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UW WORKERS COMPENSATION CLAIMS: FIVE YEAR CLAIM HISTORY 1/1/05 – 12/31/09 University of Washington Office of Risk Management Claims Services Program March.

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Presentation on theme: "UW WORKERS COMPENSATION CLAIMS: FIVE YEAR CLAIM HISTORY 1/1/05 – 12/31/09 University of Washington Office of Risk Management Claims Services Program March."— Presentation transcript:

1 UW WORKERS COMPENSATION CLAIMS: FIVE YEAR CLAIM HISTORY 1/1/05 – 12/31/09 University of Washington Office of Risk Management Claims Services Program March 2010

2 Workers Comp Claim Rates by State

3 Nation-wide Occupational Injury/Disease Rates per 100 FTEs

4 Nation-wide Incidents Rates for Sectors of State Government

5 Nationwide State Government Claims as a % of Total

6 Nation-wide Claims: High Claim Rates at State Hospitals

7 Claim Rates – State Fund vs UW

8 L&I Insurance Information

9 UW Claim Frequency (claims received in last 5 years, open and closed) % Lost Time% Med Only 200517%83% 200621%79% 200723%77% 200820%80% 200921%79% 5 year total20%80%

10 UW Claims Frequency by Division (claims received in last 5 years, open and closed) DivisionFatalities Lost Time Claims Medical-Only ClaimsTotal # of Claims% of Total of UW Harborview23641085145129% UWMC 227915114222% Facilities 21949070914% School of Medicine 354454809% Student Life 662082745% Health Sciences 192102295% Arts & Sciences181521613% Oceanography 558631% F&F/Bus Services 1246581% Engineering 747541% All Other 1713934649% TOTAL UW4103340495085100%

11 UW Claim Frequency by Top Divisions

12 UW-Wide Time Loss Days (days out on open and closed claims each calendar year)

13 Division Avg # of TL days per TL claim Harborview65 UWMC71 Facilities65 Student Life62 Health Sciences73 School of Medicine28 F&F/Business Services46 Oceanography87 Engineering62 Public Health308 All Other25 Division# TL Days% of total % of EE's (per OSHA Reports) Harborview19,74036%14% UWMC14,26626%13% Facilities12,09622%3% Student Life3,7817%2% Health Sciences1,1002% School of Medicine8392% F&F/Bus Services4571% Oceanography4371% Engineering4351% Public Health3081% All Other1,5933% Total UW55,052 UW-Wide Time Loss Days by Division (closed claims 1/1/04 – 12/31/09) Average Time Loss Days

14 HMC Department# of TL days% of Total NURSING, GENERAL3,76519% ENVIRONMENTAL SVCS3,49418% SECURITY/FAC SVCS1,3437% BURN CENTER9505% SURGERY9295% PSYCHIATRY8174% INTERNAL MEDICINE7944% ADMIN. SUPPORT SVCS6603% NUTRITION AND FOOD6353% REHAB MEDICINE6183% OTHER5,73529% TOTAL19,740100% UWMC Department# TL Days% of Total NURSING, GENERAL1,53411% SURGERY1,49911% MATERIALS MGMT1,2629% CRITICAL CARE1,1848% ADMIN. SUPPORT SRVCS1,1158% ENVIRONMENTAL SVCS9807% SECURITY/FAC SRVCS9166% ORTHOPAEDICS8936% NUTRITION AND FOOD8826% CONSOLIDATED LAUNDRY7986% OTHER3,56925% TOTAL14,266100% Facilities Department# TL Days% of Total PHYS PLANT/MAINT ALT4,62638% PHYS PLANT/CAMPUS OPS2,33219% PHYS PLANT/CUSTODIAL2,89824% PROP TRANSPORT1,30811% PHYS PLANT/ENG SRVCS4063% PHYS PLANT/GROUNDS1992% PARKING SERVICES691% FINAN/ADMIN SRVCS500% PURCHASING/STORES891% FINANCIAL MGMT/ADMN200% Other991% Total12,096100% Student Life Department# TL Days% of Total RETAIL FOOD SRVCS3,04881% RESIDENCE HALLS69918% STDNT ACTIV/UNION FAC54314% FAMILY HOUSING902% ACAD SRVCS & FACILIT852% ADMINISTRATION852% ADMISSIONS & RECORDS421% RECREATIONAL SPORTS311% CAREER SRVCS60% Total3,781100% Time Loss Days by Dept - Top Divisions

15 TL Days Five Year Trend for each Division (days out on open and closed claims each calendar year)

16 UW- Wide Time Loss Dollars Paid by Year (Time Loss paid on open and closed claims each calendar year)

17 Time Loss $ Paid by Division (closed claims 1-1-04 – 12-31-09) Average Time Loss $ Paid TL paid% of Total % of EEs (per OSHA reports) Harborview$1,922,14141%14% UWMC$1,273,71927%13% Facilities$968,58520%3% Student Life$203,3714%2% School of Medicine$74,0722% Health Sciences$60,8741% Tacoma$39,4181% F&F/Bus Services$37,1061% Oceanography$32,7761% UW Technology$22,8880% All Other$101,3262% Total$4,736,276100% Division Ave Time Loss $/Claim Harborview$6,282 UWMC$6,369 Facilities$6,885 Student Life$3,334 School of Medicine$2,469 Health Sciences$4,058 Tacoma$9,854 F&F/Bus Services$3,711 Oceanography$6,555 UW Technology$3,815 All Other$1,747 Total$5,352

18 HMC Department Time Loss $ Paid% of Total NURSING, GENERAL$414,27122% ENVIRONMENTAL SVCS$210,19711% SURGERY$112,5506% REHAB MEDICINE$111,6716% INTERNAL MEDICINE$108,2536% BURN CENTER$107,1466% SECURITY/FAC SVCS$104,7145% PSYCHIATRY$89,5765% RADIOLOGY/NUCLEAR MED$72,6904% CRITICAL CARE$59,4773% OTHER$533,30428% TOTAL$1,923,848100% UWMC Department Time Loss $ Paid% of Total CRITICAL CARE230,15418% NURSING, GENERAL177,74614% SURGERY115,8889% ADMIN. SUPPORT SRVCS108,0398% MATERIALS MGMT89,9737% ORTHOPAEDICS65,2455% ENVIRONMENTAL SVCS59,0215% OB/GYN47,6964% CONSOLIDATED LAUNDRY44,2413% SECURITY/FAC SRVCS38,4573% Other297,25923% Total1,273,719100% Facilities Department Time Loss $ Paid% of Total PHYS PLANT/MAINT ALT$430,35444% PHYS PLANT/CAMPUS OPS$221,66523% PHYS PLANT/CUSTODIAL$145,32415% PROP TRANSPORT$91,9599% PHYS PLANT/ENG SRVCS$31,5523% PHYS PLANT/GROUNDS$16,6322% PARKING SERVICES$10,5741% FINAN/ADMIN SRVCS$7,6331% PURCHASING/STORES$4,9001% FINANCIAL MGMT/ADMN1,4930% Other$6,4981% Total$968,585100% Student Life Department Time Loss $ Paid% of Total RETAIL FOOD SRVCS$114,52856% RESIDENCE HALLS$40,27320% STDNT ACTIV/UNION FAC$29,80315% RECREATIONAL SPORTS$4,4332% ADMINISTRATION$4,3072% FAMILY HOUSING$4,1212% ACAD SRVCS & FACILIT$3,1862% ADMISSIONS & RECORDS$2,6661% CAREER SRVCS$540% Total$203,371100% Time Loss $ Paid by Dept - Top Divisions

19 Time Loss $ Trend for Top Divisions (Time Loss paid on open and closed claims each calendar year)

20 UW Claims by Injury Type ( closed claims 1/1/04 – 12/31/09, ranked by TL $ Paid) Injury Type # of MO claims # of TL claimsTime Loss DaysTime Loss Paid % of Total TL Paid SPRAIN/STRAIN94039227,909$2,541,92754% SLIP AND FALL167774,811$435,1919% PAIN4311274,466$341,6867% FRACTURE70533,362$269,3886% REPETITIVE TRAUMA87302,889$187,7154% BRUISE/CONTUSION320392,598$172,2754% HERNIA5101,402$107,8792% SWELLING INFLAMMATION86321,506$100,7312% UNKNOWN476778$93,4302% SOFT TISSUE INJURY368738$85,7162% OTHER17051073,693$352,4678% TOTAL389488154,152$4,688,404100%

21 Injury Types: Medical Centers HMC: Injury Type# of MO claims# of TL claimsTL DaysTL $% of total SPRAIN/STRAIN33914010,942$1,094,41457% SLIP AND FALL43262,856$281,46315% PAIN131472,226$171,2869% FRACTURE817883$109,7226% BRUISE/CONTUSION13811701$51,8893% EXPOSURE239408$25,5691% REPETITIVE TRAUMA235336$20,3171% OTHER DISEASES201244$14,1771% HERNIA36208$24,3151% EPICHONDYLITIS24194$51,4973% OTHER35276690$72,6504% TOTAL108230219,688$1,917,298100% UWMC: Injury Type# of MO claims# of TL claimsTL DaysTL $% of total SPRAIN/STRAIN206816,934$737,70758% PAIN117401,376$113,9699% RPTITV TRAUMA5111,703$109,1339% BRUISE/CONTUSION567997$71,0686% FRACTURE1281,014$50,4314% SLIP AND FALL4910411$37,0653% SWELLING/INFLAMMATION127573$32,2693% UNKNOWN9293$29,0292% LACERATION437396$28,4782% SOFT TISSUE INJ73148$17,4631% Other36624621$47,1054% Total88520014,266$1,273,716100% UWMC HMC

22 Injury Types: Facilities and Student Life Facilities: Injury Type# of MO claims# of TL claimsTL DaysTL $% of total SPRAIN/STRAIN134136,723$533,46355% FRACTURE50181,121$89,7279% HERNIA12982$70,7467% UNKNOWN92513$55,6266% SLIP AND FALL1420389$43,6325% BRUISE/CONTUSION3315732$33,9594% DISLOCATION02399$33,1543% SOFT TISSUE INJURY32299$28,9473% PAIN5025270$16,2062% AMPUTATION03135$10,8631% OTHER17925533$52,2625% TOTAL47312712,096$968,585100% Student Life: Injury Type# of MO claims# of TL claimsTL DaysTL $% of total SPRAIN/STRAIN44241,500$80,33240% BRUISE/CONTUSION164914$47,62623% SLIP AND FALL147458$25,79813% SWELLING/INFLAMMATION43151$11,8716% UNKNOWN22165$8,4864% PAIN166157$6,9773% FRACTURE45151$6,7633% LACERATION40226$3,6792% SOFT TISSUE INJURY1174$3,2122% REPETITIVE TRAUMA5142$2,6661% OTHER595143$5,9623% TOTAL205603,781$203,371100% Facilities Student Life

23 Position Code/Description # of MO claims # of TL claimsTL DaysTL $% of total Reg Nurses60517310,405$1,398,54930% Custodian3221448,994$473,41110% Med Asst105442,677$219,7275% Hosp Asst135382,487$172,9104% PL/Pipe/Steamfitter36241,613$166,6764% Painter22131,777$144,5823% Occup Therapist143717$111,0252% Pat Fin Svcs Specialist79171,065$98,6772% Mental Health Specialist185869$98,0242% Food Services93191,868$93,6292% Other247340422,580$1,762,50637% TOTAL390288455,052$4,739,716100% Claims by Position (closed claims 1/1/04 – 12/31/09, ranked by TL $ Paid)

24 Claims By Position: Medical Centers UWMC HMC UWMC: POSITION# of MO claims# of TL claimsTL DaysTL $% of total REG NURSE291643,995$551,46543% HOSP ASST61201,854$138,94911% PATIENT SVCS REP4011792$82,2616% CUSTODIAN67191,265$73,9686% HOSP CENT SVC TECH179742$55,3854% MEDICAL ASST349365$47,7744% PROGRAM ASSISTANT71555$43,9853% FDA - PROJECT41616$37,0373% FOOD SERV WORKER206782$35,9413% PHARMACY TECH83416$29,1292% OTHER333672,884$177,82614% TOTAL88220014,266$1,273,719100% HMC: POSITION# of MO claims# of TL claimsTL DaysTL $% of total REG NURSE3101106,396$846,98844% CUSTODIAN106403,373$197,53810% MEDICAL ASSISTANT21352,312$171,9539% MENTAL HEALTH SPEC175869$98,0245% OCCUP THERAPIST62489$88,3455% IMAGING TECH2612579$64,0983% RESP CARE1310337$45,1172% FACIL OPS MAINT SPEC74331$44,0642% SECURITY OFCR776555$37,0832% HOSPITAL ASST6219633$33,9612% OTHER4011313,811$289,07215% TOTAL104637419,685$1,916,244100%

25 Claims By Position: Facilities and Student Life Facilities Student Life FACILITIES: POSITION# of MO claims# of TL claimsTL DaysTL $% of total PL/PIPE/ STEAMFTTR32241,613$166,67617% CUSTODIAN107582,954$131,15714% PAINTER1681,401$106,90011% ELEVATOR MECHANIC22697$92,53910% TRUCK DRIVER 21861,109$82,7539% MAINT MECHANIC2510685$62,1396% ELECTRICIAN479691$55,6276% ROOFER15457$36,7684% SHEET MTL MECH246386$36,1794% INSULATION WORKER12263$33,7603% OTHER197541,840$164,08717% TOTAL47018412,096$968,585100% STUDENT LIFE: POSITION# of MO claims# of TL claimsTL DaysTL $% of total FOOD SERVICES131211,913$101,77650% CUSTODIAN34251,379$68,37134% MAINTENANCE43136$14,0817% MGR PROGRAM OPS9322$5,8223% ADMINISTRATIVE3142$2,6661% OTHER2400$10,6560% TOTAL205613,781$203,371100%

26 Diagnosis # of MO claims # of TL claimsTL DaysTL $% of total STRAIN, BACK3141647,644$777,88416% STRAIN, SHOULDER121465,029$421,6899% PAIN, LWR. BACK93614,704$439,6489% STRAIN, HAND/WRIST146385,026$377,1608% STRAIN/SPRAIN, LEG/KNEE97532,662$278,2666% CONTUSION/BRUISE403603,270$242,3955% CARPAL TUNNEL62363,862$239,1105% SPRAIN, CERVICAL121341,341$148,6093% SPRAIN, ANKLE/FOOT113261,175$136,4403% SPRAIN, MULTIPLE29131,384$128,5163% Other240435318,955$1,549,99933% TOTAL390388455,052$4,739,716100% Claims by Diagnosis (closed claims 1/1/04 – 12/31/09, ranked by TL $ Paid)

27 Top Diagnoses: Medical Centers UWMC: Diagnosis# of MO claims# of TL claimsTL DaysTL $% of total STRAIN, BACK44242,955$365,65729% STRAIN, SHOULDER30341,523$140,02211% CARPAL TUNNEL16122,219$123,84410% LUMBAGO6110595$87,20717% CONTUSION/BRUISE8491,082$82,0836% UNKNOWN175317$43,4963% TENDONITIS, BURSITIS176486$43,3093% SPRAIN, HAND/WRIST279758$39,4973% FRACTURE, ARM/WRIST85600$35,3293% SPRAIN, ANKLE /FOOT192231$22,6922% OTHER559843,443$284,79622% TOTAL88220014,209$1,267,830100% HMC: Diagnosis# of MO claims# of TL claimsTL DaysTL $% of total LUMBAR STRAIN119542,492$276,68714% HAND/WRIST STRAIN54172,455$198,79110% LUMBAGO29251,936$172,8709% KNEE SPRAIN31201,603$168,2039% SHOULDER SPRAIN36151,388$130,6267% NECK SPRAIN3410792$107,8526% ANKLE/FOOT/TOE SPRAIN310727$99,2215% FX ARM/WRIST18560$78,6684% EPICHONDYLITIS56279$57,3193% CONTUSION/BRUISE15312728$53,3683% OTHER5811318,990$580,24330% TOTAL104630819,740$1,923,848100% UWMC HMC

28 Top Diagnoses: Facilities and Student Life Facilities: Diagnosis# of MO claims# of TL claimsTL DaysTL $% of total LUMBAGO14 1,887$164,95017% STRAIN, SHOULDER2271,625$118,78912% SPRAIN, WRIST /HAND2261,448$117,33012% SPRAIN, LUMBAR34351,226$80,5998% CONTUSION/BRUISE41191,066$74,8128% STRAIN, MULTIPLE24787$62,5466% SPRAIN, KNEE1110315$46,3975% FRACTURE, LEG01364$42,0854% DISLOCATION, SHOULDER01358$28,8973% SLIP FALL02272$22,7492% OTHER327992,720$206,51621% TOTAL47318512,068$965,669100% Facilities Student Life Student Life: Diagnosis# of MO claims# of TL claimsTL DaysTL $% of total TENDONITIS, BURSITIS54879$51,43425% STRAIN, ARM02323$24,00112% SPRAIN, LUMBAR175404$19,0109% FRACTURE, HIP01291$17,3349% STRAIN, SHOULDER62388$15,8068% PAIN, LWR. BACK52217$10,0555% FX FINGER/HAND/WRIST25152$6,3783% CONTUSION/BRUISE206114$5,3083% LACERATION41226$3,6792% SPRAIN, HAND/WRIST10360$3,1022% OTHER9929927$47,26323% TOTAL205613,781$203,371100%

29 Body Part # of MO claims # of TL claimsTL DaysTL $% of total BACK54027913,9611,413,70030% SHOULDER194747,666649,51114% WRIST225526,912483,13210% KNEE187964,928458,55710% HAND229482,837210,4034% NECK110212,043191,1734% ELBOW99251,786173,9034% FOOT96241,432168,5924% MULTIPLE75242,398155,9103% FINGER528421,600113,9222% Other16191999,489720,91315% Total390288455,0524,739,716100% Claims by Body Part (closed claims 1/1/04 – 12/31/09, ranked by TL $ Paid)

30 Claims by Body Part: Medical Centers UWMC: Body Part# of MO claims# of TL claimsTL DaysTL $% of total BACK138613,798$499,43239% SHOULDER41222,448$243,56919% WRIST43112,524$133,75411% HAND61161,160$93,9537% ELBOW216908$73,9176% FOOT157378$38,1283% KNEE3410600$37,8443% NECK166353$37,4583% THUMB(S)496536$34,2393% FINGER9813577$17,2381% Other36641889$58,4025% Total88219914,171$1,265,992100% HMC: Body Part# of MO claims# of TL claimsTL DaysTL $% of total BACK1941065,166$527,84028% KNEE62412,967$287,80315% WRIST59161,823$184,50410% NECK38121,568$147,6128% SHOULDER59181,371$142,6917% FOOT315782$113,1076% MULTIPLE2081,276$73,0034% ELBOW267377$59,7423% FINGER8914692$55,1493% FOREARM214296$54,6753% OTHER447773,422$271,17214% Total104630819,740$1,917,298100% UWMC HMC

31 Claims by Body Part: Facilities and Student Life Facilities: Body Part# of MO claims# of TL claimsTL DaysTL $% of total BACK67613,650$314,34032% SHOULDER34202,570$192,48920% WRIST22111,916$148,39515% KNEE2421700$86,0389% MULTIPLE116813$66,1057% LOWER LEG42364$42,0854% FINGER516218$23,1932% HAND294292$16,8472% ELBOW157158$15,1582% FOOT116174$12,6311% Other205401,237$51,3045% Total47318412,092$968,364100% Student Life: Body Part# of MO claims# of TL claimsTL DaysTL $% of total WRIST1471,086$55,01527% BACK2618646$30,37815% UPPER ARM11323$24,00112% SHOULDER103430$18,4729% HIP11291$17,3349% KNEE155154$16,9258% MULTIPLE33168$9,2985% HAND215151$6,5603% FINGER30489$5,7183% LOWER ARM01124$5,3313% OTHER8413319$14,3397% TOTAL205613,781$203,371100% Facilities Student Life

32 Safety is Job #1! Avoiding worker injuries protects our employees, reduces insurance costs, and increases UW productivity. Partnership with EH&S on data and safety issues – Sharing of Workers Comp data real-time To ensure incident reports are complete To ensure OSHA reporting is accurate To share trends on safety issues – Triage discussions on unusual or severe incidents so UW responds appropriately and as a team – Initiatives to address trends – i.e., ergonomics, lifting, etc

33 Key to Controlling Costs: Return-to-Work Benefits to UW – Lower L&I premium – Allows retention of employees skill and experience – Keeps productivity loss to a minimum – Reduces costs of training new employee or temps – Creates opportunity to complete work usually left undone – May reduce risk of re-injury Benefits to the Injured Worker: – Keeps the employee active and speeds medical recovery – Shifts focus from dis-ability to ability – May reduce the risk of re- injury – Provides a sense of job security – Allows employee to maintain contact with co-workers – Shows you value your employee and his/her contributions to UW Source: "Employer's Return-To-Work Guide", WA Department of Labor and Industries, Workers' Compensation Services

34 UWs Return to Work Program Risk Management serves as UWs required return-to-work coordinators (RCW 41.06.490) Requires strong teamwork with L&I, HR, Supervisor/Department, Physician Focus is on early, supportive communication with injured worker on opportunities to stay at work within restrictions Return to Work Options – Modify current work – Part time work – Alternative work (temporary) – Alternative work (permanent) Light duty job descriptions should be developed and readily available for positions with claim frequency We dont have light duty is rarely acceptable

35 Contact Us Shari Spung, Director, Claims Services Program (sspung@uw.edu, 206 616 3455)sspung@uw.edu Wendy Winslow-Nason, Sr. Claims Specialist (wendywn@uw.edu, 206 616 7510)wendywn@uw.edu Elena Williams, Claims Specialist (elenaw2@uw.edu, 206 616 3329)elenaw2@uw.edu Linda Chihara, Program Coordinator (lchihara@uw.edu, 206 543 0183)lchihara@uw.edu Felicia Carnes, Program Coordinator (fml@uw.edu, 206 543 3657)fml@uw.edu


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