1. Center of Occupational Health & Education (COHE) Provider Orientation – Part III

2. Topics  Introduction  What is a COHE?  Why health care providers participate  How your COHE is organized  COHE’s future  Occupational health best practices –Process –Report of Accident (ROA) –Activity Prescription Form (APF)  COHE provider resources

3. APF Process  Purpose: –Communication tool to ensure that the health care provider, injured worker, employer, and claim manager are all on the same page –Emphasis on early return to work opportunities and discussion of physical restrictions –Certifies time-loss  Upon 1 st visit or when status/restrictions change  Focus on timeliness and completeness

6. John A. Smith 08/01/11 AA##### Paul Jones, MD 08/01/11 Left wrist sprain

7. John A. Smith 08/01/11 AA##### Paul Jones, MD 08/01/11 Left wrist sprain

8. John A. Smith 08/01/11 AA##### Paul Jones, MD 08/01/11 Left wrist sprain 08 01 11 08 06 11 08 07 11 08 12 11

9. John A. Smith 08/01/11 AA##### Paul Jones, MD 08/01/11 Left wrist sprain 08 01 11 08 05 11 08 06 11 08 12 11

10. John A. Smith 08/01/11 AA##### Paul Jones, MD 08/01/11 Left wrist sprain 08 01 11 08 05 11 08 06 11 08 12 11 No ROM in left wrist; Some swelling X-ray shows no fracture

12. 20

14. Follow-up appointment with Dr. Johnson set for 8/10/11 08 01 11 Ms. Richards, HR 509-1234

18. 10 David Johnson, MD

19. 10 David Johnson, MD

20. 10 David Johnson, MD Provider Signature 509 555 0000 8 01 11

22. APF Process  Purpose: –Communication tool to ensure that the health care provider, injured worker, employer, and claim manager are all on the same page –Emphasis on early return to work opportunities and discussion of physical restrictions –Certifies time-loss  Upon 1 st visit or when status/restrictions change  Focus on timeliness and completeness  Clinic / department processes

23. Introduction to COHEs, Part III Questions 1.The APF includes a section for: a.Documenting restrictions b.Communicating with the L&I claim manager c.Initiating a claim d.a and c e.a and b 2.An APF is completed so that: a.A health care provider can communicate restrictions and treatment b.To allow an injured worker to negotiate work restrictions c.To certify time-loss d.a and c e.b and c