Occupational Health Services A Practical Approach

Workers and their families, employers, and society as a whole benefit when providers deliver the best quality of care to injured workers and when they know how to provide effective services for both prevention and fitness for duty and understand why, instead of just following regulations. Designed for professionals who deliver, manage, and hold oversight responsibility for occupational health in an organization or in the community, Occupational Health Services guides the busy practitioner and clinic manager in setting up, running, and improving healthcare services for the prevention, diagnosis, treatment, and occupational management of work-related health issues. The text covers: an overview of occupational health care in the US and Canada: how it is organized, who pays for what, how it is regulated, and how workers’ compensation works how occupational health services are managed in practice, whether within a company, as a global network, in a hospital or medical group practice, as a free-standing clinic, or following other models management of core services, including recordkeeping, marketing, service delivery options, staff recruitment and evaluation, and program evaluation depth and detail on specific services, including clinical service delivery for injured workers, periodic health surveillance, impairment assessment, fitness for duty, alcohol and drug testing, employee assistance, mental health, health promotion, emergency management, global health management, and medico-legal services. This highly focused and relevant combined handbook and textbook is aimed at improving the provision of care and health protection for workers and will be of use to both managers and health practitioners from a range of backgrounds, including but not limited to medicine, nursing, health services administration, and physical therapy.

Preface The Occupational Health Care System Tee L. Guidotti 2. Workers’ Compensation Judith Green-McKenzie 3. Occupational Health Law Mark A. Rothstein 4. Occupational Safety and Health Regulation Judith Green-McKenzie 5. Ethics Tee L. Guidotti 6. Corporate and In-House Occupational Health Services Joel Bender 7. Global Occupational Health Joel Bender 8. Strategic Planning Tee L. Guidotti 9. Hospitals and Medical Groups Judith Green-McKenzie 10. Staffing and Personnel Donna Lee Gardner 11. Facilities and Equipment Donna Lee Gardner 12. Office Procedures Donna Lee Gardner and Karen O’Hara 13. Records Donna Lee Gardner 14. Professional Preparation and Training Suzanne Arnold and Tee L. Guidotti 15. Marketing Frank H. Leone 16. Services and Service Lines Tee L. Guidotti and Craig Karpilow 17. Quality and Performance Indicators Tee L. Guidotti 18. Benefit and Cost Analysis Joel Bender and Ray Fabius 19. Primary-care Level Clinical Services David G. Lukcso 20. Periodic Health Surveillance and Monitoring Tee L. Guidotti 21. Hazard Evaluation and Management Tee L. Guidotti 22. Fitness for Duty David G. Lukcso 23. Equal Access David Lukcso and Suzanne Arnold 24. Absence and Leave Tee L. Guidotti 25. Independent Medical Evaluation David G. Lukcso 26. Impairment Assessment David G. Lukcso 27. Drug and Alcohol Testing David G. Lukcso 28. Employee Assistance Programs David G. Lukcso 29. Psychological Health and Safety M. Suzanne Arnold and Ian M. F. Arnold 30. Health Promotion Joel Bender and Sami Bég 31. Emergency Management at the Enterprise Level Tee L. Guidotti 32. Medicolegal Services Tee L. Guidotti Appendix 1. An Occupational Health Audit Appendix 2. A Reference Bookshelf for an Occupational Health Service

M. Suzanne Arnold, RN, PhD, Assistant Professor, Occupational Health Program, McGill University, Faculty of Medicine, Canada. Joel Bender, MD, PhD, FACOEM, Global Medical Director, U.S. Preventive Medicine, Inc., USA. Judith Green-McKenzie, MD, MPH, FACOEM, FACP, Hospital of the University of Pennsylvania, Department of Emergency Medicine, Division of Occupational Medicine, USA. Tee L. Guidotti, MD, MPH, FRCPC, FCBOM, FFOM, FACOEM, FACP, DABT, QEP, Vice President for Health/Safety/Environment & Sustainability, Medical Advisory Services, USA. Frank H. Leone, MBA, MPH, President and CEO, RYAN Associates, and Executive Director, National Association of Occupational Health Professionals (NAOHP), USA. David G. Lukcso, MD, MPH, FACOEM, Medical Director, Medical Advisory Services, USA. Karen O’Hara, BA, Managing Editor, UL PureSafety, USA. Mark A. Rothstein, J.D., Herbert F. Boehl Chair of Law and Medicine, Director, Institute for Bioethics, Health Policy and Law, University of Louisville School of Medicine, USA. Marion Stecklow, MLT, CHCM, Environmental Health Consultant, USA. Contributing Coauthors Ian M. F. Arnold, MD, MSc, DOHS, FRCPC, CRSP, CEA, CSPQ, Consultant in Occupational and Environmental Health and Safety, Canada. Sami A. Bég, MD, MPA, MPH, Associate Medical Director, U.S. Preventive Medicine, Inc., USA. David J. D'Souza, MD, MPH, FACOEM, FAAFP, Chief, Division of Occupational Medicine, Medical Director, Business Health Services, Beth Israel Medical Center, USA. Raymond J. Fabius, MD, FAAP, FACPE, Chief Medical Officer, Thomson Reuters Healthcare, USA. Paul Joos-Vandewalle, MBBCh, Occupational Health & Wellness Consultant, Shi Bisset & Associates, Strategic Partner of CHALLY Group Worldwide, China. Craig Karpilow, MD, MPH, FACOEM, FRSTM&H, MRO, DME, Medical Director, Occupational Medicine Division, Workplace Medical Corp, Canada. Ronda Brewer McCarthy, MD, MPH, OSHA and Regulatory Medical Expert Panel, Concentra, Medical Director, City of Waco Employee Health Services, USA.