The role of health-care providers in the workers' compensation system and the return-to-work process
International research has generated strong evidence that health-care providers have a key role in the return-to-work (RTW) process. However, pressure on consultation time, administrative challenges and limited knowledge about a patient’s workplace can thwart meaningful engagement. This multi-jurisdictional, two-year study focused on health-care providers’ experiences within the workers’ compensation system and their role in the RTW process. Through document analysis and interviews with both health-care professionals and workers' compensation case managers, the study sought to answer three broad questions:
- What is the role of health-care providers in the workers’ compensation system and in the RTW process?
- What challenges do health-care professionals face?
- What can help engage health-care professionals in the workers’ compensation and RTW process?
This report answers these questions based upon the study's findings, and offers suggestions about practices and policies that can clarify the role of health-care providers and make workers’ compensation systems easier to navigate for all stakeholders.
Executive summary: The role of health-care providers in the workers' compensation system and the return-to-work process (305 KB), Published: 2016
Final report: The role of health-care providers in the workers' compensation system and the return-to-work process (925 KB), Published: 2016
The economic burden of lung cancer and mesothelioma in Canada due to occupational asbestos exposure
What would be the saving to society if we did not have any new cases of cancer attributable to occupational asbestos exposures in a particular year? That is the key question behind an economic burden study by the Institute for Work & Health, with support of the Canadian Cancer Society. The findings of this study, looking at the costs of newly diagnosed cases in 2011, were presented at a stakeholder meeting held by the Occupational Cancer Research Centre (OCRC) on November 5, 2015. The focus of the meeting was to share preliminary findings from the Burden of Occupational Cancer in Canada study, particularly those related to asbestos, radon and diesel exhaust.
A second presentation in June 2016 at the advisory committee meeting of the EU-OSHA Project on the Estimation of Costs of Work-Related Injuries, Illnesses and Deaths at the European Level includes estimates of "para-occupational" exposure (e.g. a family member’s exposure to fibres brought home on work clothing).
Work injury and poverty: Investigating prevalence across programs and over time
This project investigated the prevalence of poverty among permanently impaired injured workers across different time periods and receiving benefits from different legislative programs.
Needlestick injury prevention: Lessons learned from acute-care hospitals in Ontario
Ontario, like a number of other jurisdictions, has regulated the use of safety-engineered needles (SENs) to prevent needlestick injuries in the health-care sector. Yet records demonstrate that needlestick injuries have not substantially declined in the province. Case studies were carried out in three acute-care hospitals in Ontario to help stakeholders understand why needlestick injuries continue to occur and what might challenge and support further progress in this area. The findings from these case studies are included in this report.
Assessment of the utility of WorkSafeNB's Internal Responsibility System Questionnaire and IWH's Organizational Performance Metric: Public report
In 2010, WorkSafeNB asked the Institute for Work and Health (IWH) to assess its Internal Responsibility System Questionnaire (IRSQ), a survey tool it had developed to measure safety culture within an organization. As part of its assessment, IWH compared the IRSQ with another previously validated tool designed to measure leading indicators, called the Organizational Performance Metric (OPM). This document reports on the assessment of these two tools.
Red Flags/Green Lights: A multiple stakeholder evaluation of the uses of a return-to-work problems guide
In May 2009, the Institute for Work & Health developed Red Flags/Green Lights: A Guide to Identifying and Solving Return-to-Work Problems to help decision-makers identify and manage return-to-work (RTW) problems. This document reports on a study that evaluated how this guide is being used by various RTW stakeholders.
Delicate dances: New immigrants' experiences after a work-related injury
This is a plain-language report summarizing the findings of an Institute for Work & Health study that explored the experiences of recent immigrants who were injured on the job (see below for the full report).
Immigrant workers' experiences of injury reporting and claim filing
The experiences of recent immigrants who are injured on the job, including their knowledge of their rights, encounters with employers and health-care providers, and experiences with injury reporting and claim filing, are detailed in this study report from the Institute for Work & Health.
Review of safety resources for recent immigrants entering the Canadian workforce
This national scan from the Institute for Work & Health looks at some of the services, programs and resources on occupational health & safety and workers' compensation that are available to recent immigrants to Canada. It discusses trends in the types of resources available, identifies important gaps and highlights case studies of programs that present interesting opportunities for providing this information to newcomers.
Emergency department visits for the treatment of work-related injury and illness in Ontario
A study from the Institute for Work & Health suggests emergency department records in Ontario can provide an independent source of reliable surveillance information on acute job-related injuries and illnesses.
Benchmarking organizational leading indicators for the prevention and management of injuries and illnesses: Final report
"Leading indicators" are measures of workplace practices that describe the effectiveness of health, safety and disability prevention initiatives before injuries, illnesses and disabilities occur. Can a simple tool be developed that will predict a firm’s workplace injury experience based on an assessment of its health and safety policies and practices? This was the question that a team of partners within Ontario's occupational health and safety system set out to answer, and it looks like the answer is “yes.”
Sickness, Disability and Work: Breaking the Barriers. Canada: Opportunities for Collaboration
This OECD report is relevant to all Canadians who design, deliver or receive benefits from sickness or disability programs. It points out differences in eligibility rules, income benefits and employment supports, as well as the lack of coordination across these programs, which are delivered provincially and federally. The report calls for dialogue among major stakeholders and makes several recommendations.
Access the report from the OECD website
Published: 2010, by the Organisation for Economic Cooperation and Development (OECD)
OHSCO System Performance Measurement Report 2008
The Occupational Health & Safety Council of Ontario (OHSCO) released its final report on system performance measurements. The report highlights trends of key performance indicators in the Ontario prevention system.
Bridging the Safety Gap for Vulnerable Young Workers Using Employment Centres
This report from the Institute for Work and Health and the Ontario Association of Youth Employment Centres looks at work injuries and health and safety knowledge among a high-risk group of workers: young people aged 15 to 24 who are out of school, especially those with less than a high school diploma.
Assessing the Effects of Experience Rating in Ontario
This study looks at the New Experimental Experience Rating (NEER) program, using case studies from the health-care, transportation and manufacturing sectors. NEER is an employer incentive program of the Workplace Safety and Insurance Board.
Preventing Injury, Illness and Disability at Work: What Works and How Do We Know?
After several decades of concentrated effort by researchers, policy-makers and employers, the decline in rates of workplace injuries is decelerating and long absences from work persist after injury. This paper is intended to initiate a dialogue about prevention among all those who are interested in making Ontario workplaces safer and healthier by building a framework for further discussion and activity.