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Indiana s Rx

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Indiana s Rx

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    1. Indianas Rx/OTC & Fitness for Duty Program Presented by: Vicky Warner RTAP Manager

    2. Lack of, or inconsistency in, response by transit systems to address Rx/OTC use or misuse in transit Fitness for duty issues identified during statewide training programs Increase in accidents/incidents Program Evolution

    3. Looked at other policies and programs Original FTA Rx/OTC toolkit best practices, etc. Started with basic Rx/OTC Medication policy based on a model policy and built FFD program around it Added requirements to address physical examinations and evaluations, accident investigations, triggering events, etc. Program Evolution (continued) This is the first of its kind of programno other states that we could find were doing it. This is the first of its kind of programno other states that we could find were doing it.

    4. State mandated First of its kind INDOT mandate for all Section 5311 providers Program mandate added to State Management Plan Can be expanded to urbanized transit systems Program Structure

    5. Fitness for Duty Program Designated Fitness for Duty Officer (FFDO) to ensure program consistency with all transit providers Consistent medical history established Independent policy and forms specific to requirements of the job Program Structure (continued)

    6. Higher standard to ensure safety (CDL) Required annual physicals for all safety sensitive staff Qualifying accidents/incidents addressed Includes Supplemental Rx/OTC Medication Policy and Procedures Other Supplemental policies can be added as needed, e.g., policy on Fatigue Program Structure (continued)

    7. Nida 10+2 testing utilized Designated Fitness for Duty Officer (FFDO) ensures program consistency among transit providers Program Structure (continued)

    8. FFDO services contracted via RFP process Qualified vendors identified with experience in Fitness for Duty evaluations Licensed physicians and physician-supervised nurse practitioners will conduct evaluations Immediate notification of evaluation results with full written reports within 48 hours of evaluation All communications confidential Program Structure (continued)

    9. Job assessment to determine qualifications for the program Policy review to ensure compliance with ADA and HIPAA Training Expert testimony Regionalized services will reduce travel costs and system down time Single source Program Structure (continued)

    10. Addresses safety Reduces provider liability Ensures employee ability to perform safety-sensitive functions Single source for evaluations ensures consistency Economies of scale/sharing costs among transit systems Program Benefits Emphasize safety aspect associated with the programEmphasize safety aspect associated with the program

    11. Impact on current workforce Potential increased costs Physical examinations FFD evaluations Non-FTA testing Unemployment compensation Program Concerns

    12. Questions?

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