Using electronic health records and clinical decision support to provide return-to-work guidance for primary care practitioners for musculoskeletal conditions not caused by work.

Details

• Personal Author:
  Haas NS ; Kownacki RP ; McLellan RK ; Pransky GS ; Talmage JB
• Description:
  INTRODUCTION/PROJECT BACKGROUND: The Subject Matter Expert Panel (the Panel), charged with identifying return-to-work (RTW)/stay-at-work (SAW) support for a non-work-related musculoskeletal condition commonly seen by primary care providers (PCPs) is focusing on non-specific acute low back pain (LBP), with or without leg pain, and excluding red flag conditions such as fracture or progressive neurological deficit (see Appendix A for list of red flags). However, it is the intent of the Panel that this clinical decision support (CDS) tool for in electronic medical recordkeeping (EMR) systems could be later expanded to include chronic LBP and other conditions. The focus is also non-work-related LBP per the direction of the National Institute for Occupational Safety and Health (NIOSH) because this avoids the complications introduced with treatment under the workers' compensation system. The intended audience includes PCPs and other clinicians who are asked to provide activity restrictions for a work or activity "prescription." A work or activity prescription usually requires a licensed health care provider's signature, particularly when requested by employers and disability payers. Also, the activity prescription can have an impact on the course of treatment. As such, it is appropriate that the CDS tool is aimed primarily at the PCP, who will likely be responsible for the prescription. However, the CDS tool may be useful to other clinicians.
• Subjects:
  Accidents, Occupational Air Pollutants, Occupational Air Pollution, Indoor Dust Manufacturing And Industrial Facilities Metal Workers Occupational Health Particulate Matter Preceptorship Safety Staff Development Surveys And Questionnaires Workplace

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• Keywords:
  Decision Making Diagnostic Techniques Electronic Health Records Guidelines Health Care Information Systems Low Back Pain Return To Work
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Funding:
  Contract
• Genre:
  Final Contract Report
• Place as Subject:
  California ; Illinois ; Massachusetts ; New Hampshire ; OSHA Region 1 ; OSHA Region 3 ; OSHA Region 5 ; OSHA Region 9 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-54
• NIOSHTIC Number:
  nn:20052168
• Citation:
  Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Contract 212-2014-M-59014 2015 Nov; :1-54
• Federal Fiscal Year:
  2016
• Performing Organization:
  American College of Occupational and Environmental Medicine
• Peer Reviewed:
  False
• Source Full Name:
  National Institute for Occupational Safety and Health
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ead54135341d8d64c12cbf54a169cfdd0868f93ba225dfd305e7b7fbbdf1b1efa5fa48a3444e9b41d8f31c3c8354dd2c46cd80eba18ed5d125f829d4bdbcbb9a
• Download URL:
  https://stacks.cdc.gov/view/cdc/181729/cdc_181729_DS1.pdf
• File Type:
  [PDF - 1.55 MB ]