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ACOEM Guideline Summary
Preventing Needless Work Disability
By Helping People Stay Employed
Summary of General and Specific Recommendations:
| I. |
Adopt a disability prevention model |
| 1. |
Increase awareness of how rarely disability is medically required. |
| 2. |
Urgency is required because prolonged time away from work is harmful. |
| II. |
Address behavioural and circumstantial realities that create and prolong work disability |
| 3. |
Acknowledge and deal with normal human reactions to illness and injury. |
| 4. |
Investigate and address social and workplace realities that affect the outcome of the stay at work/return to work process. |
| 5. |
Find a way to effectively address psychiatric conditions. |
| 6. |
Reduce distortion of the medical treatment process by hidden financial agendas. |
| III. |
Acknowledge the contribution of motivation on outcomes and make changes to improve incentive
alignment
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| 7. |
Pay physicians for disability prevention work to increase their professional commitment (contingent upon undergoing training). |
| 8. |
Support appropriate patient advocacy by getting treating physicians out of a loyalties bind. |
| 9. |
Increase “real time” availability of on-the-job recovery, transitional work programs, and permanent job modifications. |
| 10. |
Be rigorous, yet fair in order to reduce minor abuses and cynicism, 11. Devise better strategies to deal with bad-faith behaviour. |
| IV. |
Invest in system and infrastructure improvements |
| 12. |
Educate physicians on “why” and “how” to play a role in preventing disability. |
| 13. |
Disseminate medical evidence regarding recovery benefits of staying at work and being active. |
| 14. |
Simplify/standardize information exchange methods between employers/payers and medical offices. |
| 15. |
Improve/standardize methods and tools that provide data for stay-at-work/return-to-work decision making. |
| 16. |
Increase the study and knowledge about stay-at-work/return-to-work. |
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