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The Definite Guide to Tn First Report Of Injury

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Check How to Enter the Tn First Report Of Injury

you.you know within the state government we.cannot resist but to create acronyms.right everything has to have an acronym.because we don't like saying long.syllables and so one of the things we're.going to talk about is the Froy so it's.the first report of injury I will try.and stay with the first report but if.every now and then you hear me slip and.say the Froy that's exactly what I'm.talking about okay so the idea behind.this wasn't that I didn't think that you.guys couldn't fill out a first report.but there's a lot of interesting.information on that first report and.from the standpoint of a safety guy you.guys are all attending today and this is.a safety workshop and you guys are all.gone okay so Kirk this is a safety.workshop and we're going to talk to us.about filling out an accident form.that's for insurance purposes so how.does that relate to the safety part of.things and so what I will tell you is.that in occupational safety there are.several disciplines okay you have that.you have the safety people that are very.good about doing training you have.safety people that do fairly well going.out doing inspections they can identify.hazards for you and things like that you.have the fire department that has the.life safety codes you have the national.electrical codes that are also part of.nfpa and things like that you also have.industrial hygienists and those are the.folks that go out and take care of the.health issues you know they're there.looking at those particular things that.specifically affect people's health it.can be economic sit can be substances.chemicals those kind of things within.the workplace but one of the disciplines.that are generally more attached to.insurance is the fact that we do risk.management and part of risk management.is is that okay you don't want to have.the accident certainly didn't want to.see anybody get hurt but that's happened.so how do we improve things from that.point forward and one of the things that.we can do to kind of further that.discussion is actually kind of involved.with the fro with the first report how.does that first report kind of give us.some additional information and so.that's what we're going to kind of talk.about is how that it kind of interacts.with safety as well so we're going to.kind of talk about how this first.or connects with us on several different.levels so we're where it applies with.the insurance and how it applies to it.actually crosses over and deals with.some of the stuff with OSHA and it also.gives us some kind of ideas of things to.look at okay so to start off with the.first report is actually the starting.point it's more than just the starting.point in the fact that it is the.foundation for everything that we do.from the workers comp site so we have.claims examiner's and things like that.we have a lot of folks there at state.fund now that work these particular.claims and when I say work the claims.that means that we have more than just.the claims examiner paying the bills we.actually have the claims examiner that's.involved with the medical provider we.have occupational nurses that are.assigned to those particular teams that.also help with those particular claims.we have occupational doctors on staff.that help with more difficult cases we.we have a lot of different things that.we do where we have even team leaders.and things like that that are paying.attention to this whole process and.claims managers that's kind of something.new for those folks that haven't.realized that state fund has kind of.gone through a little bit of a change.recently matter of fact I'm no longer.sitting where I once was now I've down.on the first floor then the second floor.so we've actually been kind of moving.teams around a little bit and pretty.much all this should be kind of seamless.for you guys but anyway this is kind of.what's going on within state fun and.this is where this first report comes.into play without that information we.can't really file that process okay we.can't carry through with that process so.by filling out that refers report given.us as much information as you can.possibly give us that expedites that.claims process so what that means for.you is that it saves time and money.because when somebody's injured the one.thing that we do know is that when we.provide more air upfront the necessary.care upfront people heal faster those.people that you try and hold back that.care from and make them prove to you.that they need the services and things.like that those are the folks that have.a tendency to heal slower that the.problems become more.acute becomes more problems you end up.putting more money towards that at the.end of the claim rather than at the.beginning of the claim so one of the.things that we want to do is make sure.that we get those people that need care.care right up front and the one way to.do that is to give us as much.information as we can and that's where.the first report comes into play okay we.want to make sure the injured employee.gets the best treatment possible form.without it we can't process that claim.like I mentioned before we have to have.that information but here's another.little tidbit in this process without it.we can't even go out and get medical.information from the from the medical.providers because we have to show that.we have an actual claim and the only way.that we can do that is to have that.first report and it has to be filed it.actually has to be signed it can't just.be the information but the injured.worker actually has to file that claim.for us to be able to go out there and.get those medical records to pay the.bills and to understand what kind of.treatment they're giving us or they're.given the injured employee okay first.report can actually highlight some red.flags right so you have an employee.let's say that on Friday they're talking.about going skiing for the weekend they.come in on Monday and an hour into the.work day all of a sudden they're injured.okay would that be a red flag for you.guys would that be a maybe a concern.maybe they thought now that doesn't mean.that it's not a valid claim but what.that means is that there's something.that occurred that that we want an.answer for or that we want an answer for.that we want to clear up to make sure.that this is a valid claim now one of.the things I'll tell you is that i don't.think that fraud is that rampant but.there are people out there that are.trying to fraud the system and so one of.the things that we have to do then is.that you have to vet each one of those.claims and one of those things is to.actually highlight what those red flags.might be and actually take a look at.those and get those answered okay it.also starts the investigation so if you.go to the first report and you look.it'll actually say accident description.and it gives you a small block to work.with so it's not actually the.investigation.it's just the description of what.happened that you're going to start with.alright so it's just the start of the.accident investigation portion of this.so you want to understand what happened.but you also want to take a look at that.and that's where generally what will.happen is the claims examiner will even.do their only their informal.investigation is they'll talk to people.that were involved with this the injured.worker talking to different folks the.only interview folks over the phone and.just this kind of discuss some of those.kind of things but for you guys you also.want to be able to do that investigation.that first report gives you a starting.point as well to do that okay one of the.advantages to this also is that it cuts.down on paperwork so if you think about.from the osha side of things that you.have to maintain an OSHA 300 300 a which.is the summary and on each one of those.injuries you need to have a 301 if you.already have if you're using the first.report you're filling out the first.report the first report replaces the 301.so that does help you cut down on the.amount of paperwork that you need within.your organization it also helps with you.and sit with the inception of.communication if you think of it this.way who's the one person that's talking.to everybody the claims examiner right.the claims examiner is the one that's.talking to the medical provider that's.talking to the injured worker is also.and talking to the employer so one of.the things that this does is it sets the.basis for that communication provides.that extra additional information for.the claims examiner look over so that.they're knowledgeable where to start.where to start looking at though at that.particular accident also what kind of.medical stuff is being provided for that.injured worker now one of the things.that we encourage however is because.whenever you have an injury one of the.things that seems to do is damage that.relationship between the injured worker.and the employer and so we want people.to be able to communicate especially if.you have an injured worker one of the.best things you can do for yourself is.to actually have discussions with your.injured worker sometimes that gets a.little bit strained in this process who.better than the claims examiner to kind.of help that process move along and.actually helped with that relationship.okay between the the worker.and the employer the other thing is the.employer doesn't get to talk to the.medical provider do they now initially.they can Tran they can send information.over that says hey we have a good return.to work program but after that point the.medical provider can't give any.information out because of the HIPAA.laws so they can't really communicate.with the employer so the employed so the.claims examiner is the one that can take.some of that information that's not.HIPAA and be able to kind of let the.employer know kind of what's going on.but they're not letting out that.personal information either but they are.someone that kind of bridges the gap.over there between the medical provider.and the employer so that they both kind.of have an idea what's going on on both.ends of this okay.you.

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