10.7 Injury and Illness Case Management *

Question 1

What is the program objectives of case management?

Answer 1

To provide appropriate workers compensation benefits to employees, to effectively report injuries and illnesses with designated time frames, to maintain ongoing communications with employees who are off duty as a resut of an occupational injury or illness, return to work as soon as medically appropriate

Question 2

What is the significant difference between a disabling and a non-disabling injury or illness?

Answer 2

If the employee is unable to return to work on the next scheduled work shift.

Question 3

What is the significant difference between a “recurrence of injury” and a “aggravation of injury?”

Answer 3

A recurrence does not have a new clearly defined incident and an aggravation does. An aggravation shall be process as a new injury or illness

Question 4

When a “questionable” injury or illness is claimed, where shall the reasons for questingion the claim be documented?

Answer 4

CHP 121

Question 5

Should a supervisor accompany the employee to a medical appointment?

Answer 5

If practical, the supervisor shall accompany the employee to discuss work capability (CHP 443) with the health care provider. The discussion shall be documented briefly on the CHP 121, in NO event shall supervisor attempt to be present while employee is being examined.

Question 6

What aspects of injury and illness case management shall the commander be personally and actively involved?

Answer 6

All aspects

Question 7

Supervisors shall determine preventability of injuries, illnesses, and hazardous exposure

Answer 7

False, the commander shall make the determination and take appropriate corrective measures.

Question 8

Who shall personally meet with employees to review the reasons their injuries, illnesses, or hazardous exposures were deemed preventable?

Answer 8

Commanders or their designees

Question 9

May an employee appeal a determination of preventability?

Answer 9

Yes, it may be appealed to the command’s occupational safety committee. Committee members may not change the determination of preventability; however, they may request commanders to consider various factors when reviewing the incidents.

Question 10

If after an appeal, the occupational safety committee disagrees with the determination of preventability, is there any recourse?

Answer 10

Yes, further appeal may be made following the complain procedure as outline in the Employee Relations Manual

Question 11

When should employees report illnesses, or hazardous exposures, or recurrences or aggravations of any injury or illness to a supervisor?

Answer 11

As soon as possible and prior to seeking medical treatment unless extenuating circumstances exist

Question 12

An Area supervisor shall prepare a personalized memorandum to employees which clearly expresses their desire to assist the employee with their injury or illness case? T/F

Answer 12

False, commanders shall prepare such a memo

Question 13

Are there any attachments to the personalized memos from the area commander that may be necessary?

Answer 13

Yes, commanders shall prepare a memo which outline departmental policy regarding occupation injury and illness case management and employee’s right and responsibilities

Question 14

Is there a need to review the personal memo and attachment with the employee?

Answer 14

Yes, commander or designee shall reveiw both the personalized memo and the attachment with the employee. The employee shall be given the original commander’s memo and a copy of attachments.

Question 15

Commnder shall/should maintain contact with employees who are off duty as a result of occupational injuries or illnesses and Commander shall/may maintain ongoing communications, as appropriate, with employees’ medical care providers and arrange a return to full duty as asoon as medcailly appropriate?

Answer 15

Shall and shall

Question 16

Is an employee’s secondary employment request automatically suspended when the employee is off on injury status?

Answer 16

Commanders may require written authroziation from an employee’s medical care provider indicating their secondary employement will not affect their ability to recover, but if the medical care provider indicates the secondary employment may interfere, the secondary employment request may be temporarily suspended.

Question 17

If secondary employment has be suspended, when shall it be reinstated?

Answer 17

Commanders shall reinstate secondary employment requests when the medical care provider provides written authorization indicating the secondary employement will not impede recovery.

Question 18

How often, if at all is the commander or designee required to contact SCIF for an employee that has been placed off duty?

Answer 18

At least monthly to reveiw the status of those cases.

Question 19

A CHP 121D (injury illness tracking report) shall be submitted to division by the 10th of each month. The report should/shall/may contain info on the employees that are on limited duty and are off for 30 days or less and should/shall/may contain info on employee who are on limited duty or off in excess of 30 days?

Answer 19

May and shall

Question 20

Other than on a CHP 121D, what other reporting is necessary for an employee is off for 30 calendar days or more?

Answer 20

on the day following the first 30 calendar days, the commander shall notify the appropriate assistant commissioner, division commander, Disability and Retirement Unit and Human Resource Section

Question 21

What is the employee’s responsibility when reporting a recurrence of an injury or illness?

Answer 21

He shall prepare a CHP 51 (memo) within 24 hours detailing the circumstances

Question 22

What if the employee is not capable of completing the memo within 24 hours?

Answer 22

The employee’s supervisor shall prepare a memo detailing the reported circumstances

Question 23

All injury and illnesses are recorded on what OSHA form and must be recorded with what time frame?

Answer 23

OSHO #300 log form and injuries and illnesses must be recorded within 6 days following knowledge of the injury or illness

Question 24

Who shall document an injury or illness of an employee while temporarily assigned to another command?

Answer 24

The command of temporary assignment shall document it unless the assignment is a result of civil disturbance

Question 25

If the status of any injury or illness changes within 2/3/5 years of the original occurrence, the log on which the injury or illness is recorded must be updated?

Answer 25

5 years

Question 26

If the injury or illness is denied by SCIF, what happens to the OSHA #300 log entry?

Answer 26

The entire entry is lined out, an appropriate notation made on the log and the CHP 121, and retain the CHP 121 in the commands OSHA 300 log file

Question 27

When an employee notifies a supervisor of an injury or illness, how long does the supervisor have to complete a CHP 121?

Answer 27

within 24 hours of notification

Question 28

When shall the emploee sign the CHP 121?

Answer 28

within 24 hours of reporting the injury of illness

Question 29

What shall the supervisor do if the employee cannot sign the CHP 121 within 24 hours or refuses to sign it?

Answer 29

If the employee is incapable of signing within 24 hours the supervisor shall document the reasons and the employee will sign as soon as possible. If the employee refuses “refused to sgin” shall be placed in the signature box and an explanation in the comments section.

Question 30

The commander or designee shall review and sign the CHP 121 within in what time frame?

Answer 30

3 days of notification of injury/illness

Question 31

How soon shall the CHP 121 be filed with SCIF office?

Answer 31

within 5 days of notification (unless record only or first aid without medical expenses)

Question 32

When shall a CHP 121A (supervisory review or occupational injury/illness or exposure) be completed?

Answer 32

within 24 hours of notification

Question 33

When shall a CHP 121B (employee report of injury) be completed?

Answer 33

Completed and signed by the employee within 24 hours of reporting the injury

Question 34

When shall an employee sign a CHP 121C (medical info release authorizaton)

Answer 34

within 24 hours of reporting injury/illness

Question 35

What is necessary to order an employee to a “fitness for duty” exam?

Answer 35

Approval must be obtained from the assistant commissioner

Question 36

What are the restrictions for employees on limited duty?

Answer 36

Public contacts shall be restricted to non enforcement

Question 37

Commanders may approve limited duty assignments less than one year or greater than one year?

Answer 37

less than one year

Question 38

No paid overtime or CTO is authorized for the participaton in the Annual Fitness Challenge?

Answer 38

False, commander may authorized CTO if the employee would otherwise be unable to participate due to scheduling, deployment needs, or other exceptional circumstances

Question 39

How shall injuries be documented which occurred during actual participation in the annual fitness challenge?

Answer 39

The same as any other injury/illness since the actual participation of the event occurs on state time