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PNB Education Day 2013

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by

Alex BOUCHER

on 18 June 2013

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Transcript of PNB Education Day 2013

Determining Disability
Forms, Function and Fairness
in Effective Disability Management

Education day - June 20, 2013
Fredericton NB
What is a Disability?
Are you disabled if...
you have a headache?
you have back pain?
you have a broken leg?
you have had surgery?
you are depressed?
you have cancer?
Group work - 1 minute
Determine if you are disabled.
So... What
is
a disability?

Disability is NOT a medical concept
Disability is a legal/employment concept

Are you disabled if....
It is defined by a contract, agreement or plan
Usually related to occupation
Therefore, it is a legal rather than a medical concept
It is influenced by non medical factors :
Employer
Relationships
Availability of alternate duties
Training, experience, education
Psychosocial factors
Personality
Community
Is this a disability?
Some definitions
Impairment
A loss of body part or function
An alteration of health status assessed by medical means
- Source: AMA Guides to the Evaluation of Permanent Impairment - a system for defining impairments, not disability
Disability
Disability may be thought of as the gap between what a person
can
do and what the person
needs or wants
to do
- Source: American Medical Association - Guides to the Evaluation of Permanent Impairment, p.2
In Summary
Impairment?
>>YES!
Disability?
YES*
* Without Accommodations
Employee
Medical Status
Medical Forms
Medications
Symptoms
Job Details
Daily Tasks
Expectations
Functional Requirements
Job Description
Function and Perception
How employee feels
Change in abilities
Coping
NO
Who decides?
Employee
Employer
Physician
Medical Status
Medical Forms
Medications
Symptoms
Job Details
Daily Tasks
Expectations
Functional Requirements
Job Description
Accommodations
Policy & Procedure
Time or Task flexibility
Other roles
Collective Agreements
Policy, Practice, Precedent
Disability Leave or Sick Leave plan
Past practice and precedent
Eligibility Data
Function and Perception
How employee feels
Change in abilities
Coping
Who decides?
Restrictions & Limitations
Treatment Plan
Complications
Employer
Accommodations
Policy & Procedure
Time or Task flexibility
Other roles
Collective Agreements
Policy, Practice, Precedent
Disability Leave or Sick Leave plan
Past practice and precedent
Eligibility Data
Physician
Restrictions & Limitations
Treatment Plan
Complications
Personal, Social, Occupational, Medical
Review and balance information from all sources
Compare to Plan requirements
Consistency
Complete and fair decisions
Medical Information
What's in an APS?
Why is it designed that way?
Is the APS enough?
Consistency
Balanced information from all sources.
Inconsistencies require further investigation
Everyone is telling the truth
Activity - Part II
What comes next?
Some is good, so more is better?
What other sources?
IME (all specialties)
FCE/FAE
Cognitive Assessments
Medical Consultant
Surveillance
The final thought...
Balance
Case Management requires a fine balance that requires extreme care, respect, compassion and professionalism.

We must consider delays, what information will make a difference, what may be available, and the impact of each choice
THANK YOU.
MERCI.

QUESTIONS?

DISCUSSION
Full transcript