On-Site Clinical Therapy
This is clinic based therapy only done at the workplace.
- The client will be pulled from the work area to participate in a 45-60 minute session of therapy or the session can be scheduled immediately prior to or after their shift. Therapy will include but is not limited to exercises, modalities, home exercise programs and education.
- On-site therapy is typical of the services you would see in an outpatient therapy clinic, yet with the convenience of on-site completion. Treatment is one on one with the same Physical Therapist through the entire course of treatment. In an outpatient setting, the client may be seen by several different clinicians (Physical Therapists, Physical Therapy Assistants, aides, etc).
- A physician prescription or a C-9 stating that the referral is for physical therapy is required for these services, in most instances per state law.
- The employer should identify a private space for treatment that has electricity available.
- Frequency will vary based on the physician’s orders, therapist’s discretion and client’s needs and may include up to three sessions per week.
- On-site therapy offers less non-productive time for your employees spent away from work traveling to outpatient clinics, more consistent care through less missed treatments as well as a gradual increase in tolerance to work-related functions as the on-site therapist integrates aspects of the job into therapy.
- Onsite Physical Therapy is billed using the same fee schedule that Ohio BWC has created that outpatient facilities use. The invoice will be submitted to the Managed Care Organization or Third Party Administrator just like any other outpatient medical treatments.
Transitional Work On-Site Therapy
Transitional work is a progressive individualized program that occurs at the workplace
- Transitional Work allows a client a gradual transition back to their original job or another targeted job under the supervision of a therapist.
- Transitional Work is not clinical therapy merely performed at the work site.
- Transitional Work Therapy uses actual work tasks and equipment to condition the client and progress tolerances and physical capabilities with the goal of return to work full duty.
- Services can include job analysis, job modification/ergonomic study, individually prescribed exercises, job task progression, education (body mechanics, cumulative trauma), hands-on therapy (as needed) and coordination of services (case management).
- Transitional work on-site therapy can be utilized if the client has work restrictions that prevent full duty work.
- Transitional Work therapy will be performed by a Physical Therapist.
Functional Capacity Evaluation (FCE)
FCEs define tolerances, make return to work recommendations and document consistencies and inconsistencies
- An FCE can define a client’s current material and non-material handling tolerances and make recommendations for restrictions, return to work and additional services. During the testing process, consistencies, inconsistencies, physical effort and reliability are documented.
- An FCE can be used in conjunction with an Independent Medical Exam (IME), prior to a Physician of Record appointment or to determine the client’s current level of function for potential return to work.
- FCE’s can be completed on short term disability, long term disability, and auto accident claims to determine current levels of function.
- If you want an FCE to address ability to return to a specific job, please provide a physical job analysis for comparison. If no job analysis is available, consider requesting an on-site job analysis as well (see below). A physician prescription or a C-9 stating an FCE is needed.
- If you want a specific question answered, please let us know. FCEs will be performed by a Physical Therapist.
- FCEs will be performed on site at the employer site, POR office, or other available space that meets the therapist’s and client’s needs.
The job analysis will document the essential physical functions of a targeted job or task
- An on-site analysis includes a general description of the job tasks, the physical demands of that job, explains what the employee does, and how the employee performs work.
- This Job Analysis could be used to help determine whether a client’s current level of function meets current job demands.
- A Job Analysis report will not only include the essential elements of the job but also both material and non-material handling requirements.
- The employer must be willing to allow the therapist to come on-site and interact with an employee or supervisor familiar with the job in order to correctly complete the job analysis.
- A Job Analysis will be performed by a Physical Therapist.
- No prescription or C-9 is required to conduct a job analysis.
Identifies job modifications that allow clients to return to the same job or to another job within the company
- An on-site ergonomic assessment is used to identify job modifications that allow a client to successfully return to the same job or another job within the company. It examines the fit between the client and the job.
- An ergonomic study looks at the tasks of the job and the ability for the client to do the job.
- Equipment recommendations will be made if indicated.
- Other recommendations may include; job modifications, proper technique and lifting education as well as body mechanics instruction.
- An ergonomic assessment will document the ergonomic risk factors present with the targeted job and make recommendations to address and ideally decrease these risks.
- It is beneficial to have the client present for this service, as the recommendations are tailored to each individual’s work habits, postures, etc. However, assessments can be done for a work area that many employees may be having difficulty with and recommendations can be made.
- Ergonomic assessments can be performed by a Physical Therapist.
- No prescription or C-9 is required to conduct an ergonomic assessment.
Post-Offer Abilities Testing
Ensure that employees hired have the physical capacity to perform the essential functions of jobs offered to them.
- A Post-Offer Ability Test (PAT) ensures that employees hired have the physical capacity to perform the essential functions of jobs offered to them.
- Testing is completed to match a potential employee’s work abilities against the demands and requirements of the job, helping prevent future injuries.
- PATs meet Americans with Disabilities Act (ADA) and U.S. Equal Employment Opportunity Commission (EEOC) requirements.
- Test design is completed by a Physical Therapist while the actual testing can be done by a Physical Therapist or Physical Therapy Assistant.
We can provide tailored education classes for employers on a variety of health and safety-related topics
- The most frequent classes taught are body mechanics, proper lifting technique, stretching and work station set up.
- Classes can be taught in small or large groups. An optional hands-on approach is used to get employees involved.
- OTR prefers to use the same equipment clients have available in their normal job environment when delivering an education session.
- Classes are performed by an OTR therapy staff member.
Consulting supports employees on restriction/light duty and helps employers find the most appropriate tasks and restrictions.
For employers that have many employees on restrictions or light duty and are having difficulty determining where to have them work, our therapists can look at the current restrictions and help employers place clients in the most appropriate available job tasks.
- Our goal is to make clients more productive for their employers by ensuring they are working to the level of their restrictions.
- Injury Preventive Services – Presentations include a one hour informative session with handouts and demonstrations. Programs are customized to meet our customer’s specific needs and can include:
- Basic Lifting
- Proper Body Mechanics
- Upper Extremity, Carpal Tunnel, Cumulative Trauma
- Slips, Trips and Falls
- Work Place Support
- Transitional Work Development
- Other services can be provided as requested by the customer.
- Recommendations can be made to alter work tasks, work heights, levels of work and types of work.
- A Physical Therapist or Physical Therapy Assistant can do this consulting work. Consulting is usually on a contracted hourly rate depending on the hours per week the therapist is on-site.
Transitional Work Development
Developing a Transitional Work Program through Ohio BWC’s Transitional Work Grant Program with a certified Transitional Work Developer can assist with returning employees back to work as soon as safely possible. There are eligibility requirements for State Funded employers. Through the grant process, the Transitional Work Developer will work with the company and employee representation and/or union representation to create a company wide policy and procedures on how to bring injured employees back to work. Quantitative and qualitative job analyses and training to your employees will also be provided. Heather Wendell, with Onsite Therapy Resources, is an accredited Transitional Work Developer through Ohio BWC. By creating a Transitional Work Program, an employer may become eligible for a Transitional Work Bonus Program through Ohio BWC which can further reduce the company’s BWC premiums by up to 10%.
Benefits of developing a Transitional work Program
- Transitional work allows an injured worker with medical restrictions to work in his/her real job or transitional job for a limited period of time.
- Transitional Work Developers are accredited by BWC for state funded employers.
- Decrease the human resources indirect and direct cost by allowing injured workers to remain at work and progress to full duty in a timely fashion.
- Lower your workers’ compensation costs and improve your bottom line by decreasing the number of days your injured workers are off work.
- We work with your medical providers to educate them on the effectiveness and ease of the use of this program and ensure employers are compliant with ADA issues.