1. Work Related Injury Program

2. 2012 Public Risk Manager of the Year 2012 Theodore Roosevelt Workers’ Compensation & Disability Management Award 2011 Champion Award for Excellence in Workers’ Compensation Management

3. Self-insured and self-administered for workers‘ compensation and liability 1,700 employees: many are male and over 40, high chronic disease burden Fire department, police department, public works, transit system, fleet, parks and recreation, engineering, et al.

4. “What We Do Is Dangerous and Employee Injuries Are Unavoidable” “Employee Safety Is Not My Responsibility” “What Works in the Private Sector Will Not Work Here” “Safety Rules Interfere with Getting the Job Done” “The Public Does Not Care”

5. Decentralized Management Lack of a Safety Culture Lack of Safety Expertise Poor Data Limited Data Expertise

8. Persistence Seat Belts Safety Expertise On-site Inspector On-site Ergonomics On-site Physical Therapist Consultant & OSHA Instructor Improved Data and Team Approach to Data Analysis (Online Incident Reporting) Taking Advantage of Opportunities

9. Dramatic expansion of the contract for on-site medical services (2011) Primary Treatment Physical Therapy Integrated occupational/health resources (on- site diabetic educator/nutritionist and fitness specialist)

10. On-site: Claims Adjusters Attorneys Case Manager Bill Reviewer Treatment Staff Team Case Reviews