Author Archive

A look back, a look ahead

Friday, January 12th, 2018

2017 work comp recap, 2018 ook ahead

We thought we’d get a drone’s eye view of the work comp landscape and related matters with a retrospective of the 2017 goings on and a look ahead at predictions and trends for 2018.

Work Comp Wire: Leaders Speak: 2017 Year in Review, Part One and Part Two

Business Insurance: Most read workers comp stories in 2017

Business Insurance: Court rulings challenge workers comp sector in 2017

Risk Management: Year in Risk 2017

Insurance Information Institute: Global insured catastrophe losses could reach record in 2017

Insurance Journal: Top Insurance Journal National Stories of 2017

Insurance Insights: 2017 Recap – A Look Back at the Insurance Market

Joe Paduda: How’d I do on my 2017 workers’ comp predictions?

Evil HR Lady: The 2017 Employment Law Year in Review

Fistful of Talent: Events From 2017 That Will Make a Lasting Impact in the Workplace

MedRisk: 2017 Industry Trends Report

Business Insurance: Most read Off Beat stories in 2017

Insurance Thought Leadership: Insurtech: The Year in Review

Insurance Journal: 2017 ‘One of Worst’ for U.S. Weather with 15 Events Costing $1 Billion or More

PropertyCasualty360: 6 ways cybersecurity changed in 2017

Gizmodo: The Great Data Breach Disasters of 2017

Gallup News: The Best Workplace Articles of 2017

Fortune: 34 Business Books You Won’t Be Able to Put Down

USA Today: Year in review: The 50 stories from 50 states that moved us in 2017

The Atlantic: 2017 in Photos: How the First Months Unfolded, Part 2 and Part 3

Google: Year in Search – 2017

A look ahead at what’s in the cards for 2018

Joe Paduda: Predictions for work comp 2018 part 1 and 2018 part 2

Willis Towers Watson: Marketplace Realities 2018: Workers compensation

Marsh: Webcast: Workers’ Compensation: Looking Ahead to 2018

Sedgwick identifies risk and benefits industry trends to watch in 2018 (PDF)

Sedgwick: Navigating 2018 (PDF)

Think Advisor: 5 Big Questions About Health Insurance for 2018

Bloomberg: Health Insurance Marketplaces for 2018

Claims Journal: Tips on Setting Claims Goals for 2018

Gallup News: Are You Ready to Respond to 2018’s Biggest Healthcare Trends?

Littler: Ready or Not, Here It Comes! 2018 Brings New Labor & Employment Laws, Primarily at the State Level

Forbes: 10 Workplace Trends You’ll See In 2018

CNN: Here’s where the minimum wage is going up in 2018

HR Daily Advisor: 2018 Trends to Watch: 6 Trends That Will Impact Employers

Forbes: 3 pitfalls to enterprise risk management in 2018

Insurance Though Leadership: 2018 Predictions on Cybersecurity

Happy holiday Health Wonk Review

Thursday, December 14th, 2017

Santa reading Health Wonk Review

First, let us go on record for saying that there is no sly political motive to our use of the term “holiday” in the title of this post. Admittedly, we have a bit of a liberal slant, but we have no aversion to using the phrase “Merry Christmas.” But ho, ho, ho, we do have an inordinate fondness for alliteration. Of course, we might have called it the Happy Hanukkah Health Wonk Review instead, but we wanted to encompass Hanukkah, Christmas, Kwanza, New Year’s, and even the dubious Festivus. Whatever your flavor or inclination, we wish you a merry, happy, joyful one. Pentatonix says it better than we ever could, so a bit of a seasonal interlude before we get to this week’s entries.

The Happy Holiday Health Wonk Review

*** First up, at Managed Care Matters, Joe Paduda is never one to shy away from calling it as he sees it and this week his submission takes on the GOP tax bill, which he describes as “a mess, riddled with math errors, contradictory language, and un-implementable directives.” Congressional leaders say they have reached some agreement and will vote before the end of the year, so Joe’s post will give context.

*** Roy Poses proves once again that the devil is in the details and he consistently makes it his blogging business to dig through the details to hold feet to the fire. At Heath Care Renewal, he tracks down more about a barely-reported Pfizer settlement for “alleged” anti-competitive behavior that nearly slipped through the radar. He says that the lack of negative consequences suggests that the impunity of top health care leaders is is worsening. Check out his post One Barely Noticed Settlement by Pfizer Suggests the Futility of Polite Protests about Health Policy.

*** How will the CVS purchase of Aetna affect the healthcare landscape? Jason Shafrin aka The Healthcare Economist weighs in with his informed observations.  And another of our regular wonks weighs in on the merger. David Williams of Health Business Blog posts CVS + Aetna. Are we sure this adds up? Despite talksthat this combo will lead to a revolution in care delivery, he remains a skeptic and talks about why.

*** Acknowledging that the individual market for health insurance has become unaffordable for many of the unsubsidized — particularly older would-be enrollees — Andrew Sprung outlines various ways to keep Modified Adjusted Gross Income (MAGI) below the subsidy line. Check out his post Steering clear of the subsidy cliff in the ACA marketplace at xpostfactoid.

***  Vincent Grippi of CareCentrix submitted a fun #CareTalk video podcast, featuring HWR regular David Williams teaming with John Driscoll of CareCentrix. In a point-counterpoint format, they spar about the implications of 2017 elections on healthcare (think Maine), move on to value-based healthcare and they close the 10 minute segment with a lightning round.

*** Brad Flansbaum of The Hospital Leader has an interesting post about Locums vs F/T Hospitalists, posing the question, do temps stack up? He reports on a JAMA study, adding his perspective. Now I must confess that the term “locums” was a new to me, but Brad gives it good context. But if you are curious to the origins, as I was, Wikipedia is your friend.

*** In his post The Positive Side of Sharing, InsureBlog’s Henry Stern has the latest on a reader’s experience with a Health Care Sharing Ministry. (He offers this spoiler alert: it’s actually been pretty good).

*** Shopping for individual health insurance or know someone who is? If your state uses HealthCare.gov, you have until December 15 to enroll, but in other states, you may be able to enroll as late as January 31. Victims of Hurricanes Irma and Harvey may also have extensions. Louise Norris has all the details in her  guide to buying individual health insurance at healthinsurance.org. For more, see Timothy Jost’s post on Health Affairs Blog: Open Enrollment Ends Friday—Except For Those Qualifying For Special Enrollment Periods.

*** For our post, we’re delving into our archives for an expose of a mysterious employer. Many have nothing but good to say about him, but others think he is not a good employer. Judge for yourself:

Santa’s workshop: “OSHA problems galore” say whistleblowers
The risks of being Santa
Is Santa Claus a bad employer?

 

Fresh Health Wonk Review and a big roundup of recent work comp news

Thursday, November 30th, 2017

Andrew Sprung has the most recent compendium from the health wonks  at xpostfactoid:

Late Days of Empire Edition: Health Wonk Review. The wonks’ entries are reflecting the healthcare market chaos of the times – check it out! Also note that two weeks from today, we’ll be hosting the next edition here at Workers Comp Insider!

 

Other workers comp news of note along with general interest items that caught our attention:

Net neutrality & why you should care: If you are a blog afcianado – or if you just like a free an open internet, please make your voice heard about net neutraility. Don’t let the internet service providers do to the internet what cable companies did to TV – make your voice heard in favor of Net Neutrality which is at serious risk or being rescinded. See RIP net neutrality: FCC chair releases plan to deregulate ISPs. This requires immediate action: the vote is December 14. Make your voice heard.

Purdue Pharma: In this weeks’s HWR, Joe Paduda talks about how Purdue Pharma is trying to limit legal liability in the many state suits. Related, there was an excellent recent article in Esquire by Christopher Glazek that is well worth a read: The Secretive Family Making Billions From the Opioid Crisis.

Blankenship for Senate? Convicted coal baron Don Blankenship announced his intention to challenge Joe Manchin for a senate seat in West Virginia. We’re talking about Don Blankenship who was CEO of Massey Energy Co. at the time of a 2010 Upper Big Branch mine disaster that killed 29 miners. We have opinions on Blankenship that we’ve expressed over the years. Hint: thumbs down for the senate.

Grain Bin deaths: Over $1.8 Million in Proposed Fines Following Fatal Grain Dust Explosion – OSHA has proposed $1,837,861 in fines against Didion Milling Inc. following a May 2017 grain dust explosion that killed five workers and injured 12 others, including a 21-year-old employee who suffered a double leg amputation after being crushed by a railcar. We hope the fine will stick – see our prior post Walking down the grain – and the fines.

Gripping read: Atul Gawande’s twitter pointed us to a remarkable story in Emergency Physician’s Monthly: How One Las Vegas ED Saved Hundreds of Lives After the Worst Mass Shooting in U.S. History. Hats off to the incredible medical teams!

Nail salons: US nail salons: the challenge to protect workers from toxic chemicals – Critics mock an EPA scheme to create ‘healthy salons’, but Julia Carrie Wong hears how it is tackling an ‘epidemic’ of health problems from staff, many of whom are Vietnamese immigrants.

Jennifer Christian posts Avoid “one-size-fits-all” thinking in evidence-based medicine, which challenges a blind spot in current thinking – worth a read. From our vantage, Dr. C is always in the forefront of new occ med thinking.

Bionic safety? medGadget has news that Ford is trialing the Exoskeleton to help prevent worker injuries. The device is made by Ekso, a company that devlops full-body exoskeletons for paralyzed people, but the firm thins the technology can prevent injuries in workers who perform physically difficult repeat tasks, such as operating the overhead machinery.

More news – quick links

Health Wonk Review and a tribute to our veterans

Friday, November 10th, 2017

At Healthcare Economist, Jason Shafrin has posted the latest compendium of posts from the health policy bloggers: Health Wonk Review: Quote-of-the-day Edition. He frames each submission with a pithy quote. While the overall shape and politics of the healthcare debate are still a primary theme of posts, there are other entries, including two videos. Grab a coffee and catch up on the latest thinking from the wonks.

This weekend, we pay tribute to our veterans and thank them for their service and sacrifice. We end with this advice: How to honor veterans: Hire one!

Fresh Health Wonk Review, Disaster Edition

Thursday, October 26th, 2017

Check out the latest Health Wonk Review: Disaster edition freshly posted by David Williams at Health Business Blog. David is a long-time HWR host and his business blog is a strong and authoritative voice in the health business sector – if he isn’t on your regular reading list, you should change that!

Just a few other quick updates:

A quick shout-out to esteemed colleague Joe Paduda of Managed Care Matters who is running for office in his home area of Onondoga County, New York. November 7 is pretty quick upon us. You can find out more at Paduda for Progress – if you are on Facebook, you can show him some love there ;-)

Because we’ve written about him quite a bit in the past, we didn’t want to miss this update on Don Blankenship of the Massey Coal Mining disaster infamy:  Supreme Court lets criminal conviction stand against coal executive Blankenship

Another issue we’ve posted about previously is the death of cell tower workers. We were interested to see that Washington state recently adopted tower safety worker rules – the third state in the nation to do so.

“North Carolina and Michigan also have telecommunication safety rules, but federal OSHA does not have comparable, specific regulations relating to communication tower work, according to L&I. “We hope our rules can serve as a model for other states to quickly stop these fully preventable worker fatalities,” Soiza said.”

 

California fires: Response and recovery health hazards

Wednesday, October 25th, 2017
A firefighter working in the California fires

Photo: Mike Blake / Reuters

In the wake of the devastating California fires, the massive debris field – formerly neighborhoods, homes and businesses – is now a toxic environmental brew that poses risks to cleanup and recovery workers and residents alike. Kirk Johnson discusses the environmental and health risks of the California fire cleanup in an article in the New York Times.

“In modern times this has got be an unprecedented event, and a major hazard for the public and for property owners,” said Dr. Alan Lockwood, a retired neurologist who has written widely about public health. He said an apt comparison might be the environmental cleanup after the terrorist attacks of Sept. 11, 2001, in New York, as debris and dust swirled through Lower Manhattan.

As could well happen too in California, Dr. Lockwood said, the health and environmental effects were felt long after the attack, in the chemicals or pollutants workers and responders at the site, and the public at large, may been exposed to as the cleanup went on.

The scope of the fire disaster in California is hard to comprehend:  Photos Capture Apocalyptic Aftermath Of California Wildfires. Also: and the Los Angeles Times Mapping the destruction from California’s wine country fires.

We’d be remiss if we didn’t offer a tribute to the 9,000+ hard-working firefighters on the front lines who risked life and limb to contain the fires, rescue people and save property. See NPR’s story by Eric Westervelt: In Northern California, Exhausted Firefighters Push Themselves ‘To The Limits’.

See the Atlantic‘s In Focus for a display of photos that document the danger and the destruction.

One interesting and little known aspect of the battle against the fires is that 30-40% of the firefighters battling the fires were prisoners, according to Mother Jones. About 4,000 low-risk prisoners save the state about $80 million a year. Inmates are volunteers who are trained in a four-week program, receive $2 an hour and earn a 2-day sentence reduction for every day served. Typically, they are low-risk felons.

“Career firefighters do things like flying in helicopters and driving bulldozers; inmate firefighters use hand tools, like chainsaws, axes, and rakes, to contain the fire by clearing out the vegetation around it. The prisoners participate in a four-week training process—the same process that other state firefighters go through—proving that they’re fit enough to work through brush in the heat of a fire while carrying up to 100 pounds of gear. They work in teams of about 15 people, supervised by a fire captain. When there’s a big fire blazing, the teams work in shifts of 24 hours, followed by a 24-hour break. When not tending fires, the inmates do other conservation work, often clearing brush to prevent future fires.”

Jaime Lowe of the New York Times reports on The Incarcerated Women Who Fight California’s wildfires. It talks more about how the program works and takes an up-close look at some of the female inmates on the front lines, including the very real risks they take. While many tout this as a win-win for both the state and the inmates, there are many limitations in terms of the rehabilitative value. Lowe says:

“C.D.C.R. says that the firefighter program is intended to serve as rehabilitation for the inmates. Yet they’re being trained to work in a field they will probably have trouble finding a job in when they get out: Los Angeles County Fire won’t hire felons and C.D.C.R. doesn’t offer any formal help to inmates who want firefighting jobs when they’re released.”

Further in the article, Lowe talks more about this:

When I visited Rainbow, I asked a Cal Fire captain named Danny Ramirez why the state wouldn’t increase the incentive to join the program by paying even a little bit more. He didn’t have a ready answer. Which brought up another puzzling aspect of the program: Why doesn’t the state get more out of its investment in training these women by hiring them when they’re released? Or at the very least, by creating a pathway to employment? Ramirez said the idea ‘‘to keep tags on the girls’’ had come up before. ‘‘Some of these girls leave very interested in what they got exposed to and say, ‘Oh I never knew this exists, how do I keep on doing this?’ And it’s hard when they get out there because they do have a lot of the same walls that they were facing before. But a program to keep them guided and keep them on that path and keep them focused on something instead of getting back into their old ways or old friends would be awesome.’’

 

Workers’ Comp as Percentage of Payroll: NASI Report

Tuesday, October 10th, 2017

The National Academy of Social Insurance (NASI) recently issued its 20th annual report on Workers’ Compensation: Benefits, Coverage, and Costs. The study provides estimates of workers’ compensation payments—cash and medical—for all 50 states, the District of Columbia, and federal programs providing workers’ compensation.

The study showed that

  • Benefits per $100 of payroll fell from $0.92 in 2014 to $0.86 in 2015, the lowest level since 1980.
  • Workers’ compensation employer costs per $100 of payroll dropped to 1.32 in 2015, reversing consistent growth that began after the recession.
  • In 2015, workers’ compensation coverage extended to an estimated 86.3 percent of all jobs in the employed workforce, comprising more than 135 million workers.

Study authors say the drop partly reflects improved workplace safety. Also noteworthy:

“Both the incidence and severity of work-related injuries have declined steadily since 1990. In fact, according to the Department of Labor, the proportion of workers who experienced injuries that resulted in days away from work reached a 25-year low in 2015.”

The study encompasses state-by-state changes in coverage, benefits, and employer costs over the last five years. The state-level results show that between 2011 and 2015:

  • The number of covered workers increased in every state except West Virginia, with 11 states experiencing double-digit growth in covered employment;
  • The amount of covered wages increased in every state, and by more than 20 percent in 16 states;
  • Benefits per $100 of payroll decreased in all but three states, with the biggest declines in Illinois (-$0.33), Oklahoma (-$0.41), and West Virginia (-$0.52)—three states that implemented significant changes in their workers’ compensation systems during this period;
  • Employer costs per $100 of covered payroll increased in 24 states and decreased in 27 states. West Virginia, Montana, and Oklahoma experienced the largest reductions, with costs dropping more than $0.30 per $100 of covered payroll. Employer costs increased by more than $0.20 in Wyoming, Delaware, and California.

NASI workers comp infographic

News Roundup: Health Wonk Review and noteworthy news from around the web

Thursday, September 28th, 2017

A fresh Health Wonk Review is hot off the press and the word for the day is “fatigue.” The 3rd congressional attempt at Affordable Care Act repeal ground to a halt last week after it became apparent that there weren’t enough votes in the the Senate to get it over the finish line. Brad Wright hosts this week’s Health Wonk Review: Repeal Fatigue Edition at Wright on Health, with wonks weighing in. But if you don’t want to read about ACA, never fear – the wonks weigh in on other health policy issues, too.

Here’s some other recent news that caught our eye:

NCCI: The Marijuana Conversation: What’s Next – Medical marijuana is currently legal in 29 states, as well as Washington, DC. It’s also legal for recreational use in eight states and Washington, DC. However, marijuana is still illegal at the federal level and is classified as a Schedule I drug under the federal Controlled Substances Act. NCCI’s “Marijuana Conversations” series explores questions from workers compensation insurers, employers, employees, regulators, and legislators. Each face unique challenges, complexities, and implications.

MSHA – David Zatezalo, Trump’s nominee for assistant labor secretary in charge of the U.S. Mine Safety and Health Administration, is a former coal exec whose mines logged a “pattern of violations.” It raises more than a few uneasy hen-guarding-the-chicken-coop questions about his appointment. His latest critic? Manchin will oppose Trump mine safety nominee, as per Ken Ward Jr. at the Charleston Gazette-Mail.

Dairy Workers: Suffocating in Manure – Jordon Barab of Confined Space talks about a recent Washington Post story on a truly horrific agricultural hazard, and just one of many. “There were 6,700 injuries on dairy farms with more than 11 employees in 2015 — a rate more than double the average for private industries. On those farms, 43 laborers died.” Barab notes that the article fails to mention that, “due to a 40 year old Congressional budget rider, OSHA is not allowed to set foot on farms that have ten or fewer employees. No inspections, even as a result of a worker complaint, and no investigation or citations, even if one or more workers is killed.”

Joe Paduda reports on a recent study by Princeton University’s Alan Krueger in his post at Managed Care Matters: Opioids responsible for a fifth of the decline in male workforce

Amid Opioid Crisis, Insurers Restrict Pricey, Less Addictive PainkillersNew York Time/Pro Publica

At a time when the United States is in the grip of an opioid epidemic, many insurers are limiting access to pain medications that carry a lower risk of addiction or dependence, even as they provide comparatively easy access to generic opioid medications.

The reason, experts say: Opioid drugs are generally cheap while safer alternatives are often more expensive.

Drugmakers, pharmaceutical distributors, pharmacies and doctors have come under intense scrutiny in recent years, but the role that insurers — and the pharmacy benefit managers that run their drug plans — have played in the opioid crisis has received less attention. That may be changing, however. The New York State attorney general’s office sent letters last week to the three largest pharmacy benefit managers — CVS Caremark, Express Scripts and OptumRx — asking how they were addressing the crisis.

Defending Against Cumulative Trauma – Roberto Ceniceros says that “Repetitive motion, or cumulative trauma injuries, stubbornly persist as generators of workers’ compensation claims and productivity losses year after year.” But remedies do exist – and he explores these in his article in Risk & Insurance.

Job loss due to medical care calendar vs. FMLA calendar – Dr. Jennifer Christian reminds physicians that they need to keep an eye in the calendar during worker recover, particularly in light of a recent court case.

Gig Economy Workers May See Benefits Relief – The Portable Benefits for Gig Economy Workers Act addresses a real need at a time when many people work in the gig economy and don’t have employer-provided benefits.

Quick takes

News Roundup: Health Wonk Review and news from our bookmark file

Friday, September 15th, 2017

loudspeakers

Health Wonk Review kicks off the fall season with The Neverending Summer of Healthcare Legislation Edition posted by Louise Norris at Colorado Health Insurance Insider. It unfolds against the backdrop of the continuing ACA saga, with not one but two new bills introduced: Senator Sanders’ single-payer bill and Senators Lindsey Graham, Bill Cassidy, Dean Heller and Ron Johnson’s ACA repeal/replace bill. This issue covers single payer, opioid abuse, drug pricing, hurricane recovery workers, hospice care, medical innovations, the return of hookworm in the US, and more.

Louise has a sterling reputation as an informed commentator on the evolving ACA matters, contributing to a variety of blogs. If the ACA ison your radar, be sure to see her many entries at healthinsurance.org.

Meanwhile, in the midst of the ongoing debate, it is worth noting that 3 years after the Affordable Care Act’s coverage expansion took effect, the uninsured rate fell to a record low of 8.8%, in contrast to 17% in 2009. The number of people without healthcare insurance fell to 28 million, down from 50 million. The number of uninsured fell dramatically from 42 million in 2013 to 28 million today, when the ACA allowed states to expand Medicaid coverage to low-income people.

Other news of note from our bookmark file

Think you’re an informed health wonk? Test your knowledge in this Kaiser Health News Quiz: How Well Are You Paying Attention?

NCCI: Recovering From a Nightmare: Assaulted Employee Returns to Work in 10 Weeks

Joe Paduda: Costs & Benefits of Disasters and Big changes a-coming in workers’ comp.

Roberto Ceniceros at Risk & Insurance: Ergonomic Sense

Jordan Barab: OSHA Covers Up Workplace Fatalities

Jordan Barab: Undercover: Working and Dying as a Temporary Employee

Bob Wilson: God Vacations in Sarasota, or, What I Learned from Hurricane Irma

ESPN: “Who Does This To People?”

Kudos to our friends at Insurance Recovery Group in naming Paul James as new CEO and President. IRG specializes in subrogation, second injury fund, COLA recovery, and cost containment in work comp and other property/casualty disciplines.

Chikita Mann at WorkCompWire: Cultural Competency and the LGBTQ Injured Worker

Ken Ward: Trump nominates former coal exec to run MSHA and Democratic leader calls for scrutiny of Trump’s mine safety nominee

Cal/OSHA’s disappearing funds – where’s the money?

Workers compensation renewal rates remain negative

Gig Economy Workers May See Benefits Relief via Portable Benefits for Gig Economy Workers Act

WCRI Study: Fewer Injured Workers Prescribed Opioids After Kentucky Reforms

Overtime rule scrapped but there’s likely to be a new one

House approves bill to speed autonomous vehicle development

Scanning The Future, Radiologists See Their Jobs At Risk

Medical school debts run $180,000 on average per student

Check out this clip of the world’s first drone equipped with robotic arms

And in more technology developments, the chairless chair

One of America’s Most Dangerous Jobs

Wednesday, September 13th, 2017

Kicked, pummeled, taken hostage, stabbed and sexually assaulted … would you want a job that included these risks? In One of America’s Most Dangerous Jobs, the Washington Post shines a spotlight on the dangers in the nursing profession, specifically around the violence that they encounter on the job. Citing a recent GAO report on violence in healthcare profession, the article notes that, “the rates of workplace violence in health care and social assistance settings are five to 12 times higher than the estimated rates for workers overall.”

Here’s one excerpt from the article:

“In Massachusetts, Elise’s Law, which is named for the nurse who was attacked in June, is already on the fast track to set state standards for workplace protection. Legislators were working on this months before Wilson was stabbed.

Nurses in Massachusetts were attacked more frequently than police or prison guards. When association members testified about the violence epidemic this spring, they said nurses had been threatened with scissors, pencils or pens, knives, guns, medical equipment and furniture in the past two years alone, according to the Massachusetts Nurses Association.”

OSHA reports that in surveys conducted by various nursing and healthcare groups:

  • 21% of nurses and nursing students reported being physically assaulted and over 50% verbally abused in a 12-month period
  • 12% of emergency department nurses experienced physical violence and 59% experienced verbal abuse during a seven-day period
  • 13% of employees in Veterans Health Administration hospitals reported being assaulted in a year

 

While 26 states have workplace safety standards for health-care facilities, there are no federal standards. Nursing groups say that state efforts have helped increase awareness.

NIOSH worked with various partners – including nursing and labor organizations, academic groups, other government agencies, and Vida Health Communications, Inc. – to develop a free on-line course aimed at training nurses in recognizing and preventing workplace violence. The course has 13 units that take approximately 15 minutes each to complete and includes “resume-where-you-left-off” technology. Learn more about the courses at Free On-line Violence Prevention Training for Nurses and the actual course can be accessed here: Workplace Violence Prevention for Nurses CDC Course No. WB1865

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