1. WorkWell Prevention & Care’s Functional Capacity Evaluation

2. Functional Capacity Evaluation V.2 - A Sound Strategy
An integrated approach to injury management and return to work
The Winning Formula
Current research, evidence and clinical rationale
Proprietary decision support tools
1-day and 2-day testing formats
Standardized for broad ability determination; flexible enough to test specific work related abilities
Global network of health professionals
International research team of clinicians and researchers

3. Functional Capacity Evaluation V.2 - Competitive Advantage
A distinguished international research team has led to the introduction of an enhanced FCE
WorkWell’s FCE V.2 is:
Operationally efficient
Legally defensible
Medically sound
Analytically based

4. Functional Capacity Evaluation V.2 - Competitive Advantage
The WorkWell advantage is clear
Addition of a 1-day standardized CORE FCE
Enhanced FCE activities in WorkWell’s internationally recognized 2-day FCE
Easier to use with flexible formats
Algorithms to assist decision making related to scheduling 1-day or 2-day FCE
Rigorous for Medical Legal FCEs; comprehensive for Disability FCEs

5. Functional Capacity Evaluation V.2 - Competitive Advantage
Many FCEs on the market…
Are subjective and pain-based
Do not compare the worker’s abilities with the job
Rely on standardized formulas and norms, rather than individual abilities
Produce cumbersome reports that make it difficult to make effective return to work decisions
Do not have published reliability and validity studies

6. Functional Capacity Evaluation V
Functional Capacity Evaluation V.2 – Navigating Return to Work Decisions
WorkWell helps meet unique challenges
The Physician is often forced to make a return to work decision based solely on subjective information about an employee’s capabilities and the physical requirements of the workplace
The Employer, when presented with restrictions, must try to determine what jobs or parts of jobs an injured worker can perform safely
The Employee is not able to participate fully in the return to work process, as he/she is often unsure what activities he/she can perform safely without risk of re-injury

7. Functional Capacity Evaluation V.2 – Measurable Outcomes
WorkWell’s FCE: Better By Design
Based on clinical research
Compares worker’s abilities with required job demands
A comprehensive, 2-day FCE to accurately and reliably determine the worker’s ability to work over time when needed
1-day CORE FCE for non-chronic diagnoses
Tests for maximum strength without fear of injury
Focuses on abilities rather than limitations
Produces clear summary report understood by all parties

8. WorkWell’s FCE has produced unrivaled outcomes for over 15 years
Functional Capacity Evaluation V.2 – Measurable Outcomes
WorkWell’s FCE has produced unrivaled outcomes for over 15 years
6-month Historic Outcome Study Results
60% of workers returned to work without further treatment or intervention
50% reduction in open Workers’ Compensation cases in one year for one employer site
These were considered to be chronic cases, as the average time off work at the time of the FCE was 10 months. Studies indicate very low return to work rates for workers who are off work six months or more; therefore, these are very positive results.

9. Functional Capacity Evaluation V.2 – A Comprehensive Approach
With WorkWell’s FCE
Physicians have confidence in the FCE results; the WorkWell FCE will identify when and in what capacity the patient can safely return to work
Insurers refer hundreds of FCEs to WorkWell Providers every year because they know the WorkWell FCE will give the objective information needed to close cases
Attorneys can trust the findings; they need an FCE that will stand up to legal scrutiny

10. Functional Capacity Evaluation V.2 – Sample Job Match Grid
Critical Demand from Job Description
FCE Abilities
Job Match
Standing/Walking - Frequently
Walking - Frequently
Standing work - Frequently
Yes
Lift up to 50# between 17” and waist
Lifted 50# - job specific testing
Forward bending - Occasionally
Crouching or Kneeling - Occasionally
Crouching - Rarely
Kneel/half-kneel - Frequently No
Sitting - Rarely
Sitting - Frequently
Elevated work - Rarely
Elevated work - Occasionally
Employee: Isabelle Green Date: Wed, May 15, 2005
Company: Helping Hands Home Job Title: CNA
Successfully preventing worker injuries from occurring is key. To do this, you need to define the job and make sure the individual can do the job.

11. Functional Capacity Evaluation V.2 – Sample FCE Grid
The interpretation of WorkWell’s standardized functional testing is based on assumptions including normal breaks, basic ergonomic conditions and that the tested functions are not required more than 2/3 of a normal working day. If a function is required continuously, job specific testing should be performed.
Client Name: Isabelle Green
Test Date: 5/15/ Interpretation of observed function regarding activity during a normal working day: (% = time classification per working day)
"Unable"  Never
"Maximum" or "Significant Limitation" Rarely (1-5%)
"Heavy" or "Some Limitation"  Occasionally (6 -33%)
"Low" or "Slight/no Limitation "  Frequently (34-66%)
Lifting, Strength (lbs)
Never
Max.
Heavy
Low
Limitations
Recommendations
Waist to Floor (11”) 40 25 15
Waist to Crown
(Hands at handles) 30 10
(Preferred Method)
Front Carry
(Long) 65 55 20

12. Functional Capacity Evaluation V.2 – Sample FCE Grid
Posture, Flexibility, Ambulation
Never
Significant Limitation
(Rare)
Some Limitation
(Occ)
Slight/No Limitation
(Freq)
Limitations
Recommendations
Elevated Work Weighted X
Forward Bend Standing
Decreased trunk endurance
Modify activities ie, use seat/stool for optimal positioning
Crouch
Limited LE strength with deep squat/crouch positions
Limit to short durations; use seat/stool/kneel for more optimal positioning
Kneel/Half Kneel
Sitting
Standing Work

13. Functional Capacity Evaluation V.2 – Summary Report for
Bottom Line Recommendations
Return to Work:
Physical abilities match job requirements
Worker Modification:
Address strength, motion, endurance deficits through work rehab
Work Modification:
Reduce poundage
Reduce frequency
Alternative positions
Worksite Modification:
Raise boxes 12 inches off floor
Ergonomic chair/equipment
Fit tool handles to client’s hands

14. Functional Capacity Evaluation V.2 – FCE Abilities & Job Description
Return to Work is Clear with WorkWell’s FCE
Example One
FCE Abilities: Lift 20#, bend, no overhead work
Job Description: Lift 10#, bend, no overhead work
Example Two
Job Description: Lift 40#, bend, overhead work

15. Functional Capacity Evaluation V.2 – Job Match Grid Sample
CRITICAL JOB DEMANDS
PHYSICAL WORK STRENGTHS
JOB MATCH
Walking: frequently
Yes
Floor to waist lift of boxes and pails:
1-35# occasionally
Floor to waist lift: 25# occasionally No
Front carry of boxes, tools, etc:
1-40# occasionally
Front carry: 60# occasionally
One handed carry (R or L): 1-40#
R: 20# L: 55#
Stand: occasionally
Stand: frequently
Squat: occasionally
Squat: frequently
Forward bend standing: occasionally
Forward bend standing: frequently

16. Functional Capacity Evaluation V.2 – A Sound Strategy
WorkWell’s Standardized 2-Day FCE is:
Designed for chronic cases
Accurate in cases involving nerve root irritation or specific disease processes
Rigorous enough for medical legal cases
Comprehensive for Disability Determination

17. Functional Capacity Evaluation V.2 – A Sound Strategy
WorkWell’s 1-Day Standardized CORE FCE, when appropriate
Establish general ability level
Diagnosis specific/body area specific testing
Baseline Progress Testing
Job specific testing to ensure job match

18. Functional Capacity Evaluation V.2 – A Sound Strategy
A continual improvement process is clear in our commitment to enhance programs through evidence-based decision making.
Thank you for choosing the leader in
the science of occupational health.

19. WORKWELL SYSTEMS FCE Static Push Static Pull
Hand Coordination (Round Blocks from PCE)
Elevated Work Weighted; performing threading activity
Waist to Floor, starting position
Waist to Floor Lift, heavy effort
Crouch; performing hand activity