Science.gov

Sample records for accidents worker compensation laws

  1. Workers' compensation law: an overview.

    PubMed

    Yorker, B

    1994-09-01

    1. The workers' compensation system provides benefits to workers who are injured or made ill in the course of employment or their dependents regardless of fault. 2. The current workers' compensation laws benefit both the employer and the employee; however, workers' compensation is an exclusive remedy which bars recovery through a negligence lawsuit. 3. Workers' compensation regulations interact with other federal statutes such as the Americans With Disabilities Act and the Family Medical Leave Act. 4. Workers' compensation covers occupational injuries and occupational diseases, which may include cumulative trauma and mental stress claims. Nurses may be instrumental in evaluating and planning for an injured employee's return to work and occasionally in detecting fraudulent claims.

  2. 20 CFR 725.402 - Approved State workers' compensation law.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Approved State workers' compensation law. 725... § 725.402 Approved State workers' compensation law. If a district director determines that any claim filed under this part is one subject to adjudication under a workers' compensation law approved...

  3. 20 CFR 725.402 - Approved State workers' compensation law.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Approved State workers' compensation law. 725.402 Section 725.402 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR... § 725.402 Approved State workers' compensation law. If a district director determines that any...

  4. 20 CFR 725.402 - Approved State workers' compensation law.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false Approved State workers' compensation law. 725.402 Section 725.402 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR... § 725.402 Approved State workers' compensation law. If a district director determines that any...

  5. 20 CFR 725.402 - Approved State workers' compensation law.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 4 2014-04-01 2014-04-01 false Approved State workers' compensation law. 725.402 Section 725.402 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR... § 725.402 Approved State workers' compensation law. If a district director determines that any...

  6. 20 CFR 725.402 - Approved State workers' compensation law.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false Approved State workers' compensation law. 725.402 Section 725.402 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR... § 725.402 Approved State workers' compensation law. If a district director determines that any...

  7. Do workers' compensation laws protect industrial hygienists from lawsuits by injured workers?

    PubMed

    Stout, N C

    1993-11-01

    Workers' compensation laws provide injured employees with a swifter, more certain, and less litigious system of compensation than existed under the common law. Although workers' compensation is almost always an injured employee's exclusive remedy against the employer, the employee may bring a common-law tort action against a "third party" who may be liable in whole or in part for the employee's injury. This article investigates whether industrial hygienists are "third parties" and therefore subject to suit by injured employees who claim that industrial hygienists negligently caused their injuries. The author concludes that in most states, where the industrial hygienist and the injured worker are fellow employees, the industrial hygienist shares the employer's immunity from suit. As to the consultant who performs industrial hygiene services as an independent contractor, the author concludes that the employer's nondelegable duty to provide a safe workplace offers industrial hygiene consultants an argument that they share the employer's immunity from suit. Countervailing arguments, however, leave the industrial hygiene consultant vulnerable to negligence claims in many jurisdictions. There is a trend among the states to extend the employer's immunity to those who provide safety and health services to the employer.

  8. Occupationally acquired HIV: the vulnerability of health care workers under workers' compensation laws.

    PubMed Central

    Tereskerz, P M; Jagger, J

    1997-01-01

    Approximately 800,000 needlesticks and other sharp injuries from contaminated medical devices occur in health care settings each year, of which an estimated 16,000 are contaminated by human immunodeficiency virus (HIV). Health care workers who are occupationally infected by HIV are at risk of being left without workers' compensation coverage. In some states, the definition of an occupational disease is so restrictive that infected health care workers are unlikely to qualify for benefits. For those who are able to meet the definition, compensation is often inadequate. Recourse is also limited by statutory provisions that preclude health care workers from bringing civil suits against their employers. We recommend the amendment of legislation to provide more equitable remedies, including: (1) broadening the definition of occupational disease; (2) eliminating provisions that require a claimant to prove that (a) a specific occupational incident resulted in infection and (b) HIV is not an ordinary disease of life; (3) expanding the time for filing a claim; (4) assuring that lifetime benefits will be provided to the disabled health care worker; and (5) assuring that claims will remain confidential. PMID:9314817

  9. Occupationally acquired HIV: the vulnerability of health care workers under workers' compensation laws.

    PubMed

    Tereskerz, P M; Jagger, J

    1997-09-01

    Approximately 800,000 needlesticks and other sharp injuries from contaminated medical devices occur in health care settings each year, of which an estimated 16,000 are contaminated by human immunodeficiency virus (HIV). Health care workers who are occupationally infected by HIV are at risk of being left without workers' compensation coverage. In some states, the definition of an occupational disease is so restrictive that infected health care workers are unlikely to qualify for benefits. For those who are able to meet the definition, compensation is often inadequate. Recourse is also limited by statutory provisions that preclude health care workers from bringing civil suits against their employers. We recommend the amendment of legislation to provide more equitable remedies, including: (1) broadening the definition of occupational disease; (2) eliminating provisions that require a claimant to prove that (a) a specific occupational incident resulted in infection and (b) HIV is not an ordinary disease of life; (3) expanding the time for filing a claim; (4) assuring that lifetime benefits will be provided to the disabled health care worker; and (5) assuring that claims will remain confidential.

  10. The Older Worker's Stake in Workers' Compensation

    ERIC Educational Resources Information Center

    Berkowitz, Monroe

    1975-01-01

    State Workers' Compensation programs can add another barrier for older workers to surmount at the hiring gate. State programs do not furnish adequate or equitable protection, and the National Commission on State Workmen's Compensation Laws has made recommendations to improve coverage; new standards must be met by July, 1975. (Author)

  11. Coal workers' pneumoconiosis and compensation in Kentucky

    SciTech Connect

    Westerfield, B.T.

    1993-04-01

    Coal Workers' Pneumoconiosis has been a compensable disease since the 1960s. In 1987 the Kentucky Workers' Compensation Law was changed to provide reduced benefits for coal miners with radiographic evidence of Black Lung Disease, but little or no respiratory impairment. This paper reports a typical case of Black Lung today and discusses the status of workers' compensation for this disease in Kentucky.

  12. 28 CFR 301.318 - Civilian compensation laws distinguished.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Civilian compensation laws distinguished... INMATE ACCIDENT COMPENSATION Compensation for Work-Related Physical Impairment or Death § 301.318 Civilian compensation laws distinguished. The Inmate Accident Compensation system is not obligated...

  13. 28 CFR 301.318 - Civilian compensation laws distinguished.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Civilian compensation laws distinguished... INMATE ACCIDENT COMPENSATION Compensation for Work-Related Physical Impairment or Death § 301.318 Civilian compensation laws distinguished. The Inmate Accident Compensation system is not obligated...

  14. [Safety and health in workers employed in industry. Data from Industrial Accidents Compensation Board (INAIL) and National Social Security Institute (INPS), Veneto Region, 1994-2002].

    PubMed

    Mastrangelo, G; Carassai, Patrizia; Carletti, Claudia; Cattani, F; De Zorzi, Lia; Di Loreto, G; Dini, M; Mattioni, G; Mundo, Antonietta; Noceta, R; Ortolani, G; Piccioni, M; Sartori, Angela; Sereno, Antonella; Priolo, G; Scoizzato, L; Marangi, G; Marchiori, L

    2008-01-01

    A decreasing time trend for occupational injuries and sickness absence would be the effect of the new legislation (D.Lgs. 626/94 and successive laws) on prevention in occupational settings. Conversely, the reduction of INPS disability would reflect a health improvement due to non-occupational causes. The aim of the study was to investigate the efficacy of the new legislation among employees in industry (where the law was mainly applied), via the time trend of three standardized rates in the Veneto Region. The numerator for the rate of occupational accidents (cases occurring in industry workers in the Veneto Region, broken down for sex, age and calendar years) was supplied by INAIL. The denominator for the above rate, as well as numerators and denominators for disability and sickness absence were supplied by INPS. Data were available from 1994 to 2002 for accidents and disability, and from 1997 to 2002 for sickness absence. In every year from 1994 to 2002, the rates were standardized for age and sex with the direct method, using an internal "standard" population. The time trend of year-specific standardized rates was analyzed by Joinpoint regression software. Among industrial workers in the Veneto Region, occupational accidents increased by 0.4% yearly, while disability decreased by 2.56% from 1994 to 2002. Sick absence increased up to 1999, then decreased. This epidemiological pattern is difficult to explain. The increase in accidents could be due to the increase of non-European Union workers and/or to the fact that accidents on the way to or from work were recognized as occupational accidents by INAIL starting from 2000. Both these phenomena could have contributed to increase the rate that was otherwise diminishing. On the other hand, this same situation could be due to insufficient efficacy of the legislation (D.Lgs. 626/94 and successive laws) for preventing occupational accidents and diseases.

  15. Administering the cost of death: organisational perspectives on workers' compensation and common law claims following traumatic death at work in Australia.

    PubMed

    Quinlan, Michael; Fitzpatrick, Scott J; Matthews, Lynda R; Ngo, Mark; Bohle, Philip

    2015-01-01

    Quite apart from its devastating human and psychological effects, the death of a worker can have significant, life-changing effects on their families. For many affected families, workers' compensation entitlements represent the primary financial safeguard. Where the worker was self-employed, the family will generally be excluded from this remedy and have to take the more problematic option of claiming damages at common law. Despite the centrality of workers' compensation, little attention has been given to how effectively workers' compensation agencies address the needs of bereaved families or the views of other organisations involved, such as safety inspectors, unions, employers and victim advocates. Based on interviews with forty eight organisational representatives in five Australian states, this study examines how workers' compensation regimes deal with work-related death from the perspective of those organisations involved directly or indirectly in the process. The study highlighted a number of problems, including the exclusion of self-employed workers and dealing with 'mixed families'.

  16. 48 CFR 852.236-86 - Workers' compensation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Workers' compensation. 852... Workers' compensation. As prescribed in 836.577, insert the following clause: Workers' Compensation (JAN... workers compensation laws to all lands and premises owned or held by the United States. (End of clause)...

  17. 48 CFR 852.236-86 - Workers' compensation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Workers' compensation. 852... Workers' compensation. As prescribed in 836.577, insert the following clause: Workers' Compensation (JAN... workers compensation laws to all lands and premises owned or held by the United States. (End of clause)...

  18. 48 CFR 852.236-86 - Workers' compensation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Workers' compensation. 852... Workers' compensation. As prescribed in 836.577, insert the following clause: Workers' Compensation (JAN... workers compensation laws to all lands and premises owned or held by the United States. (End of clause)...

  19. 48 CFR 852.236-86 - Workers' compensation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Workers' compensation. 852... Workers' compensation. As prescribed in 836.577, insert the following clause: Workers' Compensation (JAN... workers compensation laws to all lands and premises owned or held by the United States. (End of clause)...

  20. 48 CFR 852.236-86 - Workers' compensation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Workers' compensation. 852... Workers' compensation. As prescribed in 836.577, insert the following clause: Workers' Compensation (JAN... workers compensation laws to all lands and premises owned or held by the United States. (End of clause)...

  1. Workers' Compensation and Teacher Stress.

    ERIC Educational Resources Information Center

    Nisbet, Michael K.

    1999-01-01

    Examines the Workers' Compensation system and teacher stress to determine if a burned-out teacher should be eligible for Workers' Compensation benefits. Concludes that although most states do not allow Workers' Compensation benefits to burned-out teachers, compensation should be granted because the injuries are real and work-related. (Contains 48…

  2. Workers' Compensation and Teacher Stress.

    ERIC Educational Resources Information Center

    Nisbet, Michael K.

    1999-01-01

    Examines the Workers' Compensation system and teacher stress to determine if a burned-out teacher should be eligible for Workers' Compensation benefits. Concludes that although most states do not allow Workers' Compensation benefits to burned-out teachers, compensation should be granted because the injuries are real and work-related. (Contains 48…

  3. The battle over workers' compensation.

    PubMed

    Ellenberger, J N

    2000-01-01

    Faced with lower profits and rapidly increasing premium costs in the 1980s, insurers and employer organizations cleverly parlayed the public perception of worker fraud and abuse in the workers' compensation system (that they helped to create) into massive legislative changes. Over the last decade, state legislators and governors, Republican and Democrat alike, have jumped on this bandwagon, one that workers and their allies have dubbed the workers' compensation "deform" movement. Alleging a "game plan" and a calculated campaign on the part of insurers and employers, the author looks at the major components of changes that were made, examines the elements of workers' compensation over which employers and insurers have gained control, and discusses Newt Gingrich's efforts to capitalize on employer and insurer fervor over the system. This campaign whistled through the country until it goaded the labor movement, injured workers, the trial bar, and others in Ohio in 1997 to organize themselves to stand up to employers by defeating the deform law through a ballot initiative. The article details that battle and suggests that similar voices can be achieved through a return to grassroots organizing and mobilization.

  4. 28 CFR 301.318 - Civilian compensation laws distinguished.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Civilian compensation laws distinguished... Civilian compensation laws distinguished. The Inmate Accident Compensation system is not obligated to... under civilian workmen's compensation laws in that hospitalization is usually completed prior to...

  5. 48 CFR 970.2803-1 - Workers' Compensation Insurance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... occupational disease coverage and employers' liability. Some workers' compensation laws do not provide coverage for all occupational diseases. In such situations, a contractor's workers' compensation insurance policy should contain voluntary coverage for all occupational diseases. (3) Contractor “employees...

  6. 48 CFR 970.2803-1 - Workers' Compensation Insurance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... occupational disease coverage and employers' liability. Some workers' compensation laws do not provide coverage for all occupational diseases. In such situations, a contractor's workers' compensation insurance policy should contain voluntary coverage for all occupational diseases. (3) Contractor “employees...

  7. 48 CFR 970.2803-1 - Workers' Compensation Insurance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... occupational disease coverage and employers' liability. Some workers' compensation laws do not provide coverage for all occupational diseases. In such situations, a contractor's workers' compensation insurance policy should contain voluntary coverage for all occupational diseases. (3) Contractor “employees...

  8. 48 CFR 970.2803-1 - Workers' Compensation Insurance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... occupational disease coverage and employers' liability. Some workers' compensation laws do not provide coverage for all occupational diseases. In such situations, a contractor's workers' compensation insurance policy should contain voluntary coverage for all occupational diseases. (3) Contractor “employees...

  9. Compensation law in composites

    NASA Astrophysics Data System (ADS)

    Dufresne, A.; Lavergne, C.; Lacabanne, C.

    1993-12-01

    The experimental resolution of the α retardation / relaxation mode of model composites epoxy resin- glass beads has been performed using Thermo Stimulated Creep (TSCr) and Thermo Stimulated Currents (TSC) spectroscopies. The distributed retardation / relaxation times τ are found to obey a compensation law, which is characteristic of cooperative movements liberated at the vicinity of T g. The T c and τ c compensation parameters reveal that the microstructure is strongly linked to the nature of the interface.

  10. [Urinary evaluations of drug consumption among workers having high risk of accident: technical difficulties, limits and possibilities of increasing efficacy of the law].

    PubMed

    D'Orso, M I; Grosso, D; Colli, M; Gironi, A; Riva, M A; Cesana, G

    2012-01-01

    Urinary evaluations of drug consumption among workers having high risk of accident became compulsory in Italian legislation few years ago. We report results of 322.110 single urinary drug detections carried out between 2008 and 2011 on 35.789 subjects. We verified technical difficulties arisen during laboratory detections and organizational difficulties evidenced by Occupational Doctors during collections of samples. We screened 701 positive samples (1.96%), mostly to Cannabinoids and Cocaine, verified using first and second level screening according to national law. Many patients referred regular or irregular use of medicines active on Central Nervous System frequently ignoring their collateral effects. After the evidence of a positive result, during a second medical visit, many workers referred assumption of "natural diet supplements" acquired not in traditional commercial distributors. In two cases we have had the possibility of analyzing these supplements which have shown the presence of law concentrations of drugs in their compositions.

  11. Labor Laws Affecting Private Household Workers.

    ERIC Educational Resources Information Center

    Women's Bureau (DOL), Washington, DC.

    Wages and working conditions for private household workers have not kept pace with other occupations, partly because of lack of coverage by labor laws. This pamphlet describes the protection available to domestics under both federal and state laws. Not only wages and hours, but also coverage by Unemployment Compensation, Workmen's Compensation,…

  12. Current situation and issue of Industrial Accident Compensation insurance.

    PubMed

    Kim, Inah; Rhie, Jeongbae; Yoon, Jo-Duk; Kim, Jinsoo; Won, Jonguk

    2012-05-01

    Industrial Accident Compensation Insurance (IACI) has a history of about 50 yr, and is the oldest social insurance system in Korea. After more than 20 times of revision improvements in benefits, its contents and claim systems have been upgraded. It became the protector of injured workers and their families, and at the same time became the system which could cope with both financial burden of employers and their responsibilities. However, there are some issues to be reformed to upgrade the IACI: 1) the problems in the approval system of occupational diseases, 2) quality improvement of workers' compensation medical care, 3) vocational rehabilitation and return to work, 4) workers' compensation premiums and out-of-pocket money of injured workers, 5) issues in application of IACI. Growth of IACI cannot be achieved by an effort of an individual. Efforts by workers, owners, and government, in addition to physicians and welfare professionals toward the same goal are required for the next level improvement of IACI.

  13. Medicare program; right of appeal for Medicare secondary payer determinations relating to liability insurance (including self-insurance), no-fault insurance, and workers' compensation laws and plans. Final rule.

    PubMed

    2015-02-27

    This final rule implements provisions of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (SMART Act) which require us to provide a right of appeal and an appeal process for liability insurance (including self-insurance), no-fault insurance, and workers' compensation laws or plans when Medicare pursues a Medicare Secondary Payer (MSP) recovery claim directly from the liability insurance (including self-insurance), no-fault insurance, or workers' compensation law or plan.

  14. Occupational health nurse practitioners' roles in workers' compensation.

    PubMed

    Foster, Donna

    2008-05-01

    The occupational health nurse practitioner is an integral part of coordinating care for the injured or ill worker. Decisions regarding whether an injury or illness is related to work are based on the practitioner's diagnosis and reports of the worker's progress. Understanding workers' compensation laws will enable the practitioner to provide efficient care for the worker.

  15. Contingent workers: Workers' compensation data analysis strategies and limitations.

    PubMed

    Foley, Michael; Ruser, John; Shor, Glenn; Shuford, Harry; Sygnatur, Eric

    2014-07-01

    The growth of the contingent workforce presents many challenges in the occupational safety and health arena. State and federal laws impose obligations and rights on employees and employers, but contingent work raises issues regarding responsibilities to maintain a safe workplace and difficulties in collecting and reporting data on injuries and illnesses. Contingent work may involve uncertainty about the length of employment, control over the labor process, degree of regulatory, or statutory protections, and access to benefits under workers' compensation. The paper highlights differences in regulatory protections and benefits among various types of contingent workers and how these different arrangements affect safety incentives. It discusses challenges caused by contingent work for accurate data reporting in existing injury and illness surveillance and benefit programs, differences between categories of contingent work in their coverage in various data sources, and opportunities for overcoming obstacles to effectively using workers' compensation data. © 2014 Wiley Periodicals, Inc.

  16. Current Situation and Issue of Industrial Accident Compensation Insurance

    PubMed Central

    Kim, Inah; Rhie, Jeongbae; Yoon, Jo-Duk; Kim, Jinsoo

    2012-01-01

    Industrial Accident Compensation Insurance (IACI) has a history of about 50 yr, and is the oldest social insurance system in Korea. After more than 20 times of revision improvements in benefits, its contents and claim systems have been upgraded. It became the protector of injured workers and their families, and at the same time became the system which could cope with both financial burden of employers and their responsibilities. However, there are some issues to be reformed to upgrade the IACI: 1) the problems in the approval system of occupational diseases, 2) quality improvement of workers' compensation medical care, 3) vocational rehabilitation and return to work, 4) workers' compensation premiums and out-of-pocket money of injured workers, 5) issues in application of IACI. Growth of IACI cannot be achieved by an effort of an individual. Efforts by workers, owners, and government, in addition to physicians and welfare professionals toward the same goal are required for the next level improvement of IACI. PMID:22661871

  17. 48 CFR 836.577 - Workers' compensation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Workers' compensation. 836.577 Section 836.577 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS SPECIAL...' compensation. The contracting officer shall insert the clause at 852.236-86, Workers' compensation,...

  18. 48 CFR 836.577 - Workers' compensation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Workers' compensation. 836.577 Section 836.577 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS SPECIAL...' compensation. The contracting officer shall insert the clause at 852.236-86, Workers' compensation,...

  19. 48 CFR 836.577 - Workers' compensation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Workers' compensation. 836.577 Section 836.577 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS SPECIAL...' compensation. The contracting officer shall insert the clause at 852.236-86, Workers' compensation,...

  20. 48 CFR 836.577 - Workers' compensation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Workers' compensation. 836.577 Section 836.577 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS SPECIAL...' compensation. The contracting officer shall insert the clause at 852.236-86, Workers' compensation,...

  1. 48 CFR 836.577 - Workers' compensation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Workers' compensation. 836.577 Section 836.577 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS SPECIAL...' compensation. The contracting officer shall insert the clause at 852.236-86, Workers' compensation,...

  2. Accident Prevention: A Workers' Education Manual.

    ERIC Educational Resources Information Center

    International Labour Office, Geneva (Switzerland).

    Devoted to providing industrial workers with a greater knowledge of precautionary measures undertaken and enforced by industries for the protection of workers, this safety education manual contains 14 lessons ranging from "The Problems of Accidents during Work" to "Trade Unions and Workers and Industrial Safety." Fire protection, safety equipment…

  3. Workers' Compensation: Key Legislation in 1981.

    ERIC Educational Resources Information Center

    Tinsley, LaVerne C.

    1982-01-01

    Contains a summary of workers' compensation legislation enacted by individual states in 1981. Higher benefit levels, broader coverage, and improved medical and rehabilitation services are among the actions taken by states to provide better protection for injured workers. (Author)

  4. Suggested guidelines for rating cardiac disability in workers' compensation. Medical and Chiropractic Advisory Committee to the Administrative Director of the California Division of Industrial Accidents.

    PubMed

    Clark, W L; Alpern, H L; Breall, W S; Hyman, R M; Markovitz, A; O'Brien, J B; Starke, R D

    1993-03-01

    Cardiac disability ratings in workers' compensation cases currently lack any consistent scientific basis, with varying medical evidence used by different examiners in the same case. Opinions about the extent of disability may differ with the same patient, delaying resolution and the delivery of benefits. We describe guidelines for determining cardiac impairment and suggest a schedule for rating disability based on evidence. Our experience is in California, but arriving at equitable ratings for disability purposes is a nationwide challenge. Exercise stress testing provides the best reproducible data to test the heart's ability to do work. When exercise stress testing is not possible or adequate, alternative or supplemental testing is necessary. Certain conditions, such as hypertension, arrhythmias, coronary artery spasm, and a history of coronary artery operations or myocardial infarction, may affect "cardiac disability" but may not necessarily be reflected in exercise testing.

  5. Work-related musculoskeletal diseases and the workers' compensation.

    PubMed

    Jang, Tae-Won; Koo, Jung-Wan; Kwon, Soon-Chan; Song, Jaechul

    2014-06-01

    The Industrial Accident Compensation Insurance Act (IACIA) regulates the workers' compensation insurance system and the standards for the recognition of occupational diseases (ODs). Since its establishment in 1994, the IACIA has been amended several times. Before 2008, the approval of compensation for work-related musculoskeletal diseases (WMSDs) was decided based on the recommendation of consultants of the Korea Workers' Compensation and Welfare Service (COMWEL). The IACIA was amended in 2008, and since then, the approval of compensation for occupational injuries has been decided based on the recommendation of COMWEL consultants, whereas the approval of compensation for ODs was decided based on the judgment of Committee on Occupational Diseases Judgment (CODJ) which was established in 2008. According to the 2013 amendment to the IACIA, degenerative musculoskeletal diseases among workers engaged in musculoskeletal-burdening work should be considered compensable ODs. Despite some commendable changes to the workers' compensation insurance system, other significant issues persist. To resolve these issues, related organizations including the associations of orthopedic surgery, neurosurgery, and occupational and environmental medicine; Ministry of Employment and Labor; and COMWEL need to work cooperatively.

  6. [Assessment of the suitability of workers based on the Swiss Law on Accident Insurance--declaration of unsuitability / declaration of conditional suitability].

    PubMed

    Jost, M; Rast, H

    2007-08-01

    In order to prevent the development or aggravation of an occupational disease or an occupational accident risk lying in an individual employee the Swiss National Accident Insurance Fund (Suva) based on the Swiss Law on Accident Insurance is entitled to prohibit certain activities that have proven to be hazardous to the individual (declaration of "unsuitability" (DOU) or rarely declaration of conditional suitability). Occupational skin and respiratory diseases are the most frequent disorders, and flour; cement, isocyanates and hairdressing substances the most important occupational factors requiring a DOU. This measure also provides financial security to the employee for up to 4 years by the accident insurer in cooperation with the unemployment insurance. For retraining and occupational rehabilitation a special state insurance, the Invalidity insurance is responsible.

  7. The Family Policy Implications of a New Social Program: The New Zealand Accident Compensation Scheme.

    ERIC Educational Resources Information Center

    Vosburgh, Miriam G.; Kronick, Jane C.

    1980-01-01

    Innovations in the New Zealand Accident Compensation Scheme include defining the family unit in terms of past economic support and adapting common law principles to social provision. Accidents are considered a community responsibility. Family implications of this program are discussed. (Author/BEF)

  8. Workers compensation: coverage, benefits, and costs, 1982

    SciTech Connect

    Price, D.N.

    1984-12-01

    Workers compensation provides medical care and income maintenance protection to workers disabled from work-related injury or illness. This program is of considerable interest to the Social Security Administration (SSA) from several perspectives. For example, since 1965 Social Security Disability Insurance (DI) benefits and workers compensation payments have been integrated. Information on the experience under workers compensation provides a framework for examining questions concerning gaps and overlaps in the Nation's social insurance system. In addition, since December 1969 SSA has administered claims filed through 1973 under part B of the Black Lung program--the program providing income maintenance protection to coal miners disabled by pneumoconiosis. The workers compensation experience reported here consists of information on benefits for work-related injury and disease, including data on the combined benefits paid under the entire Federal Black Lung program administered by the Labor Department and SSA.

  9. Spine Surgery Outcomes in Workers' Compensation Patients.

    PubMed

    Daniels, Alan H; Kuris, Eren O; Kleinhenz, Dominic T; Palumbo, Mark A

    2017-10-01

    Occupational spine injuries place a substantial burden on employees, employers, and the workers' compensation system. Both temporary and permanent spinal conditions contribute substantially to disability and lost wages. Numerous investigations have revealed that workers' compensation status is a negative risk factor for outcomes after spine injuries and spine surgery. However, positive patient outcomes and return to work are possible in spine-related workers' compensation cases with proper patient selection, appropriate surgical indications, and realistic postoperative expectations. Quality improvement measures aimed at optimizing outcomes and minimizing permanent disability are crucial to mitigating the burden of disability claims.

  10. Reexamining workers' compensation: a human rights perspective.

    PubMed

    Boden, Leslie I

    2012-06-01

    Injured workers, particularly those with more severe injuries, have long experienced workers' compensation systems as stressful and demeaning, have found it difficult to obtain benefits, and, when able to obtain benefits, have found them inadequate. Moreover, the last two decades have seen a substantial erosion of the protections offered by workers' compensation. State after state has erected additional barriers to benefit receipt, making the workers' compensation experience even more difficult and degrading. These changes have been facilitated by a framing of the political debate focused on the free market paradigm, employer costs, and worker fraud and malingering. The articles in this special issue propose an alternate framework and analysis, a human rights approach, that values the dignity and economic security of injured workers and their families.

  11. Risk compensation and the Illinois seat belt use law.

    PubMed

    Rock, S M

    1993-10-01

    The question of whether drivers alter their behavior due to vehicle safety improvements or public policy changes (laws, enforcement) has been debated for some years. The possibility of risk compensation (offsetting behavior) has been offered: drivers may go faster or operate in a less safe manner in response to such a change. Three 1991 publications purportedly find risk compensation due to mandatory seat belt use laws. However, these conclusions are questionable due to the weaknesses in statistical methods that were used (before/after comparisons, regression). This paper examines whether risk compensation occurred due to the 1985 use law in Illinois. It also compares the results of the before/after method to a preferred technique (ARIMA, developed by Box and others). These approaches are applied to monthly totals and rates of fatalities, injuries classified by level of severity, and total accidents from 1980-1991. Three types of accident are analyzed: vehicle/pedestrian, vehicle/bicycle, and all others. If nonoccupants have suffered adverse consequences, risk compensation could provide the explanation. Much less evidence of offsetting behavior was found. No statistically significant increase in accidents occurred. While other types of safety changes may alter driver behavior, this did not seem to occur in Illinois due to the belt use law.

  12. What the hand surgeon should know about workers' compensation.

    PubMed

    Groves, F B; Gallagher, L A

    1993-05-01

    It is important for surgeons treating work-related conditions to be knowledgeable of workers' compensation laws in their states. They should also work closely with the designated provider and/or employer to effect speedy recovery and return to work.

  13. Risk compensation behaviours in construction workers' activities.

    PubMed

    Feng, Yingbin; Wu, Peng

    2015-01-01

    The purpose of this study was to test whether the construction workers have the tendency of engaging in risk compensation behaviours, and identify the demographic variables, which may influence the extent to which the construction workers may show risk compensation behaviours. Both quantitative (survey) and qualitative (interviews) approaches were used in this study. A questionnaire survey was conducted with all the construction workers on three building construction sites of a leading construction company in Australia. Semi-structured interviews were then conducted to validate the findings of the quantitative research. The findings indicate that workers tend to show risk compensation behaviours in the construction environment. The workers with more working experience, higher education, or having never been injured at work before have a higher tendency to show risk compensation in their activities than the others. The implication is that contractors need to assess the potential influence of workers' risk compensation behaviours when evaluating the effect of risk control measures. It is recommended that supervisors pay more attention to the behavioural changes of those workers who have more experience, higher education, and have never been injured before after the implementation of new safety control measures on construction site.

  14. Workers' compensation for occupational respiratory diseases.

    PubMed

    Park, So-young; Kim, Hyoung-Ryoul; Song, Jaechul

    2014-06-01

    The respiratory system is one of the most important body systems particularly from the viewpoint of occupational medicine because it is the major route of occupational exposure. In 2013, there were significant changes in the specific criteria for the recognition of occupational diseases, which were established by the Enforcement Decree of the Industrial Accident Compensation Insurance Act (IACIA). In this article, the authors deal with the former criteria, implications of the revision, and changes in the specific criteria in Korea by focusing on the 2013 amendment to the IACIA. Before the 2013 amendment to the IACIA, occupational respiratory disease was not a category because the previous criteria were based on specific hazardous agents and their health effects. Workers as well as clinicians were not familiar with the agent-based criteria. To improve these criteria, a system-based structure was added. Through these changes, in the current criteria, 33 types of agents and 11 types of respiratory diseases are listed under diseases of the respiratory system. In the current criteria, there are no concrete guidelines for evaluating work-relatedness, such as estimating the exposure level, latent period, and detailed examination methods. The results of further studies can support the formulation of detailed criteria.

  15. 75 FR 71456 - Division of Longshore and Harbor Workers' Compensation Proposed Extension of Existing Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-23

    ... of Workers' Compensation Programs Division of Longshore and Harbor Workers' Compensation Proposed... Office of Workers' Compensation (OWCP) is soliciting comments concerning the proposed collection: Pre... Workers' Compensation Programs, (OWCP) administers the Longshore and Harbor Workers' Compensation Act....

  16. Ten years' experience using an integrated workers' compensation management system to control workers' compensation costs.

    PubMed

    Bernacki, Edward J; Tsai, Shan P

    2003-05-01

    This work presents 10 years of experience using an Integrated Workers' Compensation Claims Management System that allows safety professionals, adjusters, and selected medical and nursing providers to collaborate in a process of preventing accidents and expeditiously assessing, treating, and returning individuals to productive work. The hallmarks of the program involve patient advocacy and customer service, steerage of injured employees to a small network of physicians, close follow-up, and the continuous dialogue between parties regarding claims management. The integrated claims management system was instituted in fiscal year 1992 servicing a population of approximately 21,000 individuals. The system was periodically refined and by the 2002 fiscal year, 39,000 individuals were managed under this paradigm. The frequency of lost-time and medical claims rate decreased 73% (from 22 per 1000 employees to 6) and 61% (from 155 per 1000 employees to 61), respectively, between fiscal year 1992 and fiscal year 2002. The number of temporary/total days paid per 100 insureds decreased from 163 in fiscal year 1992 to 37 in fiscal year 2002, or 77%. Total workers' compensation expenses including all medical, indemnity and administrative, decreased from $0.81 per $100 of payroll in fiscal year 1992 to $0.37 per $100 of payroll in fiscal year 2002, a 54% decrease. More specifically, medical costs per $100 of payroll decreased 44% (from $0.27 to $0.15), temporary/total, 61% (from $0.18 to $0.07), permanent/partial, 63% (from $0.19 to $0.07) and administrative costs, 48% ($0.16 to $0.09). These data suggests that workers' compensation costs can be reduced over a multi-year period by using a small network of clinically skilled health care providers who address an individual workers' psychological, as well as physical needs and where communication between all parties (e.g., medical care providers, supervisors, and injured employees) is constantly maintained. Furthermore, these results

  17. Compensating the workers: industrial injury and compensation in the British asbestos industry, 1930s-60s.

    PubMed

    Tweedale, G; Jeremy, D J

    1999-01-01

    In 1931 the British government introduced pioneering legislation to combat occupational disease in the asbestos industry. A key feature was an Asbestosis Scheme for compensating workers for industrial injury and death. This article examines the implementation of the Scheme at Turner & Newall, the leading UK asbestos producer. The evidence reveals an inequitable system of compensation, especially when compared to the company's generosity to its shareholders. Deficiencies in British compensation law, the weaknesses of regulatory forces, and the company's policy of minimising the extent of asbestos disease are held responsible.

  18. 28 CFR 345.62 - Inmate accident compensation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Inmate accident compensation. 345.62 Section 345.62 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits § 345.62 Inmate accident...

  19. 28 CFR 345.62 - Inmate accident compensation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Inmate accident compensation. 345.62 Section 345.62 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits § 345.62 Inmate accident...

  20. 28 CFR 345.62 - Inmate accident compensation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Inmate accident compensation. 345.62 Section 345.62 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits § 345.62 Inmate accident...

  1. 28 CFR 345.62 - Inmate accident compensation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Inmate accident compensation. 345.62 Section 345.62 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits § 345.62 Inmate accident...

  2. 28 CFR 345.62 - Inmate accident compensation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Inmate accident compensation. 345.62 Section 345.62 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits § 345.62 Inmate accident...

  3. Editorial Commentary: Workers' Compensation and Hip Arthroscopy.

    PubMed

    Konyves, Arpad

    2016-04-01

    Patients with active claims for workplace injuries will benefit from treatment for femoroacetabular impingement, but improvement is not as good as in the patients with sports-related injuries. Workers' Compensation patients differ from highly motivated athletes. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  4. Workers' Compensation and the Scholarship Athlete.

    ERIC Educational Resources Information Center

    Carpenter, Linda J.

    1982-01-01

    Scholarship athletes may be eligible for workers' compensation benefits for injuries and disabilities incurred as a result of sports participation. The potential for eligibility exists regardless of the athletes' purportedly amateur, nonemployee status. This could have substantial financial impact on both intercollegiate athletic programs and…

  5. Permanent Disability Benefits in Workers' Compensation.

    ERIC Educational Resources Information Center

    Berkowitz, Monroe; Burton, John F., Jr.

    This document, current through 1986, contains four parts. Part I presents a conceptual framework used to view disability among the working age population; the rudiments and objectives of workers' compensation programs; and an explanation of the criteria of adequacy, equity, and efficiency as used in the report. Part II presents a study of 10…

  6. The amount of consolation compensation in road traffic accidents.

    PubMed

    Jou, Rong-Chang

    2014-06-01

    This study aimed to investigate the amount of consolation compensation that road accident perpetrators were willing to pay victims. It used 2010 statistics for general road accidents from Taiwan's National Police Agency (NPA) for further sampling and to mail questionnaires. In investigating consolation compensation, the framework of the contingent valuation method was used, and the data were collected through the design of different scenarios. In this study, five injury levels were designed to further analyse the consolation compensation price the perpetrators were willing to pay: minor injury, moderate injury, serious injury, disability, and death. The results revealed the price that many perpetrators were willing to pay was zero; however, we overcame this issue by using the Spike model. The estimated results showed that road accident perpetrators were willing to pay more consolation compensation with increased injury severity.

  7. Workers` compensation for radiation injury?

    SciTech Connect

    Jose, D.E.; Phoebe, T.O.; Wiedis, D.

    1993-10-01

    This article addresses the concern in the nuclear industry over the possible problem of tort actions with regard to cancer incidence among the nuclear workforce. In part there is concern due to recent studies which hint that there is uncertainty in the question of radiation effects due to low-level exposure. Given the uncertainty in such studies, and the fact that approximately 30 percent of any group of workers will show a natural incidence of cancer, there is real concern about the impact tort actions will have on the nuclear industry. The authors examine the choices facing the nuclear utilities in responding to claims of work-related cancers.

  8. Arthroscopic acromioplasty: a comparison between workers' compensation and non-workers' compensation populations.

    PubMed

    Nicholson, Gregory P

    2003-04-01

    The purpose of the present prospective study was to analyze a consecutive series of patients with subacromial impingement syndrome who were managed with arthroscopic acromioplasty by a single surgeon. A consecutive series of 106 patients (106 shoulders) with a mean age of 44.7 years (range, twenty to seventy years) was analyzed after a mean duration of follow-up of thirty-two months. The Workers' Compensation group included forty patients (twenty-five men and fifteen women) with a mean age of 41.7 years. The non-Workers' Compensation group included sixty-six patients (thirty-two men and thirty-four women) with a mean age of 46.5 years. The work-demand level was categorized according to the Dictionary of Occupational Titles from the United States Department of Labor. Previously unrecognized intra-articular pathological changes were categorized with use of consistent criteria. Workers' Compensation status, the work-demand level, and the presence of associated intra-articular pathological changes were analyzed for their effect on outcome scores and time to return to full-duty work. The mean outcome scores for the entire population showed significant improvement when the preoperative values were compared with the postoperative values; specifically, the American Shoulder and Elbow Surgeons (ASES) score improved from 41.8 to 86.9, the Simple Shoulder Test (SST) score improved from 5.1 to 10.0, and the visual analog scale (VAS) for pain improved from 6.0 to 1.1 (p < 0.05). Postoperatively, there was no significant difference in the mean outcome scores between the Workers' Compensation and non-Workers' Compensation groups or between different work-demand levels. There was, however, a significant difference in the average time to return to full-duty work (13.7 weeks in the Workers' Compensation group compared with 9.1 weeks in the non-Workers' Compensation group; p = 0.0001), with the Workers' Compensation group having relatively heavier work-demand levels. Intra

  9. 39 CFR 3050.27 - Workers' Compensation Report.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Workers' Compensation Report. 3050.27 Section 3050.27 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PERIODIC REPORTING § 3050.27 Workers' Compensation Report. The Workers' Compensation Report, including summary workpapers, shall be provided by...

  10. 39 CFR 3050.27 - Workers' Compensation Report.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Workers' Compensation Report. 3050.27 Section 3050.27 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PERIODIC REPORTING § 3050.27 Workers' Compensation Report. The Workers' Compensation Report, including summary workpapers, shall be provided by...

  11. Workers' Compensation System in Michigan. A Closed Case Survey.

    ERIC Educational Resources Information Center

    Hunt, H. Allan

    The Michigan Closed Case Survey examined workers' compensation cases that were closed in the fall of 1978. Specific objectives of the study were to compare the workers' compensation experience of the insured and self-insured employer populations, to provide an empirical description of the workers' compensation system in Michigan, and to determine…

  12. 39 CFR 3050.27 - Workers' Compensation Report.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Workers' Compensation Report. 3050.27 Section 3050.27 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PERIODIC REPORTING § 3050.27 Workers' Compensation Report. The Workers' Compensation Report, including summary workpapers, shall be provided by...

  13. 20 CFR 701.201 - Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false Office of Workers' Compensation Programs. 701.201 Section 701.201 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES GENERAL; ADMINISTERING...

  14. 39 CFR 3050.27 - Workers' Compensation Report.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Workers' Compensation Report. 3050.27 Section 3050.27 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PERIODIC REPORTING § 3050.27 Workers' Compensation Report. The Workers' Compensation Report, including summary workpapers, shall be provided by...

  15. 20 CFR 701.201 - Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 4 2014-04-01 2014-04-01 false Office of Workers' Compensation Programs. 701.201 Section 701.201 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES GENERAL; ADMINISTERING...

  16. 39 CFR 3050.27 - Workers' Compensation Report.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Workers' Compensation Report. 3050.27 Section 3050.27 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PERIODIC REPORTING § 3050.27 Workers' Compensation Report. The Workers' Compensation Report, including summary workpapers, shall be provided by...

  17. 20 CFR 701.201 - Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Office of Workers' Compensation Programs. 701... LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES GENERAL; ADMINISTERING AGENCY; DEFINITIONS AND USE OF TERMS Office of Workers' Compensation Programs § 701.201 Office of...

  18. 20 CFR 701.201 - Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false Office of Workers' Compensation Programs. 701.201 Section 701.201 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES GENERAL; ADMINISTERING...

  19. 20 CFR 701.201 - Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Office of Workers' Compensation Programs. 701.201 Section 701.201 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES GENERAL; ADMINISTERING...

  20. Characteristics of worker accidents on NYSDOT construction projects.

    PubMed

    Mohan, Satish; Zech, Wesley C

    2005-01-01

    This paper aims at providing cost-effective safety measures to protect construction workers in highway work zones, based on real data. Two types of accidents that occur in work zones were: (a) construction work area accidents, and (b) traffic accidents involving construction worker(s). A detailed analysis of work zone accidents involving 36 fatalities and 3,055 severe injuries to construction workers on New York State Department of Transportation (NYSDOT) construction projects from 1990 to 2001 established that five accident types: (a) Struck/Pinned by Large Equipment, (b) Trip or Fall (elevated), (c) Contact w/Electrical or Gas Utility, (d) Struck-by Moving/Falling Load, and (e) Crane/Lift Device Failure accounted for nearly 96% of the fatal accidents, nearly 63% of the hospital-level injury accidents, and nearly 91% of the total costs. These construction work area accidents had a total cost of $133.8 million. Traffic accidents that involve contractors' employees were also examined. Statistical analyses of the traffic accidents established that five traffic accident types: (a) Work Space Intrusion, (b) Worker Struck-by Vehicle Inside Work Space, (c) Flagger Struck-by Vehicle, (d) Worker Struck-by Vehicle Entering/Exiting Work Space, and (e) Construction Equipment Struck-by Vehicle Inside Work Space accounted for nearly 86% of the fatal, nearly 70% of the hospital-level injury and minor injury traffic accidents, and $45.4 million (79.4%) of the total traffic accident costs. The results of this paper provide real statistics on construction worker related accidents reported on construction work zones. Potential preventions based on real statistics have also been suggested. The ranking of accident types, both within the work area as well as in traffic, will guide the heavy highway contractor and owner agencies in identifying the most cost effective safety preventions.

  1. 76 FR 67481 - Division of Longshore and Harbor Workers' Compensation; Proposed Renewal of Existing Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... of Workers' Compensation Programs Division of Longshore and Harbor Workers' Compensation; Proposed... Office of Workers' Compensation Programs (OWCP) is soliciting comments concerning the proposed collection...). SUPPLEMENTARY INFORMATION: I. Background The Office of Workers' Compensation Programs (OWCP) administers...

  2. 77 FR 16266 - Division of Longshore and Harbor Workers' Compensation; Proposed Extension of Existing Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-20

    ... of Workers' Compensation Programs Division of Longshore and Harbor Workers' Compensation; Proposed... Office of Workers' Compensation Programs (OWCP) is soliciting comments concerning the proposed collection.... Background The Office of Workers' Compensation Programs (OWCP) administers the ] Longshore and Harbor...

  3. 75 FR 63862 - Division of Longshore and Harbor Workers' Compensation; Proposed Extension of Existing Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-18

    ... of Workers' Compensation Programs Division of Longshore and Harbor Workers' Compensation; Proposed... Office of Workers' Compensation (OWCP) is soliciting comments concerning the proposed collection.... Background: The Office of Workers' Compensation Programs (OWCP), administers the Longshore and Harbor...

  4. 75 FR 78270 - Division of Longshore and Harbor Workers' Compensation; Proposed Extension of Existing Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-15

    ... of Workers' Compensation Programs Division of Longshore and Harbor Workers' Compensation; Proposed... Office of Workers' Compensation (OWCP) is soliciting comments concerning the proposed collection: Request.... Background The Office of Workers' Compensation Programs (OWCP) administers the Longshore and Harbor...

  5. Social Work and the Uniform Accident and Sickness Policy Provision Law: A Pilot Project

    ERIC Educational Resources Information Center

    Cochran, Gerald; Davis, King

    2012-01-01

    The Uniform Accident and Sickness Policy Provision Law (UPPL) is a statute existing in 26 states that permits health insurance companies to deny payment for claims made by individuals who have sustained injuries as a result of drug or alcohol use. This law presents a series of complicated clinical and ethical dilemmas for social workers and other…

  6. Social Work and the Uniform Accident and Sickness Policy Provision Law: A Pilot Project

    ERIC Educational Resources Information Center

    Cochran, Gerald; Davis, King

    2012-01-01

    The Uniform Accident and Sickness Policy Provision Law (UPPL) is a statute existing in 26 states that permits health insurance companies to deny payment for claims made by individuals who have sustained injuries as a result of drug or alcohol use. This law presents a series of complicated clinical and ethical dilemmas for social workers and other…

  7. The regional commission for medical accidents and nosocomial infections set up by French law.

    PubMed

    Bartoli, C; Piercecchi-Marti, M D; Pelissier-Alicot, A L; Cianfarani, F; Leonetti, G

    2005-07-01

    The regional commission for conciliation and compensation for medical accidents, iatrogenic diseases and nosocomial infections (commission régionale de conciliation et d'indemnisation des accidents médicaux, affections iatrogènes et infections nosocomiales, CRCI) offers victims of such events the possibility of obtaining compensation without recourse to legal proceedings. We suggest various points of view about this commission set up by the French law no. 2002-303 of 4 March 2002: the composition, role and competence of the CRCI; the place of the expert's report; the opinion pronounced by the CRCI and its outcome, the compensation of victims and, finally, interaction with other procedures.

  8. The European influence on workers' compensation reform in the United States

    PubMed Central

    2011-01-01

    Workers' compensation law in the United States is derived from European models of social insurance introduced in Germany and in England. These two concepts of workers' compensation are found today in the federal and state workers' compensation programs in the United States. All reform proposals in the United States are influenced by the European experience with workers' compensation. In 2006, a reform proposal termed the Public Health Model was made that would abolish the workers' compensation system, and in its place adopt a national disability insurance system for all injuries and illnesses. In the public health model, health and safety professionals would work primarily in public health agencies. The public health model eliminates the physician from any role other than that of privately consulting with the patient and offering advice solely to the patient. The Public Health Model is strongly influenced by the European success with physician consultation with industry and labor. PMID:22151643

  9. The European influence on workers' compensation reform in the United States.

    PubMed

    Ladou, Joseph

    2011-12-07

    Workers' compensation law in the United States is derived from European models of social insurance introduced in Germany and in England. These two concepts of workers' compensation are found today in the federal and state workers' compensation programs in the United States. All reform proposals in the United States are influenced by the European experience with workers' compensation. In 2006, a reform proposal termed the Public Health Model was made that would abolish the workers' compensation system, and in its place adopt a national disability insurance system for all injuries and illnesses. In the public health model, health and safety professionals would work primarily in public health agencies. The public health model eliminates the physician from any role other than that of privately consulting with the patient and offering advice solely to the patient. The Public Health Model is strongly influenced by the European success with physician consultation with industry and labor.

  10. Changes in Workmen's Compensation Laws in 1973

    ERIC Educational Resources Information Center

    Johnson, Florence C.

    1974-01-01

    Major 1973 State legislative changes of workmen's compensation laws focused on more flexibility and increased levels of benefits, improved medical care and rehabilitation provisions, improved occupational diseases provisions, and increased coverage of farm laborers. Many States adopted amendments to strengthen the administrative procedures of…

  11. Back from the Brink--Controlling Worker's Compensation Costs.

    ERIC Educational Resources Information Center

    Saylor, Joan Nesenkar

    1995-01-01

    Worker's Compensation premiums at a New Jersey school district had risen 131% in only three years, and the insurance carrier informed the district that coverage would be dropped. A plan to reduce worker's compensation costs evolved on three fronts--administrative direction, rules concerning compensation claims, and safety issues. (MLF)

  12. Back from the Brink--Controlling Worker's Compensation Costs.

    ERIC Educational Resources Information Center

    Saylor, Joan Nesenkar

    1995-01-01

    Worker's Compensation premiums at a New Jersey school district had risen 131% in only three years, and the insurance carrier informed the district that coverage would be dropped. A plan to reduce worker's compensation costs evolved on three fronts--administrative direction, rules concerning compensation claims, and safety issues. (MLF)

  13. HMO strategies for managing workers' compensation claims.

    PubMed

    Gallagher, P A

    1996-03-01

    Health maintenance organizations (HMOs) have become very active in managing workers' compensation medical expense benefits. A survey of 316 HMOs shows that this activity takes the form of various network models and a range of services--such as utilization review and case management--that may not be linked to a provider network. Of the HMOs surveyed, 78 reported that, by using managed care services and provider discounts, they were able to save from 20 percent to 30 percent on occupational health claim costs.

  14. Managing federal workers' compensation injuries and costs.

    PubMed

    Mallon, Timothy M; Grizzell, Tifani; Holland, Leslie; Hodgson, Michael

    2015-03-01

    Federal Employees' Compensation Act injury rates and claim costs benefit from injury prevention and case management efforts. The Department of Labor Protecting Our Workers and Ensuring Reemployment data on lost time injuries and illnesses do support injury prevention and case management activities. The management efforts of the Department of Defense, Veterans Administration, and Department of Labor were examined to determine whether more is needed to support injury prevention and case management efforts. Data on Protecting Our Workers and Ensuring Reemployment goal 3 metrics should be provided to safety and occupational health (SOH) personnel to support injury prevention and case management efforts. Injury prevention and case management data need to be made available to SOH team members to prevent injuries and lower claims costs. Actionable information must be provided to SOH that will facilitate case management and injury prevention programs and lower costs.

  15. Emergency preparedness and response: compensating victims of a nuclear accident.

    PubMed

    Schwartz, Julia

    2004-07-26

    The 1986 tragedy at the Chernobyl Nuclear Power Plant in Ukraine motivated the entire international nuclear community to ensure that countries would, in the future, be well prepared to manage the physical, psychological and financial consequences of a serious nuclear accident. Since that event, numerous nuclear emergency preparedness and post-emergency management programmes have been established at national and international levels to ensure that appropriate mechanisms will respond to the threat, and the aftermath, of a nuclear accident. The INEX 2000 Workshop on the Indemnification of Nuclear Damage, jointly organised by the OECD/Nuclear Energy Agency and the French Government, was the first ever international programme to address the manner in which victims of a nuclear accident with trans-boundary consequences would be compensated for damage suffered before, during and after the accident. The Workshop results revealed striking differences in the compensation principles and practices implemented in the 30 participating countries, in the co-ordination measures between different public authorities within an affected state, and in the co-operative procedures between the accident state and its neighbours. All participants agreed on the need for improvement in these areas, particularly for maintaining public confidence in governments' ability to properly manage nuclear emergencies.

  16. A study of influences of the workers' compensation and injury management regulations on aviation safety at a workplace.

    PubMed

    Yadav, Devinder K; Nikraz, Hamid; Chen, Yongqing

    2016-01-01

    As the aviation industries developed, so too did the recognition that there must be an effective regulatory framework to address issues related to the workers' compensation and rehabilitation. All employees would like to work and return home safely from their workplace. Therefore, the efficient management of workplace injury and disease reduces the cost of aviation operations and improves flight safety. Workers' compensation and injury management laws regulate a majority of rehabilitation and compensation issues, but achieving an injury-free workplace remains a major challenge for the regulators. This paper examines the clauses of the workers' compensation and injury management laws of Western Australia related to workplace safety, compensation, and rehabilitations of the injured workers. It also discusses various provisions of common law under the relevant workers' health injury management legislations.

  17. Workers' Compensation and College Athletics: Should Universities Be Responsible for Athletes Who Incur Serious Injuries?

    ERIC Educational Resources Information Center

    Atkinson, Mark Alan

    1984-01-01

    The legal aspects of athletic injuries could become major issue. A recent Indiana case, in which a college football player suffered an injury which rendered him a quadriplegic, is discussed. Relevant case law and the policy implications of applying worker's compensation law to scholarship athletes is discussed. (Author/MLW)

  18. Workers' Compensation and College Athletics: Should Universities Be Responsible for Athletes Who Incur Serious Injuries?

    ERIC Educational Resources Information Center

    Atkinson, Mark Alan

    1984-01-01

    The legal aspects of athletic injuries could become major issue. A recent Indiana case, in which a college football player suffered an injury which rendered him a quadriplegic, is discussed. Relevant case law and the policy implications of applying worker's compensation law to scholarship athletes is discussed. (Author/MLW)

  19. [Occupational accidents among immigrant workers in the Fabriano areas].

    PubMed

    Colao, Anna Maria; Pisciottano, Virna; Giampaoletti, C; Cenci, G

    2006-01-01

    The growing contribution of immigrant workers to the national economy particularly affects the trend of accidents at work. The aim of this study was to describe the trend of work accidents in the Local Health Area No. 6 - Fabriano (Marche Region), during the period 2000-2003; to define the frequency for each job sector, age, gender, type of work, severity, month, day and week and time of day; to calculate the incidence rate for each year taken into consideration. The sources of information used were: 1) The "New Informative Flows" database set up by Italian National Institute of Insurance for Occupational Injury (INAIL), Italian Superior Institute for Work Prevention and Safety (ISPESL) and Regional Governments, and the "EPIWORK software", for the total number of occupational accidents among immigrant workers. 2) The local Jobs and Training Centre of Fabriano. We used three different correction indexes to evaluate the number of hired workers so as to estimate the rate of accident incidence among immigrant workers. The total number of occupational accidents reached its peak in 2001 as a result of the rise in the number of employed people. After this date, the trend started to reverse and in 2002 an increase in the number of employed people--although smaller compared to the previous year--was accompanied by a reduction in the overall number of accidents, a reduction that became even more evident in 2003. Occupational accidents among immigrant workers gradually rose and peaked in 2002. The sectors with high rates of accidents were the mechanical engineering and metallurgic sectors and the construction industry. Accidents occurred mainly among young people (18 to 34years old). As for gender, there was a marked prevalence of men (83.3%) over women (16.7%). Most accidents had a prognosis of 8 to 30 days. The number ofoccupational accidents with a prognosis of 8 to 30 days fell progressively for workers in general but gradually rose for immigrant workers with a peak in

  20. Physician-patient relationship and medical accident victim compensation: some insights into the French regulatory system.

    PubMed

    Ancelot, Lydie; Oros, Cornel

    2015-06-01

    Given the growing amount of medical litigation heard by courts, the 2002 Kouchner law in France has created the Office National d'Indemnisation des Accidents Médicaux (ONIAM), whose main aim is to encourage out-of-court settlements when a conflict between a physician and the victim of a medical accident occurs. More than 10 years after the implementation of this law, the statistics analysing its effectiveness are contradictory, which raises the question of the potential negative effects of the ONIAM on the compensation system. In order to address this question, the article analyses the impact of the ONIAM on the nature of settlement negotiations between the physician and the victim. Using a dynamic game within incomplete information, we develop a comparative analysis of two types of compensation systems in case of medical accidents: socialised financing granted by the ONIAM and private financing provided by the physician. We show that the ONIAM could encourage out-of-court settlements provided that the hypothesis of judicial error is relevant. On the contrary, in the case of a low probability of judicial errors, the ONIAM could be effective only for severe medical accidents.

  1. 5 CFR 844.105 - Relationship to workers' compensation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Relationship to workers' compensation. 844.105 Section 844.105 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL... Provisions § 844.105 Relationship to workers' compensation. (a) Except as provided in paragraph (b) of this...

  2. 5 CFR 844.105 - Relationship to workers' compensation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Relationship to workers' compensation. 844.105 Section 844.105 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL... Provisions § 844.105 Relationship to workers' compensation. (a) Except as provided in paragraph (b) of this...

  3. 5 CFR 844.105 - Relationship to workers' compensation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Relationship to workers' compensation. 844.105 Section 844.105 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL... Provisions § 844.105 Relationship to workers' compensation. (a) Except as provided in paragraph (b) of this...

  4. 5 CFR 844.105 - Relationship to workers' compensation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Relationship to workers' compensation. 844.105 Section 844.105 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL... Provisions § 844.105 Relationship to workers' compensation. (a) Except as provided in paragraph (b) of this...

  5. 5 CFR 844.105 - Relationship to workers' compensation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Relationship to workers' compensation. 844.105 Section 844.105 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL... Provisions § 844.105 Relationship to workers' compensation. (a) Except as provided in paragraph (b) of this...

  6. 48 CFR 970.2803-1 - Workers' Compensation Insurance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Workers' Compensation Insurance. 970.2803-1 Section 970.2803-1 Federal Acquisition Regulations System DEPARTMENT OF ENERGY AGENCY... workers' compensation insurance programs of management and operating contractors in the light of...

  7. Employer Factors Related to Workers' Compensation Claims and Disability Management.

    ERIC Educational Resources Information Center

    Habeck, Rochelle V.; And Others

    1991-01-01

    Explored empirical relationship between employer disability prevention and management practices and their workers' compensation claims experience. Data from 124 firms revealed high variability among firms within same industry and operating under same state workers' compensation statute. Findings support assumption that significant portion of…

  8. Toward Better Child Care Worker Compensation: Advocacy in Three States.

    ERIC Educational Resources Information Center

    De Vita, Carol J.; Twombly, Eric C.; Montilla, Maria D.

    Although the demand for child care in the United States has risen over the past 40 years, the supply of good quality child care remains both limited and costly, and the supply of well-trained and adequately compensated workers remains low. This study reviewed how advocates have moved the issue of child care worker compensation forward in the…

  9. Construction safety: Can management prevent all accidents or are workers responsible for their own actions?

    SciTech Connect

    Cotten, G.B.; Jenkins, S.L.

    1997-10-01

    The construction industry has struggled for many years with the answer to the question posed in the title: Can Management Prevent All Accidents or Are Workers Responsible for Their Own Actions? In the litigious society that we live, it has become more important to find someone {open_quotes}at fault{close_quotes} for an accident than it is to find out how we can prevent it from ever happening again. Most successful companies subscribe to the theme that {open_quotes}all accidents can be prevented.{close_quotes} They institute training and qualification programs, safe performance incentives, and culture-change-driven directorates such as the Voluntary Protection Program (VPP); yet we still see construction accidents that result in lost time, and occasionally death, which is extremely costly in the shortsighted measure of money and, in real terms, impact to the worker`s family. Workers need to be properly trained in safety and health protection before they are assigned to a job that may expose them to safety and health hazards. A management committed to improving worker safety and health will bring about significant results in terms of financial savings, improved employee morale, enhanced communities, and increased production. But how can this happen, you say? Reduction in injury and lost workdays are the rewards. A decline in reduction of injuries and lost workdays results in lower workers` compensation premiums and insurance rates. In 1991, United States workplace injuries and illnesses cost public and private sector employers an estimated $62 billion in workers` compensation expenditures.

  10. Outcomes after hip arthroscopy in patients with workers' compensation claims.

    PubMed

    Salvo, John P; Hammoud, Sommer; Flato, Russell; Sgromolo, Nicole; Mendelsohn, Elliot S

    2015-02-01

    Patients with a workers' compensation claim have been shown to have inferior outcomes after various orthopedic procedures. In hip arthroscopy, good to excellent results have been shown in the athletic and prearthritic population in short-term and long-term follow-up. In the current study, the authors' hypothesis was that patients with a workers' compensation claim would have inferior outcomes after hip arthroscopy compared with patients without a workers' compensation claim. All patients with a workers' compensation claim who underwent hip arthroscopy over a 2-year period were studied. Postoperative functional outcomes were assessed with the Hip Outcome Score and modified Harris Hip Score. A cohort of 30 patients who did not have a workers' compensation claim was selected for comparison. Twenty-six patients were identified who had a workers' compensation claim and underwent hip arthroscopy performed by a single surgeon at the authors' institution with at least 6 months of follow-up. These patients were compared with 30 patients who did not have a workers' compensation claim. The workers' compensation group had a Hip Outcome Score of 66.5±28.8 and the non-workers' compensation group had a Hip Outcome Score of 89.4±12.0. This difference was statistically significant with Wilcoxon test (P=.003). The workers' compensation group had an average modified Harris Hip Score of 72.5±20.7 (mean±SD), and the non-workers' compensation group had a modified Harris Hip Score of 75.6±15.3. This difference was not significantly significant with Wilcoxon test (P=.9). At latest follow-up, 15 patients in the workers' compensation group (58%) were working. Patients returned to work an average of 6.8 months after surgery. The current study showed that postoperative functional outcomes in the workers' compensation group, as measured by Hip Outcome Score, were significantly inferior to those in the non-workers' compensation group. No statistical difference in postoperative modified

  11. Lessons for the NFL from Workers' Compensation.

    PubMed

    Diana, Richard

    2016-11-01

    In the article "A Proposal to Address NFL Club Doctors' Conflicts of Interest and to Promote Player Trust," Glenn Cohen et al. write, "The [NFL's] current structure forces club doctors to have obligations to two parties-the club and the player-and to make difficult judgments about when one party's interests must yield to another's." I can understand why some might be suspicious about bias in the current NFL medical system, in which the club doctors have a professional duty to put their player-patients' best interests first yet are employed by clubs, which have a primary goal of winning football games. It is my opinion, however, that neither the club nor the player needs to be sacrificed. I base this opinion partly on my experience as an NFL player in the early 1980s, partly on several years as team physician for the Boston Red Sox, and partly on my twenty-three-years of experience as a physician with the Connecticut Workers' Compensation medical system, which supposes that physicians can be fair to both workers and employers. © 2016 The Hastings Center.

  12. Informal Workers in Thailand: Occupational Health and Social Security Disparities.

    PubMed

    Kongtip, Pornpimol; Nankongnab, Noppanun; Chaikittiporn, Chalermchai; Laohaudomchok, Wisanti; Woskie, Susan; Slatin, Craig

    2015-08-01

    Informal workers in Thailand lack employee status as defined under the Labor Protection Act (LPA). Typically, they do not work at an employer's premise; they work at home and may be self-employed or temporary workers. They account for 62.6 percent of the Thai workforce and have a workplace accident rate ten times higher than formal workers. Most Thai Labor laws apply only to formal workers, but some protect informal workers in the domestic, home work, and agricultural sectors. Laws that protect informal workers lack practical enforcement mechanisms and are generally ineffective because informal workers lack employment contracts and awareness of their legal rights. Thai social security laws fail to provide informal workers with treatment of work-related accidents, diseases, and injuries; unemployment and retirement insurance; and workers' compensation. The article summarizes the differences in protections available for formal and informal sector workers and measures needed to decrease these disparities in coverage.

  13. Analysis of accidents with organic material in health workers.

    PubMed

    Vieira, Mariana; Padilha, Maria Itayra; Pinheiro, Regina Dal Castel

    2011-01-01

    This retrospective and descriptive study with a quantitative design aimed to evaluate occupational accidents with exposure to biological material, as well as the profile of workers, based on reporting forms sent to the Regional Reference Center of Occupational Health in Florianópolis/SC. Data collection was carried out through a survey of 118 reporting forms in 2007. Data were analyzed electronically. The occurrence of accidents was predominantly among nursing technicians, women and the mean age was 34.5 years. 73% of accidents involved percutaneous exposure, 78% had blood and fluid with blood, 44.91% resulted from invasive procedures. It was concluded that strategies to prevent the occurrence of accidents with biological material should include joint activities between workers and service management and should be directed at improving work conditions and organization.

  14. Unwanted pregnancy: The outer boundary of "treatment injury" in the New Zealand accident compensation scheme.

    PubMed

    Tobin, Rosemary

    2015-09-01

    The New Zealand accident compensation scheme has undergone many changes over the years and these changes are reflected in the way unwanted pregnancy claims have been dealt with under the regime. The New Zealand Supreme Court has now confirmed that pregnancy as a result of medical misadventure can be classified as a personal injury under the scheme with the result that the woman patient is entitled to the benefits of the scheme and may not pursue a common law claim against the medical practitioner. This article analyses two recent decisions in the context of consideration of the changing fortunes of the unwanted pregnancy claims.

  15. The Role of the Orthopaedic Surgeon in Workers' Compensation Cases.

    PubMed

    Daniels, Alan H; Kuris, Eren O; Palumbo, Mark A

    2017-03-01

    Workers' compensation is an employer-funded insurance program that provides financial and medical benefits for employees injured at work. Because many occupational injuries are musculoskeletal in nature, the orthopaedic surgeon plays an important role in the workers' compensation system. Along with establishing the correct diagnosis and implementing an appropriate treatment plan, the clinician must understand the fundamental components of the workers' compensation system to manage an injured employee. Ultimately, effective claim management requires collaboration among the employer, the employee, the legal representatives, the insurance company, and the orthopaedic surgeon.

  16. World Trade Organization, ILO conventions, and workers' compensation.

    PubMed

    LaDou, Joseph

    2005-01-01

    The World Trade Organization, the World Bank, and the International Monetary Fund can assist in the implementation of ILO Conventions relating to occupational safety and health in developing countries. Most countries that seek to trade globally receive permission to do so from the WTO. If the WTO required member countries to accept the core ILO Conventions relating to occupational safety and health and workers' compensation, it could accomplish something that has eluded international organizations for decades. International workers' compensation standards are seldom discussed, but may at this time be feasible. Acceptance of a minimum workers' compensation insurance system could be a requirement imposed on applicant nations by WTO member states.

  17. A successful workers' compensation program for the 1980's

    SciTech Connect

    Stevenson, D.F.

    1986-01-01

    The author discusses the general legal, social and legislative climate of workers' compensation programs in the 1980s. He then makes nine suggestions for conducting a workers' compensation program at the plant level. The important part of the program, he says, is to avoid the ''adversary'' or ''confrontation'' approach that has become characteristic of so many workers' compensation cases. This always increases costs. Implicit, too, in this program is a simple matter of human relationships. An injury is a serious matter to an employee and requires comfort from the employer.

  18. [Medicolegal and compensation scientific approach to automobile accident].

    PubMed

    Yamanouchi, Haruo

    2002-09-01

    medico legal and scientific compensation approach to automobile accident is now necessary.

  19. Reforming insurance to support workers' rights to compensation.

    PubMed

    McCluskey, Martha T

    2012-06-01

    The structure and regulation of the insurance system for financing workers' compensation affects the costs of workers' benefits. Using the example of Maine's insurance market restructuring in response to a crisis of the early 1990s, this commentary explores how changes in insurance regulation might better support the goals of workers' compensation. The commentary analyzes how insurance and its regulation should go beyond correct pricing of risks to questions of how to structure incentives for loss control to include workers' interests as well as the interests of employers and insurers.

  20. Managing workers' compensation costs in the military setting: the Army's story.

    PubMed

    Cloeren, Marianne; Mallon, Timothy M

    2004-05-01

    Direct and indirect costs for the Army's workers' compensation payments have increased to more than 2 billion US dollars. Increasing attention is putting the spotlight on the problems at all levels, and a promising cooperative approach to injury prevention and case management is emerging. This article addresses the system within which the Army's workers' compensation program operates, provides some organizational history, gives an update on current status,and describes what is needed for sustained improvement. The onus is on the Army to develop and implement strategies that use available data to target high-risk occupations and employees to prevent accidents, injuries, and illnesses. Front-line managers bear the responsibility for educating the workforce and providing safe workplaces. Employees become the beneficiaries, not of medical and compensation benefits but of safe and healthy work environments.

  1. Accident patterns for construction-related workers: a cluster analysis

    NASA Astrophysics Data System (ADS)

    Liao, Chia-Wen; Tyan, Yaw-Yauan

    2011-12-01

    The construction industry has been identified as one of the most hazardous industries. The risk of constructionrelated workers is far greater than that in a manufacturing based industry. However, some steps can be taken to reduce worker risk through effective injury prevention strategies. In this article, k-means clustering methodology is employed in specifying the factors related to different worker types and in identifying the patterns of industrial occupational accidents. Accident reports during the period 1998 to 2008 are extracted from case reports of the Northern Region Inspection Office of the Council of Labor Affairs of Taiwan. The results show that the cluster analysis can indicate some patterns of occupational injuries in the construction industry. Inspection plans should be proposed according to the type of construction-related workers. The findings provide a direction for more effective inspection strategies and injury prevention programs.

  2. Accident patterns for construction-related workers: a cluster analysis

    NASA Astrophysics Data System (ADS)

    Liao, Chia-Wen; Tyan, Yaw-Yauan

    2012-01-01

    The construction industry has been identified as one of the most hazardous industries. The risk of constructionrelated workers is far greater than that in a manufacturing based industry. However, some steps can be taken to reduce worker risk through effective injury prevention strategies. In this article, k-means clustering methodology is employed in specifying the factors related to different worker types and in identifying the patterns of industrial occupational accidents. Accident reports during the period 1998 to 2008 are extracted from case reports of the Northern Region Inspection Office of the Council of Labor Affairs of Taiwan. The results show that the cluster analysis can indicate some patterns of occupational injuries in the construction industry. Inspection plans should be proposed according to the type of construction-related workers. The findings provide a direction for more effective inspection strategies and injury prevention programs.

  3. Workers' compensation and outcomes of upper extremity surgery.

    PubMed

    Gruson, Konrad I; Huang, Kevin; Wanich, Tony; Depalma, Anthony A

    2013-02-01

    Clinical outcomes following upper extremity surgery among workers' compensation patients have traditionally been found to be worse than those of non-workers' compensation patients. In addition, workers' compensation patients take significantly longer to return to their jobs, and they return to their preinjury levels of employment at a lower overall rate. These unfavorable prognoses may stem from the strenuous physical demands placed on the upper extremity in this group of patients. Further, there is a potential financial benefit within this patient population to report severe functional disability following surgery. Orthopaedic upper extremity surgeons who treat workers' compensation patients should be aware of the potentially prolonged period before return to work after surgical intervention and should counsel this group of patients accordingly. Vocational training should be considered if a patient's clinical progress begins to plateau.

  4. The impact of the belgian workers' compensation system on return to work after rotator cuff surgery.

    PubMed

    Didden, Karolien; Leirs, Geert; Aerts, Peter

    2010-10-01

    We retrospectively assessed time off work after rotator cuff repair, in relation with the compensation system and the shoulder loading demand at work. The Belgian insurance system distinghuises three main financial compensation systems for time off work. Patients with a work-related accident receive the highest compensation. A second group includes employees suffering a private accident or a chronic rotator cuff tear. Self-employed workers receive the lowest compensation. Work-demand on the shoulder was graded level I to IV according to the Iannotti classification. From a series of 201 young patients who underwent rotator cuff tear surgery, 93 were selected based on specific inclusion criteria; of these 93 patients, 73 could be thoroughly investigated. We found a significantly longer postoperative time off work in the highest compensation group (7 months versus 2.5 months for the lowest compensation group). We found a significantly longer postoperative time to return to work in the higher stages of the Iannoti classification. Based on the results of this study, the probable postoperative absence from work can be roughly estimated for each patient after rotator cuff surgery in relation with the particular compensation system and particular occupational demand level.

  5. Asbestos-related occupational cancers compensated under the Industrial Accident Compensation Insurance in Korea.

    PubMed

    Ahn, Yeon-Soon; Kang, Seong-Kyu

    2009-04-01

    Compensation for asbestos-related cancers occurring in occupationally-exposed workers is a global issue; this is also an issue in Korea. To provide basic information regarding compensation for workers exposed to asbestos, 60 cases of asbestos-related occupational lung cancer and mesothelioma that were compensated during 15 yr; from 1993 (the year the first case was compensated) to 2007 by the Korea Labor Welfare Corporation (KLWC) are described. The characteristics of the cases were analyzed using the KLWC electronic data and the epidemiologic investigation data conducted by the Occupational Safety and Health Research Institute (OSHRI) of the Korea Occupational Safety and Health Agency (KOSHA). The KLWC approved compensation for 41 cases of lung cancer and 19 cases of mesothelioma. Males accounted for 91.7% (55 cases) of the approved cases. The most common age group was 50-59 yr (45.0%). The mean duration of asbestos exposure for lung cancer and mesothelioma cases was 19.2 and 16.0 yr, respectively. The mean latency period for lung cancer and mesothelioma cases was 22.1 and 22.6 yr, respectively. The major industries associated with mesothelioma cases were shipbuilding and maintenance (4 cases) and manufacture of asbestos textiles (3 cases). The major industries associated with lung cancer cases were shipbuilding and maintenance (7 cases), construction (6 cases), and manufacture of basic metals (4 cases). The statistics pertaining to asbestos-related occupational cancers in Korea differ from other developed countries in that more cases of mesothelioma were compensated than lung cancer cases. Also, the mean latency period for disease onset was shorter than reported by existing epidemiologic studies; this discrepancy may be related to the short history of occupational asbestos use in Korea. Considering the current Korean use of asbestos, the number of compensated cases in Korea is expected to increase in the future but not as much as developed countries.

  6. The willingness to pay of parties to traffic accidents for loss of productivity and consolation compensation.

    PubMed

    Jou, Rong-Chang; Chen, Tzu-Ying

    2015-12-01

    In this study, willingness to pay (WTP) for loss of productivity and consolation compensation by parties to traffic accidents is investigated using the Tobit model. In addition, WTP is compared to compensation determined by Taiwanese courts. The modelling results showed that variables such as education, average individual monthly income, traffic accident history, past experience of severe traffic accident injuries, the number of working days lost due to a traffic accident, past experience of accepting compensation for traffic accident-caused productivity loss and past experience of accepting consolation compensation caused by traffic accidents have a positive impact on WTP. In addition, average WTP for these two accident costs were obtained. We found that parties to traffic accidents were willing to pay more than 90% of the compensation determined by the court in the scenario of minor and moderate injuries. Parties were willing to pay approximately 80% of the compensation determined by the court for severe injuries, disability and fatality. Therefore, related agencies can use our study findings as the basis for determining the compensation that parties should pay for productivity losses caused by traffic accidents of different types.

  7. Occupational Disease, Workers' Compensation, and the Social Work Advocate.

    ERIC Educational Resources Information Center

    Shanker, Renee

    1983-01-01

    Charges that the overwhelming majority of victims of work-related illnesses are not receiving their entitlements. Describes ways in which social workers and health professionals may become advocates to broaden the effectiveness of the workers' compensation system, illustrated by case studies from the Montefiore Project. (Author/JAC)

  8. Occupational Disease, Workers' Compensation, and the Social Work Advocate.

    ERIC Educational Resources Information Center

    Shanker, Renee

    1983-01-01

    Charges that the overwhelming majority of victims of work-related illnesses are not receiving their entitlements. Describes ways in which social workers and health professionals may become advocates to broaden the effectiveness of the workers' compensation system, illustrated by case studies from the Montefiore Project. (Author/JAC)

  9. State Initiatives To Increase Compensation for Child Care Workers.

    ERIC Educational Resources Information Center

    Twombly, Eric C.; Montilla, Maria D.; De Vita, Carol J.

    Noting that wages for child care workers are among the lowest in the U.S. labor force and that generally caregivers are offered few employee benefits, this paper summarizes proposals and programs in the 50 states and the District of Columbia to raise child care worker compensation. The paper classifies state-level initiatives into two categories:…

  10. 78 FR 35327 - Division of Coal Mine Workers' Compensation; Proposed Collection of Existing Collection; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-12

    ... of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Collection of... Workers' Compensation Information (CM-905). A copy of the proposed information collection request can be... payments of state or federal benefits for workers' compensation due to pneumoconiosis. To ensure...

  11. 77 FR 32140 - Division of Coal Mine Workers' Compensation Proposed Extension of Existing Collection; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-31

    ... of Workers' Compensation Programs Division of Coal Mine Workers' Compensation Proposed Extension of... medical information for consideration by the Division of Coal Mine Workers' Compensation as evidence to... processing of the claim. Agency: Office of Workers' Compensation Programs. Type of Review: Extension....

  12. Quality management and federal workers' compensation: the Veterans Health Administration workers' compensation program model.

    PubMed

    Hodgson, Michael J; Mohr, David C; Lipkowitz-Eaton, Jennifer; Rodrigues, Dianne; Moreau, Sarah; McPhaul, Kate

    2015-03-01

    The federal workers' compensation program includes under a single employer five commonly encountered roles and responsibilities-injured patient, clinical provider, third-party administrator, adjudicator, and insurer. Data within the Veterans Health Administration (VHA) provide a unique opportunity to apply a simple model of health care quality improvement, exploring interactions between structures, processes, and outcomes. A facility survey identified reporting structures, levels of education and training, policies and processes, tool availability and use, and perceptions of role adherence. Administrative data included process and outcome metrics, including short-term disability, long-term disability, and lost time cases. Improved collaboration between clinical and administrative staff within VHA and with the Department of Labor was associated with improved performance. Applying a clinical quality improvement model clarifies roles, expectations, and likely relationships for improved program management.

  13. 76 FR 82117 - Regulations Implementing the Longshore and Harbor Workers' Compensation Act: Recreational Vessels

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-30

    ...This final rule contains regulations implementing amendments to the Longshore and Harbor Workers' Compensation Act (LHWCA) by the American Recovery and Reinvestment Act of 2009 (ARRA), relating to the exclusion of certain recreational-vessel workers from the LHWCA's definition of ``employee.'' These regulations clarify both the definition of ``recreational vessel'' and those circumstances under which workers are excluded from LHWCA coverage when working on those vessels. The final rule also withdraws a proposed rule that would have codified current case law and the Department's longstanding view that employees are covered under the LHWCA so long as some of their work constitutes ``maritime employment'' within the meaning of the statute.

  14. Trends in worker's compensation in the United States

    NASA Astrophysics Data System (ADS)

    Clausen, Terry

    1988-07-01

    A short essay concerning trends in workmen's compensation in the United States is given with a historical perspective. This paper relies heavily upon Professor Arthur Larson's excellent treatise on Workmen's Compensation Law which is a dominant document in the field. (AIP)

  15. Worker Alienation and Compensation at the Savannah River Site.

    PubMed

    Ashwood, Loka; Wing, Steve

    2016-05-01

    Corporations operating U.S. nuclear weapons plants for the federal government began tracking occupational exposures to ionizing radiation in 1943. However, workers, scholars, and policy makers have questioned the accuracy and completeness of radiation monitoring and its capacity to provide a basis for workers' compensation. We use interviews to explore the limitations of broad-scale, corporate epidemiological surveillance through worker accounts from the Savannah River Site nuclear weapons plant. Interviewees report inadequate monitoring, overbearing surveillance, limited venues to access medical support and exposure records, and administrative failure to report radiation and other exposures at the plant. The alienation of workers from their records and toil is relevant to worker compensation programs and the accuracy of radiation dose measurements used in epidemiologic studies of occupational radiation exposures at the Savannah River Site and other weapons plants. © The Author(s) 2016.

  16. Workers' compensation experience of North Carolina residential construction workers, 1986-1994.

    PubMed

    Dement, J M; Lipscomb, H

    1999-02-01

    falls involving scaffolds (23.9%) and ladders (20.6%), and falls from ceiling joists, floor joists, or framing (14.8%). Twenty-six work-related deaths occurred with vehicle accidents (n = 6) being the major known cause of death, followed by falls (n = 3), being struck by an object (n = 3), electric shock (n = 2), and contact with energy or chemicals (n = 2). Consistent with other analyses of workers' compensation data, chronic occupational diseases are not well captured in the workers' compensation claims among home builders; therefore, a companion study has examined mortality patterns among North Carolina construction workers.

  17. Workers compensation and occupational health and safety in the Australian agricultural industry.

    PubMed

    Guthrie, Robert; Westaway, Jennifer; Goldacre, Lisa

    2009-04-01

    The objective of this paper is to review the available workers compensation and occupational health and safety data and the legal framework in relation to the agricultural industry to explore whether any factors highlight the need to pay special attention to the particular circumstances of those engaged in the industry. This paper explores some of the special features of the agricultural industry, looking first at agricultural worker fatalities and injuries as a matter of ongoing concern for all participants in this industry, government, as well as occupational health and workers compensation authorities. The paper analyses how occupational health and workers compensation laws may have special application to this industry. Finally, the paper considers some workers compensation provisions that have particular application to the agricultural industry. Our survey of the available data and literature leads to the conclusion that the dangerous nature of agricultural work and the special legal and economic framework in which that work is undertaken identify the agricultural industry as presenting Australian Governments and specialist authorities with particular challenges in relation to improving workplace safety and reducing workplace injury.

  18. 42 CFR 411.45 - Basis for conditional Medicare payment in workers' compensation cases.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.45 Basis for conditional Medicare payment in workers' compensation cases. (a) A conditional Medicare payment may be made...' compensation benefits, but the intermediary or carrier determines that the workers' compensation carrier...

  19. 42 CFR 411.45 - Basis for conditional Medicare payment in workers' compensation cases.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.45 Basis for conditional Medicare payment in workers' compensation cases. (a) A conditional Medicare payment may be made...' compensation benefits, but the intermediary or carrier determines that the workers' compensation carrier...

  20. 42 CFR 411.45 - Basis for conditional Medicare payment in workers' compensation cases.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.45 Basis for conditional Medicare payment in workers' compensation cases. (a) A conditional Medicare payment may be made...' compensation benefits, but the intermediary or carrier determines that the workers' compensation carrier...

  1. 42 CFR 411.45 - Basis for conditional Medicare payment in workers' compensation cases.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.45 Basis for conditional Medicare payment in workers' compensation cases. (a) A conditional Medicare payment may be made...' compensation benefits, but the intermediary or carrier determines that the workers' compensation carrier...

  2. 42 CFR 411.45 - Basis for conditional Medicare payment in workers' compensation cases.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.45 Basis for conditional Medicare payment in workers' compensation cases. (a) A conditional Medicare payment may be made...' compensation benefits, but the intermediary or carrier determines that the workers' compensation carrier...

  3. 20 CFR 1.1 - Under what authority does the Office of Workers' Compensation Programs operate?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Workers' Compensation Programs operate? 1.1 Section 1.1 Employees' Benefits OFFICE OF WORKERS... what authority does the Office of Workers' Compensation Programs operate? (a) The Assistant Secretary... Office of Workers' Compensation Programs (OWCP) by Employment Standards Order No. 2-74 (39 FR 34722)....

  4. 20 CFR 1.1 - Under what authority does the Office of Workers' Compensation Programs operate?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Workers' Compensation Programs operate? 1.1 Section 1.1 Employees' Benefits OFFICE OF WORKERS... what authority does the Office of Workers' Compensation Programs operate? (a) The Assistant Secretary... Office of Workers' Compensation Programs (OWCP) by Employment Standards Order No. 2-74 (39 FR 34722)....

  5. 20 CFR 1.1 - Under what authority does the Office of Workers' Compensation Programs operate?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Workers' Compensation Programs operate? 1.1 Section 1.1 Employees' Benefits OFFICE OF WORKERS... what authority does the Office of Workers' Compensation Programs operate? (a) The Assistant Secretary... Office of Workers' Compensation Programs (OWCP) by Employment Standards Order No. 2-74 (39 FR 34722)....

  6. Occupational dermatitis in hairdressers: do they claim workers' compensation?

    PubMed

    Lyons, Georgina; Keegel, Tessa; Palmer, Amanda; Nixon, Rosemary

    2013-03-01

    Hairdressers are one of the largest occupational groups attending our Occupational Dermatology Clinic. However, few seek workers' compensation for their occupational dermatitis. To retrospectively analyse and compare workers' compensation claims data and diagnosed disease data for occupational contact dermatitis in hairdressers from 1993 to 2009, for the state of Victoria, Australia. Data from the Occupational Dermatology Clinic database, the Compensation Research Database and the Australian Bureau of Statistics were used in this study. The clinic database identified 157 hairdressers and apprentices with a confirmed diagnosis of occupational contact dermatitis assessed between 1993 and 2009. Forty-six unique claims for occupational contact dermatitis from 46 individuals were identified from the Compensation Research Database over the same time period. Hairdressers in the 15-24-year age group were significantly over-represented in the claims data relative to the diagnosed disease data (p < 0.01). The median cost per claim was AU$1421, and the median time off work per claim was 20 days. Increased efforts are needed to reduce the incidence of occupational contact dermatitis in hairdressers in Australia, and to ensure that hairdressers with occupational contact dermatitis are aware of their compensation entitlements. Reliance on workers' compensation data for disease surveillance may lead occupational health and safety regulators to underestimate the magnitude of the problem of occupational contact dermatitis in the hairdressing profession. © 2012 John Wiley & Sons A/S.

  7. Police accident report forms: safety device coding and enacted laws.

    PubMed

    Brock, K; Lapidus, G

    2008-12-01

    Safety device coding on state police accident report (PAR) forms was compared with provisions in state traffic safety laws. PAR forms were obtained from all 50 states and the District of Columbia (states/DC). For seat belts, 22 states/DC had a primary seat belt enforcement law vs 50 with a PAR code. For car seats, all 51 states/DC had a law and a PAR code. For booster seats, 39 states/DC had a law vs nine with a PAR code. For motorcycle helmets, 21 states/DC had an all-age rider helmet law and another 26 a partial-age law vs 50 with a PAR code. For bicycle helmets, 21 states/DC had a partial-age rider helmet law vs 48 with a PAR code. Therefore gaps in the ability of states to fully record accident data reflective of existing state traffic safety laws are revealed. Revising the PAR forms in all states to include complete variables for safety devices should be an important priority, independent of the laws.

  8. The Defense Base Act (DBA): The Federally Mandated WorkersCompensation System for Overseas Government Contractors

    DTIC Science & Technology

    2009-07-22

    the request of a federal agency, grant a waiver that exempts a firm from the DBA if the firm can demonstrate that an alternative workers’ compensation...can be requested by the insurance carrier responsible for paying benefits. DBA Administration The DBA is administered by the DOL, Office of Workers...dissatisfied with the decision made on his or her DBA claim may request a hearing before a DOL Administrative Law Judge (ALJ). The decision of a DOL ALJ

  9. The lack of correspondence between work-related disability and receipt of workers' compensation benefits.

    PubMed

    Spieler, Emily A; Burton, John F

    2012-06-01

    Previous studies suggest that many persons with disabilities caused by work do not receive workers' compensation benefits. Data from surveys of persons with disabilities were used to estimate the proportion of disability due to work-related injuries and diseases. Studies examining the proportion of workers with work-related disability who received workers' compensation benefits were reviewed. Legal and other factors explaining the lack of receipt of workers' compensation benefits were examined. Many workers with disabilities caused by work do not receive workers' compensation benefits. The obstacles to compensation include increasingly restrictive rules for compensability in many state workers' compensation programs. A substantial proportion of persons with work-related disabilities do not receive workers' compensation benefits. The solutions to this problem, such as providing healthcare to workers regardless of the source of injuries or diseases, are complicated and controversial, and will be difficult to implement. Copyright © 2011 Wiley Periodicals, Inc.

  10. Unemployment Compensation and Older Workers. Upjohn Institute Staff Working Paper.

    ERIC Educational Resources Information Center

    O'Leary, Christopher J.; Wandner, Stephen A.

    Unemployment compensation in the United States is provided through a federal-state system of unemployment insurance (UI). UI provides temporary partial wage replacement to active job seekers who are involuntarily out of work. For older workers, UI is an important source of income security and a potential influence on work incentives. For example,…

  11. Unemployment Compensation and Older Workers. Upjohn Institute Staff Working Paper.

    ERIC Educational Resources Information Center

    O'Leary, Christopher J.; Wandner, Stephen A.

    Unemployment compensation in the United States is provided through a federal-state system of unemployment insurance (UI). UI provides temporary partial wage replacement to active job seekers who are involuntarily out of work. For older workers, UI is an important source of income security and a potential influence on work incentives. For example,…

  12. A Study of the Average Workers' Compensation Case.

    ERIC Educational Resources Information Center

    Repko, Glenn R.; Cooper, Robert

    1983-01-01

    Outlines a group profile of patients (N=200) seen for psychiatric evaluation involving workers' compensation. Results showed 73 percent of the cases could be classified by the Minnesota Multiphasic Personality Inventory. A third of the sample reported back injury with 15 percent purely emotional complaints. There were few exaggerated MMPI profile…

  13. Workers' Compensation Claims and Physical Fitness Capacity of Police Officers.

    ERIC Educational Resources Information Center

    Boyce, Robert W.; And Others

    1992-01-01

    A study compared police officers' physical fitness levels with workers' compensation (WC) claims. Officers who collected WC were predominantly female, younger, and lower ranking, with better physical fitness than officers not collecting WC. Officers in the second highest fitness level and older officers with greater cardiovascular fitness had…

  14. Health problems due to long working hours in Japan: working hours, workers' compensation (Karoshi), and preventive measures.

    PubMed

    Iwasaki, Kenji; Takahashi, Masaya; Nakata, Akinori

    2006-10-01

    Late in the 1970s, serious social concern over health problems due to long working hours has arisen in Japan. This report briefly summarizes the Japanese circumstances about long working hours and what the Government has achieved so far. The national statistics show that more than 6 million people worked for 60 h or more per week during years 2000 and 2004. Approximately three hundred cases of brain and heart diseases were recognized as labour accidents resulting from overwork (Karoshi) by the Ministry of Health, Labour and Welfare (MHLW) between 2002 and 2005. Consequently, the MHLW has been working to establish a more appropriate compensation system for Karoshi, as well as preventive measures for overwork related health problems. In 2001, the MHLW set the standards for clearly recognizing Karoshi in association with the amount of overtime working hours. These standards were based on the results of a literature review and medical examinations indicating a relationship between overwork and brain and heart diseases. In 2002, the MHLW launched the program for the prevention of health impairment due to overwork, and in 2005 the health guidance through an interview by a doctor for overworked workers has been enacted as law. Long working hours are controversial issues because of conflicts between health, safety, work-life balance, and productivity. It is obvious that we need to continue research regarding the impact on worker health and the management of long working hours.

  15. Implementing a Drug Formulary for California's Workers' Compensation Program.

    PubMed

    Wynn, Barbara O; Buttorff, Christine; Meza, Erika; Taylor, Erin Audrey; Mulcahy, Andrew W

    2017-06-01

    California Assembly Bill 1124 required the state's Division of Workers' Compensation in the Department of Industrial Relations to establish a drug formulary for all injured workers covered by the state's workers' compensation program. Such formularies serve to reinforce safe and effective prescribing patterns for practitioners and payers. In California, the formulary will need to be consistent with the Medical Treatment Utilization Schedule guidelines that define medically appropriate care for California's injured workers, create incentives to encourage prescribing of medically appropriate drugs, and reduce the administrative burdens associated with utilization review and medical necessity disputes. The objective of this study is to support the Division of Workers' Compensation in establishing the formulary. The authors compare and evaluate the strengths and weaknesses of four existing formularies and the formulary used by California's Medicaid program. The authors then analyze the issues involved in structuring the drug formulary for California to be consistent with the treatment guidelines, explore related policies that should be addressed in implementing the formulary, and offer recommendations.

  16. The dentist's responsibilities with respect to a nofault motor accident compensation scheme.

    PubMed

    Craig, Pamela J G; Clement, John G

    2012-11-30

    The State of Victoria, Australia operates a no-fault accident compensation scheme for the treatment and rehabilitation of those injured on the roads. The administration of the scheme by the Transport Accident Commission includes an in-house clinical panel of clinicians in many disciplines including dentistry who liaise with treating practitioners with the aim of optimizing the outcome for the injured claimants.

  17. Workers' compensation benefits and shifting costs for occupational injury and illness.

    PubMed

    Leigh, J Paul; Marcin, James P

    2012-04-01

    Whereas national prevalence estimates for workers' compensation benefits are available, incidence estimates are not. Moreover, few studies address which groups in the economy pay for occupational injury and illness when workers' compensation does not. Data on numbers of cases and costs per case were drawn from the Bureau of Labor Statistics and National Council on Compensation Insurance data sets. Costs not covered by workers' compensation were estimated for private and public entities. Total benefits in 2007 were estimated to be $51.7 billion, with $29.8 billion for medical benefits and $21.9 billion for indemnity benefits. For medical costs not covered by workers' compensation, other (non-workers' compensation) insurance covered $14.22 billion, Medicare covered $7.16 billion, and Medicaid covered $5.47 billion. Incidence estimates of national benefits for workers' compensation were generated by combining existing published data. Costs were shifted to workers and their families, non-workers' compensation insurance carriers, and governments.

  18. 48 CFR 628.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Contract clauses for workers' compensation insurance. 628.309 Section 628.309 Federal Acquisition Regulations System DEPARTMENT... workers' compensation insurance....

  19. 48 CFR 628.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 4 2014-10-01 2014-10-01 false Contract clauses for workers' compensation insurance. 628.309 Section 628.309 Federal Acquisition Regulations System DEPARTMENT... workers' compensation insurance....

  20. 48 CFR 628.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 4 2013-10-01 2013-10-01 false Contract clauses for workers' compensation insurance. 628.309 Section 628.309 Federal Acquisition Regulations System DEPARTMENT... workers' compensation insurance....

  1. 48 CFR 628.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Contract clauses for workers' compensation insurance. 628.309 Section 628.309 Federal Acquisition Regulations System DEPARTMENT... workers' compensation insurance....

  2. 48 CFR 628.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 4 2012-10-01 2012-10-01 false Contract clauses for workers' compensation insurance. 628.309 Section 628.309 Federal Acquisition Regulations System DEPARTMENT... workers' compensation insurance....

  3. Workers' Compensation: Workers' Disability Compensation Act, P.A. 357 of 1980. Legal Modules for Vocational Cooperative Education.

    ERIC Educational Resources Information Center

    Western Michigan Univ., Kalamazoo.

    Intended for use by cooperative education program coordinators, this module deals with the way in which the Michigan workers' Disability Compensation Act (P.A. 357 of 1980) affects students enrolled in vocational cooperative education programs in Michigan. The module, which is designed to be a self-paced instructional package, contains a pre-test,…

  4. Repeat workers' compensation claims: risk factors, costs and work disability

    PubMed Central

    2011-01-01

    Background The objective of our study was to describe factors associated with repeat workers' compensation claims and to compare the work disability arising in workers with single and multiple compensation claims. Methods All initial injury claims lodged by persons of working age during a five year period (1996 to 2000) and any repeat claims were extracted from workers' compensation administrative data in the state of Victoria, Australia. Groups of workers with single and multiple claims were identified. Descriptive analysis of claims by affliction, bodily location, industry segment, occupation, employer and workplace was undertaken. Survival analysis determined the impact of these variables on the time between the claims. The economic impact and duration of work incapacity associated with initial and repeat claims was compared between groups. Results 37% of persons with an initial claim lodged a second claim. This group contained a significantly greater proportion of males, were younger and more likely to be employed in manual occupations and high-risk industries than those with single claims. 78% of repeat claims were for a second injury. Duration between the claims was shortest when the working conditions had not changed. The initial claims of repeat claimants resulted in significantly (p < 0.001) lower costs and work disability than the repeat claims. Conclusions A substantial proportion of injured workers experience a second occupational injury or disease. These workers pose a greater economic burden than those with single claims, and also experience a substantially greater cumulative period of work disability. There is potential to reduce the social, health and economic burden of workplace injury by enacting prevention programs targeted at these workers. PMID:21696637

  5. Quality of physiotherapy services for injured workers compensated by workers' compensation in Quebec: a focus group study of physiotherapy professionals.

    PubMed

    Hudon, Anne; Laliberté, Maude; Hunt, Matthew; Feldman, Debbie Ehrmann

    2015-02-01

    Musculoskeletal disorders are among the leading causes of work-related physical disability in the province of Quebec in Canada. The authors conducted a focus group study with physiotherapists and physical rehabilitation therapists working with patients whose treatments are compensated by the Quebec Workers' Compensation Board with the goal of exploring quality of care and ethical issues. Three main themes were identified: (1) systemic factors, (2) complexity in treatment decisions and (3) inequality of care. Although physiotherapy professionals strive to give these patients the best possible care, patients might not always be provided with optimal or equal treatment. When compared with other patients, there appear to be differences with respect to access to care and types of services offered to injured workers, raising equity concerns. Factors that shape and constrain quality of physiotherapy services for injured workers need to be addressed to improve care for these patients.

  6. Quality of Physiotherapy Services for Injured Workers Compensated by Workers' Compensation in Quebec: A Focus Group Study of Physiotherapy Professionals

    PubMed Central

    Laliberté, Maude; Hunt, Matthew; Feldman, Debbie Ehrmann

    2015-01-01

    Musculoskeletal disorders are among the leading causes of work-related physical disability in the province of Quebec in Canada. The authors conducted a focus group study with physiotherapists and physical rehabilitation therapists working with patients whose treatments are compensated by the Quebec Workers' Compensation Board with the goal of exploring quality of care and ethical issues. Three main themes were identified: (1) systemic factors, (2) complexity in treatment decisions and (3) inequality of care. Although physiotherapy professionals strive to give these patients the best possible care, patients might not always be provided with optimal or equal treatment. When compared with other patients, there appear to be differences with respect to access to care and types of services offered to injured workers, raising equity concerns. Factors that shape and constrain quality of physiotherapy services for injured workers need to be addressed to improve care for these patients. PMID:25947032

  7. The original intent of workers' compensation: a team approach.

    PubMed

    Hallden, Jennifer

    2014-01-01

    A state's legislation dictates the expectations in the handling of work-related injuries. However, the reality is that positive outcomes depend more on a company's value system, such as whether an organization views its employees as assets rather than liabilities, than on legal protections. This article reviews the workers' compensation system in the United States and the false assumptions that create barriers to effective and timely resolution of claims. The United States workers' compensation system is a very reactive process. Professionals in the workers' compensation field who work with employers, medical providers, and insurance companies regularly encounter deeply ingrained assumptions that create unnecessary barriers to injured workers' opportunities to participate in transitional work and modified duty while recovering from a work-related injury. Regardless of the size or type of the employer, the jurisdiction where the injury occurred, or the type of claim management organization, these perceptions continue to permeate the industry. This article addresses these assumptions and offers suggestions for a more proactive approach to achieve quicker and more successful outcomes.

  8. 48 CFR 28.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... workers' compensation insurance. 28.309 Section 28.309 Federal Acquisition Regulations System FEDERAL... for workers' compensation insurance. (a) The contracting officer shall insert the clause at 52.228-3, Workers' Compensation Insurance (Defense Base Act), in solicitations and contracts when the Defense...

  9. 48 CFR 28.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... workers' compensation insurance. 28.309 Section 28.309 Federal Acquisition Regulations System FEDERAL... for workers' compensation insurance. (a) The contracting officer shall insert the clause at 52.228-3, Workers' Compensation Insurance (Defense Base Act), in solicitations and contracts when the Defense...

  10. 20 CFR 726.6 - The Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false The Office of Workers' Compensation Programs. 726.6 Section 726.6 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR... MINE OPERATOR'S INSURANCE General § 726.6 The Office of Workers' Compensation Programs. The Office...

  11. 42 CFR 411.43 - Beneficiary's responsibility with respect to workers' compensation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... workers' compensation. 411.43 Section 411.43 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... PAYMENT Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.43 Beneficiary's responsibility with respect to workers' compensation. (a) The beneficiary is responsible...

  12. 48 CFR 28.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... workers' compensation insurance. 28.309 Section 28.309 Federal Acquisition Regulations System FEDERAL... for workers' compensation insurance. (a) The contracting officer shall insert the clause at 52.228-3, Workers' Compensation Insurance (Defense Base Act), in solicitations and contracts when the Defense...

  13. 42 CFR 411.43 - Beneficiary's responsibility with respect to workers' compensation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... workers' compensation. 411.43 Section 411.43 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... PAYMENT Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.43 Beneficiary's responsibility with respect to workers' compensation. (a) The beneficiary is responsible...

  14. 48 CFR 28.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... workers' compensation insurance. 28.309 Section 28.309 Federal Acquisition Regulations System FEDERAL... for workers' compensation insurance. (a) The contracting officer shall insert the clause at 52.228-3, Workers' Compensation Insurance (Defense Base Act), in solicitations and contracts when the Defense...

  15. 48 CFR 28.309 - Contract clauses for workers' compensation insurance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... workers' compensation insurance. 28.309 Section 28.309 Federal Acquisition Regulations System FEDERAL... for workers' compensation insurance. (a) The contracting officer shall insert the clause at 52.228-3, Workers' Compensation Insurance (Defense Base Act), in solicitations and contracts when the Defense...

  16. 42 CFR 411.43 - Beneficiary's responsibility with respect to workers' compensation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... workers' compensation. 411.43 Section 411.43 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... PAYMENT Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.43 Beneficiary's responsibility with respect to workers' compensation. (a) The beneficiary is responsible...

  17. 42 CFR 411.43 - Beneficiary's responsibility with respect to workers' compensation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... workers' compensation. 411.43 Section 411.43 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... PAYMENT Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.43 Beneficiary's responsibility with respect to workers' compensation. (a) The beneficiary is responsible...

  18. 75 FR 44991 - Division of Longshore and Harbor Workers' Compensation; Proposed Extension of Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-30

    ... Doc No: 2010-18719] DEPARTMENT OF LABOR Office of Workers' Compensation Programs Division of Longshore and Harbor Workers' Compensation; Proposed Extension of Information Collection; Comment Request ACTION... requirements on respondents can be properly assessed. Currently, the Office of Workers' Compensation...

  19. 42 CFR 411.43 - Beneficiary's responsibility with respect to workers' compensation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... workers' compensation. 411.43 Section 411.43 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... PAYMENT Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.43 Beneficiary's responsibility with respect to workers' compensation. (a) The beneficiary is responsible...

  20. Retrospective mortality cohort study of Italian workers compensated for silicosis

    PubMed Central

    Marinaccio, A; Scarselli, A; Gorini, G; Chellini, E; Mastrantonio, M; Uccelli, R; Altavista, P; Pirastu, R; Merlo, D F; Nesti, M

    2006-01-01

    Objectives To estimate cause specific mortality in a large cohort of Italian workers compensated for silicosis. Methods The cohort included 14 929 subjects (14 098 men and 831 women) compensated for silicosis between 1946 and 1979, alive on 1 January 1980, and resident in Tuscany (a region of central Italy with 3 547 000 inhabitants). Mortality follow up ranged from 1980 to 1999. Vital status and the causes of death were determined by linkage with the regional mortality registry and with the national mortality database. The cohort mortality rates were compared to the rates of the local reference population. SMRs and their 95% confidence intervals were computed assuming a Poisson distribution of the observed deaths. Specific SMR analyses were performed according to the level of disability, the year of compensation assignment, and the job type. Results A significant excess mortality was observed in male silicotics for cancer of the lung, trachea, and bronchus and cancer of the liver, respiratory diseases (silicosis, asbestosis, antracosilicosis, and other pneumoconiosis), and for tubercolosis. Statistically significant mortality excess was observed in female silicotics for respiratory diseases (specifically silicosis and other pneumoconiosis) and tuberculosis. Analyses for period of compensation assignment showed a twofold increased SMR for biliary tract cancer among female workers and for liver cancer among male workers compensated before 1970. Conclusions The excess mortality from respiratory tract cancers and respiratory tract diseases detected in Italian compensated silicotics are in agreement with previous epidemiological studies. Although the twofold increased risk for liver cancer among males is suggestive of a possible association with silica dust exposure, the finding needs to be confirmed. PMID:16847031

  1. Retrospective mortality cohort study of Italian workers compensated for silicosis.

    PubMed

    Marinaccio, A; Scarselli, A; Gorini, G; Chellini, E; Mastrantonio, M; Uccelli, R; Altavista, P; Pirastu, R; Merlo, D F; Nesti, M

    2006-11-01

    To estimate cause specific mortality in a large cohort of Italian workers compensated for silicosis. The cohort included 14 929 subjects (14,098 men and 831 women) compensated for silicosis between 1946 and 1979, alive on 1 January 1980, and resident in Tuscany (a region of central Italy with 3,547,000 inhabitants). Mortality follow up ranged from 1980 to 1999. Vital status and the causes of death were determined by linkage with the regional mortality registry and with the national mortality database. The cohort mortality rates were compared to the rates of the local reference population. SMRs and their 95% confidence intervals were computed assuming a Poisson distribution of the observed deaths. Specific SMR analyses were performed according to the level of disability, the year of compensation assignment, and the job type. A significant excess mortality was observed in male silicotics for cancer of the lung, trachea, and bronchus and cancer of the liver, respiratory diseases (silicosis, asbestosis, antracosilicosis, and other pneumoconiosis), and for tubercolosis. Statistically significant mortality excess was observed in female silicotics for respiratory diseases (specifically silicosis and other pneumoconiosis) and tuberculosis. Analyses for period of compensation assignment showed a twofold increased SMR for biliary tract cancer among female workers and for liver cancer among male workers compensated before 1970. The excess mortality from respiratory tract cancers and respiratory tract diseases detected in Italian compensated silicotics are in agreement with previous epidemiological studies. Although the twofold increased risk for liver cancer among males is suggestive of a possible association with silica dust exposure, the finding needs to be confirmed.

  2. Depth perception, dark adaptation, vigilance and accident proneness of Chinese coal mine workers.

    PubMed

    Deng, Mingming; Chan, Alan H S; Wu, Feng; Sun, Linyan

    2016-09-02

    To explore the relationships between human factors and accident proneness of coal mine workers, the depth perception, dark adaptation and vigilance abilities of 239 Chinese coal mine workers were tested and their accident proneness was surveyed with an accident proneness questionnaire. The results indicated that dark adaptation and vigilance abilities of the mine workers declined with increasing age. Vigilance had a significant negative relationship with accident proneness. There were significant differences in vigilance between coal mine workers doing different types of work. Individual difference in vigilance was relevant to the type of work that an individual did in a coal mine. The dark adaptation index had a significant positive relationship with accident proneness. Coal mine workers with weaker dark adaptation ability were also more accident prone. Some ergonomics recommendations concerning coal mine safety management in China are proposed.

  3. 76 FR 10070 - Division of Coal Mine Workers' Compensation; Proposed Extension of Existing Collection; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-23

    ... of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Extension of... Quality Rereading (CM-933b), Medical History and Examination for Coal Mine Workers' Pneumoconiosis (CM-988... interpretation of x-rays. When a miner applies for benefits, the Division of Coal Mine Workers'...

  4. Return to Work After Diskogenic Fusion in Workers' Compensation Subjects.

    PubMed

    Anderson, Joshua T; Haas, Arnold R; Percy, Rick; Woods, Stephen T; Ahn, Uri M; Ahn, Nicholas U

    2015-12-01

    Lumbar fusion for degenerative disk disease (DDD) is associated with variable clinical outcomes. Patients with workers' compensation claims often have worse fusion outcomes than the general population. Few studies have evaluated the risk factors for poor outcomes within this clinically distinct population. The goal of this study was to identify preoperative predictors of return to work status after fusion for DDD in a workers' compensation setting. The authors used International Classification of Diseases, Ninth Revision (ICD-9), diagnosis and Current Procedural Terminology (CPT) procedural codes to identify 1037 subjects from the Ohio Bureau of Workers' Compensation database who underwent fusion for DDD between 1993 and 2013. Of these subjects, 23.2% (n=241) made a sustained return to work within 2 years after fusion. To identify preoperative predictors of postoperative return to work status, the authors used multivariate logistic regression analysis, adjusting for many important covariates. These included prolonged time out of work (P<.001; odds ratio [OR], 0.24), psychiatric history (P<.001; OR, 0.14), prolonged use of opioid analgesics (P<.001; OR, 0.46), male sex (P=.014; OR, 0.65), and legal representation (P=.042; OR, 0.67). The return to work rates associated with these risk factors were 10.4%, 2.0%, 11.9%, 21.1%, and 20.7%, respectively. Of the study subjects, 76.8% (n=796) did not return to work and had considerably worse postoperative outcomes, highlighted by chronic opioid dependence and high rates of failed back syndrome, additional surgery, and new psychiatric comorbidity. The low return to work rates and other generally poor outcomes reported in this study may indicate a more limited role for lumbar fusion among patients with DDD who have workers' compensation claims. More studies are needed to determine whether fusion for DDD can improve function and quality of life in these patients. Copyright 2015, SLACK Incorporated.

  5. Workers' Compensation, Return to Work, and Lumbar Fusion for Spondylolisthesis.

    PubMed

    Anderson, Joshua T; Haas, Arnold R; Percy, Rick; Woods, Stephen T; Ahn, Uri M; Ahn, Nicholas U

    2016-01-01

    Lumbar fusion for spondylolisthesis is associated with consistent outcomes in the general population. However, workers' compensation is a risk factor for worse outcomes. Few studies have evaluated prognostic factors within this clinically distinct population. The goal of this study was to identify prognostic factors for return to work among patients with workers' compensation claims after fusion for spondylolisthesis. The authors used International Classification of Diseases, Ninth Revision, and Current Procedural Terminology codes to identify 686 subjects from the Ohio Bureau of Workers' Compensation who underwent fusion for spondylolisthesis from 1993 to 2013. Positive return to work status was recorded in patients who returned to work within 2 years of fusion and remained working for longer than 6 months. The criteria for return to work were met by 29.9% (n=205) of subjects. The authors used multivariate logistic regression analysis to identify prognostic factors for return to work. Negative preoperative prognostic factors for postoperative return to work included: out of work for longer than 1 year before fusion (P<.001; odds ratio [OR], 0.16); depression (P=.007; OR<0.01); long-term opioid analgesic use (P=.006; OR, 0.41); lumbar stenosis (P=.043; OR, 0.55); and legal representation (P=.042; OR, 0.63). Return to work rates associated with these factors were 9.7%, 0.0%, 10.0%, 29.2%, and 25.0%, respectively. If these subjects were excluded, the return to work rate increased to 60.4%. The 70.1% (n=481) of subjects who did not return to work had markedly worse outcomes, shown by higher medical costs, chronic opioid dependence, and higher rates of failed back syndrome, total disability, and additional surgery. Psychiatric comorbidity increased after fusion but was much higher in those who did not return to work. Future studies are needed to identify how to better facilitate return to work among similar patients with workers' compensation claims. Copyright 2016

  6. 20 CFR 601.2 - Approval of State unemployment compensation laws.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 3 2014-04-01 2014-04-01 false Approval of State unemployment compensation... unemployment compensation laws. States may at their option submit their unemployment compensation laws for... Employment and Training Administration (ETA), one copy of the State unemployment compensation law...

  7. 20 CFR 601.2 - Approval of State unemployment compensation laws.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Approval of State unemployment compensation... unemployment compensation laws. States may at their option submit their unemployment compensation laws for... Employment and Training Administration (ETA), one copy of the State unemployment compensation law...

  8. 20 CFR 601.2 - Approval of State unemployment compensation laws.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Approval of State unemployment compensation... unemployment compensation laws. States may at their option submit their unemployment compensation laws for... Employment and Training Administration (ETA), one copy of the State unemployment compensation law...

  9. 20 CFR 601.2 - Approval of State unemployment compensation laws.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 3 2013-04-01 2013-04-01 false Approval of State unemployment compensation... unemployment compensation laws. States may at their option submit their unemployment compensation laws for... Employment and Training Administration (ETA), one copy of the State unemployment compensation law...

  10. Worker's Compensation: Will College and University Professors Be Compensated for Mental Injuries Caused by Work-Related Stress?

    ERIC Educational Resources Information Center

    Hasty, Keith N.

    1991-01-01

    The extent to which college faculty may recover compensation for debilitating mental illness resulting from stressful work-related activities is discussed. General requirements for worker's compensation claims, compensability of stress-related mental and physical illnesses, applicability of these standards to college faculty, and the current state…

  11. A way through the dark and thorny thickets? The adjudication of "serious injury" under the narrative tests in the Transport Accident Act 1986 (Vic) and the Workplace Injury Rehabilitation and Compensation Act 2013 (Vic).

    PubMed

    Taliadoros, Jason

    2015-09-01

    The so-called "narrative" test provides the means by which injured persons who satisfy the statutory and common law definition of "serious injury" may bring proceedings for common law damages under s 93 of the Transport Accident Act 1986 (Vic) and s 134AB of the Accident Compensation Act 1985 (Vic) (or, for injuries after 1 July 2014, under ss 324-347 of the Workplace Injury Rehabilitation and Compensation Act 2013 (Vic)). These are among the most litigated provisions in Australia. This article outlines the legislative and political background to these provisions, the provisions themselves, and an account of the statutory and common law requirements needed to satisfy the provisions.

  12. The Occupationally Injured Worker: Investigating the Decision to Settle a Workers' Compensation Claim

    ERIC Educational Resources Information Center

    Nay, Andrew Paul

    2010-01-01

    According to the Bureau of Labor Statistics (2007), a total of 4.2 million work-place injuries were reported within the United States in 2005, nearly half of which resulted in days away from work, job transfer, or restriction. In the majority of workers' compensation claims, wage-replacement benefits are paid voluntarily by the employer or…

  13. The Occupationally Injured Worker: Investigating the Decision to Settle a Workers' Compensation Claim

    ERIC Educational Resources Information Center

    Nay, Andrew Paul

    2010-01-01

    According to the Bureau of Labor Statistics (2007), a total of 4.2 million work-place injuries were reported within the United States in 2005, nearly half of which resulted in days away from work, job transfer, or restriction. In the majority of workers' compensation claims, wage-replacement benefits are paid voluntarily by the employer or…

  14. [Harmonisation of personal injury compensation in the European Union. Application to medical liability case law].

    PubMed

    Hureau, Jacques

    2006-03-01

    Harmonisation of personal injury compensation in the European Union (EU) is crucial. Continuing on from the work begun by the European Federation of Medical Academies, a working party of the XVth Committee of the French National Academy of Medicine has sought to go beyond the restrictive framework of automobile accident compensation in order to address more universal concerns, regardless of the causes and effects of bodily injury. The specific situation of injuries resulting from medical acts was considered, both for its medicolegal complexity and its potential human consequences. After recalling relevant European legislation, the authors consider the different philosophies of medical liability and health care systems in Europe. Methodological convergence is required to achieve harmonisation of personal injury compensation regimes, and especially for the classification of different types of bodily injury, the role of social services, and the establishment of a reference for medical evaluation of injury with built-in compensation levels. The doctrines and concepts of all EU member states (civil law, common law, Nordic medical liability regimes, etc.) are discussed, together with means of facilitating their harmonisation.

  15. Clinical outcomes after posterolateral lumbar fusion in workers' compensation patients: a case-control study.

    PubMed

    Carreon, Leah Y; Glassman, Steven D; Kantamneni, Neha R; Mugavin, Mark O; Djurasovic, Mladen

    2010-09-01

    Case-control propensity matched. To compare clinical outcomes after lumbar fusion in patients receiving workers' compensation with a case-matched control group who are not on workers' compensation. Previous studies have demonstrated poor outcomes in patients receiving workers' compensation after lumbar fusion. However, a case-control study where patients are matched for covariates known to affect outcomes after lumbar fusion, including baseline clinical outcome measures, has not been done. From 783 patients who underwent posterolateral fusion with complete preoperative and 2-year postoperative outcome measures, 60 patients who were receiving workers' compensation were identified. Outcome measures included the Oswestry Disability Index (ODI), Short Form-36 (SF-36), and back and leg pain numerical rating scales. Propensity scoring technique was used to match these patients with a control group not receiving workers' compensation using sex, age, smoking status, body mass index, diagnosis, number of levels fused, preoperative ODI, SF-36 Physical Component Summary (PCS), SF-36 Mental Component Summary, and back and leg pain scores, producing 58 matched pairs. There were no significant differences between the demographics, job classification, and preoperative outcome scores in the two groups. At 2 years after operation, patients not receiving workers' compensation had a significantly greater improvement in ODI (P=0.009) and SF-36 PCS (P=0.007) compared with those receiving workers' compensation. Although patients not receiving workers' compensation had greater improvements in back and leg pain compared with those receiving workers' compensation, this did not reach statistical significance (P=0.079). The mean 2-year ODI, SF-36 PCS, and back pain raw scores of patients receiving workers' compensation were significantly lower than those not receiving workers' compensation. Only 19% of workers' compensation patients achieved minimum clinically important difference in terms

  16. The big bang? An eventful year in workers' compensation.

    PubMed

    Guidotti, Tee L

    2006-01-01

    Workers' compensation in the past two years has been dominated by events in California, which have been so fundamental as to merit the term big bang. Passage of Senate Bill 899 has led to a comprehensive program of reform in access to medical care, access to rehabilitation services, temporary and permanent disability, evidence-based management, dispute resolution, and system innovation. Two noteworthy developments thus arose: a new requirement for apportionment by cause in causation analysis, and the adoption of evidence-based criteria for impairment assessment, treatment guidelines, and, soon, utilization review. Elsewhere in the United States, changes were modest, but extensive legislative activity in Texas suggests that Texas will be next to make major changes. In Canada, the Workers' Compensation Board of British Columbia has adopted an ambitious strategic initiative, and there is a Canadawide movement to establish presumption for certain diseases in firefighters. Suggestions for future directions include an increased emphasis on prevention, integration of programs, worker participation, enhancing the expertise of health care professionals, evidence-based management, process evaluation, and opportunities for innovation.

  17. Do Blue Laws Save Lives? The Effect of Sunday Alcohol Sales Bans on Fatal Vehicle Accidents

    ERIC Educational Resources Information Center

    Lovenheim, Michael F.; Steefel, Daniel P.

    2011-01-01

    This paper analyzes the effect of state-level Sunday alcohol sales restrictions ("blue laws") on fatal vehicle accidents, which is an important parameter in assessing the desirability of these laws. Using a panel data set of all fatal vehicle accidents in the U.S. between 1990 and 2009 combined with 15 state repeals of blue laws, we show that…

  18. Do Blue Laws Save Lives? The Effect of Sunday Alcohol Sales Bans on Fatal Vehicle Accidents

    ERIC Educational Resources Information Center

    Lovenheim, Michael F.; Steefel, Daniel P.

    2011-01-01

    This paper analyzes the effect of state-level Sunday alcohol sales restrictions ("blue laws") on fatal vehicle accidents, which is an important parameter in assessing the desirability of these laws. Using a panel data set of all fatal vehicle accidents in the U.S. between 1990 and 2009 combined with 15 state repeals of blue laws, we show that…

  19. Access to workers' compensation benefits and other legal protections for work-related mental health problems: a Canadian overview.

    PubMed

    Lippel, Katherine; Sikka, Anette

    2010-01-01

    This article reports on a study of the legal and policy framework governing access, in Canada, to workers' compensation benefits for workers who are work disabled because of mental health problems attributed to stressful working conditions and events. It also provides a brief description of legislation regulating psychological harassment in Quebec and Saskatchewan. Applying classic legal methodology, the article examines the legal situation in Canada, relying on federal and provincial legislation and case law. While many of the jurisdictions studied explicitly restrict compensability to the consequences of traumatic incidents, application of this legislation is very different from one province to the next. In some provinces, legal exclusions are applied emphatically, whereas in others the workers' compensation appeal tribunals interpret the legislative exclusions much more narrowly, allowing for some access to compensation despite the legislative exclusions. Other provinces have no such exclusions and accept claims for both acute and chronic stress, although access to compensation remains more difficult for claimants with mental health problems than for those who are physically injured, regardless of where they live. The article concludes by offering an analysis of the consequences of the current situation from a public policy and public health perspective, notably underlining the negative consequences, particularly for women, of current workers' compensation policy in most Canadian provinces.

  20. A Total Systems Approach: Reducing Workers' Compensation Costs at UC Davis.

    ERIC Educational Resources Information Center

    Kukulinsky, Janet C.

    1993-01-01

    The University of California (Davis) has revamped its workers' compensation program by improving accountability and safety, implementing safety training, informing workers of the costs of the workers' compensation program, designating a physician and physical therapist, giving light duty to injured employees, using sports medicine techniques, and…

  1. A Total Systems Approach: Reducing Workers' Compensation Costs at UC Davis.

    ERIC Educational Resources Information Center

    Kukulinsky, Janet C.

    1993-01-01

    The University of California (Davis) has revamped its workers' compensation program by improving accountability and safety, implementing safety training, informing workers of the costs of the workers' compensation program, designating a physician and physical therapist, giving light duty to injured employees, using sports medicine techniques, and…

  2. Workers' Compensation reform requires an agenda … and a strategy.

    PubMed

    Lax, Michael B

    2010-01-01

    In a response to Joseph LaDou's article in this issue, Michael Lax focuses on the broader issues. If we are agreed that we need significant change in Workers' Compensation, what should the nature of those changes be? Of equal importance to knowing what we want is the development of a strategy for how to get there. Without an effective strategy, we will be consigned to discussing the issues again and again, developing attractive alternatives that live only on paper or at conferences.

  3. Guideline Development Process in a Public Workers' Compensation System.

    PubMed

    Javaher, Simone P

    2015-08-01

    Washington state's public workers' compensation system has had a formal process for developing and implementing evidence-based clinical practice guidelines since 2007. Collaborating with the Industrial Insurance Medical Advisory Committee and clinicians from the medical community, the Office of the Medical Director has provided leadership and staff support necessary to develop guidelines that have improved outcomes and reduced the number of potentially harmful procedures. Guidelines are selected according to a prioritization schema and follow a development process consistent with that of the national Institute of Medicine. Evaluation criteria are also applied. Guidelines continue to be developed to provide clinical recommendations for optimizing care and reducing risk of harm.

  4. [Certificates for insurances: common law, industrial accidents, personal insurances].

    PubMed

    Lucas, P

    2004-09-01

    The certificates for the insurances are medical testimonies based on this principle: the truth, all the truth, nothing but the truth. They must give to the insurance the informations which are essential for building the patient's file, but they must respect the rules of ethics and the laws concerning the protection of privacy and the patient's rights. The certificate giving the description of the traumatic lesions is essential in all the procedures but the physician must know what to write and to whom this document must be delivered. In common law, where the victim must prove the lesions and their traumatic origin, the certificate is due to the patient himself. In industrial accidents, the specific law of 10 April 1971 dictates the contents of the several certificates: report of the lesions, recovery, review. In personal insurance, the law concerning the patient's rights teaches the limits of the information and to whom it must be given. The certificate is a service and a right of the victim; it must be quite relevant.

  5. Filing for workers' compensation among Ontario cases of mesothelioma.

    PubMed

    Payne, Jennifer Isabelle; Pichora, Erin

    2009-01-01

    For many types of cancer, disease attribution to occupational exposures is difficult. Mesothelioma, however, is a 'sentinel' occupational cancer associated with asbestos exposure. The present study linked workers' compensation claims data with cancer registry data to explore the completeness of reporting of mesothelioma to the Ontario Workplace Safety and Insurance Board (WSIB) according to characteristics of cases diagnosed among Ontario residents. Two data sources were linked at the person level: the WSIB Occupational Disease Information and Surveillance System and the Ontario Cancer Registry. Filing rates were calculated as the proportion of Ontario Cancer Registry mesothelioma cases (International Classification of Diseases - Oncology code 905) that linked to a WSIB-filed cancer claim. Filing rates were calculated for the period 1980 to 2002, and trends were calculated by year, age and county of residence at diagnosis. The filing rate for compensation has increased little over the past 20 years, reaching a high of 43% in 2000. Overall, filing rates were highest among pleural mesothelioma cases among men (range 27% to 57%). Filing rates were highest among individuals 50 to 59 years of age and declined substantially throughout the retirement years. There was substantial variation in filing rates by area of residence, with the highest rate being in Lambton County, Ontario. The filing rate for compensation in Ontario was much lower than the estimated proportion of cases eligible for compensation. The increased filing rate in Lambton County was likely related to this community's awareness of the association between asbestos and mesothelioma. Physicians can play an important role in educating patients of their potential entitlement to compensation benefits.

  6. Adaptive Control Law Design for Model Uncertainty Compensation

    DTIC Science & Technology

    1989-06-14

    AD-A211 712 WRDC-TR-89-3061 ADAPTIVE CONTROL LAW DESIGN FOR MODEL UNCERTAINTY COMPENSATION J. E. SORRELLS DYNETICS , INC. U 1000 EXPLORER BLVD. L Ell...MONITORING ORGANIZATION Dynetics , Inc. (If applicable) Wright Research and Development Center netics,_ _ I _nc.Flight Dynamics Laboratory, AFSC 6c. ADDRESS...controllers designed using Dynetics innovative aporoach were able to equal or surpass the STR and MRAC controllers in terms of performance robustness

  7. 28 CFR 301.106 - Repetitious accidents.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Repetitious accidents. 301.106 Section 301.106 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE INMATE ACCIDENT COMPENSATION General § 301.106 Repetitious accidents. If an inmate worker is involved in successive accidents...

  8. 28 CFR 301.106 - Repetitious accidents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Repetitious accidents. 301.106 Section 301.106 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE INMATE ACCIDENT COMPENSATION General § 301.106 Repetitious accidents. If an inmate worker is involved in successive accidents...

  9. Determinants of escalating costs in low risk workers' compensation claims.

    PubMed

    Bernacki, Edward J; Yuspeh, Larry; Tao, Xuguang

    2007-07-01

    To identify and quantify attributes that lead to unanticipated cost escalation in workers' compensation claims. We constructed four claim categories: low initial reserve/low cost, migrated catastrophic (low initial reserve/high cost), high initial reserve/low cost, and catastrophic (high initial reserve/high cost). To assess the attributes associated with the increased cost of migrated catastrophic claims, we analyzed 36,329 Louisiana workers' compensation claims in the four categories over a 5-year period. In the 729 claims initially thought to be low-cost claims (migrated catastrophic), the most significant predictors for cost escalation were attorney involvement and claim duration, followed by low back disorder, married/single/divorced status, male gender, small company size, high premium, reporting delays, and older age. These injuries accounted for 2% of all claims but 32.3% of the costs. Accelerated escalation of costs occurred late in the claim cycle (2 years). Certain attributes, particularly attorney involvement and claim duration, are associated with unanticipated cost escalation in a small number of claims that drastically affect overall losses. The results of this study suggest that these cases may be identified and addressed before rapid escalation occurs.

  10. 26 CFR 31.3121(a)(2)-1 - Payments on account of sickness or accident disability, medical or hospitalization expenses, or...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... disability, medical or hospitalization expenses, or death. 31.3121(a)(2)-1 Section 31.3121(a)(2)-1 Internal... account of sickness or accident disability, medical or hospitalization expenses, or death. (a) The term... received under a workers' compensation law; (2) Medical or hospitalization expenses in connection with...

  11. Presurgical biopsychosocial variables predict medical, compensation, and aggregate costs of lumbar discectomy in Utah workers' compensation patients.

    PubMed

    DeBerard, M Scott; Wheeler, Anthony J; Gundy, Jessica M; Stein, David M; Colledge, Alan L

    2011-05-01

    Elective lumbar discectomy among injured workers is a prevalent spine surgery that often requires a lengthy rehabilitation. It is important to determine presurgical biopsychosocial predictors of compensation and medical costs in such patients. To determine if presurgical biopsychosocial variables are predictive of compensation and medical costs in a cohort of Utah patients who have undergone open or microlumbar discectomy that are receiving workers' compensation. A retrospective cohort study consisting of a review of presurgical medical records and accrued medical and compensation costs. A consecutive sample of 266 compensated workers from Utah who had undergone either open discectomy or microlumbar discectomy from 1994 to 2000. All patients were at least 2 years postsurgery at the time of follow-up. Total accrued medical, compensation, and aggregate costs. A retrospective review of presurgical biopsychosocial variables and total accrued medical, compensation, and aggregate costs. Presurgical variables were statistically significantly correlated with medical and compensation costs. Multiple linear regression models accounted for 31% of variation in compensation costs, 32% in medical costs, and 43% in total aggregate costs. Presurgical biopsychosocial variables are important predictors of compensated lumbar discectomy costs. Medical cost control programs might benefit from identifying biopsychosocial variables related to increased costs. Published by Elsevier Inc.

  12. The impact of workplace factors on filing of workers' compensation claims among nursing home workers.

    PubMed

    Qin, Jin; Kurowski, Alicia; Gore, Rebecca; Punnett, Laura

    2014-01-29

    Injuries reported to workers' compensation (WC) system are often used to estimate incidence of health outcomes and evaluate interventions in musculoskeletal epidemiology studies. However, WC claims represent a relatively small subset of all musculoskeletal disorders among employed individuals, and perhaps not a representative subset. This study determined the influence of workplace and individual factors on filing of workers' compensation claims by nursing home employees with back pain. Surveys were conducted in 18 skilled nursing facilities in four U.S. states. Self-administered questionnaires obtained information on demographic characteristics, working environment, and health behaviors/status. Employees who reported low back pain at least once in four questionnaire surveys were included. WC claims from the same facilities were obtained from the employer's workers compensation insurer and matched by employee name. The dichotomous dependent variable was filing of back-related worker's compensation claim. Association with predictors of interest, including pain severity, physical job demand, job strain, social support, schedule control, and safety climate, was assessed using multivariate regression modeling. Individual characteristics were tested as potential confounders. Pain severity level was significantly associated with filing low-back related claims (odds ratio (OR) = 1.49, 95% CI = 1.18 - 1.87). Higher physical demands at work (OR = 1.07, 95% CI = 1.01 - 1.14) also increased the likelihood of claim filing. Higher job strain (OR = 0.83, 95% CI = 0.73 - 0.94), social support at work (OR = 0.90, 95% CI = 0.82 - 0.99), and education (OR = 0.79, 95% CI = 0.71 - 0.89) decreased the likelihood of claim filing. The results suggest that the WC system captured the most severe occupational injuries. Workplace factors had additional influence on workers' decision to file claims, after adjusting for low back pain severity. Education was correlated with worker

  13. The association of health risks with workers' compensation costs.

    PubMed

    Musich, S; Napier, D; Edington, D W

    2001-06-01

    The purpose of this study was to investigate the association between health risks and workers' compensation (WC) costs. The 4-year study used Health Risk Appraisal data and focused on 1996-to-1999 WC costs among Xerox Corporation's long-term employees. High WC costs were related to individual health risks, especially Health Age Index (a measure of controllable risks), smoking, poor physical health, physical inactivity, and life dissatisfaction. WC costs increased with increasing health risk status (low-risk to medium-risk to high-risk). Low-risk employees had the lowest costs. In this population, 85% of WC costs could be attributed to excess risks (medium- or high-risk) or non-participation. Among those with claims, a savings of $1238 per person per year was associated with Health Risk Appraisal participation. Addressing WC costs by focusing on employee health status provides an important additional strategy for health promotion programs.

  14. School Law for Counselors, Psychologists, and Social Workers. Third Edition.

    ERIC Educational Resources Information Center

    Fischer, Louis; Sorenson, Gail Paulus

    A variety of laws and regulations apply to school counselors, psychologists, and social workers in their work. This book presents information on legal issues of particular interest to counselors, psychologists, and social workers. Each chapter concludes with at least one relevant court case. Ten chapters provide indepth information on the…

  15. 48 CFR 52.228-4 - Workers' Compensation and War-Hazard Insurance Overseas.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... War-Hazard Insurance Overseas. 52.228-4 Section 52.228-4 Federal Acquisition Regulations System... Text of Provisions and Clauses 52.228-4 Workers' Compensation and War-Hazard Insurance Overseas. As prescribed in 28.309(b), insert the following clause: Workers' Compensation and War-Hazard Insurance...

  16. 48 CFR 228.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Overseas workers' compensation and war-hazard insurance. 228.305 Section 228.305 Federal Acquisition Regulations System DEFENSE... Insurance 228.305 Overseas workers' compensation and war-hazard insurance. (d) When submitting requests...

  17. 48 CFR 1328.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Overseas workers' compensation and war-hazard insurance. 1328.305 Section 1328.305 Federal Acquisition Regulations System... workers' compensation and war-hazard insurance. The designee authorized to recommend a waiver to...

  18. 48 CFR 652.228-71 - Worker's Compensation Insurance (Defense Base Act)-Services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Insurance (Defense Base Act)-Services. 652.228-71 Section 652.228-71 Federal Acquisition Regulations System... Clauses 652.228-71 Worker's Compensation Insurance (Defense Base Act)—Services. As prescribed in 628.309-70(b), insert the following clause: Workers' Compensation Insurance (Defense Base Act)—Services (JUN...

  19. 20 CFR 1.1 - Under what authority was the Office of Workers' Compensation Programs established?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Under what authority was the Office of Workers' Compensation Programs established? 1.1 Section 1.1 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR ORGANIZATION AND PROCEDURES PERFORMANCE OF FUNCTIONS § 1.1...

  20. 20 CFR 1.1 - Under what authority was the Office of Workers' Compensation Programs established?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 1 2011-04-01 2011-04-01 false Under what authority was the Office of Workers' Compensation Programs established? 1.1 Section 1.1 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR ORGANIZATION AND PROCEDURES PERFORMANCE OF FUNCTIONS § 1.1...

  1. 48 CFR 652.228-71 - Worker's Compensation Insurance (Defense Base Act)-Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Insurance (Defense Base Act)-Services. 652.228-71 Section 652.228-71 Federal Acquisition Regulations System... Clauses 652.228-71 Worker's Compensation Insurance (Defense Base Act)—Services. As prescribed in 628.309-70(b), insert the following clause: Workers' Compensation Insurance (Defense Base Act)—Services...

  2. 20 CFR 726.6 - The Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false The Office of Workers' Compensation Programs. 726.6 Section 726.6 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG BENEFITS; REQUIREMENTS FOR...

  3. 20 CFR 726.6 - The Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false The Office of Workers' Compensation Programs. 726.6 Section 726.6 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG BENEFITS; REQUIREMENTS FOR...

  4. 20 CFR 726.6 - The Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 4 2014-04-01 2014-04-01 false The Office of Workers' Compensation Programs. 726.6 Section 726.6 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG BENEFITS; REQUIREMENTS FOR...

  5. 48 CFR 652.228-71 - Worker's Compensation Insurance (Defense Base Act)-Services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Insurance (Defense Base Act)-Services. 652.228-71 Section 652.228-71 Federal Acquisition Regulations System... Clauses 652.228-71 Worker's Compensation Insurance (Defense Base Act)—Services. As prescribed in 628.309-70(b), insert the following clause: Workers' Compensation Insurance (Defense Base Act)—Services...

  6. 48 CFR 652.228-71 - Worker's Compensation Insurance (Defense Base Act)-Services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Insurance (Defense Base Act)-Services. 652.228-71 Section 652.228-71 Federal Acquisition Regulations System... Clauses 652.228-71 Worker's Compensation Insurance (Defense Base Act)—Services. As prescribed in 628.309-70(b), insert the following clause: Workers' Compensation Insurance (Defense Base Act)—Services...

  7. 48 CFR 52.228-3 - Workers' Compensation Insurance (Defense Base Act).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Insurance (Defense Base Act). 52.228-3 Section 52.228-3 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.228-3 Workers' Compensation Insurance (Defense Base Act). As prescribed in 28.309(a), insert the following clause: Workers' Compensation Insurance (Defense Base Act) (JUL 2014) (a)...

  8. 48 CFR 52.228-3 - Workers' Compensation Insurance (Defense Base Act).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Insurance (Defense Base Act). 52.228-3 Section 52.228-3 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.228-3 Workers' Compensation Insurance (Defense Base Act). As prescribed in 28.309(a), insert the following clause: Workers' Compensation Insurance (Defense Base Act) (APR 1984) The...

  9. 48 CFR 52.228-3 - Workers' Compensation Insurance (Defense Base Act).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Insurance (Defense Base Act). 52.228-3 Section 52.228-3 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.228-3 Workers' Compensation Insurance (Defense Base Act). As prescribed in 28.309(a), insert the following clause: Workers' Compensation Insurance (Defense Base Act) (APR 1984) The...

  10. 48 CFR 52.228-3 - Workers' Compensation Insurance (Defense Base Act).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Insurance (Defense Base Act). 52.228-3 Section 52.228-3 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.228-3 Workers' Compensation Insurance (Defense Base Act). As prescribed in 28.309(a), insert the following clause: Workers' Compensation Insurance (Defense Base Act) (APR 1984) The...

  11. 48 CFR 52.228-3 - Workers' Compensation Insurance (Defense Base Act).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Insurance (Defense Base Act). 52.228-3 Section 52.228-3 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.228-3 Workers' Compensation Insurance (Defense Base Act). As prescribed in 28.309(a), insert the following clause: Workers' Compensation Insurance (Defense Base Act) (APR 1984) The...

  12. 48 CFR 52.228-4 - Workers' Compensation and War-Hazard Insurance Overseas.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... War-Hazard Insurance Overseas. 52.228-4 Section 52.228-4 Federal Acquisition Regulations System... Text of Provisions and Clauses 52.228-4 Workers' Compensation and War-Hazard Insurance Overseas. As prescribed in 28.309(b), insert the following clause: Workers' Compensation and War-Hazard Insurance...

  13. 48 CFR 228.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Overseas workers' compensation and war-hazard insurance. 228.305 Section 228.305 Federal Acquisition Regulations System DEFENSE... Insurance 228.305 Overseas workers' compensation and war-hazard insurance. (d) When submitting requests...

  14. 48 CFR 1328.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Overseas workers' compensation and war-hazard insurance. 1328.305 Section 1328.305 Federal Acquisition Regulations System... workers' compensation and war-hazard insurance. The designee authorized to recommend a waiver to...

  15. 48 CFR 228.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Overseas workers' compensation and war-hazard insurance. 228.305 Section 228.305 Federal Acquisition Regulations System DEFENSE... Insurance 228.305 Overseas workers' compensation and war-hazard insurance. (d) When submitting requests...

  16. 48 CFR 52.228-4 - Workers' Compensation and War-Hazard Insurance Overseas.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... War-Hazard Insurance Overseas. 52.228-4 Section 52.228-4 Federal Acquisition Regulations System... Text of Provisions and Clauses 52.228-4 Workers' Compensation and War-Hazard Insurance Overseas. As prescribed in 28.309(b), insert the following clause: Workers' Compensation and War-Hazard Insurance...

  17. 48 CFR 1328.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Overseas workers' compensation and war-hazard insurance. 1328.305 Section 1328.305 Federal Acquisition Regulations System... workers' compensation and war-hazard insurance. The designee authorized to recommend a waiver to...

  18. 48 CFR 228.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Overseas workers' compensation and war-hazard insurance. 228.305 Section 228.305 Federal Acquisition Regulations System DEFENSE... Insurance 228.305 Overseas workers' compensation and war-hazard insurance. (d) When submitting requests...

  19. 48 CFR 1328.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Overseas workers' compensation and war-hazard insurance. 1328.305 Section 1328.305 Federal Acquisition Regulations System... workers' compensation and war-hazard insurance. The designee authorized to recommend a waiver to...

  20. 48 CFR 52.228-4 - Workers' Compensation and War-Hazard Insurance Overseas.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... War-Hazard Insurance Overseas. 52.228-4 Section 52.228-4 Federal Acquisition Regulations System... Text of Provisions and Clauses 52.228-4 Workers' Compensation and War-Hazard Insurance Overseas. As prescribed in 28.309(b), insert the following clause: Workers' Compensation and War-Hazard Insurance...

  1. 48 CFR 228.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Overseas workers' compensation and war-hazard insurance. 228.305 Section 228.305 Federal Acquisition Regulations System DEFENSE... Insurance 228.305 Overseas workers' compensation and war-hazard insurance. (d) When submitting requests...

  2. 48 CFR 52.228-4 - Workers' Compensation and War-Hazard Insurance Overseas.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... War-Hazard Insurance Overseas. 52.228-4 Section 52.228-4 Federal Acquisition Regulations System... Text of Provisions and Clauses 52.228-4 Workers' Compensation and War-Hazard Insurance Overseas. As prescribed in 28.309(b), insert the following clause: Workers' Compensation and War-Hazard Insurance...

  3. 48 CFR 1328.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Overseas workers' compensation and war-hazard insurance. 1328.305 Section 1328.305 Federal Acquisition Regulations System... workers' compensation and war-hazard insurance. The designee authorized to recommend a waiver to...

  4. 75 FR 51487 - Division of Coal Mine Workers' Compensation; Proposed Extension of Information Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-20

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF LABOR Office of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Extension of Information Collection; Comment Request ACTION: Notice. SUMMARY: The Department of Labor, as part of...

  5. 75 FR 51488 - Division of Coal Mine Workers' Compensation; Proposed Extension of Information Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-20

    ... of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Extension of... comments (mail, fax, or E-mail). SUPPLEMENTARY INFORMATION: I. Background: The Division of Coal Mine... benefits to coal miners totally disabled due to pneumoconiosis, and their surviving dependents. When...

  6. 75 FR 11912 - Division of Coal Mine Workers' Compensation; Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-12

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF LABOR Office of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Collection; Comment Request ACTION: Notice. SUMMARY: The Department of Labor, as part of its continuing effort...

  7. 75 FR 63864 - Division of Coal Mine Workers' Compensation; Proposed Extension of Existing Collection; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-18

    ... of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Extension of... to Coal Mine Employment (CM-913). A copy of the proposed information collection request can be... of benefits to coal miners who are totally disabled by black lung disease arising out of coal...

  8. 77 FR 1513 - Division of Coal Mine Workers' Compensation; Proposed Renewal of Existing Collection; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-10

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF LABOR Office of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Renewal of Existing Collection; Comment Request ACTION: Notice. SUMMARY: The Department of Labor, as part of...

  9. 75 FR 21351 - Division of Coal Mine Workers' Compensation; Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF LABOR Office of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Collection; Comment Request ACTION: Notice. SUMMARY: The Department of Labor, as part of its continuing effort...

  10. 78 FR 72717 - Division of Coal Mine Workers' Compensation; Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-03

    ... of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Collection... to Coal Mine Employment (CM-913). A copy of the proposed information collection request can be... of benefits to coal miners who are totally disabled by black lung disease arising out of coal...

  11. Compensation claims following road accidents: a six-year follow-up study.

    PubMed

    Bryant, B; Mayou, R; Lloyd-Bostock, S

    1997-10-01

    Systematic information was obtained on 96 subjects who were all those seeking compensation from a cohort of 172 consecutive road accident injury victims. Subjects were interviewed immediately after the accident, and again at three months and one year. Further telephone or postal information was obtained about compensation proceedings for up to six years. Compensation proceedings were often prolonged and final settlements were modest and late in relation to the losses suffered. Awards were largely used to make up financial losses. However, they failed to meet needs, especially the considerable early financial problems. There was no evidence that subjects exaggerated their losses; many preferred not to claim or to settle early. There was no evidence that settlement was followed by significant change in clinical state. There was considerable dissatisfaction with the procedures for obtaining compensation. Subjects were often more concerned with recognition of their distress and suffering than with the size of financial settlements. Seeking compensation was not a major predictor of medical and social outcome.

  12. Urbanization and workers' compensation in China from 1995 to 2012.

    PubMed

    Wang, Huan Qiang; Li, Tao

    2014-03-01

    In order to determine the trend in the number of employees covered by workers' compensation (WC) and trends in the burdens and benefits of WC, and to discuss the possible factors that might influence those trends. A relevant national statistical data from 1995 to 2012 are collected and analyzed. In the results, we found that the proportion of employees covered by WC to total employees in urban areas increased from 13.7% in 1995 to 51.2% in 2012 and also exhibited a significant degree of polarization. In 2012, 27.3% of the peasant workers were covered by WC, which accounted for 37.8% of the total employees covered by WC. Factors found to impact the number of employees covered by WC and trends in the burdens and benefits of WC from 1995 to date in China included urbanization, represented by the migration of farm labor to urban areas, changes in industry mix, regional disparity, GDP movements, and changes to legislation on WC and occupational health and safety. It still has a long way to go to reduce work-related injuries and occupational diseases (ODs) to levels comparable with other industrialized countries. Copyright © 2014 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.

  13. Ethics and the compensation of immigrant workers for work-related injuries and illnesses.

    PubMed

    Gravel, Sylvie; Vissandjée, Bilkis; Lippel, Katherine; Brodeur, Jean-Marc; Patry, Louis; Champagne, François

    2010-10-01

    This paper examines the compensation process for work-related injuries and illnesses by assessing the trajectories of a sample of immigrant and non-immigrant workers (n = 104) in Montreal. Workers were interviewed to analyze the complexity associated with the compensation process. Experts specialized in compensation issues assessed the difficulty of the interviewees' compensation process. Immigrant workers faced greater difficulties with medical, legal, and administrative issues than non-immigrants did. While immigrant workers' claim forms tended to be written more often by employers or friends (58% vs. 8%), the claims were still more often contested by employers (64% vs. 24%). Immigrant workers were less likely to obtain a precise diagnosis (64% vs. 42%) and upon returning to work were more likely to face sub-optimal conditions. Such results throw into relief issues of ethics and equity in host societies that are building their economy with migrant workers.

  14. Work accident victims: a comparison between non-standard and standard workers in Belgium

    PubMed Central

    Alali, Hanan; Abdel Wahab, Magd; Van Hecke, Tanja; Braeckman, Lutgart

    2016-01-01

    Background The fast growth of non-standard employment in developed countries highlights the importance of studying the influence of contract type on worker’s safety and health. Objective The main purpose of our study is to investigate whether non-standard workers are more injured than standard workers or not. Additionally, other risk factors for occupational accidents are investigated. Methods Data from the Belgian surveys on work ability in 2009 and 2011 are used. During their annual occupational health examination, workers were asked to fill in a self-administered questionnaire. In total, 1886 complete responses are collected and analyzed using logistic regression. Results Temporary workers did not have higher injury rates than permanent workers [OR 0.5, 95% confidence interval 0.2–1.2]. Low-educated, less-experienced workers and those exposed to dangerous conditions are more frequent victims of occupational accidents. Conclusion The present data do not support the hypothesis that non-standard workers have more injuries than standard workers. Our results about occupational accidents derived from a non-representative sample of the Belgian workforce and cannot be generalized due to the heterogeneity in job organization and labor regulations between countries. Further research is needed to extend our findings and to seek other factors that may be associated with work accidents. PMID:27092408

  15. Risk of fatal industrial accidents and death from other external causes among asphalt workers

    PubMed Central

    Burstyn, I; Boffetta, P; Jarvholm, B; Partanen, T; Svane, O; Langard, S; Kauppinen, T; Stucker, I; Shaham, J; Heederik, D; Ahrens, W; Bergdahl, I; Cenee, S; Hooiveld, M; Randem, B; Johansen, C; Ferro, G; Kromhout, H

    2004-01-01

    Overall, no evidence was found supporting the hypothesis that asphalt workers are at increased risk of fatal industrial or road accidents. Mortality from other external causes did not increase in this population as a whole, but increased risks among short term workers deserve further attention. PMID:14691280

  16. Pre-surgery disability compensation predicts long-term disability among workers with carpal tunnel syndrome.

    PubMed

    Spector, June T; Turner, Judith A; Fulton-Kehoe, Deborah; Franklin, Gary

    2012-09-01

    We sought to identify early risk factors for work disability compensation prior to and after carpal tunnel syndrome (CTS) surgery, and to determine whether pre-surgery disability compensation is associated with long-term disability. Washington State workers' compensation administrative data and data from interviews with workers 18 days (median) after submitting new workers' compensation claims for CTS were examined. Baseline risk factors for pre-surgery disability compensation and for long-term disability (>365 days of work disability compensation prior to 2 years after claim filing) were evaluated for workers who underwent CTS surgery and had at least 1 day of disability compensation (N = 670). After adjustment for baseline long-term disability risk factors, workers with pre-surgery disability compensation had over five times the odds of long-term disability. Baseline factors in multiple domains, including job, psychosocial, clinical, and worker pain and function, were associated with both pre-surgery disability compensation and long-term disability. Risk factors for work disability prior to and after CTS surgery are similar, and early work disability is a risk factor for long-term CTS-related disability. An integrated approach to CTS-related disability prevention could include identifying and addressing combined risk factors soon after claim filing, more efficient use of conservative treatments and appropriate work modifications to minimize early work loss, and, when indicated, timely surgical intervention. Copyright © 2012 Wiley Periodicals, Inc.

  17. Uninsured Workers Have More Severe Hospitalizations: Examining the Texas Workers' Compensation System, 2012.

    PubMed

    Boggess, Bethany; Scott, Brittany; Pompeii, Lisa

    2017-08-01

    Texas' unique elective system of workers' compensation (WC) coverage is being discussed widely in the United States as a possible model to be adopted by other states. Texas is the only state that does not mandate that employers provide state-certified WC insurance. Oklahoma passed legislation for a similar system in 2013, but it was declared unconstitutional by the Oklahoma Supreme Court in 2016. This study examined 9523 work-related hospitalizations that occurred in Texas in 2012 using Texas Department of State Health Services data. We sought to examine work-related injury characteristics by insurance source. An unexpected finding was that among those with WC, 44.6% of the hospitalizations were not recorded as work related by hospital staff. These unrecorded cases had 1.9 (1.6-2.2) times higher prevalence of a severe risk of mortality compared to WC cases that were recorded as work related. Uninsured and publicly insured workers also had a higher prevalence of severe mortality risk. The hospital charges for one year were $615.2 million, including at least $102.8 million paid by sources other than WC, and with $29.6 million that was paid for by injured workers or by taxpayers. There is an urgent need for more research to examine how the Texas WC system affects injured workers.

  18. 42 CFR 411.47 - Apportionment of a lump-sum compromise settlement of a workers' compensation claim.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... of a workers' compensation claim. 411.47 Section 411.47 Public Health CENTERS FOR MEDICARE & MEDICAID... ON MEDICARE PAYMENT Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.47 Apportionment of a lump-sum compromise settlement of a workers' compensation claim....

  19. 42 CFR 411.47 - Apportionment of a lump-sum compromise settlement of a workers' compensation claim.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... of a workers' compensation claim. 411.47 Section 411.47 Public Health CENTERS FOR MEDICARE & MEDICAID... ON MEDICARE PAYMENT Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.47 Apportionment of a lump-sum compromise settlement of a workers' compensation claim....

  20. 42 CFR 411.47 - Apportionment of a lump-sum compromise settlement of a workers' compensation claim.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... of a workers' compensation claim. 411.47 Section 411.47 Public Health CENTERS FOR MEDICARE & MEDICAID... ON MEDICARE PAYMENT Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.47 Apportionment of a lump-sum compromise settlement of a workers' compensation claim....

  1. 42 CFR 411.47 - Apportionment of a lump-sum compromise settlement of a workers' compensation claim.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... of a workers' compensation claim. 411.47 Section 411.47 Public Health CENTERS FOR MEDICARE & MEDICAID... ON MEDICARE PAYMENT Limitations on Medicare Payment for Services Covered Under Workers' Compensation § 411.47 Apportionment of a lump-sum compromise settlement of a workers' compensation claim....

  2. Work-related trauma, PTSD, and workers compensation legislation: Implications for practice and policy.

    PubMed

    Wise, Edward A; Beck, J Gayle

    2015-09-01

    The current review examines work-related traumatic events, with particular focus on posttraumatic stress disorder (PTSD) as a potential mental health outcome. Despite considerable empirical knowledge about trauma and PTSD, a gap exists with respect to laws undergirding Workers Compensation (WC) insurance coverage for work-related mental health injuries. In this article, state and federal WC statutes are examined with an eye toward coverage of PTSD following work-related trauma. Examples of differences between states, as well as state-specific idiosyncratic facets of WC laws, are discussed. Federal WC programs are also examined. Two policy issues are highlighted: (a) lack of parity between WC coverage for work-related physical versus mental health injuries and (b) lack of reliance on psychological science in scripting legislation and determining WC benefits. The cost of untreated PTSD following work-related trauma is examined, focusing on costs to the individual, the employer, and society at large. The authors provide 3 recommendations designed to address discrepancies related to compensable psychological injuries following work-related trauma exposure.

  3. Device evaluation and coverage policy in workers' compensation: examples from Washington State.

    PubMed

    Franklin, G M; Lifka, J; Milstein, J

    1998-09-25

    Workers' compensation health benefits are broader than general health benefits and include payment for medical and rehabilitation costs, associated indemnity (lost time) costs, and vocational rehabilitation (return-to-work) costs. In addition, cost liability is for the life of the claim (injury), rather than for each plan year. We examined device evaluation and coverage policy in workers' compensation over a 10-year period in Washington State. Most requests for device coverage in workers' compensation relate to the diagnosis, prognosis, or treatment of chronic musculoskeletal conditions. A number of specific problems have been recognized in making device coverage decisions within workers' compensation: (1) invasive devices with a high adverse event profile and history of poor outcomes could significantly increase both indemnity and medical costs; (2) many noninvasive devices, while having a low adverse event profile, have not proved effective for managing chronic musculoskeletal conditions relevant to injured workers; (3) some devices are marketed and billed as surrogate diagnostic tests for generally accepted, and more clearly proven, standard tests; (4) quality oversight of technology use among physicians may be inadequate; and (5) insurers' access to efficacy data adequate to make timely and appropriate coverage decisions in workers' compensation is often lacking. Emerging technology may substantially increase the costs of workers' compensation without significant evidence of health benefit for injured workers. To prevent ever-rising costs, we need to increase provider education and patient education and consent, involve the state medical society in coverage policy, and collect relevant outcomes data from healthcare providers.

  4. Compensation of the Meyer-Neldel Compensation Law for H diffusion in minerals

    NASA Astrophysics Data System (ADS)

    Jones, Alan G.

    2014-06-01

    Meyer-Neldel Rule (MNR), or compensation law, linearly relates the preexponent term to the logarithm of the excitation enthalpy for any process that is thermally driven in an Arrhenian manner, and MNR fits can be used to calibrate and validate laboratory experimental results. Both robust least squares linear regressions and nonrobust regressions on selected subsets for individual minerals with sufficient experimental data demonstrate that hydrogen diffusion in minerals obeys the MNR with differing MNR intercepts and gradients depending on the mineral. In particular, nominally anhydrous mantle minerals have very distinct and different MNR parameters compared to hydrous and crustal minerals, with garnet proving to be an outlier lying in between the two. Furthermore, the variations of the estimated intercepts and gradients of the various MNRs are not random, but remarkably they themselves fall on a striking linear trend. This observation, if more broadly true, has profound implications for materials sciences and understanding of solid-state physics, as it implies that the compensation rule is itself compensated.

  5. [Analysis of accidents at work in building yards: correlation between risk and law defaults in yards of Palermo].

    PubMed

    Arcadipane, C; Verso, M G; Schillaci, S; Picciotto, D

    2007-01-01

    In the last years the building firm underwent real boom for investments and workers but not for safety measures. In the building sector there is a great accidents risks for falls from the top. The aim of present study is to analyze trend of accidents at work in building yards according to INAIL DATA and we will identify causes and risks then we will correlate these risks with frequent law defaults that we noticed in the province of Palermo. At the end we will value possible preventive measures to avoid this phenomenon. DATA INAIL of period 2001-2005 about building sector show us a reduction of denounced accidents at work but this phenomenon is changeable. Palermo is the first sicilian province for accidents at work although the number of denounced accidents (from 2001 to 2005) is decreasing while this number in Catania is increasing, CPT of Palermo gave us data (from 2004 to 2006) about inspections in building yards. Our study interests 609 yards and 1827 work stages. We noticed the most number of rests in civil yards.

  6. Managed care and clinical autonomy in the workers' compensation market.

    PubMed

    Johnson, Tricia

    2006-10-01

    Despite increases in health care premiums, the effect of relaxing cost-containment mechanisms on health care utilization is not yet well understood at the microlevel. This study used a regulatory change in the California workers' compensation system to examine the effect of relaxing broad-based utilization management constraints and increasing clinical autonomy on methods of treatment and service intensity, and compared the responses of managed care network and fee-for-service providers. Between 1993 and 2000, the likelihood of a fee-for-service claim receiving a chiropractic treatment increased from 22% to 32%, the likelihood of receiving diagnostic radiology decreased from 24% to 15%, and the likelihood of receiving physical medicine with diagnostic services remained relatively stable. Treating fee-for-service claims with network care would have decreased the likelihood of receiving manipulations by 13 percentage points and physical medicine with diagnostic services by two percentage points. The likelihood of receiving office-visit-only treatment would have increased by 130% (14 percentage points), and the likelihood of receiving a diagnostic radiology treatment would have increased by 28% (4 percentage points). Treatment by network providers would have reduced the number of office visits by 18%, diagnostic radiology and ultrasound exams by 26%, passive physical medicine procedures by 40%, active physical medicine procedures by 43%, physical medicine assessments by 45%, and chiropractic treatments by 46%.

  7. Underutilization of worker's compensation insurance among professional orchestral musicians.

    PubMed

    Chimenti, Ruth L; Van Dillen, Linda R; Prather, Heidi; Hunt, Devyani; Chimenti, Peter C; Khoo-Summers, Lynnette

    2013-03-01

    Orchestral musicians commonly have playing-related symptoms (PRS) but few use worker's compensation (WC) insurance for assessment and treatment. The purpose of this study was to examine the frequency of, and factors related to, filing a WC claim among musicians. An online questionnaire was completed by 261 members of the International Conference of Symphony and Opera Musicians (ICSOM). The responses were analyzed to describe the frequency and type of injuries, perceived cause of PRS, and severity of injury in musicians who did and did not file a WC claim. Of the musicians, 93% reported PRS in the 12 months prior to the study. Only 9 musicians filed WC claims during their careers, and all claims were for upper extremity injuries. The most frequent reason for not filing a WC claim was insufficient severity. Yet among musicians describing their PRS as not severe enough for a WC claim, 47% had symptoms for >15 minutes after playing and 16% had symptoms that interfered with daily activities. These data suggest there is frequent under-reporting of injuries to WC among professional orchestral musicians. Although most musicians reported PRS that persisted after playing, the most common reason for not filing a WC claim was insufficient severity of symptoms perceived by the musicians. Future research should focus on clearly defining severity for PRS-related injuries and determining when treatment for overuse syndromes should be paid for through the WC system.

  8. The mental health of clean-up workers 18 years after the Chernobyl accident.

    PubMed

    Loganovsky, K; Havenaar, J M; Tintle, N L; Guey, L T; Kotov, R; Bromet, E J

    2008-04-01

    The psychological aftermath of the Chernobyl accident is regarded as the largest public health problem unleashed by the accident to date. Yet the mental health of the clean-up workers, who faced the greatest radiation exposure and threat to life, has not been systematically evaluated. This study describes the long-term psychological effects of Chernobyl in a sample of clean-up workers in Ukraine. The cohorts were 295 male clean-up workers sent to Chernobyl between 1986 and 1990 interviewed 18 years after the accident (71% participation rate) and 397 geographically matched controls interviewed as part of the Ukraine World Mental Health (WMS) Survey 16 years after the accident. The World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) was administered. We examined group differences in common psychiatric disorders, suicide ideation and severe headaches, differential effects of disorder on days lost from work, and in the clean-up workers, the relationship of exposure severity to disorder and current trauma and somatic symptoms. Analyses were adjusted for age in 1986 and mental health prior to the accident. Relatively more clean-up workers than controls experienced depression (18.0% v. 13.1%) and suicide ideation (9.2% v. 4.1%) after the accident. In the year preceding interview, the rates of depression (14.9% v. 7.1%), post-traumatic stress disorder (PTSD) (4.1% v. 1.0%) and headaches (69.2% v. 12.4%) were elevated. Affected workers lost more work days than affected controls. Exposure level was associated with current somatic and PTSD symptom severity. Long-term mental health consequences of Chernobyl were observed in clean-up workers.

  9. 28 CFR 301.106 - Repetitious accidents.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Repetitious accidents. 301.106 Section 301.106 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE INMATE ACCIDENT COMPENSATION General § 301.106 Repetitious accidents. If an inmate worker is involved in successive...

  10. 28 CFR 301.106 - Repetitious accidents.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Repetitious accidents. 301.106 Section 301.106 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE INMATE ACCIDENT COMPENSATION General § 301.106 Repetitious accidents. If an inmate worker is involved in successive...

  11. 28 CFR 301.106 - Repetitious accidents.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Repetitious accidents. 301.106 Section 301.106 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE INMATE ACCIDENT COMPENSATION General § 301.106 Repetitious accidents. If an inmate worker is involved in successive...

  12. Pre-surgery Disability Compensation Predicts Long-Term Disability among Workers with Carpal Tunnel Syndrome

    PubMed Central

    Spector, June T.; Turner, Judith A.; Fulton-Kehoe, Deborah; Franklin, Gary

    2012-01-01

    Background We sought to identify early risk factors for work disability compensation prior to and after carpal tunnel syndrome (CTS) surgery, and to determine whether pre-surgery disability compensation is associated with long-term disability. Methods Washington State workers’ compensation administrative data and data from interviews with workers 18 days (median) after submitting new workers’ compensation claims for CTS were examined. Baseline risk factors for pre-surgery disability compensation and for long-term disability (≥365 days of work disability compensation prior to two years after claim filing) were evaluated for workers who underwent CTS surgery and had at least one day of disability compensation (N=670). Results After adjustment for baseline long-term disability risk factors, workers with pre-surgery disability compensation had over five times the odds of long-term disability. Baseline factors in multiple domains, including job, psychosocial, clinical, and worker pain and function, were associated with both pre-surgery disability compensation and long-term disability. Conclusions Risk factors for work disability prior to and after CTS surgery are similar, and early work disability is a risk factor for long-term CTS-related disability. An integrated approach to CTS-related disability prevention could include identifying and addressing combined risk factors soon after claim filing, more efficient use of conservative treatments and appropriate work modifications to minimize early work loss, and, when indicated, timely surgical intervention. PMID:22392804

  13. Work-related Musculoskeletal Disorders in Korea Provoked by Workers' Collective Compensation Claims against Work Intensification.

    PubMed

    Kang, Dongmug; Kim, Youngki; Lee, Young-Il; Koh, Sangbaek; Kim, Inah; Lee, Hoonkoo

    2014-01-01

    This article presents the process of workers' problems with work related musculoskeletal disorders (WMSDs), the introduction of risk assessments (RA) for their prevention, and the consequences of this process in Korea. In 1997, economic crisis caused a rapid increase of massive layoffs, worker dispatch system introduction, job insecurity, and use of irregular workers resulting in work intensification. Work intensification increased WMSDs, which created massive workers' compensation collective claims. Workers argued for the reduction of work intensity. The RAs introduced as a consequence of the workers' struggle is unique in the world. Whereas these RAs were expected to play a pivotal role in WMSDs prevention, they dis not due to workers' lack of engagement after the compensation struggle. In fact, changes in the compensation judgment system and criteria have resulted in lower compensation approval rates leading to lower workers' compensation claims. The Korean experience provides insight into WMSDs causes in a globalized world. In such a the globalized world, work intensification as the result of work flexibility could be an international trend.

  14. Using linked federal and state data to study the adequacy of workers' compensation benefits.

    PubMed

    Seabury, Seth A; Scherer, Ethan; O'Leary, Paul; Ozonoff, Al; Boden, Leslie

    2014-10-01

    We combined federal and state administrative data to study the long-term earnings losses associated with occupational injuries and assess the adequacy of workers' compensation benefits. We linked state data on workers' compensation claims from New Mexico for claimants injured from 1994 to 2000 to federal earnings records from 1987 to 2007. We estimated earnings losses up to 10 years after injury and computed the fraction of losses replaced by benefits. Workers with lost-time injuries lost an average of 15% of their earnings over the 10 years after injury. On average, workers' compensation income benefits replaced 16% of these losses. Men and women had similar losses and replacement rates. Workers with minor injuries had lower losses but also had lower replacement rates. Earnings losses after an injury are highly persistent, even for comparatively minor injuries. Income benefits replace a smaller fraction of those losses than previously believed. © 2014 Wiley Periodicals, Inc.

  15. 20 CFR 601.6 - Grants for administration of unemployment compensation laws and employment service.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Grants for administration of unemployment... administration of unemployment compensation laws and employment service. Grants of funds for administration of State unemployment compensation laws and public employment service programs are made to States...

  16. 20 CFR 601.6 - Grants for administration of unemployment compensation laws and employment service.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Grants for administration of unemployment... administration of unemployment compensation laws and employment service. Grants of funds for administration of State unemployment compensation laws and public employment service programs are made to States...

  17. 20 CFR 601.6 - Grants for administration of unemployment compensation laws and employment service.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 3 2013-04-01 2013-04-01 false Grants for administration of unemployment... administration of unemployment compensation laws and employment service. Grants of funds for administration of State unemployment compensation laws and public employment service programs are made to States...

  18. Working on reform. How workers' compensation medical care is affected by health care reform.

    PubMed

    Himmelstein, J; Rest, K

    1996-01-01

    The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies?

  19. Working on reform. How workers' compensation medical care is affected by health care reform.

    PubMed Central

    Himmelstein, J; Rest, K

    1996-01-01

    The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies? Images p13-a p14-a p15-a p16-a p18-a p19-a p20-a p22-a p24-a PMID:8610187

  20. 48 CFR 2928.305 - Overseas workers' compensation and war hazard insurance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Overseas workers' compensation and war hazard insurance. 2928.305 Section 2928.305 Federal Acquisition Regulations System...' compensation and war hazard insurance. The authority of the Agency Head to recommend to the Secretary of...

  1. 48 CFR 728.309 - Contract clause for worker's compensation insurance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...'s compensation insurance. 728.309 Section 728.309 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.309 Contract clause for worker's compensation insurance. (a) Because of the volume of projects performed...

  2. 48 CFR 728.309 - Contract clause for worker's compensation insurance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...'s compensation insurance. 728.309 Section 728.309 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.309 Contract clause for worker's compensation insurance. (a) Because of the volume of projects performed...

  3. 48 CFR 728.309 - Contract clause for worker's compensation insurance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...'s compensation insurance. 728.309 Section 728.309 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.309 Contract clause for worker's compensation insurance. (a) Because of the volume of projects performed...

  4. 48 CFR 728.309 - Contract clause for worker's compensation insurance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...'s compensation insurance. 728.309 Section 728.309 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.309 Contract clause for worker's compensation insurance. (a) Because of the volume of projects performed...

  5. 48 CFR 2928.305 - Overseas workers' compensation and war hazard insurance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 7 2013-10-01 2012-10-01 true Overseas workers' compensation and war hazard insurance. 2928.305 Section 2928.305 Federal Acquisition Regulations System...' compensation and war hazard insurance. The authority of the Agency Head to recommend to the Secretary of...

  6. 48 CFR 2928.305 - Overseas workers' compensation and war hazard insurance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 7 2011-10-01 2011-10-01 false Overseas workers' compensation and war hazard insurance. 2928.305 Section 2928.305 Federal Acquisition Regulations System...' compensation and war hazard insurance. The authority of the Agency Head to recommend to the Secretary of...

  7. 48 CFR 2928.305 - Overseas workers' compensation and war hazard insurance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 7 2012-10-01 2012-10-01 false Overseas workers' compensation and war hazard insurance. 2928.305 Section 2928.305 Federal Acquisition Regulations System...' compensation and war hazard insurance. The authority of the Agency Head to recommend to the Secretary of...

  8. 48 CFR 2928.305 - Overseas workers' compensation and war hazard insurance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 7 2014-10-01 2014-10-01 false Overseas workers' compensation and war hazard insurance. 2928.305 Section 2928.305 Federal Acquisition Regulations System...' compensation and war hazard insurance. The authority of the Agency Head to recommend to the Secretary of...

  9. Accident data study of concrete construction companies' similarities and differences between qualified and non-qualified workers in Spain.

    PubMed

    López-Arquillos, Antonio; Rubio-Romero, Juan Carlos; Gibb, Alistair

    2015-01-01

    The aim of this paper is to discuss findings from an analysis of accidents in concrete construction companies in Spain and to compare the accident rates of qualified and non-qualified workers. A total of 125,021 accidents between 2003 and 2008 involving both blue-collar and white-collar workers were analysed, comparing the variables of occupation, age, company staff, length of service, location of the accident, together with the severity of the accidents. Results showed that lack of experience in the first month is more significant in non-qualified workers and experienced supervisors and that head injuries are more likely to lead to fatalities. The most remarkable similarity was that fatal accidents to and from the worksite are a problem common to both groups of workers.

  10. Health services research in workers' compensation medical care: policy issues and research opportunities.

    PubMed Central

    Himmelstein, J; Buchanan, J L; Dembe, A E; Stevens, B

    1999-01-01

    OBJECTIVE: To describe some of the unique aspects of medical care offered under workers' compensation insurance systems and discuss the major policy considerations relevant to health services researchers undertaking investigations in this area. BACKGROUND AND FINDINGS: State-based workers' compensation (WC) insurance systems requiring employers to pay for medical care and wage replacement for workplace injuries and illnesses were first developed between 1910 and 1920 in the United States. Employers are generally required to purchase state-regulated workers' compensation insurance that includes first-dollar payment for all medical and rehabilitative services and payment of lost wages to workers with work-related illness or injury. Injured workers have variable but usually limited latitude in choosing their health care provider. Employers and workers' compensation insurers have incentives for controlling both the cost of medical care and lost wages. CONCLUSION: The major policy issues in WC medical care--the effect of patient choice of provider and delivery system structure, the ensuring of high-quality care, the effect of integrating benefits, and investigation of the interrelationships between work, health, and productivity--can be informed by current studies in health services research and by targeted future studies of workers' compensation populations. These studies must consider the extent of patient choice of physician, the regulatory environment, the unique role of the workplace as a risk and modifying factor, and the complex interaction between health and disability insurance benefits. PMID:10199686

  11. Non-fatal workplace violence workers' compensation claims (1993-1996).

    PubMed

    Hashemi, L; Webster, B S

    1998-06-01

    More is known about fatal workplace violence than non-fatal workplace violence (NFWV). This study provides descriptive information on the number and cost of NFWV claims filed with a large workers' compensation carrier. NFWV claims from 51 US jurisdictions were selected either by cause codes or by word search from the accident-description narrative. Claims reported in 1993 through 1996 were analyzed to report the frequency, cost, gender, age, industry, and nature of injury. An analysis of a random sample of 600 claims provided information on perpetrator type, cause of events, and injury mechanism. A total of 28,692 NFWV claims were filed during the study period. No cost was incurred for 32.5% of the claims, and 15.5% received payments for lost work. As a percentage of all claims filed by industry, schools had the highest percentage (11.4%) of NFWV claims, and banking had the highest percentage (11.5%) of cost. The majority of claims in the banking random sample group (93%) were due to stress. In the random sample, 90.3% of claims were caused by criminals (51.8%) or by patients, clients, or customers (38.5%). Only 9.7% were caused by an employee (9.2%) or a personal acquaintance of the employee (0.5%). Employers should acknowledge that NFWV incidents occur, recognize that the majority of perpetrators are criminals or clients rather than employees, and develop appropriate prevention and intervention programs.

  12. Risk Perception and Occupational Accidents: A Study of Gas Station Workers in Southern Brazil

    PubMed Central

    Cezar-Vaz, Marta Regina; Rocha, Laurelize Pereira; Bonow, Clarice Alves; da Silva, Mara Regina Santos; Vaz, Joana Cezar; Cardoso, Letícia Silveira

    2012-01-01

    The present study aimed to identify the perceptions of gas station workers about physical, chemical, biological and physiological risk factors to which they are exposed in their work environment; identify types of occupational accidents involving gas station workers and; report the development of a socioenvironmental intervention as a tool for risk communication to gas station workers. A quantitative study was performed with 221 gas station workers in southern Brazil between October and December 2010. Data collection was performed between October to December 2010 via structured interviews. The data were analyzed using SPSS 19.0. The participants identified the following risk types: chemical (93.7%), physical (88.2%), physiological (64.3%) and biological (62.4%). In this sample, 94.1% of gas station workers reported occupational accidents, and 74.2% reported fuel contact with the eyes (p < 0.05). It is concluded that workers perceive risks, and that they tend to relate risks with the occurrence of occupational accidents as an indicator of the dangerous nature of their work environment. PMID:22851948

  13. Early Referral and Other Factors Affecting Vocational Rehabilitation Outcome for the Workers' Compensation Client.

    ERIC Educational Resources Information Center

    Gardner, John A.

    1991-01-01

    Estimated benefits from systematic early referral of injured workers for vocational rehabilitation services. Used data from Florida workers' compensation cases closed in 1985 to estimate gains from referral for evaluation not later than six months from injury date. Concludes that social benefits could be nearly $10 million annually and that…

  14. Impact of the Illinois Seat Belt Use Law on Accidents, Deaths, and Injuries.

    ERIC Educational Resources Information Center

    Rock, Steven M.

    1992-01-01

    The impact of the 1985 Illinois seat belt law is explored using Box-Jenkins Auto-Regressive, Integrated Moving Averages (ARIMA) techniques and monthly accident statistical data from the state department of transportation for January-July 1990. A conservative estimate is that the law provides benefits of $15 million per month in Illinois. (SLD)

  15. [Accident risk perception in high-voltage electrical maintenance workers].

    PubMed

    Micheli, M; Zanaletti, W; Giorgi, I; Argentero, P; Candura, S M

    2006-01-01

    Promoting safety at work represents a fundamental task for achieving improvement in the quality of working life and preventing accidental injuries at work. Nevertheless, over the last few decades injuries at work have continued to constitute a significant problem. The aim of this study was to examine accident risk perception in a sample of 45 subjects employed in the electricity sector and to relate their risk perception to personality characteristics, cognitive functioning, and personal and professional history. The instruments used were: "Cognitive Behavioral Assessment 2.0", the "Workplace safety questionnaire" (an Italian questionnaire on safety at work), and a battery of neuropsychological tests. Findings show that electricity (current variability) was perceived as the most serious risk factor, while the most frequent perceived risk factors for accidents were accidental falls, cuts and bruises. The subjects of our sample showed a good awareness of risk perception, and good mood response and augmented psychophysiological activation during accidental injuries.

  16. Association of State Laws and Healthcare Workers' Influenza Vaccination Rates.

    PubMed

    Lin, Chyongchiou Jeng; Nowalk, Mary Patricia; Raymund, Mahlon; Sweeney, Patricia M; Zimmerman, Richard K

    2016-02-01

    State laws are being used to increase healthcare worker (HCW) influenza vaccine uptake. Approximately 40% of states have enacted such laws but their effectiveness has been infrequently studied. Data sources for this study were the 2000-2011 U.S. National Health Interview Survey Adult Sample File and a summary of U.S. state HCW influenza vaccination laws. Hierarchical linear modeling was used for two time periods: 1) 2000-2005 (before enactment of many state laws) and 2) 2006-2011 (a time of increased enactment of state HCW influenza vaccination legislation). During 2000-2005, two states had HCW influenza vaccination laws and HCW influenza vaccination rates averaged 22.5%. In 2006-2011, 19 states had such laws and vaccination rates averaged 50.9% (p < 0.001). The likelihood of HCW vaccination increased with the scope and breadth, measured by a law score. Although laws varied widely in scope and applicability, states with HCW influenza vaccination laws reported higher HCW vaccination rates. Copyright © 2016. Published by Elsevier Inc.

  17. [No-fault medical accidents: review of two years' activity of the regional commission for the compensation of medical accidents of the Provence-Alpes-Côtes d'Azur region (PACA)].

    PubMed

    Piercecchi-Marti, M-D; Sastre, B; Zuck, S; François, A; Genety, C; Bartoli, C; Leonetti, G

    2008-01-01

    Compensation for victims of medical accidents identified as no-fault medical accidents (NFMA) will be financed by national solidarity: this is a major and innovative feature of the Law of March 4, 2002 relative to Patients' Rights. In this review, we analyse the decisions of the regional commission on compensation of medical accidents in the Provence-Alpes-Côtes d'Azur (PACA) region of France in 2004 and 2005, and we attempt to identify the prevalence of certain surgical procedures liable to result in NFMA and to define the concept of "unintended consequences" in the context of state of health of the patient and the predictable course of the malady. We hope to improve the medical information given to the patient and thereby the overall quality of management. NFMA was acknowledged in 57 claims, about 10% of all those received by the commission during this period. Nearly half of the claims were within the competence of the commission because of the existence of serious sequelae (Permanent Partial Disability) in 47%. No typical profile of age or gender emerged in the patients with NFMA. The majority of cases occurred after surgical procedures, in particular gastrointestinal surgery and orthopaedic surgery; 91% were planned procedures. We did not identify increased risk related to any given type of surgery, particular disease condition, or precise anatomic region. Complications were those usually observed such as neurological complications in vascular surgery or perforations in gastrointestinal surgery. The interpretation of NFMA has undergone an evolution during this two-year period. In 2004, previous poor health status precluded acknowledgment of a medical accident, the argument being that there was a predisposition to the complication which occurred. In 2005, compensation was based on a reduced Partial Permanent Disability score compared to the patient's previous health status. This became a means of measuring the impact of the medical complication on an already

  18. Impact of the number of painful stimuli on life satisfaction among Korean industrial accident workers completing convalescence: dual mediating effects of self-esteem and sleeping time.

    PubMed

    Choi, Wan-Suk; Kim, Bo-Kyung; Kim, Ki-Do; Moon, Ok-Kon; Yeum, Dong-Moon

    2016-10-08

    This study examined the impact of the number of painful stimuli on life satisfaction among workers who experienced an industrial accident and investigated how self-esteem and sleeping time affected life satisfaction. The Korea Workers' Compensation & Welfare Service conducted the first nationwide panel survey on occupational health and safety insurance in 2013-2014 through a stratified systematic sampling on 2,000 industrial accident workers who completed convalescence. Based on the dataset, our study analyzed 1,832 workers experiencing an industrial accident after excluding 168 disease patients. For the research model analysis, a four-stage hierarchical regression analysis technique was applied using the SPSS regression analysis Macro program of PROCESS Procedure. To test mediated indirect effects of the self-esteem and sleeping time, the bootstrapping technique was applied. Life satisfaction, self-esteem and sleeping time decreased as the number of painful stimuli increased. Life satisfaction decreased as self-esteem and sleeping time decreased. On balance, the partial mediation model confirmed that self-esteem and sleeping time both mediate the impact of the number of painful stimuli on life satisfaction.

  19. Estimating Worker Risk Levels Using Accident/Incident Data

    SciTech Connect

    Kenoyer, Judson L.; Stenner, Robert D.; Andrews, William B.; Scherpelz, Robert I.; Aaberg, Rosanne L.

    2000-09-26

    The purpose of the work described in this report was to identify methods that are currently being used in the Department of Energy (DOE) complex to identify and control hazards/risks in the workplace, evaluate them in terms of their effectiveness in reducing risk to the workers, and to develop a preliminary method that could be used to predict the relative risks to workers performing proposed tasks using some of the current methodology. This report describes some of the performance indicators (i.e., safety metrics) that are currently being used to track relative levels of workplace safety in the DOE complex, how these fit into an Integrated Safety Management (ISM) system, some strengths and weaknesses of using a statistically based set of indicators, and methods to evaluate them. Also discussed are methods used to reduce risk to the workers and some of the techniques that appear to be working in the process of establishing a condition of continuous improvement. The results of these methods will be used in future work involved with the determination of modifying factors for a more complex model. The preliminary method to predict the relative risk level to workers during an extended future time period is based on a currently used performance indicator that uses several factors tracked in the CAIRS. The relative risks for workers in a sample (but real) facility on the Hanford site are estimated for a time period of twenty years and are based on workforce predictions. This is the first step in developing a more complex model that will incorporate other modifying factors related to the workers, work environment and status of the ISM system to adjust the preliminary prediction.

  20. Assessment of potential doses to workers during postulated accident conditions at the Waste Isolation Pilot Plant

    SciTech Connect

    Hoover, M.D.; Farrell, R.F.; Newton, G.J.

    1995-12-01

    The recent 1995 WIPP Safety Analysis Report (SAR) Update provided detailed analyses of potential radiation doses to members of the public at the site boundary during postulated accident scenarios at the U.S. Department of Energy`s Waste Isolation Pilot Plant (WIPP). The SAR Update addressed the complete spectrum of potential accidents associated with handling and emplacing transuranic waste at WIPP, including damage to waste drums from fires, punctures, drops, and other disruptions. The report focused on the adequacy of the multiple layers of safety practice ({open_quotes}defense-in-depth{close_quotes}) at WIPP, which are designed to (1) reduce the likelihood of accidents and (2) limit the consequences of those accidents. The safeguards which contribute to defense-in-depth at WIPP include a substantial array of inherent design features, engineered controls, and administrative procedures. The SAR Update confirmed that the defense-in-depth at WIPP is adequate to assure the protection of the public and environment. As a supplement to the 1995 SAR Update, we have conducted additional analyses to confirm that these controls will also provide adequate protection to workers at the WIPP. The approaches and results of the worker dose assessment are summarized here. In conformance with the guidance of DOE Standard 3009-94, we emphasize that use of these evaluation guidelines is not intended to imply that these numbers constitute acceptable limits for worker exposures under accident conditions. However, in conjunction with the extensive safety assessment in the 1995 SAR Update, these results indicate that the Carlsbad Area Office strategy for the assessment of hazards and accidents assures the protection of workers, members of the public, and the environment.

  1. Reducing workers' compensation costs for latex allergy and litigation against glove manufacturing companies.

    PubMed

    Edlich, Richard F; Mason, Shelley S; Swainston, Erin; Dahlstrom, Jill J; Gubler, K; Long, William B

    2009-01-01

    It has been well documented in the medical literature that powdered medical gloves can have serious consequences to patients and health-care workers. Adverse reactions to natural latex gloves, such as contact dermatitis and urticaria, occupational asthma, and anaphylaxis, have been documented as a significant cause of Workers' Compensation claims among health-care workers. While the cost of examination and surgical gloves is significant, this factor must be considered with the total cost of Workers' Compensation claims and possible litigation bestowed upon hospitals and glove manufacturing companies. In the United States, Canada, Belgium, and Germany, medical leaders have documented the dangers of powdered latex gloves and have implemented transition programs that are reducing Workers' Compensation claims filed by health-care workers. While attorneys view litigation against powdered glove manufacturers as the "next big tort", the authors of this article were not able to document all compensation costs to disabled workers because many settlements do not allow the claimant to disclose this information.

  2. Etiology of work-related electrical injuries: a narrative analysis of workers' compensation claims.

    PubMed

    Lombardi, David A; Matz, Simon; Brennan, Melanye J; Smith, Gordon S; Courtney, Theodore K

    2009-10-01

    The purpose of this study was to provide new insight into the etiology of primarily nonfatal, work-related electrical injuries. We developed a multistage, case-selection algorithm to identify electrical-related injuries from workers' compensation claims and a customized coding taxonomy to identify pre-injury circumstances. Workers' compensation claims routinely collected over a 1-year period from a large U.S. insurance provider were used to identify electrical-related injuries using an algorithm that evaluated: coded injury cause information, nature of injury, "accident" description, and injury description narratives. Concurrently, a customized coding taxonomy for these narratives was developed to abstract the activity, source, initiating process, mechanism, vector, and voltage. Among the 586,567 reported claims during 2002, electrical-related injuries accounted for 1283 (0.22%) of nonfatal claims and 15 fatalities (1.2% of electrical). Most (72.3%) were male, average age of 36, working in services (33.4%), manufacturing (24.7%), retail trade (17.3%), and construction (7.2%). Body part(s) injured most often were the hands, fingers, or wrist (34.9%); multiple body parts/systems (25.0%); lower/upper arm; elbow; shoulder, and upper extremities (19.2%). The leading activities were conducting manual tasks (55.1%); working with machinery, appliances, or equipment; working with electrical wire; and operating powered or nonpowered hand tools. Primary injury sources were appliances and office equipment (24.4%); wires, cables/cords (18.0%); machines and other equipment (11.8%); fixtures, bulbs, and switches (10.4%); and lightning (4.3%). No vector was identified in 85% of cases. and the work process was initiated by others in less than 1% of cases. Injury narratives provide valuable information to overcome some of the limitations of precoded data, more specially for identifying additional injury cases and in supplementing traditional epidemiologic data for further

  3. Building a human rights framework for workers' compensation in the United States: opening the debate on first principles.

    PubMed

    Hilgert, Jeffrey A

    2012-06-01

    This article introduces the idea of human rights to the topic of workers' compensation in the United States. It discusses what constitutes a human rights approach and explains how this approach conflicts with those policy ideas that have provided the foundation historically for workers' compensation in the United States. Using legal and historical research, key international labor and human rights standards on employment injury benefits and influential writings in the development of the U.S. workers' compensation system are cited. Workers' injury and illness compensation in the United States does not conform to basic international human rights norms. A comprehensive review of the U.S. workers' compensation system under international human rights standards is needed. Examples of policy changes are highlighted that would begin the process of moving workers' compensation into conformity with human rights standards. Copyright © 2012 Wiley Periodicals, Inc.

  4. Development and evaluation of a Naïve Bayesian model for coding causation of workers' compensation claims.

    PubMed

    Bertke, S J; Meyers, A R; Wurzelbacher, S J; Bell, J; Lampl, M L; Robins, D

    2012-12-01

    Tracking and trending rates of injuries and illnesses classified as musculoskeletal disorders caused by ergonomic risk factors such as overexertion and repetitive motion (MSDs) and slips, trips, or falls (STFs) in different industry sectors is of high interest to many researchers. Unfortunately, identifying the cause of injuries and illnesses in large datasets such as workers' compensation systems often requires reading and coding the free form accident text narrative for potentially millions of records. To alleviate the need for manual coding, this paper describes and evaluates a computer auto-coding algorithm that demonstrated the ability to code millions of claims quickly and accurately by learning from a set of previously manually coded claims. The auto-coding program was able to code claims as a musculoskeletal disorders, STF or other with approximately 90% accuracy. The program developed and discussed in this paper provides an accurate and efficient method for identifying the causation of workers' compensation claims as a STF or MSD in a large database based on the unstructured text narrative and resulting injury diagnoses. The program coded thousands of claims in minutes. The method described in this paper can be used by researchers and practitioners to relieve the manual burden of reading and identifying the causation of claims as a STF or MSD. Furthermore, the method can be easily generalized to code/classify other unstructured text narratives. Published by Elsevier Ltd.

  5. Impact of the Spanish smoking law in smoker hospitality workers.

    PubMed

    Martínez-Sánchez, Jose M; Fernández, Esteve; Fu, Marcela; Pérez-Ríos, Mónica; López, María J; Ariza, Carles; Pascual, José A; Schiaffino, Anna; Pérez-Ortuño, Raúl; Saltó, Esteve; Nebot, Manel

    2009-09-01

    A smoke-free law went into effect in Spain on 1 January 2006, affecting all enclosed workplaces except hospitality venues, where only partial bans were implemented. The objective was to evaluate the impact of the law among hospitality workers who smoke. The study design is a before-and-after evaluation. We formed a cohort at baseline, during the 3 months before the law went into effect, with 431 hospitality workers (222 smokers). From them, 288 were successfully followed-up 12 months after the ban (118 were smokers at baseline). We analyzed the quit rate, the reduction in the number of cigarettes smoked per day, changes in the Fagerström Test for Nicotine Dependence (FTND) scores, and changes in salivary cotinine concentrations in smokers from baseline to 1 year after the ban. Among 118 smokers, six (5.1%) quit smoking. Among the 112 remaining smokers, the mean number of cigarettes smoked decreased by 8.9% after the ban (from 17.9 to 16.3 cigarettes/day, p < .01). The proportion of workers with a high nicotine dependence (FTND score >6) was reduced by half after the ban (19.5% vs. 9.7%, p = .03). Salivary cotinine decreased by 4.4% after the ban (geometric mean 104.3 vs. 99.7 ng/ml, p = .02). No meaningful differences were found in quit rates and the FTND scores according to type of regulation. The Spanish smoking law has had beneficial effects (reduction in number of cigarettes smoked, cotinine levels, and FTND score) among hospitality workers who smoke.

  6. Mental health and alcohol problems among Estonian cleanup workers 24 years after the Chernobyl accident.

    PubMed

    Laidra, Kaia; Rahu, Kaja; Tekkel, Mare; Aluoja, Anu; Leinsalu, Mall

    2015-11-01

    To study the long-term mental health consequences of the 1986 Chernobyl nuclear accident among cleanup workers from Estonia. In 2010, 614 Estonian Chernobyl cleanup workers and 706 geographically and age-matched population-based controls completed a mail survey that included self-rated health, the Posttraumatic Stress Disorder Checklist (PCL), alcohol symptoms (AUDIT), and scales measuring depressive, anxiety, agoraphobia, fatigue, insomnia, and somatization symptoms. Respondents were dichotomized into high (top quartile) and low symptom groups on each measure. Logistic regression analysis detected significant differences between cleanup workers and controls on all measures even after adjustment for ethnicity, education, marital status, and employment status. The strongest difference was found for somatization, with cleanup workers being three times more likely than controls to score in the top quartile (OR = 3.28, 95% CI 2.39-4.52), whereas for alcohol problems the difference was half as large (OR = 1.52, 95% CI 1.16-1.99). Among cleanup workers, arrival at Chernobyl in 1986 (vs. later) was associated with sleep problems, somatization, and symptoms of agoraphobia. The toll of cleanup work was evident 24 years after the Chernobyl accident among Estonian cleanup workers indicating the need for focused mental health interventions.

  7. Federal workers' compensation programs: Department of Defense and Veterans Health Administration experiences.

    PubMed

    Mallon, Timothy M; Grizzell, Tifani L; Hodgson, Michael J

    2015-03-01

    The objective of this article is to introduce the reader to this special supplement to the Journal of Occupational and Environmental Medicine regarding Federal Workers' Compensation Programs. The short history of both the VHA and DoD Federal Workers' Compensation Programs are provided and a short synopsis of each author's article is provided. The lessons learned from the articles in the supplement are summarized in this article and 6 key findings are highlighted. Cooperation between human resources workers' compensation personnel, safety and occupational health personnel is a must for successful management of the WC program. Information and data sharing are critical for root cause and injury prevention, case management, and cost containment efforts. Enhancing efforts in these areas will save an estimated $100 million through cost avoidance efforts.

  8. Impact of the combined use of benzodiazepines and opioids on workers' compensation claim cost.

    PubMed

    Lavin, Robert A; Tao, Xuguang Grant; Yuspeh, Larry; Bernacki, Edward J

    2014-09-01

    Study the use patterns and claim cost impact of prescription opioids and benzodiazepines in workers' compensation. A cohort of 11,394 lost time claims filed with the Louisiana Workers' Compensation Corporation from 1999 to 2002 was observed for 7 years post injuries. We found that benzodiazepines are almost always prescribed in combination with opioids. The odds ratios of benzodiazepines used alone, with short-acting opioids and with long-acting opioids for claims ≥$100,000, were 2.74, 4.69, and 14.24, respectively (after controlling for gender, low back pain, marital status, attorney involvement, and each other). Average benzodiazepine daily dose increased to year 3 postinjury and plateaued thereafter, whereas the average opioid dose escalated each year postinjury. The addition of benzodiazepines to an opioid treatment regimen significantly increases workers' compensation costs.

  9. A review of workers' compensation claims: the frequency of claim denial and medical treatment delay.

    PubMed

    Kelley, C R; Amparo, J M

    2000-01-01

    A retrospective chart review of 257 patients who presented between January to March 1998, was conducted to identify the frequency of workers' compensation claim denial among patients who reported to Straub Clinic and Hospital. Results showed that 12.8% of claims were either "denied" or temporarily "denied pending investigation". Analysis of all the claims found that only 2% resulted in delayed medical care. Further analysis of the denied claims revealed the vast majority of claims (78.8%) were denied because the medical provider and the patient had incorrect workers' compensation carrier information. Other independent variables studied (size of the employer, category of employer, injury type, status of case, length of case and number of visits) did not predict either denial of the claim or treatment delay. This study suggests that the efficiency of our State's Workers' Compensation system would be greatly improved by developing a system to provide medical care providers with accurate insurance information.

  10. Second workers' compensation claims: who is at risk? Analysis of WorkSafe Victoria, Australia compensation claims.

    PubMed

    Ruseckaite, Rasa; Clay, Fiona J; Collie, Alex

    2012-05-24

    To determine the risk factors associated with early repeat workers' compensation claims in Victoria, Australia and to compare our findings with those of a study on the Alberta's Workers' Compensation Board (WCB) in Canada. We reviewed and described 178,630 claims from 1996-2009. Both persons with single and persons with multiple claims were included. Survival analysis was used to determine the impact of socio-demographic factors on the time between claims. A total of 37% of persons with an initial claim lodged a second claim. A reduced time to a second claim was observed in younger males in the manufacturing industry. Earlier second claims were more common in workers exposed to mental stress, sound and pressure, or chemical and other substances. These findings are similar to those of WCB Alberta. There is a potential to reduce the socio-economic burden of workplace injury in both jurisdictions by enacting prevention programs targeted at workers with an increased risk of repeat claims.

  11. Impact of the number of painful stimuli on life satisfaction among Korean industrial accident workers completing convalescence: dual mediating effects of self-esteem and sleeping time

    PubMed Central

    CHOI, Wan-Suk; KIM, Bo-Kyung; KIM, Ki-Do; MOON, Ok-Kon; YEUM, Dong-Moon

    2016-01-01

    This study examined the impact of the number of painful stimuli on life satisfaction among workers who experienced an industrial accident and investigated how self-esteem and sleeping time affected life satisfaction. The Korea Workers’ Compensation & Welfare Service conducted the first nationwide panel survey on occupational health and safety insurance in 2013–2014 through a stratified systematic sampling on 2,000 industrial accident workers who completed convalescence. Based on the dataset, our study analyzed 1,832 workers experiencing an industrial accident after excluding 168 disease patients. For the research model analysis, a four-stage hierarchical regression analysis technique was applied using the SPSS regression analysis Macro program of PROCESS Procedure. To test mediated indirect effects of the self-esteem and sleeping time, the bootstrapping technique was applied. Life satisfaction, self-esteem and sleeping time decreased as the number of painful stimuli increased. Life satisfaction decreased as self-esteem and sleeping time decreased. On balance, the partial mediation model confirmed that self-esteem and sleeping time both mediate the impact of the number of painful stimuli on life satisfaction. PMID:27021061

  12. Workers' compensation, Social Security Disability Insurance, and the offset: a fact sheet.

    PubMed

    Reno, Virginia; Williams, Cecili Thompson; Sengupta, Ishita

    This article offers a brief summary of the workers' compensation and Social Security Disability Insurance programs. Information highlighted includes the differences between the two programs' types and terms of coverage. It compares the differing patterns in workers' compensation and Social Security disability benefits as a percentage of wages over the past few decades and considers the potential causes for such trends. The article also explains the offset provision included in the 1965 Social Security Amendments, the intention behind the offset, and how and when offsets are applied.

  13. Managed care in workers' compensation: analysis of cost drivers and vendor selection.

    PubMed

    Daiker, B

    1995-08-01

    1. Managed care for employee benefits provides a model of cost containment for workers' compensation; however, significant differences must be understood. 2. Purchasers of managed care services must perform an internal assessment to determine the cost drivers for workers' compensation. Managed care does not address all cost drivers. 3. A model for evaluating managed care vendors places them on a continuum of risk, similar to insurance risk, where a variety of cost containment strategies may be used together. 4. By reviewing seven key aspects of a managed care vendor, a purchaser can rate the vendor's ability to meet their needs.

  14. Review of Cytogenetic analysis of restoration workers for Fukushima Daiichi nuclear power station accident.

    PubMed

    Suto, Yumiko

    2016-09-01

    Japan faced with the nuclear accident of the Fukushima Daiichi Nuclear Power Station (NPS) caused by the combined disaster of the Great East Japan Earthquake and the subsequent tsunamis on 11 March 2011. National Institute of Radiological Sciences received all nuclear workers who were engaged in emergency response tasks at the NPS and suspected of being overexposed to acute radiation. Biological dosimetry by dicentric chromosome assay was helpful for medical triage and management of the workers. © World Health Organisation 2016. All rights reserved. The World Health Organization has granted Oxford University Press permission for the reproduction of this article.

  15. Risk of Occupational Accidents in Workers with Obstructive Sleep Apnea: Systematic Review and Meta-analysis

    PubMed Central

    Garbarino, Sergio; Guglielmi, Ottavia; Sanna, Antonio; Mancardi, Gian Luigi; Magnavita, Nicola

    2016-01-01

    Study Objectives: Obstructive sleep apnea (OSA) is the single most important preventable medical cause of excessive daytime sleepiness (EDS) and driving accidents. OSA may also adversely affect work performance through a decrease in productivity, and an increase in the injury rate. Nevertheless, no systematic review and meta-analysis of the relationship between OSA and work accidents has been performed thus far. Methods: PubMed, PsycInfo, Scopus, Web of Science, and Cochrane Library were searched. Out of an initial list of 1,099 papers, 10 studies (12,553 participants) were eligible for our review, and 7 of them were included in the meta-analysis. The overall effects were measured by odds ratios (OR) and 95% confidence intervals (CI). An assessment was made of the methodological quality of the studies. Moderator analysis and funnel plot analysis were used to explore the sources of between-study heterogeneity. Results: Compared to controls, the odds of work accident was found to be nearly double in workers with OSA (OR = 2.18; 95% CI = 1.53–3.10). Occupational driving was associated with a higher effect size. Conclusions: OSA is an underdiagnosed nonoccupational disease that has a strong adverse effect on work accidents. The nearly twofold increased odds of work accidents in subjects with OSA calls for workplace screening in selected safety-sensitive occupations. Commentary: A commentary on this article appears in this issue on page 1171. Citation: Garbarino S, Guglielmi O, Sanna A, Mancardi GL, Magnavita N. Risk of occupational accidents in workers with obstructive sleep apnea: systematic review and meta-analysis. SLEEP 2016;39(6):1211–1218. PMID:26951401

  16. "Carve-Outs" from the Workers' Compensation System

    ERIC Educational Resources Information Center

    Levine, David I.; Neuhauser, Frank; Petersen, Jeffrey S.

    2002-01-01

    Decentralized regulation has become increasingly important in many areas; examples range from school vouchers to workplace safety committees to alternative dispute resolution procedures replacing courts. Consistent with this trend, in 1993 California permitted construction unions and employers to "carve out" their own workers'…

  17. "Carve-Outs" from the Workers' Compensation System

    ERIC Educational Resources Information Center

    Levine, David I.; Neuhauser, Frank; Petersen, Jeffrey S.

    2002-01-01

    Decentralized regulation has become increasingly important in many areas; examples range from school vouchers to workplace safety committees to alternative dispute resolution procedures replacing courts. Consistent with this trend, in 1993 California permitted construction unions and employers to "carve out" their own workers'…

  18. A system of safety management practices and worker engagement for reducing and preventing accidents: an empirical and theoretical investigation.

    PubMed

    Wachter, Jan K; Yorio, Patrick L

    2014-07-01

    The overall research objective was to theoretically and empirically develop the ideas around a system of safety management practices (ten practices were elaborated), to test their relationship with objective safety statistics (such as accident rates), and to explore how these practices work to achieve positive safety results (accident prevention) through worker engagement. Data were collected using safety manager, supervisor and employee surveys designed to assess and link safety management system practices, employee perceptions resulting from existing practices, and safety performance outcomes. Results indicate the following: there is a significant negative relationship between the presence of ten individual safety management practices, as well as the composite of these practices, with accident rates; there is a significant negative relationship between the level of safety-focused worker emotional and cognitive engagement with accident rates; safety management systems and worker engagement levels can be used individually to predict accident rates; safety management systems can be used to predict worker engagement levels; and worker engagement levels act as mediators between the safety management system and safety performance outcomes (such as accident rates). Even though the presence of safety management system practices is linked with incident reduction and may represent a necessary first-step in accident prevention, safety performance may also depend on mediation by safety-focused cognitive and emotional engagement by workers. Thus, when organizations invest in a safety management system approach to reducing/preventing accidents and improving safety performance, they should also be concerned about winning over the minds and hearts of their workers through human performance-based safety management systems designed to promote and enhance worker engagement. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

  19. 48 CFR 728.305-70 - Overseas worker's compensation and war-hazard insurance-waivers and USAID insurance coverage.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Overseas worker's compensation and war-hazard insurance-waivers and USAID insurance coverage. 728.305-70 Section 728.305-70... REQUIREMENTS BONDS AND INSURANCE Insurance 728.305-70 Overseas worker's compensation and war-hazard...

  20. 48 CFR 728.305-70 - Overseas worker's compensation and war-hazard insurance-waivers and USAID insurance coverage.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Overseas worker's compensation and war-hazard insurance-waivers and USAID insurance coverage. 728.305-70 Section 728.305-70... REQUIREMENTS BONDS AND INSURANCE Insurance 728.305-70 Overseas worker's compensation and war-hazard...

  1. 20 CFR 601.2 - Approval of State unemployment compensation laws.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... laws. 601.2 Section 601.2 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF... Employment and Training Administration (ETA), one copy of the State unemployment compensation law properly... Office of Management and Budget under control number 1205-0222) ...

  2. The mortality experience of workers exposed to tetrachlorodibenzodioxin in a trichlorophenol process accident.

    PubMed

    Zack, J A; Suskind, R R

    1980-01-01

    A standardized mortality analysis was conducted on workers exposed to tetrachlorodibenzodioxin in a trichlorophenol process accident at the Monsanto Company plant in Nitro, West Virginia. One hundred and twenty-one workers who developed chloracne resulting from this accident on March 8, 1949, were selected for study. Follow-up of this group was 100% complete. The standardized mortality ratio for all causes of death was shown to be 0.69, with 32 deaths observed and 46.41 expected. For the categories of malignant neoplasms and circulatory diseases, the standardized mortality ratios were 1.00 and 0.68, respectively. Because of the small size of the cohort and the relatively small number of deaths observed, the results of this study cannot be considered conclusive. However, it is important that no apparent excess in total mortality or in deaths from malignant neoplasms or diseases of the circulatory system was observed in a group of workers with a high peak exposure to tetrachlorodibenzodioxin who were followed over a period of nearly 30 years. The results of this study will be incorporated with those of a larger study which will include plant workers exposed in the course of 2,4,5-trichlorophenoxyacetic acid production during the period 1948 to 1969.

  3. Thyroid examination in highly radiation-exposed workers after the Chernobyl accident.

    PubMed

    Boehm, Bernhard O; Steinert, Marianna; Dietrich, Johannes W; Peter, Ralf U; Belyi, David; Wagemaker, Gerald; Rosinger, Silke; Fliedner, Theodor M; Weiss, Melanie

    2009-04-01

    Radioactive contamination from the Chernobyl nuclear accident that happened on the morning of 26th April 1986 had a major impact on thyroid health in the Belarus region. Observational study of a cohort of 99 adults, most strongly exposed to ionizing radioactivity. Observational study performed between 1998 and 2000. The cohort comprised 99 workers (92 male) of the Chernobyl nuclear power plant. Examination including physical examination, ultrasonography of the thyroid gland and measurement of serum free thyroxin (fT(4)), free triiodothyronine (fT(3)) and TSH. Anti-thyroperoxidase (anti-TPO), antithyroglobulin (anti-Tg) antibodies and thyroid stimulating immunoglobulin were also determined. The impact of exposure to high-dose radiation, including radioactive iodine, on the thyroid gland was examined. Levels of fT(4) in all probands were within the normal World Health Organization-defined range. Elevated levels of fT(3) were found in two workers (2%), high titres of anti-TPO and anti-Tg antibodies were present in four subjects (4%). Mild hypothyroidism was present in one patient. Enlargement of the thyroid gland was observed in 17 workers (17%). There was no evidence of clinically overt thyroid cancer. The Chernobyl accident showed surprisingly little impact on the thyroid in a cohort of workers strongly exposed to radiation. Our data suggest an age-dependent heterogeneity in response to the short-lived radioiodine isotopes and favours long-term follow-up analysis.

  4. The Effect of Workers' Compensation Status on Outcomes of Cervical Disc Arthroplasty: A Prospective, Comparative, Observational Study.

    PubMed

    Gornet, Matthew F; Schranck, Francine W; Copay, Anne G; Kopjar, Branko

    2016-01-20

    Receiving Workers' Compensation benefits has been associated with inferior outcomes after lumbar fusion. The purpose of our study was to compare the outcomes of cervical disc arthroplasty between patients receiving and those not receiving Workers' Compensation. Patient-reported outcomes, reoperations, complications, and return-to-work status were analyzed at one year after surgery in an observational cohort of consecutive patients who underwent single-level or multilevel cervical disc arthroplasty for symptomatic cervical disc conditions, including radiculopathy or discogenic pain with or without radiculopathy, exclusive of myelopathy. Of the 189 patients who underwent cervical disc arthroplasty, 144 received Workers' Compensation and forty-five did not. The mean scores on all patient-reported measures improved significantly from preoperative baseline to one year after surgery (p < 0.001), and the improvement in patient-reported outcomes did not differ significantly between the Workers' Compensation and the non-Workers' Compensation group (respectively, 22.7 compared with 25.0 for the Neck Disability Index; 8.3 compared with 9.6 for the Short Form (SF)-36 physical component summary; 7.9 compared with 9.6 for the SF-36 mental component summary; 3.5 compared with 3.7 for neck pain; and 2.6 compared with 2.8 for arm pain). The two groups also did not differ significantly in the rate of reoperations (7.6% for those receiving Workers' Compensation compared with 13.3% for those not receiving Workers' Compensation) and complications (2.8% compared with 4.4%, respectively). At one year after surgery, the proportion of patients who had returned to work was comparable (77.7% in the Workers' Compensation group and 79.4% in the non-Workers' Compensation group); however, the patients receiving Workers' Compensation had significantly more days off before returning to work (a mean of 145.2 compared with 61.9 days; p = 0.001). After cervical disc arthroplasty, patients receiving

  5. 20 CFR 726.6 - The Office of Workers' Compensation Programs.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false The Office of Workers' Compensation Programs. 726.6 Section 726.6 Employees' Benefits EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG BENEFITS; REQUIREMENTS FOR...

  6. The Dark Side of Workers' Compensation: Burdens and Benefits in Occupational Disease Coverage.

    ERIC Educational Resources Information Center

    Robblee, Richard

    1978-01-01

    The imposition of legal proof requirements to detect occupational disease and the burden that this places on compensation claimants and the medical profession are examined, along with various court decisions, present legislation, and revision proposals to improve disease diagnosis and the legal treatment of occupationally disabled workers. (MF)

  7. 48 CFR 752.228-3 - Worker's compensation insurance (Defense Base Act).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... insurance (Defense Base Act). 752.228-3 Section 752.228-3 Federal Acquisition Regulations System AGENCY FOR... Clauses 752.228-3 Worker's compensation insurance (Defense Base Act). As prescribed in 728.309, the... contracting officer. (a) The Contractor agrees to procure Defense Base Act (DBA) insurance pursuant to the...

  8. 48 CFR 752.228-3 - Worker's compensation insurance (Defense Base Act).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... insurance (Defense Base Act). 752.228-3 Section 752.228-3 Federal Acquisition Regulations System AGENCY FOR... Clauses 752.228-3 Worker's compensation insurance (Defense Base Act). As prescribed in 728.309, the... contracting officer. (a) The Contractor agrees to procure Defense Base Act (DBA) insurance pursuant to...

  9. 48 CFR 752.228-3 - Worker's compensation insurance (Defense Base Act).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... insurance (Defense Base Act). 752.228-3 Section 752.228-3 Federal Acquisition Regulations System AGENCY FOR... Clauses 752.228-3 Worker's compensation insurance (Defense Base Act). As prescribed in 728.309, the... contracting officer. (a) The Contractor agrees to procure Defense Base Act (DBA) insurance pursuant to...

  10. 48 CFR 752.228-3 - Worker's compensation insurance (Defense Base Act).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... insurance (Defense Base Act). 752.228-3 Section 752.228-3 Federal Acquisition Regulations System AGENCY FOR... Clauses 752.228-3 Worker's compensation insurance (Defense Base Act). As prescribed in 728.309, the... contracting officer. (a) The Contractor agrees to procure Defense Base Act (DBA) insurance pursuant to...

  11. 48 CFR 752.228-3 - Worker's compensation insurance (Defense Base Act).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... insurance (Defense Base Act). 752.228-3 Section 752.228-3 Federal Acquisition Regulations System AGENCY FOR... Clauses 752.228-3 Worker's compensation insurance (Defense Base Act). As prescribed in 728.309, the... contracting officer. (a) The Contractor agrees to procure Defense Base Act (DBA) insurance pursuant to...

  12. Weight gain and work comp: A growing problem in the workers' compensation rehabilitation system.

    PubMed

    Betters, Chad J

    2010-01-01

    Obesity has become a major public health concern in the United States, and has ultimately affected occupational health, including Workers' Compensation. Obesity has been determined to contribute to work-related injury. This analysis examined weight change post-injury during the Workers' compensation rehabilitation process, and specifically how it relates to perceived mental health need, perceived dietary habits, food stamp usage, and the amount of time since the work injury. Archival data analysis was conducted examining Workers' Compensation claimants over a four year period. Data was collected from 1,864 valid Workers' Compensation claims and analyzed using descriptive statistics and a backwards elimination multiple regression analysis to examine predictive relationships between the variables of interest. Approximately 2/3 of the sample reported weight gain post-injury, with the additional 1/3 reporting weight loss or no change. Both perceived benefit from mental health services and perceived healthy dietary habits were significantly predictive of weight gain. Clinical psychological distress, such as depression and anxiety, may be contributory factors to weight gain, and poor perceptions in food quality and caloric estimations may also relate to this problem. Suggestions for future research, including intervention studies, are also included.

  13. Safety Is 99 Percent Attitude: Strategies to Contain Workers' Compensation Costs.

    ERIC Educational Resources Information Center

    Parnell, Janet

    1993-01-01

    The University of Denver (Colorado) reduced workers' compensation losses 97 percent in 1990-91 by developing a master safety plan, sponsoring safety training, managing medical costs, providing modified duty for injured employees, screening applicants, orienting new employees, investigating claims thoroughly, performing life-safety audits, and…

  14. Safety Is 99 Percent Attitude: Strategies to Contain Workers' Compensation Costs.

    ERIC Educational Resources Information Center

    Parnell, Janet

    1993-01-01

    The University of Denver (Colorado) reduced workers' compensation losses 97 percent in 1990-91 by developing a master safety plan, sponsoring safety training, managing medical costs, providing modified duty for injured employees, screening applicants, orienting new employees, investigating claims thoroughly, performing life-safety audits, and…

  15. Somatization and Malingering for Workers' Compensation Applicants: A Cross-Cultural MMPI Study.

    ERIC Educational Resources Information Center

    DuAlba, Les; Scott, Ronald L.

    1993-01-01

    Conducted post hoc analysis of 60 Hispanics and 60 Caucasians who had filed under workers' compensation to examine cross-cultural differences of somatization and malingering as assessed by Minnesota Multiphasic Personality Inventory. Significant differences were found for somatization; Hispanics were more likely to somatize. Minimal differences…

  16. Fish harvesters with injuries' accounts of their experiences with the workers' compensation system.

    PubMed

    Murray, Michael

    2007-01-01

    The workers' compensation system was established to provide fair access to compensation for workers who have experienced occupational injury and can no longer work. It was expected that such a system would reduce individual legal claims. Evidence indicates that many injured workers proceed with a variety of appeals indicating dissatisfaction with the current system. The fishing industry is extremely dangerous. The aim of this research was to explore the experience of injured fish harvesters who were making use of a compensation system. Interviews were held with a sample of injured in-shore and deep-sea fish harvesters. In general, they identified themselves strongly as hard-working people who did not deserve their injury. They also reported substantial frustration with the staff of the compensation system who they believed treated them with suspicion and disrespect. The deep-sea fish harvesters were more concerned with the amount of compensation. This dissatisfaction with the system contributed to the fish harvesters' use of the appeals procedure. The fish harvesters' complaints are discussed with reference to the concepts of distributive and procedural justice.

  17. Workplace violence in Oregon: an analysis using workers' compensation claims from 1990-1997.

    PubMed

    McCall, Brian P; Horwitz, Irwin B

    2004-04-01

    One of the most serious occupational problems in the workplace is the occurrence of violent assaults. This study examined 2028 workers' compensation claims of workplace violence from Oregon between 1990 and 1997, and used Current Population Survey data for risk analysis. The rate of workplace violence was 1.86 per 10,000 employees annually (95% confidence interval, 1.78-1.94), with females and workers under 35 years of age experiencing the most violence. The average claim resulted in approximately 40 days of indemnity and $6200 in costs. Workers on evening and night shifts had significantly higher rates of being victims of violence, as did those working on weekends. Preventative interventions should be targeted at younger workers and those with less tenure. Special measures should be focused on ensuring the safety of evening/night-shift workers and weekend employees.

  18. Association between outdoor ozone and compensated acute respiratory diseases among workers in Quebec (Canada)

    PubMed Central

    ADAM-POUPART, Ariane; LABRÈCHE, France; BUSQUE, Marc-Antoine; BRAND, Allan; DUGUAY, Patrice; FOURNIER, Michel; ZAYED, Joseph; SMARGIASSI, Audrey

    2015-01-01

    Respiratory effects of ozone in the workplace have not been extensively studied. Our aim was to explore the relationship between daily average ozone levels and compensated acute respiratory problems among workers in Quebec between 2003 and 2010 using a time-stratified case-crossover design. Health data came from the Workers’ Compensation Board. Daily concentrations of ozone were estimated using a spatiotemporal model. Conditional logistic regressions, with and without adjustment for temperature, were used to estimate odds ratios (ORs, per 1 ppb increase of ozone), and lag effects were assessed. Relationships with respiratory compensations in all industrial sectors were essentially null. Positive non-statistically significant associations were observed for outdoor sectors, and decreased after controlling for temperature (ORs of 0.98; 1.01 and 1.05 at Lags 0, 1 and 2 respectively). Considering the predicted increase of air pollutant concentrations in the context of climate change, closer investigation should be carried out on outdoor workers. PMID:25736778

  19. Service quality assessment of workers compensation health care delivery programs in New York using SERVQUAL.

    PubMed

    Arunasalam, Mark; Paulson, Albert; Wallace, William

    2003-01-01

    Preferred provider organizations (PPOs) provide healthcare services to an expanding proportion of the U.S. population. This paper presents a programmatic assessment of service quality in the workers' compensation environment using two different models: the PPO program model and the fee-for-service (FFS) payor model. The methodology used here will augment currently available research in workers' compensation, which has been lacking in measuring service quality determinants and assessing programmatic success/failure of managed care type programs. Results indicated that the SERVQUAL tool provided a reliable and valid clinical quality assessment tool that ascertained that PPO marketers should focus on promoting physician outreach (to show empathy) and accessibility (to show reliability) for injured workers.

  20. [Medical certificates in occupational accidents, in common law and social affairs].

    PubMed

    El Banna, S; Van de Vyvere, A; Beauthier, J-P

    2013-09-01

    Physicians are asked to complete certificates within their profession. These certificates relate to various aspects of an individual's life, from birth to the end of life. The nature of requests is striking by its diversity. As a first step, the authors recall the outline of a certificate and its structure, as well as traps, hazards and risks to avoid. In a second step they describe three specific situations for the certificate: in the context of work accidents, common law accidents and social matters. All materials can not be treated in this space, so they refer the reader to the main bibliographic sources useful in this matter.

  1. Occupational Contact Dermatitis: Workers' Compensation Patch Test Results of Portland, Oregon, 2005-2014.

    PubMed

    Coman, Garrett; Zinsmeister, Chris; Norris, Patricia

    2015-01-01

    Workers are exposed to potential irritants and allergens with constant introduction of new industrial chemicals in the workplace. Characterize the final diagnoses, demographics, occupations, exposures, clinical presentations, patch test results, dermatologic histories, and risk factors of workers evaluated for suspected work-related allergic contact dermatitis (ACD). A retrospective chart review of 310 workers' compensation independent medical examinations evaluated for suspected work-related ACD was performed. Workers were seen in a community dermatology clinic in Portland, Oregon, from 2005 to 2014. Evaluation included history, physical examination, patch testing, and further diagnostic workup when indicated. Hand dermatitis was the most common presentation (n = 148, 47.7%). Prevalent occupations included health care workers (n = 51, 16.5%), custodial staff (n = 41, 13.2%), and machinists (n = 36, 11.6%). Allergic contact dermatitis (47.5%) was more common than irritant contact dermatitis (ICD) (38.9%) in those diagnosed as having occupational skin disease (n = 185). The highest-frequency work-related allergens were thiuram mix (21 of 88, 23.9%), carba mix (20 of 88, 22.7%), potassium dichromate (9 of 88, 10.2%), and epoxy resin (9 of 88, 10.2%). Allergic contact dermatitis and ICD are common occupational skin disorders. In this population of workers' compensation referrals, ACD was more common, with 73.3% of those cases work related, compared with 86.7% of ICD. Blue collar work and wet work were risk factors for the development of ACD and ICD.

  2. Characterization of exposures to workers covered under the U.S. Energy Employees Compensation Act.

    PubMed

    Neton, James W

    2014-02-01

    Since the mid-1940s, hundreds of thousands of workers have been engaged in nuclear weapons-related activities for the U.S. Department of Energy (DOE) and its predecessor agencies. In 2000, Congress promulgated the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA), which provides monetary compensation and medical benefits to certain energy employees who have developed cancer. Under Part B of EEOICPA, the National Institute for Occupational Safety and Health (NIOSH) is required to estimate radiation doses for those workers who have filed a claim, or whose survivors have filed a claim, under Part B of the Act. To date, over 39,000 dose reconstructions have been completed for workers from more than 200 facilities. These reconstructions have included assessment of both internal and external exposure at all major DOE facilities, as well as at a large number of private companies [known as Atomic Weapons Employer (AWE) facilities in the Act] that engaged in contract work for the DOE and its predecessor agencies. To complete these dose reconstructions, NIOSH has captured and reviewed thousands of historical documents related to site operations and worker/workplace monitoring practices at these facilities. Using the data collected and reviewed pursuant to NIOSH's role under EEOICPA, this presentation will characterize historical internal and external exposures received by workers at DOE and AWE facilities. To the extent possible, use will be made of facility specific coworker models to highlight changes in exposure patterns over time. In addition, the effects that these exposures have on compensation rates for workers are discussed.Introduction of Characterization of Exposures to Workers (Video 1:59, http://links.lww.com/HP/A3).

  3. The three essentials for accident prevention.

    PubMed

    Eastman, Crystal

    2014-11-01

    This article was written by Crystal Eastman when she was Secretary of the New York Commission on Employers' Liability and Causes of Industrial Accidents, Unemployment, and Lack of Farm Labor. It was published in July of 1911, in Volume 38, Number 1 of the Annals of the American Academy of Political and Social Science, pages 98-107. The issue title was "Risks in Modern Industry." Eastman calls for the prevention of workplace accidents through three essentials: injury surveillance/reporting (with annual public reporting of the data); government enforcement of accident prevention laws, via departments with well-paid and well-trained officials and inspectors, fines that are high enough to be a deterrence to employers, and the power to have police shut down a factory if preventive measures are not installed; and a workers' compensation system-"a system of liability by which an employer can reduce his accident costs, not by hiring a more unscrupulous attorney and a more hard-hearted claim agent, but only by reducing his accidents."

  4. Hazard Prevention Regarding Occupational Accidents Involving Blue-Collar Foreign Workers: A Perspective of Taiwanese Manpower Agencies.

    PubMed

    Chang, Huan-Cheng; Wang, Mei-Chin; Liao, Hung-Chang; Cheng, Shu-Fang; Wang, Ya-Huei

    2016-07-13

    Since 1989, blue-collar foreign workers have been permitted to work in Taiwanese industries. Most blue-collar foreign workers apply for jobs in Taiwan through blue-collar foreign workers' agencies. Because blue-collar foreign workers are not familiar with the language and culture in Taiwan, in occupational accident education and hazard prevention, the agencies play an important role in the coordination and translation between employees and blue-collar foreign workers. The purpose of this study is to establish the agencies' role in the occupational accidents education and hazard prevention for blue-collar foreign workers in Taiwan. This study uses a qualitative method-grounded theory-to collect, code, and analyze the data in order to understand the agencies' role in occupational accident education and hazard prevention for blue-collar foreign workers in Taiwan. The results show that the duty of agencies in occupational accident education and hazard prevention includes selecting appropriate blue-collar foreign workers, communicating between employees and blue-collar foreign workers, collecting occupational safety and health information, assisting in the training of occupational safety and health, and helping blue-collar foreign workers adapt to their lives in Taiwan. Finally, this study suggests seven important points and discusses the implementation process necessary to improve governmental policies. The government and employees should pay attention to the education/training of occupational safety and health for blue-collar foreign workers to eliminate unsafe behavior in order to protect the lives of blue-collar foreign workers.

  5. 42 CFR 411.35 - Limitations on charges to a beneficiary or other party when a workers' compensation plan, a no...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... party when a workers' compensation plan, a no-fault insurer, or an employer group health plan is primary... beneficiary or other party when a workers' compensation plan, a no-fault insurer, or an employer group health... when a workers' compensation plan, a no-fault insurer or an employer group health plan is primary...

  6. 42 CFR 411.35 - Limitations on charges to a beneficiary or other party when a workers' compensation plan, a no...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... party when a workers' compensation plan, a no-fault insurer, or an employer group health plan is primary... beneficiary or other party when a workers' compensation plan, a no-fault insurer, or an employer group health... when a workers' compensation plan, a no-fault insurer or an employer group health plan is primary...

  7. 42 CFR 411.35 - Limitations on charges to a beneficiary or other party when a workers' compensation plan, a no...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... party when a workers' compensation plan, a no-fault insurer, or an employer group health plan is primary... beneficiary or other party when a workers' compensation plan, a no-fault insurer, or an employer group health... when a workers' compensation plan, a no-fault insurer or an employer group health plan is primary...

  8. Occupational injuries to Oregon workers 24 years and younger: An analysis of workers' compensation claims, 2000-2007.

    PubMed

    Walters, Jaime K; Christensen, Kari A; Green, Mandy K; Karam, Lauren E; Kincl, Laurel D

    2010-10-01

    Occupational injuries to adolescents and young adults are a known public health problem. We sought to describe and estimate rates of occupational injuries to workers younger than 25 years of age in Oregon during an 8-year period. Oregon workers' compensation disabling claims data (n = 23,325) and one commercial insurance carrier's non-disabling claims data (n = 16,153) were analyzed. Total employment from the Local Employment Dynamics of the U.S. Census Bureau and the Oregon Labor Market Information System was used as a denominator for rates. Injuries were more frequent among 22-24 year olds and among males, though females accounted for a higher proportion of claims in the youngest age group. The most common injury type was a sprain or strain, but lacerations and burns were more frequently reported in the 14-18 year olds. When non-disabling claims were included, the rate of injury for 14-18 year olds doubled. The overall rate of injury was 122.7/10,000 workers, but was higher in the construction, manufacturing, and transportation sectors, and in the agriculture, forestry, fishing, and hunting sector for older teens and young adults. Young workers continue to be at risk for occupational injuries. Our results show that specific interventions may be needed for older teen and young adult workers to reduce their rate of injury. © 2010 Wiley-Liss, Inc.

  9. Workers' Compensation and Collegiate Athletes: The Debate over the Pay for Play Model: A Counterpoint.

    ERIC Educational Resources Information Center

    Mondello, Michael J.; Beckham, Joseph

    2002-01-01

    Counterpoint argument to article in the October 2001 issue of the "Journal of Law & Education" wherein Christopher Haden argued that college athletes with athletic scholarships should receive additional compensation of $100 per month. Provides judicial, legislative, and regulatory evidence to back argument against pay-for-play model…

  10. Workers' Compensation and Collegiate Athletes: The Debate over the Pay for Play Model: A Counterpoint.

    ERIC Educational Resources Information Center

    Mondello, Michael J.; Beckham, Joseph

    2002-01-01

    Counterpoint argument to article in the October 2001 issue of the "Journal of Law & Education" wherein Christopher Haden argued that college athletes with athletic scholarships should receive additional compensation of $100 per month. Provides judicial, legislative, and regulatory evidence to back argument against pay-for-play model…

  11. Patient handling and musculoskeletal disorders among hospital workers: analysis of 7 years of institutional workers' compensation claims data.

    PubMed

    Kim, Hyun; Dropkin, Jonathan; Spaeth, Kenneth; Smith, Francine; Moline, Jacqueline

    2012-08-01

    Musculoskeletal disorders (MSDs) are the most common occupational injuries and illnesses among hospital workers in the United States. To date, there is little in the literature examining the principal effect of patient handling on MSDs. The primary objective of this study was to investigate and confirm the principal effect of patient handling on hospital worker MSDs. Workers' Compensation (WC) claims related to MSDs filed during 2003-2009 by employees in a large US healthcare system were classified using ICD-9. Patient handling, demographic, work, and injury characteristics were obtained. Two multivariable Poisson regression models were compared to evaluate association between risk factors and MSDs. One model contained all risk factors, excluding patient handling; the other model included patient handling. Among 3,452 claims from 24,824 FTEs, 76% were MSDs. About half of the MSDs involved patient handling. In the regression model without patient handling, EMS workers, women, 50-59 years of age, union members, evening shift workers, and fulltime workers showed associations with MSDs. However, all the observed associations disappeared when patient handling was included in the second regression model; patient handling was the only factor showing an association with MSDs, although the effect was not strong (RR = 1.2, 95% CI = 1.2-1.3). All the observed associations of risk factors disappeared and were further away from patient handling on the causal pathway to MSDs. Patient handling involves numerous work elements and dynamic physical activities. Understanding the work elements of patient handling and conducting interventions based on specific patient handling tasks can substantially reduce MSDs among hospital workers. Copyright © 2012 Wiley Periodicals, Inc.

  12. CHARACTERIZATION OF EXPOSURES TO WORKERS COVERED UNDER THE U.S. ENERGY EMPLOYEES COMPENSATION ACT

    PubMed Central

    Neton, James W.

    2015-01-01

    Since the mid-1940s, hundreds of thousands of workers have been engaged in nuclear weapons-related activities for the U.S. Department of Energy (DOE) and its predecessor agencies. In 2000, Congress promulgated the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA), which provides monetary compensation and medical benefits to certain energy employees who have developed cancer. Under Part B of EEOICPA, the National Institute for Occupational Safety and Health (NIOSH) is required to estimate radiation doses for those workers who have filed a claim, or whose survivors have filed a claim, under Part B of the Act. To date, over 39,000 dose reconstructions have been completed for workers from more than 200 facilities. These reconstructions have included assessment of both internal and external exposure at all major DOE facilities, as well as at a large number of private companies [known as Atomic Weapons Employer (AWE) facilities in the Act] that engaged in contract work for the DOE and its predecessor agencies. To complete these dose reconstructions, NIOSH has captured and reviewed thousands of historical documents related to site operations and worker/workplace monitoring practices at these facilities. Using the data collected and reviewed pursuant to NIOSH’s role under EEOICPA, this presentation will characterize historical internal and external exposures received by workers at DOE and AWE facilities. To the extent possible, use will be made of facility specific coworker models to highlight changes in exposure patterns over time. In addition, the effects that these exposures have on compensation rates for workers are discussed. PMID:24378500

  13. Hazard Prevention Regarding Occupational Accidents Involving Blue-Collar Foreign Workers: A Perspective of Taiwanese Manpower Agencies

    PubMed Central

    Chang, Huan-Cheng; Wang, Mei-Chin; Liao, Hung-Chang; Cheng, Shu-Fang; Wang, Ya-huei

    2016-01-01

    Since 1989, blue-collar foreign workers have been permitted to work in Taiwanese industries. Most blue-collar foreign workers apply for jobs in Taiwan through blue-collar foreign workers’ agencies. Because blue-collar foreign workers are not familiar with the language and culture in Taiwan, in occupational accident education and hazard prevention, the agencies play an important role in the coordination and translation between employees and blue-collar foreign workers. The purpose of this study is to establish the agencies’ role in the occupational accidents education and hazard prevention for blue-collar foreign workers in Taiwan. This study uses a qualitative method—grounded theory—to collect, code, and analyze the data in order to understand the agencies’ role in occupational accident education and hazard prevention for blue-collar foreign workers in Taiwan. The results show that the duty of agencies in occupational accident education and hazard prevention includes selecting appropriate blue-collar foreign workers, communicating between employees and blue-collar foreign workers, collecting occupational safety and health information, assisting in the training of occupational safety and health, and helping blue-collar foreign workers adapt to their lives in Taiwan. Finally, this study suggests seven important points and discusses the implementation process necessary to improve governmental policies. The government and employees should pay attention to the education/training of occupational safety and health for blue-collar foreign workers to eliminate unsafe behavior in order to protect the lives of blue-collar foreign workers. PMID:27420085

  14. [Return to work after occupational accidents and occupational diseases].

    PubMed

    Mehrhoff, F

    1997-05-01

    The key formula "by all suitable means" is a structural support for successful occupational reintegration. In this respect, the special system of accident insurance administered primarily through the "Berufsgenossenschaften" (BG), differs from the other branches of social security. This system's roots in civil law do not allow any comparison with the principle of public law insurance underlying the other branches of social security in Germany. Under the statutory accident insurance scheme, the employer, i.e., the liable party within the employment relationship, has to compensate any health damage incurred by an employee, subject to the principles of compensation for damages under civil law, in a manner enabling the employee to return to his position in worklife and in society as unscathed as possible. From this general mandate by the legislator, the social partners involved within the self-management of the BGs draw their strength and their dynamics in arranging for organizational methods within the-administrative offices and in cooperation with the health care providers. This control of rehabilitation, i.e., the accident insurance system's share of the responsibility for successful rehabilitation, contributes a great deal to reentergrating insured persons into work and career, returns valuable workers to the employers, thus having a favourable effect for the gross national product of a society, and last but not least provides a support for the social state.

  15. Why change. A look at the current system of disability determination and workers' compensation for occupational lung disease

    SciTech Connect

    Richman, S.I.

    1982-12-01

    Under the current system of disability determination and workers' compensation for occupational lung disease, disabled workers or their survivors can reasonably count on being compensated. However, by rejecting established scientific truth in order to pay workers' compensation in circumstances where disability or death had not been due to occupation, the system has operated unfairly and has undermined public confidence and respect. To gain more scientific integrity and fairness, the system should be changed to provide for adjudication by scientifically informed disability boards. The adversary system sould be retained, however, as needed protection against bias, quackery, and mendacity.

  16. The association between attributions of responsibility for motor vehicle accidents and patient satisfaction: a study within a no-fault injury compensation system.

    PubMed

    Thompson, Jason; Berk, Michael; O'Donnell, Meaghan; Stafford, Lesley; Nordfjaern, Trond

    2015-05-01

    This study set out to test the relationship between attributions of responsibility for motor vehicle accidents and satisfaction with personal injury compensation systems. The study analysed survey data from 1394 people injured in a motor vehicle accident who were compensated under a no-fault personal injury compensation system. Patients' ratings of satisfaction with the compensation system across five domains (resolves your issues, keeps you up-to-date, treats you as an individual, cares about you, and overall satisfaction) were analysed alongside patient attributions of responsibility for their accident (not responsible, partly responsible, totally responsible). Postaccident physical and mental health status, age, gender, and duration of compensation claim were controlled for in the analysis. A multivariate analysis of covariance indicated attributions of responsibility for accidents were significantly associated with levels of patient satisfaction across all five domains under study (F (10, 2084) = 3.7, p<0.001, η(2)  =0.02). Despite access to virtually indistinguishable services, patients who attributed responsibility for their accidents to others were significantly less satisfied with the injury compensation system than those who attributed responsibility to themselves. Satisfaction with no-fault motor vehicle injury compensation services are associated with patients' attributions of responsibility for their accident. Compensation systems and other rehabilitation services monitoring patient satisfaction should adjust for attributions of responsibility when assessing levels of patient satisfaction between time periods, services, or injured populations. Differences in levels of patient satisfaction observed between compensation or rehabilitation populations may reflect differences in attributions of responsibility for accidents rather than objective service quality. © The Author(s) 2014.

  17. 20 CFR 410.219 - Filing a claim under State workmen's compensation law; when filing such claim shall be considered...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK... matter of law in a denial of his claim for compensation under such law. (c) To be considered to...

  18. 20 CFR 410.219 - Filing a claim under State workmen's compensation law; when filing such claim shall be considered...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK... matter of law in a denial of his claim for compensation under such law. (c) To be considered to...

  19. Incidence of multiple myeloma among cleanup workers of the Chornobyl accident and their survival.

    PubMed

    Bazyka, D; Gudzenko, N; Dyagil, I; Trotsiuk, N; Gorokh, E; Fedorenko, Z; Chumak, V; Bakhanova, E; Ilienko, I; Romanenko, A

    2016-12-01

    The study presents the updated data on the multiple myeloma (MM) incidence in Ukrainian cleanup workers after the Chornobyl accident and their survival. The epidemiological analysis is based on the extended follow-up period to identify new MM cases for higher statistical power and to collect additional data on the disease course and outcome for the survival analysis. The objective of the study was to analyze the MM incidence and survival in Chornobyl cleanup workers in 1996-2013 in comparison with the national MM statistical data. A study cohort consisted of 152,520 male cleanup workers resided in one of 6 regions of Ukraine or Kyiv city and registered in the Ukrainian State Chornobyl Registry (SChR). The Cohort Database was linked to the Ukrainian National Cancer Registry (NCR) Database to identify MM cases and to analyze MM incidence in 1996-2013. Standardized incidence ratios (SIR) for MM over the period 1996-2013 were calculated as compared to the general population of Ukraine. A 10-year lag period (when incident cases are not considered radiation-related) was applied. One-year and 5-year cause-specific survival of MM cases were calculated as percentage of those who were alive correspondingly for 1 or 5 years after diagnosis among overall diagnosed. By the moment, the 5-year survival rate either for the sub-period 2008-2013 or for the whole study period 1996-2013 cannot be determined. Vital status data were updated according to the recent SChR and NCR information. 75 MM cases diagnosed in 1986-2013 were identified in the studied cohort. 69 of them were included to the incidence analysis considering a 10-year lag period. While the incidence over 15 years after the accident did not differ significantly from the corresponding rate in general population of Ukraine, a tendency to increase was seen in the period from 16 to 21 years after the accident, and significantly increased SIR estimate was revealed for 2008-2013 (SIR 1.86, 95% confidence interval (CI) 1

  20. Workers' compensation: poor quality health care and the growing disability problem in the United States.

    PubMed

    Franklin, Gary M; Wickizer, Thomas M; Coe, Norma B; Fulton-Kehoe, Deborah

    2015-03-01

    The proportion of working age citizens permanently removed from the workforce has dramatically increased over the past 30 years, straining both Federal and State disability systems designed as a safety net to protect them. Almost one-third of these rapidly emerging disabilities are related to musculoskeletal disorders, and three of the top five diagnoses associated with the longest Years Lived with Disability are back, neck and other musculoskeletal disorders. The failure of Federal and state workers' compensation systems to provide effective health care to treat non-catastrophic injuries has been largely overlooked as a principal source of permanent disablement and corresponding reduced labor force participation. Innovations in workers' compensation health care delivery, and in use of evidence-based coverage methods such as prospective utilization review, are effective secondary prevention efforts that, if more widely adopted, could substantially prevent avoidable disability and provide more financial stability for disability safety net programs.

  1. Cervical disc arthroplasty compared with fusion in a workers' compensation population.

    PubMed

    Steinmetz, Michael P; Patel, Rakesh; Traynelis, Vincent; Resnick, Daniel K; Anderson, Paul A

    2008-10-01

    Patients with cervical radiculopathy and/or myelopathy are often treated with anterior cervical discectomy and fusion. Cervical arthroplasty has recently been advocated as an alternative treatment. Theoretically, arthroplasty should permit early return to activity and protect against adjacent segment disease. Early mobilization and return to activity may, theoretically, reduce cost to the workers' compensation program. A subgroup analysis of workers' compensation patients from the randomized controlled trials comparing Prestige ST and Bryan (Medtronic Sofamor Danek, Memphis, TN) cervical arthroplasty to fusion was performed. Primary outcome measures were work status, time to return to work, and neck disability. Secondary outcome measures were neck and arm pain and Medical Outcomes Study Short-Form 36-Item Health Survey score. One thousand four patients were enrolled in the studies, 93 of whom were workers' compensation patients. At 6 weeks and 3 months, significantly more patients in the arthroplasty group were working compared with the fusion group. At 6 months and later, there was no significant difference in return-to-work rates. Overall, patients returned to work at a median of 101 days after arthroplasty, compared with 222 days after anterior cervical discectomy and fusion. This difference was not significant when controlling for sex, study, and preoperative work status. At all time points, the Neck Disability Index was consistently lower in the arthroplasty group compared with the fusion group; however, the difference was not significant at 24 months. There was no statistically significant difference in secondary outcomes, neurological events, or pain-related events. In this workers' compensation cohort, it was observed that a greater number of patients in the arthroplasty group returned to work at 6 weeks and 3 months after surgery. A trend toward an earlier return to work was also seen, although this was not statistically significant when controlling for

  2. Multiple myeloma among Chornobyl accident clean-up workers - state and perspectives of analytical study.

    PubMed

    Bazyka, D A; Gudzenko, N A; Dyagil, I S; Babkina, N G; Chumak, V V; Bakhanova, E V; Paramonov, V V; Romanenko, A Y

    2013-01-01

    The objective of the study was to analyze the Multiple Myeloma (MM) incidence in clean-up workers preparing the information background for consequent analytical study with a dose-dependent risk estimates. The Cohort Database was linked to the Ukrainian National Cancer Registry to identify the MM cases in a cohort of 152 520 male clean-up workers. The 64 MM cases were identified in the studied Cohort for the 1987-2012 period. Fifty-eight of them were included to the preliminary incidence analysis accounting for the 10-years lag-period. According to the preliminary data analysis the MM incidence rate in studied clean-up workers Cohort did not exceed the corresponding rate in general population of Ukraine along the 21 years after the catastrophe. Standardized incidence ratio for the 2008-2012 period, that is 22-26 years after the accident, demonstrated the significant excess of MM incidence among male clean-up workers in comparison with general population of Ukraine of corresponding age and gender (SIR 1.61, 95% CI 1.01;2.21). Bazyka D. A., Gudzenko N. A., Dyagil I. S., Babkina N. G., Chumak V. V., Bakhanova E. V., Paramonov V. V., Romanenko A. Ye., 2013.

  3. Does time off work after injury vary by jurisdiction? A comparative study of eight Australian workers' compensation systems

    PubMed Central

    Collie, Alex; Lane, Tyler J; Hassani-Mahmooei, Behrooz; Thompson, Jason; McLeod, Chris

    2016-01-01

    Objectives To determine whether the jurisdiction in which a work-related injury compensation claim is made is an independent predictor of duration of time off work following work injury, and if so, the magnitude of the effect. Setting Eight Australian state and territory workers' compensation systems, providing coverage for more than 90% of the Australian labour force. Administrative claims data from these systems were provided by government regulatory authorities for the study. Participants 95 976 Australian workers with workers' compensation claims accepted in 2010 and with at least 2 weeks of compensated time off work. Primary outcome measure Duration of time lost from work in weeks, censored at 104 weeks. Results After controlling for demographic, worker, injury and employer factors in a Cox regression model, significant differences in duration of time loss between state and territory of claim were observed. Compared with New South Wales, workers in Victoria, South Australia and Comcare had significantly longer durations of time off work and were more likely to be receiving income benefits at 104 weeks postinjury, while workers in Tasmania and Queensland had significantly shorter durations of time off work. Conclusions The jurisdiction in which an injured worker makes a compensation claim has a significant and independent impact on duration of time loss. Further research is necessary to identify specific compensation system policies and practices that promote timely and appropriate return to work and reduce duration of time off work. PMID:27150186

  4. 20 CFR 601.6 - Grants for administration of unemployment compensation laws and employment service.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... compensation laws and employment service. 601.6 Section 601.6 Employees' Benefits EMPLOYMENT AND TRAINING... current expenses of State agencies, supported by workload and unit-cost estimates. Supplementary budget... approves the State's budget request, the State agency is notified; and, provided the conditions precedent...

  5. Survival rates and worker compensation expenses in a national cohort of Mexican workers with permanent occupational disability caused by diabetes.

    PubMed

    Ascencio-Montiel, Iván de Jesús; Kumate-Rodríguez, Jesús; Borja-Aburto, Víctor Hugo; Fernández-Garate, José Esteban; Konik-Comonfort, Selene; Macías-Pérez, Oliver; Campos-Hernández, Ángel; Rodríguez-Vázquez, Héctor; López-Roldán, Verónica Miriam; Zitle-García, Edgar Jesús; Solís-Cruz, María Del Carmen; Velázquez-Ramírez, Ismael; Aguilar-Jiménez, Miriam; Villa-Caballero, Leonel; Cisneros-González, Nelly

    2016-09-01

    Permanent occupational disability is one of the most severe consequences of diabetes that impedes the performance of usual working activities among economically active individuals. Survival rates and worker compensation expenses have not previously been examined among Mexican workers. We aimed to describe the worker compensation expenses derived from pension payments and also to examine the survival rates and characteristics associated with all-cause mortality, in a cohort of 34,014 Mexican workers with permanent occupational disability caused by diabetes during the years 2000-2013 at the Mexican Institute of Social Security. A cross-sectional analysis study was conducted using national administrative records data from the entire country, regarding permanent occupational disability medical certification, pension payment and vital status. Survival rates were estimated using the Kaplan-Meier method. Multivariate Cox proportional hazard model was used to estimate adjusted hazard ratios (HR) and 95 % confidence intervals (95 % CI) in order to assess the cohort characteristics and all-cause mortality risk. Total expenses derived from pension payments for the period were accounted for in U.S. dollars (USD, 2013). There were 12,917 deaths in 142,725.1 person-years. Median survival time was 7.26 years. After multivariate adjusted analysis, males (HR, 1.39; 95 % CI, 1.29-1.50), agricultural, forestry, and fishery workers (HR, 1.41; 95 % CI, 1.15-1.73) and renal complications (HR, 3.49; 95 % CI, 3.18-3.83) had the highest association with all-cause mortality. The all-period expenses derived from pension payments amounted to $777.78 million USD (2013), and showed a sustained increment: from $58.28 million USD in 2000 to $111.62 million USD in 2013 (percentage increase of 91.5 %). Mexican workers with permanent occupational disability caused by diabetes had a median survival of 7.26 years, and those with renal complications showed the lowest survival in the cohort

  6. Power Law Behavior and Self-Similarity in Modern Industrial Accidents

    NASA Astrophysics Data System (ADS)

    Lopes, António M.; Tenreiro Machado, J. A.

    Advances in technology have produced more and more intricate industrial systems, such as nuclear power plants, chemical centers and petroleum platforms. Such complex plants exhibit multiple interactions among smaller units and human operators, rising potentially disastrous failure, which can propagate across subsystem boundaries. This paper analyzes industrial accident data-series in the perspective of statistical physics and dynamical systems. Global data is collected from the Emergency Events Database (EM-DAT) during the time period from year 1903 up to 2012. The statistical distributions of the number of fatalities caused by industrial accidents reveal Power Law (PL) behavior. We analyze the evolution of the PL parameters over time and observe a remarkable increment in the PL exponent during the last years. PL behavior allows prediction by extrapolation over a wide range of scales. In a complementary line of thought, we compare the data using appropriate indices and use different visualization techniques to correlate and to extract relationships among industrial accident events. This study contributes to better understand the complexity of modern industrial accidents and their ruling principles.

  7. Workers' compensation claims for musculoskeletal disorders among wholesale and retail trade industry workers--Ohio, 2005-2009.

    PubMed

    2013-06-07

    Work-related musculoskeletal disorders (WMSDs) resulting from ergonomic hazards are common in the United States. Recent data from the Bureau of Labor Statistics (BLS) indicate that in 2011, one third of occupational injuries and illnesses resulting in lost time from work were WMSDs. Based on data from the 2010 BLS Survey of Occupational Injuries and Illnesses, a higher rate of WMSDs resulting in lost time from work occurred in the Wholesale and Retail Trade (WRT) industry compared with most other industries. To assess trends and identify WRT subsectors and subgroups associated with high rates of WMSD workers' compensation claims, the Ohio Bureau of Workers' Compensation (OBWC) and CDC analyzed OBWC claims data for single-location WRT employers in Ohio for the period 2005-2009. From 2005 to 2009, the rate of WMSD claims declined from 86.3 to 52.8 per 10,000 employees. The three WRT industry subsectors with the highest rates of WMSD claims were Merchant Wholesalers, Nondurable Goods; Furniture and Home Furnishings Stores; and Merchant Wholesalers, Durable Goods. Within those three WRT subsectors, the highest rates of WMSD claims were noted in five subgroups: furniture stores and wholesalers of alcoholic beverages, groceries and related products, metal and minerals, and motor vehicle parts. Providing recommendations for WMSD prevention is particularly important for these WRT subgroups.

  8. The impact of workers' compensation on outcomes of surgical and nonoperative therapy for patients with a lumbar disc herniation: SPORT.

    PubMed

    Atlas, Steven J; Tosteson, Tor D; Blood, Emily A; Skinner, Jonathan S; Pransky, Glenn S; Weinstein, James N

    2010-01-01

    Prospective randomized and observational cohorts. To compare outcomes of patients with and without workers' compensation who had surgical and nonoperative treatment for a lumbar intervertebral disc herniation (IDH). Few studies have examined the association between worker's compensation and outcomes of surgical and nonoperative treatment. Patients with at least 6 weeks of sciatica and a lumbar IDH were enrolled in either a randomized trial or observational cohort at 13 US spine centers. Patients were categorized as workers' compensation or nonworkers' compensation based on baseline disability compensation and work status. Treatment was usual nonoperative care or surgical discectomy. Outcomes included pain, functional impairment, satisfaction and work/disability status at 6 weeks, 3, 6, 12, and 24 months. Combining randomized and observational cohorts, 113 patients with workers' compensation and 811 patients without were followed for 2 years. There were significant improvements in pain, function, and satisfaction with both surgical and nonoperative treatment in both groups. In the nonworkers' compensation group, there was a clinically and statistically significant advantage for surgery at 3 months that remained significant at 2 years. However, in the workers' compensation group, the benefit of surgery diminished with time; at 2 years no significant advantage was seen for surgery in any outcome (treatment difference for SF-36 bodily pain [-5.9; 95% CI: -16.7-4.9] and physical function [5.0; 95% CI: -4.9-15]). Surgical treatment was not associated with better work or disability outcomes in either group. Patients with a lumbar IDH improved substantially with both surgical and nonoperative treatment. However, there was no added benefit associated with surgical treatment for patients with workers' compensation at 2 years while those in the nonworkers' compensation group had significantly greater improvement with surgical treatment.

  9. Telomere length in Chernobyl accident recovery workers in the late period after the disaster

    PubMed Central

    Reste, Jelena; Zvigule, Gunda; Zvagule, Tija; Kurjane, Natalja; Eglite, Maija; Gabruseva, Natalija; Berzina, Dace; Plonis, Juris; Miklasevics, Edvins

    2014-01-01

    The outcome of the Chernobyl nuclear power plant (CNPP) accident was that a huge number of people were exposed to ionizing radiation. Previous studies of CNPP clean-up workers from Latvia revealed a high occurrence of age-associated degenerative diseases and cancer in young adults, as well as a high mortality as a result of cardiovascular disorders at age 45–54 years. DNA tandem repeats that cap chromosome ends, known as telomeres, are sensitive to oxidative damage and exposure to ionizing radiation. Telomeres are important in aging processes and carcinogenesis. The aim of this study was to investigate the long-term effect of protracted ionizing radiation exposure on telomere length in CNPP clean-up workers. Relative telomere length (RTL) was measured in peripheral blood leukocytes of 595 CNPP clean-up workers and 236 gender- and age-matched controls using real-time quantitative polymerase chain reaction (q-PCR). Close attention was paid to participation year and tasks performed during the worker's stay in Chernobyl, health status, and RTL differences between subgroups. Telomere shortening was not found in CNPP clean-up workers; on the contrary, their RTL was slightly greater than in controls (P = 0.001). Longer telomeres were found in people who worked during 1986, in those undertaking ‘dirty’ tasks (digging and deactivation), and in people with cancer. Shorter telomeres appeared frequently in those with cataract, osteoporosis, atherosclerosis, or coronary heart disease. We conclude that the longer telomeres revealed in people more heavily exposed to ionizing radiation probably indicate activation of telomerase as a chromosome healing mechanism following damage, and reflect defects in telomerase regulation that could potentiate carcinogenesis. PMID:25015931

  10. Telomere length in Chernobyl accident recovery workers in the late period after the disaster.

    PubMed

    Reste, Jelena; Zvigule, Gunda; Zvagule, Tija; Kurjane, Natalja; Eglite, Maija; Gabruseva, Natalija; Berzina, Dace; Plonis, Juris; Miklasevics, Edvins

    2014-11-01

    The outcome of the Chernobyl nuclear power plant (CNPP) accident was that a huge number of people were exposed to ionizing radiation. Previous studies of CNPP clean-up workers from Latvia revealed a high occurrence of age-associated degenerative diseases and cancer in young adults, as well as a high mortality as a result of cardiovascular disorders at age 45-54 years. DNA tandem repeats that cap chromosome ends, known as telomeres, are sensitive to oxidative damage and exposure to ionizing radiation. Telomeres are important in aging processes and carcinogenesis. The aim of this study was to investigate the long-term effect of protracted ionizing radiation exposure on telomere length in CNPP clean-up workers. Relative telomere length (RTL) was measured in peripheral blood leukocytes of 595 CNPP clean-up workers and 236 gender- and age-matched controls using real-time quantitative polymerase chain reaction (q-PCR). Close attention was paid to participation year and tasks performed during the worker's stay in Chernobyl, health status, and RTL differences between subgroups. Telomere shortening was not found in CNPP clean-up workers; on the contrary, their RTL was slightly greater than in controls (P = 0.001). Longer telomeres were found in people who worked during 1986, in those undertaking 'dirty' tasks (digging and deactivation), and in people with cancer. Shorter telomeres appeared frequently in those with cataract, osteoporosis, atherosclerosis, or coronary heart disease. We conclude that the longer telomeres revealed in people more heavily exposed to ionizing radiation probably indicate activation of telomerase as a chromosome healing mechanism following damage, and reflect defects in telomerase regulation that could potentiate carcinogenesis. © The Author 2014. Published by Oxford University Press on behalf of The Japan Radiation Research Society and Japanese Society for Radiation Oncology.

  11. Frequency and cost of claims by injury type from a state workers' compensation fund from 1998 through 2008.

    PubMed

    Mroz, Tracy M; Carlini, Anthony R; Archer, Kristin R; Wegener, Stephen T; Hoolachan, Jordan I; Stiers, William; Shore, Rebecca A; Castillo, Renan C

    2014-06-01

    To determine which work-related injuries are the most frequent and costly. Secondary analysis of workers' compensation claims data. Data were provided by a large, Maryland workers' compensation insurer from 1998 through 2008. Not applicable. None. For 45 injury types, the number of claims and compensation amount was calculated for total compensation and for medical and indemnity compensation separately. Back and knee injuries were the most frequently occurring single injury types, whereas heart attack and occupational disease were the most expensive in terms of mean compensation. When taking into account both the frequency and cost of injury (mean cost × number occurrences), back, knee, and shoulder injuries were the most expensive single injury types. Successful prevention and management of back, knee, and shoulder injuries could lead to a substantial reduction in the burden associated with work-related injuries. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  12. Health care utilization of workers' compensation claimants associated with mild traumatic brain injury: a historical population-based cohort study of workers injured in 1997-1998.

    PubMed

    Kristman, Vicki L; Côté, Pierre; Yang, Xiaoqing; Hogg-Johnson, Sheilah; Vidmar, Marjan; Rezai, Mana

    2014-03-01

    To compare the health care use of workers with an injury before and after making a workers' compensation claim for mild traumatic brain injury (MTBI). Cohort study of workers with an MTBI who received workers' compensation benefits. Workers' compensation system in Ontario, Canada. Workers (N=728) who made an incident claim involving MTBI to the Ontario Workplace Safety and Insurance Board between 1997 and 1998. We linked workers' compensation and Ontario Health Insurance Plan files and collected all health care services accrued during the year before and 2 years after the claim was initiated. Not applicable. We report our results as a 7-day simple moving average of health care services per 1000 claimants per day. We stratified our analysis by age, sex, the preclaim level of health care utilization, diagnostic category, and health care specialty. Over the 2 years, 728 claims related to MTBI were filed by workers with an injury. The majority of the claims (65.8%) were filed by men, and 28.3% were filed by those aged between 25 and 34 years. The cumulative rate of health care utilization was stable (mean=67.6 visits/1000 claimants per day; 95% confidence interval [CI], 65.0-70.2) throughout the year before claim initiation. Health care utilization peaked during the first 4 weeks following the initiation of the claim (mean=274.3 visits/1000 claimants per day; 95% CI, 172.2-376.4) and remained on average 182% higher than that at baseline throughout the 5th to 12th week postclaim. Two years after the initiation of the claim, utilization remained 9.5% higher than the preclaim level. The increase was more pronounced (125% higher) for workers with less than the median preclaim utilization level. Making a workers' compensation claim involving MTBI is associated with a long-term increase in health care use. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  13. 48 CFR 728.305-70 - Overseas worker's compensation and war-hazard insurance-waivers and USAID insurance coverage.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... compensation and war-hazard insurance-waivers and USAID insurance coverage. 728.305-70 Section 728.305-70 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.305-70 Overseas worker's compensation and war-hazard...

  14. 48 CFR 728.305-70 - Overseas worker's compensation and war-hazard insurance-waivers and USAID insurance coverage.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... compensation and war-hazard insurance-waivers and USAID insurance coverage. 728.305-70 Section 728.305-70 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.305-70 Overseas worker's compensation and war-hazard...

  15. 48 CFR 728.305-70 - Overseas worker's compensation and war-hazard insurance-waivers and USAID insurance coverage.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... compensation and war-hazard insurance-waivers and USAID insurance coverage. 728.305-70 Section 728.305-70 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.305-70 Overseas worker's compensation and war-hazard...

  16. Clastogenic factors in the plasma of Chernobyl accident recovery workers: Anticlastogenic effect of Ginkgo biloba extract

    SciTech Connect

    Emerit, I.; Levy, A.; Cernjavski, L.

    1995-11-01

    Clastogenic factors are found in the plasma of persons irradiated accidentally or therapeutically. They persisted in the plasma of A-bomb survivors over 30 years. Clastogenic factors were found in 33 or 47 Chernobyl accident recovery workers (often referred to as liquidators) in a previous study. In the present study, we show that there is a positive correlation between clastogenic activity and dose and that these biomarkers of oxidative stress can be influenced successfully by appropriate antioxidant treatment. With the authorization of the Armenian Ministry of Health, 30 workers were treated with antioxidants from Ginkgo biloba leaves. The extract EGb 761 containing flavonoids and terpenoids was given at a daily dose of 3 x 40 mg (Tanakan, IPSEN, France) during 2 months. The clastogenic activity of the plasma was reduced to control levels on the first day after the end of the treatment. A 1-year follow-up showed that the benefit of the treatment persisted for at least 7 months. One-third of the workers again had clastogenic factors after 1 year, demonstrating that the process which produced clastogenic factors continued. However, the observation that antioxidants do not have to be given continuously is encouraging for intervention trials on a large-scale basis. These appear justified, since clastogenic factors are thought to be risk factors for the development of late effects of irradiation. 43 refs., 6 tabs.

  17. Malingering? No evidence in a predominantly Hispanic workers' compensation population with chronic pain.

    PubMed

    Robinson, Kristynia M; Monsivais, Jose J

    2011-03-01

    Providers suspect malingering when patients seek compensation for injury or when pain is unconfirmed via objective evidence, judged disproportionate to the cause, or recalcitrant to treatment. Suspicions or claims of malingering may prejudice treatment or reimbursement decisions. The purpose of this archival study was to identify malingering in a predominantly Hispanic workers' compensation population seeking treatment for pain. We used a correlational archival research design to collect data from the medical records of 91 patients treated over a 10-year period in a specialty clinic. Inclusion criteria included individuals with psychologic evaluation for persistent pain that affected function. Using a priori power analysis for a medium effect size, power of .80, and alpha of .05, data from 85 medical records were necessary to meet correlational significance. The study sample reflects the ethnicity, educational level, and socioeconomic status of the larger U.S.-Mexico border community. The majority (93%) had workers' compensation and about one-third had active litigation. No one was diagnosed with malingering or pain disorder with primarily psychologic origins. Depression coexisted with chronic pain, and patients reported serious impairment in physical, occupational, and social function an average of 5 years after the onset of chronic pain. However, the vast majority of patients returned to work. In our experience, there is no place for the labeling and resultant stigma of malingering in chronic pain sufferers. Copyright © 2011 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  18. Experiences and Perspectives of Physical Therapists Managing Patients Covered by Workers' Compensation in Queensland, Australia

    PubMed Central

    Nielsen, Mandy; Corbière, Marc; Franche, Reneé-Louise

    2012-01-01

    Background Physical therapists have an active role in the rehabilitation of injured workers. However, regulations in Queensland, Australia, do not afford them the opportunity to participate in return-to-work (RTW) decisions in a standardized way. No prior research has explored the experiences and perceptions of therapists in determining work capacity. Objectives The aim of this study was to investigate physical therapists' experiences with and perspectives on their role in determining readiness for RTW and work capacity for patients receiving workers' compensation in Queensland. Design A qualitative design was used. Participants were physical therapists who manage injured workers. Methods Novice (n=5) and experienced (n=20) therapists managing patients receiving workers' compensation were selected through purposeful sampling to participate in a focus group or semistructured telephone interviews. Data obtained were audio-recorded and transcribed verbatim. Transcripts were thematically analyzed. Physical therapists' confidence in making RTW decisions was determined with 1 question scored on a 0 to 10 scale. Results Themes identified were: (1) physical therapists believe they are important in RTW, (2) physical therapists use a variety of methods to determine work capacity, and (3) physical therapists experience a lack of role clarity. Therapists made recommendations for RTW using clinical judgment informed by subjective and objective information gathered from the injured worker. Novice therapists were less confident in making RTW decisions. Conclusion Therapists are well situated to gather and interpret the information necessary to make RTW recommendations. Strategies targeting the Australian Physiotherapy Association, physical therapists, and the regulators are needed to standardize assessment of readiness for RTW, improve role clarity, and assist novice practitioners. PMID:22745200

  19. Lumbar Diskography and Failed Back Syndrome in Patients Receiving Workers' Compensation.

    PubMed

    Anderson, Joshua T; Haas, Arnold R; Percy, Rick; Woods, Stephen T; Ahn, Uri M; Ahn, Nicholas U

    2015-11-01

    Lumbar diskography (LD) is frequently used in the evaluation of patients with degenerative disk disease and diskogenic low back pain. Its safety and diagnostic accuracy are a topic of debate. No study has evaluated the efficacy of LD within the clinically distinct workers' compensation population. Within this setting, the authors wished to determine the effect of undergoing LD before diskogenic fusion on rates of postoperative failed back surgery syndrome (FBSS). Also, the authors compared opioid analgesic use between patients undergoing LD and patients not undergoing LD. ICD-9 diagnoses and CPT procedural codes were used to identify 1591 patients from the Ohio Bureau of Workers' Compensation who underwent diskogenic fusion between 1993 and 2013. A total of 682 patients underwent LD before fusion, which formed the LD group, with the remaining 909 patients as controls. The authors used a multivariate logistic regression analysis while correcting for relevant covariates. Diskography before fusion was a positive predictor of postoperative FBSS (P=.04; odds ratio, 1.44). The rate of FBSS was 13.9% of the LD group and 8.8% in the control group. Postoperatively, the LD group was supplied with a significantly higher daily opioid analgesic load (P=.04) for an average of 130 additional days (P<.01). Additional predictors of FBSS included the ability to remain at work within 1 week of index fusion (P=.02; odds ratio, 0.54), male sex (P=.03; odds ratio, 1.51), preoperative narcotic use for more than 1 year (P=.02; odds ratio, 1.53), and fusion technique (P=.03). Diskography should ideally help identify good candidates for lumbar fusion. However, the authors' study raises significant concerns regarding LD's current role within the workers' compensation population.

  20. Prospective evaluation of postoperative compliance and outcomes after rotator cuff repair in patients with and without workers' compensation claims.

    PubMed

    Cuff, Derek J; Pupello, Derek R

    2012-12-01

    This study prospectively evaluated compliance and outcomes after rotator cuff repair in patients with and without Workers' Compensation claims. From December 2007 to January 2010, 42 consecutive patients with Workers' Compensation claims (Work Comp group), and 50 consecutive patients without a Workers' Compensation claim (non-Work Comp group) underwent arthroscopic rotator cuff repair and were enrolled in this study. Compliance with a postoperative protocol of shoulder immobilization and physical therapy was documented. Patients were monitored clinically for a minimum of 12 months. Noncompliance with protocol was documented in 22 of 42 patients (52%) in the Work Comp group compared with 2 of 50 (4%) in the non-Work Comp group (P < .001). The Work Comp group had less improvement in preoperative to postoperative outcome scores for the American Shoulder and Elbow Surgeons (ASES) score (40.4 to 60.1), Simple Shoulder Test (SST) score (3.9 to 6.0) and visual analog scale (VAS) for pain (7.0 to 3.5) compared with the non-Work Comp group (ASES, 41.7 to 89.2; SST, 4.3 to 10.7; VAS, 6.2 to 0.35; P < .0001). The compliant Work Comp patients had more favorable results in final outcome scores (ASES, 73.1; SST, 7.9; VAS, 1.5) than noncompliant Work Comp patients (ASES, 48.4; SST, 4.3; VAS, 5.3; P < .0001). Patients with Workers' Compensation claims demonstrated a high rate of postoperative noncompliance (52%) compared with patients without Workers' Compensation claims (4%) after rotator cuff repair. Those Workers' Compensation patients who had no evidence of noncompliance had significant improvements and more favorable outcomes than the noncompliant Workers' Compensation patients. Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

  1. Analysis of new workers' compensation claims in the Department of Defense civilian workforce, 2000-2012.

    PubMed

    Nelson, Cameron J L; Bigley, Daniel P; Mallon, Timothy M

    2015-03-01

    This study of Department of Defense (DoD) civilian employees Workers' Compensation (WC) claims for chargeback year 2000 through 2012 aimed to analyze the frequency, rates, and costs of WC claims representing 5% of the DoD annual personnel budget. A multiyear cross-sectional study of WC claims data identified the top five most frequent causes, natures, and anatomical sites; changes in frequency, worker age, costs, and time were evaluated for trends. The annual frequency and rate of new DoD WC claims decreased over time, whereas costs per new claim have increased. New claim frequencies, rates, and costs aggregated in older age groups. The increasing trend in costs of each claim and the overall program costs presents a need for case management. Analysis of WC claims data is necessary to help target injury prevention efforts and reduce program costs.

  2. Review of health issues of workers engaged in operations related to the accident at the Fukushima Daiichi Nuclear Power Plant.

    PubMed

    Hiraoka, Koh; Tateishi, Seiichiro; Mori, Koji

    2015-01-01

    The aim of this review was to summarize the lessons learned from the experience in protecting the health of workers engaged in operations following the accident at the Fukushima Daiichi Nuclear Power Plant (NPP). We reviewed all types of scientific papers examining workers' health found in Medline and Web of Sciences as well as some official reports published by the Ministry of Health, Labour and Welfare of Japan and other governmental institutes. The papers and reports were classified into those investigating workers at the Fukushima Daiichi and Daini NPPs, workers engaged in decontamination operations in designated areas, and other workers. Regarding workers at the NPPs, many efforts were made to establish an emergency-care and occupational health system. Risk management efforts were undertaken for radiation exposure, heat stress, psychological stress, outbreak of infectious diseases, and fitness for work. Only a few reports dealt with decontamination workers and others; however, the health management of these workers was clearly weaker than that for workers at the NPPs. Many lessons can be learned from what occurred. That knowledge can be applied to ongoing decommissioning work and to future disasters. In addition, it is necessary to study the long-term health effects of radiation exposure and to accumulate data about the health of workers engaged in decontamination work and other areas.

  3. Improving the quality of workers' compensation health care delivery: the Washington State Occupational Health Services Project.

    PubMed

    Wickizer, T M; Franklin, G; Plaeger-Brockway, R; Mootz, R D

    2001-01-01

    This article has summarized research and policy activities undertaken in Washington State over the past several years to identify the key problems that result in poor quality and excessive disability among injured workers, and the types of system and delivery changes that could best address these problems in order to improve the quality of occupational health care provided through the workers' compensation system. Our investigations have consistently pointed to the lack of coordination and integration of occupational health services as having major adverse effects on quality and health outcomes for workers' compensation. The Managed Care Pilot Project, a delivery system intervention, focused on making changes in how care is organized and delivered to injured workers. That project demonstrated robust improvements in disability reduction; however, worker satisfaction suffered. Our current quality improvement initiative, developed through the Occupational Health Services Project, synthesizes what was learned from the MCP and other pilot studies to make delivery system improvements. This initiative seeks to develop provider incentives and clinical management processes that will improve outcomes and reduce the burden of disability on injured workers. Fundamental to this approach are simultaneously preserving workers' right to choose their own physician and maintaining flexibility in the provision of individualized care based on clinical need and progress. The OHS project then will be a "real world" test to determine if aligning provider incentives and giving physicians the tools they need to optimize occupational health delivery can demonstrate sustainable reduction in disability and improvements in patient and employer satisfaction. Critical to the success of this initiative will be our ability to: (1) enhance the occupational health care management skills and expertise of physicians who treat injured workers by establishing community-based Centers of Occupational

  4. Predicting workers' compensation claims and disciplinary actions using SecureFit®: Further support for integrative models of workplace safety.

    PubMed

    O'Connell, Matthew; Delgado, Kristin; Lawrence, Amie; Kung, Mavis; Tristan, Esteban

    2017-06-01

    A growing body of applied research has identified certain psychological traits that are predictive of worker safety. However, most of these studies suffer from an overreliance on common method bias caused by self-report measures of both: (a) personal factors such as personality traits; and (b) outcomes such as safety behaviors and injuries. This study utilized archival data from 796 employees at a large U.S. automobile manufacturer. Data were gathered on a pre-employment assessment, SecureFit®, that measured key personality characteristics such as conscientiousness, locus of control, and risk taking. In addition, objective measures of workers' compensation claims and disciplinary actions were also gathered. The results indicated that disciplinary actions and workers' compensation claims were strongly correlated. It also demonstrated that the pre-employment assessment was able to predict both disciplinary actions and workers' compensation claims up to 12months in the future. Screening out just 8% of the applicant sample using the assessment would have resulted in a 35% reduction in disciplinary actions and 46% in workers' compensation claims, respectively. The study found a very strong relationship between counterproductive work behaviors (CWBs), such as not following rules, and workers' compensation claims. It also found a strong relationship between a combination of personality traits that have been shown to be associated with both variables, although the current study was able to demonstrate that relationship with objective measure of both variables. Individuals who receive disciplinary actions for things such as not following rules, not coming to work on time, etc. are significantly more likely to also be involved in serious safety incidents, and vice versa. Identifying those individuals early on in the hiring process and screening them out can significantly reduce the number of CWBs as well as workers' compensation claims. Copyright © 2017 Elsevier Ltd and

  5. Does time off work after injury vary by jurisdiction? A comparative study of eight Australian workers' compensation systems.

    PubMed

    Collie, Alex; Lane, Tyler J; Hassani-Mahmooei, Behrooz; Thompson, Jason; McLeod, Chris

    2016-05-05

    To determine whether the jurisdiction in which a work-related injury compensation claim is made is an independent predictor of duration of time off work following work injury, and if so, the magnitude of the effect. Eight Australian state and territory workers' compensation systems, providing coverage for more than 90% of the Australian labour force. Administrative claims data from these systems were provided by government regulatory authorities for the study. 95 976 Australian workers with workers' compensation claims accepted in 2010 and with at least 2 weeks of compensated time off work. Duration of time lost from work in weeks, censored at 104 weeks. After controlling for demographic, worker, injury and employer factors in a Cox regression model, significant differences in duration of time loss between state and territory of claim were observed. Compared with New South Wales, workers in Victoria, South Australia and Comcare had significantly longer durations of time off work and were more likely to be receiving income benefits at 104 weeks postinjury, while workers in Tasmania and Queensland had significantly shorter durations of time off work. The jurisdiction in which an injured worker makes a compensation claim has a significant and independent impact on duration of time loss. Further research is necessary to identify specific compensation system policies and practices that promote timely and appropriate return to work and reduce duration of time off work. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  6. Systems of safety and active worker-participation strategies for a safe workplace: the philosophical and structural underpinnings of the labor institute, and the Paper, Allied-industrial, Chemical And Energy Workers International Union, Accident Prevention Programs.

    PubMed

    Renner, Paul

    2004-01-01

    For the last ten years, The Labor Institute, in cooperation with the Paper, Allied-Industrial, Chemical and Energy Workers International Union (PACE) and several other international unions, has been training workers and managers to prevent accidents in the workplace using what we call a Systems of Safety (SOS) approach. We teach workers to identify major categories of safety systems and sub-systems in the workplace and to assign a hierarchical prevention value to each category. The SOS approach enables workers to look beyond the simplest explanations for an accident to identify the full range of factors that contributed to the event. As a result, Systems of Safety training provides workers with an unparalleled opportunity to reduce the frequency and severity of in-plant accidents. Unfortunately, the full benefits of an SOS system cannot be realized in most workplaces as they are now organized. Our decades of experience--and a review of relevant literature--tell us that worker participation is the key to preventing accidents. Maximum accident prevention is only achievable through maximum worker participation. In most workplaces, hierarchical structures--and workers' internalization of that hierarchy--prevent full worker participation. This article will explore barriers to achieving maximum worker participation, and strategies for providing workers with some measure of control over the systems of safety that determine the level of safety at their work sites.

  7. Workers' compensation loss prevention representative contact and risk of lost-time injury in construction policyholders.

    PubMed

    Schofield, Katherine E; Alexander, Bruce H; Gerberich, Susan G; MacLehose, Richard F

    2017-09-01

    Insurance loss prevention (LP) representatives have access and contact with businesses and employees to provide targeted safety and health resources. Construction firms, especially those smaller in size, are a high-risk population. This research evaluated the association between LP rep contact and risk for lost-time injuries in construction policyholders. Workers' compensation data were utilized to track LP rep contact with policyholders and incidence of lost-time injury over time. Survival analysis with repeated events modeling calculated hazard ratios (HR) and 95% confidence intervals (CI). Compared no LP contact, one contact was associated with a 27% reduction of risk (HR=0.73, CI=0.65-0.82), two with a 41% (HR=0.59, CI=0.51-0.68), and three or more contacts with a 28% reduction of risk (HR=0.72, CI=0.65-0.81). LP reps appear to be a valuable partner in efforts to reduce injury burden. Their presence or contact with policyholders is consistent with reduction in overall incidence of lost-time injuries. Reduction in lost-time injuries, resulting in reduced workers' compensation costs for policyholders and insurance companies, builds a business-case for safety and injury prevention. LP reps are often a low or no-cost benefit for insurance policyholders and may be an important injury prevention resource for small firms and/or those with lack of safety resources and staff. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  8. Psychological profile and work status of a predominantly Hispanic worker's compensation population with chronic limb pain.

    PubMed

    Monsivais, Jose J; Robinson, Kris

    2008-12-01

    The purposes of this study were to describe the psychosocial profile and to measure function (posttreatment work status) after surgical and non-surgical treatment in a predominantly Hispanic worker's compensation population with chronic limb pain. We conducted an archival review of records from 91 patients treated for neuropathic pain in a specialty clinic over a 10-year period who had extreme difficulty accepting or managing pain. Medical records from individuals with proven nerve dysfunction experiencing pain >3 months and whose record contained a full psychological evaluation were included. All patients received patient-centered care, a prescription to return to work, periodic pain assessment, and clinical evaluation of sensory and motor function plus pharmacologic pain management. Surgery was determined by the degree of sensory-motor abnormalities in the absence of untreated psychological distress regardless of pain level or worker's compensation status. The majority of patients returned to work after treatment of nerve injury. No differences were noted between surgical/non-surgical treatment groups on initial pain level (p = 0.2), litigation status (p > 0.5), and posttreatment work status (p > 0.05). However, individuals expecting surgery also expected total relief of pain with surgical intervention. Psychosocial assessment, support, and adequate pain treatment seem to mediate the ability of an individual with chronic limb pain to return to work regardless of surgical/non-surgical treatment. Patients' expectations of surgery may be unrealistic and are best addressed prior to treatment.

  9. Construct validity of a kinesiophysical functional capacity evaluation administered within a worker's compensation environment.

    PubMed

    Gross, Douglas P; Battié, Michele C

    2003-12-01

    The construct validity of a kinesiophysical Functional Capacity Evaluation (FCE) administered within a worker's compensation context was examined. A cross-sectional study design was employed. Clinical and demographic information on workers' compensation claimants was extracted from a rehabilitation facility's database. Measures of interest were the Isernhagen Work Systems' (Duluth, MN) FCE, the Pain Disability Index (PDI), and a pain visual analogue scale (VAS). A multitrait Pearson correlation matrix was created to observe the pattern of relationships between variables. The sample consisted of 321 subjects with work-related, medically stable low back pain of median duration of 307 days. FCE performance was moderately correlated with the PDI (r = -0.44-0.52) and with the pain VAS (r = 0.34-0.45). Pain intensity was correlated highly with the PDI (r = 0.79). The moderate relationship between FCE and the PDI supports the construct validity of FCE as a functional measure. However, kinesiophysical FCE performance was not unrelated to pain severity ratings as purported.

  10. Noncredible psychiatric and cognitive symptoms in a workers' compensation "stress" claim sample.

    PubMed

    Sumanti, Myling; Boone, Kyle Brauer; Savodnik, Irwin; Gorsuch, Richard

    2006-12-01

    Information is lacking regarding the prevalence of fraudulent psychiatric and cognitive symptoms in the "stress" claim workers' compensation population. Using various validity indices (Negative Impression Scale, the Malingering Index, and the Rogers Discriminant Function) of the Personality Assessment Inventory (PAI), between 9 and 29% of 233 workers' compensation "stress" claim litigants were identified as exhibiting noncredible psychiatric symptoms. In addition, 15% of the subjects were determined to have noncredible cognitive symptoms on the Dot Counting Test, although only 8% displayed suspect effort on the 15-Item Memorization Test, with 5% of subjects failing both cognitive effort tests. The percentage of positive identifications on both a PAI and cognitive credibility index ranged from only 2 to 4%. Further, correlations between PAI validity indices and cognitive effort scales were nonexistent to modest, indicating that the psychiatric and cognitive credibility indices are measuring different aspects of noncredible symptom production. It was predicted that the PAI profiles of the participants displaying suspect cognitive symptoms would be elevated on the Somatic Concerns, Antisocial, and/or Borderline scales; however, elevations (relative to subjects with credible cognitive performance) were instead noted on the Somatic Concerns, Depression, Anxiety, Anxiety-Related Disorders, and Schizophrenia scales.

  11. The relationship between motivation, monetary compensation, and data quality among US- and India-based workers on Mechanical Turk.

    PubMed

    Litman, Leib; Robinson, Jonathan; Rosenzweig, Cheskie

    2015-06-01

    In this study, we examined data quality among Amazon Mechanical Turk (MTurk) workers based in India, and the effect of monetary compensation on their data quality. Recent studies have shown that work quality is independent of compensation rates, and that compensation primarily affects the quantity but not the quality of work. However, the results of these studies were generally based on compensation rates below the minimum wage, and far below a level that was likely to play a practical role in the lives of workers. In this study, compensation rates were set around the minimum wage in India. To examine data quality, we developed the squared discrepancy procedure, which is a task-based quality assurance approach for survey tasks whose goal is to identify inattentive participants. We showed that data quality is directly affected by compensation rates for India-based participants. We also found that data were of a lesser quality among India-based than among US participants, even when optimal payment strategies were utilized. We additionally showed that the motivation of MTurk users has shifted, and that monetary compensation is now reported to be the primary reason for working on MTurk, among both US- and India-based workers. Overall, MTurk is a constantly evolving marketplace where multiple factors can contribute to data quality. High-quality survey data can be acquired on MTurk among India-based participants when an appropriate pay rate is provided and task-specific quality assurance procedures are utilized.

  12. Young Workers and the Wage-Hour Law

    ERIC Educational Resources Information Center

    Occupational Outlook Quarterly, 1974

    1974-01-01

    Child labor provisions of Fair Labor Standards Act affect more people than any other aspect of the law. Latest changes in the law are reported regarding: (1) farm employment, (2) nonfarm work, (3) other hazardous jobs, (4) minimum wage, (5) overtime pay, and (6) State laws. (MW)

  13. Workplace engagement and workers' compensation claims as predictors for patient safety culture.

    PubMed

    Thorp, Jonathon; Baqai, Waheed; Witters, Dan; Harter, Jim; Agrawal, Sangeeta; Kanitkar, Kirti; Pappas, James

    2012-12-01

    Demonstrate the relationship between employee engagement and workplace safety for predicting patient safety culture. Patient safety is an issue for the U.S. health-care system, and health care has some of the highest rates of nonfatal workplace injuries. Understanding the types of injuries sustained by health-care employees, the type of safety environment employees of health-care organizations work in, and how employee engagement affects patient safety is vital to improving the safety of both employees and patients. The Gallup Q survey and an approved, abbreviated, and validated subset of questions from the Hospital Survey on Patient Safety Culture were administered to staff at a large tertiary academic medical center in 2007 and 2009. After controlling for demographic variables, researchers conducted a longitudinal, hierarchical linear regression analysis to study the unique contributions of employee engagement, changes in employee engagement, and employee safety in predicting patient safety culture. Teams with higher baseline engagement, more positive change in engagement, fewer workers' compensation claims, and fewer part-time associates in previous years had stronger patient safety cultures in 2009. Baseline engagement and change in engagement were the strongest independent predictors of patient safety culture in 2009. Engagement and compensation claims were additive and complimentary predictors, independent of other variables in the analysis, including the demographic composition of the workgroups in the study. A synergistic effect exists between employee engagement and decreased levels of workers' compensation claims for improving patient safety culture. Organizations can improve engagement and implement safety policies, procedures, and devices for employees with an ultimate effect of improving patient safety culture.

  14. [Effectiveness of an educational program about the Chilean AIDS law in primary care health workers].

    PubMed

    Ferrer, Lilian; Cabieses, Baltica; Norr, Kathleen; Cianelli, Rosina; Araya, Alejandra; Irarrázabal, Lisette; Miner, Sarah; Bernales, Margarita; Norr, James

    2011-05-01

    In Chile, members of the civil society and government achieved the passing of the HIV/AIDS Law (19.779). The level of knowledge of the law held by healthcare workers in Chile is not well known. To analyze the effect of an intervention on knowledge of the existence of the law and its application in clinical practice among primary healthcare workers in southeastern Santiago. Healthcare workers of primary care centers were invited to participate in the study. One group received an educational intervention lasting a total of 16 hours, about AIDS physiopathology, sexually transmitted diseases, communication with patients and current legislation. A control group did not receive the educational intervention. Both groups answered a self-administered questionnaire about the HIV/AIDS law at baseline and three months after the intervention. The intervention was carried out in 262 workers and 293 participated as controls. The initial evaluation revealed that only 16.3% (n = 89) had heard of the law, without any significant difference between intervention and control groups. The knowledge about the law improved by 65% in the intervention group and did not change in controls. At the end of the education period, the intervention and control groups improved their global knowledge by 29 and 3%, respectively (p < 0.05). The educational intervention was effective in improving knowledge of the HIV/AIDS Law among Chilean healthcare workers.

  15. Job-related diseases and occupations within a large workers' compensation data set.

    PubMed

    Leigh, J P; Miller, T R

    1998-03-01

    The objective of this report is to describe workers' job-related diseases and the occupations associated with those diseases. The methods include aggregation and analysis of job-related disease and occupation data from the Bureau of Labor Statistics' Supplementary Data System (SDS) for 1985 and 1986--the last years of data available with workers' compensation categories: death, permanent total, permanent partial, and temporary total and partial. Diseases are ranked according to their contribution to the four workers' compensation (WC) categories and also ranked within occupations according to the number of cases. Occupations are ranked according to their contribution to specific diseases within one of the four categories. The following diseases comprise the greatest numbers of deaths: heart attacks, asbestosis, silicosis, and stroke. Within the permanent total category, the diseases with the greatest contributions are heart attack, silicosis, strokes, and inflammation of the joints. For the permanent partial category, they are hearing loss, inflammation of joints, carpal tunnel syndrome, and heart attacks. For the temporary total and partial category, they are: inflammation of joints, carpal tunnel syndrome, dermatitis, and toxic poisoning. Hearing loss or inflammation of joints are associated with more than 300 occupations. Circulatory diseases comprise a larger share of job-related diseases than is generally acknowledged. Occupations contributing the most heart attack deaths are truck drivers, managers, janitors, supervisors, firefighters, and laborers. Ratios of numbers of deaths to numbers of disabilities are far higher for illnesses than injuries. Occupations that are consistent in their high ranking on most lists involving a variety of conditions include nonconstruction laborers, janitors, and construction laborers. The large SDS, though dated, provides a tentative national look at the broad spectrum of occupational diseases as defined by WC and the

  16. Radiation Risk of Cardiovascular Diseases in the Cohort of Russian Emergency Workers of the Chernobyl Accident.

    PubMed

    Kashcheev, V V; Chekin, S Yu; Karpenko, S V; Maksioutov, M A; Menyaylo, A N; Tumanov, K A; Kochergina, E V; Kashcheeva, P V; Gorsky, A I; Shchukina, N V; Lovachev, S S; Vlasov, O K; Ivanov, V K

    2017-07-01

    This paper continues a series of publications that analyze the impact of radiation on incidence of circulatory system diseases in the cohort of Russian recovery operation workers (liquidators) and presents the results of the analysis of cardiovascular disease (CVD) incidence. The studied cohort consists of 53,772 liquidators who arrived in the Chernobyl accident zone within the first year after the accident (26 April 1986 to 26 April 1987). The individual doses varied from 0.0001 Gy to 1.42 Gy, and the mean external whole body dose in the cohort was 0.161 Gy. A total of 27,456 cases of CVD were diagnosed during the follow-up period 1986-2012 as a result of annual health examinations. A Poisson regression model was applied to estimate radiation risks and other risk factors associated with CVD. The following factors were identified as risk factors for CVD: the dose, duration of the liquidators' work in the Chernobyl zone, and concomitant diseases (diabetes mellitus, hypertension, overweight, and alcohol dependence). The baseline incidence of CVD is statistically significantly (p < 0.001) associated with all studied concomitant diseases. The incidence of CVD has revealed a statistically significant dose response with the lack of a latent period and with the average ERR Gy = 0.47, 95% CI = 0.31, 0.63, p < 0.001. Radiation risks of CVD statistically significantly (p = 0.01) varied with the duration of liquidators' stay in the Chernobyl zone; for those who stayed in the Chernobyl zone less than 6 wk, ERR/Gy = 0.80, 95% CI = 0.53; 1.08, p < 0.001.

  17. Factors associated with the severity of fatal accidents in construction workers.

    PubMed

    Khodabandeh, Farideh; Kabir-Mokamelkhah, Elaheh; Kahani, Mahsa

    2016-01-01

    Background: Construction work (building houses, roads, workplaces, and repairing and maintaining infrastructures) is a dangerous land-based job. This includes many hazardous tasks and conditions such as working at the following conditions: Height, excavation, noise, dust, power tools and equipment. Construction work has been increased in developed and underdeveloped countries over the past few years. Occupational fatalities have increased with an increase in this type of work. Occupational fatalities refer to individuals who pass way while on the job or performing work related tasks. In the present study, to identify the factors, personal characteristics and work-related factors associated with fatal occupational mortality were assessed using data for Tehran, Iran, 2014-2016. Methods: We conducted a retrospective study, using 967 postmortem reports from fatal occupational injuries collected through postmortem investigations during 2014-2016. A sampling frame of 967 postmortem reports from fatal occupational injuries was used to draw a total sample of 714 fatal construction accidents for this cross-sectional study. Pearson χ2 test and Kruskal-Wallis tests were used for statistical analysis. Results: Based on the results of this study, male gender (n=714; 100%), age range of 30-39 years (n=183; 25.6%), secondary educational level (n=273; 38.2%), being married (317; 44.4%), causal employee (n=389; 54.5%), unskilled performance (389; 54.5%), no insurance coverage (472; 66.1%), and daytime duty work (287; 40.2%) were identified as risk factors for fatality in the event of construction fatal injury. A significant relationship was found between the type of injury and sociodemographic and work related variables. Conclusion: Workers' characteristics such as age, gender, experience, and educational background, and work related variables such as skill training, safety measurement, and close monitoring could be used to discriminate among different severity levels of

  18. Age in relation to worker compensation costs in the construction industry.

    PubMed

    Schwatka, Natalie V; Butler, Lesley M; Rosecrance, John C

    2013-03-01

    A better understanding of how workers' compensation (WC) costs are affected by an aging US workforce is needed, especially for physically demanding industries, such as construction. The relationship between age and injury type on claim costs was evaluated using a database of 107,064 Colorado WC claims filed between 1998 and 2008 among construction workers. Mean WC costs increased with increasing age for total cost (P < 0.0001), medical costs (P < 0.0001), and indemnity costs (P < 0.0001). For each one-year increase in age, indemnity, and medical costs increased by 3.5% and 1.1%, respectively. For specific injury types, such as strains and contusions, the association between age and indemnity costs was higher among claimants aged ≥65 compared to claimants aged 18-24. Our findings suggest that specific injury types may be partially responsible for the higher indemnity costs among older construction workers, compared with their younger coworkers. Copyright © 2012 Wiley Periodicals, Inc.

  19. Prioritizing industries for occupational injury and illness prevention and research, Washington State Workers' compensation claims, 1999-2003.

    PubMed

    Bonauto, David; Silverstein, Barbara; Adams, Darrin; Foley, Michael

    2006-08-01

    The objective of this study was to identify high-risk industry groups for effective allocation of occupational safety and health prevention and research resources. We used all compensable Washington state workers' compensation claims to rank North American Industry Classification System (NAICS) industry groups by a "prevention index" (PI). The PI is the average of the rank orders of each industry group's claim count and claim incidence rate. Of the 274 industry groups ranked by PI for all compensable workers' compensation claims, the following industry groups ranked the highest: NAICS 2381 Foundation, Structure, and Building Exterior Contractors, NAICS 4841 General Freight Trucking, and NAICS 2361 Residential Building Construction. Industry group PI rankings are reported for the seven most common costly occupational injury types. Use of a PI can focus prevention and research resources where they can be of most benefit.

  20. An assessment and quantification of the rates, costs, and risk factors of occupational amputations: analysis of Kentucky workers' compensation claims, 1994-2003.

    PubMed

    McCall, Brian P; Horwitz, Irwin B

    2006-12-01

    Assessments of the impact of occupational amputations with outcomes of pain, disfigurement, and often an inability to return to the same job, are limited. The present study examines and quantifies the rates, risk factors, and costs of occupational amputations in the workplace in the State of Kentucky. Worker's compensation data from 1994 through 2003 from Kentucky was used to investigate job-related amputations (n = 2,297). The US Department of Labor's Current Population Survey (CPS) was used to estimate injury rates. The average amputation claim rate for all Kentucky workers was 1.37 per 10,000, with an average per-claim indemnity cost of $8,822. A declining trend was found in the rate over the last 7 years studied. Accidents resulting in amputations occurred at twice the rate on weekends than on weekdays. Amputations affecting the hand constituted 94.6% of all injuries. Workers in the mining industry had the highest estimated claim rate of 5.92 (95% CI 5.23-6.66), and machine operators and assemblers had the highest rate of all occupations with 3.35 (95% CI 3.23-3.47). Workplace amputations remain a significant workplace concern and represent a particular hazard for those in the mining and manufacturing industries. Future research should examine causes of the weekend effect to develop human resource and safety interventions for risk reduction.

  1. Descriptive Study of Occupational Accidents and their Causes among Electricity Distribution Company Workers at an Eight-year Period in Iran

    PubMed Central

    Rahmani, Abdolrasoul; Khadem, Monireh; Madreseh, Elham; Aghaei, Habib-Allah; Raei, Mehdi; Karchani, Mohsen

    2013-01-01

    Background Occupational accidents are unplanned events that cause damage. The socio-economic impacts and human costs of accidents are tremendous around the world. Many fatalities happen every year in workplaces such as electricity distribution companies. Some electrical injuries are electrocution, electric shock, and burns. This study was conducted in an electricity distribution company (with rotational 12-hour shift work) in Iran during an 8-year period to survey descriptive factors of injuries. Methods Variables collected included accident time, age of injured worker, employment type, work experience, injury cause, educational background, and other information about accidents. Results Results indicated that most of the accidents occurred in summer, and 51.3% were during shift work. Worker negligence (malpractice) was the cause of 75% of deaths. Type of employment had a significant relationship with type of injuries (p < 0.05). Most injuries were electrical burns. Conclusion High rate of accidents in summer may be due to the warm weather or insufficient professional skills in seasonal workers. Shift workers are at risk of sleep complaints leading to a high rate of work injuries. Acquiring knowledge about safety was related to job experiences. Temporary workers have no chance to work all year like permanent workers, therefore impressive experiences may be less in them. Because the lack of protective equipment and negligence are main causes of accidents, periodical inspections in workshops are necessary. PMID:24106647

  2. The biomedicalisation of war and military remains: US nuclear worker compensation in the 'post-Cold War'.

    PubMed

    Krupar, Shiloh

    2013-01-01

    This paper analyses the recent legislation and administration of United States nuclear worker compensation--the Energy Employees Occupational Illness Compensation Programme Act (EEOICPA)--in order to show the domestic impacts of war and the social order that has been established to respond to the Cold War legacy of occupational exposures, illness, and death. Examining the epistemological politics and material effects of compensation, an insufficiently analysed aspect of the Cold War, I argue that the system designed to redress the occupational exposures of nuclear workers accomplishes something else: obscuring the ethical problem of misinformation and missing data from the Cold War era; mobilising an industry of knowledge and market-economic opportunities in the arena of biomedical exposure assessment and dose reconstruction for parts of the former US nuclear complex; and, lastly, dematerialising and depoliticising geographies of the Cold War and its differential impacts through an individualistic epidemiological reprocessing of radiation exposures. The paper shows how the general claims procedure, combined with two methods mandated by EEOICPA--dose reconstruction and the probability of causation--effectively de-link workers from each other, and worksites from homes, pin compensation to a cost-benefit logic, implicate genuine scientific complexity and uncertainty in an ongoing denial of the toxic legacies of war, and ethically undermine the social justice aims of the legislation. The article ends by considering some of the ways that US nuclear workers have responded to living as the remains of both US bomb production and the compensation system.

  3. Health care professionals' attitudes towards evidence-based medicine in the workers' compensation setting: a cohort study.

    PubMed

    Elbers, Nieke A; Chase, Robin; Craig, Ashley; Guy, Lyn; Harris, Ian A; Middleton, James W; Nicholas, Michael K; Rebbeck, Trudy; Walsh, John; Willcock, Simon; Lockwood, Keri; Cameron, Ian D

    2017-05-22

    Problems may arise during the approval process of treatment after a compensable work injury, which include excess paperwork, delays in approving services, disputes, and allegations of over-servicing. This is perceived as undesirable for injured people, health care professionals and claims managers, and costly to the health care system, compensation system, workplaces and society. Introducing an Evidence Based Medicine (EBM) decision tool in the workers' compensation system could provide a partial solution, by reducing uncertainty about effective treatment. The aim of this study was to investigate attitudes of health care professionals (HCP) to the potential implementation of an EBM tool in the workers' compensation setting. The study has a mixed methods design. The quantitative study consisted of an online questionnaire asking about self-reported knowledge, attitudes and behaviour to EBM in general. The qualitative study consisted of interviews about an EBM tool being applied in the workers' compensation process. Participants were health care practitioners from different clinical specialties. They were recruited through the investigators' clinical networks and the workers' compensation government regulator's website. Participants completing the questionnaire (n = 231) indicated they were knowledgeable about the evidence-base in their field, but perceived some difficulties when applying EBM. General practitioners reported having the greatest obstacles to applying EBM. Participants who were interviewed (n = 15) perceived that an EBM tool in the workers' compensation setting could potentially have some advantages, such as reducing inappropriate treatment, or over-servicing, and providing guidance for clinicians. However, participants expressed substantial concerns that the EBM tool would not adequately reflect the impact of psychosocial factors on recovery. They also highlighted a lack of timeliness in decision making and proper assessment, particularly in

  4. Work-related pain and injury and barriers to workers' compensation among Las Vegas hotel room cleaners.

    PubMed

    Scherzer, Teresa; Rugulies, Reiner; Krause, Niklas

    2005-03-01

    We examined the prevalence of work-related pain and injury and explored barriers to and experiences of reporting among workers. We surveyed 941 unionized hotel room cleaners about work-related pain, injury, disability, and reporting. During the past 12 months, 75% of workers in our study experienced work-related pain, and 31% reported it to management; 20% filed claims for workers' compensation as a result of work-related injury, and 35% of their claims were denied. Barriers to reporting injury included "It would be too much trouble" (43%), "I was afraid" (26%), and "I didn't know how" (18%). An estimated 69% of medical costs were shifted from employers to workers. The reasons for underreporting and the extent of claim denial warrant further investigation. Implications for worker health and the precise quantification of shifting costs to workers also should be addressed.

  5. Pre-Post Evaluation of an Integrated Return to Work Planning Program in Workers' Compensation Assessment Clinics.

    PubMed

    Thompson, Aaron M S; Bain, Donna; Theriault, Marc Erick

    2016-02-01

    The aim of this study was to assess the impact of a new workers' compensation medical assessment model on loss of earnings (LOE) benefits duration. A medical assessment model was introduced incorporating return to work planning and inclusion of the worker's treating physician. Impact of the program on LOE benefit duration was assessed using a quasi-experimental pre-post study design. Cox PH multivariable regression was adjusted for age, gender, injury severity, time to referral, and industry. The study population comprised 3146 workers: 1794 assessed pre-intervention and 1574 assessed after introduction of the new model. There was a significant reduction in LOE benefit duration for workers assessed in the new model (hazard ratio 1.33, 95% confidence interval 1.23-1.43). The probability of being off LOE benefits for workers assessed in the new program was 33% greater than for workers assessed in the prior program.

  6. Factors associated with work-related accidents and sickness among maquiladora workers: the case of Nogales, Sonora, Mexico.

    PubMed

    Balcazar, H; Denman, C; Lara, F

    1995-01-01

    The health problems of maquiladora workers were explored in a sample of 497 workers of Nogales, Sonora, Mexico. The workers were interviewed using a structured questionnaire containing four sections: a sociodemographic profile, occupational history, working conditions, and a health profile. Overall, 12.6 percent of the workers reported having an accident while working in the maquila, more than 40 percent of these requiring at least one day of disability, and 18.3 percent of workers reported having an episode of sickness/disease. More than 60 percent perceived health-related risks associated with working conditions. The presence of a doctor or nurse in the plant (odds ratio = 0.30), a perception of risk associated with working conditions (odds ratio = 1.85), and the plant offering information about work-related risks (odds ratio = 0.39) were among the significant predictors of work-related accidents and disease/sickness. The authors discuss the implications of these results for programs and policies to improve safety conditions in the maquiladora industry.

  7. Silica and progressive systemic sclerosis (scleroderma): evidence for workers' compensation policy.

    PubMed

    Archer, C; Gordon, D A

    1996-05-01

    The occurrence of several confirmed cases of progressive systemic sclerosis (scleroderma) among male miners prompted a request by a member of the provincial parliament (MPP) of Ontario that the Industrial Disease Standards Panel (IDSP) evaluate the evidence for an occupational connection. A number of publications in reputable peer-reviewed medical journals offer case-control evidence gathered over four decades on three continents showing a rather clear-cut relationship between occupational exposure to crystalline silica and scleroderma. This article summarizes the evidence for a causal relationship and describes the process by which the members of the panel, using the criteria developed by Sir Austin Bradford Hill as a guide, made a finding of probable connection, the term mandated by the Workers' Compensation Act of Ontario. It provides insight into the difficulties encountered by those setting occupational disease policy when scientific certainty is unobtainable.

  8. Bangkok 2004. Sex workers and law reform in South Africa.

    PubMed

    Arnott, Jayne

    2004-12-01

    The Sisonke movement in South Africa aims to galvanize sex workers to fight for equal rights and for improvements in their living and working conditions. This article, based on Jayne Arnott's presentation to a plenary session at the XV International AIDS Conference in Bangkok on 14 July 2004, outlines the legislation that governs the sex trade in South Africa; reviews related legal and policy developments since the end of apartheid in 1994; describes the present environment; and outlines the contribution that sex workers themselves are making to the fight for reform.

  9. Investigating the relationship between worker demographics and nature of injury on Federal Department of Defense workers' compensation injury rates and costs from 2000 to 2008.

    PubMed

    Mallon, Timothy M; Cherry, Scott E

    2015-03-01

    This is the first study of workers' compensation injuries and costs in Department of Defense workers that examined whether any demographic factors including age, sex, occupation, and nature of injury altered the risks or costs of an injury or illness over time. Department of Defense Workers' Compensation claims for period 2000 to 2008 were analyzed (n = 142,115) using Defense Portal Analysis and Defense Manpower Data Center to calculate injury rates and costs. Regression analysis was done using SPSS to examine the change in the risk of injury or illness over time from 2000 to 2008. The age group of 30 to 34 years had the lowest costs per claim and highest claims rate, 332 per 10,000. The age group of 65 to 70 years had the lowest claims rate of 188 per 10,000 but the highest costs per claim. Claims cost increased $69 for each 5-year group, and older workers had a threefold increase in costs per claim. Younger workers get hurt more often, but older workers tend to have more expensive claims.

  10. Implementing a self-management intervention for people with a chronic compensable musculoskeletal injury in a workers compensation context: a process evaluation.

    PubMed

    Sheppard, Dianne M; Gargett, Susan; MacKenzie, Alison; Jull, Gwendolen; Johnston, Venerina; Strong, Jennifer; Battersby, Malcolm; Ellis, Niki

    2015-06-01

    Determining factors critical for an intervention's success, specifically for whom and under what circumstances, is necessary if interventions are to be effectively targeted and efficiently implemented. This paper describes a process evaluation undertaken to assess the implementation of a novel self-management (SM) intervention developed for those with a chronic compensable work-related musculoskeletal disorder seeking to return to work. The process evaluation, assessing the 'Self-Management for Return to Work' intervention, examined data from program leader evaluations, telephone interviews with stakeholders (injured worker participants, vocational rehabilitation consultant program leaders and compensation insurance regulators), post-intervention focus group session feedback, attendance lists and researcher notes. The evaluation identified several challenges and barriers associated with conducting research within the VR environment and with the characteristics of those targeted i.e., injured workers with a chronic compensable condition. These issues were primary contributing factors to the modifications to the randomised controlled trial methodology and the trial's premature cessation. Despite the difficulties encountered, high stakeholder acceptability suggests that the concept and theory underlying the targeted SM intervention were not flawed, though there is room for further tailoring to both the program method and its timing. The results of this process evaluation provide a useful platform for others considering the implementation of interventions within the vocational rehabilitation context or with individuals with chronic, compensated injuries.

  11. Age in Relation to Worker Compensation Costs in the Construction Industry

    PubMed Central

    Schwatka, Natalie V.; Butler, Lesley M.; Rosecrance, John C.

    2015-01-01

    Background A better understanding of how workers’ compensation (WC) costs are affected by an aging US workforce is needed, especially for physically demanding industries, such as construction. Methods The relationship between age and injury type on claim costs was evaluated using a database of 107,064 Colorado WC claims filed between 1998 and 2008 among construction workers. Results Mean WC costs increased with increasing age for total cost (P < 0.0001), medical costs (P < 0.0001), and indemnity costs (P < 0.0001). For each one-year increase in age, indemnity, and medical costs increased by 3.5% and 1.1%, respectively. For specific injury types, such as strains and contusions, the association between age and indemnity costs was higher among claimants aged ≥65 compared to claimants aged 18–24. Conclusions Our findings suggest that specific injury types may be partially responsible for the higher indemnity costs among older construction workers, compared with their younger coworkers. PMID:22782837

  12. 42 CFR 411.47 - Apportionment of a lump-sum compromise settlement of a workers' compensation claim.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Apportionment of a lump-sum compromise settlement of a workers' compensation claim. 411.47 Section 411.47 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT Limitations...

  13. Insights into the Experiences of Older Workers and Change: Through the Lens of Selection, Optimization, and Compensation

    ERIC Educational Resources Information Center

    Unson, Christine; Richardson, Margaret

    2013-01-01

    Purpose: The study examined the barriers faced, the goals selected, and the optimization and compensation strategies of older workers in relation to career change. Method: Thirty open-ended interviews, 12 in the United States and 18 in New Zealand, were conducted, recorded, transcribed verbatim, and analyzed for themes. Results: Barriers to…

  14. 5 CFR 894.304 - Am I eligible to enroll if I'm retired or receiving workers' compensation?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Am I eligible to enroll if I'm retired or receiving workers' compensation? 894.304 Section 894.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE...

  15. 5 CFR 894.304 - Am I eligible to enroll if I'm retired or receiving workers' compensation?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Am I eligible to enroll if I'm retired or receiving workers' compensation? 894.304 Section 894.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE...

  16. 5 CFR 894.304 - Am I eligible to enroll if I'm retired or receiving workers' compensation?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Am I eligible to enroll if I'm retired or receiving workers' compensation? 894.304 Section 894.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE...

  17. 5 CFR 894.304 - Am I eligible to enroll if I'm retired or receiving workers' compensation?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Am I eligible to enroll if I'm retired or receiving workers' compensation? 894.304 Section 894.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE...

  18. Insights into the Experiences of Older Workers and Change: Through the Lens of Selection, Optimization, and Compensation

    ERIC Educational Resources Information Center

    Unson, Christine; Richardson, Margaret

    2013-01-01

    Purpose: The study examined the barriers faced, the goals selected, and the optimization and compensation strategies of older workers in relation to career change. Method: Thirty open-ended interviews, 12 in the United States and 18 in New Zealand, were conducted, recorded, transcribed verbatim, and analyzed for themes. Results: Barriers to…

  19. 5 CFR 894.304 - Am I eligible to enroll if I'm retired or receiving workers' compensation?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Am I eligible to enroll if I'm retired or receiving workers' compensation? 894.304 Section 894.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION...

  20. The Diagnosis of Personality Disorder: A Comparison of MMPI Profile, Millon Inventory, and Clinical Judgment in a Workers' Compensation Population.

    ERIC Educational Resources Information Center

    Repko, Glenn R.; Cooper, Robert

    1985-01-01

    Investigated information derived from a group of 100 workers' compensation cases and used clinical opinion and psychological testing to determine the presence and nature of personality disorder diagnosis. Significant differences were found on both the Minnesota Multiphasic Personality Inventory and the Millon among the diagnostic groups of…

  1. Does Protecting Older Workers From Discrimination Make It Harder to Get Hired? Evidence From Disability Discrimination Laws.

    PubMed

    Neumark, David; Song, Joanne; Button, Patrick

    2017-01-01

    We explore the effects of disability discrimination laws on hiring of older workers. A concern with antidiscrimination laws is that they may reduce hiring by raising the cost of terminations and-in the specific case of disability discrimination laws-raising the cost of employment because of the need to accommodate disabled workers. Moreover, disability discrimination laws can affect nondisabled older workers because they are fairly likely to develop work-related disabilities, but are generally not protected by these laws. Using state variation in disability discrimination protections, we find little or no evidence that stronger disability discrimination laws lower the hiring of nondisabled older workers. We similarly find no evidence of adverse effects of disability discrimination laws on hiring of disabled older workers.

  2. National Trends in Occupational Injuries Before and After 1992 and Predictors of Workers' Compensation Costs

    PubMed Central

    Bhushan, Abhinav; Leigh, J. Paul

    2011-01-01

    Objective Numbers and costs of occupational injuries and illnesses are significant in terms of morbidity and dollars, yet our understanding of time trends is minimal. We investigated trends and addressed some common hypotheses regarding causes of fluctuations. Methods We pulled data on incidence rates (per 100 full-time employed workers) for injuries and illnesses from the U.S. Bureau of Labor Statistics and on costs and benefits from the National Academy of Social Insurance for 1973 through 2007. Rates reflected all injury and illness cases, lost work-time cases, and cases resulting in at least 31 days away from work. We adjusted dollar costs (premiums) and benefits for inflation and measured them per employed worker. We plotted data in time-trend charts and ran linear regressions. Results From 1973 to 1991, there was a weak to nonexistent downward trend for injury and illness rates, and rates were strongly and negatively correlated with the unemployment rate. From 1992 to 2007, there were strong, consistent downward trends, but no longer were there statistically significant correlations with unemployment. Significant predictors (and signs) of workers' compensation premiums for 1973–2007 included medical price inflation (positive), number of lost-time injuries (positive), the Dow Jones Industrial Average (negative), and inflation-adjusted interest rate on U.S. Treasury bonds (negative). Dollars of benefits were positively and significantly predicted by medical inflation and number of lost-time cases. For 1992–2007, the Dow Jones variable was the only robust predictor of premiums; the number of injuries was not a significant positive predictor. Conclusion We had two major conclusions. First, the year 1992 marked a sharp contrast in trends and correlations between unemployment and incidence rates for occupational injuries and illnesses. Second, for the entire time period (1973–2007), insurance carriers' premiums were strongly associated with returns on

  3. National trends in occupational injuries before and after 1992 and predictors of workers' compensation costs.

    PubMed

    Bhushan, Abhinav; Leigh, J Paul

    2011-01-01

    Numbers and costs of occupational injuries and illnesses are significant in terms of morbidity and dollars, yet our understanding of time trends is minimal. We investigated trends and addressed some common hypotheses regarding causes of fluctuations. We pulled data on incidence rates (per 100 full-time employed workers) for injuries and illnesses from the U.S. Bureau of Labor Statistics and on costs and benefits from the National Academy of Social Insurance for 1973 through 2007. Rates reflected all injury and illness cases, lost work-time cases, and cases resulting in at least 31 days away from work. We adjusted dollar costs (premiums) and benefits for inflation and measured them per employed worker. We plotted data in time-trend charts and ran linear regressions. From 1973 to 1991, there was a weak to nonexistent downward trend for injury and illness rates, and rates were strongly and negatively correlated with the unemployment rate. From 1992 to 2007, there were strong, consistent downward trends, but no longer were there statistically significant correlations with unemployment. Significant predictors (and signs) of workers' compensation premiums for 1973-2007 included medical price inflation (positive), number of lost-time injuries (positive), the Dow Jones Industrial Average (negative), and inflation-adjusted interest rate on U.S. Treasury bonds (negative). Dollars of benefits were positively and significantly predicted by medical inflation and number of lost-time cases. For 1992-2007, the Dow Jones variable was the only robust predictor of premiums; the number of injuries was not a significant positive predictor. We had two major conclusions. First, the year 1992 marked a sharp contrast in trends and correlations between unemployment and incidence rates for occupational injuries and illnesses. Second, for the entire time period (1973-2007), insurance carriers' premiums were strongly associated with returns on investments.

  4. Positive impact of the Portuguese smoking law on respiratory health of restaurant workers.

    PubMed

    Madureira, Joana; Mendes, Ana; Almeida, Sofia; Teixeira, João Paulo

    2012-01-01

    The impact of smoke-free law on the respiratory and sensory symptoms among restaurant workers was evaluated. Fifty-two workers in 10 Portuguese restaurants were interviewed before and 2 years after implementation of the smoke-free law. A significant reduction in self-reported workplace environmental tobacco smoke (ETS) exposure was observed after the enforcement of the law, as well as a marked reduction in adverse respiratory and sensory symptoms such as dry, itching, irritated, or watery eyes, nasal problems, and sore or dry throat or cough, between pre- and post-ban. This study demonstrates that the smoking ban was effective in diminishing the exposure symptoms among workers and consequently in improving their respiratory health. These observations may have implications for policymakers and legislators in other countries currently considering the nature and extent of their smoke-free workplace legislation.

  5. Impact of the accident at the Three Mile Island on the behavior and well-being of nuclear workers. Part II. Job tension, psychophysiological symptoms, and indices of distress

    SciTech Connect

    Kasl, S.V.; Chisholm, R.F.; Eskenazi, B.

    1981-05-01

    Three Mile Island (TMI) workers experienced much greater job tension and lower occupational self-esteem (supervisors only) in comparison with workers interviewed at the Peach Bottom Plant. At the time of the accident, TMI workers reported experiencing more periods of anger, extreme worrry and extreme upset, and more psychophysiological symptoms. Six months after the accident, some persistence of these feelings and symptoms was evident. Demoralization was greater primarily among TMI non-supervisory workers. The impact of the accident was not greater among TMI workers living closer to the plant. Presence of a preschool child at home enhanced the impact of the accident, but primarily among TMI supervisors. 39 references, 17 tables.

  6. The impact of workplace factors on filing of workers’ compensation claims among nursing home workers

    PubMed Central

    2014-01-01

    Background Injuries reported to workers’ compensation (WC) system are often used to estimate incidence of health outcomes and evaluate interventions in musculoskeletal epidemiology studies. However, WC claims represent a relatively small subset of all musculoskeletal disorders among employed individuals, and perhaps not a representative subset. This study determined the influence of workplace and individual factors on filing of workers’ compensation claims by nursing home employees with back pain. Methods Surveys were conducted in 18 skilled nursing facilities in four U.S. states. Self-administered questionnaires obtained information on demographic characteristics, working environment, and health behaviors/status. Employees who reported low back pain at least once in four questionnaire surveys were included. WC claims from the same facilities were obtained from the employer’s workers compensation insurer and matched by employee name. The dichotomous dependent variable was filing of back-related worker’s compensation claim. Association with predictors of interest, including pain severity, physical job demand, job strain, social support, schedule control, and safety climate, was assessed using multivariate regression modeling. Individual characteristics were tested as potential confounders. Results Pain severity level was significantly associated with filing low-back related claims (odds ratio (OR) = 1.49, 95% CI = 1.18 – 1.87). Higher physical demands at work (OR = 1.07, 95% CI = 1.01 – 1.14) also increased the likelihood of claim filing. Higher job strain (OR = 0.83, 95% CI = 0.73 – 0.94), social support at work (OR = 0.90, 95% CI = 0.82 – 0.99), and education (OR = 0.79, 95% CI = 0.71 – 0.89) decreased the likelihood of claim filing. Conclusions The results suggest that the WC system captured the most severe occupational injuries. Workplace factors had additional influence on workers’ decision to file

  7. [Changes in hospitality workers' expectations and attitudes after the implementation of the Spanish smoking law].

    PubMed

    Martínez-Sánchez, Jose M; Fenández, Esteve; Fu, Marcela; Pérez-Ríos, Mónica; Schiaffino, Anna; López, María J; Alonso, Begoña; Saltó, Esteve; Nebot, Manel; Borràs, Josep M

    2010-01-01

    To assess changes in hospitality workers' expectations and attitudes towards the Spanish smoking law before and 2 years after the smoking ban. We performed a longitudinal study of a cohort (n=431) of hospitality workers in five regions in Spain before the law came into effect and 24 months later. Expectations and attitudes towards the ban and knowledge about the effect of second-hand smoke on health were compared before and after the ban. We recruited 431 hospitality workers in the baseline survey and 219 were followed-up 24 months later (overall follow-up rate of 50.8%). The percentage of hospitality workers who knew the law was 79.0% before it was passed and was 94.1% 24 months later (p<0.05). We observed an increase in support to the smoke-free ban in all public places, including bars and restaurants (54.1% to 65.8%; p<0.05). The percentages of support for the current ban, perception of compliance with the ban by employees and customers, and knowledge of the effect of second-hand smoke on health also increased. Knowledge and support to the Spanish smoking law among hospitality workers increased 2 years after the implementation of the ban. Copyright 2009 SESPAS. Published by Elsevier Espana. All rights reserved.

  8. The equation of state of polymers. Part III: Relation with the compensation law.

    PubMed

    Rault, Jacques

    2017-09-01

    The properties of amorphous polymers and of organic compounds under pressure are interpreted in the framework of the modified Van der Walls Equation of State (mVW-EOS) the Vogel-Fulcher-Tamann (VFT) law and of the compensation law. We have shown recently that polymers and organic compounds in amorphous liquid and crystalline states verify the mVW-EOS which depends on three parameters, [Formula: see text] [Formula: see text] and [Formula: see text]. In this paper we compare the characteristic pressure [Formula: see text] of the mVW-EOS to the various pressures [Formula: see text] deduced from thermodynamic and kinetic properties of polymers in the liquid and solid states. [Formula: see text] and [Formula: see text] are: a) the enthalpy and volume change at the melting and glass transitions (the glass being isotropic or oriented and annealed below [Formula: see text] at various aging conditions); b) the activation parameters of individual [Formula: see text] and cooperative [Formula: see text] motions in crystalline liquid and amorphous polymers studied by dielectric or mechanical spectroscopy; and c) the activation parameters of amorphous (solid and liquid) polymers submitted to a deformation depending on the time frequency temperature and strain rate. For a same material, whatever its state and whatever the experimental properties analyzed (dielectric and mechanical relaxation, viscosity, auto-diffusion, yielding under hydrostatic pressure), we demonstrate that [Formula: see text], ([Formula: see text] Grüneisen parameter, [Formula: see text] compressibility). In all polymers and organic compounds (and water), these pressures, weakly dependent on T and P near [Formula: see text] and [Formula: see text] at low pressure are characteristic of the H-H inter-molecular interactions. It is shown that the two empirical Lawson and Keyes relations of the compensation law can be deduced from the mVW-EOS.

  9. Youth Employment Laws: A Handbook for Supervisors of Young Workers.

    ERIC Educational Resources Information Center

    Guerber, Gaer C.

    Prepared by an attorney, this guide is intended for school personnel involved in the work placement of students. Pertinent youth employment laws are condensed and interpreted, providing a reference guide for both school personnel and employers. Information is provided about the Fair Labor Standards Act of 1938, the Hittle Juvenile Employment Act,…

  10. Costs of injury in New Zealand: Accident Compensation Corporation spending, personal spending and quality-adjusted life years lost.

    PubMed

    Wilson, Ross; Derrett, Sarah; Hansen, Paul; Langley, John Desmond

    2013-04-01

    New Zealand offers a unique opportunity for cost-of-injury research due to its comprehensive, no-fault injury compensation insurance scheme, which is managed by the government-controlled Accident Compensation Corporation (ACC). To estimate the costs of injury in New Zealand with respect to ACC's spending for entitlement claimants (ie, people with injuries requiring more than 'treatment only'), as well as injured individuals' out-of-pocket personal spending and non-pecuniary costs in terms of effects on health-related quality of life (HRQoL). A prospective cohort study of people injured between June 2007 and May 2009 was followed for 12 months after injury. ACC's spending for each participant (n=2215) was estimated from ACC data. Out-of-pocket personal spending and quality-adjusted life years (QALYs) lost were estimated based on interviews conducted at 3, 5 and 12 months post injury. For the cohort studied, most of the reported financial costs of injury were met by ACC. ACC spending was higher for individuals with more severe injuries and ones admitted to hospital. There was no difference in mean personal spending between people who were hospitalised or not, or between those with minor or moderate injuries, although individuals with more severe injuries reported higher personal spending. Overall, the ACC appears to be performing well supporting injured people financially. Nonetheless, people with more severe injuries incur substantial out-of-pocket expenses. Costs are higher for hospitalised and more severe injuries, but non-hospitalised and less severe cases can still incur substantial costs. The HRQoL effects of injury-naturally, borne by injured individuals themselves-are relatively large on average.

  11. Injuries to New Zealanders participating in adventure tourism and adventure sports: an analysis of Accident Compensation Corporation (ACC) claims.

    PubMed

    Bentley, Tim; Macky, Keith; Edwards, Jo

    2006-12-15

    The aim of this study was to examine the involvement of adventure tourism and adventure sports activity in injury claims made to the Accident Compensation Corporation (ACC). Epidemiological analysis of ACC claims for the period, July 2004 to June 2005, where adventure activities were involved in the injury. 18,697 adventure tourism and adventure sports injury claims were identified from the data, representing 28 activity sectors. Injuries were most common during the summer months, and were most frequently located in the major population centres. The majority of injuries were incurred by claimants in the 20-50 years age groups, although claimants over 50 years of age had highest claims costs. Males incurred 60% of all claims. Four activities (horse riding, mountain biking, tramping/hiking, and surfing) were responsible for approximately 60% of all adventure tourism and adventure sports-related injuries. Slips, trips, and falls were the most common injury initiating events, and injuries were most often to the back/spine, shoulder, and knee. These findings suggest the need to investigate whether regulatory intervention in the form of codes of practice for high injury count activities such as horse riding and mountain biking may be necessary. Health promotion messages and education programs should focus on these and other high-injury risk areas. Improved risk management practices are required for commercial adventure tourism and adventure sports operators in New Zealand if safety is to be improved across this sector.

  12. Industrial accident compensation insurance benefits on cerebrovascular and heart disease in Korea.

    PubMed

    Kim, Hyeong Su; Choi, Jae Wook; Chang, Soung Hoon; Lee, Kun Sei

    2003-08-01

    The purpose of this study is to present the importance of work-related cerebrovascular and heart disease from the viewpoint of expenses. Using the insurance benefit paid for the 4,300 cases, this study estimated the burden of insurance benefits spent on work-related cerebrovascular and heart disease. The number of cases with work-related cerebrovascular and heart disease per 100,000 insured workers were 3.36 in 1995; they were increased to 13.16 in 2000. By the days of occurrence, the estimated number of cases were 1,336 in 2001 (95% CI: 1,211-1,460 cases) and 1,769 in 2005 (CI: 1,610-1,931 cases). The estimated average insurance benefits paid per person with work-related cerebrovascular and heart disease was 75-19 million won for medical care benefit and 56 million won for other benefits except medical care. By considering the increase in insurance payment and average pay, the predicted insurance benefits for work-related cerebrovascular and heart disease was 107.9 billion won for the 2001 cohort and 192.4 billion won for the 2005 cohort. From an economic perspective, the results will be used as important evidence for the prevention and management of work-related cerebrovascular and heart disease.

  13. Injury classification agreement in linked Bureau of Labor Statistics and Workers' Compensation data

    PubMed Central

    Wuellner, Sara E; Bonauto, David K

    2014-01-01

    Background Estimates of select occupational injuries and illnesses often differ across data sources. We explored agreement in injury classifications and the impact of differences on case estimates among records reported to multiple data sources. Methods We linked cases reported in the Bureau of Labor Statistics (BLS) annual Survey of Occupational Injuries and Illnesses (SOII) to Washington State workers' compensation (WC) claims and evaluated agreement in injury characteristics coded in each data source according to the same occupational injury and illness classification system. Results Agreement between data sources was greatest for body part and lowest for event or exposure. Agreement on nature of injury varied by condition. WC-assigned injury codes estimated 94% more amputations than SOII-assigned codes while SOII-assigned codes estimated 34% more work-related MSD cases. Conclusions Accounting for classification differences may improve case ascertainment within individual data sources and help align injury and illness estimates derived from different data sources. Am. J. Ind. Med. 57:1100–1109, 2014. © 2013 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc. PMID:24347557

  14. Health risk factors as predictors of workers' compensation claim occurrence and cost.

    PubMed

    Schwatka, Natalie V; Atherly, Adam; Dally, Miranda J; Fang, Hai; vS Brockbank, Claire; Tenney, Liliana; Goetzel, Ron Z; Jinnett, Kimberly; Witter, Roxana; Reynolds, Stephen; McMillen, James; Newman, Lee S

    2017-01-01

    The objective of this study was to examine the predictive relationships between employee health risk factors (HRFs) and workers' compensation (WC) claim occurrence and costs. Logistic regression and generalised linear models were used to estimate the predictive association between HRFs and claim occurrence and cost among a cohort of 16 926 employees from 314 large, medium and small businesses across multiple industries. First, unadjusted (HRFs only) models were estimated, and second, adjusted (HRFs plus demographic and work organisation variables) were estimated. Unadjusted models demonstrated that several HRFs were predictive of WC claim occurrence and cost. After adjusting for demographic and work organisation differences between employees, many of the relationships previously established did not achieve statistical significance. Stress was the only HRF to display a consistent relationship with claim occurrence, though the type of stress mattered. Stress at work was marginally predictive of a higher odds of incurring a WC claim (p<0.10). Stress at home and stress over finances were predictive of higher and lower costs of claims, respectively (p<0.05). The unadjusted model results indicate that HRFs are predictive of future WC claims. However, the disparate findings between unadjusted and adjusted models indicate that future research is needed to examine the multilevel relationship between employee demographics, organisational factors, HRFs and WC claims. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  15. Twenty years of workers' compensation costs due to falls from height among union carpenters, Washington state.

    PubMed

    Lipscomb, Hester J; Schoenfisch, Ashley L; Cameron, Wilfrid; Kucera, Kristen L; Adams, Darrin; Silverstein, Barbara A

    2014-09-01

    Falls from height (FFH) are a longstanding, serious problem in construction. We report workers' compensation (WC) payments associated with FFH among a cohort (n = 24,830; 1989-2008) of carpenters. Mean/median payments, cost rates, and adjusted rate ratios based on hours worked were calculated using negative-binomial regression. Over the 20-year period FFH accounted for $66.6 million in WC payments or $700 per year for each full-time equivalent (2,000 hr of work). FFH were responsible for 5.5% of injuries but 15.1% of costs. Cost declines were observed, but not monotonically. Reductions were more pronounced for indemnity than medical care. Mean costs were 2.3 times greater among carpenters over 50 than those under 30; cost rates were only modestly higher. Significant progress has been made in reducing WC payments associated with FFH in this cohort particularly through 1996; primary gains reflect reduction in frequency of falls. FFH that occur remain costly. © 2014 Wiley Periodicals, Inc.

  16. Health risk factors as predictors of workers' compensation claim occurrence and cost

    PubMed Central

    Schwatka, Natalie V; Atherly, Adam; Dally, Miranda J; Fang, Hai; vS Brockbank, Claire; Tenney, Liliana; Goetzel, Ron Z; Jinnett, Kimberly; Witter, Roxana; Reynolds, Stephen; McMillen, James; Newman, Lee S

    2017-01-01

    Objective The objective of this study was to examine the predictive relationships between employee health risk factors (HRFs) and workers' compensation (WC) claim occurrence and costs. Methods Logistic regression and generalised linear models were used to estimate the predictive association between HRFs and claim occurrence and cost among a cohort of 16 926 employees from 314 large, medium and small businesses across multiple industries. First, unadjusted (HRFs only) models were estimated, and second, adjusted (HRFs plus demographic and work organisation variables) were estimated. Results Unadjusted models demonstrated that several HRFs were predictive of WC claim occurrence and cost. After adjusting for demographic and work organisation differences between employees, many of the relationships previously established did not achieve statistical significance. Stress was the only HRF to display a consistent relationship with claim occurrence, though the type of stress mattered. Stress at work was marginally predictive of a higher odds of incurring a WC claim (p<0.10). Stress at home and stress over finances were predictive of higher and lower costs of claims, respectively (p<0.05). Conclusions The unadjusted model results indicate that HRFs are predictive of future WC claims. However, the disparate findings between unadjusted and adjusted models indicate that future research is needed to examine the multilevel relationship between employee demographics, organisational factors, HRFs and WC claims. PMID:27530688

  17. Perceived Workplace Interpersonal Support Among Workers of the Fukushima Daiichi Nuclear Power Plants Following the 2011 Accident: The Fukushima Nuclear Energy Workers' Support (NEWS) Project Study.

    PubMed

    Takahashi, Sho; Shigemura, Jun; Takahashi, Yoshitomo; Nomura, Soichiro; Yoshino, Aihide; Tanigawa, Takeshi

    2017-10-10

    The 2011 Fukushima Daiichi nuclear accident was the worst nuclear disaster since Chernobyl. The Daiichi workers faced multiple stressors (workplace trauma, victim experiences, and public criticism deriving from their company's post-disaster management). Literatures suggest the importance of workplace interpersonal support (WIS) in enhancing psychological health among disaster workers. We sought to elucidate the role of their demographics, disaster-related experiences, and post-traumatic stress symptoms on perceived WIS. We analyzed self-report questionnaires of 885 workers 2-3 months post-disaster. We used sociodemographic and disaster exposure-related variables and post-traumatic stress symptoms (measured by the Impact of Event Scale-Revised) as independent variables. We asked whether WIS from colleagues, supervisors, or subordinates was perceived as helpful, and used yes or no responses as a dependent variable. Logistic regression analyses were performed to assess correlates of WIS. Of the participants, one-third (34.7%) reported WIS. WIS was associated with younger age (20-28 years [vs 49-], adjusted odds ratio [aOR]: 3.25, 95% CI: 1.99-5.32), supervisory work status (aOR: 2.30, 95% CI: 1.35-3.92), and discrimination or slur experience (aOR: 1.65, 95% CI: 1.08-2.53). Educational programs focusing on WIS might be beneficial to promote psychological well-being among nuclear disaster workers, especially younger workers, supervisors, and workers with discrimination experiences. (Disaster Med Public Health Preparedness. 2017; page 1 of 4).

  18. The impact of the accident at the Three Mile Island on the behavior and well-being of nuclear workers: Part II: job tension, psychophysiological symptoms, and indices of distress.

    PubMed Central

    Kasl, S V; Chisholm, R F; Eskenazi, B

    1981-01-01

    TMI workers experienced much greater job tension and lower occupational self-esteem (supervisors only). At the time of the accident, TMI workers reported experiencing more periods of anger, extreme worry and extreme upset, and more psychophysiological symptoms. Six months after the accident, some persistence of these feelings and symptoms was evident. Demoralization was greater primarily among TMI non-supervisory workers. The impact of the accident was not greater among TMI workers living closer to the plant. Presence of a preschool child at home enhanced the impact of the accident, but primarily among TMI supervisors. PMID:7212136

  19. [Prospectic evaluation of the Italian Workers' Compensation Authority in a large case series of Occupational sino-nasal cancers].

    PubMed

    Casà, M; Bonzini, M; Parassoni, D; Tavecchio, D; Facchinetti, N; Castelnuovo, P; Ferrario, M M

    2012-01-01

    Sino-nasal cancer (SNC) are rare tumours with an elevated occupational etiological fraction, due both to well-established risk factors (wood and leather) and to more rare carcinogens. We evaluated the assessment for workers' compensation performed by the Italian Authority (INAL) in a case-series of occupational SNC (N = 45). We observed an elevated proportion of cases that were recognised as occupational, overall (36 on 39) and for any histotype. INAIL tended to recognize as professional not only patients with exposure to wood and leather but also cases with a documented exposure to formaldehyde, metal, polycyclic hydrocarbons. Significant differences across Italian macro-regions appeared, when the amount of worker compensation was investigated.

  20. The association of the use of opioid and psychotropic medications with workers' compensation claim costs and lost work time.

    PubMed

    Tao, Xuguang Grant; Lavin, Robert A; Yuspeh, Larry; Weaver, Virginia M; Bernacki, Edward J

    2015-02-01

    To study the relationship between the use of psychotropic and opioid medications with workers' compensation disability and costs. The study population included lost time claimants injured between 1999 and 2002 followed to closing in December 31, 2009. Controlling for age, sex, marital status, attorney involvement, and spinal surgeries, multivariate logistic regression revealed that odds ratios (95% confidence interval) of claim costs ≥$100,000 compared with claimants who were never prescribed opioids were 4.3 for short-acting opioids only; 8.6 for any use of long-acting opioids; 2.8 for any use of hypnotics; 2.6 for any use of antipsychotics; 1.6 for any use of anti-anxiety agents; and 2.9 for any use of antidepressants. The use of psychotropic and opioid medications was associated with high workers' compensation costs and prolonged disability.

  1. Evaluation of an integrated workers' compensation/managed care pharmacy benefit program: employee satisfaction and health outcomes.

    PubMed

    Saleh, Shadi; Washington, Stephanie; Stapleton, David; DiCiccio-Miller, Yasamin

    2005-02-01

    In response to rising costs, New York State developed an integrated workers' compensation/managed care pharmacy benefit program, ONECARD Rx. This study examined the effect of the program on employee satisfaction and health outcomes. The study design is cross-sectional; the two main study groups comprised users and nonusers of ONECARD Rx between January 1998 and March 2000. All 462 users and a sample of 880 nonusers were surveyed. More than 80% of ONECARD Rx users rated their prescription drug program as excellent, very good, or good compared with 47% of nonusers (P < .01). Of the least desirable features of ONECARD Rx were the time to get the prescription filled and the need to have a workers' compensation number to use the benefit, both of which may be a factor of the short period of exposure time to the benefit. No significant differences in health status were detected among users and nonusers. This study reveals that integration of workers' compensation and managed care pharmacy benefit programs is a promising innovative strategy to improve quality.

  2. Dose estimation by ESR on tooth enamel from two workers exposed to radiation due to the JCO accident.

    PubMed

    Shiraishi, Kunio; Iwasaki, Midori; Miyazawa, Chyuzo; Yonehara, Hidenori; Matsumoto, Masaki

    2002-09-01

    ESR dosimetry is useful to estimate the external dose for the general population as well as for occupational workers in a nuclear emergency. Three teeth were extracted from two exposed workers (A and B) related to the JCO criticality accident. Tooth enamel was carefully separated from other tooth parts and subjected to ESR dosimetry. Doses equivalent to the gamma-ray dose of 60Co were estimated as follows: for worker A, the buccal and lingual sides of the eighth tooth in the upper right side, 11.8 +/- 3.6 and 12.0 +/- 3.6 Gy, respectively; for worker B, the buccal and lingual sides of the fourth tooth in the upper right side and the fifth tooth in the upper left side, 11.3 +/- 3.4 and 10.8 +/- 3.3 Gy, 11.7 +/- 3.5 and 11.4 +/- 3.4 Gy, respectively. The estimated doses were found to be similar and not dependent on the tooth positions, whether the buccal or lingual sides in each tooth.

  3. Workers' Compensation and the "Alphabet Soup" of Credentials: How to Spell Success for the Rehabilitation Professional [and] Comments on Schiro-Geist and Donlon.

    ERIC Educational Resources Information Center

    Schiro-Geist, Chrisann; And Others

    1994-01-01

    Schiro-Geist and Donlon describe the development of five types of credentials for rehabilitation professionals in workers' compensation, addressing the importance of accreditation to monitoring minimum standards. Comments by Thomas and Nolte are provided. (SK)

  4. Radiation-epidemiological Study of Cerebrovascular Diseases in the Cohort of Russian Recovery Operation Workers of the Chernobyl Accident.

    PubMed

    Kashcheev, V V; Chekin, S Yu; Maksioutov, M A; Tumanov, K A; Menyaylo, A N; Kochergina, E V; Kashcheeva, P V; Gorsky, A I; Shchukina, N V; Karpenko, S V; Ivanov, V K

    2016-08-01

    The paper presents an analysis of the incidence of cerebrovascular diseases (CeVD) in the cohort of Russian workers involved in recovery tasks after the Chernobyl accident. The studied cohort consists of 53,772 recovery operation workers (liquidators) who arrived in the zone of the Chernobyl accident within the first year after this accident (26 April 1986-26 April 1987). The mean external whole body dose in the cohort was 0.161 Gy, while individual doses varied from 0.0001 Gy to 1.42 Gy. During the follow-up period 1986-2012, a total of 23,264 cases of CeVD were diagnosed as a result of annual health examinations. A Poisson regression model was applied for estimation of radiation risks and for an assessment of other risk factors of CeVD. The following factors were considered as risk factors for CeVD: the dose, duration of the liquidators' work in the Chernobyl zone, and the concomitant diseases (hypertension, ischemic heart disease, atherosclerosis, and diabetes). The baseline incidence of CeVD is statistically significantly (p < 0.001) associated with all studied concomitant diseases. The incidence of CeVD has revealed a statistically significant dose response with the lack of a latent period and with the average ERR/Gy = 0.45, 95% CI: (0.28, 0.62), p < 0.001. Radiation risks of CeVD statistically significantly (p = 0.03) varied with the duration of liquidators' stay in the Chernobyl zone; for those who stayed in the Chernobyl zone less than 6 wk, ERR/Gy = 0.64, 95% CI = (0.38; 0.93), p < 0.001. Among studied concomitant diseases, diabetes mellitus statistically significantly (p = 0.002) increases the radiation risk of CeVD: for liquidators with diagnosed diabetes, ERR/Gy = 1.29.

  5. Primary fusion in worker's compensation intraarticular calcaneus fracture. Prospective study of 169 consecutive cases.

    PubMed

    López-Oliva, Felipe; Sánchez-Lorente, Tomás; Fuentes-Sanz, Adela; Forriol, Francisco; Aldomar-Sanz, Yolanda

    2012-12-01

    To study the results of reconstruction and primary fusion in worker's compensation intraarticular calcaneus fractures. We carried out a prospective study of 169 acute intraarticular calcaneus fractures treated by reconstruction and primary fusion with the minimally invasive Vira® system, in severe calcaneus fractures. The evaluation was performed by clinical, radiological and biomechanical analysis. AOFAS score averaged 77.26 points at the end of follow up. Forty-two cases (24.9%) obtained excellent results, 108 (63.9%) good, 12 (7.1%) mild and 7 (4.1%) poor. The improvement in Börder's angle after surgery was significant (p = 0.05) and this did not vary during the follow up. Subtalar arthrodesis was achieved in all cases and only three cases needed bone grafting. Five major post-surgical complications were observed, and one deep infection in a case of open Gustilo Grade III fracture. In the kinetic study, the support time of the operated foot was lower than that of the contralateral foot (p<0.21). The axial force of the heel contact and the single limb support of the operated foot reduced the toe-off axial forces. In the foot with arthrodesis the posterior forces increased (p <0.01). The pressures were lower in the region of the heel and the mid-foot and in the external part of the forefoot, and increased in the big toe. Calcaneal workplace injuries are challenging to treat. Primary subtalar fusion with a minimally invasive method allows rapid recovery for these patients with a satisfactory clinical, functional and radiological outcome. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Outcomes Following Carpal Tunnel Release in Patients Receiving Workers' Compensation: A Systematic Review.

    PubMed

    Dunn, John C; Kusnezov, Nicholas A; Koehler, Logan R; Vanden Berge, Dennis; Genco, Ben; Mitchell, Justin; Orr, Justin D; Pallis, Mark

    2017-04-01

    Carpal tunnel syndrome (CTS) is a common occupational pathology, representing a high percentage of workers' compensation (WC) claims. The literature was reviewed for all studies evaluating CTS outcomes including WC patients between 1993 and 2016. A total of 348 articles were identified; 25 of which met inclusion and exclusion criteria. A systematic review was generated; patient demographics, outcomes, and complications were recorded. Weighted averages were calculated for the demographic and outcome data. Categorical data such as complications were pooled from the studies and used to determine the overall complication rate. Statistical significance was determined between WC and non-WC cohorts when applicable with the chi-square statistic. The WC cohort included 1586 wrists, and the non-WC cohort included 2781 wrists. The WC cohort was younger and more often involved the dominant extremity. The WC cohort was less likely to have appropriate physical exam findings confirming diagnosis and electrodiagnostic studies. WC patients took almost 5 weeks longer to return to work, were 16% less likely to return to preinjury vocation, and had lower Standard Form (SF)-36 scores. Finally, WC patients had nearly 3 times the number of complications and nearly twice the rate of persistent pain. WC patients undergoing carpal tunnel release (CTR) fare poorly as compared with non-WC patients in nearly every metric. Higher rates of postoperative pain with delayed return to work can be anticipated in a WC cohort. In addition, WC patients receive suboptimal preoperative workup, and it is possible that unnecessary surgery is being completed in these cases. These findings are important to consider when treating the WC patient with CTS.

  7. 75 FR 5499 - Claims for Compensation; Death Gratuity Under the Federal Employees' Compensation Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-03

    ... of Workers' Compensation Programs 20 CFR Part 10 RIN 1215-AB66 Claims for Compensation; Death... interim final rule in order to administer the death gratuity created by section 1105 of the National Defense Authorization Act for Fiscal Year 2008, Public Law 110-181. Section 1105 provides a death gratuity...

  8. Dental implant treatment following trauma: An investigation into the failure to complete Accident Compensation Corporation funded care.

    PubMed

    Kennedy, R; Murray, C; Leichter, J

    2016-03-01

    Among other restorative strategies, the Accident Compensation Corporation (ACC) provides benefits for dental implant treatment to replace teeth lost as a result of trauma. While ACC has funded over 15,000 dental implants since 2002, the outcomes of this treatment and patient perceptions of this treatment have not been investigated. The aim of this study was to investigate the perceptions of the dental implant treatment outcomes and reasons for failure to complete restorative treatment in patients who had undergone trauma-related implant surgery funded by ACC between February 2006 and September 2009, but had not completed the prosthetic component of the treatment. A randomly selected sample of 399 patients, who had undergone dental implant surgery but not completed the crown restoration, was identified from the ACC database. These individuals were contacted by mail for expressions of interest and 181 clients were interviewed by telephone. Responses to open-ended questions were entered into an Excel spreadsheet and analysed using a general inductive technique. A common emergent theme was the high level of satisfaction expressed by participants with the implant process, however just under half of those responding felt they had been pushed into having implants and were given the impression that this was the only treatment ACC paid for. The cost of the prosthetic phase of the treatment and surgical complications were identified as the primary reasons why participants failed to complete the restorative phase of treatment, after completing the surgical phase. The results highlighted the need to better inform patients of their treatment options and to allow time for them to process this information before progressing with care. A patient decision tool may help to give greater ownership of the treatment options. Newly implemented protocols to assist dentists to better assess treatment needs may also assist in achieving improvements in perceived treatment outcomes for

  9. [The new system of compensation of occupational accidents and diseases: features and details of the reform introducing the concept of biological damage].

    PubMed

    Rossi, P

    2002-01-01

    The compensation system concerning accidents at work and occupational diseases has been substantially modified by the Accidents at Work and Occupational Diseases Insurance (Amendment) Regulations 2000 which introduced compensation for biological damage. This kind of impairment is already a well known legal and medical concept in civil liability. Therefore, while in the past the generic working capacity was taken into account in order to obtain the impairment percentage, this kind of evaluation is now based on the damage to biological and relational capacities of the person. Thus, while the medical premise evaluated in percentage, i.e. the biological damage, unites INAIL's system with the ordinary system of civil liability, the economic evaluation highlights difference between the two compensation systems. The system as modified by the above mentioned Regulations provides, along with compensation for biological damage, compensation for financial losses caused by psycho-physical impairment, i.e. impairment of working capacity. The legal instruments provided by Parliament to implement the two kinds of compensation (biological damage and financial losses) were passed by the Secretary of State for Employment with Approval of Tables of Impairments, Biological Damage and Coefficients Regulations 2001. Three tables have been approved: the first with impairments in order to have a percentage evaluation of the biological damage; the second with the coefficients to obtain the percentage of impairment to working capacity; the third for the economic conversion of the impairment percentage evaluated with the first two tables. The paper goes over the framework of the new protection system, analyses the instruments for its implementation, i.e. the tables, and explains methods for their application.

  10. Accident insurance, sickness, and science: New Zealand's no-fault system.

    PubMed

    Dew, Kevin

    2002-01-01

    This article explores the process of seeking compensation for occupational illness under a no-fault accident insurance scheme. The author uses two case studies--firefighters who attended a fire at a chemical storage depot and timbermill workers who worked with pentachlorophenol--to illustrate how science can be used to deny compensation to sick and dying workers. The results of the studies suggest that a no-fault accident compensation scheme, considered to be a victory for workers, offers no guarantee of just outcomes for working people. And science can be co-opted and used to support business and state interests against workers; this ideological support is increasingly hidden behind the development of "objective" systems of assessing compensation claims.

  11. Fatal accident circumstances and epidemiology (FACE) report: confined-space incident kills two workers - company employee and rescuing fireman

    SciTech Connect

    Not Available

    1985-01-06

    A fatal accident circumstance and epidemiology report on an incident occurring in a confined space and involving two fatalities is presented. Two employees of a petroleum company were determining whether an empty 10,000-gallon toluene tank needed cleaning. Due to limited visibility, one worker decided to enter the tank. As he descended through a 16 inch opening in the top of the tank, he apparently fell into the tank. The other worker called the city fire department. The responding unit decided to use a K 12 saw to cut an opening in the side of the tank. Although water sprays were used to minimize spark generation, an explosion occurred and a fireman was killed by the concussion. Preliminary medical information indicates that the worker inside the tank was dead prior to the explosion. Recommendations include city fire departments establishing a registry of confined spaces and toxic or explosive substances in the area in which they serve and conducting research to determine the best methods to gain entry into enclosed spaces containing inflammable or explosive atmospheres.

  12. Occupational skin diseases in Washington State, 1989 through 1993: using workers' compensation data to identify cutaneous hazards.

    PubMed

    Kaufman, J D; Cohen, M A; Sama, S R; Shields, J W; Kalat, J

    1998-07-01

    This study sought to characterize occupational dermatoses and cutaneous hazards. Workers' compensation claims filed for skin disease in the Washington State Fund were analyzed for 1989 through 1993; incidence rates for industries and employers were calculated, and cutaneous hazards associated with the highest rates were identified. A total of 7445 claims were filed for skin disorders, principally contact dermatitis; 675 (9.1%) involved more than 3 missed work-days. The rate of accepted skin disorder claims was 1.0 per 1000 full-time employee-years. The highest incidence rates (4.6 to 30.7 accepted claims per 1000 full-time employee-years) were in certain manufacturing industries (plastics related, concrete products, aircraft parts, sporting goods, and boat building), wholesale farm product raw materials, automotive glass replacement, and beauty shops. Seven of the 10 employers with the highest incidence rates (19.6 to 85.5 accepted claims per 1000 full-time employee-years) used fiber-reinforced plastics (composites) and exposed workers to epoxy and other resin systems associated with contact dermatitis. Workers' compensation data identify known and emerging workplace cutaneous hazards and show promise for targeting prevention efforts.

  13. Occupational skin diseases in Washington State, 1989 through 1993: using workers' compensation data to identify cutaneous hazards.

    PubMed Central

    Kaufman, J D; Cohen, M A; Sama, S R; Shields, J W; Kalat, J

    1998-01-01

    OBJECTIVES: This study sought to characterize occupational dermatoses and cutaneous hazards. METHODS: Workers' compensation claims filed for skin disease in the Washington State Fund were analyzed for 1989 through 1993; incidence rates for industries and employers were calculated, and cutaneous hazards associated with the highest rates were identified. RESULTS: A total of 7445 claims were filed for skin disorders, principally contact dermatitis; 675 (9.1%) involved more than 3 missed work-days. The rate of accepted skin disorder claims was 1.0 per 1000 full-time employee-years. The highest incidence rates (4.6 to 30.7 accepted claims per 1000 full-time employee-years) were in certain manufacturing industries (plastics related, concrete products, aircraft parts, sporting goods, and boat building), wholesale farm product raw materials, automotive glass replacement, and beauty shops. Seven of the 10 employers with the highest incidence rates (19.6 to 85.5 accepted claims per 1000 full-time employee-years) used fiber-reinforced plastics (composites) and exposed workers to epoxy and other resin systems associated with contact dermatitis. CONCLUSIONS: Workers' compensation data identify known and emerging workplace cutaneous hazards and show promise for targeting prevention efforts. PMID:9663152

  14. Treatment outcomes for workers compensation patients in a U.S.-based interdisciplinary pain management program.

    PubMed

    Gagnon, Christine M; Stanos, Steven P; van der Ende, Geke; Rader, Lynn R; Harden, R Norman

    2013-04-01

     Assess the efficacy of an outpatient-based interdisciplinary pain rehabilitation program for patients with active workers compensation claims.  Data were available for 101 patients, primarily with chronic low back pain (75%), who participated in the program. Treatment included a 4-week (Monday to Friday), 8-hours/day graded progressive program that included individual and group therapies (pain psychology, physical therapy, occupational therapy, relaxation training/biofeedback, aerobic conditioning, pool therapy, vocational counseling, patient education and medical management). Outcome measures included program completion status, release-to-work status, return-to-work status, total scores on the Beck depression inventory, state-trait anxiety inventory, pain catastrophizing scale, and the McGill pain questionnaire visual analogue scale (MPQ VAS). The majority of the patients (65%) graduated from the program. Pre-postoutcome data were available for those who graduated from the program. For noncompleters, last obtained MPQ VAS was compared with their initial MPQ VAS scores. Of those completing the program, most patients (91%)were released to return to work; with 80% released to full-time status and 11% released to gradual return. Approximately half (49%) of the program completers returned to work. Paired-samples t-tests showed that program completers had significant reductions in depression (P = 0.000), pain-related catastrophizing (P = 0.033), and pain intensity (P = 0.000), but not in anxiety (P = 0.098). Interestingly, the last obtained (at early discharge/withdrawal) pain intensity scores (M = 70.33) were higher than at baseline (M = 61.20) in the noncompleters. This difference was not statistically significant (P = 0.127) but may be clinically meaningful.  Our results support the efficacy of an outpatient-based 4-week interdisciplinary pain rehabilitation program in decreasing emotional distress, reducing pain intensity, and

  15. 48 CFR 628.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...' compensation and war-hazard insurance. 628.305 Section 628.305 Federal Acquisition Regulations System...' compensation and war-hazard insurance. (b)(1) Acquisitions for services, including construction but excluding... employees and their beneficiaries for war-hazard injury, death, capture, or detention as prescribed by...

  16. 48 CFR 28.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...' compensation and war-hazard insurance. 28.305 Section 28.305 Federal Acquisition Regulations System FEDERAL...' compensation and war-hazard insurance. (a) Public-work contract, as used in this subpart, means any contract... operations under service contracts and projects in connection with the national defense or with...

  17. 48 CFR 628.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...' compensation and war-hazard insurance. 628.305 Section 628.305 Federal Acquisition Regulations System...' compensation and war-hazard insurance. (b)(1) Acquisitions for services, including construction but excluding... employees and their beneficiaries for war-hazard injury, death, capture, or detention as prescribed by...

  18. 48 CFR 628.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...' compensation and war-hazard insurance. 628.305 Section 628.305 Federal Acquisition Regulations System...' compensation and war-hazard insurance. (b)(1) Acquisitions for services, including construction but excluding... employees and their beneficiaries for war-hazard injury, death, capture, or detention as prescribed by...

  19. 48 CFR 628.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...' compensation and war-hazard insurance. 628.305 Section 628.305 Federal Acquisition Regulations System...' compensation and war-hazard insurance. (b)(1) Acquisitions for services, including construction but excluding... employees and their beneficiaries for war-hazard injury, death, capture, or detention as prescribed by...

  20. 48 CFR 28.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...' compensation and war-hazard insurance. 28.305 Section 28.305 Federal Acquisition Regulations System FEDERAL...' compensation and war-hazard insurance. (a) Public-work contract, as used in this subpart, means any contract... operations under service contracts and projects in connection with the national defense or with...

  1. 48 CFR 28.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...' compensation and war-hazard insurance. 28.305 Section 28.305 Federal Acquisition Regulations System FEDERAL...' compensation and war-hazard insurance. (a) Public-work contract, as used in this subpart, means any contract... operations under service contracts and projects in connection with the national defense or with...

  2. 48 CFR 628.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...' compensation and war-hazard insurance. 628.305 Section 628.305 Federal Acquisition Regulations System...' compensation and war-hazard insurance. (b)(1) Acquisitions for services, including construction but excluding... employees and their beneficiaries for war-hazard injury, death, capture, or detention as prescribed by...

  3. 48 CFR 28.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...' compensation and war-hazard insurance. 28.305 Section 28.305 Federal Acquisition Regulations System FEDERAL...' compensation and war-hazard insurance. (a) Public-work contract, as used in this subpart, means any contract... operations under service contracts and projects in connection with the national defense or with...

  4. 48 CFR 28.305 - Overseas workers' compensation and war-hazard insurance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...' compensation and war-hazard insurance. 28.305 Section 28.305 Federal Acquisition Regulations System FEDERAL...' compensation and war-hazard insurance. (a) Public-work contract, as used in this subpart, means any contract... operations under service contracts and projects in connection with the national defense or with...

  5. The Latest in Vaccine Policies: Selected Issues in School Vaccinations, Healthcare Worker Vaccinations, and Pharmacist Vaccination Authority Laws.

    PubMed

    Barraza, Leila; Schmit, Cason; Hoss, Aila

    2017-03-01

    This paper discusses recent changes to state legal frameworks for mandatory vaccination in the context of school and healthcare worker vaccination. It then discusses state laws that allow pharmacists the authority to vaccinate.

  6. Workers' comp changes sought for infected HCWs.

    PubMed

    1998-05-01

    Health care personnel who have been infected on the job with HIV have had a difficult time collecting benefits from workers' compensation programs. Under the exclusive remedy provision of the current workers' compensation law, employees cannot sue their employers to recoup damages for occupational illness or injury. However, they can receive benefits for the same occupational disability under State law. Patti Miller Tereskerz, of the Health Care Worker Safety Research and Resource Center in Virginia, concludes that the exclusive remedy provision, which protects employers from liability, discourages employers from creating a safer work environment. Representative Pete Stark (D-CA) proposed the Health Care Worker Protection Act of 1997 requiring hospitals to adhere to certain safety standards or risk losing Medicare funding. If this Act becomes law, it would address most of the grievances and causes for present workers' compensation claims and employer responsibility.

  7. Job stress, mental health, and accidents among offshore workers in the oil and gas extraction industries.

    PubMed

    Cooper, C L; Sutherland, V J

    1987-02-01

    Psychosocial and occupational stressors among 194 male employees on drilling rig and production platform installations in the United Kingdom and Dutch sectors of the North Sea were studied. Mental well-being and job satisfaction were also assessed, with attention to the incidence of accidents offshore. This occupational group were found to be much less satisfied with their jobs than their onshore counterparts. Although overall mental well-being compared favorably with that of the general population, levels of anxiety were significantly higher. Multivariate analysis showed "relationships at work and at home" to be a strong predictor of both job dissatisfaction and mental ill-health. Type A coronary-prone behavior was also found to be a significant predictor of reduced mental well-being and increased accident rates offshore.

  8. [CHANGES OF GLOBAL AND LOCAL MYOCARDIAL CONTRACTILITY OF CHERNOBYL ACCIDENT CLEAN-UP WORKERS WITH STABLE ANGINA].

    PubMed

    Nastina, O

    2014-01-01

    Changes of global and local myocardial contractility of Chernobyl accident clean-up workers (ChA CW) with stable angina were investigated. There were discovered that regular long-term treatment of ChA CW with stable angina using of antiischemic and metabolic drugs promoted to stabilization of global and local myocardial contractility indexes. Ejection fraction, degree of contraction of front-rear systolic left ventricle size, systolic thickness of interventricular septum sufficiently increased. Step-by-step worsening of global and local myocardial contractility indexes in cases of non-regular treatment was taken place. Sufficient differences between indexes of ejection fraction, left ventricle end-diastolic volume, systolic thickness and excursion of interventricular septum in stable angina patients of general population and ChA CW were discovered. Results of global and local myocardial contractility monitoring in ChA CW with stable angina substantiate the advisability of long-term supporting treatment using evidence-based drugs.

  9. Patient factors influencing return to work and cumulative financial claims after clavicle fractures in workers' compensation cases.

    PubMed

    Shields, Edward; Thirukumaran, Caroline; Thorsness, Robert; Noyes, Katia; Voloshin, Ilya

    2016-07-01

    This study analyzed workers' compensation patients after surgical or nonoperative treatment of clavicle fractures to identify factors that influence the time for return to work and total health care reimbursement claims. We hypothesized that return to work for operative patients would be faster. The International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes and Current Procedural Terminology codes were used to retrospectively query the Workers' Compensation national database. The outcomes of interest were the number of days for return to full work after surgery and total reimbursement for health care-related claims. The primary independent variable was treatment modality. There were 169 claims for clavicle fractures within the database (surgical, n = 34; nonoperative, n = 135). The average health care claims reimbursed were $29,136 ± $26,998 for surgical management compared with $8366 ± $14,758 for nonoperative management (P < .001). We did not find a statistically significant difference between surgical (196 ± 287 days) and nonoperative (69 ± 94 days) treatment groups in their time to return to work (P = .06); however, there was high variability in both groups. Litigation was an independent predictor of prolonged return to work (P = .007) and higher health care costs (P = .003). Workers' compensation patients treated for clavicle fractures return to work at roughly the same time whether they are treated surgically or nonoperatively, with surgery being roughly 3 times more expensive. There was a substantial amount of variability in return to work timing by subjects in both groups. Litigation was a predictor of longer return to work timing and higher health care costs. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  10. A brief summary of workers' compensation performance improvement projects 2008 to 2012 in the Veterans Health Administration.

    PubMed

    Hodgson, Michael J

    2015-03-01

    The Veterans Health Administration undertook a series of performance improvement projects (PIP) using local initiatives identified through a national committee of regional workers' compensation representatives. A steering committee identified five types of risks and interventions that were considered worthwhile. They defined performance metrics as outcome measures and distinguished short-term from long-term disability management success. Eight specific PIPs were implemented. No statistically significant differences in the planned outcome metrics were identified, although cost-benefit evaluations did identify a benefit. Conducting quantitative PIPs in a large system requires top management commitment, sequestration of funds, and mature systems.

  11. Tertiary evaluation of the committed effective dose of emergency workers that responded to the Fukushima Daiichi NPP accident.

    PubMed

    Yasui, Shojiro

    2017-06-01

    In January 2014, Tokyo Electric Power Company (TEPCO) learned that the committed effective dose (CED) for nine emergency workers at the Fukushima Daiichi Nuclear Power Plant accident had been assessed by a method other than the standard assessment methods, established by the Ministry of Health, Labour and Welfare (MHLW) in a secondary evaluation conducted in July 2013. The MHLW requested that the TEPCO and primary contractors review all CED data for 6,245 workers who engaged in emergency work in March and April 2011 except those previously reviewed in the 2013 secondary evaluation. This tertiary evaluation revealed that the recorded CED for 1,536 workers had more than 0.1 mSv discrepancy with the CED evaluated by the standard method. The MHLW requested that TEPCO and primary contractors revise CED data for 142 workers whose CED was 2 mSv or greater that required a CED revision of 1 mSv or greater. The average CED revision was 5.86 mSv. The revised effective dose ranged from 2.17-180.10 mSv. In addition, the number of workers whose CED exceeded 100 mSv increased by one. New issues addressed during the tertiary evaluation included the following: (a) setting of calibration coefficients to convert the CED value from whole body counters equipped with NaI scintillator (WBC(NaI)) to a CED value from WBCs with Ge semiconductor detector; (b) estimation methods for the cases where (131)I was not detectable by WBC (NaI) and where (137)Cs was not detectable but (134)Cs was detected; (c) effects of stable iodine (KI) tablets to block the uptake of (131)I by thyroid gland; and (d) complications in determining additional doses during stand-by in the seismically isolated building. To prevent the future use of non-uniform CED assessment methods in the dose assessment for workers, the MHLW issued administrative guidance documents to TEPCO and primary contractors on March 25, 2014.

  12. 76 FR 39904 - Division of Longshore and Harbor Workers' Compensation; Proposed Renewal of Existing Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-07

    ... other employees. Under sections 914(b) & (c) of the Longshore Act, a self-insured employer or insurance carrier is required to pay compensation within 14 days after the employer has knowledge of the injury or...

  13. 32 CFR 728.53 - Department of Labor, Office of Workers' Compensation Programs (OWCP) beneficiaries.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... section for work incurred traumatic injuries at the expense of OWCP. (In addition to injury by accident, a... care at the expense of OWCP. CIVMARS are in a crew status only after reporting to their assigned ship... to a non-Federal source of care where back-to-work care may be provided at the CIVMAR's expense after...

  14. Occupational Accidents with Agricultural Machinery in Austria.

    PubMed

    Kogler, Robert; Quendler, Elisabeth; Boxberger, Josef

    2016-01-01

    The number of recognized accidents with fatalities during agricultural and forestry work, despite better technology and coordinated prevention and trainings, is still very high in Austria. The accident scenarios in which people are injured are very different on farms. The common causes of accidents in agriculture and forestry are the loss of control of machine, means of transport or handling equipment, hand-held tool, and object or animal, followed by slipping, stumbling and falling, breakage, bursting, splitting, slipping, fall, and collapse of material agent. In the literature, a number of studies of general (machine- and animal-related accidents) and specific (machine-related accidents) agricultural and forestry accident situations can be found that refer to different databases. From the database Data of the Austrian Workers Compensation Board (AUVA) about occupational accidents with different agricultural machinery over the period 2008-2010 in Austria, main characteristics of the accident, the victim, and the employer as well as variables on causes and circumstances by frequency and contexts of parameters were statistically analyzed by employing the chi-square test and odds ratio. The aim of the study was to determine the information content and quality of the European Statistics on Accidents at Work (ESAW) variables to evaluate safety gaps and risks as well as the accidental man-machine interaction.

  15. Employer reasons for failing to report eligible workers' compensation claims in the BLS survey of occupational injuries and illnesses.

    PubMed

    Rappin, Christina L; Wuellner, Sara E; Bonauto, David K

    2016-05-01

    Little research has been done to identify reasons employers fail to report some injuries and illnesses in the Bureau of Labor Statistics Survey of Occupational Injuries and Illnesses (SOII). We interviewed the 2012 Washington SOII respondents from establishments that had failed to report one or more eligible workers' compensation claims in the SOII about their reasons for not reporting specific claims. Qualitative content analysis methods were used to identify themes and patterns in the responses. Non-compliance with OSHA recordkeeping or SOII reporting instructions and data entry errors led to unreported claims. Some employers refused to include claims because they did not consider the injury to be work-related, despite workers' compensation eligibility. Participant responses brought the SOII eligibility of some claims into question. Systematic and non-systematic errors lead to SOII underreporting. Insufficient recordkeeping systems and limited knowledge of reporting requirements are barriers to accurate workplace injury records. © 2016 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc.

  16. 75 FR 63425 - Regulations Implementing the Longshore and Harbor Workers' Compensation Act: Recreational Vessels

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-15

    ... provision, initially enacted as part of the 1984 amendments to the LHWCA, lists eight categories of workers... vessel exclusion amendment if the employee would now fall within the exclusion? No. If an individual...

  17. Factors Associated with Fatal Occupational Accidents among Mexican Workers: A National Analysis

    PubMed Central

    Gonzalez-Delgado, Mery; Gómez-Dantés, Héctor; Fernández-Niño, Julián Alfredo; Robles, Eduardo; Borja, Víctor H.; Aguilar, Miriam

    2015-01-01

    Objective To identify the factors associated with fatal occupational injuries in Mexico in 2012 among workers affiliated with the Mexican Social Security Institute. Methods Analysis of secondary data using information from the National Occupational Risk Information System, with the consequence of the occupational injury (fatal versus non-fatal) as the response variable. The analysis included 406,222 non-fatal and 1,140 fatal injuries from 2012. The factors associated with the lethality of the injury were identified using a logistic regression model with the Firth approach. Results Being male (OR=5.86; CI95%: 4.22-8.14), age (OR=1.04; CI95%: 1.03-1.06), employed in the position for 1 to 10 years (versus less than 1 year) (OR=1.37; CI95%: 1.15-1.63), working as a facilities or machine operator or assembler (OR: 3.28; CI95%: 2.12- 5.07) and being a worker without qualifications (OR=1.96; CI95%: 1.18-3.24) (versus an office worker) were associated with fatality in the event of an injury. Additionally, companies classified as maximum risk (OR=1.90; CI 95%: 1.38-2.62), workplace conditions (OR=7.15; CI95%: 3.63-14.10) and factors related to the work environment (OR=9.18; CI95%:4.36-19.33) were identified as risk factors for fatality in the event of an occupational injury. Conclusions Fatality in the event of an occupational injury is associated with factors related to sociodemographics (age, sex and occupation), the work environment and workplace conditions. Worker protection policies should be created for groups with a higher risk of fatal occupational injuries in Mexico. PMID:25790063

  18. Factors associated with fatal occupational accidents among Mexican workers: a national analysis.

    PubMed

    Gonzalez-Delgado, Mery; Gómez-Dantés, Héctor; Fernández-Niño, Julián Alfredo; Robles, Eduardo; Borja, Víctor H; Aguilar, Miriam

    2015-01-01

    To identify the factors associated with fatal occupational injuries in Mexico in 2012 among workers affiliated with the Mexican Social Security Institute. Analysis of secondary data using information from the National Occupational Risk Information System, with the consequence of the occupational injury (fatal versus non-fatal) as the response variable. The analysis included 406,222 non-fatal and 1,140 fatal injuries from 2012. The factors associated with the lethality of the injury were identified using a logistic regression model with the Firth approach. Being male (OR=5.86; CI95%: 4.22-8.14), age (OR=1.04; CI95%: 1.03-1.06), employed in the position for 1 to 10 years (versus less than 1 year) (OR=1.37; CI95%: 1.15-1.63), working as a facilities or machine operator or assembler (OR: 3.28; CI95%: 2.12- 5.07) and being a worker without qualifications (OR=1.96; CI95%: 1.18-3.24) (versus an office worker) were associated with fatality in the event of an injury. Additionally, companies classified as maximum risk (OR=1.90; CI 95%: 1.38-2.62), workplace conditions (OR=7.15; CI95%: 3.63-14.10) and factors related to the work environment (OR=9.18; CI95%:4.36-19.33) were identified as risk factors for fatality in the event of an occupational injury. Fatality in the event of an occupational injury is associated with factors related to sociodemographics (age, sex and occupation), the work environment and workplace conditions. Worker protection policies should be created for groups with a higher risk of fatal occupational injuries in Mexico.

  19. Rugby league injuries in New Zealand: a review of 8 years of Accident Compensation Corporation injury entitlement claims and costs.

    PubMed

    King, D A; Hume, P A; Milburn, P; Gianotti, S

    2009-08-01

    This paper provides an overview of the epidemiology of rugby league injuries and associated costs in New Zealand requiring medical treatment. New Zealand national Accident Compensation Corporation injury data for the period 1999 to 2007 were searched for rugby league injury cases. Data were analysed by demographics, body region, nature/severity of injury, and medical procedure and costs. A total of 5941 injury entitlement claims were recorded over the study period with a significant decrease observed in the injury rate between the 1999-2000 and 2002-2003 reporting years. The total cost of the injuries for the study period was $42,822,048 (equivalent to pound15,916,072). The mean (SD) number of injury entitlement claims per year was 743 (271) and yearly cost was $5,352,760 (pound1,989,880) ($2,485,535 (pound923,994)). The knee was the most commonly reported injury site (225 per 1000 entitlement claims; $8,750,147 (pound3,252,020)) and soft tissue injuries were the most common injury types (474 per 1000 entitlement claims; $17,324,214 (pound6,438,599)). Accounting for only 1.8% of total injury entitlement claims, concussion/brain injuries accounted for 6.3% of injury entitlement costs and had the highest mean cost per claim ($25 347 (pound9420)). The upper and lower arm recorded the highest mean injury site claim cost of $43,096 (pound16,016) per claim. The 25-29 age group recorded 27.7% of total injury entitlement claims and 29.6% of total injury entitlement costs, which was slightly more than the 20-24 age group (27.3% claims; 24.7% costs). Nearly 15% of total moderate to serious injury entitlement claims and 20% of total costs were recorded from participants 35 years or older. This study identified that the knee was the most common injury site and soft tissue injuries were the most common injury type requiring medical treatment, which is consistent with other international studies on rugby league epidemiology. This study also highlights that the rate of injury and

  20. Air quality, mortality, and economic benefits of a smoke - free workplace law for non-smoking Ontario bar workers.

    PubMed

    Repace, J; Zhang, B; Bondy, S J; Benowitz, N; Ferrence, R

    2013-04-01

    We estimated the impact of a smoke-free workplace bylaw on non-smoking bar workers' health in Ontario, Canada. We measured bar workers' urine cotinine before (n = 99) and after (n = 91) a 2004 smoke-free workplace bylaw. Using pharmacokinetic and epidemiological models, we estimated workers' fine-particle (PM2.5 ) air pollution exposure and mortality risks from workplace secondhand smoke (SHS). workers' pre-law geometric mean cotinine was 10.3 ng/ml; post-law dose declined 70% to 3.10 ng/ml and reported work hours of exposure by 90%. Pre-law, 97% of workers' doses exceeded the 90th percentile for Canadians of working age. Pre-law-estimated 8-h average workplace PM2.5 exposure from SHS was 419 μg/m(3) or 'Very Poor' air quality, while outdoor PM2.5 levels averaged 7 μg/m(3) , 'Very Good' air quality by Canadian Air Quality Standards. We estimated that the bar workers' annual mortality rate from workplace SHS exposure was 102 deaths per 100000 persons. This was 2.4 times the occupational disease fatality rate for all Ontario workers. We estimated that half to two-thirds of the 10620 Ontario bar workers were non-smokers. Accordingly, Ontario's smoke-free law saved an estimated 5-7 non-smoking bar workers' lives annually, valued at CA $50 million to $68 million (US $49 million to $66 million). © 2012 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.

  1. Distribution and characteristics of occupational injuries and diseases among farmers: a retrospective analysis of workers' compensation claims.

    PubMed

    Karttunen, Janne P; Rautiainen, Risto H

    2013-08-01

    Research indicates occupational injuries and diseases are not evenly distributed among workers. We investigated the distribution and characteristics of compensated occupational injuries and diseases requiring medical care in the Finnish farming population. The study population consisted of 93,564 Finnish farmers, spouses, and salaried family members who were covered by the mandatory workers' compensation insurance in 2002. This population had a total of 133,207 occupational injuries and 9,148 occupational diseases over a 26-year period (1982-2008). Clustering of claims was observed. Nearly half (47.1%) of the population had no compensated claims while 52.9% had at least one; 50.9% of farmers had one or more injuries and 8.1% had one or more diseases. Ten percent of the population had half of injury cases, and 3% of the population had half of occupational disease cases. Claims frequently involved work tasks related to animal husbandry and repair and maintenance of farm machinery. Injury and disease characteristics (work activity, cause, ICD-10 code) differed between individuals with high and low personal claim rate. Injuries and diseases of the musculoskeletal system had a tendency to reoccur among those with high claim rate. These outcomes were often related to strenuous working motions and postures in labor-intensive animal husbandry. Analyses of longitudinal insurance data contributes to better understanding of the long-term risk of occupational injury and disease among farmers. We suggest focusing on recurrent health outcomes and their causes among high risk populations could help design more effective interventions in agriculture and other industries. Copyright © 2013 Wiley Periodicals, Inc.

  2. A New Method to Classify Injury Severity by Diagnosis: Validation using Workers' Compensation and Trauma Registry Data

    PubMed Central

    Sears, Jeanne M.; Bowman, Stephen M.; Rotert, Mary; Hogg-Johnson, Sheilah

    2015-01-01

    Purpose Acute work-related trauma is a leading cause of death and disability among U.S. workers. Existing methods to estimate injury severity have important limitations. This study assessed a severe injury indicator constructed from a list of severe traumatic injury diagnosis codes previously developed for surveillance purposes. Study objectives were to: (1) describe the degree to which the severe injury indicator predicts work disability and medical cost outcomes; (2) assess whether this indicator adequately substitutes for estimating Abbreviated Injury Scale (AIS)-based injury severity from workers' compensation (WC) billing data; and (3) assess concordance between indicators constructed from Washington State Trauma Registry (WTR) and WC data. Methods WC claims for workers injured in Washington State from 1998-2008 were linked to WTR records. Competing risks survival analysis was used to model work disability outcomes. Adjusted total medical costs were modeled using linear regression. Information content of the severe injury indicator and AIS-based injury severity measures were compared using Akaike Information Criterion and R2. Results Of 208,522 eligible WC claims, 5% were classified as severe. Among WC claims linked to the WTR, there was substantial agreement between WC-based and WTR-based indicators (kappa=0.75). Information content of the severe injury indicator was similar to some AIS-based measures. The severe injury indicator was a significant predictor of WTR inclusion, early hospitalization, compensated time loss, total permanent disability, and total medical costs. Conclusions Severe traumatic injuries can be directly identified when diagnosis codes are available. This method provides a simple and transparent alternative to AIS-based injury severity estimation. PMID:25900409

  3. Factors associated with the severity of fatal accidents in construction workers

    PubMed Central

    Khodabandeh, Farideh; Kabir-Mokamelkhah, Elaheh; Kahani, Mahsa

    2016-01-01

    Background: Construction work (building houses, roads, workplaces, and repairing and maintaining infrastructures) is a dangerous land-based job. This includes many hazardous tasks and conditions such as working at the following conditions: Height, excavation, noise, dust, power tools and equipment. Construction work has been increased in developed and underdeveloped countries over the past few years. Occupational fatalities have increased with an increase in this type of work. Occupational fatalities refer to individuals who pass way while on the job or performing work related tasks. In the present study, to identify the factors, personal characteristics and work-related factors associated with fatal occupational mortality were assessed using data for Tehran, Iran, 2014-2016. Methods: We conducted a retrospective study, using 967 postmortem reports from fatal occupational injuries collected through postmortem investigations during 2014-2016. A sampling frame of 967 postmortem reports from fatal occupational injuries was used to draw a total sample of 714 fatal construction accidents for this cross-sectional study. Pearson χ2 test and Kruskal-Wallis tests were used for statistical analysis. Results: Based on the results of this study, male gender (n=714; 100%), age range of 30-39 years (n=183; 25.6%), secondary educational level (n=273; 38.2%), being married (317; 44.4%), causal employee (n=389; 54.5%), unskilled performance (389; 54.5%), no insurance coverage (472; 66.1%), and daytime duty work (287; 40.2%) were identified as risk factors for fatality in the event of construction fatal injury. A significant relationship was found between the type of injury and sociodemographic and work related variables. Conclusion: Workers’ characteristics such as age, gender, experience, and educational background, and work related variables such as skill training, safety measurement, and close monitoring could be used to discriminate among different severity levels of

  4. Evaluating progress in reducing workplace violence: trends in Washington State workers' compensation claims rates, 1997-2007.

    PubMed

    Foley, Michael; Rauser, Edmund

    2012-01-01

    This study reports trends in the pattern of injuries related to workplace violence over the period 1997-2007. It tracks occupations and industries at elevated risk of workplace violence with a special focus on the persistently high claims rates among healthcare and social assistance workers. Industry and occupational incidence rates were calculated using workers' compensation and employment security data from Washington State. Violence-related claims rates among certain Healthcare and Social Assistance industries remained particularly high. Incidents where workers were injured by clients or patients predominated. By contrast, claims rates in retail trade have fallen substantially. Progress to reduce violence has been made in most of the highest hazard industries within the Healthcare and Social Assistance sector with the notable exception of psychiatric hospitals and facilities caring for the developmentally disabled. State legislation requiring healthcare workplaces to address hazards for workplace violence has had mixed results. Insufficient staffing, inadequate violence prevention training and sporadic management attention are seen as the key barriers to violence prevention in healthcare/social assistance workplaces.

  5. Measuring the Value of Statistical Life: Estimating Compensating Wage Differentials among Workers in India

    ERIC Educational Resources Information Center

    Madheswaran, S.

    2007-01-01

    Policy makers confronted with the need to introduce health and safety regulations often wonder how to value the benefits of these regulations. One way that a monetary value could be placed on reductions in health risks, including risk of death, is through understanding how people are compensated for the different risks they take. While there is an…

  6. Work status after workers' compensation claims for upper limb musculoskeletal disorders

    PubMed Central

    Roquelaure, Y; Cren, S; Rousseau, F; Touranchet, A; Dano, C; Fanello, S; Penneau-Fontbonne, D

    2004-01-01

    Methods: Two-year follow up of the workers who filed a WC claim for MSDs in 1996 in the Pays de la Loire region. Of the 701 eligible workers, 514 workers (70%) participated. Information was requested by means of a mailed questionnaire about the characteristics of the MSDs and job status at the time of the WC claim and two years later. Results: Two years after the WC claim, 65% of the claimants had returned to work in the same company, often without any ergonomic improvement, 12% had retired or had left employment voluntarily, and 18% had been dismissed. The risk of dismissal was associated with three factors: being older than 45 years, having two or more MSDs at claim, and working in the cleaning services sector. PMID:14691278

  7. The proportion of work-related emergency department visits not expected to be paid by workers' compensation: implications for occupational health surveillance, research, policy, and health equity.

    PubMed

    Groenewold, Matthew R; Baron, Sherry L

    2013-12-01

    To examine trends in the proportion of work-related emergency department visits not expected to be paid by workers' compensation during 2003-2006, and to identify demographic and clinical correlates of such visits. A total of 3,881 work-related emergency department visit records drawn from the 2003-2006 National Hospital Ambulatory Medical Care Surveys. Secondary, cross-sectional analyses of work-related emergency department visit data were performed. Odds ratios and 95 percent confidence intervals were modeled using logistic regression. A substantial and increasing proportion of work-related emergency department visits in the United States were not expected to be paid by workers' compensation. Private insurance, Medicaid, Medicare, and workers themselves were expected to pay for 40 percent of the work-related emergency department visits with this percentage increasing annually. Work-related visits by blacks, in the South, to for-profit hospitals and for work-related illnesses were all more likely not to be paid by workers' compensation. Emergency department-based surveillance and research that determine work-relatedness on the basis of expected payment by workers' compensation systematically underestimate the occurrence of occupational illness and injury. This has important methodological and policy implications. © Health Research and Educational Trust.

  8. The Proportion of Work-Related Emergency Department Visits Not Expected to Be Paid by Workers' Compensation: Implications for Occupational Health Surveillance, Research, Policy, and Health Equity

    PubMed Central

    Groenewold, Matthew R; Baron, Sherry L

    2013-01-01

    Objective. To examine trends in the proportion of work-related emergency department visits not expected to be paid by workers' compensation during 2003–2006, and to identify demographic and clinical correlates of such visits. Data Source. A total of 3,881 work-related emergency department visit records drawn from the 2003–2006 National Hospital Ambulatory Medical Care Surveys. Study Design. Secondary, cross-sectional analyses of work-related emergency department visit data were performed. Odds ratios and 95 percent confidence intervals were modeled using logistic regression. Principal Findings. A substantial and increasing proportion of work-related emergency department visits in the United States were not expected to be paid by workers' compensation. Private insurance, Medicaid, Medicare, and workers themselves were expected to pay for 40 percent of the work-related emergency department visits with this percentage increasing annually. Work-related visits by blacks, in the South, to for-profit hospitals and for work-related illnesses were all more likely not to be paid by workers' compensation. Conclusions. Emergency department-based surveillance and research that determine work-relatedness on the basis of expected payment by workers' compensation systematically underestimate the occurrence of occupational illness and injury. This has important methodological and policy implications. PMID:23662682

  9. The Effects of Workplace Clean Indoor Air Law Coverage on Workers' Smoking-Related Outcomes.

    PubMed

    Cheng, Kai-Wen; Liu, Feng; Gonzalez, MariaElena; Glantz, Stanton

    2017-02-01

    This study investigated the effects of workplace clean indoor air law (CIAL) coverage on worksite compliance with CIALs, smoking participation among indoor workers, and secondhand smoke (SHS) exposure among nonsmoker indoor workers. This study improved on previous research by using the probability of a resident in a county covered by workplace CIALs, taking into account the state, county, and city legislation. The county-level probability of being covered by a CIAL is merged into two large nationally representative US surveys on smoking behaviors: Tobacco Use Supplement of the Current Population Survey (2001-2010) and Behavioral Risk Factor Surveillance System (2000-2006) based on the year of the survey and respondent's geographic location to identify respondents' CIAL coverage. This study estimated several model specifications of including and not including state or county fixed effects, and the effects of workplace CIALs are consistent across models. Increased coverage by workplace CIALs significantly increased likelihood of reporting a complete smoking restriction by 8% and 10% for the two different datasets, decreased smoking participation among indoor workers by 12%, and decreased SHS exposure among nonsmokers by 28%. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  10. The impact of the accident at the Three Mile Island on the behavior and well-being of nuclear workers; Part I: perceptions and evaluations, behavioral responses, and work-related attitudes and feelings.

    PubMed Central

    Kasl, S V; Chisholm, R F; Eskenazi, B

    1981-01-01

    In order to assess the impact of the accident at the Three Mile Island (TMI), telephone interviews were conducted six months later with 324 nuclear workers assigned to TMI and 298 workers assigned to a comparison plant at Peach Bottom (PB). Examination of PB-TMI differences, stratified by supervisory status, revealed the following: Part I: TMI workers reported greater exposure to radiation at the time of the accident and felt that their health had been thereby endangered. TMI workers experienced more uncertainty and conflict at the time of the accident. Coping responses such as seeing a doctor, taking drugs, and increasing alcohol consumption were quite infrequent. Leaving the area was more common; however, over 40 per cent of TMI workers wished to leave but did not do so because of work obligations. TMI workers reported much lower job satisfaction and much greater uncertainty about their job future. PMID:7212135

  11. [Blood exposure accidents: knowledge and practices of hospital health workers in Mali].

    PubMed

    Koné, M C; Mallé, K K

    2015-12-01

    This is a prospective study conducted in December 2012 among 128 at the Nianankoro Fomba Hospital in Segou in order to assess their knowledge and practices on Blood Exposure Accidents (BEA). The average age of caregivers was 35.4 ± 9 years (range: 22-59 years). The nurses were predominant with 37.5%. The definition of BEA was mastered by 43.8%. The main transmissible infectious agents (HIV, HBV and HCV) were ignored by 76.6%. Questioning revealed that during the treatment, 78.9% wore gloves and 36.0% recapped needles after use. The concept of washing and disinfection after BEA was known by 68.8%. The disinfectant applied was correct for 21.9% of the cases, the time of application for 69.5%. Consulting a referring physician after BEA was mandatory for 32% of them. The time limit of 48 hours delay for the declaration of BEA was experienced by 51.3%. Among staff interviewed 82 caregivers (64.1%) experienced at least one BEA. Students and nursing students were most at risk. Needle pricks were the most frequent (73.2%). BEA is a major problem in the Segou Nianankoro Fomba Hospital. Compliance with standard precautions is not of common practice. Post-exposure care is not widely known. The experienced cases show poor management of BEA in the structure.

  12. Implementing a Resource-Based Relative Value Scale Fee Schedule for Physician Services: An Assessment of Policy Options for the California Workers' Compensation Program.

    PubMed

    Wynn, Barbara O; Liu, Hangsheng; Mulcahy, Andrew W; Okeke, Edward N; Iyer, Neema; Painter, Lawrence S

    2014-01-01

    A RAND study used 2011 medical data to examine the impact of implementing a resource-based relative value scale to pay for physician services under the California workers' compensation system. Current allowances under the Official Medical Fee Schedule are approximately 116 percent of Medicare-allowed amounts and, by law, will transition to 120 percent of Medicare over four years. Using Medicare policies to establish the fee-schedule amounts, aggregate allowances are estimated to decrease for four types of service by the end of the transition in 2017: anesthesia (-16.5 percent), surgery (-19.9 percent), radiology (-16.5 percent), and pathology (-29.0 percent). Aggregate allowances for evaluation and management visits are estimated to increase by 39.5 percent. Allowances for services classified as "medicine" in the Current Procedural Terminology codebook will increase by 17.3 percent. In the aggregate, across all services, allowances are projected to increase 11.9 percent. Because most specialties furnish different types of services, the impacts by specialty are generally less than the impacts by type of service.

  13. Predictors of Vocational Rehabilitation Return-to-Work Outcomes in Workers' Compensation.

    ERIC Educational Resources Information Center

    Blackwell, Terry L.; Leierer, Stephen L.; Haupt, Stephanie; Kampitsis, Angeliki

    2003-01-01

    The postinjury return-to-work (RTW) status of 502 injured workers in Montana who were referred for vocational rehabilitation services between 1984 and 1991 was examined to determine which variables improved the capacity to predict RTW outcomes after injury. Predictor variables included age, education, attorney involvement, mandated vocational…

  14. 76 FR 24918 - Division of Coal Mine Workers' Compensation Proposed Renewal of Existing Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

    ... program helps to ensure that requested data can be provided in the desired format, reporting burden (time... of collection requirements on respondents can be properly assessed. Currently, the Office of Workers... information collection request can be obtained by contacting the office listed below in the ADDRESSES...

  15. 76 FR 24919 - Division of Coal Mine Workers' Compensation Proposed Renewal of Existing Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

    ... program helps to ensure that requested data can be provided in the desired format, reporting burden (time... of collection requirements on respondents can be properly assessed. Currently, the Office of Workers... Statement (CM-787). A copy of the proposed information collection request can be obtained by contacting...

  16. 77 FR 13636 - Division of Coal Mine Workers' Compensation; Proposed Extension of Existing Collection; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... program helps to ensure that requested data can be provided in the desired format, reporting burden (time... of collection requirements on respondents can be properly assessed. Currently, the Office of Workers... can be obtained by contacting the office listed below in the addresses section of this Notice....

  17. 78 FR 35982 - Division of Coal Mine Workers' Compensation; Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... to ensure that requested data can be provided in the desired format, reporting burden (time and... collection requirements on respondents can be properly assessed. Currently, the Office of Workers... (CM-912). A copy of the proposed information collection request can be obtained by contacting...

  18. 75 FR 60141 - Division of Longshore and Harbor Workers' Compensation Continuing Collection; Comment request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-29

    ... to ensure that requested data can be provided in the desired format, reporting burden (time and... collection requirements on respondents can be properly assessed. Currently, the Office of Workers... Death Benefit for Student (LS-266). A copy of the proposed information collection request can be...

  19. The Relative Compensation of Part-Time and Full-Time Workers.

    ERIC Educational Resources Information Center

    Hirsch, Barry

    A study examined the role of worker-specific skills, occupational skill requirements, and job working conditions on the part-time/full-time wage differential. Analysis of research found that part-time employment was concentrated among jobs requiring a lower skill level and that measurable personal and location characteristics accounted for a large…

  20. THREE-YEAR RETENTION OF RADIOACTIVE CAESIUM IN THE BODY OF TEPCO WORKERS INVOLVED IN THE FUKUSHIMA DAIICHI NUCLEAR POWER STATION ACCIDENT.

    PubMed

    Nakano, T; Tani, K; Kim, E; Kurihara, O; Sakai, K; Akashi, M

    2016-09-01

    Direct measurements of seven highly exposed workers at the Tokyo Electric Power Company Fukushima Daiichi Nuclear Power Station accident have been performed continuously since June 2011. Caesium clearance in the monitored workers is in agreement with the biokinetic models proposed by the International Commission on Radiological Protection. After 500 d from the initial measurement, however, the caesium clearance slowed. It was thought to be unlikely that additional Cs intake had occurred after the initial intake, as activity in foods was kept low. And, the contribution from the detector over the chest was enhanced with time. This indicates that insoluble Cs particles were inhaled and a long metabolic rate showed.