On-site occupational health and rehabilitation : a model for the manufacturing and service industries

1. The Mission and Vision of the On-Site Team Introduction Access Equals Location Case Evaluation Case Coordination Case Review-Utilization Review/Quality Management Staffing Appendix 1: Sample of an Automobile Company's Request for Appendix 2: Occupational Health Classification Description Appendix 3: Description of Physician Assistant Duties Appendix 4: Duties of Physician in Charge of a Physician Plant On-Site Occupational Medical Physician Services Assistant 2. The Benefits of the On-Site Occupational Health and Rehabilitation Model to the Whole Organization: Management, Employee/Patient, and Union Program Attributes and Services Provided Care of Illness and Injury-Occupational and Nonoccupational V \'i1 1 1 5 17 17 17 24 28 39 42 44 45 46 49 ix X Contents Medical Examinations: Postoffer Preemployment, Fitness, Return-to-Work, Disability, Retirement, and Termination Medical Monitoring and Testing Required by Law or Employer/Company Policy and/or Occupational Exposures Claims Medical Evaluation of Employees with Workers’ Compensation Proof of Malpractice Insurance Referral Process Appendix 1 : Occupational Medicine Case Management Functions Appendix 2: Position Description for Occupational Medicine Appendix 3: Department of Occupational Health Industrial Physician Rehabilitation Program 3. Disability Costs to Private and Public Programs Reports: Loss Control and Cost Savings Claims and Statutes Appendix 1: Agenda: Health, Safety, Ergonomics, and Prevention of Upper Extremity/Hand and Back Injury 4. Health Care Reform: Quality, Price, Service, and Outcome Appendix 1: Sample of Grand Rounds Meeting? Agenda, and Appendix 2: Inservice/Staff Meeting Minutes Appendix 3: Sample Automotive Industry On-Site Appendix 4: On-Site Industrial Rehabilitation Patient Appendix 5: Customer Satisfaction Questionnaire: Department Appendix 6: Customer Feedback Process Form Cases Discussed Rehabilitation Patient Satisfaction Questionnaire Satisfaction Questionnaire of Occupational Health 5. How the Occupational Health and Rehabilitation Pie Is Divided Rehabilitation On-Site Staffing Policy Physical Environment Example 1 : Occupational Therapy-On-Site Job Assessment and Job Site Coaching 52 55 56 63 64 65 67 70 75 76 89 91 93 104 107 109 117 119 121 125 125 133 139 Contents xi 6. 7. 8. Example 2: Industrial Rehabilitation Occupational Therapy: Example 3: Industrial Rehabilitation Job Task Analysis Example 4: Occupational Therapy Work Capacity: Initial Example 5: On-Site Occupational Therapy Job Analysis Example 6: Occupational Therapy On-Site Job Assessment: Example 7: Return to Work Center Job Analysis Conclusion Appendix l: Job Descriptions Appendix 2: Policies and Procedures and Therapy Guidelines Appendix 3: Employee Correspondence on the Temporary Appendix 4: On-Site Rehabilitation Equipment List Initial Evaluation Evaluation Job Site Coaching and Treatment Modified Work Process Americans with Disabilities Act: Compliance, Worksite Ergonomics, On-Site Job Analysis, and Preplacement Coordination-How They Interrelate Appendix 1 : Videotaped Ergonomic Job Analysis Report Skeletal and Soft-Tissue Injuries and Cumulative Trauma Treatment Example 1 : On-Site Industrial Rehabilitation Physical Therapy: Example 2: On-Site Industrial Rehabilitation Occupational Splint Evaluation Outline of Back Injury Prevention Workshop Hand Evaluation Protocol Appendix 1 : On-Site Industrial Rehabilitation Initial Evaluation Therapy-Evaluation The Prescription for a Healthy Workforce: The Synergistic Whole, or How It All Comes Together Appendix 1: Return to Work Statistics for Back Cases at an Appendix 2: On-Site Industrial Rehabilitation: 12-Month Study Assembly Plant of Percent Body Fat Loss Through Use of the Fitness Center 142 146 151 156 160 166 170 172 180 186 188 191 197 205 209 212 22 1 223 223 230 235 244 25 I xii Contents Appendix 3: Net Revenue Growth vs. 1989: Direct Company Appendix 4: Developed System Procedures to Support the Contracts ISO-9000 Quality Manual