5 Tips To Reduce Your Stress and Be More Productive

 

I think it is an understatement to say that claims professionals are under a lot of stress.  Nowadays adjusters are forced to do more with less, so in addition to the normal claim investigations they also have to do a billion other things along the course of a normal day.  Add in to that rigid auditing standards, service promises, increased claim counts, and the list goes on and on. 
 
Below we talk about some easy ways to take some of the stress out of your life in order to improve your work-life balance.
 
 
  1. Don’t Get Intertwined in Social Media
 
In today’s world, everyone is a mouse click away.  Social media such as Facebook, Twitter, LinkedIn, and so on have made it possible that you can be connected to everyone, at all times, and the stresses of other people can become your stressors as well.  In fact people can reach out to you and vent about their own problems, which can take time away from whatever project you are working on.  So limit your social media interaction during work hours, and focus on the task at hand.  If you choose to get involved in a Facebook discussion about some hot political topic, do it away from work on your own time when it will not distract you as much.
 
  1. Leave Your Desk For A While
 
I know plenty of adjusters that work 10-11 hour days, and they rarely leave their desk except to go to the printer or to hit the bathroom.  Not only is this crazy, but it is also not healthy.  Getting up and walking around for a bit can be relaxing, especially if you can head outside for a while and get some fresh air.  Maybe go out to lunch every now and then and get away from that office atmosphere.  You don’t have to do it every day, even one or two days a week can make a difference.  The world is not going to fall apart just because you snuck out and got a piece of pizza on your lunch break.
 
 
  1. Decrease Your Social Engagements If Possible
 
Don’t get me wrong, heading to seminars or after work engagements can be a great way to network and share some down time with your friends or work peers.  But you have to keep your events in check.  If you have a crazy week and need the time to focus on other things, don’t be afraid to skip out on an engagement or two. 
 
This can especially be true if you have kids that are active in sports or other things that can occur after your work hours during the work week.  Maybe the thing to decrease is the amount of activities they are involved in, since you have to be the one to pick them up and drive them to basketball practice.  Your kid doesn’t have to be on 3 basketball teams during the summer, and in doing this you can decrease their own time stressors as well. Or let them skip a few practices and go out for dinner, or go to a movie and spend some quality time with your children.  If they miss a practice or two I doubt that their ability to hit free throws will decrease.
 
 
  1. Put a Cap on the Hours You Spend at Home Working
 
Many adjusters and other professionals have the ability to access their work from any computer at any time.  This is a great thing to have when you need it, but it shouldn’t be something that you have to engage in all of the time, every single night, and every single week. If you fail to complete a few diary items, your employer is not going to go out of business and lay everyone off.  You have to prioritize what you HAVE to do at home after work hours, and what you COULD do. 
 
The hard part here is that the life of a claims adjuster is never caught up.  Rarely can any adjuster be totally done with everything on every file at any given day. It’s like a constantly spinning wheel.  But there are plenty of things that can wait until tomorrow.  Your time after work is just that—your time.  If you choose to spend it plowing through countless medical records for a file then fine, but ask yourself if this is something that has to 100% be done right now and cannot wait until the following day back at the office.
 
 
  1. Take Time to Enjoy Your Hobbies, or Start a New One
 
If you love to golf, and you have had to skip your golf league the last few times because of working late, you need to make sure your time is a priority.  Working late can sometimes be unavoidable, but that doesn’t you can’t hit the driving range after you are done.  Whether it be hitting golf balls, hiking at the park, bowling, or going for a run, take the time to enjoy your hobby of choice.  Don’t put off that time and spending it in front of a computer. 
 
These sports and hobbies are things you do to unwind and take your mind off the daily stress.  Not only will doing this reenergize yourself, but it will give you that quality “Me” time that everyone needs. Pencil that time in the calendar, and be sure to stick to it.  Make that a priority for once, instead of pushing it back time and time again.
 
 
Summary
 
In this profession we are all faced with a lot of different stressors, and they come at you from all angles.  Injured workers are stressed out because their balance of life is off due to an injury.  They are no longer working, no longer being productive, and they are worried about getting their own lives back in order.  So we not only have to deal with our own life stressors, but we have to figure out a way to try and solve the stressors of our claimants day in and day out.
 
Most of the adjusters use the excuse that “If I take some vacation time away from the office my workload only gets worse, which puts me farther and farther behind.” Part or all of this may be true, but you get vacation time or paid time off for a reason.  Nobody can work 365 days a year without going insane.  Pencil that time off in your calendar and stick to it.  
 
 
Author Michael B. Stack, CPA, Director of Operations, Amaxx Risk Solutions, Inc. is an expert in employer communication systems and part of the Amaxx team helping companies reduce their workers compensation costs by 20% to 50%. He is a writer, speaker, and website publisher.  www.reduceyourworkerscomp.com
 
©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law.

The Great Debate, Does Employer or Employee Benefit More From Worker Comp

 

Who Benefits More – Employer or Employee?
 
Every year a debate in work comp crops up about whether or not employers derive a benefit from the “exclusive remedy” – a principal that a worker gets no-fault comp, but loses the right to sue for negligence. The debate goes back and forth about who benefits more and seems to assume that the purpose of the exclusive remedy was to benefit the employer, the employee or both. [WCx]
 
 
Has More to Do with History than Who Benefits More
 
In fact, the true purpose has to do with darker underlying forces in the history of the Employers’ Liability laws which preceded comp. The best historian of the Employers’ Liability laws and the reason for their demise was Clarence W. Hobbs, the first head of NCCI and, in the late 1930s, the author of several books on the history of early work comp laws and the demise of Employers’ Liability.
 
 
Attorney Contingency Fees Main Trigger in History of Work Comp
 
The reason for the exclusive remedy was, as will soon be clear, lawyers and contingency fees. Contingency fees (no recovery, no fee) were only accepted grudgingly in US law because, it was correctly believed, that it gave the attorney every reason to exaggerate and manufacture disability.
 
The contingency fee, however, gave the large communities of recent immigrants, working in the most dangerous jobs, access to a lawyer which would have been impossible if they had to pay a fee, win or lose, up front.
 
However, the entire system of contingency fees contained to effective checks on abuse. Cases were openly solicited (read “manufactured”) by “runners”, local bilingual immigrants who fed potential clients to lawyers, for a set finder’s fee. Hobbs described both the runners and lawyers as “a noisome horde of ambulance chasers”. Soon, the courts agreed.
 
 
Courts Overcrowded with Ambulance Chasing Claims
 
The integrity and credibility of courts, judges, juries and verdicts was plunging and the courts themselves, previously rather staid, were becoming packed with mobs of litigants on Employers Liability negligence claims. Waiting in the wings as an alternative was one feature of European and British social law – Workmen’s (sic) Compensation. (The genderless “Worker’s” was a feature of the 1970s.)
 
 
Prime Mover to Work Comp was Civil Courts
 
The prime mover for the change from negligence to worker’s comp was the civil courts. Any benefit to worker or employer was an unintended consequence, although there was no shortage of volunteers to claim credit. In fact, both employer’s groups AND unions simultaneously boasted of their roles. [WCx]
 
Has anything really changed? Contingency fees, a fundamental fixture in work comp, were actually not intended to be part of comp, but they gradually crept back in because the US in the 1930s, alone in the world, assumed they had always been there and made sense.
 
Clarence W. Hobbs, however, strongly disagreed.
 
 
 

Author: Attorney Theodore Ronca is a practicing lawyer from Aquebogue, NY. He is a frequent writer and speaker, and has represented employers in the areas of workers’ compensation, Social Security disability, employee disability plans and subrogation for over 30 years. Attorney Ronca can be reached at 631-722-2100. medsearch7@optonline.net

 

Editor Michael B. Stack, CPA, Director of Operations, Amaxx Risk Solutions, Inc. is an expert in employer communication systems and part of the Amaxx team helping companies reduce their workers compensation costs by 20% to 50%. He is a writer, speaker, and website publisher.  www.reduceyourworkerscomp.com Contact mstack@reduceyourworkerscomp.com


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com
MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Nursing Care Highest Incident Rate for Claims, OSHA Emphasizing Safety

 

 
The U.S. Department of Labor's Occupational Safety and Health Administration (OSHA) recently announced a new National Emphasis Program for Nursing and Residential Care Facilities to protect workers from serious safety and health hazards that are common in medical industries.
 
 
OSHA develops national emphasis programs to focus outreach efforts and inspections on specific hazards in an industry for a three-year period. Through this National Emphasis Program, OSHA will target nursing homes and residential care facilities in an effort to reduce occupational illnesses and injuries.
 
 
According to the department's Bureau of Labor Statistics, nursing and residential care facilities experienced one of the highest rates of lost workdays due to injuries and illnesses of all major American industries (See our WC Issues by Industry Guide). The incidence rate for cases involving days away from work in the nursing and residential care sector was 2.3 times higher than that of all private industry as a whole, despite the availability of feasible controls to address hazards.
 
 
Health care workers face numerous serious safety and health hazards (Also for more information on issues affecting this field, see our Nursing Industry guide), and the National Emphasis Program will provide guidance to OSHA compliance staff on the policies and procedures for targeting and conducting inspections specifically focused on the hazards associated with nursing and residential care.
 
 
These hazards include exposure to blood and other potentially infectious material; exposure to other communicable diseases such as tuberculosis; ergonomic stressors related to lifting patients; workplace violence; and slips, trips and falls. Workers also may be exposed to hazardous chemicals and drugs.[WCx]
 
 
The National Emphasis Program directive can be viewed at http://www.osha.gov/OshDoc/Directive_pdf/CPL_03-00-016.pdf. Information for employers and employees in nursing homes and residential care facilities, including guidance on ergonomics and workplace violence, is available at http://www.osha.gov/SLTC/nursinghome/index.html
 
 

Author Michael B. Stack, CPA, Director of Operations at Amaxx Risk Solutions, Inc. is an expert in employer communication systems and a part of the Amaxx team helping companies successfully reduce Workers Compensation Costs by 20% – 50%. He is a writer, speaker, and website publisher.  www.reduceyourworkerscomp.com   Contact:mstack@reduceyourworkerscomp.com

 

 


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com

VIEW SAMPLES PAGES

MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

The Best News Tidbits from the Workers Comp Community

 
Get the complete low-down right here. We rounded up the best tidbits of news around the WC community so you don’t have to. It’s all in one place – the Roundtable.
 
LexisNexis Communities Examines Cases in WC World
Roundtable recommends signing up for the newsletter from Workers Compensation Law Community Powered by Larsons on LexisNexis. They keep current on WC cases and offer many insightful comments. Sign up for the newsletter here and get all this and more in your inbox. Here’s a summary of the articles you’d find there this week [WCx]:
 
 
1. Texas Court Ties Injured Worker’s Drug Overdose to Side Effects of Prescription Pain Medication
Thomas A. Robinson writes here, that subsequent injuries are compensable if the result of a compensable primary injury. He says these cases fall into two groups: the cases in which an initial medical condition itself progresses into complications more serious than the original injury and those in which the existence of the primary compensable injury in some way exacerbates the effects of an independent medical weakness or disease. Read his analysis of this Texas case regarding these principles.
 
 
2. Unnecessary Litigation in Workers’ Comp Claims Process: Training and Communication Are Key
John Stahl, writes that he recently heard a presentation by Dr. Bogdan Savych of the Workers’ Compensation Research Institute (WCRI) that the goals of the workers’ compensation system included “delivering benefits without too much unnecessary attorney involvement and litigation.” Stahl writes the presentation summarized a WCRI study that examined several reasons why a workers’ compensation claimant hired an attorney and offered strategies for reducing the costs and delays associated with that legal representation.
“The number of claimants who hired an attorney ranged from approximately 8-percent in Texas to more than 50-percent in Maryland. A claimant’s perceptions that pursuing workers’ compensation benefits would adversely affect that person’s employment status and/or that a workers’ compensation insurer denied a claim were the primary identified motivations for hiring an attorney,” he writes. Read more here.
 
 
3. Larsons Spotlight Looks at Recent Cases:
Larson’s Spotlight looks at several important court events this week, here.
1. In New York, Cap Imposed by § 15(6) Applies to Periodic Payments of Scheduled Loss of Use Awards in Same Manner as Other Periodic Payments of Disability Benefits.
2. From Virginia, Average Weekly Wage for Inexperienced Roofing Worker Computed on Worker's Share of Sum to be Paid, Divided by 52 Weeks.
3. Also Virginia: Injured Worker Receives YMCA Membership and Mileage for Unsupervised Pool Therapy as Part of His Medical Benefits Award.
4. From Pennsylvania, Slight "Crookedness" of Nose Following Injury Does Not Qualify for Disfigurement Award.
 
 
Return To Work Roundtable Opens on LinkedIn
The Workers’ Compensation Roundtable discussion group on LinkedIn has added the Return to Work Roundtable subgroup for people interested in discussing specific ideas, challenges and issues pertaining to the RTW process in Workers’ Compensation. The co-managers of the Workers’ Compensation Roundtable will be joined in the RTW Roundtable by Mike Benishek, Director, Risk Management & Insurance for PTG Management Company. Those interested in joining the group can do so here.
 
 
 
Texas Workers’ Comp System Requiring Subscriptions Now
The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) is now requiring participants to sign up to the TDI eNews by June 1, 2012, when they will begin to distribute news and communications through the TDI eNews.
To continue to receive e-mails from the TDI-DWC, subscribe online here. Mail lists offered, include:
1. Division of Workers’ Compensation eNews Update – Includes Division of Workers’ Compensation related rules, bulletins, educational session and training events and other related news.
2. Safety and Health eNews Update – Includes information on occupational safety and health matters, including safety tips and publications, upcoming training events, training DVD loans, and Occupational Safety and Health Administration (OSHA) updates.
Questions may be directed to Public.Information@tdi.state.tx.us.
 
 
 
Upcoming Cost-Control Webinar from Fisher & Phillips
Fisher & Phillips LLP labor and employment attorneys will present a webinar 2 p.m. June 4 offering employers advice on how to control workers' compensation costs. The presentation will focus on use-loss control and safety programs to prevent injuries from occurring and help employers understand how to best manage claim expenses. The hour long webinar is free, but registration is required.  Participation in this webinar has been approved for one hour of HRCI credit. Register here.
 
 
Watch Wilson’s One-Minute Video
If you prefer getting your WC news in video format, you are in luck. Bob Wilson from WorkersCompensation.com is reporting on top-read stories here. This week he talks about NCCI, CA DWC and a Tennessee Lineman as well as Shy Bladder Syndrome.[WCx]
 
 
Truckers Against Trafficking Informing Drivers What to Look For
Truckers and the travel plaza industry could do a lot to help catch human traffickers by virtue of what they see and where they are. Their website found here can give you the inside scoop on what is happening right here in the U.S. They say, “Human trafficking, a term for modern-day slavery, is a $32-billion worldwide industry with more than 27 million people enslaved. It has been reported in all 50 states, and the number of victims in the United States is estimated in the hundreds of thousands. This website has been created to enable members of the trucking/travel plaza industry and other travelers learn what you can do to help stop this atrocity.”
 
 
 
Note: If your company has any developments you'd like to share, please send them to us at: RShafer@ReduceYourWorkersComp.com

 

 

 

 

Author Rebecca Shafer, JD, President of Amaxx Risk Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing/publishing, pharmaceuticals, retail, hospitality, and manufacturing. She is the author of the #1 selling book on cost containment, Workers Compensation Management Program: Reduce Costs 20% to 50%. Contact: RShafer@ReduceYourWorkersComp.com.

 

 Editor Michael B. Stack, CPA, Director of Operations, Amaxx Risk Solutions, Inc. is an expert in employer communication systems and part of the Amaxx team helping companies reduce their workers compensation costs by 20% to 50%. He is a writer, speaker, and website publisher. Contact Mstack@ReduceYourWorkersComp.com. 

  
WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com
MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Workers Compensation This Week In Review

LexisNexis Communities Highlights Hot Topics WC In Review
The Workers Compensation Law Community Powered by Larsons on LexisNexis offers an interesting look at WC this week:
 
 
Ronald E. Weiss and Ronald Balter analyze in “New York Workers’ Comp Stakeholders Continue to Absorb 2007 Reform Changes,” found here, “During the past year, stakeholders in the workers’ compensation system in New York have continued to absorb legislative and administrative changes initiated by the 2007 reform. Maximum indemnity rates are now indexed to two-thirds of the State Average Weekly Wage.”
 
 
The Law Community also takes a look at the Workers Compensation Board policy on firearms here by examining what the policy is, how it affects law enforcement and what notification rules are.
 
 
They also take an insightful look into a Florida pizza delivery man who was fired after being robbed. See complete article here. Reporter Michael Miller notes the man is suing Domino's, his former employer, “claiming (they) cruelly denied him workers' compensation for his injuries from that night and then unlawfully fired him.”
 
 
In the Pittsburg Post-Gazette, writer Gina Passarell comments on how the Steelers football team does not have to pay attorney fees in a workers' comp case. The incident (see full story here) is related to a former player's WC case in which he suffered injuries while with the team. “The team argued he was not ‘disabled’ since he went on to play for other pro teams, the Commonwealth Court has ruled,” Passarell wrote. “Pennsylvania law automatically provides attorney fees to prevailing claimants when employers contest a claim for workers' compensation benefits, unless that protest is ‘reasonable.’ “
 
 
Working Immigrants Blog Looks at Pew Study
Working Immigrants, a weblog about the business of immigrant work: employment, compensation, legal protections, education, mobility, and public policy writes this week that net migration from Mexico fell to zero.
 
 
“According to a report by the Pew Hispanic Center, ‘The largest wave of immigration in history from a single country to the United States has come to a standstill. After four decades that brought 12 million current immigrants—more than half of whom came illegally—the net migration flow from Mexico to the United States has stopped—and may have reversed, according to a new analysis by the Pew Hispanic Center of multiple government data sets from both countries.’ “The blog takes a deeper look into this study here.
 
 
TDI-DWC Approves 7 Companies to Self-Insure for Workers’ Compensation Claims
According to Stuart Colburn, shareholder in Downs Stanford, P.C. , the Texas Department of Insurance, Division Workers' Compensation reports here The Texas Department of Insurance, Division of Workers' Compensation (TDI-DWC) approved seven renewals of the Certificates of Authority for companies to self-insure their workers’ compensation claims for a one-year period under the TDI-DWC Self-Insurance Program. These companies collectively employ approximately 27,900 employees in Texas.
 
 
The report notes, “Under Texas law, certain large, private companies can self-insure for workers’ compensation claims, while retaining the protection of the Texas Workers’ Compensation Act for the company and for its employees. To qualify, a company must have a minimum workers’ compensation insurance unmodified manual premium of $500,000 and meet other requirements subject to annual review.”
 
 
Capital Community College Offers Live Classes in Risk Management
Capital Community College of Hartford, CT is now offering these live instruction classes in ARM:
 
ARM 54: Risk Assessment (PRFD 5359-2176)
Tuesdays/Thursdays from 5 PM – 9 PM
May 8 – June 14, 2012
$699 plus textbook
 
ARM 55: Risk Control (PRFD 5360-2177)
Tuesdays/Thursdays from 5 PM – 9 PM
June 19 – August 2 (excluding July 3 & July 5)
$699 plus textbook
 
ARM 56: Risk Financing (PRFD 5395-3602)
Tuesdays/Thursdays from 5 PM – 9 PM
September 25 – Nov. 1
$699 plus textbook
 
To register by phone, call (860) 906-5130. Contact Carol Vassar-Pettit with questions, cpettit@ccc.commnet.edu.
 
 
Advisen’s Casualty Insights Conference Coming May 1
Register here for keynote speakers, Allied World’s Lou Iglesias, Navigators’ Stan Galanski, and Arch’s Mark Lyons and an all-star Risk Manager panel.
 
 
The casualty conference at the McGraw Hill Conference Center is free for risk managers and insurance buyers; Advisen Clients are $395; general registration is $495. Further, eight CE credits are available for $125.
 
 
Other speakers include: Mitchell J. Auslander of Willkie Farr & Gallagher, Alfred Bergbauer of Marsh and Carmelite Bertaut of Stone Pigman Walther Wittmann LLC
 
 
Broadspire Promotes Erica Fichter to Senior Vice President of Medical Management
Broadspire, a TPA WC claims administrator and medical management service provider, has named Erica Fichter to senior vice president of medical management services.

[WCx]

Fichter will oversee a staff of more than 500 clinical professionals and support personnel located throughout the United States. Broadspire has the fifth largest medical management company in the country, with integrated services including: medical bill review, field and telephonic case management, utilization review, physician review, the BOLD® Network preferred provider offering and chronic pain management. “With this array of services, Broadspire's cost containment results are typically 10 to 15 percent better than those produced by other TPAs and managed care companies,” they claim.
 
 
Note: If your company has any developments you'd like to share, please send them to us at: mbstack@gmail.com

 

 

Author Rebecca Shafer, JD, President of Amaxx Risk Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing/publishing, pharmaceuticals, retail, hospitality, and manufacturing. She is the author of the #1 selling book on cost containment, Workers Compensation Management Program: Reduce Costs 20% to 50%. Contact: RShafer@ReduceYourWorkersComp.com.

 


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com
MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Respirators Keep Roofers Safe and Keep Comp Costs Down

Roofers seldom think of their respiratory health. Having worked closely with roofers for over 20 years, I can say with certainty that most feel that this area of OSHA compliance and heath is not on their “top ten list”.

 
 
I will address this issue from the perspective of a group of roofers I have worked with recently for a large roofing contractor.
 
 
 
I can honestly say that I am always aware of these hazards, but in the interest of overall risk management, there were always just “bigger fish to fry”. Keeping roofers from falling off a roof just seemed more important all along.
 
 
Why Now?
As a whole, roofing
has seen the highest level of improvement in safety of any part of construction. However, we all have areas we need to address. If fall protection is conquered and other critical areas of safety in your trade, but respiratory health has not been addressed, it might be a worthwhile choice. But, why a formal respirator program? The reasons are many and varied. Let us look at a sampling of some critical items.
 
 
1.  Hazards
From the first cut of a saw into concrete, the silica requirement is met. And thanks to a recent addition to the welding standard, any welding will now put us into the hexavalent chromium standard. The very act of burning the welding rods makes for sufficient H/C to put us in the action level of the standard.
 
 
2.  Adhesive hazard
It is quite easy to get into trouble with PEL’s (permissible exposure limit) of these chemicals. The exposure will be higher on low wind days. Often, a false conclusion is made that wind direction or use of local ventilation is sufficient; however, a close read of the MSDS on newer adhesives will show that “respirator protection is recommended for all days, not just windy ones!
 
 
3.  Re-roof hazards
Other hazards face us on “re-roofs”. Hazards, such as mold, bacteria and unknown particles (asbestos, fiberglass) arise when disturbed while removing old covering layers. This is critical, as many roofing situations can create sufficient dust and unknown particles to be of real concern. Total dust and particulates alone can easily become a respiratory hazard. (You may want to scream,” I QUIT!”) Not so fast, though.  A compliant respiratory program can be simple and affordable, with proper thought and implementation.
 
 
Costs
First, who gets selected to be the respirator users? Cost is a considerable factor, here, so it is not advisable to use new employees. Can you say, “increased turnover costs”?
 
The costs are real. First, the employee(s) chosen are sent to a doctor, who performs respiratory testing including spirometry ( Read more about spirometry from Lowerwc.com here). OSHA requires employees be tested to see if their health is sufficient to use a respirator. Working, while breathing through a respirator, is harder than one might think. It is important to choose employees in excellent health preferably non-smokers, when possible.
 

Cost at an occupational medical center should be about $125 for first check and somewhere between $75 and $125 each year thereafter for OSHA required annual follow up. This is another reason why it is important to choose employees looking toward longevity.
 
 
Quality counts
Next, purchase “quality protection”. N-95 dust masks will suffice for exposure other than just that dust mold, and particulates in low levels.  We recommend a quality half-mask respirator, around $90, with interchangeable cartridges ($50 per exposure). This way, one mask can serve welding, adhesives and particulates, by changing the filter cartridge for the task at hand.
 
 
Training
Now the employee will need to be trained and fit-tested for the respirator. Cost?  $125, tops. So, that is around $500-$650 per trained and certified employee per year. This is a pittance compared to even the first medical claim or OSHA violation!

 
The OSHA Inspection
It makes for a compelling risk assessment; even if in your area (large city as opposed to rural costs) you find it on the high side of these estimates. But, make no mistake about it—YES the OSHA inspector will ask even a roofer about compliance with this standard, especially if the roofer is using the concrete saw or adhesives at the time the inspector is on site.
 
 
Summary
Now that the fall protection and other threatening safety “dragons” are slain, it may be time to look at the respiratory health and compliance in your company. [WCx]
 
 
The roofing industry is more aware of risk and compliance  as time passes . Also we are learning that some of our worst fears about compliance were unfounded and can actually make for good business. Stay safe!!
 
 
Brian Hill is owner of OshaSure in Birmingham Alabama and has over 20 years as a workplace safety and risk consultant. Brian was previously a pilot for a major US airline and member of the company’s interdepartmental safety committee. He found his new career in safety after the closing of the airline in 1991. Brian has found the same passion he had for flying in assisting companies with safety, heath and risk issues. Contact Brian by email at:  oshasurebh@aol.com  For more information click on www.oshasure.com  or call 205-296-0601
 

 


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com

MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Industry Leaders Discuss Challenges at Broadspires First Pharmacy Summit

 

Medications and drugs continue to play an increasingly important role in the overall of medical costs in workers compensation claims. In addition to the increases in costs, the potential claim risks have also increased surrounding the growing use of narcotics in the treatment of pain. These issues impact all involved parties in the claim administration process – from injured worker, to employer, to carrier or payer. How to manage these issues has now become a critical issue.
 
 
On March 22, 2012, Broadspire, a Crawford Company and leading third party administrator (TPA) and medical management services provider, brought together representatives from a number of key industry organizations to discuss the challenges in prescription drug management for workers compensation claims during its first pharmacy summit.

  

The intention of the summit was to focus on global industry issues, trends and developments in the future. In bringing together resources from all aspects of the pharmacy management process, the group was able to have an all encompassing discussion of the issue, and examine the challenges from all perspectives and vantage points. Throughout the day, the group discussed the common threads that tie together claimant, payer, employer and carrier interests. The group also shared ideas that could be put into practice to improve outcomes for everyone concerned.
 
 
More than 50 brokers, practice leaders, clinicians and others from major insurers, insurance brokerage firms and pharmacy benefit management (PBM) organizations attended the summit, which was held at Broadspire’s Sunrise, Fla., medical management headquarters. The panels were divided into four key areas of focus
 
1.    Pharmacy program design
2.    Opioids and controlled substances
3.    Physician dispensing
4.    Key legislative updates.
 
The first session focused on the overall design of an effective pharmacy program. Panelists in the discussion included Eileen Ramallo, Executive Vice President of Healthcare Solutions; Lori Daugherty, President of PMSI/Tmesys; Atermis Emslie, President of MyMatrixx; and Kathy Tiemeier, Clinical Program Manager of Express Scripts.

 

Candy Raphan, RN, BSN, ARNP, MAOM Candy joined Broadspire in 1989.  For over 20 years, she has held various management roles within the Broadspire organization in a variety of functional areas, including Occupational and Non-occupational Disability Management, Utilization Management, Medical Bill Review, Quality, and Medical Management Strategic Outcomes.  In her current role as Director of Medical Services, Candy is a Practice Leader for Broadspire’s Comprehensive Pain Management Solution and responsible for the clinical components of the pharmacy program, medical analytics, reporting and other clinical program development.


In addition to her experience at Broadspire,
Candy brings a varied background of clinical, managed care and health industry related experience.  She is a certified advanced registered nurse practitioner with a specialty in family practice, Candy holds a bachelor’s degree and advanced practice certificates in nursing from the University of Miami and a master’s degree in organizational management from the University of Phoenix.  Candy is also a member of the National Association of Professional Women and the American College of Healthcare Executives.

End Article
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
WORKERS COMP MANAGEMENT MANUAL:  
www.WCManual.com 

MODIFIED DUTY CALCULATOR:  
www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Lisenbey Takes over As CEO at Broadspire

Congratulations to Danielle Lisenbey who has taken over as CEO of Broadspire, an international TPA well-regarded as one of the best in the industry. Selected as a Lexis Nexis Notable Person of the year in 2010 (see story here), she moves to the role from COO for Medical Services where she was responsible for the operation of all of Broadspire’s medical and case management services. “In this position, she drove the continued development and delivery of products and services that have generated cost containment results typically 10 to 15 percent better than those produced by other TPAs and medical management companies,” the company writes of her.



Lisenbey oversaw the development of the BOLD® Network, a state-stratified, multi-tiered approach to a preferred provider organization (PPO) strategy; a durable medical equipment (DME) formulary that applies the cost management principles of a pharmacy formulary to medical equipment; and a new chronic pain protocol, a multidisciplinary approach to addressing the complex chronic pain conditions that drive the duration of workers compensation and disability claims.[WCx]

 


She became chief executive officer of Broadspire in 2012. Immediately prior to this role, she was chief operating officer for Medical Services, responsible for the operation of all of Broadspire’s medical and case management services. In this position, she drove the continued development and delivery of products and services that have generated cost containment results typically 10 to 15 percent better than those produced by other TPAs and medical management companies.
 
 

In 2011, Broadspire’s case management services were recognized nationally with publisher Dorland Health’s Silver Crown award for innovative services to the mature case management market and the Platinum Award for overall case management services. Lisenbey was named a Workers’ Compensation Notable Person by the LexisNexis Workers’ Compensation Law Community for 2010.

 
Lisenbey’s career with Broadspire and its predecessor companies began in 1991 as an operations supervisor for the medical bill review unit. She was named vice president of medical bill review operations in 2006 and promoted to chief operating officer for Medical Services one year later.

 

She holds a bachelor’s degree in industrial engineering and technology from Western Illinois University. She is a member of The Society of Manufacturing Engineers and The National Association of Women Executives.

 

>>>>>>>>>>>>>>>>>
WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com
VIEW SAMPLES PAGES
MODIFIED DUTY CALCULATOR:  
www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Robinson Reviews U.S. Supreme Court Case Roberts v. Sea-Land Services and other Work Comp Happenings

 
LexisNexis Communities Offers This Week WC In Review
The Workers Compensation Law Community Powered by Larsons on LexisNexis offers three great pieces this week:
 
 
Jon Robinson asks if the Longshore Act was newly awarded, newly entitled or newly paid. In an insightful entry found here. Robinson details aspects of the Supreme Court of the United States Roberts v. Sea-Land Services, Inc., case addressing Section 906 of the Longshore and Harbor Worker’s Compensation Act.[WCx]
 
 
Mark Popolizio, writes an entry titled Court Dismisses Suit Seeking to Hold Carrier Liable for Reimbursing Medicare Payments, which is found here. His summary states, “In this case, Medicare paid for two lumbar surgeries during a period in which the carrier had denied medical benefits. The parties subsequently entered into an Agreed Judgment in state court through which it was established that the condition requiring back surgery was, in fact, related to the claimant’s work accident. While the carrier accepted compensability of the claimant’s injury, this agreement did not liquidate damages or require that the carrier make any specific payments.”
 
 
The community also reviews recent cases including one in which an injured HVAC worker established “odd lot” status. The blog observes, “Under the ‘odd lot’ doctrine … a claimant who is not actually permanently totally disabled is nevertheless eligible for permanent total disability benefits if his or her disability, combined with other factors, such as lack of education or transferable skills, lack of broad-based employment experience, age, etc., make the worker de facto unemployable.” This article, found here also includes:
 
1.Unless Specifically Stipulated, Causation is Always An Issue
2. Irrigation "Mechanic" is Nevertheless a "Farm Laborer" For Purposes of Agricultural Exclusion From Workers' Compensation
3. "Member" of Limited Liability Company Is Not Immune Under Exclusive Remedy Provisions of Workers' Comp Act
 
 
In Touch Awards Gala Thursday, March 29
The In Touch Gala of workers compensation professionals in Florida will be 7 p.m. March 29 in the Floridian Ballroom in Pembroke Pines, Fla. Gina Jacobs will present awards year, and Florida Senator and Chairman of the Healthcare Regulations Committee Rene Garcia will be guest speaker, representing Hurley, Rogner, Miller,Cox, Waranch & Westcott, P.A. Admission is free for claims adjusters, and other insurance professionals. Email your response to Melissa@myomservices.com. Attorneys and other vendors may contact Melissa Lopez at (866) 640-4060. More information on the In Touch with Today`s work Comp Professionals Online Community can be found here.
 
 
WCRI to Participate in Rx Drug Abuse Summit
Dr. Richard Victor, executive director of WCRI (Workers Compensation Research Institute) has been asked to join policymakers and stakeholders at the National Rx Drug Abuse Summit April 10-12. The event, hosted by Operation UNITE, includes the U.S. Surgeon General, the director of the White House Office of National Drug Control Policy, and others.[WCx]
 
 
For more information, read the complete release here where Victor notes, “The research WCRI has done on prescription medications in the treatment of injured workers shows us that many physicians are not following recommended guidelines to monitor use, abuse, and diversion. The result is wide variation in the length of narcotics use by injured workers across different states. For example, in Louisiana one out of six injured workers who were given narcotics initially still received three or more narcotics prescriptions six months after the injury. In the typical state, the figure was one out of 20.” For more information about the Summit, visit here.
 
Prescription Drug Summitt: These issues are also being addressed by a group of senior industry executives and thought leaders on March 22 at Broadspire in Sunrise, FL. For information, click here.

 

 

 

Author Rebecca Shafer, JD, President of Amaxx Risk Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing/publishing, pharmaceuticals, retail, hospitality, and manufacturing. She is the author of the #1 selling book on cost containment, Workers Compensation Management Program: Reduce Costs 20% to 50%. Contact: RShafer@ReduceYourWorkersComp.com.

 


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com

VIEW SAMPLES PAGES

MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Broadspire Drug Abuse Summit and Other News from the Workers Comp Community

 
Broadspire Rx Summit
Danielle Lisenbey, chief operating officer for the Medical Management Services of Broadspire announced its first annual Rx Summit in Sunrise, FL March 22. As a leader in the industry, Broadspire's first Pharmacy Issues Summit should prove to be helpful. They write, “The purpose of the meeting will be to bring thought leaders from various organizations together to discuss relevant topics and issues surrounding pharmacy benefits in the workers compensation setting.

The intent is not to share the specifics of what various companies are doing, but rather to focus on the global industry issues themselves and what may be the possible trends and developments for the future. One key objective of the program will be to help to identify and define common threads that run through all components of the industry – across claimants, payors, employers and carriers.

Defining some of these commonalities will help the consumer to maneuver through the market. Each participant is invited to bring one operations executive and one clinical representative. This will be an opportunity to brainstorm and share ideas amongst industry peers that can help to influence positive impacts for all.”[WCx]

 
 
Email Mjaynes@choosebroadspire.com by March 15, 2012 for more information. The Summit is by invitation only.
 
 
Everything Business Corp! Magazine Tells how to Fuse Workplace Wellness Programs With Recovery
An article by Lisa Firestone addresses the way employers are continuing to struggle with a challenging economy. “Maximizing efficiency and productivity is no longer a goal to strive for, it is essential for continued growth and even survival,” she writes. “Recognizing this dynamic, it is not surprising that more and more employers are actively engaging in worksite wellness programs that have proven to be effective in lowering health care costs – in fact, according to American Journal of Health Promotion every $1 invested in a corporate wellness program returns $4 in reduced health care costs and $5 in reduced absenteeism over a period of three to five years.”
To read more on this topic, look here.
 
 
LexisNexis Communities Highlights Weekly WC Hot Stories
The Workers Compensation Law Community Powered by Larsons on LexisNexis offers this week three fascinating news articles:
 
1. The Defense of Intentional Self-Injury: Russian Roulette, Workplace Frustration, Accidental Drug Overdose, and More reviews Rashness Versus Intention in Self-Injury Cases, Impulsiveness Versus Intention in Self-Injury Cases and Suicide Test as Test for Self-Injury. It can be found here.
 
 
2. LHWCA: Responsible Employer Determination in Cases Involving Multiple Traumatic Injuries: Seeking Analytical Clarity is a thorough look at the same using relevant precedent, post-Albina board decisions, burden of proof; aggravation vs. natural progression: identifying the cause(s) of disability and sequential vs. simultaneous consideration of evidence. It can be found here.
 
 
3. Larson’s Spotlight on Recent Cases: Firefighter’s Rule Did Not Bar Tort Action against Homeowner examines the firefighters’ rule, an important exception to the usual third-party liability rules in which a firefighter (or other first responder) may not recover in tort from a landowner or occupier who has been negligent in starting or failing to curtail a fire. Read more here.
 
 
LexisNexis Editor Featured in Risk Management Magazine
Thomas A. Robinson, a contributing author and editor of LexisNexis resources including Larson's Workers Compensation Law and Workers Compensation: The Survival Guide for Business, wrote a fascinating article that was recently featured in the well-known RIMS magazine. Also a member of the LexisNexis National Workers Compensation Advisory Board, Robinson writes about 10 bizarre WC case that ended unexpectedly here.
 
The article is a great read and includes juicy stories such as what the courts decided when an obese employee broke a leg trying to get unstuck from a cafeteria booth, whether a construction worker who lost an eye trying to sledgehammer a found bowling ball on site and whether a fatal heart attack while holding a termination letter is still covered.
 
 
For more like it, sign up for the free weekly enewsletters in national and California editions by Robin Kobayashi here.
 
 
Need More, Faster WC Info? We have the Newsletter for You
Check out this LexisNexis newsletter that can keep you on top of what’s happening in our industry. Learn more here and sign up here.
 
 
Texas Department of Insurance Changes Pay Advance Form
The Texas Department of Insurance Division of Workers’ Compensation recently changed the form injured employees use to request pay advances on their WC settlement checks. The form, DWC Form-047, Employee’s Request for Advance of Benefits, and the DWC Form-053, Employee Request to Change Treating Doctor is for an injured employee to request an advance of his/her workers’ compensation income benefits. The DWC Form-053 is for an injured employee who is not part of a certified workers’ compensation health care network, and whose claim does not involve medical benefits provided through a political subdivision pursuant to §504.053(b)(2) of the Texas Labor Code, to request a change of treating doctor.[WCx]
 
 
Workers’ compensation system participants should use the revised DWC Form-047 or DWC Form-053 on and after March 7, 2012. Previous versions of the form will no longer be accepted after June 1, 2012. For more information, check here.

 

 

 

 

Author Rebecca Shafer, JD, President of Amaxx Risk Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing/publishing, pharmaceuticals, retail, hospitality, and manufacturing. She is the author of the #1 selling book on cost containment, Workers Compensation Management Program: Reduce Costs 20% to 50%. Contact: RShafer@ReduceYourWorkersComp.com.

 


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com

VIEW SAMPLES PAGES

MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Professional Development Resource

Learn How to Reduce Workers Comp Costs 20% to 50%"Workers Compensation Management Program: Reduce Costs 20% to 50%"
Lower your workers compensation expense by using the
guidebook from Advisen and the Workers Comp Resource Center.
Perfect for promotional distribution by brokers and agents!
Learn More

Please don't print this Website

Unnecessary printing not only means unnecessary cost of paper and inks, but also avoidable environmental impact on producing and shipping these supplies. Reducing printing can make a small but a significant impact.

Instead use the PDF download option, provided on the page you tried to print.

Powered by "Unprintable Blog" for Wordpress - www.greencp.de