1. Center of Occupational Health & Education (COHE) Provider Orientation – Part I

2. Topics  Introduction  What is a COHE?  Why health care providers participate  How your COHE is organized  COHE’s future  Occupational health best practices  COHE provider resources

3. Introduction  Workers’ compensation: –Work related injuries or disease –Self-insurance / State-fund –www.Lni.wa.gov/ClaimsIns/Insurance/SelfInsu re/EmpList/www.Lni.wa.gov/ClaimsIns/Insurance/SelfInsu re/EmpList/  What a claim manager needs from a health care provider: –Causality –Treatment plan

4. Avoiding Disability 1211109876543210 0 20 40 60 80 100 % IW Receiving Disability Payments Time-Loss Duration (months) Early Intervention Period Focus of COHE Activities

5. What is a COHE? Reduction in Long-Term Disability for Injured Workers Employers / Business Health care Providers Injured Workers / Labor Labor & Industries COHE

6. COHE – In More Detail Best Practices Based on evidence Designed with provider input Focused on reducing disability and improving outcomes Incentives Best Practices Based on evidence Designed with provider input Focused on reducing disability and improving outcomes Incentives Provider Training Orientation and annual best practices training Regular feedback Access to resources that will help them better manage an injured worker’s recovery. Provider Training Orientation and annual best practices training Regular feedback Access to resources that will help them better manage an injured worker’s recovery. Health Services Coordination Resource focused on coordination and return to work Health Services Coordination Resource focused on coordination and return to work Community Outreach Community communication and involvement Program advocates Broad provider, employer and labor involvement in quality improvement Community Outreach Community communication and involvement Program advocates Broad provider, employer and labor involvement in quality improvement

7. Why Health Care Providers Participate  Incentives for Report of Accidents (ROAs)  Provider generated Activity Prescription Forms (APFs)  Access to the Health Services Coordinator (HSC)  Occupational Health training  Return to work focus  Access to COHE Advisors  Data and reporting  Quality improvement projects

8. COHE Track Record  Pilots since 2002  ~ 2,000 providers throughout Washington State  Improves outcomes and process  www.Lni.wa.gov/ClaimsIns/Providers/ProjResearchComm/OHS/#5 www.Lni.wa.gov/ClaimsIns/Providers/ProjResearchComm/OHS/#5

9. COHE Team Dianna Chamblin – Medical Director Marti Bradley – Program Director Douglas Nickels – Health Services Coordinator Name - Provider Trainer Name - Community Outreach COHE Advisors COHE Team Dianna Chamblin – Medical Director Marti Bradley – Program Director Douglas Nickels – Health Services Coordinator Name - Provider Trainer Name - Community Outreach COHE Advisors Health Care Providers Occ Med Orthopedics Neurology Urgent Care Emergency Care Health Care Providers Occ Med Orthopedics Neurology Urgent Care Emergency Care Business & Labor State-Fund Employers Self-Insured Employers Labor Unions Business & Labor State-Fund Employers Self-Insured Employers Labor Unions Labor & Industries L&I Contract Mgr UW Research L&I Claims Administration Labor & Industries L&I Contract Mgr UW Research L&I Claims Administration Our COHE Injured Worker Injured Worker

10. COHE’s Future  More best practices: –Opioids –Disability prevention –Coordination of care  Statewide expansion  Coordinating with other COHEs  Self-insured employers

11. Introduction to COHEs, Part I Questions 1.What’s different about treating an injured worker? a.A provider is authorizing lost wages b.A provider’s office is the entry point for filing a claim c.A provider needs to be specific about a worker’s restrictions at home and at work d.Keeping a worker connected to their work is extremely important to successfully treating the patient e.All of the above f.None of the above 2.Which groups does the COHE work with? a.Health care providers b.Injured workers/labor c.Business/employers d.Labor & Industries’ claim managers e.None of the above f.All of the above

12. Introduction to COHEs, Part I Questions 3.Why do providers participate in a COHE? a.Quicker claim initiation b.Access to experts c.Better communication with employers d.Better communication with L&I claim managers e.Ability to participate and benefit from quality improvement projects f.All of the above g.None of the above