Job Matching - Taking The Guess Work Out Of Return To Work
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Transcript of Job Matching - Taking The Guess Work Out Of Return To Work
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Taking the GUESS WORK out of RETURN TO WORK
PART I
Presented by: Nathan Birtch
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PDD /
PDA
JOB MATCH
FAE
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Challenges
Return to work challenges faced daily
• Unclear what employees are physically capable of
• Discrepancies between an employees perception and their physical capabilities
• Unclear medical reports
• Vague FAF’s
• Psychosocial factors involved
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Effects of disability on likelihood of return to
work
6 months 12 months 2 years
10%
20%
30%
50%
Amount of time off work due to disability
% L
ikel
iho
od
of
retu
rn t
o w
ork
20%
10%
40%
50%
60%
70%
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Timing of Intervention and Impact
0
20
40
60
80
100
Pro
babili
ty o
f R
TW
(in
%)
0 3 6 9 12 15 18 21 24 36
Duration of absence (in months)
Probability of Returning To Work
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Costs of Disability
• In Ontario MSD’s account for 42% of all lost time claims and 50% of lost time days (averages from 1996 –2004)
• These claims represent approximately 27 million lost days
• Direct costs estimated at more than 3 billion
• Total costs estimated to be more than 12 billion (direct costs + indirect costs)
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Lost Time Injuries by Injury Type 2009
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The Iceberg Effect
Direct costs• Wage Replacements
• Treatment
• Evaluations & examinations
• NEL/ FEL awards
Indirect Costs• Lost Productivity
• Replacement workers / training
• Accident investigation
• Case management time
• Productivity/ Quality issues
Indirect costs – estimated to be 4 –7 x’s the
direct cost
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• Direct and indirect costs related to
disabilities at the workplace are, on average,
approximately 17% of a company’s total
payroll costs
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HELP!?!?!
JOB MATCHING
Matching the functional abilities of the worker
to the physical demands of the job
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• Solve the return to work puzzle and decrease RTW costs!
Job Matching Goals
• Determine suitability of return to
work
• Determine job placement of worker in facility (new hires, etc)
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JOB MATCH
PDD/ PDA FAE/
FAF
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Components of Job Matching
PHYSICAL DEMANDS
FUNCTIONAL ABILITIES EVALUATION
FUNCTIONAL ABILITIES FORM (FAF)
PRE-EMPLOYMENT SCREEN
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Components of Job Matching
PHYSICAL DEMANDS
• JDA, PDA, PDD, etc
• Objective values and measurements of what
is physically required of the human
• PDD handout
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PDD an EXTREMELY VERSATILE
TOOL
• Assesses compatibility between a worker and a job
• Determines if worker is ready for return to work
• Determines if modified duties are necessary
• Acts as a standard for health and safety inspections
• Able to be used in conjunction with an ergonomic
assessment
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PDD
• Assists in establishing a post-offer pre-
employment testing protocol
• Aids rehab professionals
• Acting as the starting point for developing a
job rotation schedule to reduce overall
physical load on a worker
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PDD
Detailed information on:
� Strength
� Dexterity
� Posture/ Positions
� Mobility
� Sensory Perceptual demands
� Work Environment conditions
� Energy Systems
� PPE
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How?
• Observation
• Video
• Measurements- forces, weights, distances
• Timed – frequencies, cycles, shift hrs
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PDD
Pictures of tasks- break down into description, working heights,
movements required, and weights/ forces required
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Physical Demands Description
• Each item is given a frequency –
• Rare- < 5% of the work day or up to 40 min/day
• Occasional- 6-33% of work day or up to 2.5 hrs/day
• Frequent- 34 – 66% of work day or up to 5 hrs/day
• Constant- 67 – 100% of work day or up to 7.5 hrs/day
• and a description including weights, forces ,etc
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PDD
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Avg cost of RSI/ MSD= $106,500
(direct + indirect 2007)
Physical Demands
Approx
$1050.00
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FUNCTIONAL ABILITIES
EVALUATION
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What is a FAE?
• An objective detailed assessment of an
employee’s ability to perform functional work
tasks
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• Lifting
• Carrying (bilateral/ unilateral)
• Push/ Pull (bilateral / unilateral)
• Reaching (multi-level)
• Hand dexterity
• Walking
• Stair climbing
• Balance
• ROM
• Grip Strength
• Strength testing
• Etc.
What is a FAE? (con’t)
Test client on
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Use of tools and protocols based on published
research to ensure that the testing and the
outcome are:
• objective
• valid
• reliable
• defensible
What is a FAE? (con’t)
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• Consistency of effort checks throughout testing to
ensure maximal effort is put forth.
• Use of outcome measures to match perceived
capacity with actual physical capacity.
What is a FAE? (con’t)
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How a FAE is different than a FAF
FAF
� General
� Vague
� Limited information for
the employer
� Can be subjective
(depending on who fills
out)
FAE � More comprehensive
� Consistency checks
� In conjunction with impairment testing
� State of the art computerized ARCON system
� Very detailed report of information for employer
� Very objective
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Why have a FAE for my employee?
1. To determine if a person is ready to return to
work
2. To assess what jobs the worker is suited for
3. To clarify appropriate work restrictions
4. To clarify if modifications or accommodations
need to be made to prevent further injury
5. Assist with treatment recommendations
6. Assess the validity of a disability
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PDD /
PDA
JOB MATCH
FAE
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Biomechanical Testing
� Performed by a Physiotherapist
� Provides biomechanical diagnosis to plan
the nature of the testing
� ROM testing, Strength Testing
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Static Functional Testing
� ARCON technology used to assess
lifting, pushing, pulling, grip and
force generation
� Sufficient static force with good
body mechanics, qualifies the client
to proceed to dynamic functional
tasks
� Heart rate monitor used at all times.
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ARCON TESTING
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Dynamic Functional Testing
�Conducted using functional
equipment in the lab (weights,
push/pull cart, toolbox etc.)
�Custom lifting, pushing, pulling,
and carrying to match the
specific requirements of the job
�Heart rate monitor used at all
times
How do you perform the evaluation? (con’t)
Dynamic Lift
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Occupational Testing
�Testing designed to assess job specific tasks to simulate work environment
� i.e.- assembly, typing, painting, etc
How do you perform the evaluation? (con’t)
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Test End Points
Self Limited By Subjective Complaints (Psychophysical)
Physiological
Biomechanical Safety
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How long?
Time from evaluation to report- 10 business days
1 Day FAE = 3 hrs 2 Day FAE = 3 hrs each day = 6 hrs
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Avg cost of RSI/ MSD= $106,500
(direct + indirect)
Functional Abilities Evaluation
$750.00
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FAF
• Who is it filled out by?
• Most physicians don’t actually test
functional ability (they don’t have the time!)
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THE JOB MATCH
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JOB MATCHING- HOW
Step 1Needs Analysis- Look at:
- Injury stats
- # employees on modified duties/hrs
- Length of claims
- New hires- placement
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Step 2-
Complete PDD
- Know the physical demands of the job that
are required of your employees/ potential
employees!
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Step 3-
Complete FAE or FAF or Pre-employment
screen
- Know the functional capabilites/ limitations/
restrictions of your employees/ prospective
employees
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Step 4- Match
• Determine if Functional ability of the
employee outlined in the FAE matches the
physical requirements of the job outlined in
the PDD.
• If YES, Job Match!
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If NO, then not a match.
�Further rehabilitation required
�Work readiness program
�Use job matching process for other less
physical jobs in facility
�Ergonomic intervention to improve the job,
decrease physical demands of the job
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What to do with all the Information
JOB MATCH?JOB MATCH?
If yes,
return to work
If no, can the job
be modified or adjusted?
Based on current
functional ability level
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Avg cost of RSI/ MSD= $106,500
(direct + indirect)
JOB MATCH
$1800 (PDD +FAE)
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Questions and Answers