1. Chief Executive Office RISK MANAGEMENT BRANCH Return To Work Unit

2. Civil Service Rule 9.07(B)

3.  There are two types of reevaluations performed by CEO OHP  Medical  Psychological

4.  A Medical Reevaluation is an independent assessment by a County physician to determine whether an employee’s medical condition may pose a direct threat of harm to self or others while performing either essential or non- essential duties  Driving on County time  Operating moving equipment

5.  Sudden loss of consciousness episode, either on or off duty  Sudden episode of confusion, either on or off duty  Employee had their driver license temporarily suspended due to a medical condition  Employee has poorly controlled sleep apnea as evidenced by sleepiness on the job

6.  Medical Reevaluations can be requested even if:  Employee has an open WC Claim  However, the medical condition accepted by WC cannot be the same case for medical reevaluation  Medical Reevaluations can be requested despite:  Being returned to full duty by the WC system (so long as the WCAB has no jurisdiction on the claim)  Being returned to full duty by the employee’s personal care provider  Unrestricted licensure by DMV

7.  When concerns first arise:  Take immediate action  Contact an OHP physician to discuss the case  If OHP determines that a Medical reevaluation is warranted, prepare a written request:  Employee’s information  Full description of concerns  Departmental contact’s information

8.  Communicate the need for the evaluation to the employee (in writing is advised)  Have employee sign a short consent statement to the reevaluation (attach to written request)  If not possible, document employee’s verbal agreement  If employee refuses, department may seek a formal CEO concurrence to administratively order the employee to undergo reevaluation  Progressive discipline  Departmental responsibility to take administrative action

9. Forward request for Medical Reevaluation to: Roberto Chavez, Chief Program Specialist Occupational Health Programs 3333 Wilshire Blvd, Suite 1000 Los Angeles, CA 90010 (213) 351-6433 Fax: (213) 637-0822