Injury and Claim Trends in the Ohio       Workers’ Compensation System                                Abe Tarawneh, Ph.D.;...
Overview• Ohio   o Population: 7th largest   o Economy: 8th largest   o Manufacturing: 3rd largest• Ohio Bureau of Workers...
Frequency of claims                           LT & MO claim count (2000-2009)                          250                ...
Severity of claims                                                         LT & MO 30-month aged indemnity and medical cos...
Severity of claimsDescription of selected ICD9 codes (2000-2008) Optimal RTW    ICD9 Code         Claim      Claim   Total...
Distribution of selected back, shoulder and kneeclaims by causation (2007-2008)  60%  50%  40%  30%  20%  10%  0%         ...
Causation information for LT claims                                                                                       ...
Cost analysis                     Lost Time                                                 Claims                        ...
Top 10 causes of lost time injuries in 2009  (% of total cost)Overexertion         30.0% 28.5%            Fall on same    ...
Causation information for LT claims                      2010 Ohio Lost Time Claims                      Transportation   ...
Sub-causes of falls in LT claims (2010)                     Ramp            0.7%                      Roof           0.9% ...
Overexertion injuries by subtopic (2010)                           Loss of Balance                            without Fall...
Overexertion injuries in lifting (2010)  What is being lifted?700                                                    90%  ...
Classification of claims based on nature ofinjury (2009)                                                                  ...
Distribution of claims by body region (2009)                                                    Shoulder Arm              ...
Experience of SHARP companies                                      Claims cost and cost per $1.0 million for the 16 compan...
Experience of SHARP companiesOSHA Form 33 average scores for 16 companies by subcomponent.                                ...
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Tarawneh niosh workshop abe tarawneh 06142012

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Tarawneh niosh workshop abe tarawneh 06142012

  1. 1. Injury and Claim Trends in the Ohio Workers’ Compensation System Abe Tarawneh, Ph.D.; Michael Lampl ,M.S., CPE; David Robins; and Don Bentley, PE, CIHUse of Workers’ Compensation Data for OccupationalSafety and Health WorkshopWashington DC, June 19-20, 2012 Draft circulated for discussion purposes. The findings and conclusions in this presentations are those of the authors and do not necessarily represent the views of any organization.
  2. 2. Overview• Ohio o Population: 7th largest o Economy: 8th largest o Manufacturing: 3rd largest• Ohio Bureau of Workers’ Compensation o Largest WC state fund o Sixth underwriter of WC in the nation o Coverage for 70% of Ohio’s workforce o Over 250,000 policies o 1.2 million active claims
  3. 3. Frequency of claims LT & MO claim count (2000-2009) 250 200Claim Count (Thousands) 150 100 50 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Medical Only Claims (MO) Lost Time Claims (LT)
  4. 4. Severity of claims LT & MO 30-month aged indemnity and medical costs (2000-2009)30-Month Aged Indemnity and Medical Costs ($ Millions) 600 500 400 300 200 100 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
  5. 5. Severity of claimsDescription of selected ICD9 codes (2000-2008) Optimal RTW ICD9 Code Claim Claim Total Average Cost/Claim ICD9 Code Description Count Count Cost Rank Rank 722.1 Lumbar disc 16,042 21 1 $57,860 displacement 847.2 Sprain Lumbar 106,927 2 2 $2761 region 840.4 Sprain rotator 13,372 26 3 $42,656 cuff 836 Meniscus of 11,329 29 4 $37,672 knee currentClaim count rank between 2000-2008Optimal RTW 2000 2001 2002 2003 2004 2005 2006 2007 2008 ICD9 Code 722.1 23 21 20 20 20 20 22 21 21 847.2 2 2 2 2 2 2 2 2 2 840.4 32 28 27 26 24 24 24 23 22 836 40 33 32 28 29 29 28 24 25
  6. 6. Distribution of selected back, shoulder and kneeclaims by causation (2007-2008) 60% 50% 40% 30% 20% 10% 0% Lumbar Disc Displacement Sprain Rotator Cuff Tear Medial Meniscus
  7. 7. Causation information for LT claims Contact with 2009 OSHA Recordables 2009 Ohio Occupational Claims Lost Time temperature disease extremes Striking Transportation Caught In, On, Contact with 2% 1% against object Transportation Related or Between Temperature 4% related 5% 4% Extremes 4% <1 % Caught in, on or Struck by between Striking Object 5% Fall or slipAgainst Object 12% 30% 6% Fall or Slip 25% Struck by object 10% Overexertion Miscellaneous Miscellaneous 14% 25% 18% Overexertion 30%Number of nationalcases with days away Occupational Disease Number of Ohio lost-from work = 1,238,500 5% time Claims coded = 20,169
  8. 8. Cost analysis Lost Time Claims Striki 2009 Average Claim Cost* ng Distribution of total cost Transporation again Related st an 7% 60 objec 50 t 3% 40 Miscellaneous 30 11%X $1000 20 10 0 Fall or Slip Overexertion 34% 27% Struck by Contact with object Temperature 10% Extremes Caught In, On, Occupational 1% or Between Disease 5% 2% * 30 month aged with reserves
  9. 9. Top 10 causes of lost time injuries in 2009 (% of total cost)Overexertion 30.0% 28.5% Fall on same Liberty Mutual Data level Fall Ohio BWC Data* 17.7% to/from 16.9% diff. level 15.1% Bodily reaction Struck by object 12.0% 11.8% 11.1% 10.4% Caught Transportation in, on 8.1% or Struck Slips between against Repetitive 5.5% object motion 5.5% 4.9% 4.6% 4.5% 4.4% Violent act Other 2.9% 2.5% 2.5% 1.3% * Ohio data reflects total cost at 30 months with reserves (n= 20,360)
  10. 10. Causation information for LT claims 2010 Ohio Lost Time Claims Transportation Caught In, On Related or Between 4% 5% Contact With Temperature Extremes Struck by 1% Striking Object Against Object 10% 4% Fall or Slip 32% Overexertion 30% Miscellaneous 12% Total Number of Ohio Occupational Lost-Time Claims Disease 2% Coded = 15,367
  11. 11. Sub-causes of falls in LT claims (2010) Ramp 0.7% Roof 0.9% Curb 1.2% Cords 2.1% Inside Surface 3.1% Outside Surface 4.6% Ladder 6.9% Motor Vehicle/Trailer 7.4% Stairs 8.0% Unknown 9.0% Objects 10.4% Water/Grease 12.0% Miscellaneous 14.1% Ice/Snow 19.6% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0%
  12. 12. Overexertion injuries by subtopic (2010) Loss of Balance without Fall 3% Other 14% Repetitive Motion 1% In Lifting 38% Bending, Twisting, Etc. 14% In Reaching 3% In Holding or Carrying In Pushing or Pullingn = 4,527 6% 16% In Using Tool or Machine 5%
  13. 13. Overexertion injuries in lifting (2010) What is being lifted?700 90% 80%600 70%500 60%400 50%300 40% 30%200 20%100 10% 0 0% Claim Count Cumulative %
  14. 14. Classification of claims based on nature ofinjury (2009) Internal 1% Sprains & Strain 39% Open Wound Dislocation 24% 2% Fracture 7% Contusion or Superficial Burns 23% 3% Crush 1% Number of categorized claims = 88,614
  15. 15. Distribution of claims by body region (2009) Shoulder Arm Torso 7% 5% 8% Spine and Back Hand 12% 30% Head and Neck 10% Unspecified 8% Leg Foot Knee 7% 5% 5% Hip 3% Number of categorized claims = 88,614
  16. 16. Experience of SHARP companies Claims cost and cost per $1.0 million for the 16 companies 4.5 18 Cost per $1.0 Million Payroll ( $ Thousands) 4 $17,041 16Total Cost of Claims ($ Millions) 3.5 14 3 12 2.5 10 2 $2,124,387 8 1.5 $6,328 6 1 4 $900,077 0.5 $2,461 2 0 $336,047 0 Before SHARP Working Toward SHARP After SHARP Claim Costs Cost per $1.0 Million Payroll
  17. 17. Experience of SHARP companiesOSHA Form 33 average scores for 16 companies by subcomponent. Hazard Anticipation and Detection 3.000 2.500 Employee Participation 2.000 Hazard Prevention and Control 1.500 1.000 0.500 0.000 Management Leadership Planning and Evaluation Safety and Health Training Administration and Supervision Before SHARP

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