk to others and their diminished productivity, quality and
attention to safety continue the costly cycle.”
Solving
the presenteeism problem means that employees need to take personal
responsibility and employers need to ensure that workplace culture and
policies do not encourage the wrong behavior.
“Employers
need to discourage the hero worker, whose cough used to be a badge of
honor,” said Gorovsky. “This short-sighted approach is bad for
business, as well as for employees.”
The
2007 CCH Survey asked employers what they are doing to reduce
presenteeism. A majority of organizations (54 percent) report that they
send sick employees home, while 40 percent educate employees on the
importance of staying home when sick and 34 percent foster a culture
that discourages employees from coming to work sick. Thirty percent of
employers say they use telecommuting programs as another way to deter
presenteeism.
At
the same time employers are combating presenteeism, there is a concern
that some traditional absence control and sick day policies may
actually encourage the behavior.
“Organizations
with traditional sick-day policies enforced by disciplinary action are
making it difficult for employees to do the right thing,” said Gorovsky.
If,
for example, an organization allows each employee five sick days a
year, and takes disciplinary action on the sixth absence, an employee
who has been wiped out with the flu for several days early in the year
may choose to come to work ill rather than risk the discipline. The CCH
Survey found that fear of discipline was the reason that nearly half of
employers (49 percent) say sick employees are on the job.
Other
reasons employees show up for work even though they are sick: 65
percent have too much work / deadlines; 56 percent say there is no one
available to cover their workload; 55 percent don’t want to use
vacation time; and 49 percent want to save sick time for later in the
year.
Some
employees can offset the risk of a poor health year if their employer
allows them to carry over the sick days that they didn’t use in
healthier years. Only 42 percent of organizations surveyed, however,
allow employees to carry over sick time from one year to the next – a
decline from 44 percent last year.
Having
paid sick leave and PTOprograms are effective ways employers can help
manage presenteeism. Sixty-nine percent of employers reported having
paid sick leave or paid time off in place as preventive measures to
help control presenteeism.
The issue
of presenteeism grows even more serious when the possibility of a
pandemic is considered. In addition to taking steps to ensure employees
don’t come to work sick under any circumstances, a growing number of
employers are implementing pandemic plans. Twenty-seven percent of
companies report they have a plan in place in the event that a large
percentage of employees become ill. That represents almost a 100
percent increase since 2006, when only 14 percent of companies surveyed
had such plans.
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