Loading...
Tristate Occupational Health Agreement Amendment 2015 Copyright 2014 City of Dubuque Consent Items # 10. ITEM TITLE: Tristate Occupational Health Agreement Amendment SUMMARY: City Manager recommending approval of an Amendment to the Agreement between Tri-State Occupational Health, L.L.C. for case management services for workers compensation claims and police and fire job related injuries and illnesses. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Approve ATTACHMENTS: Description Type ❑ Amendment to Tri-State Occupational Health Agreement-MVM Memo City Manager Memo ❑ Memo-Amendment to Tristate Occ Health Agreement Staff Memo ❑ Amendment to Tristate Occ Health Agreement Supporting Documentation THE CITY OF Dubuque UBE I erica .i Masterpiece on the Mississippi 2007-2012-2013 TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: Amendment to Agreement between Tri-State Occupational Health, L.L.C. and the City of Dubuque for Case Management Services for Workers Compensation Claims and Police and Fire Job Related Injuries and Illnesses DATE: September 14, 2015 Personnel Manager Randy Peck recommends City Council approval of an Amendment to the Agreement between Tri-State Occupational Health, L.L.C. for case management services for workers compensation claims and police and fire job related injuries and illnesses. The amendment will continue the agreement from October 1, 2015 through September 30, 2016. The cost of the service will remain at $43.35 per hour. I concur with the recommendation and respectfully request Mayor and City Council approval. Mic ael C. Van Milligen MCVM:jh Attachment cc: Barry Lindahl, City Attorney Cindy Steinhauser, Assistant City Manager Teri Goodmann, Assistant City Manager Randy Peck, Personnel Manager THE CITY OF C DUhuque UB E til AmeHcaCi1Y I I r Masterpiece on the Mississippi TO: Michael C. Van Milligen, City Manag FROM: Randy Peck, Personnel Manager SUBJECT: Amendment to the Agreement between Tristate Occupational Health, L.L.C. and the City of Dubuque for Case Management Services for Workers Compensation Claims and Police and Fire Job Related Injuries and Illnesses DATE: September 14, 2015 1 have attached an amendment to the Agreement between Tristate Occupational Health, L.L.C. and the City of Dubuque for case management services for workers compensation claims and police and fire job related injuries and illnesses. The amendment will continue the agreement from October 1, 2015 through September 30, 2016. The cost of the service will remain at $43.35 per hour. It is anticipated that the City will continue to use their services for approximately 8 hours per week for a total annual cost of $18,034. City Attorney Barry Lindahl has reviewed the Amendment and finds the terms acceptable. The requested action is for the City Council to pass a motion approving the amendment to the Agreement and authorizing you to sign the amendment. RP:Imh AMENDMENT TO AGREEMENT BETWEEN TRI-STATE OCCUPATIONAL HEALTH, L.L.C. AND CITY OF DUBUQUE The Agreement between TRI-STATE OCCUPATIONAL HEALTH, L.L.C. (TSOH) and CITY OF DUBUQUE, effective October 6, 2014,15 hereby amended as follows: 1. Agreement Parameters. c, is deleted in its entirety and replaced with: c. The term of this Agreement shall begin on October 1, 2015, and shall continue through September 30, 2016. This Amendment will become a part of the original Service Agreement of October 6, 2014. The --parties hereby -ratify and affirm that -all -other -terms and provisions of -the -original -Agreement -and -their-- - intent shall remain in full force and effect. TRI-STATE OCCUPATIONAL HEALTH, L.L.C. Brian Schatz President CITY OF DUBUQUE Michael V'n Milligen City Manager Da e Agreement Between Tri-State Occupational Health, L.L.C. And The City of Dubuque . .,.� This Agreement is made and entered into this ��� _µday of r�; r ' _r "2014, by and between Tri-State Occupational, LLC., a corporation organized and established under the laws of Iowa, having its principal place of business at 1940 Elm Street, Dubuque, Dubuque County, Iowa, ("TSOW), and the City of Dubuque, having its principal place of business at 50 West 13th Street, Dubuque, Dubuque County, Iowa ("City"). Scope A. TSOH is in the business of providing occupational medicine, worker's compensation and related therapy services and as specifically relates to this agreement, is in the business of providing onsite occupational health nursing services through its physicians, providers and clinical nursing staff. Recitals A. City will: 1. Provide a facility location for the provision of onsite occupational health nursing services. 2. Assume all of the roles and responsibility for OSHA record-keeping and related functions. B. TSOH will: 1. Provide onsite occupational health nursing services to the City, 2. Provide employee supervision, including clinical and medical direction oversight of the onsite occupational health nursing services. 3. Provide onsite occupational nursing services for eight (8) hours per work week. 4. Recommend all referral and follow-up treatment services (e.g. therapy, orthopedics, surgery, etc.), to optimize quality of care and case management. TSOH will direct care according to City's wishes, and City acknowledges that care coordination and treatment outcomes outside TSOH recommendations may or may not meet TSOH's standard of care. 5. Provide occupational therapy and rehabilitation services at City request. 6. Manage the employee medical chart on-site, maintaining a separation Of occupational health and worker's compensation care notes from personal health and medical care information. TSOH will retain ownership of personal health information. 7. Abide by the following Attachments: • AAOHN Code of Ethics and Interpretative Statements m AAOHN Case Management: The Occupational and Environmental Health Nurse Role • AAOHN Delivery of Occupational and Environmental Health Services • Standards of Occupational and Environmental Health Nursing In consideration of the matters described above, and of the mutual benefits and obligations set forth in this agreement, the parties agree as follows: Section 1 Agreement Parameters A. TSOH will provide onsite occupational health nursing services for an average scheduled time frame of eight (8) hours every work week. Start and end times for coverage will be agreed to in advance by TSOH and City. B. Onsite occupational health nursing services will be provided by an appropriately qualified TSOH nurse. C. The initial term of this Agreement shall from the 6th day of October, 2014, to midnight on the :30th day of September, 2015, Section 2 Reimbursement for Onsite Occupational Health Nursing Services A. For onsite occupational health nursing services the City will pay 'f-SOH $43.35 per hour. B. Onsite occupational health nursing services provided by TSOH to City will be invoiced on a monthly basis, Section 3 Compliance with All Applicable Laws TSOH and City agree that they are bound by and will comply with all applicable federal, state, local laws, ordinances or regulations. TSOH and City agree to defend, indemnify and hold harmless each other against loss or damage, including, but not limited to, reasonable attorneys' fees, resulting from their respective negligence in the performance or nonperformance of this Agreement. Section 4 Independent Contractor Relationship The parties agree that the relationship between TSOH and City in one of'owner- independent contractor and noth ng herein shall be construed or interpreted in any way to create an employer-employee relationship between TSOH and City or between City and any of TSOH's officers, agents or employees. Section 5 City Responsibilities A. City will provide a minimum one (1) week notice to TSOH if the regularly agreed to City work schedule for the onsite occupational health nurse is to be cancelled. Such notice shall be provided by contacting the TSOH Manager or Clinical Manager. B. City will pay TSOH invoiced fees within 30 days. Section 6 Agreement Not To Hire Nor Solicit Employees City agrees that for a period of two (2) year f «„ h date of too in of"is �. y g. u ! .JC \ I y.u rJ rC, the uuy« vs �ci i7iii aatIvl t vI I IIJ Agreement, neither City nor any of its members shall hire, solicit, or attempt to hire or solicit any of TSOH's employees that are or were subject to this Agreement. City and its members further agree that the remedy at law for any breach by City and its members of this Section b will be inadequate and that TSOH shall be entitled to injunctive relief in case of any such breach, and TSOH shall be entitled to recover its costs incurred in conducting any lawsuit, including reasonable attorneys' fees and expenses. This provision call be waived by mutual agreement of TSOH and City, received and acknowledged in writing. Section 7 Payment of Taxes or Benefits TSOH shall pay any and all employment-related taxes and benefits for the TSOH employee(s) subject to this Agreement, Section 3 Use of Trade Names and Signs City shall not use in any manner directly or indirectly, or in whole or in part, the signature, monogram or any other trademark or name that is now or may in the future be owned by TSOH, except in a manner; and to an extent that TSOH may specifically consent in writing. if any trademark or name is used in any way by City with the express written approval of TSOH, City on the termination of this Agreement, shall discontinue all such use and shall not subsequently use any name, title or expression in connection with any business in which City may be engaged that, in the judgment of TSOH, so nearly resembles any trademark or name, owned by TSOH as may be likely to lead to confusion or uncertainty on the part of the public. Section 9 Transferability All benefits and dl,t;E)S of either party under this Agreement are non-transferable, Section 10 Termination Notice Clause This agreement may be terminated by either party, with or without cause, upon thirty (30) days written notice to the other party, Section 11 Liability Of Parties To The Agreement Upon Termination Of Agreement Upon termination of this agreement, City shall remain liable to TSOH for any payments then owed to TSOH, Section 12 Modification This Agreement reflects all the agreements, understandings, representations, conditions and warranties by and between the parties. Neither party shall be liable for any representation made unless it is expressly set forth in this Agreement, and this Agreement may not be modified or amended except in a writing signed by both of the parties. Section 13 Severability If any provision of this Agreement shall be declared by any court of competent jurisdiction to be illegal, void or unenforceable, all other provisions of this Agreement shall not be affected and shall remain in full force and effect Section 14 Governing Law This Agreement shall be governed by the laws of the State of Iowa. Section 15 Arbitration If a dispute arises with respect to this Agreement, it shall be decided finally by an arbitrator in an arbitration proceeding conforming to the Rules of the American Arbitration Association applicable to commercial arbitrations. The arbitrator shall be selected in accordance to the Rules of the American Arbitration Association. The arbitration shall take place in Dubuque, Iowa, and the decision of the arbitrator shall be conclusively binding upon the parties and final and such decision shall be enforceable as a judgment in any court of competent jurisdiction. The arbitrator shall assess the cost of arbitration to the non-prevailing party, and award reasonably incurred attorney's fees and costs, in favor of the substantially prevailing party at the arbitration. Section 16 Acts of Governments, War, Terrorism, Natural Disaster Clause If either party to this Agreement is affected in such a way by changes in law, acts of war, acts of foreign governments, acts of terrorism, natural disasters, or similar catastrophes, to such an extent that they cannot fulfill their obligations under this Agreement, that party will be excused from performing under the Agreement, and the Agreement will be terminated, Section 17 Notice Unless otherwise provided for in this Agreement, all notices which are required or may be given pursuant to the terms of this Agreement shall be in writing and shall be deemed duly giver if delivered personally, mailed by registered or certified mail, postage prepaid, return receipt requested, or sent by facsimile with confirmation. Notices shall be sent as follows: A. To: Tri-State Occupational Health, L.LC. Attention: TSOH Manager 1940 Elm Street Dubuque, Iowa 52001 Telephone: (563) 584-4600 Facsimile: (563) 582-7847 B. To: City of Dubuque Attn: Personnel Manager 50 West 13th Street Dubuque, Iowa 52001 Telephone: (563) 589-4125 Facsimile: (563) 690-6025 Section 18 Insurance TSOH shall at all times during the performance of this Agreement maintain insurance as required by the attached Insurance Schedule, Tri-State Occupational Health, L.LC, City of Dubuque By: By: r Michael C. Van Milligen, City Manager Date: /21Z %' Date: Insurance Schedule City of Dubuque Insurance Requirements for Professional Services Insurance Schedule C 1. TSOH shall furnish a signed Certificate of Insurance to the City of Dubuque, Iowa for the coverage required in Exhibit I prior to commencing work and at the end of the project if the term of work is longer than 60 days. Providers presenting annual certificates shall present a Certificate at the end of each project with the final billing. Each Certificate shall be prepared on the most current ACORD form approved by the Iowa Department of Insurance or an equivalent. Each certificate shall include a statement under Description of Operations as to why issued. Eg: Project# or Project Location at or construction of 2. All policies of insurance required hereunder shall be with a carrier authorized to do business in Iowa and all carriers shall have a rating of A or better in the current A.M. Best's Rating Guide. 3. Each Certificate shall be furnished to the contracting department of the City of Dubuque. 4. Failure to provide minimum coverage shall not be deemed a waiver of these requirements by the City of Dubuque. Failure to obtain or maintain the required insurance shall be considered a material breach of this agreement. 5. Subconsultants and sub subconsultants performing work or service shall provide a Certificate of Insurance in accord with Exhibit I. 6. All required endorsements to various policies shall be attached to Certificate of insurance. 7. Whenever a specific ISO form is listed,an equivalent form may be substituted subject to the provider identifying and listing in writing all deviations and exclusions that differ from the ISO form. 8. Provider shall be required to carry the minimum coverage/limits,or greater if required by law or other legal agreement, in Exhibit I. If provider's limits of liability are higher than the required minimum limits then the provider's limits shall be this agreement's required limits. 9. Whenever an ISO form is referenced the current edition of the form must be used. Page 1 of 3 Schedule C Professional Services July 2015.Doc City of Dubuque Insurance Requirements for Professional Services Insurance Schedule C (continued) Exhibit I A) COMMERCIAL GENERAL LIABILITY General Aggregate Limit $2,000,000 Products-Completed Operations Aggregate Limit $1,000,000 Personal and Advertising Injury Limit $1,000,000 Each Occurrence $1,000,000 Fire Damage Limit(any one occurrence) $ 50,000 Medical Payments $ 5,000 a) Coverage shall be written on an occurrence, not claims made, form. The general liability coverage shall be written in accord with ISO form CG0001 or business owners form BP0002. All deviations from the standard ISO commercial general liability form CG 0001, or Business owners form BP 0002,shall be clearly identified. b) Include ISO endorsement form CG 25 04"Designated Location(s)General Aggregate Limit" or CG 25 03"Designated Construction Project(s) General Aggregate Limit"as appropriate. c) Include endorsement indicating that coverage is primary and non-contributory. d) Include endorsement to preserve Governmental Immunity.(Sample attached). e) Include an endorsement that deletes any fellow employee exclusion. f) Include additional insured endorsement for: The City of Dubuque, including all its elected and appointed officials, all its employees and volunteers,all its boards,commissions and/or authorities and their board members, employees and volunteers. Use ISO form CG 2026. B) AUTOMOBILE LIABILITY $1,000,000(Combined Single Limit) C) WORKERS'COMPENSATION & EMPLOYERS LIABILITY Statutory benefits covering all employees injured on the job by accident or disease as prescribed by Iowa Code Chapter 85 as amended. Coverage A Statutory—State of Iowa Coverage B Employers Liability Each Accident $100,000 Each Employee-Disease $100,000 Policy Limit-Disease $500,000 Policy shall include an endorsement providing a waiver of subrogation to the City of Dubuque. Coverage B limits shall be greater if required by Umbrella Carrier. D) UMBRELLA LIABILITY $1,000,000 Umbrella liability coverage must be at least following form with the underlying policies included herein. E) PROFESSIONAL LIABILITY $1,000,000 F) CYBER LIABILITY $1,000,000 Coverage for First and Third Party liability including but not limited to lost data and restoration, loss of income and cyber breach of information. Yes X No Page 2 of 3 Schedule C Professional Services July 2015.Doc i City of Dubuque Insurance Requirements for Professional Services Preservation of Governmental Immunities Endorsement 1. Nonwaiver of Governmental Immunity. The insurance carrier expressly agrees and states that the purchase of this policy and the including of the City of Dubuque, Iowa as an Additional Insured does not waive any of the defenses of governmental immunity available to the City of Dubuque, Iowa under Code of Iowa Section 670.4 as it is now exists and as it may be amended from time to time. 2. Claims Coverage. The insurance carrier further agrees that this policy of insurance shall cover only those claims not subject to the defense of governmental immunity under the Code of Iowa Section 670.4 as it now exists and as it may be amended from time to time. Those claims not subject to Code of Iowa Section 670.4 shall be covered by the terms and conditions of this insurance policy. 3. Assertion of Government Immunity. The City of Dubuque, Iowa shall be responsible for asserting any defense of governmental immunity, and may do so at any time and shall do so upon the timely written request of the insurance carrier. 4. Non-Denial of Coverage. The insurance carrier shall not deny coverage under this policy and the insurance carrier shall not deny any of the rights and benefits accruing to the City of Dubuque, Iowa under this policy for reasons of governmental immunity unless and until a court of competent jurisdiction has ruled in favor of the defense(s)of governmental immunity asserted by the City of Dubuque, Iowa. No Other Change in Policy. The above preservation of governmental immunities shall not otherwise change or alter the coverage available under the policy. SPECIMEN Page 3 of 3 Schedule C Professional Services July 2015.Doc A Av�J, N CODE OF ETHICS AND INTERPRETATIVE STATEMENTS Preamble The American Association of Occupational Health Nurses, Inc. (AAOHN) Code of Ethics has been developed in response to the nursing profession's acceptance of its goals and values and the trust conferred upon it by society to guide the conduct and practices of the profession. As professionals, occupational and environmental health nurses (OHNs) accept the responsibility and inherent obligation to uphold these values. The Code of Ethics is based on the belief that the goal of occupational and environmental health nurses is to promote the worker, worker population and community health and safety. This specialized practice focuses on promotion and restoration of health, prevention of illness and injury and protection from occupational and environmental hazards. The occupational and environmental nurse has a unique role in protecting the integrity of the workplace and the work environment. The client can be workers, workers' families/significant others, worker populations, community groups and employers. The purpose of the AAOHN Code of Ethics is to serve as a guide for registered professional nurses to maintain and pursue professionally recognized ethical behavior in providing occupational and environmental health and safety services. Ethics is synonymous with moral reasoning. Ethics is not law, but a guide for moral action. Professional nurses, when making judgments related to the health and welfare of the client, utilize these significant universal moral principles. • These principles are: • Right of self-determination • Confidentiality • Truth telling • Doing or producing good • Avoiding harm • Fair and nondiscriminatory treatment Occupational and environmental health nurses recognize that dilemmas may develop that do not have guidelines, data or statutes to assist with problem resolution; thus, occupational and environmental health nurses use problem-solving, collaboration and appropriate resources to resolve dilemmas. The Code is not intended to establish nor replace standards of care or minimal levels of practice. In summary, the Code of Ethics and Interpretative Statements provide a guiding ethical framework for decision-making and evaluation of nursing actions as occupational and environmental health nurses fulfill their professional responsibilities to society and the profession. 9 1. Occupational and environmental health nurses provide health, wellness, safety and other related services to clients with regard for human dignity and rights, unrestricted by considerations of social or economic status, personal attributes or the nature of the health status. • Adhere to the obligation to treat clients fairly, respecting their dignity and worth, while recognizing the existence of a vast spectrum of beliefs and values in society. • Demonstrate respect for these beliefs and values inherent in their clients and themselves by providing services for and with that client accordingly. • Respect human dignity by recognizing clients' rights, particularly, the right of self- determination. • Be knowledgeable about clients' rights (as client advocates). • Avoid abandonment, even in cases when the client refuses care or the nurse's personal convictions prohibit participation. • Recognize that there are situations in which the rights of individual self-determination may be outweighed or limited by the rights of others. One must weigh the risk of harm or endangerment to self and/or others, particularly in relation to public health. 2. Occupational and environmental health nurses, as licensed health care professionals, accept obligations to society as professional and responsible members of the community. • Adhere to all laws and statutes (local, state, federal, and international), including those governing occupational and environmental health practice. • Observe professional codes and uphold practice standards. • Respect clients' and society's right to know and to receive factual information about potential and actual job and environmental hazards. • Be knowledgeable of issues and dilemmas affecting the health, safety and welfare of society and take appropriate action. • Participate, as appropriate, in decision-making processes that pertain to occupational and environmental health and safety. • Recognize situations in which the interests of management and workers may conflict. • Demonstrate fairness in conflict resolution. • Refer and/or delegate to appropriate services. • Strive to protect clients and the profession from incompetent professionals and individuals who misrepresent themselves and the profession. • Report to licensing, accrediting and certifying authorities, as may be appropriate, any person or persons who exhibit incompetence or engage in unethical or illegal activities. • Contribute to the growth of the profession's body of knowledge through development, implementation and evaluation of programs. • Have moral obligations to self, clients, the profession and society to conduct sound ethical research. • Seek approval of appropriate bodies, such as institutional review boards, in conducting research activities. • Communicate and disseminate research findings as appropriate. 3. Occupational and environmental health nurses strive to safeguard clients' rights to privacy by protecting confidential information and releasing information only as required or permitted by law. • Maintain the confidentiality of health information. • Adhere to the organizational, local, state, federal and international laws, regulations, guidelines, and policies governing access to confidential information. in • Have written policies and procedures to guide the access, release, transmittal, and storage of health information, including electronic records. • Respect and protect the autonomy, rights and privacy of clients' data and personally identifiable information. • Respect and protect the autonomy, rights and privacy of research subjects through mechanisms such as voluntary informed consent. 4. Occupational and environmental health nurses promote collaboration with other professionals, community agencies, and stakeholders in order to meet the health, wellness, safety and other related needs of the client. • Function both interdependently and independently in promoting the welfare of clients. • Contribute, through an interdisciplinary approach, to interdependent nursing practice by working with members of the health and safety professions, human resources, benefits and other related entities in the provision of services. • Commit to collaborative planning with members of the health and safety team and other representatives internal and external to the organization in providing services to clients. • Collaborate by seeking assistance, expertise and resources from other recognized health and safety professionals in the provision of services. • Function within the scope of nursing practice and delegate responsibility appropriately. • Adhere to the obligation to promote adequate distribution of health and safety services and nursing resources to meet clients' needs. • Weigh professional responsibilities and obligations with values/perspective of multiple parties (e.g, employer, management, supervisor, etc.) in protecting the health and safety of workers, worker populations and community groups. 5. Occupational and environmental health nurses maintain individual competence in nursing practice, based on scientific knowledge, and recognize and accept responsibility for individual judgments and actions, while complying with appropriate laws and regulations. • Strive for excellence and maintain a level of knowledge, judgment, technical skills and professional values necessary for delivering health services. • Utilize professional and educational activities to improve professional practice. • Engage in professional, educational and quality improvement activities, and acknowledge the importance of continued and advanced educational activities beyond the basic level of nursing education. • Maintain competence in practice as a personal and professional responsibility. • Be accountable for actions and for compliance with nurse practice acts, standards of practice and other laws/regulations governing occupational and environmental health practice. • Participate in the development of policies to promote competent, ethical, and legal nursing practice. • Utilize research findings within practice. AAOHN acknowledges the contributions of the following owners/members it? revising the AAOfIN Code of Ethics. The AAOHN Code of Ethics Task Force: Phyllis Berrytnan, Chainnan; Kay Campbell, Michelle Kon• Gochnour, Kine Gordon, Margie Matsui, Barb Maxwell, Kim Olszewski, Diana Scott, Bill Thomack, Dee Tyler and Janice White Revised and approved January 2009 1I POSITION STATEMENT Case Management: The Occupational and Environmental Health Nurse Role Occupational and environmental health nurse case RATIONALE managers are the ideal professionals to coordinate workers' health care services from the onset of Effective occupational and environmental health and illness or injury to safe return-to-work or an optimal safety programs address overall health care, alternative. disability and workers' compensation costs. These programs: INTRODUCTION 6 focus on primary, secondary, and tertiary prevention and health promotion strategies to Since the late 1800's, occupational and minimize accidents and illnesses environmental health nurses (OHNs) have delivered primary care, managed occupational and non- • provide quality health care by knowledgeable occupational illnesses and injuries, and and experienced occupational and implemented and evaluated a myriad of programs to environmental health professionals benefit workers. To assist workers in achieving optimal health outcomes, occupational and 0 incorporate case management strategies environmental health nursing professionals use their expertise in health care delivery, knowledge diverse 0 facilitate effective communication between service options, experience in implementing return- management and injured or ill workers to-work policies, and detailed, site-specific understanding of how workers interface with the 0 teach workers to be more knowledgeable, work environment. responsible, and confident consumers of health Based on the complexities of health care and care services. business environments, case management services must be delivered by qualified health care Skyrocketing increases in basic health care professionals with sufficient knowledge and premiums and workers' compensation costs have expertise to perform this function competently forced employers to focus on cost containment (CMSA). strategies. Many corporations now offer their workers health benefit plans that include integrated Case management is a process of coordinating options. With an increasing focus on health care comprehensive health care services, following cost containment, the case management function is illness or injury, to achieve optimum quality care valuable to the employer and insurers (Mullahy & delivered in a cost effective manner. The process Jensen). However, case management is complex integrates assessment, planning, implementation, and requires well-prepared health care professionals and evaluation components. Occupational and who possess necessary knowledge and skills (e.g. environmental health nurses as case managers occupational and environmental health and safety, provide all or a portion of these services in addition return-to-work policies, health care delivery systems, to coordination of all care delivered (American payor systems,laws and regulations). Association of Occupational Health Nurses (AAOHNj, Case Management Society of America [CMSA],and Mullahy&Jensen). AMERICAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES,INC. 7794 Grow Drive, Pensacola, FL 32514 1 (800)241-8014 1 FAX(850)484-8762 1 www.aaohri.org CONCLUSION REFERENCES Today's proactive practitioners are cognizant of: American Association of Occupational Health • the workers' needs and desired outcomes, Nurses.(n.d.). Occupational and Environmental Nurses Today:Case Management. Retrieved • the employer's priorities and focus on cost from ht( :lhmnvj.aaofui.orssion- containment strategies f-o:.•cu1)3tion-erriironmental_health- nurs_inct.htm,I • the many service options available. Case Management Society of America.(2010). Effective case management is one strategy for Standards of Practice for Case Management. employers to not only quantify their health care Retrieved from costs but also savings through coordination of lit* ll),V",Jw.ansa.orcllridividu�-iliN1<.niberToolkitI services. Standards fPractice?tabid%69rDefault.as x The OHN professional, acting as a coordinator of Mullahy,C.M.&Jensen, D.K.(2010). Case health services, rehabilitation, return-to-work and Manager's Handbook(4th ed.). Sudbury,MA: case management, is the key to workers' health Jones&Bartlett. care quality and cost containment strategies. Revised 04/1995:05/1996, 12/12(AAOHN Practice Committee) Reviewed 06/2003:08/2004, 09/2012(AAOHN Practice Committee) AMERICAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES,INC. 7794 Grow Drive, Pensacola, FL 32514 1 (800)241-8014 1 FAX(850)484-8762 1 www.aaohn.org POSITION STATEMENT Delivery of Occupational and Environmental Health Services INTRODUCTION comprehensive occupational and environmental health program promotes better worker health, Occupational and environmental health nursing is decreases health-related costs, improves employee the specialty practice that focuses on promotion and morale, increases productivity, decreases restoration of health, prevention of illness and injury, absenteeism, and facilitates continuity of care. and protection from work-related and environmental Occupational and environmental health nurses work hazards. Tremendous changes have occurred in within the guidance of the AAOHN Scope of Practice recent years within the occupational and to. environmental health care delivery system such as: • collaborate with workers, employers, members • A focus on health care costs that result in of the occupational and environmental health increased economic constraints, competition for and safety team,and other professionals to services, and outsourcing or displacement of qualified health care providers o identify health and safety needs • A proliferation of health care providers from a o prioritize interventions variety of professional specialties offering services 4 develop and implement interventions and programs • A continued interest in alternatives to traditional provider models o evaluate care and service delivery. • Renewed interest in wellness initiatives and The OHN is the key to the coordination of a holistic, worker productivity programs multidisciplinary approach to delivery of safe, quality, and comprehensive occupational and • Emphasis on implementing evidenced-based environmental health programs and services that programs. include: The American Association of Occupational Health • clinical and primary care, including assessment, Nurses believes that the training, education and diagnosis, management, and documentation of experience-base of licensed occupational and occupational and non-occupational illnesses environmental health nurses (OHNs) prepares these and injuries health care professionals to be in the best position to deliver comprehensive occupational and case management for occupational and non- environmental health services in the workplace. occupational illnesses and injuries RATIONALE • health hazard assessment and surveillance of worker populations, workplaces, and The employment of well-qualified licensed community groups professional OHNs to develop and implement a AMERICAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES,INC. 7794 Grow Drive,Pensacola, FL 32514 1 (800)241-8014 1 FAX(850)484-8762 1 www.aaohri.org • investigation, monitoring, and analysis of illness • conduct a feasibility study to prioritize the and injury episodes and trends, as well as worker health services needs and determine methods to promote and protect worker health the extent to which full-time and/or part-time and safety occupational and environmental health nurses would be cost effective • compliance with laws, regulations, and standards governing health and safety for 0 promote certification in occupational and workers and the environment environmental health nursing among the nurses employed at the facility • compliance with laws, regulations, and standards related to confidentiality and medical 0 establish partner relationships with adjunct records management professions as part of an occupational and environmental health services delivery plan • management and administration of coordinated by the OHN occupational and environmental health services • hire contract providers who employ OHNs for • health promotion and disease prevention all or part of the delivery of occupational and strategies using primary prevention principles; environmental health services when it is not early detection, prompt treatment, and feasible to directly employ nurses on staff prevention of disease progression using secondary prevention principles, and restoring • employ occupational and environmental health worker health as much as possible using nursing entrepreneurs and consultants to tertiary prevention principles address the overall health needs of the employee population. • counseling, health coaching, and training programs using adult learning approaches REFERENCES • research related to occupational and Strasser, P.B.(2012).Occupational and environmental health. Environmental Health Nursing: The Foundations of Quality Practice. Workplace A coordinated and cost-effective plan that Health and Safety, 4(60), 151-157. maximizes the use of services for workers can be best administered by a qualified OHN who has Virginia Department of Health. (2012). Transitioning knowledge of the needs and various services to the new national EMS scope of practice and available and works within the scope of practice education standards. Retrieved from within his/her licensure state. ht :iirr,v;;.vc!t.slat;:.+a.as10E�ASITr_�r,ai rTrsn sition htn} CONCLUSION/RECOMMENDATIONS The American Association of Occupational Health Nurses believes that well trained OHNs are Revised 4/95, 1/96;5/98; 10/12(AAOHN Practice essential for cost effective management of the Committee) workplace occupational and environmental health program, and recommends that employers hire the Reviewed 6/02,6/03;8/04, 9/12(AAOHN Practice nurse on a full-time basis whenever possible. Committee) The American Association of Occupational Health Nurses (AAOHN) acknowledges that in some situations it is not feasible or appropriate to hire full- time OHNs to provide these services. In those instances,AAOHN recommends that employers: AMERICAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES,INC. 7794 Grow Drive, Pensacola, FL 32514 1 (800)241-8014 1 FAX(850)484-8762 1 www.aaohn.org Standards of Occupational and Environmental Health Nursing Standard I. Assessment The occupational and environmental health nurse systematically assesses the health status of the client(s). Standard II. Diagnosis The occupational and environmental health nurse analyzes assessment data to formulate diagnoses. Standard III. Outcome Idantification The occupational and environmental health nurse identifies outcomes specific to the client(s). Standard IV. Planning The occupational and environmental health nurse develops a goal-directed plan that is comprehensive and formulates interventions to attain expected outcomes. Standard V. Implementation The occupational and environmental health nurse implements interventions to attain desired outcomes identified in the plan. Standard VI. Evaluation The occupational and environmental health nurse systematically and continuously evaluates responses to interventions and progress toward the achievement of desired outcomes. Standard VII. Resource Management The occupational and environmental health nurse secures and manages the resources that support occupational health and safety programs and services. Standard VIII. Professional Development The occupational and environmental health nurse assumes accountability for professional development to enhance professional growth and maintain competency. Standard IX. Collaboration The occupational and environmental health nurse collaborates with clients for the promotion, prevention and restoration of health within the context of a safe and healthy environment. Standard X. Research The occupational,and environmental health nurse uses research findings in practice and contributes to the scientific base in occupational and environmental health nursing to improve practice and advance the profession. Standard XI. Ethics The occupational and environmental health nurse uses an ethical frarnework as a guide for decision making in practice_ I-)