On-Site Occupational Health and

On-Site Occupational Health and Rehabilitation: A Model for the Manufacturing and Service Industries describes how to establish an on-site occupational health program, from a sample of a request for proposal response, cost-savings reports, and clinical protocols, evaluations, and treatments to corporate awareness of workers' compensation, lost work-time situations, and applications for cost-effective solutions. Contains procedures and guidelines developed by the author for prestigious firms such as Ford Motor Co., General Motors Co., Bank One Corp., The Detroit Newspapers, J&L Specialty Steel Inc., Henry Ford Health System, and PepsiCo, Inc.! Exploring diagnostic mix, clinic size, on-site industrial rehabilitation program benefits, prevention medicine, and wellness and fitness strategies, On-Site Occupational Health and Rehabilitation: A Model for the Manufacturing and Service Industries illustrates how individual corporate environments can adapt to form a patient-centered, high-trust, cooperative, and informed workplace discusses the interrelationship between clinical evaluation and treatment, ADA compliance, work-site ergonomics, on-site job analysis, and placement coordination highlights crucial factors that will determine the success of an on-site medical rehabilitation program offers a prescription for a healthy, safe work environment and more! Including concise at-a-glance summaries of all rehabilitation and health services, On-Site Occupational Health and Rehabilitation: A Model for the Manufacturing and Service Industries is an invaluable resource for all occupational safety and health, occupational and environmental, primary care, family practice, and emergency room physicians; neurologists, physiatrists, and internists; physical and occupational therapists and kinesiotherapists; athletic trainers; exercise physiologists, ergonomists, and applied biomechanists; and upper-level undergraduate, graduate, and medical school students in these disciplines.

Preface

v

Acknowledgments

vii

The Mission and Vision of the On-Site Team

1

(44)

Introduction

1

(4)

Access Equals Location

5

(12)

Case Evaluation

17

(1)

Case Coordination

17

(1)

Case Review---Utilization Review/Quality Management

17

(7)

Staffing

24

(4)

Sample of an Automobile Company's Request for Plant On-Site Occupational Medical Physician Services

28

(11)

Occupational Health Classification Description

39

(3)

Description of Physician Assistant Duties

42

(2)

Duties of Physician in Charge of a Physician Assistant

44

(1)

The Benefits of the On-Site Occupational Health and Rehabilitation Model to the Whole Organization: Management, Employee/Patient, and Union

45

(30)

Program Attributes and Services Provided

46

(3)

Care of Illness and Injury-Occupational and Nonoccupational

49

(3)

Medical Examinations: Postoffer Preemployment, Fitness, Return-to-Work; Disability, Retirement; and Termination

52

(3)

Medical Monitoring and Testing Required by Law or Employer/Company Policy and/or Occupational Exposures

55

(1)

Medical Evaluation of Employees with Workers' Compensation Claims

56

(7)

Proof of Malpractice Insurance

63

(1)

Referral Process

64

(1)

Occupational Medicine Case Management Functions

65

(2)

Position Description for Occupational Medicine Physician

67

(3)

Department of Occupational Health Industrial Rehabilitation Program

70

(5)

Disability Costs to Private and Public Programs

75

(18)

Reports: Loss Control and Cost Savings

76

(13)

Claims and Statutes

89

(2)

Agenda: Health, Safety, Ergonomics, and Prevention of Upper Extremity/Hand and Back Injury

91

(2)

Health Care Reform: Quality, Price, Service, and Outcome

93

(32)

Sample of Grand Rounds Meeting, Agenda, and Cases Discussed

104

(3)

Inservice/Staff Meeting Minutes

107

(2)

Sample Automotive Industry On-Site Rehabilitation Patient satisfaction Questionnaire

109

(8)

On-Site Industrial Rehabilitation Patient Satisfaction Questionnaire

117

(2)

Customer Satisfaction Questionnaire: Department of Occupational Health

119

(2)

Customer Feedback Process Form

121

(4)

How the Occupational Health and Rehabilitation Pie Is Divided

125

(66)

Rehabilitation On-Site Staffing Policy

125

(8)

Physical Environment

133

(6)

Occupational Therapy--On-Site Job Assessment and Job Site Coaching

139

(3)

Industrial Rehabilitation Occupational Therapy: Initial Evaluation

142

(4)

Industrial Rehabilitation Job Task Analysis

146

(5)

Occupational Therapy Work Capacity: Initial Evaluation

151

(5)

On-Site Occupational Therapy Job Analysis

156

(4)

Occupational Therapy On-Site Job Assessment: Job Site Coaching and Treatment

160

(6)

Return to Work Center Job Analysis

166

(4)

Conclusion

170

(2)

Job Descriptions

172

(8)

Policies and Procedures and Therapy Guidelines

180

(6)

Employee Correspondence on the Temporary Modified Work Process

186

(2)

On-Site Rehabilitation Equipment List

188

(3)

Americans with Disabilities Act: Compliance, Worksite Ergonomics, On-Site Job Analysis, and Preplacement Coordination-How They Interrelate

191

(14)

Videotaped Ergonomic Job Analysis Report

197

(8)

Skeletal and Soft-Tissue Injuries and Cumulative Trauma Treatment

205

(30)

On-Site Industrial Rehabilitation Physical Therapy: Initial Evaluation

209

(3)

On-Site Industrial Rehabilitation Occupational Therapy--Evaluation

212

(9)

Splint Evaluation

221

(2)

Outline of Back Injury Prevention Workshop

223

(1)

Hand Evaluation Protocol

223

(7)

On-Site Industrial Rehabilitation

230

(5)

The Prescription for a Healthy Workforce: The Synergistic Whole, or How It All Comes Together

235

(20)

Return to Work Statistics for Back Cases at an Assembly Plant

244

(7)

On-Site Industrial Rehabilitation: 12-Month Study of Percent Body Fat Loss Through Use of the Fitness Center

251

(1)

Net Revenue Growth vs. 1989: Direct Company Contracts

252

(1)

Developed System Procedures to Support the ISO-9000 Quality Manual w

253

(2)

References

255

(2)

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On-Site Occupational Health and Rehabilitation: A Model for the Manufacturing and Service Industries

Summary

Table of Contents

Supplemental Materials