Dates and DOPC
What is one option you have if you have a bunch of evidence and are not sure what the DOPC is?
PA opinion
What is a Traumatic event defined as? What must it be?
Emotionally shocking event - worker experienced or witnessed, or direction connection
If you have a COVID-19 claim for a mental health injury what is one thing you need to do differently on this claim?
Name 4 support options we have when considering providing workers support while a claim in pending.
SWOTS
OTCA
CIR
OTR
Online CBT
RSS
What CSM has chickens?
Jenn!
If a worker has two DOPC do we need to adjudicate both?
yes - if worker claiming for both injuries
What is a significant workplace stressor defined as? what is an example claim of a SS?
excessive in intensity and/or duration from the normal pressures of employment.
Example? Teacher
If you have a refer back for a decision you made come to your desk, what will you do with this decision?
Transfer to next person on the spreadsheet
Share a claim example situation when OTR may be useful?
OTR-I is designed to reduce the psychological and functional impact of psychological trauma and to help prevent the development of mental disorders and/or functional impairment. Those workers who witnessed a coworker’s death, experienced a near-miss death, incurred a serious injury or sexual violence, may be appropriate for OTR while the claim is pending
What CSM is always seen eating chicken? And told me they are part of the mile high club when I asked them for a fun fact.
Matt
He was a licensed sky diver and jumped from a mile high
What is a main date you need to remember as prior to this date you need to use former provisions?
June 30, 2002
Explain the subjective vs objective test?
Objective is looking at the event that occurred and subjective is looking at the workers reaction. Both of these are considered when determining if an event is T or SS.
In making a preliminary determination what are the 3/7 criteria outlined in the RSCM 96.21
The worker appears to be currently disabled from work.
On the available evidence, it appears probable that the worker has a compensable injury or occupational disease, or at least it appears that the evidence is evenly weighted.
There is some significant delay in obtaining evidence necessary to arrive at a conclusion on the validity of the claim, and the Board is unable to avoid that delay.
The worker is not causing the delay.
The delay appears to be causing an interruption of income for the worker. For example, the case is not one in which the worker is still being paid by the employer or another source.
The claim is not a third party one. (See Chapter 16)
An application for compensation has been receive
What does OTCA stand for and when should we avoid assigning an OTCA?
Occupational Therapist Clinica Advisors
BH and low functioning
Low RTW readiness
What CSM loves to golf?
Jami
What are four considerations that are listed in PD C3-7 that help in determining DOPC?
The occurrence of the traumatic event or significant stressor • when the worker started to experience symptoms (e.g., nightmares, anxiety, sleeplessness, crying, anger, ruminations, etc.)when the worker sought medical attention for their psychological symptoms • when the worker reported their symptoms to others (e.g., employer, co-workers, etc.) • when the worker first became disabled from their regular employment • when the worker’s condition was first diagnosed, and • when the worker incurred monetary losses or expenses (e.g., prescription medication to treat the psychological symptoms related to the work event)
Explain the two-part test to s.151?
1) special circumstances
2)board discretion
What two documents must be on a claim for HDP review by your manager?
Decision letter
Disability memo
When writing a threat report what are 3 main things you would want to include?
How received threat
Shat was the threat
Supports
What you offered the worker
What CSM was an instructor for supercar track days?
Scott
You have a worker with a DOPC in 2015 and an application received in 2022. You accept s.151 and s.135. The worker has been off work since January 2016. When would WL benefits commence?
Date the application was received 2022
Define rebutting presumption and provide an example?
Presumption is rebutted if on a balance of probabilities (ie. more likely than not) the evidence leads to the conclusion that the dx md resulted from causes other than exposure to work-related trauma.
lack of evidence is not sufficient to rebut
What times of the week can you set up a consultation with our internal psych advisors? How would you do this?
Monday 1-2 and Wed 1-2 - Teams meeting
When you submit a threat report who will be seeing it? Name 4 people/areas it will go to.
MHS
Corporate security (possibly)
Manger
Senior Manager
Director
Which CSM has been at WSBC the longest?
Dave!