UMD Procedures February 2015 11/7/2015 Agenda Overview and Introduction Roles and responsibilities Process for reporting a work-related injury Recent changes to the process
Download ReportTranscript UMD Procedures February 2015 11/7/2015 Agenda Overview and Introduction Roles and responsibilities Process for reporting a work-related injury Recent changes to the process
UMD Procedures February 2015 11/7/2015 1 Agenda Overview and Introduction Roles and responsibilities Process for reporting a work-related injury Recent changes to the process Resources Quiz Demonstration of electronic-FROI Questions 11/7/2015 2 Workers’ Compensation Web site Go to UMD HR Click on Workers’ Compensation http://www.d.umn.edu/umdhr/WorkComp/ 11/7/2015 3 Overview and Introduction Positive Employee Relations 11/7/2015 4 Worker’ Comp. Coordinator Roles and Responsibilities ◦ First Point of contact ◦ Liaison to all the parties in the process ◦ Team approach – UMD services & resources ◦ Policy and procedure resource 11/7/2015 5 Team Approach UReturn to work Workers’ Compensation Environmental Health & Safety 11/7/2015 FMLA 6 Process for Reporting a WorkRelated Injury Supervisor Promptly Notify UMD Workers’ Compensation Coordinator (Cathy Rackliffe) ◦ All reported incidents ◦ When employee begins to lose time from work ◦ Sustains a re-injury ◦ Can’t work within restrictions ◦ Receipt of medical report 11/7/2015 7 Process (continued) Employee’s role ◦ Immediately notify supervisor of on-the-job injury, accident, or ◦ ◦ ◦ ◦ ◦ 11/7/2015 illness First aid or seek medical attention Complete ◦ Employee Incident Report ◦ Return medical report to W.C. Coordinator ◦ Follow medical imposed work restrictions at work AND outside of work Stay in touch with supervisor Work with departmental payroll person on lost time claims Cooperate ◦ HR and W.C. Coordinator ◦ UReturn-to-Work Coordinator ◦ Sedgwick Claims Management Services, Inc. 8 Process (continued) Supervisor’s role ◦ Make sure employee gets medical attention ◦ Dial 911 if injury is potentially life threatening ◦ Complete ◦ First Report of Injury ◦ Supervisor Incident Investigation Report ◦ Lost Time Report (as needed) ◦ Forward medical reports to W.C. Coordinator ◦ Stay in touch with employee ◦ Cooperate ◦ HR and W.C. Coordinator ◦ UReturn-to-Work Coordinator ◦ Sedgwick Claims Management Services, Inc. 11/7/2015 9 Process (continued) Seek medical attention Emergencies: nearest hospital Burns: Miller-Dwan Hospital or nearest hospital emergency room Eye Injuries: nearest hospital emergency room or Ophthalmologist UMD Health Services St. Luke’s Occupational Health Duluth Clinic Occupational Medicine Personal Physician Other locations for NRRI, CMRL 11/7/2015 10 Process - Employee FORMS Employee Incident Report ○ Complete as soon as possible following the incident ○ Forward to Supervisor ○ Supervisor sends to W.C. Coordinator Medical Report ○ FAX or deliver a copy to W.C. Coordinator 11/7/2015 11 Process – Supervisor FORMS First Report of Injury (paper or electronic version) Complete for ALL incidents, except minor incidents such as paper cuts unless develops into more serious injury Complete within 8 business HOURS (1 day) Forward to W.C. Coordinator 11/7/2015 12 Process – Supervisor FORMS Supervisor Incident Investigation Report Complete for ALL incidents, except minor incidents such as paper cuts unless develops into more serious injury Complete within 72 business HOURS (3 day) Forward to W.C. Coordinator 11/7/2015 13 Process – Supervisor FORMS Lost Time Report Complete for lost time incidents Complete as soon as possible following end of payroll period. Forward to W.C. Coordinator Have employee work with Payroll Coordinator 11/7/2015 14 Process – Supervisor • FORMS • Give injured employee paper copies of: • MN W.C. Info Sheet • UMD List of Designated Providers • Temporary Prescription Drug ID Card 11/7/2015 15 Changes to the Process 2009 New Policy and procedures Timelines for completing required forms tightened ○ Emphasis on early reporting Complete FROI for ALL incidents Temporary Prescription Drug ID Card First Fill (7-day prescription, 25 tablets, up to $125) Express Scripts absorbs cost if claim not accepted Permanent card for accepted claims Target, Walgreens, Duluth Clinic, etc. 11/7/2015 16 Changes (continued) Electronic-First Report of Injury ○ Also known as e-FROI ○ Completed by the Supervisor ○ Paper copy of FROI still available; however, e-FROI is preferred Supervisor Incident Investigation Report ○ Completed by the Supervisor 11/7/2015 17 Benefits of the new e-FROI Familiar x.500 login Accessibility; no training required No paper. No faxing. Maximized automated field completion Real time routing to our claims administrator Sedgwick Claims Management Services, Inc. Automated notifications to departments in a position to add value: Occupational Health and Safety Environmental Health and Safety Disability Services Central Payroll Automated confirmations to the Supervisor and injured Employee, including links to important documents. 11/7/2015 18 e-FROI Benefits (continued) Immediate involvement of important resources Minimization of Supervisor effort Avoidance of double-payment situations Aggregate annual time savings of 1,0002,000 work hours A better Employee experience of the Workers Compensation system 11/7/2015 19 Resources FMLA Coordinator (Betsy Behning) ◦ Notify of all leaves Consecutive days Overnight hospital stay Intermittent leaves 11/7/2015 20 Resources (continued) UMD UReturn-to-Work Program (Nancy Erickson) ◦ Incidents with lost time ◦ Incidents with work restrictions ◦ Incidents with accommodations ◦ If a QRC, NCM, or other professional assigned ◦ Funding program 11/7/2015 21 Resources (continued) UMD Environmental Health and Safety (Laura Lott and Jean Cranston) Safety Ergonomic evaluations Personal Protective Equipment Ergonomics showroom Funding program 11/7/2015 22 Quiz Two Questions 11/7/2015 23 Demonstration of the electronicFirst Report of Injury https://webapps-prd.oit.umn.edu/froi/ 11/7/2015 24 Cathy Rackliffe Area Claims Reporting Help UMD Workers’ Compensation Coordinator 269 Darland Administration Building Tel. 726-6827 FAX: 726-8827 (new FAX #) [email protected] Nancy Erickson UMD Director, UReturn – Employee Services Tel. 612-624-3505 (Toll free: 855-458-2629) FAX: 612-625-5572 [email protected] 11/7/2015 25 Betsy Behning FMLA Coordinator 255 Darland Administration Building Tel. 726-6520 FAX: 726-7505 [email protected] Laura Lott and Jean Cranston UMD Environmental Health and Safety 13-25 Darland Administation Building Tel. 726-6917 / 726-7273 FAX: 726-6730 [email protected] [email protected] 11/7/2015 26 Other Contact Jacqueline Spadafore, Claims Supervisor Sedgwick Claims Management Insurance, Inc. P. O. Box 14454 Lexington, Kentucky 40512 Tel. 1-800-231-0165 / 952-826-3764, Extension 22538 FAX: 952-826-3785 [email protected] 11/7/2015 27 Questions? Thank you for your time! 11/7/2015 28