 unusually poor outcomes. For that group, HWS staff then serve as guides and interlocutors with a purpose, which is to identify the reasons for reduced work ability, develop a plan of action to overcome those obstacles, and assist in carrying it out. The interactions will take a human-centered (biopsychosocioeconomic) approach and include demonstrating empathy, concern, and care; providing empowering information and practical tips; facilitating communications among the worker and any professionals who are involved; and coordinating the SAW/RTW process between the medical office and the workplace.
Physician members of the HWS will agree to adopt the HWS’s set of recommended occupational health best practices that have been shown to improve work ability – and will be paid every time they perform one. As members, physicians also gain access to HWS staff to help them deliver appropriate SAW/RTW outcomes for their patients.
Employer members of the HWS will also gain access to HWS staff for assistance with implementing SAW/RTW plans and will receive financial incentives when they refer eligible workers and agree to provide temporary work adjustments and/or reasonable accommodations that enable SAW/RTW.
The staff within the HWS consist of: (a) Recovery Coordinators who focus on resolving obstacles to SAW/RTW in individual worker’s situations, (b) Community Relations staff who build and nurture collaborative working relationships between the HWS and community physicians, employers, benefits payers, labor groups, and community and government agencies; and (c) Administrative staffers who manage and deliver financial and/or other types of incentives to physicians and employer members and support the general operations. HWS will also contract with consulting physician specialist advisors as well as various professionals offering specific services and solutions that may be required to effect a successful SAW/RTW.
Based on findings from actual programs as well as research studies, we estimate the level of effort required will vary from 30 minutes for processing new referrals to eight hours of HWS professional effort for the predicted 5 percent of complex cases, with a median level of effort per referred case of 1.5 hours (Wickizer et al. 2011, Wynne-Jones et al. 2018). The very few cases requiring different kinds of services or more intensive or longer-term services will be referred out to other existing programs.
In the interval since we made our original proposal, three relevant developments have occurred. First, a new analysis of eight years of follow-up data from Washington’s COHE program confirmed that it substantially reduced withdrawal from the workforce and reduced award of total disability pensions or SSDI benefits by roughly 30 percent (Wickizer et al. 2018). Second, the UK’s checkered experience with the launch of its Fit for Work Service offers important lessons. That program was canceled due to critical failings in details of its implementation and operations, even though the conceptual design had a solid evidence base and strong political support. Funding constraints resulted in some critical deviations in actual operations from the evidence-based model. The main problems included low referral rate, inadequate funding for staff training, and worker perceptions that the service as delivered was unhelpful (U.K. Department for Work & Pensions 2018). Third, the U.S. government decided to invest more than $100 million in a five-year demonstration project in eight states called RETAIN – a project that appears to have significant similarities to our HWS proposal (U.S. DOL 2018). However, RETAIN allows states to propose their own programs and has an extremely accelerated (and in our view unrealistic) timeline for design, development, rollout, and evaluation. See the Technical Appendix for key details about these developments, especially quantitative data from an eight-year follow-up of the Washington COHE program showing the beneficial impact on long-term outcomes.
Read the Technical Appendix.Int'l Criminal Court chief prosecutor warns PH over drug killings
Updated 16:12 PM PHT Fri, October 14, 2016
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Metro Manila (CNN Philippines) — The International Criminal Court's chief prosecutor expressed "deep concern" over the alleged extrajudicial killings in the Philippines' drug war.
"My Office is aware of worrying reported extrajudicial killings of alleged drug dealers and users in the Philippines, which may have led to over 3,000 deaths in the past three months," ICC's chief prosecutor Fatou Bensouda said in a statement Friday.
Bensouda said her office "will be closely following developments in the Philippines in the weeks to come and record any instance of incitement or resort to violence."
She said this is to assess whether a "preliminary examination" needs to be opened.
Watch: Duterte: Poor drug suspects easier targets
Bensouda also raised the alarm over earlier pronouncements of government leaders which she said seemed to condone killings and encourage State forces and civilians to target individuals "with lethal force."
"Let me be clear:.
Also read: Filipinos satisfied with Duterte's drug war, but want suspects alive - SWS
A total of 124 countries are state parties to the ICC — including the Philippines.
The ICC investigates and tries individuals involved in genocide, war crimes and crimes against humanity. It can step in if the concerned state fails to prosecute an international crime.
The ICC has indicted leaders, including Sudan president Omar Hassan Ahmad Al Bashir and Kenya president Uhuru Muigai Kenyatta, for genocide and crimes against humanity.
All eyes on drug war
All eyes are on President Rodrigo Duterte's bloody war on drugs.
Official Philippine National Police data show at least 1,578 suspects were killed in anti-drug police operations from July 1 to October 14.
The killings have drawn global attention and condemnation from the world's most powerful leaders, such as United Nations Secretary General Ban Ki-Moon and U.S. President Barack Obama.
Also read: UN rights body to PH: 'Promptly, thoroughly' probe drug killings
Duterte willing to face probe
Asked about the ICC's warning, Presidential Communications Secretary Martin Andanar on Friday said the drug-related killings and vigilante killings are "not State-sanctioned."
He echoed Justice Committee Chair Sen. Dick Gordon's conclusion after a series of hearings on the alleged extrajudicial killings: “There is no proof that the killings were state-sponsored.”
The Duterte administration has repeatedly denied condoning extrajudicial killings, which was investigated by the Senate.
"In any case, the President has articulated that he is willing to submit himself for an investigation before any body," Andanar said.
Related: Senate probe: Witnesses link policemen to murder, illegal drugs
Chief prosecutor ng International Criminal Court, nababahala sa mga patayan sa Pilipinas. pic.twitter.com/pz4T99mvB6— CNN Philippines (@cnnphilippines) October 14, 2016Get high quality ids at reasonable pricing. Get easy entries to clubs and bars with our fake IDS. IDs from a very long time have been considered as one of the best sources to identify any individual and it’s still now very popular.
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