Pre-injury employer services Leanne Ho, Manager Allied Health and - PowerPoint PPT Presentation

Return to work service provider information session May 2014 Pre-injury employer services Leanne Ho, Manager Allied Health and RTW Services Phil Widdas, Manager Provider Performance

Pre-injury employer service PURPOSE: To provide you an overview of the pre-injury employer services “in practice” from 1 July 2014 Agenda 1. Pre-injury employer services – a shift in practice and thinking 2. The return to work pathway for the worker and the employer 3. Understanding the business process – Referral to Closure 4. Performance Management 2

Return to work services 3. 2. 1. 2. Restoration Job Return to Mediation Pre-injury to the placement Fit for work work employer community assessment First Implementation 1 new service – Scaled Oct 2013 implemented 14 th implementation Oct April 2014 2013 Full Full 1 new service – Implemented Implementation Implementation implemented 14 th December 2013 1 st July 2014 1 st July 2014 Full Full April 2014 Implementation Implementation 1 st July 2014 1 st July 2014 Changes July 2014 WorkCoverSA 3

Pre-injury employer service Where we are going…..

Return to work services in context Scheme Improvement and Regulation Health and Early Return to Employer intervention Work Services Services consultants “To achieve the best outcomes for injured workers, employers and the South Australian community”

How do we improve scheme performance in the PRE-INJURY EMPLOYER context? Barriers to remain at work / return to work are resolved Timely, Increase purposeful, active cohesive participation service Improve Scheme Performance (RAW / RTW outcomes) WorkCoverSA 6

Raising accountability Worker Expectation shifting Provider Employer WorkCoverSA 7

Driving active participation Return to work services provider Remain Early intervention Worker at work / consultant (Agent) Return Employer to work Case manager WorkCoverSA 8

Driving outcomes….

WorkCoverSA 10

First step….. Return to Workplace work rehab services services

WorkCoverSA 13

Barrier resolution is an expectation of PIE services

Re-cap and continuous improvement…. Referral criteria  Evidence indicates that a remain at work or return to work outcome is achievable  Barriers to progressing or achieving pre-injury duties, pre-injury hours  Specialist intervention is required to resolve the barriers to return to work, and progress the worker towards pre- injury duties and hours within 4 weeks WorkCoverSA 15

Pre-injury employer service DRIVE early resumption of workplace activity, by assisting an employer to identify suitable duties , and facilitate a worker’s return to pre-injury duties and hours WorkCoverSA 16

Early return to work requires increased cohesion in service delivery

PIE as we currently see it….. Week Week Week Week Week 1 2 3 4 5 Day 2: phone Day 22: W Day 31: case call from RC receives JA conference report in post with Doctor Day 15: Day 4: meet Day 12: OT Worksite with RC calls W meeting to conduct JA Day 24: Day 35: phone call Worker Day 7: from RC to returns to PT worksite discuss Dr work meeting with meeting E WorkCoverSA 18

RRTWP INA JA WSA RRTWP CC WorkCoverSA 19

Where PIE fits in within the case manager’s tool kit?

Pre-injury employer service – CM’s tool kit Return to Case work manager strategy Early Employer intervention RRTWC consultant Worker and Worker’s return to Barriers have employer are work has stalled, Return to work arisen placing requiring there is risk of with the pre- remain at / return assistance falling over injury employer to work at risk transition to pre- without additional in the long run is injury duties expertise uncertain

Pre-injury employer service - 1 July 2014  Focus on service  Reduced delays  Reduced RTW Consultant to disruption Provider deliver service Case manager  MATCHES SKILLS If different expertise Accountability BARRIER required to resolve required, provider in delivering IDENTIFICATION barriers coordinates in- the right house service  Purposeful service  Reduce medicalization WorkCoverSA 23

Worker Remain at work / Return to work Employer RTW Consultant RTW Employer Consultant RTW Consultant

Service overview

Who are return to work consultants? Class A Class B RTW Consultant RTW Consultant $170.20 per hour $138.50 per hour Meet the HWCA minimum Physiotherapist qualification requirements 2 years FT clinical experience Do not meet the criteria for class A Occupational therapist return to work consultants OR 1 year FT as Psychologist a class B consultant supervised by a Class A Exercise physiologist consultant 2 years FT Rehabilitation counsellor with full membership and experience membership with ASORC or RCAA

Service overview Level 1 • RAW (up to 9 hours) • RTW (up to 9 hours) (Class A) • CRTW (up to 9 hours) Level 2 • RAW (up to 12 hours – 13 weeks) • RTW (up to 20 hours – 26 weeks) • CRTW (up to 28 hours – 26 weeks) (Class A / B) • PIDT (up to 5 hours – 4 weeks) Level 2 • RAW (up to 5 hours – 4 weeks) extension • RTW (up to 5 hours – 4 weeks) • CRTW (up to 5 hours – 4 weeks) (Class A / B) WorkCoverSA 27

Referral category Worker is working Worker is not working AND AND CRD < 50 receiving Remain at work Return to work days, income (RAW) (RTW) not primary maintenance psych claim AND AND CRD >51 days not receiving Pre-injury duties Complex return to OR income transition (PIDT) work (CRTW) primary psych maintenance claim (N.B. Level 2 intervention only) WorkCoverSA 28

Pre-injury employer service Service expectation

Level 1 Intervention Completion within 10 days from referral date. CLASS A RTW Consultant ONLY The Level 1 intervention service will Occupational drive early resumption of workplace 2 years FT clinical Therapist activity experience Physiotherapist OR 1 year FT as class B Experience Psychologist - assist employer to identify suitable consultant with class 2 years FT clinical A supervision duties Exercise experience Physiologist - facilitate the worker’s return to performing suitable employment Rehabilitation 2 years FT full ASORC Counsellor Level 1 Intervention report / RCAA membership RRTWP where requested (ASORC / RCAA) WorkCoverSA 30

Where we are heading… GRTW JA Worker RTW Worker provider WSA Employer Employer RC WorkCoverSA 31

Level 2 Intervention This service is to be completed within 13 weeks (RAW), 26 weeks (RTW, and CRTW) A Level 2 intervention service is to facilitate a worker’s full return to work by supporting the parties to CLASS A and B implement the return to work RTW Consultant arrangements. RTW consultant will continue to identify and resolve barriers to achieving the return to work goal. WorkCoverSA 32

Barrier resolution to achieve outcome Return to work journey WorkCoverSA 33

Level 2 Extension This service is to be completed within 4 weeks. A Level 2 Extension is to facilitate a worker’s full return to work by supporting the parties to implement the return to work arrangements. CLASS A and B CLASS A and B RTW Consultants Experience RTW Consultant RTW Consultant will continue to resolve 2 years FT clinical barriers to achieving the return to work experience goal Request is made where there is evidence return to PI employment is achievable in timeframe WorkCoverSA 34

Pre-injury duties transition

Pre-injury duties transition (14 th April 2014 release)  Worker is working pre-injury hours, but performing alternate or modified duties  Worker is not receiving any income maintenance  A plan is needed for the worker and employer to transition to pre-injury duties, pre-injury hours This is a short term intervention service. (No Level 2 extension applicable) Who can deliver this service? (14/4/14) Workplace rehabilitation consultant Class A / B return to work consultants (1/7/14) Time allocation : 5 hours incl travel Service duration : 4 weeks (Additional regional travel where applicable) WorkCoverSA 36

Pre-injury employer service Pre-injury duties transition • Review of workplace duties Purpose • Development of plan that worker and employer will implement to transition • Required travel Includes • Up to 5 hours • Completion of an Intervention outcome report • Delivery within 4 weeks • NO concurrent PIE service CM • A PIE Level 2 should include a plan that transitions a worker to pre-injury duties. Hence, Pre-injury duties transition should not consideration follow a recent Level 2 closure (unless circumstances have changed). WorkCoverSA 37

Suspension and Closures

Service implementation Suspension Level 2 Level 1 Level 2 Extension Suspension request CM approves on same form (2 business days) WorkCoverSA 39