Health Wonk Review – John Irvine & Matthew Holt host a hefty edition of Health Wonk Review over at The Health Care Blog – lots of good health wonkery there!
Illinois work comp reform – After all the sturm und drang in the Illinois reform process, we’ve had a breakthrough … a reform bill finally passed on the last day of the legislative session. In a Tale of Persuasion, AP’s Zachary Colman takes you step by step through the painful process. And at Managed Care Matters, Joe Paduda offers an excellent rundown of some of the key provisions in the Illinois work comp reform bill.
In other Illinois news, the matter of $10 million in repetitive stress claims filed by Menard County prison guards has taken some new twists. The Illinois house recently passed a bill requiring the release of the related workers’ comp test records in compliance with the Freedom of Information Act. A report obtained through the FOIA shows that locking and unlocking prison cells didn’t injure the guards.
Missouri’s second injury fund woes – Injured workers in Missouri are being left in the lurch, according to a story in stltoday.com. about the state’s troubled Second Injury Fund Roberto Ceniceros posts more about Missouri’s financially-ill second injury fund.
Mobile risks – Andrew Simpson writes about the increased workers comp exposure as more workers go mobile in Insurane Journal. In the past, the workplace was a clearly defined place and the hours of operation were also clearly defined, but as more and more workers go mobile, things are much less clearly defined – the lines between professional and personal life are blurring. Plus, employers are often supplying the mobile devices to workers, increasing their exposure to claims that occur when off site or off the clock. “Insurance claims professionals say claims made by workers injured while doing things where the relation to their employment is unclear are on the rise and the increasing use of mobile devices is challenging traditional notions of work-related injuries.”
Workplace violence factors – The Workplace Violence Blog posts about the prevalence of workplace violence as evidenced by a Society of Human Resource Management survey, and states that “Approximately $55 billion a year is lost to litigation awards, property damage and lost productivity from workplace violence. It is estimated that productivity can drop as much as 50% in the six to eight weeks following a workplace violence incident.” The post includes seven common organizational factors that contribute tow workplace violence.
Industry growth – Insurance is one industry that is poised for growth. According to a recent research report issued by IBISWorld, employment in TPAs and and claims adjusting is set to grow 5.7% annually between now and 2016. “Other industries in the IBISWorld top 10 fastest-growing for the next few years include sustainable building material manufacturers, multi-family home builders, used car dealers, remediation and environmental cleanup services.”
MRSA facts from the CDC – From the CDC, MRSA and the workplace, including a list of frequently asked questions. Staph infections, including antibiotic resistant MRSA, MRSA skin infections can occur anywhere. However, the CDC notes that some settings have factors that make it easier for MRSA to be transmitted. These factors, referred to as the 5 C’s, are as follows: Crowding, frequent skin-to-skin Contact, Compromised skin (i.e., cuts or abrasions), Contaminated items and surfaces, and lack of Cleanliness. Locations where the 5 C’s are common include schools, dormitories, military barracks, households, correctional facilities, and daycare centers.
Posts Tagged ‘prisons’
Health Wonk Review, Illinois reform, Missouri SIF, mobile risks & more news notes
Thursday, June 9th, 2011John T. Dibble’s Sympathetic Ear
Monday, January 31st, 2011John T. Dibble is an arbitrator in Illinois. He was very active in the cases for carpal tunnel syndrome filed by 230 guards at the Menard Correctional Center. The guards alleged that their injuries were due primarily to the constant turning of keys in antiquated and rather sticky locks. No diddler, Mr. Dibble approved over half of the repetitive trauma cases filed by the guards, who collected nearly $10 million in a three year period. The repetitive filings for repetitive motion have caught the eye of Illinois Governor Pat Quinn, who has appointed a lawyer to investigate. NOTE to lawyer: WD 40 can do wonders for sticky locks.
It turns out that Mr. Dibble’s sympathies run deep. In fact, he has some shared experience with the prison guards who come before him. On November 12, 2009, Mr. Dibble fell on the steps at a hearing office in Herrin. He filed a claim for “post-traumatic carpal tunnel” [whatever that may be], claiming injuries to “both knees, both hands, both elbows and (his) left little finger.” That would be the finger he holds up in the air when partaking of his post-hearing tea, I suppose.
Mr. Dibble settled his case for $48,790. The payment included a 17.5% loss of function for each hand and a 7.5% loss of function in his little finger. The check was cut based upon a form signed by three parties: the office of the attorney general, a Central Management Services official and Dibble himself. Mysteriously, the award was not listed in the comp commisioner’s online data base. The actual case file has disappeared – and I’m guessing that the medical records have disappeared as well. It would be fascinating to read the doctor’s report that resulted in Mr. Dibble’s rather generous loss of function awards.
The job of arbitrator in Illinois is hazardous, indeed. Seven of the state’s 32 arbitrators either filed for or received a workers comp payment, including three for repetitive trauma. You know what happens: you listen, day in and day out, to the prison guards’s tales of woe, and eventually your fingers start to tingle and your wrist aches a bit. It’s the price you pay – and perhaps the reward you reap – for lending a sympathetic ear.
Kudos to reporters George Pawlaczyk and Beth Hundsdorfer of the Belleview News Democrat for their coverage of this story.
Annals of Fraud: Corrections Officer in Need of Correcting?
Thursday, October 8th, 2009Stephen Zaczynski, 49, is a lieutenant with the Connecticut Department of Correction. He claimed an on-the-job injury in September of 2008 and collected over $12,000 in benefits. While on disability, he continued to run a company he co-owned, New England Pellet. People in need of pellets pre-paid for the product, which, unfortunately for them, was never delivered. The company closed soon after Zaczynski went out on comp and filed for bankruptcy protection in January. To complete the trifecta, it appears that Zaczynski did not carry workers comp protection for his employees.
Let’s see if we’ve got this one straight: Zaczynski collects comp for an injury that did not disable him, freeing him up to run a business that did not deliver the product that his customers paid for – a product at least theoretically handled by employees who were not covered by workers comp insurance. (Perhaps they were “independent contractors”?)
Zaczynski has a court date on October 20, where he faces charges of first-degree larceny, workers comp fraud and failure to maintain workers comp insurance.
His attorney, Jim Oliver, denies all the charges: “I do not believe that a crime has been committed by Stephen. We intend to vigorously defend all claims.”
Oliver may have a case. In not delivering the pellets, Zaczynski perhaps was not performing work that exceeded the medical restrictions that kept him out of work. (We have no way of knowing whether the DOC tried to bring him back to work on light duty – as a lieutenant, this would surely have been an option.) While not delivering the product reduced the workplace hazards for his employees – less material handling, for sure – Zaczynski would still be required to provide workers comp protection, assuming these folks were, in fact, employees of the company. There’s usually not a lot of wiggle room on that issue.
Finally, failure to deliver the pellets certainly appears to be a form of larceny, but theft on a much bigger scale worked out pretty well for the giant banks, mortgage companies and insurers, so perhaps it can work for Stephen, too. In the final analysis, his problem may be one of scale: he just didn’t think big enough. If you’re not going to deliver the goods, you want to screw people out of more than a few pellets for a stove. Next time, Stephen, think big, really big. It’s the American way.