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On-Site First Aid Physical Therapy

On-Site First Aid Physical Therapy - A physical or occupational therapist provides treatment to workers suffering from repetitive use or other non emergent injuries on a first aid basis with heat, ice, massage, therapeutic exercises and education. This treatment is not classified as "medical" and is not reportable to OSHA or workers compensation. Services are provided on-site with direct report of medical progress to health and safety professional or other designated representative.

Ergonomic & Task Analysis

Ergonomic & Task Analysis - A professional evaluator observes workers while they are performing the tasks of their jobs to determine whether frequencies, durations, forces and postures may lead to increased risk of work-related musculoskeletal disorders. This includes observance, analysis and documentation of work activities of office, shop, manufacturing and other personnel.

Evaluators use objective, criterion referenced risk assessment tools to determine whether a process needs to be changed immediately, or is not an imminent risk. Evaluator may also make appropriate recommendations for ergonomic equipment to decrease ergonomic risk factors.

Essential Job Functions

Essential Job Functions (EJF) - WorkAbility staff works closely with employers and employees in an interactive process to identify the essential functions of virtually any job. This is done by documenting each function using ability statements that describe the job in terms of force requirement, frequency, duration and physical demands. By documenting essential job functions, employers can safely, legally and ethically manage complex fitness-for-duty and disability cases that have potential ADA/EEOC implications. Force requirements are measured using computer-integrated load cell technology.

Function-Based Medical Testing

Function-Based Medical Testing - is performed to assess a worker's residual functional capacity following an injury or illness. The tests are completed with the primary goal of answering the referral question posed by the physician, claims adjuster, attorney, or other referral source. Each examiner attempts to simulate work conditions that the worker typically confronts to allow for a worker to job comparison. The tests are performed by licensed physical or occupational therapists.

1. Full Functional Capacity Evaluations (FCEs): FCE's are performed under conditions that simulate a normal working environment. Real-time heart rate monitoring allows the therapists to determine level of effort as well as maintain worker safety during the extended period of testing. Tests typically include hand grip, push/pull, and lift/carry force measurements as well as consistency of effort and validity assessments. This evaluation is a measure of a person's functional ability to sit, stand, bend, twist, lift, walk, climb, and/or all of the components of a person's job demands. It includes range of motion assessment, dexterity, and balance as ordered by the referral source. It includes a comparison of the patient's perceived level of function vs. their tested level of function. It includes at least two measures of consistency of effort and closely reflects job specific tasks when possible.
2. Limited Functional Capacity Evaluation (RTW-MMI-Capability Assessment): This test is a shorter measure of a person's functional ability but more specific to the diagnosis and limitation. It includes at least one consistency of effort test.
3. Fitness-for-Duty Evaluations: This test is used to measure a workers ongoing ability's to perform the demands of the job.
4. Permanent Total Disability: Disability testing is done to determine the functional capabilities of a worker who may not be able to return to his/her previous line of work. This assists the case worker to close the case and compensate the workers for injuries sustained while at work.
5. Advantage TRAC: Baseline injury and follow-up testing is a series of two to three testing dates to determine the worker's baseline following injury and progress over time. Testing is typically done with at least a four week interval and measures the improvement or lack of improvement of the claimant as he/she participates in a therapy, medical treatment or work re-conditioning program.

Physical Demands Analysis (PDA)

The Physical Demand Analysis (PDA) is a document detailing the essential physical functions required of the worker by the job that he or she does. The document details the heaviest forces (pinch, grip, push, pull and carry), the postures, the positions required and the frequency of each. The PDA defines frequency as per the DOL guidelines for occasional, frequent or constant.

Post-Offer Employment Testing

The POET (Post Offer of Employment Testing) process requires content and/or construct validity and an assurance that the incumbent population is also capable of passing the testing process. The POET process ensures the employer of legally defensible testing that can be used to eliminate those applicants who do not have the physical abilities to successfully do the job. This, in turn, reduces employee's risk for injury and the employer's exposure to costly injuries and lost time.