WorkCover Certificates
- 1. What restric+ons should I put on a Workcover cer+ficate? Dr Angus Forbes Occupa+onal Physician
- 2. • Work related consulta+ons 2.5 / 100 GP encounters (2009)
- 3. Medicine • Early diagnosis and management! • Pa+ent advocacy
- 4. Why bother? • Timely processing of claims • Enhances effec+ve communica+on • Pa+ent expecta+ons
- 5. WHSQ12278 Form 86.R Version 5 Queensland workers’ compensation medical certificate Workers’ Compensation and Rehabilitation Act 2003 Parts A and E of this medical certificate comprise an approved form under the Workers’ Compensation and Rehabilitation Act 2003. INSTRUCTIONS: Tick if applicable, and fill in the information as requested. New claim Claim number: Part A - Worker’s details I certify that on DD /MM / YYYY I attended to (given names) (surname) Date of birth DD /MM / YYYY Worker’s daytime contact phone number: Worker’s employer name: The worker is/was suffering from (list all medical diagnoses relevant to the claim): Diagnosis: This is a provisional diagnosis (if provisional complete Part B) Worker was first seen at this practice/hospital for this injury/disease on: DD /MM / YYYY Worker stated date of injury: DD /MM / YYYY Worker’s stated cause of injury (if not previously supplied): Injury/disease is consistent with worker’s description of cause: Yes Uncertain Detail any pre-existing factors or condition aggravated by the event (if not previously supplied): Worker’s capacity for work (not only pre-injury duties) Please consider the “health benefits of work” when certifying the worker’s capacity. To return to normal duties from: DD /MM / YYYY For suitable duties from: DD /MM / YYYY to DD /MM / YYYY (complete Part D) No capability for any type of work DD /MM / YYYY to DD /MM / YYYY (complete Part C) Estimated time to return to some form of work duties: Days Weeks Unsure Medical management Worker will require treatment from: DD /MM / YYYY to DD /MM / YYYY (complete Part C) Worker will be reviewed again on: DD /MM / YYYY No further review Part B - Worker’s details I have ordered: Diagnostic imaging Pathology Other investigations Details: Part C - Medical management plan Treatment: Medication prescribed: Referred to specialist (speciality/name): Referred to allied health professional (discipline/name): Detail (specify): I would like the insurer to arrange a case conference with (tick more than one if appropriate): Treating practitioner Treating Specialist Treating Allied Health Employer Employer has been contacted I would like the insurer to contact me Further information: Part D - Rehabilitation and return to work plan Approval is given for a suitable duties program with the following guidelines No Occasional Frequent Comments Lifting: weight limit kg Bending/twisting/squatting: Standing/sitting: Use of injured hand/arm: Pushing/pulling: Operating machinery/heavy vehicle: Driving a car: Keep wound clean and dry Other considerations (specify): Restrictedhours/days(specify): I require a suitable duties program to be provided to me for approval Part E - Medical/Dental practitioner details (please print clearly or use practice or hospital stamp) Doctor’s name: Practice/hospital name: Postal address: Preferred method of contact: Phone: day(s)/time(s) Fax: Email: Signature: Date: DD /MM / YYYY Practice/hospital stamp here www.qcomp.com.au Claim enquiries: WorkCover Queensland 1300 362 128 Self Insurance or other enquiries 1300 361 235 Under the Workers’ Compensation and Rehabilitation Act 2003 and earlier Queensland workers’ compensation legislation, the workers’compensation insurer is authorised to collect the information on this form to process the claimant’s application for compensation. Some or all of the information contained in this form may be disclosed to the claimant’s employer, another insurer, medical or allied health providers or any other workers’compensation authority in any jurisdiction. This form was approved by the Workers’Compensation Regulator, on 11 April 2014, pursuant to section 586 of the Workers’Compensation and Rehabilitation Act 2003. © State of Queensland (Department of Justice and Attorney-General) 2014 Great state. Great opportunity. Workers’ Compensation Regulator Department of Justice and Attorney-General
- 6. The health benefits of work 2011 • Good work is good for you – Re-‐employment improves markers of general health and esteem – Re-‐employment reduced psychiatric morbidity
- 7. The health benefits of work 2011 • Non work is dangerous – Increased mortality (especially suicide and CVD) – Increased rates of CVD, lung cancer, mental health condi+ons, disability – Increased rates of sickness, future worklessness in children
- 8. The health benefits of work 2011 • Off work 20 days – 70% of ever ge[ng back • Off work 45 days – 50% of ever ge[ng back • Off work 70 days – 35% of ever ge[ng back
- 9. Barriers to return to work • Health professionals • Employers • Insurers • Pa+ents
- 10. Work related? • You don’t have to make that determina+on • You are asked whether you think the mechanism and injury are consistent
- 11. Diagnosis • Pain is a symptom – It may be all you have, but what is the management plan
- 12. Suitable du+es • Work capability • What would they do at home? • Host employment
- 13. Confiden+ality • Signing claim form they are providing an authority to release informa+on to the insurer about the mader. • Addi+onal informa+on needs separate authority
- 14. Workcover gripes • Illegible • Inadequate details (work restric+ons) • Incomplete form • Inappropriate diagnosis, jargon, abbrevia+ons • Delay in iden+fying yellow flags