1. Copyright, 2010  WorkSTEPS, Inc. Employment Functional Testing The WorkSTEPS model Daren Martin, MPT

2. Copyright, 2010  WorkSTEPS, Inc. Objectives 1) Understanding what Functional Testing is. 2) Identifying WorkSTEPS Functional Testing System 3) Learning the types of Functional Tests offered for New Hires, Existing Employee's, and Injured Workers 4) Be able to differentiate which Tests to use and why 5)Understand the benefits of Employers using WorkSTEPS Functional Testing

3. Copyright, 2010  WorkSTEPS, Inc. Why Functional Testing? Employment decision is a function of risk assessment and management New laws changed how employers  Qualify new hires  Respond to injured workers Continual need for industry injury management and prevention

4. Copyright, 2010  WorkSTEPS, Inc. According to 2000 LRP Publications: 10% of Americans Ages 16-64 have some kind of limitation in amount or kind of work they can perform 10% of American Workforce is physically incapable performing the essential functions of their jobs safely 75% of work related injuries occur among the same 10% of the workforce

5. Copyright, 2010  WorkSTEPS, Inc. Function Based Prevention & Injury Management Programming Post-Offer and Post-Employment Testing System WorkSTEPS ® © Copyright – All Rights Reserved This presentation is the unpublished, confidential, and proprietary product of WorkSTEPS, Inc. and is subject to limited distribution and restricted disclosure only. Any unauthorized use, reproduction, or transfer of this presentation or its contents is strictly prohibited.

6. Copyright, 2010  WorkSTEPS, Inc. The mission of WorkSTEPS® is to provide a functional employment test that is medically safe, legally compliant, scientific, and objective in order to match a worker’s functional capabilities with the essential functions of the job. WorkSTEPS ® provides an objective system to prevent injuries and set realistic rehabilitation treatment plans for a safe, expedited return to work. WorkSTEPS has developed protocols, procedures, and processes that include: Job Analysis / Worksite Assessment Functional Employment Testing Continuing Education Training Injury Management Protocol WorkSTEPS, Inc.

7. Copyright, 2010  WorkSTEPS, Inc. The foundation for the Program is individualized, objective, scientific data collection that conforms fully to laws and regulations that govern employment and labor. The Program is comprised of the protocols, processes, and procedures which appropriately, objectively match medically safe and functionally capable new hires to the job. Implementation of the program: Assist in resolution of claims Evaluations relevant to physical performance Help mitigate the number of claims Historical pre- injury data “baseline” Moderate the cost of claims Utilizes appropriately designed and administered tests WorkSTEPS, Inc.

8. Copyright, 2010  WorkSTEPS, Inc. WorkSTEPS Legal Compliance Americans with Disabilities Act (ADA) Americans with Disabilities Act Amendment Act (ADAAA) Family and Medical Leave Act (FMLA) Health Insurance Portability and Accountability Act (HIPAA)

9. Copyright, 2010  WorkSTEPS, Inc. The protocols and procedures are reviewed by national employment labor law firms Worksteps providers are required to complete intensive certification training before being allowed to offer the WorkSTEPS Functional Employment Testing Program to employers Also required to recertify every 2 yrs.

10. Copyright, 2010  WorkSTEPS, Inc. WorkSTEPS Services New HIRE 1.Pre-Offer Agility 2.Post-Offer Comprehensive 3.Upper Quadrant/Carpal Tunnel

11. Copyright, 2010  WorkSTEPS, Inc. 1. Pre-Offer Agility: before offer of employment is made to a candidate, a Pre-Offer may be given to indentify whether or not individual has the physical demand capacity required to perform a level of work. No medical history collected or exams administered. Test simply establishes Physical Demand Criteria (PDC) level at which they can safely perform. Results are based only on the applicants strength, the ability to meet essential function requirements

12. Copyright, 2010  WorkSTEPS, Inc. 2. Post Offer Comprehensive: Candidate submits a medical history for review with a clinician, undergoes a number of medical measurements, maximum effort lifting and essential function tests to objectively quantify pre-existing conditions and cumulative traumas. Must demonstrate the capability to safely perform the essential functions of his/her job. Information may also be used as a baseline for comparison in future.

13. Copyright, 2010  WorkSTEPS, Inc. 3. Upper Quadrant/Carpal Tunnel: Used to determine capability as it relates to repetitive job function, may be used independently or as part of post offer comp/ and or component to injured worker Fit for Duty test.

14. Copyright, 2010  WorkSTEPS, Inc. Existing Employee 1.Post-Employment Physical Agility This non-medical test may be used preventatively and administered periodically to ensure existing employees continue to be able to meet the PDC necessary to safely perform essential functions of the job Employers may request this type of testing for all employees in a particular job class to ensure they remain capable of performing physically demanding job tasks This test may be utilized when an employee has been on leave and workSTEPS provider suspects that there is no legally compliant reason to collect medical measures. Is frequently used for testing employees affecting public safety, such as firefighters and police officers.

15. Copyright, 2010  WorkSTEPS, Inc. Injured Worker 1.Fit for Duty Administered to current employee post-injury Focuses only on injured part of body used in specific job task According to EEOC mandates: “a medical examination of a current employee may be given only when it is job related and consistent with business necessity.”

16. Copyright, 2010  WorkSTEPS, Inc. Injured Worker Cont. 2. Functional Capacity Evaluation (FCE) A full body comprehensive medical test used to measure an employee’s functional capacity, typically post-injury, whether the injury was sustained while at work or it existed previously. Is the most involved and detailed type of functional testing.(3-6 hours)

17. Copyright, 2010  WorkSTEPS, Inc. 1.The FCE may be used alone to document existing impairments or used in combination with Post-Offer Comprehensive test as a comparison against original baseline data. 2.May be used to prove consistency/validity of performance and create realistic, objective rehabilitation goals, return to work recommendations, or work conditioning programs.

18. Copyright, 2010  WorkSTEPS, Inc.

23. Expansion of Services 1.Worksite Assessment/Job Analysis 2.Early Intervention and Employee Accountability 3.Wellness Fascilitation 4.Continuing Education a)Employer Education b)Provider Education

24. Copyright, 2010  WorkSTEPS, Inc. WorkSTEPS ® Results:  Reduced incidence and costs related to work injuries by an average of 50% (with some clients having achieved reductions as high as 86%) during first year implementation with increased reductions in second and third years!

25. Copyright, 2010  WorkSTEPS, Inc. TECHNOLOGY & SYSTEMS  WorkSTEPS ® forms and technology systems are HIPAA compliant  Web based state of the art technology  All data is stored in a secured data center (rackspace.com)  Real time, automated reporting generated within seconds of data entry completion (virtually instantaneous)  Full range of automated reports:  Statistical Analysis (gender, age, task, etc.)  ROI Reporting  Disparate Impact Reporting

26. Copyright, 2010  WorkSTEPS, Inc. Actual Experience  Employment testing database contains over 1M employment tests and shows “not capable” rates of 7-14% (10.2% average).  Employers using employment testing are experiencing injury reductions and cost savings averaging between 50%- 86% !!!  Functional testing will prevent one claim in every 10 employees with a minimal savings of $10,000 to $30,000 in an uncomplicated case.

27. Copyright, 2010  WorkSTEPS, Inc. WorkSTEPS ® Barnes Aerospace SYSCO Waste Management COMAIR Kinetic Concepts, Inc. Chevron Conoco Phillips Nabors Drilling Trinity Industries Leggett & Platt Milk Products LLC Republic Services Johnson Controls Embarq Autoliv AIMCO Proctor & Gamble Missouri DOT Chaparral Steel Southern California Edison And many more ! Some Of Our National Clients:

28. Copyright, 2010  WorkSTEPS, Inc. Some of Alliance PT’s Local Clients Church and Dwight Bridger Coal Company Unit Drilling Thomas Energy Chesapeake Energy Cummins Rocky Mountain Ready Oilfield Services Oil States Energy Simons Petroleum E&J Well Service

29. Copyright, 2010  WorkSTEPS, Inc. THANK YOU! 1977 Dewar Drive Suite J Rock Springs, WY 82901 (307) 382-3228 Phone (307) 382-6886 Fax www.aptwy.com