From: Amy Valdez-Fagan, MPA, CDMS, COHE Program Manager, UW Medicine/Harborview Medical Center
Purpose: To help the vocational community with;
1) learning more about HMC, and
2) learning how VRCs can help health care providers at HMC (and in general) with responding to Job Analyses/Job Descriptions in a timely manner.
COHE at HMC: Job Analyses/Job Descriptions External Communication (recommendation does not conflict with statute, WAC, VRC standard work or partnership)
Reviewers:
Dr. Debra Milek, MD, PhD, MPH, COHE Medical Director Amy Valdez, MPA, CDMS, COHE Program Manager
PURPOSE: How can I help with UW Medicine Health Care Providers timely response to Job Analyses (JA’s) or Job Descriptions (JD)?
HMC is a Level 1 Trauma Center for adult and pediatric patients for Washington, Alaska, Montana, Idaho and Wyoming and is managed by the University of Washington and owned by King County. The most critically ill and injured patients are transported to HMC for medical treatment for a variety of injuries sustained in motor vehicle crashes, burns, falls and other types of serious injuries. HMC also cares for the most vulnerable residents in King County: http://www.uwmedicine.org/harborview/about/mission.
Additionally, HMC is an academic medical center where Medical Residents and Fellows provide care to patients. Many HMC health care providers are in clinic 1 day per week and/or may be performing surgery on other days, leaving them 1 day to see patients in clinic and respond to all insurers’ paperwork, including JA’s/JD’s.
PROCESS AND PROCEDURE: What can I do to minimize the backlog of JA or JD requests?
HMC and UWMC COHE clinic providers make every effort to respond to JA’s/JD’s in a timely manner to help mitigate disability. Harborview faculty or staff will provide an update about when the JA/JD will be responding to, to the requesting party. To help COHE at HMC be efficient as possible in our current process, knowing there are natural delays in responding to JA’s/JD’s, external stakeholders can help by:
Reviewing medical and/or surgical records including a recent APF, prior to sending JA/JD for review (e.g. if a patient is immediately post-surgery, an AP will decline to review the JA/JD up to 3-6 weeks barring complications). Adding the Harborview # (see bottom of ROA), Injured Worker name and DOB to your request, Avoiding re-sending JA’s/JD’s on multiple occasions. Sending no more than 5 JA’s/JD’s for Attending Provider review per current Functional Capacity Evaluation standards (e.g. more than 5 pages per each JA/JD results in further delays). Ensuring the Attending Provider (AP) is not an Emergency Department physician, and the correct AP is assigned by L&I. Reviewing the JA/JD w/the injured worker to ensure accuracy as well as avoid conflict of interests and re-work of the JA/JD.