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Workplace Disability Workplace Disability ManagementManagement
(Name of Presenter) (Name of Presenter)
(Date)(Date)
Disability ManagementDisability Management
““The process of The process of minimizingminimizing the impact of the impact of anan impairmentimpairment (resulting from injury, illness (resulting from injury, illness or disease) on the individual's capacity to or disease) on the individual's capacity to participateparticipate competitively in the competitively in the work work environmentenvironment.” .”
Dr. Donald Shrey, Sourcebook of Occupational Rehabilitation, Dr. Donald Shrey, Sourcebook of Occupational Rehabilitation, Plenum Press, New YorkPlenum Press, New York
Disability Management Disability Management refers to a management process refers to a management process
with 2 goals ...with 2 goals ...
1.1. Enhance Enhance the health and safety of all the health and safety of all employeesemployees
2.2. Diminish Diminish the impact of injury, accident, the impact of injury, accident, illness and absence on the employee & the illness and absence on the employee & the organizationorganization
Disability Management Disability Management Points to Consider:
The sooner an employee returns to work the more successful an employee will be in making the transition back to the work force
The program is structured and goal orientated, with established timelines
Effective communication with all stakeholders
Disability Management Disability Management To foster strong relationships while working towards the common goal of prevention and rehabilitation.
To work towards maintaining the employee at work and the progressive return of employees back to the workplace.
To maximize the employee’s work contribution within their capabilities.
With Successful Implementation With Successful Implementation We Will Expect to See:We Will Expect to See:
Reduction in Direct Costs Associated with
Employee Injury/IllnessReduction in Absenteeism (lost days)Productivity SavingsIncrease in Worker SatisfactionReduction in Human SufferingEnhance Public Relations within the employer - employee community
Workplace Disability Workplace Disability Management ProgramManagement Program
May include: May include: Safety and Loss Control Safety and Loss Control Health & Wellness Programs Health & Wellness Programs Ergonomics Ergonomics Employee Assistance Programs (EAP)Employee Assistance Programs (EAP) Return to Work Programs Return to Work Programs
Workplace Disability Workplace Disability Management ProgramManagement Program
The TeamThe Team:: EmployeeEmployee Family PhysicianFamily Physician Rehabilitation Specialists: OT, PT, Kin.Rehabilitation Specialists: OT, PT, Kin. Case Manager/Return to Work Coordinator – Case Manager/Return to Work Coordinator –
employed by employer employed by employer Sponsoring Agents: i.e. WCB, STD, LTDSponsoring Agents: i.e. WCB, STD, LTD Employer - ManagementEmployer - Management Medical Specialist(s)Medical Specialist(s)
Role of Injured EmployeeRole of Injured Employee
• Early reporting of Early reporting of illness/injuryillness/injury
• Assist in development of Assist in development of RTW PlanRTW Plan
• Work with MD and Work with MD and Rehabilitation provider to Rehabilitation provider to minimize disabilityminimize disability
• Understand importance of Understand importance of communication with communication with stakeholdersstakeholders
Role of Family PhysicianRole of Family Physician
Communicate with RTW Coordinator via Communicate with RTW Coordinator via phone, fax or e-mailphone, fax or e-mail
Provide Provide medical-relatedmedical-related diagnosis, prognosis diagnosis, prognosis and restrictionsand restrictions
Defer to OT/PT functional data concerning Defer to OT/PT functional data concerning functional related restrictions and abilitiesfunctional related restrictions and abilities
Communicate with OT/PT and other health Communicate with OT/PT and other health care practitionerscare practitioners
Follow established guidelinesFollow established guidelines
CMA Policy---HighlightsCMA Policy---Highlights
Physician should facilitate and promote Physician should facilitate and promote timely RTWtimely RTW
Should knowledgeably utilize other health Should knowledgeably utilize other health care professionals when appropriatecare professionals when appropriate
Ultimately the employer determines the type Ultimately the employer determines the type of work available and whether a physician’s of work available and whether a physician’s recommendations concerning an employee’s recommendations concerning an employee’s RTW can be accommodatedRTW can be accommodated
Role of Family PhysicianRole of Family Physician
Look for Look for redred flags that would indicate further flags that would indicate further medical investigationmedical investigation
if none found, RTW process commences if none found, RTW process commences ASAPASAP
What does the Rehabilitation What does the Rehabilitation Clinic do?Clinic do?
Bridging the GapBridging the Gapbetween the Health System between the Health System
& the Work Environment& the Work Environment
Role of the Rehabilitation ClinicRole of the Rehabilitation Clinic
Screen EmployeeScreen Employee Intake: Initial PT Assessment & Program Intake: Initial PT Assessment & Program
Coordinator InterviewCoordinator Interview Review JSA – Job Description Questionnaire Review JSA – Job Description Questionnaire Objectively Test Physical Function Related to Job Objectively Test Physical Function Related to Job
Demands: Functional ScanDemands: Functional Scan Active RehabilitationActive Rehabilitation Facilitating Return to WorkFacilitating Return to Work
Role of TherapistRole of Therapist
Provide accurate description of the injuryProvide accurate description of the injury Provide an active treatment planProvide an active treatment plan Functional based program – based on JSA Functional based program – based on JSA
and functional informationand functional information Work with RTW Coordinator, MD and Work with RTW Coordinator, MD and
employee toward RTWemployee toward RTW
Program Coordinator InterviewProgram Coordinator Interview
Stakeholders identifiedStakeholders identified External CommunicationExternal Communication Emphasis on Restoring FunctionEmphasis on Restoring Function Pain and Activity QuestionnairePain and Activity Questionnaire Red Flags identifiedRed Flags identified
Pain and Activity Pain and Activity QuestionnaireQuestionnaire
Required Physical DemandsRequired Physical Demands
Job Description Job Description QuestionnaireQuestionnaire
Job Site VisitJob Site Visit
Job Site AnalysisJob Site Analysis
Functional AssessmentFunctional Assessment
•Functional ScanFunctional Scan
•Rehabilitation AssessmentRehabilitation Assessment
•Standardized Functional Standardized Functional AssessmentsAssessments
JSA & Functional Assessments JSA & Functional Assessments are used in the process to:are used in the process to:
Simulate job-specific work reconditioning Simulate job-specific work reconditioning taskstasks
Ensure the worker’s present functional Ensure the worker’s present functional capacities match those required for a safe capacities match those required for a safe return to workreturn to work
Enable the therapist to make practical Enable the therapist to make practical recommendations for reasonable recommendations for reasonable accommodationaccommodation
Functional RestorationFunctional RestorationReturn to Work ProgramReturn to Work Program
Work ConditioningWork Conditioning Work HardeningWork Hardening Worksite - ConditioningWorksite - Conditioning
Return to WorkReturn to Work
Full dutiesFull duties Partial duties/ModificationPartial duties/Modification Continued functional restorationContinued functional restoration Transitional Work PlanTransitional Work Plan
Role of Transitional Work PlanRole of Transitional Work Plan
Functional abilities
afterinjury/illness
Rehabilitation
Accommodation & Modification
Transitional Work Plan =
Return to
Work
Transitional Work PlanTransitional Work Plan
Roles and responsibilities identifiedRoles and responsibilities identified Goal(s) determined and agreed toGoal(s) determined and agreed to Structured plan with timelinesStructured plan with timelines Communication – copies of documentationCommunication – copies of documentation Follow-upFollow-up
Barriers for RTW – Barriers for RTW – BiopsychosocialBiopsychosocial
Unnecessary Unnecessary restrictionsrestrictions
Genuine physical Genuine physical limitationslimitations
Lack of suitable Lack of suitable employmentemployment
Unrecognized Unrecognized conflict conflict
Secondary gainSecondary gain MotivationMotivation
DISCUSSIONDISCUSSION