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INJURY PREVENTION IN THE WORKPLACE. TOOLS FOR COST CONTAINMENT. TOOLS FOR INJURY MAMANGEMENT FUNCTIONAL JOB DESCRIPTIONS POST OFFER/PRE-EMPLOYMENT SCREENS FUNCTIONAL CAPACITY EVALUATIONS ACTIVE SURVEILLANCE. Why Injury Prevention ?. Decrease injury-related expenses ADA and OSHA Compliance

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injury prevention in the workplace

INJURY PREVENTION IN THE WORKPLACE

TOOLS FOR COST CONTAINMENT

WORKSAFE Physical Therapy

slide2

TOOLS FOR INJURY MAMANGEMENT

    • FUNCTIONAL JOB DESCRIPTIONS
    • POST OFFER/PRE-EMPLOYMENT SCREENS
    • FUNCTIONAL CAPACITY EVALUATIONS
    • ACTIVE SURVEILLANCE

WORKSAFE Physical Therapy

why injury prevention
Why Injury Prevention?
  • Decrease injury-related expenses
  • ADA and OSHA Compliance
  • Employee satisfaction and retention
  • Improve productivity
  • Improve profit margin

WORKSAFE Physical Therapy

slide4

INJURY COSTMedical CostsEmployee WagesBenefit Package PaymentsSalary of Replacement PersonnelTraining of Replacement PersonnelOvertime for Current Personnel

WORKSAFE Physical Therapy

functional job descriptions
FUNCTIONAL JOB DESCRIPTIONS

FOUNDATION FOR ALL OTHER TOOLS

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determine the physical demands of the job
Determine the Physical Demands of the Job
  • Direct observation
  • Video analysis
  • Comprehensive description of physical demands

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post offer screens
POST-OFFER SCREENS

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how does pre employment work
How does pre-employment work?

Research shows

Matching worker’s abilities to job demands

Prevents injury

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effectiveness
Effectiveness
  • Major manufacturer of optical fiber
  • Used ErgoScience evaluation
  • 1,000 applicants screened over 4 years
  • Less than 10 injuries

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benchmarking
Swift Trucking

30-50% reduction in new employee injuries

Heinz

77% reduction in TRIR’s

$130,000 decrease in work comp expenses

Goodyear (Unionized)

80% reduction in new hire injury claims

65% decrease in cost of work comp claims

12% decrease in lost time days

48% increase in new hire retention rates

Benchmarking

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optimal sequence
Optimal Sequence
  • Interview
  • Conditional offer
  • Post-offer/pre-employment screen
    • medical screen
    • physical abilities testing

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steps of the post offer screening process
Steps of the Post-offer Screening Process
  • Focusing the post-offer screening
  • Determine physical demands
  • Customize screening
  • Implementation
  • Modification

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compare abilities to job demands after conditional offer
Compare Abilities To Job DemandsAfter Conditional Offer

Abilities match job demands

HIRE AND PLACE

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compare abilities to job demands after conditional offer15
Compare Abilities To Job DemandsAfter Conditional Offer

Abilities do not match job demands

  • Disability reasonable accommodation
  • Non-disability do not hire

or

alternative placement

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important considerations
Important Considerations

Americans with Disabilities Act

(ADA)

Must test only the essential

functions of the job!

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traps to avoid
Traps to AVOID!
  • Pre-offer testing
  • Predicting future injury
  • General strength testing
  • Making comparisons to normative data

ADA

EEOC

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instead
INSTEAD...

DETERMINE WHETHER PHYSICAL ABILITIES MEET JOB DEMANDS

AVOID PROBLEMS!

AVOID LITIGATION

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functional capacity evaluation
FUNCTIONAL CAPACITY EVALUATION

PWPE-PHYSICAL WORK

PERFORMANCE EVALUATION

WORKSAFE Physical Therapy

in workers compensation life altering decisions are made
In Workers Compensation Life-Altering Decisions Are Made !

Safe Return to Work?

Disability determination?

Employability?

Continuation of Treatment?

Residual Functional Capacity?

Implications of these decisions are enormous!

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timing is everything
Timing is everything...
  • Return to work too soon Injury???
  • Out of work too long Costs everyone!
    • Employer
    • Insurer
    • Patient
    • Health Care Provider

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functional capacity evaluations
Functional Capacity Evaluations
  • FCE can help you make appropriate RTW decisions
  • Objective Measures
    • Provide Critical Information
    • Save You Time

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without fce rtw decisions require a lot of guesswork
Without FCE... RTW Decisions Require a Lot of Guesswork!
  • Client self-report
    • Do you think you are ready to go back to work?
  • Impairment/diagnosis-based decision
    • Imaging studies
    • Range of motions
    • General impressions

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problems with this approach
Problems with This Approach
  • Self-report
    • Is influenced by motivation
      • job satisfaction
      • financial incentives
  • Impairment information
    • Not equal to function

No objective information about patients’ functional abilities

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an fce can help you
An FCE Can Help You….
  • Progress Treatment
  • Match Abilities to Job Demands
  • Make RTW Decisions
  • Determine Work Restrictions
  • Make Reasonable Accommodations
  • Evaluate Performance Inconsistencies
  • Facilitate Case Closure

WORKSAFE Physical Therapy

pwpe benefits to the patient client
PWPE Benefits to the Patient/Client
  • Knowledge of Safe Activity Levels
  • Increased Confidence in Ability to RTW
  • Objective Information for
    • Improving Function
    • Overall Quality of Life

WORKSAFE Physical Therapy

pwpe benefit to the physician
PWPE Benefit to the Physician
  • Provides an accurate summary of physical capacities
  • Saves time
  • Improves communication
    • patient,
    • employer,
    • other providers
  • Can be counted on in court

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pwpe benefit to the case manager
PWPE Benefit to the Case Manager
  • Objective information for the rehab plan
  • Reliable data to facilitate case closure
  • Expedites safe, productive return to work

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when should i order the pwpe
When should I order the PWPE?
  • When you need to make...
    • a return to work decision
    • a disability determination
  • When you need...
    • objective, functional information for job placement

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how does the pwpe report assist me with my patient s case
Overall level of work

Tolerance 8 hr day

Level of cooperation

Specific limitations

Job match

Interventions

Job placement

Work transition

Barriers to address

Modified duty needs

Return to work decisions

Program planning

How does the PWPE report assist me with my patient’s case?

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active surveillence
ACTIVE SURVEILLENCE
  • Promotes early reporting of injury.
  • Identification of ergonomic hazards.
  • Real time quick fixes of hazards.
  • Workers job satisfaction improves.
  • Opportunity for safety education.
  • Enhanced communication with supervisor.
  • Immediate instruction in first aide measures.

WORKSAFE Physical Therapy

slide32

WorkSafe Physical Therapy

“Promoting wellness, preventing injury.

Nancy Wilson, PT Shelly Kueny, PT

1999 N Amidon, Ste 100

Wichita, Ks.

316-262-8800

WORKSAFE Physical Therapy

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