Work Well Prevention Cares Functional Capacity Evaluation Work

Work. Well Prevention & Care’s Functional Capacity Evaluation Work. Well Prevention & Care

Work. Well’s Functional Capacity Evaluation V. 2 - A Sound Strategy An integrated approach to injury management and return to work The Winning Formula ü Current research, evidence and clinical rationale ü Proprietary decision support tools ü 1 -day and 2 -day testing formats ü Standardized for broad ability determination; flexible enough to test specific work related abilities ü Global network of health professionals ü International research team of clinicians and researchers

Work. Well’s Functional Capacity Evaluation V. 2 - Competitive Advantage A distinguished international research team has led to the introduction of an enhanced FCE Work. Well’s FCE V. 2 is: ü Operationally efficient ü Legally defensible ü Medically sound ü Analytically based

Work. Well’s Functional Capacity Evaluation V. 2 - Competitive Advantage The Work. Well advantage is clear ü Addition of a 1 -day standardized CORE FCE ü Enhanced FCE activities in Work. Well’s internationally recognized 2 day FCE ü Easier to use with flexible formats ü Algorithms to assist decision making related to scheduling 1 -day or 2 -day FCE ü Rigorous for Medical Legal FCEs; comprehensive for Disability FCEs

Work. Well’s Functional Capacity Evaluation V. 2 - Competitive Advantage Many FCEs on the market… § Are subjective and pain-based § Do not compare the worker’s abilities with the job § Rely on standardized formulas and norms, rather than individual abilities § Produce cumbersome reports that make it difficult to make effective return to work decisions § Do not have published reliability and validity studies

Work. Well’s Functional Capacity Evaluation V. 2 – Navigating Return to Work Decisions Work. Well helps meet unique challenges • The Physician is often forced to make a return to work decision based solely on subjective information about an employee’s capabilities and the physical requirements of the workplace • The Employer, when presented with restrictions, must try to determine what jobs or parts of jobs an injured worker can perform safely • The Employee is not able to participate fully in the return to work process, as he/she is often unsure what activities he/she can perform safely without risk of re-injury

Work. Well’s Functional Capacity Evaluation V. 2 – Measurable Outcomes Work. Well’s FCE: Better By Design ü Based on clinical research ü Compares worker’s abilities with required job demands ü A comprehensive, 2 -day FCE to accurately and reliably determine the worker’s ability to work over time when needed ü 1 -day CORE FCE for non-chronic diagnoses ü Tests for maximum strength without fear of injury ü Focuses on abilities rather than limitations ü Produces clear summary report understood by all parties

Work. Well’s Functional Capacity Evaluation V. 2 – Measurable Outcomes Work. Well’s FCE has produced unrivaled outcomes for over 15 years 6 -month Historic Outcome Study Results ü 60% of workers returned to work without further treatment or intervention ü 50% reduction in open Workers’ Compensation cases in one year for one employer site These were considered to be chronic cases, as the average time off work at the time of the FCE was 10 months. Studies indicate very low return to work rates for workers who are off work six months or more; therefore, these are very positive results.

Work. Well’s Functional Capacity Evaluation V. 2 – A Comprehensive Approach With Work. Well’s FCE ü Physicians have confidence in the FCE results; the Work. Well FCE will identify when and in what capacity the patient can safely return to work ü Insurers refer hundreds of FCEs to Work. Well Providers every year because they know the Work. Well FCE will give the objective information needed to close cases ü Attorneys can trust the findings; they need an FCE that will stand up to legal scrutiny

Work. Well’s Functional Capacity Evaluation V. 2 – Sample Job Match Grid Critical Demand from Job Description Employee: Isabelle Green Standing/Walking - Frequently Company: Helping Hands Home FCE Abilities Date: Wed, May 15, 2005 Walking - Frequently Job Title: CNA Job Match Yes Standing work - Frequently Lift up to 50# between 17” and waist Lifted 50# - job specific testing Yes Forward bending - Occasionally Yes Crouching or Kneeling - Occasionally Crouching - Rarely Kneel/half-kneel - Frequently No Yes Sitting - Rarely Sitting - Frequently Yes Elevated work - Rarely Elevated work - Occasionally Yes

Work. Well’s Functional Capacity Evaluation V. 2 – Sample FCE Grid The interpretation of Work. Well’s standardized functional testing is based on assumptions including normal breaks, basic ergonomic conditions and that the tested functions are not required more than 2/3 of a normal working day. If a function is required continuously, Lifting, Strength Never Max. Heavy Low Limitations Recommendations job specific testing should be performed. (lbs) Client Name: Isabelle Green Test Date: 5/15/05 Waist to Floor (11”) 40 Interpretation of observed function regarding activity during a normal working day: 25 15 Waist to Crown (Hands at handles) 30 25 10 Waist to Crown (Preferred Method) 40 30 15 Front Carry (Long) 65 55 20 (% = time classification per working day) "Unable" Never "Maximum" or "Significant Limitation" Rarely (1 -5%) "Heavy" or "Some Limitation" Occasionally (6 -33%) "Low" or "Slight/no Limitation " Frequently (34 -66%)

Work. Well’s Functional Capacity Evaluation V. 2 – Sample FCE Grid Posture, Flexibility, Ambulation Never Significant Limitation (Rare) Some Limitation (Occ) Elevated Work Weighted Limitations Recommendations Decreased trunk endurance Modify activities ie, use seat/stool for optimal positioning Limited LE strength with deep squat/crouch positions Limit to short durations; use seat/stool/kneel for more optimal positioning X Forward Bend Standing Crouch Slight/No Limitation (Freq) X X Kneel/Half Kneel X Sitting X Standing Work X

Work. Well’s Functional Capacity Evaluation V. 2 – Summary Report for Bottom Line Recommendations Return to Work: Physical abilities match job requirements Worker Modification: Address strength, motion, endurance deficits through work rehab Work Modification: Reduce poundage Reduce frequency Alternative positions Worksite Modification: Raise boxes 12 inches off floor Ergonomic chair/equipment Fit tool handles to client’s hands

Work. Well’s Functional Capacity Evaluation V. 2 – FCE Abilities & Job Description Return to Work is Clear with Work. Well’s FCE Example One FCE Abilities: Lift 20#, bend, no overhead work Job Description: Lift 10#, bend, no overhead work Example Two FCE Abilities: Lift 20#, bend, no overhead work Job Description: Lift 40#, bend, overhead work

Work. Well’s Functional Capacity Evaluation V. 2 – Job Match Grid Sample CRITICAL JOB DEMANDS PHYSICAL WORK STRENGTHS JOB MATCH Walking: frequently Yes Floor to waist lift of boxes and pails: 1 -35# occasionally Floor to waist lift: 25# occasionally No Front carry of boxes, tools, etc: 1 -40# occasionally Front carry: 60# occasionally Yes One handed carry (R or L): 1 -40# R: 20# Yes Stand: occasionally Stand: frequently Yes Squat: occasionally Squat: frequently Yes Forward bend standing: occasionally Forward bend standing: frequently Yes L: 55#

Work. Well’s Functional Capacity Evaluation V. 2 – A Sound Strategy Work. Well’s Standardized 2 -Day FCE is: ü Designed for chronic cases ü Accurate in cases involving nerve root irritation or specific disease processes ü Rigorous enough for medical legal cases ü Comprehensive for Disability Determination

Work. Well’s Functional Capacity Evaluation V. 2 – A Sound Strategy Work. Well’s 1 -Day Standardized CORE FCE, when appropriate ü Establish general ability level ü Diagnosis specific/body area specific testing ü Baseline Progress Testing ü Job specific testing to ensure job match

Work. Well’s Functional Capacity Evaluation V. 2 – A Sound Strategy A continual improvement process is clear in our commitment to enhance programs through evidence-based decision making. Thank you for choosing the leader in the science of occupational health.

Work. Well’s Functional Capacity Evaluation WORKWELL SYSTEMS FCE Static Push Elevated Work Weighted; performing threading activity Static Pull Waist to Floor, starting position Hand Coordination (Round Blocks from PCE) Waist to Floor Lift, heavy effort Crouch; performing hand activity