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Copyright, 2010 WorkSTEPS, Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

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Page 1: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Employment Functional Testing The WorkSTEPS model

Daren Martin, MPT

Page 2: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Objectives1) Understanding what Functional Testing is.2) Identifying WorkSTEPS Functional Testing

System3) Learning the types of Functional Tests offered

for New Hires, Existing Employee's, and Injured Workers

4) Be able to differentiate which Tests to use and why

5) Understand the benefits of Employers using WorkSTEPS Functional Testing

Page 3: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Why Functional Testing?•Employment decision is a function of risk

assessment and management•New laws changed how employers

Qualify new hires Respond to injured workers

•Continual need for industry injury management and prevention

Page 4: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

According to 2000 LRP Publications: 10% of Americans Ages 16-64 have some kind of limitation in amount or kind of work they can perform10% of American Workforce is physically incapable performing the essential functions of their jobs safely75% of work related injuries occur among the same 10% of the workforce

Page 5: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Function Based Prevention & Injury Management Programming

Post-Offer and Post-Employment Testing System

WorkSTEPS®

© Copyright – All Rights ReservedThis presentation is the unpublished, confidential, and proprietary product of WorkSTEPS, Inc. and is subject to limited distribution and restricted disclosure only. Any unauthorized use, reproduction, or transfer of this presentation or its contents is strictly prohibited.

Page 6: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

The mission of WorkSTEPS® is to provide a functional employment test that is medically safe, legally compliant, scientific, and objective in order to match a worker’s functional capabilities with the essential functions of the job.

WorkSTEPS® provides an objective system to prevent injuries and set realistic rehabilitation treatment plans for a safe, expedited return to work. WorkSTEPS has developed protocols, procedures, and processes that include:

 •Job Analysis / Worksite Assessment•Functional Employment Testing•Continuing Education Training•Injury Management Protocol

WorkSTEPS, Inc.

Page 7: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

The foundation for the Program is individualized, objective, scientific data collection that conforms fully to laws and regulations that govern employment and labor. The Program is comprised of the protocols, processes, and procedures which appropriately, objectively match medically safe and functionally capable new hires to the job.  Implementation of the program: 

•Assist in resolution of claims•Evaluations relevant to physical performance•Help mitigate the number of claims•Historical pre- injury data “baseline”•Moderate the cost of claims•Utilizes appropriately designed and administered tests

WorkSTEPS, Inc.

Page 8: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

WorkSTEPS Legal Compliance•Americans with Disabilities Act (ADA)•Americans with Disabilities Act

Amendment Act (ADAAA)•Family and Medical Leave Act (FMLA)•Health Insurance Portability and

Accountability Act (HIPAA)

Page 9: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

The protocols and procedures are reviewed by national employment labor law firmsWorksteps providers are required to complete intensive certification training before being allowed to offer the WorkSTEPS Functional Employment Testing Program to employersAlso required to recertify every 2 yrs.

Page 10: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

WorkSTEPS Services•New HIRE

1. Pre-Offer Agility2. Post-Offer Comprehensive3. Upper Quadrant/Carpal Tunnel

Page 11: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

1. Pre-Offer Agility: before offer of employment is made to a candidate, a Pre-Offer may be given to indentify whether or not individual has the physical demand capacity required to perform a level of work.  No medical history collected or exams administered.  Test simply establishes Physical Demand Criteria (PDC) level at which they can safely perform.  Results are based only on the applicants strength, the ability to meet essential function requirements

Page 12: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

2. Post Offer Comprehensive: Candidate submits a medical history for review with a clinician, undergoes a number of medical measurements, maximum effort lifting and essential function tests to objectively quantify pre-existing conditions and cumulative traumas. Must demonstrate the capability to safely perform the essential functions of his/her job. Information may also be used as a baseline for comparison in future.

Page 13: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

3. Upper Quadrant/Carpal Tunnel: Used to determine capability as it relates to repetitive job function, may be used independently or as part of post offer comp/ and or component to injured worker Fit for Duty test.

Page 14: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Existing Employee1. Post-Employment Physical Agility• This non-medical test may be used preventatively and

administered periodically to ensure existing employees continue to be able to meet the PDC necessary to safely perform essential functions of the job

• Employers may request this type of testing for all employees in a particular job class to ensure they remain capable of performing physically demanding job tasks

• This test may be utilized when an employee has been on leave and workSTEPS provider suspects that there is no legally compliant reason to collect medical measures.

• Is frequently used for testing employees affecting public safety, such as firefighters and police officers.

Page 15: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Injured Worker1. Fit for Duty

Administered to current employee post-injuryFocuses only on injured part of body used in specific

job taskAccording to EEOC mandates:

“a medical examination of a current employee may be given only when it is job related and consistent with business necessity.”

Page 16: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Injured Worker Cont.2. Functional Capacity Evaluation (FCE)

A full body comprehensive medical test used to measure an employee’s functional capacity, typically post-injury, whether the injury was sustained while at work or it existed previously.

Is the most involved and detailed type of functional testing.(3-6 hours)

Page 17: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

1.The FCE may be used alone to document existing impairments or used in combination with Post-Offer Comprehensive test as a comparison against original baseline data.

2.May be used to prove consistency/validity of performance and create realistic, objective rehabilitation goals, return to work recommendations, or work conditioning programs.

Page 18: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Page 19: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Page 20: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Page 21: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Page 22: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Page 23: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Expansion of Services1. Worksite Assessment/Job Analysis2. Early Intervention and Employee

Accountability3. Wellness Fascilitation4. Continuing Education

a) Employer Educationb) Provider Education

Page 24: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

WorkSTEPS®

Results: Reduced incidence and costs related to work

injuries by an average of 50% (with some clients having achieved reductions as high as 86%) during first year implementation with increased reductions in second and third years!

Page 25: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

TECHNOLOGY & SYSTEMSWorkSTEPS® forms and technology systems are HIPAA

compliantWeb based state of the art technology All data is stored in a secured data center

(rackspace.com)Real time, automated reporting generated within seconds

of data entry completion (virtually instantaneous)Full range of automated reports:

Statistical Analysis (gender, age, task, etc.)ROI ReportingDisparate Impact Reporting

Page 26: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Actual Experience Employment testing database contains over 1M

employment tests and shows “not capable” rates of 7-14% (10.2% average).

Employers using employment testing are experiencing injury reductions and cost savings averaging between 50%- 86% !!!

Functional testing will prevent one claim in every 10 employees with a minimal savings of $10,000 to $30,000 in an uncomplicated case.

Page 27: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

WorkSTEPS®

Barnes Aerospace

SYSCO

Waste Management

COMAIR

Kinetic Concepts, Inc.

Chevron

Conoco Phillips

Nabors Drilling

Trinity Industries

Leggett & Platt

Milk Products LLC

Republic Services

Johnson Controls

Embarq

Autoliv

AIMCO

Proctor & Gamble

Missouri DOT

Chaparral Steel

Southern California Edison

And many more!

Some Of Our National Clients:

Page 28: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

Some of Alliance PT’s Local Clients• Church and Dwight• Bridger Coal

Company• Unit Drilling• Thomas Energy• Chesapeake Energy• Cummins Rocky

Mountain

• Ready Oilfield Services

• Oil States Energy• Simons Petroleum• E&J Well Service

Page 29: Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

Copyright, 2010 WorkSTEPS, Inc.

THANK YOU!

1977 Dewar Drive Suite J

Rock Springs, WY 82901

(307) 382-3228 Phone

(307) 382-6886 Fax

www.aptwy.com