WorkWell Prevention & Care’s Functional Capacity Evaluation

1. WorkWell Prevention & Care’s Functional Capacity Evaluation WorkWell Prevention & Care

2. Functional Capacity Evaluation V.2 - A Sound Strategy • An integrated approach to injury management and return to work • The Winning Formula • Current research, evidence and clinical rationale • Proprietary decision support tools • 1-day and 2-day testing formats • Standardized for broad ability determination; flexible enough to test specific work related abilities • Global network of health professionals • International research team of clinicians and researchers

3. Functional Capacity Evaluation V.2 - Competitive Advantage • A distinguished international research team has led to the introduction of an enhanced FCE • WorkWell’s FCE V.2 is: • Operationally efficient • Legally defensible • Medically sound • Analytically based

4. Functional Capacity Evaluation V.2 - Competitive Advantage • The WorkWell advantage is clear • Addition of a 1-day standardized CORE FCE • Enhanced FCE activities in WorkWell’s internationally recognized 2-day FCE • Easier to use with flexible formats • Algorithms to assist decision making related to scheduling 1-day or 2-day FCE • Rigorous for Medical Legal FCEs; comprehensive for Disability FCEs

5. Functional Capacity Evaluation V.2 - Competitive Advantage • Many FCEs on the market… • Are subjective and pain-based • Do not compare the worker’s abilities with the job • Rely on standardized formulas and norms, rather than individual abilities • Produce cumbersome reports that make it difficult to make effective return to work decisions • Do not have published reliability and validity studies

6. Functional Capacity Evaluation V.2 – Navigating Return to Work Decisions WorkWell helps meet unique challenges • The Physician is often forced to make a return to work decision based solely on subjective information about an employee’s capabilities and the physical requirements of the workplace • The Employer, when presented with restrictions, must try to determine what jobs or parts of jobs an injured worker can perform safely • The Employee is not able to participate fully in the return to work process, as he/she is often unsure what activities he/she can perform safely without risk of re-injury

7. Functional Capacity Evaluation V.2 – Measurable Outcomes WorkWell’s FCE: Better By Design • Based on clinical research • Compares worker’s abilities with required job demands • A comprehensive, 2-day FCE to accurately and reliably determine the worker’s ability to work over time when needed • 1-day CORE FCE for non-chronic diagnoses • Tests for maximum strength without fear of injury • Focuses on abilities rather than limitations • Produces clear summary report understood by all parties

8. WorkWell’s FCE has produced unrivaled outcomes for over 15 years Functional Capacity Evaluation V.2 – Measurable Outcomes • 6-month Historic Outcome Study Results • 60% of workers returned to work without further treatment or intervention • 50% reduction in open Workers’ Compensation cases in one year for one employer site These were considered to be chronic cases, as the average time off work at the time of the FCE was 10 months. Studies indicate very low return to work rates for workers who are off work six months or more; therefore, these are very positive results.

9. Functional Capacity Evaluation V.2 – A Comprehensive Approach With WorkWell’s FCE • Physicians have confidence in the FCE results; the WorkWell FCE will identify when and in what capacity the patient can safely return to work • Insurers refer hundreds of FCEs to WorkWell Providers every year because they know the WorkWell FCE will give the objective information needed to close cases • Attorneys can trust the findings; they need an FCE that will stand up to legal scrutiny

10. Functional Capacity Evaluation V.2 – Sample Job Match Grid Employee: Isabelle Green Date: Wed, May 15, 2005 Company: Helping Hands Home Job Title: CNA

11. Functional Capacity Evaluation V.2 – Sample FCE Grid The interpretation of WorkWell’s standardized functional testing is based on assumptions including normal breaks, basic ergonomic conditions and that the tested functions are not required more than 2/3 of a normal working day. If a function is required continuously, job specific testing should be performed. Client Name: Isabelle Green Test Date: 5/15/05 Interpretation of observed function regarding activity during a normal working day: (% = time classification per working day) "Unable"  Never "Maximum" or "Significant Limitation" Rarely (1-5%) "Heavy" or "Some Limitation"  Occasionally (6 -33%) "Low" or "Slight/no Limitation "  Frequently (34-66%)

12. Functional Capacity Evaluation V.2 – Sample FCE Grid

13. Functional Capacity Evaluation V.2 – Summary Report for Bottom Line Recommendations

14. Functional Capacity Evaluation V.2 – FCE Abilities & Job Description Return to Work is Clear with WorkWell’s FCE Example One FCE Abilities: Lift 20#, bend, no overhead work Job Description: Lift 10#, bend, no overhead work Example Two FCE Abilities: Lift 20#, bend, no overhead work Job Description: Lift 40#, bend, overhead work

15. Functional Capacity Evaluation V.2 – Job Match Grid Sample

16. Functional Capacity Evaluation V.2 – A Sound Strategy • WorkWell’s Standardized 2-Day FCE is: • Designed for chronic cases • Accurate in cases involving nerve root irritation or specific disease processes • Rigorous enough for medical legal cases • Comprehensive for Disability Determination

17. Functional Capacity Evaluation V.2 – A Sound Strategy • WorkWell’s 1-Day Standardized CORE FCE, when appropriate • Establish general ability level • Diagnosis specific/body area specific testing • Baseline Progress Testing • Job specific testing to ensure job match

18. Functional Capacity Evaluation V.2 – A Sound Strategy A continual improvement process is clear in our commitment to enhance programs through evidence-based decision making. Thank you for choosing the leader in the science of occupational health.

19. WORKWELL SYSTEMS FCE Static Push Static Pull Hand Coordination (Round Blocks from PCE) Elevated Work Weighted; performing threading activity Waist to Floor, starting position Waist to Floor Lift, heavy effort Crouch; performing hand activity