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Identifying Light Duty Positions and Restricted Work Programs. Phyllis Guarin RN, CLNC NNMC BETHESDA. What Is Federal Employees’ Compensation Act?. Provides benefits for civilian employees of the United States who have suffered work-related injuries or occupational diseases - PowerPoint PPT Presentation
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04/22/23
Identifying Light Duty Positions Identifying Light Duty Positions and Restricted Work Programsand Restricted Work Programs
Phyllis Guarin RN, CLNCPhyllis Guarin RN, CLNCNNMC BETHESDANNMC BETHESDA
04/22/23
What Is What Is Federal Employees’ Compensation Act?Federal Employees’ Compensation Act? Provides benefits for civilian employees of the Provides benefits for civilian employees of the
United States who have suffered work-related United States who have suffered work-related injuries or occupational diseasesinjuries or occupational diseases
Intended to be remedial in nature and Intended to be remedial in nature and proceedings under it are non-adversarialproceedings under it are non-adversarial
04/22/23
04/22/23
Likelihood of RTW Dependent Likelihood of RTW Dependent on Duration of Disabilityon Duration of Disability
> 6months - 50% chance of return> 6months - 50% chance of return
> 1 year - < 10% chance of return> 1 year - < 10% chance of return
> 2 years - very slight chance of ever > 2 years - very slight chance of ever returning returning
04/22/23
THE AVERAGE COST OF A THE AVERAGE COST OF A CLAIM INCREASES 1-3% CLAIM INCREASES 1-3%
FOR EVERY DAY FOR EVERY DAY REPORTING IS DELAYED REPORTING IS DELAYED
FROM THE DATE OF INJURY FROM THE DATE OF INJURY
04/22/23
Workers’ Compensation CostsWorkers’ Compensation CostsFYI 07/01/01 to 06/30/02FYI 07/01/01 to 06/30/02
020,000,00040,000,00060,000,00080,000,000
100,000,000120,000,000140,000,000160,000,000180,000,000
Navy Army USAF
MedicalCompFatal Cost
04/22/23
Goals of NNMC FECA ProgramGoals of NNMC FECA Program
Reduce compensation costs and lost work Reduce compensation costs and lost work daysdays
Promote full-compatible return to workPromote full-compatible return to work
Assist with recovery of injured employeeAssist with recovery of injured employee
Improve access to careImprove access to care
04/22/23
NCM ResponsibilitiesNCM Responsibilities Manage Workers’ Compensation ProgramManage Workers’ Compensation Program Organize/maintain databaseOrganize/maintain database ICPA & agency liaisonICPA & agency liaison Coordinate care from DOI to RTWCoordinate care from DOI to RTW Assist supervisorsAssist supervisors Develop Return To Work (RTW) programDevelop Return To Work (RTW) program Reduce comp costsReduce comp costs Educate employeesEducate employees Educate supervisorsEducate supervisors
04/22/23
NNMC Costs for New Workers’ NNMC Costs for New Workers’ Compensation ClaimsCompensation Claims
MedicalMedical 00 $27,27900 $27,279 01 $6,94601 $6,946 02 $4,71902 $4,719
****NNMC has 100% NNMC has 100% RTW rate for new RTW rate for new cases 03/00 to cases 03/00 to 07/0307/03
CompComp 00 $24,90800 $24,908 01 $4,94001 $4,940
02 $3,151 02 $3,151
04/22/23
Return to Work Risk FactorsReturn to Work Risk Factors IndividualIndividual::
Age Age (risk > with age)(risk > with age)
GendeGender (risk > with females)r (risk > with females)
Psychosocial: Psychosocial: personality traits, depression, personality traits, depression, coping ability, socioeconomic status, job coping ability, socioeconomic status, job dissatisfactiondissatisfaction
04/22/23
Return to Work Risk FactorsReturn to Work Risk Factors JOB:JOB:
Job or task demands:Job or task demands: frequent or frequent or prolonged repetitive movements, awkward prolonged repetitive movements, awkward postures, extreme temperatures, design of postures, extreme temperatures, design of workstation or equipmentworkstation or equipment
organizational structureorganizational structure
04/22/23
Early Return To WorkEarly Return To WorkBenefits To EmployeeBenefits To Employee
Accelerate/improve recoveryAccelerate/improve recovery
Promotes better morale among all workersPromotes better morale among all workers
Improve morale and self esteem for injured Improve morale and self esteem for injured employee employee
04/22/23
Maintain an Experienced Work ForceMaintain an Experienced Work Force
Maintain Production, Workflow and Quality Maintain Production, Workflow and Quality StandardsStandards
Stabilize Wage and Production ExpensesStabilize Wage and Production Expenses
Early Return to WorkEarly Return to WorkBenefits to EmployerBenefits to Employer
04/22/23
Return to Work AssessmentReturn to Work Assessment
Physician should include:Physician should include:
Medical HistoryMedical History
Pre-existing condition or recurrencePre-existing condition or recurrence
Injury in performance of duty stipulationInjury in performance of duty stipulation
Labs, x-rays, MRI results, etcLabs, x-rays, MRI results, etc
04/22/23
Return to Work Assessment cont.Return to Work Assessment cont. Referrals to Ortho, PT/OT, etcReferrals to Ortho, PT/OT, etc
Amount of anticipated lost timeAmount of anticipated lost time
Duty Status Report (CA-17)Duty Status Report (CA-17)
Diagnosis for on-the-job injuryDiagnosis for on-the-job injury
Correct physician referral for injuryCorrect physician referral for injury
04/22/23
Identify a Suitable PositionIdentify a Suitable Position Assess degree of recovery for:Assess degree of recovery for:
current positioncurrent position
modified current positionmodified current position
employment in another position - equal payemployment in another position - equal pay
employment in another position - lower payemployment in another position - lower pay
04/22/23
Identify Suitable PositionIdentify Suitable Position Identify potential positions:Identify potential positions:
Compatible with limitationsCompatible with limitations
Check agency or job pool for positionCheck agency or job pool for position
Coordinate with Human Resource Office Coordinate with Human Resource Office and agency personneland agency personnel
04/22/23
Elements of a Job OfferElements of a Job Offer
Description of duties and salaryDescription of duties and salary
Physical requirementsPhysical requirements
Location of job and term of the jobLocation of job and term of the job
Start date / Date for response Start date / Date for response
04/22/23
Return to Work ProcessReturn to Work Process Employee’s Response:Employee’s Response:
AcceptanceAcceptance
No ResponseNo Response
Refusal with No ExplanationRefusal with No Explanation
Refusal with ExplanationRefusal with Explanation
RetirementRetirement
04/22/23
Final ActFinal Act
Position is accepted by physician, DOL, agency and employeePosition is accepted by physician, DOL, agency and employee
Employee starts workEmployee starts work
04/22/23
RETURN TO WORK GOALRETURN TO WORK GOALThe success efforts to return employees to The success efforts to return employees to
gainful employment while providing gainful employment while providing procedural due process requires close procedural due process requires close cooperation between employing agencies cooperation between employing agencies and OWCP.and OWCP.
04/22/23
Return to Work from Long Term RollsReturn to Work from Long Term Rolls NCM reviews long term rolls for:NCM reviews long term rolls for:
Over 70 y/o or PN on chargeback rolls Over 70 y/o or PN on chargeback rolls Current medicalCurrent medical
DeathDeath Change in marital statusChange in marital status Light duty availabilityLight duty availability Rehab and retrainingRehab and retraining
RetirementRetirement
04/22/23
Aids to Return to WorkAids to Return to Work
Second Opinion Exam-requested by Second Opinion Exam-requested by agency-determined by DOLagency-determined by DOL
Functional Capacity Exam-what can the Functional Capacity Exam-what can the employee doemployee do
Vocational rehabilitation-work hardeningVocational rehabilitation-work hardening
04/22/23
ResourcesResourcesJob Accommodation Network (JAN)-Job Accommodation Network (JAN)-determines accommodation for disabilitiesdetermines accommodation for disabilities
http://www.jan.wvu.eduhttp://www.jan.wvu.edu
Computer Accommodation Program (CAP) Computer Accommodation Program (CAP) http://www.tricare.osd.mil/cap/http://www.tricare.osd.mil/cap/
Federal Disability information Federal Disability information http://www.opm.gov/disability/hrprohttp://www.opm.gov/disability/hrpro
04/22/23
ResourcesResourcesDOL-Dictionary of Occupational TitlesDOL-Dictionary of Occupational Titleswww.oalj.dol.govwww.oalj.dol.gov
Free Federal HandbooksFree Federal Handbookswww.federalhandbooks.comwww.federalhandbooks.com
Official Disability GuidelinesOfficial Disability Guidelineswww.DisabilityDurations.comwww.DisabilityDurations.com
04/22/23
A Successful FECA ProgramA Successful FECA Program
Strong Command SupportStrong Command Support Motivated Team PlayersMotivated Team Players Improved CommunicationImproved Communication Model Case ManagementModel Case Management Light Duty Program/RTW ProgramLight Duty Program/RTW Program Investigative TeamInvestigative Team Training and Education of StaffTraining and Education of Staff Access to CareAccess to Care
04/22/23
QUESTIONSQUESTIONS
Phyllis Guarin, RN, CLNCPhyllis Guarin, RN, CLNCPhone# 301-319-4554Phone# 301-319-4554
FAX# 301-295-0473FAX# [email protected]@bethesda.
med.navy.milmed.navy.mil