JOBFIT Overview www.healthfitness.com We are HealthFitness. Empowered people, measurable results. Functional Job Analysis/Functional Job Description Comprehensive structured process to identify and quantify the physical demands of work tasks. Post Offer/Pre-Work Screen/Fit for Duty Exam Job related functional test to determine if a worker s abilities match the essential job demands. Ergonomic Services Comprehensive assessment to identify ergonomic risks and implement solutions to eliminate/reduce identified risks. Assessments focus on the needs of the worker, the work environment and the work. Injury Prevention Education and Training Customized prevention and wellness programs address ergonomic risks, worker behaviors and functional abilities for the prevention of injuries/illnesses. Processes engage the worker in self-management of their safety and wellness. The Functional Capacity Evaluation (FCE) FCE is a comprehensive physical test designed to measure worker s abilities and describe the tasks a worker can safely and effectively perform. Work Conditioning Program Exercise, conditioning, strengthening and work simulation program to prepare the worker for the demands of the job. Tailored programs prepare workers to return back to unrestricted work, home and recreation activities following injury or illness, and/or to prepare new workers for the physical demands of the job. Early Intervention Prevention/First-Aid Program Early Intervention Three-phased ergonomic injury prevention program that focuses on resolution of early signs and symptoms prior to need for medical evaluation and treatment. First Aid Program Early intervention program to address early signs and symptoms in accordance with OHSA guidelines. Worksite Physical/Occupational Therapy Acute treatment, functional rehabilitation of work and non-work related injuries and illnesses at the worksite. Our program focus is to keep the worker actively engaged in actual work and incorporate work as part of the rehabilitation process. Certified Occupational Health Nursing Service Interventions Wellness, prevention, surveillance, first aid, triage and treatment services at the client s worksite.
JOBFIT Functional Job Analysis Functional Job Analysis The Functional Job Analysis is a comprehensive, structured process to identify and quantify the physical demands required to perform the work. This process will identify: The essential functions and critical physical demands of a job Tools, equipment and protective clothing used Forces, distances, repetitions, heights, body positions and other worksite measurements for a specific job Ergonomic risks Potential modifications Uses of the Functional Job Analysis include: Identification of issues for ergonomic interventions Analysis of work prior to injury prevention, education and program development Definition of factors for worksite modification or design Baseline for job rotation options Documentation of job tasks: - Hiring decisions and placement (ADA and EEOC Compliant) - Pre-Work Screen/Fit for Duty Exam - Advancement or promotion - Performance evaluations The Functional Job Analysis results in three principal end products: 1. Recommendations for eliminating risks of injury, such as hazards, positions and stressors: - Workplace redesign - Changes in work techniques and practices - Ergonomic injury prevention training - Conditioning/stretching/strengthening exercises 2. A Functional Job Description 3. Basis of developing a Pre-Work Screen/Fit for Duty Exam
JOBFIT Functional Job Decription Functional Job Description The Functional Job Description is developed from the results of the Functional Job Analysis. It includes a comprehensive, objective measurable definition of activities and physical/ functional demands the job requires the worker to perform. The Functional Job Description is validated for compliance with the Americans with Disabilities Act (ADA), Canadian Human Rights Legislation and other international antidiscrimination laws. The Functional Job Description is the basis for development of the Pre-Work Screen/Fit for Duty Exam. It is also used to: Communicate job demands to new hires and transfers Develop job rotations Place workers upon return from injury or illness Program Components Job title Job objectives Essential job functions Non-essential job functions Equipment used Significant work measurements Critical job demands Possible modifications Reasonable accommodations Validation Final written job description
JOBFIT Fit for Duty Exam Post Offer/Pre-Work Screen Screen/Fit for Duty Exam The Post Offer/Pre-Work Screen/Fit for Duty Exam is a functional test to determine an individual s ability to perform the physical requirements of the job. The process ensures a match between the worker and the work in a nondiscriminatory manner. The Post Offer/Pre-Work Screen/Fit for Duty Exam is: ADA/EEOC compliant because it matches the worker with the specific job based on validated demands of the job. It allows the employer to make hiring decisions in a fair, legal and non-discriminatory way Content valid because it replicates the job Accurate, true testing with no inferential leaps. The Pre- Work Screen/Fit for Duty Exam will accurately identify individuals incapable of performing the work and decrease workers compensation costs Worker accepted because it accurately and fairly assesses whether an individual has the physical abilities to perform the work Progressive because the development of screens leads to the identification of needs for ergonomic modifications that result in ability to perform jobs more safely resulting in less injuries and decreased costs Program Components Client history and physical examination Job specific screens/test Determination of criteria met/not met for each screen/ exam component (job match grid.) Recommendations and evaluator signature
JOBFIT Ergonomic Services Ergonomic Services Consultation HealthFitness Ergonomic Consultation Services (ECS) identify strengths, risks and areas for improvement of work activities, the environment, and worker behaviors, and enables prioritization of improvement efforts. Recommendations are supported by cost/productivity impact projections. Assessment of client s current programs and services: HealthFitness delivery team includes: Physical/Occupational Therapists Ergonomic Professionals Human Factors Specialist Certified, Professional Ergonomist (contracted) Health Management Fitness Specialists - Hiring - Orientation and training procedures - Medical services - Injury prevention programs - Health and wellness programming employee/ employer issues - Injury rates - Workers compensation costs - Non-workers compensation costs - Disability cases Identification of problem areas and root cause analysis Identification of company goals and objectives Identification and prioritization of solutions and action plans Proposed programming/action plans Written report of findings Presentation to client management team HealthFitness ECS include a comprehensive review of a client s injury prevention and management systems and focused analysis and recommendations of a specific need or issue.
JOBFIT Ergonomic Services www.healthfitness.com We are HealthFitness. Empowered people, measurable results. Ergonomic Work Station Assessment (EWSA) Comprehensive, structured process to identify ergonomic risks and implement action plans to eliminate/reduce the risks. HealthFitness EWSA process will: Evaluate the worker, the work station and the work Identify ergonomic risks (body positions, heights, weights, interface between worker and the work, worker behaviors) that may contribute to injury/illness Recommend and implement solutions to eliminate/ reduce ergonomic risks (equipment, furniture, behaviors, and exercises) Follow-up assessment to ensure solutions are implemented and desired outcomes are achieved Documentation of findings, actions, recommendations and follow-up Trend analysis and reports Management reports Services HealthFitness ergonomic assessment interventions range from basic ergonomic screenings to comprehensive ergonomic assessments. The comprehensive ergonomic assessments include work environment, worker behaviors, specific equipment/ furniture and behavioral ergonomic coaching. Target Market Clients with manufacturing, office, transportation, material handling and service environments. Delivery Model - Face to Face - Remote
JOBFIT Injury Prevention & Education Training Injury Prevention and Education Training HealthFitness Ergonomic Injury Prevention and Training Programs are tailored to an employee s specific needs and job demands (office, manufacturing, transportation, service, etc.). When possible, actual work situations are incorporated into the presentations. All sessions include active participation in safe work practices. Program Objectives At the completion of the training sessions, employees will: Have knowledge of neutral postures and safe work techniques Have understanding of musculoskeletal disorders (MSDs) Understand causes of MSDs Demonstrate implementation of safe work techniques Have capacity to evaluate each work environment and select the most effective, efficient techniques to complete the work Recognize ergonomic risks and have the ability to implement measures to reduce risks Recognize early signs and symptoms of MSDs Have understanding of self-management initiatives to address early signs and symptoms Program Components Objectives and expected outcomes Definition of ergonomics and MSDs Causes of MSDs Risk identification and risk reduction initiatives Safe work practice principles with applications specific to the client s needs: work environment, worker behaviors and work demands Recognition of early signs and symptoms Prevention and management of early signs and symptoms Wellness initiatives Corrective action/implementation Questions Sessions are one and a half to two hours in length and include return demonstration by the participant. Programs Include: Guide to Safe Work Practices Back and neck Upper extremity Lower extremity Exercise and conditioning
JOBFIT Back Injury Prevention Back Injury Prevention Program HealthFitness comprehensive Back Injury Prevention Program incorporates scientific ergonomic principles tailored to our client s specific culture, environment, employees needs and objectives. Real life, client specific activities are used to maximize employee understanding and engagement of safe work principles. Programs are tailored to the level and specificity required to achieve our client s objectives. Each component can be incorporated into a comprehensive program or stand alone to complement client s existing programs. HealthFitness programs focus on employees needs in manufacturing, transportation, energy, office, home and recreation environments. Product Objective Provide participants information on how to engage the use of safe work practices and wellness during all activities work, home and recreation. Product Components HealthFitness comprehensive Back Injury Prevention Program includes: Education and training in safe work techniques - Ergonomic principles, center of gravity, static and kinetic neutral posture - How to analyze each activity and select the safest techniques to complete the task - Return demonstration to ensure understanding of principles and application to specific activities - Exercises: benefits, warm-up/cool down, stretching, strengthening and endurance Worksite coaching to assist employees implement safe work practices Fitness center back exercise programs designed to focus on flexibility, core muscle strengthening and endurance to minimize risk of injury Ergonomic Risk Analysis to identify areas that have increased risks and the potential for injury and solutions for reducing risk Root Cause Analysis comprehensive investigation of root cause of injuries and offer solutions for preventing reoccurrence Data collection, data analysis Outcome management reports identify impact and outcomes achieved from programs and services
JOBFIT Functional Capacity Evaluation Functional Capacity Evaluation The Functional Capacity Evaluation (FCE) is a comprehensive physical test designed to measure a worker s abilities and describe the tasks a worker can perform in a workday. Once defined, abilities are matched to specific job tasks. The FCE also assists with developing a return to work program based on objective, measurable test results. Twenty-nine workrelated functional activities are evaluated over a two-day period. The highest level of safety is used throughout the testing. All results are documented in objective, measurable terms describing the worker s abilities and the frequency of ability to perform the tasks. The FCE process is recognized as an objective test of function that is pivotal in court and disability cases. HealthFitness FCE s are completed at the client worksite, and when indicated incorporate actual work tasks in addition to the standardized 29 items. Program Components HealthFitness FCE includes: History and physical examination Functional activities test (29 work-related items) 13-point consistency check list Summary report and recommendations Job match grid
JOBFIT Work Conditioning Program Work Conditioning Program HealthFitness Work Conditioning program prepares employees for the work through a comprehensive exercise program design and implementation based on the job demands. HealthFitness Work Conditioning Program is developed by physical therapists and fitness associates and administered by our fitness center associates. The program consists of stretching, aerobic and strengthening exercises; work simulation activities; education and training in safe work practices; and biomechanical observations in the workplace. Program Components Program design and development specific to the job demands and employee s needs Baseline flexibility and strength assessment Orientation to equipment and program Education in safe work practices Program implementation Reassessment of flexibility and strength Progression in simulated work activities Biomechanical observations at the worksite
JOBFIT Early Intervention/ First Aid Early Intervention Three-phased ergonomic injury prevention program that focuses on resolution of early signs and symptoms prior to the need for medical evaluation and treatment. Phase I: Ergonomic Workstation Evaluation and Corrective Action Assessment of work, work environment and work techniques Identification of ergonomic risks Recommendations and action plans to reduce ergonomic risk Instruction in safe work practices and preventive exercises Follow-up assessment to determine effectiveness of recommendations and determine need for Phase II Phase II: Clinical Evaluation Implemented when: Symptoms continue after Phase I completion Symptoms become more intense Employee requests further evaluation Components include: Health history Medical tests and measurements Review of Phase I intervention and results Determination of next steps: referral to Phase III or referral for medical evaluation Phase III: Job Specific Conditioning Exercises Implemented when: Phase II medical tests are negative Signs and symptoms are still present Medical referral is not indicated Structured physical activity is indicated Components include: Exercise program for flexibility, strength and endurance relating to job demands Further instruction in ergonomic safe work practices Clinical re-evaluations to monitor progress or determine need for medical referral Administration The Early Intervention Program is administered by our team: Ergonomic Evaluator Licensed Physical/Occupational Therapist Exercise Specialist Program Results Greater than 80% resolution of early signs and symptoms in Phase I First Aid Early intervention program to address early signs and symptoms in accordance with OHSA guidelines: Assessment and triage Ergonomic assessment Heat/cold Job coaching Massage Physical activities Safe work practices Re-assessment
JOBFIT Treatment & Rehabilitation Worksite Treatment and Rehabilitation HealthFitness specializes in providing physical/occupational therapy treatment and rehabilitation services at the worksite. Client Benefits Reduced cost of treatment, disability and wage replacement Reduced length of treatment episode Early intervention that results in shortened length of treatment and reduced costs Incorporation of actual work into the treatment and rehabilitation program Keeping employees working Decreased travel time (and associated costs) to offsite clinics for treatment Enhanced communication with employer, employee, case manager, supervisor, health care provider and payer Enabling the employer to actively participate in the treatment and rehabilitation process Services Physical/occupational therapy treatment and rehabilitation Work conditioning/work hardening Functional capacity evaluations Injury prevention education and training Ergonomic interventions Return to work programs (modified duty) Use of fitness center (when available) early in the treatment and rehab process All services are provided by/under the direction of a licensed physical/occupational therapist.
JOBFIT Occupational Health Nurse Certified Occupational Health Nurse Interventions On-site wellness, prevention and treatment interventions, case management and disease management services for employees with work and non-work related injuries/ illnesses. Health Risk Management Health Evaluations/Screenings/Health Risk Assessments (height, weight, blood pressure, cholesterol, blood glucose, triglycerides, etc.) High Risk Case Management Flu shots, PSA s, immunizations, etc. Laboratory services Acute and Chronic Illness Management Evaluate/treat/triage (under the direction of consulting medical director) Provide OTC medication Provide prescription medication (as deemed appropriate and directed by the consulting medical director) Transition to STD provider Authorize return to work X-ray application Employee Physicals Specimen collection/drug screens (pre-employment and for cause ) Annual physicals Surveillance Exams Hearing, vision, etc. Workers Compensation Injury/Illness Management Evaluate/treat/triage Authorize leave and return to work Coordinate absence and treatment follow-up with TPA Maintain OSHA log and report cases to TPA Supervise Alternative Work Program Case management Health Education and Wellness Workshops Counseling Self-paced Health resource library Special events as directed