Workers' Compensation Elements in Different Jurisdictions in the United States.
Journal
Journal of occupational and environmental medicine
ISSN: 1536-5948
Titre abrégé: J Occup Environ Med
Pays: United States
ID NLM: 9504688
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
entrez:
2
12
2020
pubmed:
3
12
2020
medline:
19
8
2021
Statut:
ppublish
Résumé
: Over the decades, the workers' compensation system has provided many injured workers with a significant guarantee of both medical and financial support when they have been injured on the job. To be effective, workers' compensation systems at a minimum should include principles that require the addressing of medical causation, determination of an individual's functional ability both pre- and post-injury to include activity restrictions, return-to-work capability and disability, meeting jurisdiction-specific reporting requirements of the workers' compensation reporting requirements, and having knowledge of other perspectives of the various authorities and jurisdictions present in the United States. ACOEM lays out a description of various aspects of workers' compensations systems in the United States, with recommendations for minimal standards and best practices. This paper limits itself to the discussion of jurisdictions within the United States and ACOEM strongly recommends that providers consult directly with the states in which they are working as there are state variations in workers' compensation.
Identifiants
pubmed: 33264192
doi: 10.1097/JOM.0000000000002047
pii: 00043764-202012000-00030
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e760-e769Références
U.S. Department of Labor. Worker's compensation. Available at: https://www.dol.gov/general/topic/workcomp. Accessed May 6, 2020.
Mueller K, Konicki D, Larson P, Hudson TW, Yarborough C. Advancing value-based medicine: why integrating functional outcomes with clinical measures is critical to our health care future. J Occup Environ Med 2017; 59:e57–e62.
Transforming Workers’ Comp Blog. Employee vs Employer Choice of Physician: How best to Incorporate Medical Tourism into Workers’ Compensation. Available at: https://richardkrasner.wordpress.com/2012/11/08/employee-vs-employer-choice-of-physician-how-best-to-incorporate-medical-tourism-into-workers-compensation-3/. Accessed September 1, 2019.
Christian J, Wickizer T, Burton K. A Community-Focused Health & Work Service (HWS). Available at: http://www.crfb.org/sites/default/files/Implementing_a_Community-Focused_HWS.pdf. Accessed May 6, 2020.
Burgdorf M. The importance of quality results in workers’ comp medical care. Managing Employee Benefits 1996; 2:54.
Turner JA, Franklin G, Fulton-Kehoe D, et al. Prediction of chronic disability in work-related musculoskeletal disorders: a prospective, population-based study. BMC Musculoskelet Disord 2004; 5:14.
IN.gov. Nurse Case Manager Guidelines. Worker's Compensation Board of Indiana. Available at: https://www.in.gov/wcb/2585.htm. Accessed August 1, 2020.
Maudlin K. Indiana Workers’ Compensation. Available at: http://www.workerscompindiana.com/indiana-workers-compensation-information-blog/. Accessed August 1, 2020.
Study.com. Worker's compensation Lawyer; Job duties and Requirements. Available at: https://study.com/articles/Workers_Compensation_Lawyer_Job_Duties_and_Requirements.html. Accessed August 1, 2020.
WorkersCompensation.com, LLC. Workers’ Compensation Information. Available at: https://www.workerscompensation.com/state_info.php?state=. Accessed September 24, 2019.
Evans R, Larsen C, Schnure A, Woods S. Bringing Value-Based Care to Workers’ Compensation. Presented at 2016 National Workers’ Compensation & Disability Conference. Available at: https://www.safetynational.com/conferencechronicles/bringing-value-based-care-to-workers-compensation/. Accessed August 1, 2020.
Lipton B, Robertson J, Corro D. NCCI Research Brief. Medicare and Workers Compensation Medical Cost Containment; 2010. Available at: https://www.ncci.com/Articles/Pages/II_medicare-research-brief-jan10.pdf. Accessed August 1, 2020.
American College of Occupational and Environmental Medicine (ACOEM), International Association of Industrial Accident Boards and Commissions (IAIABC). A Guide to High-Value Physician Services in Workers’ Compensation. Available at: https://acoem.org/acoem/media/News-Library/A-Guide-to-High-Value-Physician-Services.pdf. Accessed August 1, 2020.
US Department of Labor. U.S. Department of Labor Announces Availability of $20 Million in Grants To Help Injured or Ill Americans Remain in Labor Force; 2018. Available at: https://www.dol.gov/newsroom/releases/odep/odep20180524. Accessed February 18, 2020.
US Department of Labor, Occupational Safety and Health Administration. Available at: https://www.osha.gov/recordkeeping/ppt1/RK1exempttable.html. Accessed February 18, 2020.
Occupational Injury and Illness Reporting Requirements, Final Rule 66, Federal Register, 13,5916-6135 (to be codified at 29 CPR § 1904 and 1952); 2001.
Klamert P. Complying with changes in OSHA's recordkeeping requirements. An overview. AAOHN J 2002; 50:324–333.
California Law (n.d.). Workers’ Compensation and Insurance. California Legislative Information. Available at: https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=LAB&division=4.&title=&part=4.&chapter=2.&article=. Accessed February 18, 2020.
Williams J, Sorensen G, Hashimoto D, Hopcia K, Wagner GR, Boden LI. Impact of occupational injuries on nonworkers’ compensation medical costs of patient-care workers. J Occup Environ Med 2017; 59:e119–e124.
HHS.gov. Disclosures for Workers’ Compensation Purposes. US Department of Health & Human Services. Available at: https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-workers-compensation/index.html. Accessed August 1, 2020.
Murshid S. HIPAA allows most employers to share private employee medical info. Available at: www.hq-law.com/blog/employment.../health-privacy-not-protected-by-hipaa-at-work/. Accessed August 1, 2020.
JDSupra. Virginia Workplace Law. Available at: https://www.jdsupra.com/legalnews/does-hipaa-apply-to-employers-81016/. Accessed August 1, 2020.
Hoffman S. School of Law Case Western Reserve University. Available at: https://scholarlycommons.law.case.edu/cgi/viewcontent.cgi?article=1009&context=faculty_publications. Accessed August 1, 2020.
U.S. Department of Health & Human Services. The HIPAA Privacy Rule. HHS.gov. Available at: https://www.hhs.gov/hipaa/for-professionals/privacy/. Accessed August 1, 2020.
Alper Services. The Impact of HIPAA Requirements on Workers’ Compensation Records. Available at: http://www.alperservices.com/blog/2017/04/the-impact-of-hipaa-requirements-on-worker-compensation-records/. Accessed August 1, 2020.
U.S. Department of Labor. The Genetic Information nondiscrimination Act of 2008: GINA. Available at: https://www.dol.gov/oasam/programs/crc/finalGINAguidance.htm. Accessed August 1, 2020.
Stack J. Workers’ Compensation Billing, AAPC. Available at: https://www.aapc.com/blog/5121-workers-compensation-billing/. Accessed August 1, 2020.
Cloeren M, Adamo P, Blink R, et al. Defining documentation requirements for coding quality care in workers’ compensation. J Occup Environ Med 2016; 58:1270–1275.
Institute of Medicine. Standards for Developing Trustworthy Clinical Practice Guidelines; 2011. Available at: http://www.iom.edu/∼/media/Files/Report%20Files/2011/Clinical-Practice-Guidelines-We-Can-Trust/Clinical%20Practice%20Guidelines%202011%20Insert.pdf. Accessed July 31, 2020.