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Your Toolkit for Return to Work  and Injury Prevention  PART I Presented by:  Nathan Birtch ,[object Object],[object Object]
Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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 % Likelihood of return to work 20% 10% 40% 50% 60% 70%
Timing of Intervention and Impact 0 20 40 60 80 100 Probability of RTW (in %) 0 3 6 9 12 15 18 21 24 36 Duration of absence (in months ) Probability of Returning To Work
Costs of Disability ,[object Object],[object Object],[object Object],[object Object]
The Iceberg Effect ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HELP!?!?! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Work Readiness (WR) Program Goals ,[object Object],[object Object]
The Work Readiness Program ,[object Object],[object Object],[object Object]
The Work Readiness Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Program Components Physical Therapeutic Exercise Program Biomechanics Retraining / Relaxation Techniques Functional Conditioning Comprehensive Evaluation Personal Functional Goal Setting Stress / Anger / Pain Management Liaison with Physician, Employer and Funder CLIENT EMPOWERED FUNCTION RESTORED CASE CLOSED Client Education Vocational Conditioning Client  Centered Results
Phases of Work Readiness Program  Phase 1:  Review of Referral Information  Phase 2:  Initial Assessment Phase 3:  Establish Initial Targets Phase 4:  General Conditioning ,[object Object],[object Object],[object Object],Phase 5:  Functional Conditioning Includes FAE S F TH W T M S Wk ?-? Wk ?-?
Program Outline ,[object Object],[object Object]
Program Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Program Outline ,[object Object],[object Object],[object Object],[object Object]
Program Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Program Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation tools during program ,[object Object],[object Object],[object Object],[object Object]
Education Education 1 on 1 Video Group Psychology Body Mechanics  & Lifting Back & Neck conditions Core Stability Stretching Relaxation Techniques Soft Tissue Healing Avoiding RSI’s Pain management
Job Site Coaching ,[object Object],[object Object]
Program Duration ,[object Object],[object Object],[object Object]
Reporting ,[object Object],[object Object],[object Object],[object Object],[object Object]
What the research says ,[object Object],[object Object],“ Outcome evaluation of work hardening program for manual workers with work-related back injury.”  From Work: 2005;25(4): 297-305, Sang LS, Ying Eria LP, Occupational Therapy Dept,United Christian Hospital, Kowloon, Hong Kong, China
What does the research say? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Key Questions ,[object Object],[object Object],[object Object],[object Object]
Cost Savings Breakdown Based on $15 /hr wage $39,850 $62,400 $93,600 Total over 1 year $24,250 $31,200 $46,800 Total over 6 months $13,450 $9,600 $14,400 Total Costs during 8 week program $3,850 Cost of WREP 900/wk WSIB Surcharge x 3 600/wk  for 8 weeks only 600/wk 600/wk Wage for additional worker 600/wk 600/wk 300/wk Employee Wage Employee modified duties, working 4 hrs/day and attending WREP 3 hrs/day for 8 weeks Employee working full hours on modified duties Employee on Modified Duties and Hours (working 4 hrs/day)
The BTE System
The BTE System
FUNCTIONAL ABILITIES EVALUATION
What is a FAE?  ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What is a FAE?  (con’t)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What is a FAE?  (con’t)
Defensible? ,[object Object],[object Object]
[object Object],[object Object],What is a FAE?  (con’t)
How a FAE is different than a FAF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
JOB MATCH PDD / PDA FAE
Why have a FAE for my employee? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How do you perform the evaluation? ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
ARCON TESTING
[object Object],[object Object],[object Object],[object Object],How do you perform the evaluation? (con’t) Dynamic Lift
[object Object],[object Object],[object Object],How do you perform the evaluation? (con’t)
Test End Points Self Limited By Subjective Complaints (Psychophysical) Physiological Biomechanical Safety
How long? ,[object Object],1 Day FAE = 3 hrs 2 Day FAE = 3 hrs each day = 6 hrs
When should a FAE be done? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Report Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Report Report
Report Report
What to do with all the Information ,[object Object],[object Object],[object Object]
What to do with all the Information JOB MATCH? If yes,  return to work If no, can the job be modified or adjusted? Based on current functional ability level
What do I do with all the Information? ERGO and Treatment Recommendations Is further treatment Recommended? Are modifications  to job or work station recommended? Work Readiness Program?
Questions and Answers
The Toolkit- Part 2? ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Toolkit For Return To Work & Injury Prevention Part 1

  • 1.
  • 2.
  • 3. 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 % Likelihood of return to work 20% 10% 40% 50% 60% 70%
  • 4. Timing of Intervention and Impact 0 20 40 60 80 100 Probability of RTW (in %) 0 3 6 9 12 15 18 21 24 36 Duration of absence (in months ) Probability of Returning To Work
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Program Components Physical Therapeutic Exercise Program Biomechanics Retraining / Relaxation Techniques Functional Conditioning Comprehensive Evaluation Personal Functional Goal Setting Stress / Anger / Pain Management Liaison with Physician, Employer and Funder CLIENT EMPOWERED FUNCTION RESTORED CASE CLOSED Client Education Vocational Conditioning Client Centered Results
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. Education Education 1 on 1 Video Group Psychology Body Mechanics & Lifting Back & Neck conditions Core Stability Stretching Relaxation Techniques Soft Tissue Healing Avoiding RSI’s Pain management
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. Cost Savings Breakdown Based on $15 /hr wage $39,850 $62,400 $93,600 Total over 1 year $24,250 $31,200 $46,800 Total over 6 months $13,450 $9,600 $14,400 Total Costs during 8 week program $3,850 Cost of WREP 900/wk WSIB Surcharge x 3 600/wk for 8 weeks only 600/wk 600/wk Wage for additional worker 600/wk 600/wk 300/wk Employee Wage Employee modified duties, working 4 hrs/day and attending WREP 3 hrs/day for 8 weeks Employee working full hours on modified duties Employee on Modified Duties and Hours (working 4 hrs/day)
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. JOB MATCH PDD / PDA FAE
  • 37.
  • 38.
  • 39.
  • 40.
  • 42.
  • 43.
  • 44. Test End Points Self Limited By Subjective Complaints (Psychophysical) Physiological Biomechanical Safety
  • 45.
  • 46.
  • 47.
  • 50.
  • 51. What to do with all the Information JOB MATCH? If yes, return to work If no, can the job be modified or adjusted? Based on current functional ability level
  • 52. What do I do with all the Information? ERGO and Treatment Recommendations Is further treatment Recommended? Are modifications to job or work station recommended? Work Readiness Program?
  • 54.

Editor's Notes

  1. Review of Referral Information - Phase I Identify issues to be addressed based on available medical, physiotherapy and vocational history provided by referral source and the family doctor as needed. Initial Assessment - Phase II A thorough assessment is completed to establish a biomechanical diagnosis and baseline measures. Physical and Biomechanical Assessment (conducted by our Physiotherapist) Functional Abilities Evaluation Using the Active protocol as well as BTE Technology . Work Behaviour Attitudes (Motivation) Self Evaluation of Skills, Capabilities, Future Goals
  2. Job match? If so, return to work If not, can the job be modified or adjusted to the employees current functional ability level Is there a different job the employee could do instead that would fit with the current functional ability level?
  3. Look at the ergonomic and treatment recommendations Is further treatment recommended? Work Readiness Program? Are there modifications to the job/ workstation/ way the job is performed by the employee that would speed up the return to work?