Post Offer Physicals

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Post Offer Physicals

• Midtown Occupational Health Services
• Lori Palmer, RN, MBA
• Director of Business Development
• Alison Garcia
• Marketing Coordinator
• Eric Bottjen, MA, PT, SCS
• Physical Therapist

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Post Offer Physical (POP)

• An evaluation that is conducted following an
  offer of employment to determine if the job
  candidate is functionally capable of performing
  the job or has an undisclosed injury that would
  inhibit job performance.

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What We Will Cover

• When they are commonly used
• Cost
• Types of POP
• How the testing is performed
• Employer Reporting
• Benefits

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Prior to Post Offer Physical

• Perform Motor Vehicle/background check
• Check if insurance has a previous claim index
• Perform pre-employment drug screen
• Do not proceed with physical if the drug screen
  is sent out for further testing

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Post Offer Physical- When

• An employer may condition a job offer upon a
  satisfactory result from a post offer medical
  examination or inquiry
• A post offer physical is required of all
  employees in the same job category after a job
  offer

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POP vs. Return to Work Physical

• RTW physical- is completed when an individual is
  returning to previous employment after a
  personal injury
• Example Motor vehicle accident
• Clearance from PCP but still questioning
  capability
• Job Description
• Medical records from PCP

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POP- Questionnaire only

• 50
• Extensive questionnaire asks about ALL past
  medical history including family, work
  personal, in addition to personal habits and
  hobbies
• Reviewed by PA or MD
• Prospective employee doesnt need to be present
  can be performed via fax
• Provider will ask for the patient to be seen if
  he/she feels necessary based upon questionnaire

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Questionnaire pg 1
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Questionnaire pg 2
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Questionnaire pg 3
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Questionnaire pg 4
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POP-Questionnaire Basic Physical

• 75- 1 hour in clinic
• Usually can be seen same day since does not
  require functional and/or ROM testing by a
  Physical Therapist
• Provider will ask for the patient to undergo ROM
  and/or functional testing if he/she feels
  necessary based upon physical results (Additional
  charges apply)

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Physical Examination
Midtown Occupational Health Services Physical
Examination    
 
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POP Questionnaire Basic Physical Job Specific
testing

• 100-200- 1-2 hours in clinic
• (75 25 per manual ROM or functional job
  duplication test)
• Matched to job description
• Preference to schedule 1-2 days out

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POP Range of Motion (ROM)

• General- all major joints demonstrated and only
  measure deficits
• Vs.
• Specific- employer with specific claims
• Deficits must have 3 measurements within 15
  degrees of one another (ADA/DOWC compliance)

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    APPLICANT NAME__________________________
__________   COMPLETED BY___________________
___________________   DATE__________________
______________________________
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POP Functional Job Activity Testing

• General lifting
• vs.
• Job specific testing

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Job Description

• PHYSICAL REQUIREMENTS
• Climbing
• Crawling
• Carrying (up to 50 lbs)
• Working at heights
• Working overhead
• Driving
• Kneeling
• Lifting (up to 50 lbs)

• Lifting Overhead (up to 50 lbs)
• Sitting
• Standing
• Stooping
• Vision acuity (near and far)
• Distinguishes between colors
• Walking
• Eye hand coordination
• Pulling

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PURPOSE OF PHYSICAL / SCREEN 1. Identify
gross abnormalities 2. Identify lifting
behaviors 3. Education
Occupational Medicine Work-related Injuries
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PHYSICAL / SCREEN METHODS 1. Attempt to match
screen to job description 2. Multiple
repetitions vs single repetition
Occupational Medicine Work-related Injuries
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• LIFTING TASKS
• Floor to waist
• 2. Floor to chest
• 3. Waist to overhead
• 4. Floor to waist and carry (lift and carry)

Occupational Medicine Work-related Injuries
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RANGE OF MOTION Purpose to identify gross
abnormalities 1. Spine 2. Shoulders / elbows
/ wrist / hand 3. Hips / knee / ankle foot
complex
Occupational Medicine Work-related Injuries
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EXAMPLE OF JOB SPECIFIC TESTING 1. Lift test
5 reps 2. General ROM screen 3. Climb ladder
and lift specified weight overhead 4.
Lift specified weight overhead with hand
placement 5. Push / pull requirements
Occupational Medicine Work-related Injuries
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FLOOR TO WAIST LIFTING TECNHIQUES
Incorrect Method FW-Bad.wmv Correct
Method FW-Good .wmv
Occupational Medicine Work-related Injuries
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FLOOR TO CHEST LIFTING TECNHIQUES
Incorrect Method FC-Bad.wmv Correct
Method FC-Good.wmv
Occupational Medicine Work-related Injuries
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WAIST TO OVERHEAD LIFTING TECNHIQUES
Incorrect Method OH-Bad.wmv Correct
Method OH-Good.wmv
Occupational Medicine Work-related Injuries
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LADDER AND OVERHEAD LIFTING TECNHIQUES
Incorrect method LADDER-Bad.wmv Correct
Method LADDER-Good.wmv
Occupational Medicine Work-related Injuries
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LIFT AND CARRY WALKING.wmv
Occupational Medicine Work-related Injuries
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PUSHING TECHNIQUES Incorrect / Correct
Occupational Medicine Work-related Injuries
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PULLING TECHNIQUES Incorrect / Correct
Occupational Medicine Work-related Injuries
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POP Employer reporting

• Verification only
• Able to perform the essential functions of the
  job without accommodation
• Able towith the following accommodations
• Not ablewith or without accommodation
• Verification Full Physical
• - Refer to HIPPA regulations for handling of
  information

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Physician Verification
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POP Benefit to Employer

• Limit potential employee liabilities
• Teaches workers how to safely perform their job
  (i.e. Good body mechanics)
• Hiring individuals who are capable of performing
  their job safely
• Establish baseline on individuals
• Pre-existing condition
• Pro-rate/apportionment

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Facts and Figures
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POP Questions?