POET TESTING: Are You Hiring Your next injury?

1. Sacred Heart Occupational Health POET TESTING: Are You Hiring Your next injury?

2. ARE YOU HIRING YOUR NEXT INJURY? DID YOUR LAST HIRE JOIN THE TEAM WITH UNDISCLOSED LIMITATIONS? Across all industries, 30% of all musculoskeletal disorder related injuries involving days away from work each year occur in employees who have 0-12 months of tenure US Department of Labor, Bureau of Labor Statistics, 2010

3. WHO CAN SAFELY LIFT 50, 75, or 100 POUNDS? HOW WOULD YOU KNOW?

4. Post Offer Employment Test Essentially testing a prospective employee with a valid test of their physical capabilities against the essential functions of the job you are potentially hiring them for. ADA and EOCC compliant, it gives valid objective prospective employee physical abilities that can be compared to valid objective job analysis physical demands data on the job description therefore making it defensible In essence, does the potential employee really have the physical abilities to perform the job you have offered them in a safe manner therefore reducing the potential for injury? POET

5. Objective Functional Testing Technology BTE EvalTech System

6. Objective Functional Testing Technology BTE EvalTech System • BTE Integrated Software • Column/Platform • Functional Range of Motion (F.R.O.M.) • Job Simulation/Dynamic • Lifting/Isometric Strength Testing • Fine Motor and Dexterity Tests • Cardiac Measurement (real time) • Calibration/Verification Process

7. Goals of Functional Testing • Improved Employee Selection (Pre-Injury) • Injury Prevention • Reduce W.C. and disability claims expense • Increase productivity • Reduce turnover • Injury & Claims Management (Post-Injury) • Functional assessment of worker capabilities versus job requirements to assure safe RTW • FCE or FFD Testing • Periodic snapshot evaluation to determine progress towards MMI • Use of pre-hire baseline data for apportionment in final impairment ratings

8. Legal Compliance • Employment Screening compliance involves multiple regulations/acts: • EEOC, enforcement agency for: • Rehabilitation Act of 1973 and ADAAA covering disability discrimination • Title VII, Civil Rights Act of 1964 covering discrimination based on Gender, Race/Color, National Origin, or Religious Beliefs • ADEA – Age Discrimination in Employment Act • PDA- Pregnancy Discrimination Act • GINA- Genetic Information Nondiscrimination Act • Additional Regulations • FEHA- Fair Employment and Housing Act (state and federal) • USERRA- Uniformed Services Employment & Reemployment Rights Act • OFCCP- Office of Federal Contract Compliance Programs (Affirmative Action) • Uniform Guidelines on Employee Selection Procedures • Guidelines adopted by EEOC, Civil Service, DOL, DOJ that apply to employment testing • Requires validity studies on any test that may have adverse impact in hiring

9. Workforce Solutions Cost Savings Summary - Key Results - 92% improvement in incurred cost: POET tested vs. non-POET tested - 74% lower average cost per claim: POET tested vs. non-POET tested - 20% improvement in case closure rate: POET tested vs. non-POET tested - Reduced incidence rate on POET tested candidates: 2.8% vs. 15% national average First Year Savings Direct savings from reduced claims expense exceeded all program development and testing costs by 59%. Including claims avoidance, the savings are $3.82 for every dollar spent Cost Savings

10. 34-Month Results (March ’09 – Dec ’11) Implemented BTE POET program in March, 2009 492 new hires and 112 incumbent employees passed POET 10% total failure rate (CV screen and POET) Existing workforce: 3.7% MSD injury rate in 2009-11, $18,219 per MSD claim POET TESTED EMPLOYEES Eight workers’ comp MSD injuries in POET-tested employees (1.6%) Ave cost/impact claim of POET-tested employees: $3,958 34-month savings + costs avoided: $684,349 Net ROI: 291%...For every dollar invested in the program, $3.91 was saved. Federal Cartridge Company

11. 12-Month Results(Jan ’11 – Dec ’11) 318 new hire candidates tested 12.3% fail rate 279 POET-tested new hires Existing workforce: 6.5% MSD injury rate $7,479 per MSD claim 5 MSD injuries in POET-tested employees: 1.8% injury rate Ave cost/impact claim of POET-tested employees: $661 Total Savings (claims costs, costs avoided, turnover reduction): $249,175 Net ROI: 205%...For every dollar invested in the program, $3.05 was saved Koch Foods – Gadsden Plant

12. Many job descriptions give vague information in terms of physical demands Examples: The employee must be able to lift 75 lbs The employee must be able to stoop Repetitive grasping is required of this position Employee is required to negotiate stairs Employee must demonstrate reaching ability Physical Demands

13. What is missing is definitive objective data Examples: The employee must be able to lift 75 lbs - how often per day/ hour? how high or low? The employee must be able to stoop – how many times; how long for? Repetitive grasping is required of this position – how much force? One hand or 2? Are gloves involved? The employee is required to negotiate stairs - how many? How often? Is the employee carrying anything? Employee must demonstrate reaching ability – how many times? Is this sustained or brief? How far? How high/low? One hand or both? Objective Physical Demands

14. Having a job analysis performed by a trained analyst is key to developing not only an accurate and valid job description but also the test protocol that is defensible in a court of law. It should define all of the USDOL standards whether they are present or not present and be classified accordingly with weight, distances, frequency, range of motion, and any time frames according to the Dictionary of Occupational Titles. In addition, specific work postures and grasp positions are key to duplicating exact demands of the job. Job Analysis

15. Objective Functional Testing Technology BTE Evaluator System (Jobsite Kit)

16. Lift, carry, push, pull, bend, stoop, squat, kneel, crawl, climb, walk, sit, stand, reach, repetitive hand/arm motions, repetitive foot motions. In turn these demands are classified into weights/forces, frequency and/or time parameters per the United States Dictionary of Occupational Titles. Activities may also need to be classified in terms of distances (reaching, walking, carrying, pushing, pulling), ranges (lifting, reaching). In addition basic requirements such as visual needs, hearing, talking, smelling, tasting, reading, and writing/communication should be addressed Work Activities

17. Parameters

18. Based on the Job Analysis the evaluator can then determine the Essential Functions and parameters of these to be tested objectively in the clinical setting thus giving the test validity. If the same evaluator performs the test each time there is also greater test reliability. Validity + Reliability = Defensibility Job Analysis

19. Post Offer Employment Testing Task Performed Task Measured Task Simulated

20. Post Offer of Employment Testing SAMPLE SAMPLE Clinical Test Objective, Measurable Data

21. Upon completion of the test, the evaluator can see immediately from the report if the client passed the essential critical demands based on the job analysis A single re-test option is available to give the prospective employee a second chance to meet a missed critical demand after the test is completed The results are then peer reviewed via a secure web platform for QA with BTE Results

22. The Essential Functions parameters can be uploaded directly into the EvalTech for each individual job position/title. Each applicant would be given the exact same test in the exact same order. Heart rate is measured throughout. Blood pressure is monitored pre-test and post-test BTE POET/Eval Tech

23. Improved Hiring • Reduction in Injury incidence • Reduction in Early Turnover Lower Claims Costs • Reduction in Claim Severity • Reduction in Lost Work Days Baseline Data • Claims Apportionment • Targeted Treatment Goals Indirect Savings • Reduction in Overtime • Improved Productivity/Presenteeism • Reduced Training Costs • Business Continuity • Reduced Healthcare and Disability Measuring Success Indirect Savings • POET program pays for itself in year one • Over a 3-year period the program will return $3-5 for each dollar spent

24. Lee Irving MS, CEES Masters Degree in Exercise Science; University of West Florida Certified Ergonomic Evaluation Specialist since 2004 (Roy Matheson and Associates) • Performed return to work testing since 1997 • Performed on-site job analysis since 2004 Sacred Heart Occupational Health