Sample Templates - Element 4.2J

Element 12 – Return to Work

SAMPLE using TEMPLATE 2

Title: RTW Assessment Date of Issue: March 2008 Review / Revise Date: March 2009 Approved by: Jack A.L. Rabbit

Location: all facilities

Caution: As the employer, you must take appropriate steps to ensure the confidentiality of the information used in Case Management. Ensure that the individual(s) responsible for case management have training and understanding of the confidentiality and security of employee information as well as privacy principles (FIPPAi) as they relate to RTW.

Intent

Develop a process, method or tool to do continuous evaluation of the RTW program. The RTW evaluation will identify gaps in the existing RTW program. This evaluation process also forms a component of the Return to Work procedure. (See forms and records).

Note: If a written RTW program is not established, determine where you need to start in the development of your RTW program.

Standard: The WSIB RTW Self- assessment Guide will be used to evaluate the RTW program. Using the objectives from the RTW procedure (reduction in lost time duration, RTW hierarchy etc) the findings will be evaluated against the outcome of the RTW Program Assessment.

Communication: 1. The results of the self-assessment will generate an action plan (see Action plan – RTW Assessment) 2. The assessment results will be shared with the workplace parties (management, JHSC, employees) using the internal network, within 2 weeks of completion. (team meetings, emails, bulletin posting in the workplace etc)

Training: 1. The following people will receive specific training on how to use the WSIB RTW Self-assessment Guide. (You must identify who will conduct the evaluation and

the specific training to do the evaluation. For example: JHSC or RTW coordinator) 2. Management is required to ensure that all employees know and understand how the RTW evaluation will be completed. (How will the effectiveness of the training be measured?) What types of methods will work best? Formal, informal, E- Learning etc 3. Training records will be maintained.

Evaluation: The program will be evaluated and assessed on an annual basis. The assessment will take place in the first quarter of each year. An Action plan, detailing any gaps and/or opportunities for improvement will be developed and implemented within the calendar year.

Acknowledge success/Make Improvements: Acknowledge and congratulate those who have contributed to the RTW Assessment. Make improvements to the program when non-compliance problems are identified. Look for ways to implement continuous improvement in RTW. You can accomplish this through performance appraisals, employee rewards, incentive programs and public recognition of individual contributions to improved performance. Finally, keep records demonstrating what successes were acknowledged and what improvements were made.

Example Acknowledging Success and Making Improvements: Congratulate those completing the RTW Assessment and carrying out action items Update RTW Assessment checklist and/or tool to ensure it is current Revise assessment schedule and change if required Train more people to do assessments

Forms / Records The WSIB RTW Self-assessment guide will be used to document the RTW Evaluation. Other information that will need to be obtained and reviewed includes: Account rate profile (WSIB source data) Incentive summary reports (NEER, MAP,CAD 7) Injury reports-total, type, cause, duration, department Employee satisfaction survey(s) RTW plans-At least 25 % reviewed JHSC meeting minutes RTW Policies and procedures

 Important Reminder