WorkplaceInfo Workers Compensation
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Transcript of WorkplaceInfo Workers Compensation
![Page 1: WorkplaceInfo Workers Compensation](https://reader035.fdocuments.in/reader035/viewer/2022081515/58a1d72b1a28abb6678b5539/html5/thumbnails/1.jpg)
Getting back in the saddleA guide to understanding the ins and outs of workers compensation
and encouraging return to work
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Defining workers comp• An insurance policy that is compulsory for most employers
• Covers medical expenses for sickness and injuries that occur in course of work
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BackgroundThe longer a worker is absent from work, the less likely they are to
return.
Time off work Probability of RTW within 3 months
3 months 50%
6 months 40%
9 months 33%
One year 25%
Two years 12%
Three years 6%
Four years 4%
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Key terms and concepts
Certificate of Capacity: Used by insurer to help understand your capacity for work and the payments you are entitled to
Provisional liability: allows employer to pay weekly benefits and medical expenses for up to 12 weeks without admitting or incurring liability
Uninsured employers: if you employer is uninsured you can still make a claim
Time limit: Claims should be generally be made within six months of injury or illness
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Making a claim• Notify employer immediately if injury or illness
occurs
• If time off work is required see a doctor and have them complete a WorkCover certificate of capacity
• Provide certificate to employer
• Cooperate with injury management plan and consult with employer’s insurer
• Make all reasonable efforts to return to work as soon as possible
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Return to work (RTW)Most recover from an injury without intervention
Acute phase• 14 to 30 days no work capacity • Clinical/occupational management
Sub-acute phase• 30 to 90 days no work capacity • Assess risk and workplace rehabilitation
Chronic phase• 90 days plus no work capacity• Intensive rehabilitation
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Psychological injuries• Promote Stay at Work with Doctor – time off is not necessary or
usual
• Seek specialist intervention in complex cases
• Aim to control treatment providers
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Encouraging RTWSupport and empowerment
• Provide reassurance and encouragement to resume normal activities
• Be empathetic
• Communicate and educate about health benefits of work
• Set expectations around RTW process
• Empower to take responsibility
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Best practiceIntegrate the best available evidence with practitioner expertise and characteristics, state, needs, values and preferences of those who will be affected.
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Best practice treatment• Goal oriented
• Evidence based
• Clinically justified
• Most efficient
• Facilitates progress
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Workplace rehabilitation providers (WRP)
• Provide individualised, strategic and creative interventions
• Recognise distinction between diagnosis and work capacity
• Promote a win-win outcome
• Focus on benefits of good work
• Look at cost-benefit for all proposed solutions
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WRP services• Assess claims for ‘Yellow Flags’
Apply ‘SMART’ for complex claims
• Conduct case conferences and promote the bio-psychosocial model with doctors
• Develop, review and update RTW Programs
• Offer proactive job seeking
• Monitor the efficacy of treatment
• Oversee compliance
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Promoting RTW• Encourage self-management
• Pay attention to psychological and social issues
• Avoid inconsistency in treatment of employees
• Involve rehabilitation providers as soon as possible