1. Early Intervention Protocol

3.  Understand why early intervention is important.  Understand what early intervention is.  Understand how early intervention works and operates.  Review and understand early intervention case studies.

4.  Management Leadership and Employee Participation  Hazard Identification  Job hazard Analysis and Control  Training  Medical Management  Program Evaluation

5.  195 new cases  189 cases resolved successfully ◦ Wrist/Hand = 59 ◦ Elbow/Arm = 27 ◦ Shoulder/Neck = 34 ◦ Back/Hip/Trunk = 23 ◦ Knee/Leg = 28 ◦ Ankle/Foot = 18

6.  Conservative Assumption: 10% of these successfully resolved cases would have gone to work comp in the absence of early intervention  Wrist/Hand = 5.9 x $52,062 = $307,166  Elbow/Arm = 2.7 x $54,164 = $146,243  Shoulder/Neck = 3.4 x $81,266 = $276,304  Back/Hip/Trunk = 2.3 x $73,855 = $169,867  Knee/Leg = 2.8 x $61,895 = $173,306  Ankle/Foot = 1.8 x $47,430 = $85,374  Total Loss Avoided = $1,158,260 *Based on current statistics from the MO division of worker’s compensation.

7.  Work Comp Loss Avoidance  Group Health Plan Loss Avoidance  Case Management & Job Placement  Pro-Active Ergonomic Consulting  Ergonomic Training Programs  Health & Wellness Consultant  Gives us the ability to identify and resolve issues internally

9.  Precursor  Mild  Moderate  Severe

10.  “if the employee experiences minor musculoskeletal discomfort and a health care professional determines that the employee is fully able to perform all of his or her routine job functions, and the employer assigns a work restriction to that employee for the purpose of preventing a more serious condition from developing”, the case is not recorded

11.  “If a worker has a musculoskeletal disorder and it is not obvious whether the precipitating event or exposure occurred in the work environment or elsewhere, the employer must evaluate the employee's work duties and environment to decide whether or not one or more events or exposures in the work environment caused or contributed to the resulting condition or significantly aggravated a pre-existing condition.

12.  This means that the employer must make a determination whether it is more likely than not that work events or exposures were a cause of the injury or illness, or a significant aggravation to a pre-existing condition. If the employer decides the case is not work- related, and OSHA subsequently issues a citation for failure to record, the Government would have the burden of proving that the injury or illness was work-related.”

14.  Prevention Program: ◦ Ergonomics ◦ Education ◦ Exercise  First Aid Program: ◦ OTC medication ◦ Hot or cold therapy ◦ Non-rigid supports ◦ Massage

15. Behavior Administration Engineering

18. Behavior Administration Engineering AdministrationBehavior vs.

19. Makes early intervention most effective.

20.  Early Reporting: Employees report fatigue, discomfort, pain or numbness as early as possible.  Rapid Response: Management quickly responds with an internal clinical screening, and a preventative ergonomic, education and exercise program. If an injury has already occurred, then initiate first aid.

21.  Management Leadership and Employee Participation  Hazard Identification  Job hazard Analysis and Control  Training  Medical Management  Program Evaluation

22.  Management Leadership and Employee Participation  Hazard Identification  Job hazard Analysis and Control  Training  Medical Management: Early Intervention  Program Evaluation

23.  Employee: Reports issue to supervisor.  Supervisor: Informs plant nurse or safety manager.  Nurse/Safety schedules appointment with early intervention provider. Employee fills out a report.  Early Intervention Provider ◦ Performs clinical screening and reviews activities. ◦ Establishes Preventative Ergonomics, Education & Exercise program ◦ Initiates first aid treatment as needed. ◦ Identifies current hazards to ergo team  Ergo Team: Reviews ergonomic hazards and initiates corrective action.

26. Initial Consult Date Last Name First NameDeptJobShift Early ?Suc?ProblemBody RegionActionFollow-Up 1 1/5/16FinnHuck4019bander1yy left lateral elbowelbow/arm PEEEP: 360M. FA.strap01/12/16: SP 1/5/16ThatcherBecky4026assem2yy right CMC thumbwrist/hand PEEEP: 360S. CMC support01/12/16: DW 1/5/16SawyerTom4018welder1yyleft UTLSshoulder/neckPEEEP. MHP. TC01/12/16: SP 1/5/16PollyAunt4016ham3yylow backback/hip/trunkPEEEP. Book. MHP01/12/16: SP 1/5/16JoeInjun4015punch1NN right RC sprainshoulder/neck First Aid: EGS. Bio. OTCNSAIDS01/12/16: QP 1/5/16ThatcherJudge4017galv2YYbilateral feetankle/footPEEEP: PAMs01/12/16: DW 1/5/16PotterMuff4022tools1YYright quadknee/legPEEEP01/12/16: SP Early Intervention Working Notes Draft Hannibal MO 02/02/16

28.  Before  After

29. Early Intervention Stick