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Improving Outcomes for Workers with Soft Tissue Injury

 

By Mary Hughes Power, Director Client Services, Workers Compensation Board of Prince Edward Island

The Workers Compensation Board of Prince Edward Island’s Corporate Strategic Plan 2007-2012 builds on previous successes, identifies challenges for the future and demonstrates the Workers Compensation Board’s commitment to measurable results.

This article will provide a summary of the work that has been undertaken to achieve the goals set out in one of the five strategic themes identified in this Corporate Strategic Plan: Improving Worker Outcomes.

The Workers Compensation Board of Prince Edward Island is committed to effective case management for all injury types. However, it is identified that over fifty percent of all claims filed with the Workers Compensation Board of Prince Edward Island are the result of soft tissue injuries. A review of claims data reveals that the largest claim type is soft tissue injury to the low back followed closely by soft tissue injury to the shoulder.

In response to this finding, a focused approach to improve outcomes for those workers who incur soft tissue injuries has been implemented. In Year One of the Strategic plan, the strategy that has been implemented to promote safe and timely return to work for workers with soft tissue injury to the low back is the development of a Critical Path for Soft Tissue Injury: Low Back. The Critical Path incorporates information from the Workers Compensation Board’s Disability Duration Guidelines and identifies critical points throughout the duration of a claim based upon these guidelines.

The Critical Path was developed in consultation with the Workers Compensation Board health care providers and outlines roles, responsibilities and goals for all individuals involved in the return to work process, including the worker, employer, physician, chiropractor, physiotherapist, occupational therapist and the Workers Compensation Board case worker.  

The Critical Path emphasizes the importance of establishing with each worker, an expectation that return to work is the ultimate goal. Each health care professional is encouraged to provide positive and realistic comments as to the degree and extent of a worker’s injury, the treatment required, and the anticipated outcome. The health care provider is expected to convey a positive message which positively impacts on the worker’s recovery by reducing lost time from work and promoting a timely and safe return to the workplace.

The Critical Path also takes into account current research and evidence-based guidelines which identify factors which may influence claim duration such as:

  • Injury severity

  • Hospital stay

  • Mechanism of injury

  • Claim history

  • Co-morbidities

  • Amber flags such as psychological factors

  • Small employer

  • No longer job attached

  • Seasonal work

  • Relationship with their employer (does not like their job)

The Board’s Corporate Strategic Plan 2007-2012 for Year Two further builds on this work and outlines the process for the development of a Critical Path that identifies critical points throughout the duration of a claim (adjudication, transfer to case management, and return to work planning) for soft tissue shoulder injuries.

In summary, the goal for implementation of the Critical Path(s) is to improve worker outcomes by focusing on the key result area of improving outcomes for workers with soft tissue injuries and to achieve timely interventions that promote maximum functional recovery and expedite timely return to work for each worker.

The Critical Path for Soft Tissue Injury: Low Back is available on the Workers Compensation Board of Prince Edward Island website at www.wcb.pe.ca

Contact:              Mary Hughes Power
                           Director Client Services
                           Workers Compensation Board of Prince Edward Island
                           Telephone: (902) 368-5687
                           E-mail: mhpower@wcb.pe.ca         

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Second Quarter 2009
AASCIF News



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