[MCOH-EH] Work injury/illness causation
Charles Yarborough
cyarborough at cyhealthassociates.com
Fri Nov 25 06:59:36 PST 2022
It may be there is lack of clarity on what type of causation is the issue, i.e. legal or medical (see attached ACOEM Guideline). If it is truly the latter, then violation of state workers' compensation regulations for provision of medical care may be raised since the exposure (medical cause) guides the treating occ med physician in treatment, return to work, work restrictions, PPE, and so on. At least in some states, if not all, interfering with medical care is forbidden, not to mention impinging on medical ethics.
Hope this helps.
________________________________
From: MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of McKenna, Patrick via MCOH-EH <mcoh-eh at mylist.net>
Sent: Wednesday, November 23, 2022 9:24 AM
To: mcoh-eh at mylist.net <mcoh-eh at mylist.net>
Cc: McKenna, Patrick <Patrick.McKenna at nationwidechildrens.org>
Subject: [MCOH-EH] Work injury/illness causation
Has anyone in this group encountered the employer telling the occupational health medical provider (physician, NP/PA, or nurse) that they are not to opine on the causation of an injury or illness, either in counseling the injured/ill worker or in medical documentation of the illness/injury?
Anything anyone is able to share would be very helpful.
Thanks!
Patrick McKenna, DO MPH FACOEM
Employee Health Medical Director
Nationwide Children’s Hospital
700 Children’s Drive Room A1034
Columbus, OH 43205-2664
Office: 614-355-4135
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