Center of Occupational Health & Education (COHE)

Provider Orientation – Part III

Topics

Introduction What is a COHE? Why health care providers participate How your COHE is organized COHE’s future Occupational health best practices

– Process– Report of Accident (ROA)– Activity Prescription Form (APF)

COHE provider resources

APF Process

Purpose:– Communication tool to ensure that the health care

provider, injured worker, employer, and claim manager are all on the same page

– Emphasis on early return to work opportunities and discussion of physical restrictions

– Certifies time-loss

Upon 1st visit or when status/restrictions change Focus on timeliness and completeness

John A. Smith 08/01/11 AA#####

Paul Jones, MD 08/01/11 Left wrist sprain

John A. Smith 08/01/11 AA#####

Paul Jones, MD 08/01/11 Left wrist sprain

John A. Smith 08/01/11 AA#####

Paul Jones, MD 08/01/11 Left wrist sprain

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John A. Smith 08/01/11 AA#####

Paul Jones, MD 08/01/11 Left wrist sprain

08 01 11 08 05 11

08 06 11 08 12 11

John A. Smith 08/01/11 AA#####

Paul Jones, MD 08/01/11 Left wrist sprain

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08 06 11 08 12 11 No ROM in left wrist;Some swellingX-ray shows no fracture

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Follow-up appointment with Dr. Johnson set for 8/10/11

08 01 11Ms. Richards, HR509-1234

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David Johnson, MD

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David Johnson, MD

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David Johnson, MD

Provider Signature 509 555 0000

8 01 11

APF Process

Purpose:– Communication tool to ensure that the health care

provider, injured worker, employer, and claim manager are all on the same page

– Emphasis on early return to work opportunities and discussion of physical restrictions

– Certifies time-loss

Upon 1st visit or when status/restrictions change Focus on timeliness and completeness Clinic / department processes

Introduction to COHEs, Part IIIQuestions

1. The APF includes a section for:a. Documenting restrictions

b. Communicating with the L&I claim manager

c. Initiating a claim

d. a and c

e. a and b

2. An APF is completed so that:a. A health care provider can communicate restrictions and treatment

b. To allow an injured worker to negotiate work restrictions

c. To certify time-loss

d. a and c

e. b and c