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Return to Work April 12, 2011 Louise Caicco Tett, RN, BScN, CRSP

Return to Work April 12, 2011 Louise Caicco Tett, RN, BScN, CRSP. Learning Objectives. The participants will: Discuss WSIB’s New Service Delivery Model Describe the theory and legal requirements associated with Return to Work (RTW). Some food for thought….

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Return to Work April 12, 2011 Louise Caicco Tett, RN, BScN, CRSP

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  1. Return to WorkApril 12, 2011Louise Caicco Tett, RN, BScN, CRSP

  2. Learning Objectives • The participants will: • Discuss WSIB’s New Service Delivery Model • Describe the theory and legal requirements associated with Return to Work (RTW).

  3. Some food for thought….. • Rates of return to work in Ontario have declined over the past 10 years

  4. Some guiding principles • If an injured worker is off for six months, there is a 50% chance of that worker returning to work • Chances drop to 20% if worker is off one year • Time is of the essence! WSIB 2008, based on NIDMAR research

  5. More guiding principles • RTW is a process and must be managed in a systematic way • Injured workers want to get better and be productive members of society • Workers need to be treated with dignity and respect

  6. More guiding principles • RTW is based on objective medical information • We need to treat all employees in the same manner – i.e. consistency • Focus on abilities, not disabilities i.e. what canthe worker do? • Think outside the box

  7. New Service Delivery Model

  8. WhyRTW? Employer The law: • the employer shall contact the worker ASAP after injury and maintain communication throughout recovery • the employer shall provide suitable employment that is available and consistent with the worker’s functional abilities

  9. Why ESRTW? Worker Thelaw: • the worker shall contact the employer ASAP after injury and maintain communication throughout recovery • the worker shall assist the employer to identify suitable employment that is available and consistent with the worker’s functional abilities

  10. Physical Demands Analyses • systematic procedure to quantify, and evaluate all of the physical and environmental demand components of all essential and non-essential tasks of a job.

  11. Independent Medicals • Employer can request an independent medical; pays for it • Worker may appeal decision for IM • Board hears appeal, and makes a final decision

  12. Health Care Practitioners • Required to promptly give the Board such information relating to the worker as the Board may require • This includes Functional Abilities Forms

  13. WSIBForms

  14. Duty to Cooperate Worker and Employer

  15. The RTW Team • Injured Worker • Immediate Supervisor • Union Representative • Claims Manager • WSIB • Health Care Professional

  16. RTW Plans • Set Goals ex return to pre-injury employment • Actions – outline responsibilities of worker, supervisor, manager, co-workers • TimeFrames – ex two hours first week, 4 hours second week, etc • HealthCareNeeds – ex. appointments during work hours

  17. Communication is the key • Fill in the Blanks

  18. Case Study-2004 to 2007 • Knee injury Sept 2004, no lost time • Dec 2006 – employer informed that worker needed knee surgery in Jan 2007 • Started working on RTW – worker missed one week of work

  19. Case Study-2004 to 2007 • Received permission from WSIB to include a “road trip” with supervisor as part of RTW plan – was part of normal job; WSIB put some parameters in place to ensure safety; spoke to worker who was in agreement

  20. Case Study-2004 to 2007 • RTW included • working from home, • company driving worker to work (winter) • company paying for taxi to physio • physio as part of work day • wife driving worker to work

  21. Case Study-2004 to 2007 • RTW included • exercise bike at work • worker able to drive self to work • physio appointments at end of work day • back to full time hours, same job

  22. Why did it work? • Planned in advance • Supervisor had support from corporate office • Worker and his wife were supportive of process • WSIB was very involved • Physio focused on improvements • It was progressive – there was a goal

  23. Tell me one thing you’ll do differently in your RTW program

  24. Learning Objectives • The participants will: • Discuss WSIB’s New Service Delivery Model • Describe the theory and legal requirements associated with Return to Work (RTW).

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