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Showing posts with label CAAA. Show all posts
Showing posts with label CAAA. Show all posts

Friday, August 22, 2014

Groundbreaking Measure Gives Female First Responders Equal Protection

 The California Applicants’ Attorneys Association (CAAA), whose members represent Californians hurt at work, and the California Nurses Association’s (C.N.A.) measure to eliminate gender bias against female first responders in California workers’ compensation insurance passed the Assembly today by a vote of 46 - 23. AB 2616 goes now to the governor for action. AB 2616 (Skinner) is the first measure passed by the Legislature to extend any of the fifteen existing presumptions that male first responders enjoy to first responder occupations dominated by women. “California recognizes that some jobs are so inherently dangerous that those workers should not have to prove that certain injuries were job related,” said CAAA Women’s Caucus Co-Chair Christel Schoenfelder. “First responders like firefighters and police officers who are required to protect the public are presumed to be injured on the job when they get cancer or an infectious disease. There is one group of first responders who do not receive this protection from dangerous conditions. These are hospital employees, 80% of whom are female. Like police officers and firefighters, they are routinely exposed to conditions that can lead to major health problems.” AB 2616 intends to correct this gender imbalance by extending a presumption covering MRSA skin infections to hospital employees who provide direct patient care. MRSA infections are a major health problem in hospitals around the world.
“Nurses and other hospital employees are required to assume great risk, but unlike public safety officers we are not given the same legal protections when we get sick on the job,” said Redding Registered Nurse Kathryn Donahue in a statement urging the governor to sign AB 2616. “MRSA is a virulent antibiotic-resistant staph infection. It’s a job hazard for nurses providing direct patient care in acute care hospitals. MRSA can kill you. Just like police officers and firefighters, nurses put our lives on the line everyday. We don’t know if the patient we are treating has HIV, or MRSA, that we could be exposed to. We just do our job.”

“Assembly member Skinner deserves credit for doggedly pursuing this bill year after year and finally succeeding in her final year,” said Schoenfelder. “Thanks must also go to C.N.A. for making this a priority.”
One out of every six deaths in the US can be attributed to an infection acquired in a hospital. A first responder has an obligation to perform their duties in an emergency. Female workers are often forced to testify to personal details of their lives in an effort by insurance companies to deny claims. As female workers experience this, it has a chilling effect on the willingness of other female workers to come forth with their claims.
“If nurses or other hospital workers who provide direct patient care get MRSA, we have to prove that it didn’t come from any place but our work,” said Donahue. “That’s an almost impossible burden to meet. It exposes nurses to invasive questioning about our personal lives – even our sexual lives – by insurers’ defense attorneys trying to defeat our claims for medical care and disability compensation.”
Schoenfelder said, “The lack of equal protection for health care workers is, in part, due to gender inequity. Public safety first responders are a predominantly male workforce, but hospital employees providing patient care are a predominantly female workforce. The Labor Code currently provides 15 categories of presumptions for various first responders, and all of them are for male dominated workforces. There is not one presumption for first responders like nurses, which is primarily a female workforce. AB 2616 intends to address this gender imbalance by extending equal protection to female-dominated hospital first responder jobs.”
For more information on AB 2616 Support including a video from a Registered Nurse and an applicant’s attorney perspectives can be viewed here.

Saturday, August 2, 2014

Beyond Crisis: Focusing On A Culture Of Workplace Safety Can Deliver Bottom Line Results

Today's post was shared by CAAA and comes from www.safetyonline.com

While the number of workplace accident rates is on the decline in the U.S., a number of high-profile and serious accidents in recent years has led to new safety processes. To create a healthier and safer workplace, UL, a global safety science leader, believes that organizations must establish a culture in which employees actively identify indicators of unsafe conditions, both through formal and informal processes before a crisis hits. In doing so, organizations can learn from safety-related failures, or events that point to the potential for major negative outcomes, and implement necessary changes.
"The evolution of safety in the U.S. has a long and storied past with memorable tragic and catastrophic events. Each one provides a unique perspective for how we can prevent future events, if we take the time to learn from them," said Todd Hohn, UL's global workplace health and safety director. "However, we also believe learning happens through ongoing, day-to-day employee engagement in safety, not just when a crisis occurs."
UL recently hosted a workplace health and safety roundtable in which a number of participants representing a cross-section of senior business executives, insurance and risk management professionals, occupational medicine physicians, university faculty members, research and other subject matter experts came together to discuss pressing issues in creating a workplace health and safety culture today. Some of the...
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Wednesday, July 30, 2014

N. Michael Rucka: October 3, 1939 - July 28, 2014

N. Michael Rucka
The world has lost a brilliant leader, a devoted advocate, and a compassionate person, N. Michael Rucka.

Mike’s unswerving devotion and commitment throughout his entire lifetime advanced the cause of justice for injured workers and their families. His presence was that of a giant upon whose shoulders he lifted and inspired us to make the world a better place.
.........

N. Michael Rucka, known nationally as a pioneer and expert in the field of workers' compensation and personal injury law, died on 28 July at his home in Salinas, California. He was 74 and had been battling cancer for two years.
The founding member of the Rucka, O'Boyle, Lombardo & McKenna law firm in Salinas, California, his contributions to the advocacy and representation of injured workers redefined the field and established him as one of its foremost and most sought-after experts. A former president of the California Applicants' Attorneys Association, he was a founding member of the Workers' Injury Law & Advocacy Group (WILG) and served as its Chair from 1996-2000. The recipient of numerous professional awards, he argued cases at the local, state, and Federal level.
Noted for his compassion and knowledge throughout the community of the Monterey Peninsula, Mr. Rucka was as zealous in pursuit of a full life as he was in pursuing justice for his many clients. A world-traveler who described himself as an eternal and eager student, he was an inspiring educator. His passion for fine wine led him to grow his own grapes and, with three of his dearest friends, turned him to wine-making as a hobby. He enjoyed nothing more than good company with whom to share the fruit of his labors. A voracious reader despite a lifelong struggle with dyslexia, he inspired a love of learning in all around him. A long-time member and past-president of Congregation Beth Israel in Carmel, he remained active in his congregation through his retirement. He loved art in all its myriad forms, but was especially fond of jazz, and attended the Monterey Bay Jazz Festival for many years in the company of his dearest friends.
Born 3 October, 1940 in Brooklyn, New York, he moved to Los Angeles when young before his parents, Nettie and Arthur Rucka, finally settled in San Francisco, where Mr. Rucka graduated Lowell High School. He went on to graduate from the University of California at Berkeley, and then earned his law degree from the University of San Francisco. In 1972 he moved his family to Salinas, where he opened ROLM Law.
His commitment and compassion were as evident in his home as outside of it. He was devoted to his wife of 53 years, Corrina, and together they raised three children and opened their home to serve as AFS-USA (formerly the American Field Service) host parents to another two, Nilson and Claudia.
Mr. Rucka is survived by his wife, Corrina; his sister, Joan; his children Brandy, Greg, and Nicholas; and his grandchildren Sashya, Dashiell, and Elliot.
A memorial service to celebrate his life will be held at a future date.
Click here to view CAAA tribute page.

Friday, July 18, 2014

TOP 10 EVENTS IN CALIFORNIA WORKERS’ COMP 1ST HALF 2014

Today's post was shared by Julius Young and comes from www.workerscompzone.com

2014 is half done. What were the most significant events/themes in California workers’ comp in the first half of 2014?
Here, in no particular order, are my top picks:

1. CONTROVERSY OVER UTILIZATION REVIEW AND INDEPENDENT MEDICAL REVIEW CONTINUES

Utilization review and independent medical review continued to generate controversy during the first half of 2014. California injured workers, doctors, and applicant attorneys complained that it was increasingly hard to get consistent treatment for work injuries, as many adjusters used utilization review to deny treatments. Prominent attorney advocates called for reform of utilization review statutes and regulations.

However, there were disputes about the raw numbers. A January 2014 study by CWCI (the California Workers’ Comp Institute) (http://cwci.org/research.html) claimed that only about 4.7% of treatment requests are ultimately denied or modified.

According to the CWCI around 75% of treatment requests were approved without being sent to UR (“elevated review”). These numbers were in line with a 2011 study done by RAND. In response, a January 2014 analysis )of 2013 sample UR audit data prepared by CAAA consultant Mark Gerlach documented that some insurers were denying as much as two of every three treatment requests. Reviewing audit data, Gerlach noted that there was a wide range in approval rates of different claims administrators.

Overall,...


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Tuesday, May 6, 2014

New Study: CA Disability Compensation Among Lowest in US Only Alabama & Rhode Island pay Lower Weekly Compensation

The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today responded to a new national study showing that Californians injured at work are compensated at one of the lowest weekly rates in the nation. The report by the Workers Compensation Research Institute and the International Association of Industrial Accident Boards and Commissions found that California’s $290 per week maximum for workers with “permanent partial” disabilities is lower than those of all but two other states, Alabama and Rhode Island.

“Partial permanent disability compensation is the only payment injured workers receive for the loss of arms, legs, or their ability to do simple activities in daily life. The new study shows the inadequacy of compensation for lost earnings due to work injuries. It is time to restore balance to the California workers’ compensation insurance system. Insurance companies are reaping the benefits while working Californians are compensated at the bottom of the nation,” said CAAA President Jim Butler. “Changes over the past decade have been extremely profitable for insurance companies, but not for those injured on the job.”

Thursday, October 24, 2013

California: Medical Delay and Denial Protested

Sedgwick vs. The People
Round 4: Sedgwick v. Debbye Mazzucca

Operating Room Nurse’s Injury no Emergency to Kaiser, Insurer: Defy Judge’s Order, Refuse to Provide Urgent Medical Care Injured Workers’ Advocates to Seek Penalties, Investigation

Injured Kaiser OR nurse Debbye Mazzucca tells how Sedgwick defied a judge's order to provide careThe California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today held a news conference outside Kaiser Foundation Hospital with Debbye Mazzucca, a former operating room nurse who was injured while working there. They called for sanctions against Sedgwick Claims Services, Kaiser’s workers’ compensation insurer, for defying a judge’s order to provide Ms. Mazzucca urgently needed medical care, causing her to lose her teeth. On February 11, 2013, the Workers’ Compensation Appeals Board (WCAB) ordered that Sedgwick “shall” provide dental treatment to Ms. Mazzucca. After eight months, Sedgwick and Kaiser have still refused to do so. Sedgwick faces a relatively small monetary penalty for ignoring the court order, which means little to a huge corporation.

Operating Room Nurse Debbye Mazzucca, of La Mesa, has thirty-five years’ experience, and worked for Kaiser for 12 years. She was injured in 1998, when she tripped and fell over a parking lot barrier while at work. Kaiser treated her injured knee, but ignored multiple doctors’ reports that she had also injured her neck and back. In spite of four doctors reports confirming that fact, Kaiser denied that those injuries were from the fall. Now, due to complications from medications, and delays in approving medical care, Ms. Mazzucca has lost her teeth.

CAAA President Jim Butler said, “Insurers’ Utilization Review (UR) routinely delays and denies doctors’ legitimate requests for appropriate medical treatment. This is unnecessary and expensive, and has got to change. We’ve seen the evidence of out-of-control delay and denial in the 15,000 denials of recommended medical care in just the month of August. It’s time to bring UR to heel, and stop insurance carriers from using it as a routine roadblock.”

“A doctor, agreed to by the company and their insurer, determined this Kaiser operating room nurse’s injury was a result of her work accidents. The insurer still refused to provide urgent medical care. A judge ordered the insurer to provide urgently needed medical care. But Sedgwick continues to refuse medical care and Debbye lost all her teeth during the months of delay,” said Alicia Hawthorne, the president of CAAA’s San Diego chapter, and Ms. Mazzucca’s attorney. “This nurse has been in pain, and in need of medical treatment. Yet, the insurance company defied a judge’s order to provide care. Kaiser and its insurer have spent years fighting their responsibility to treat these injuries. Why does the State of California allow workers’ compensation insurance companies to further damage patients through delaying and denying medical care and disability compensation?”

 “Kaiser has failed to provide the care needed to heal my injuries,” Mazzucca told a news conference outside Kaiser Foundation Hospital in San Diego. “For years, all they would approve were painkilling drugs. These drugs’ side effects have caused more medical problems, including ‘dry mouth syndrome,’ which is insidious and dangerous. The drugs prevent your saliva glands from working properly, causing your teeth and gums to deteriorate.  Mine became infected, abscessed and threatened my health and my life. In 2010, my teeth started cracking and breaking off at the roots. I lost seven of my teeth this way.”

Sedgwick denied the dental treatment I needed, so Ms. Mazzucca took them to court.  In February 2013, the judge ordered Sedgwick to provide this urgent medical treatment. To this day, they have refused to do so. “It has been more than a year and a half since the medical expert the insurer agreed upon said I urgently needed dental care. The pain and infection became so unbearable in July that my doctor sent me to the emergency room, and 25 of my teeth were removed. I then spent the entire month of July in the hospital, in agony, and on painkillers. Kaiser and their insurance company are defying a judge’s order to provide urgently needed medical care,” said Mazzucca.

Today’s release is the fourth in CAAA’s series of cases spotlighting the abuse of Utilization Review (UR) and other methods for delaying and denying legitimate medical care and disability compensation in the workers’ compensation claims handling practices of insurers like Sedgwick Claims Management Services.



Wednesday, October 16, 2013

2nd worker dies at 49ers stadium construction site

Today's post was shared by CAAA and comes from www.sacbee.com


 Construction is slated to restart Tuesday at the new $1.2 billion San Francisco 49ers showcase stadium after police and fire investigators determined a truck driver's death was a workplace accident and not a crime.

The delivery truck driver was crushed early Monday by a bundle of rebar being unloaded from his truck, officials at the scene said. It's the second worker death at the construction project.

An ambulance rushed the severely injured worker to a local hospital, where he died, according to a spokesman for Turner/Devcon, the construction company building Levi's Stadium.

"We are deeply saddened to confirm that the driver has passed away as a result of his injuries," spokesman Jonathan Harvey said.

Harvey said state workplace safety officials told them Monday that while their investigation is ongoing and could take months, "the jobsite has been deemed safe and is permitted to reopen."

The Santa Clara County Medical Examiner-Coroner's Office identified the man as Edward Erving Lake II, 60, of Vacaville. He was an employee of Gerdau Ameristeel's Napa Reinforcing Steel facility, a subcontractor working on the stadium, Gerdau's spokeswoman Kimberly M. Selph said.

In a statement, the 49ers said their "sincerest thoughts and prayers are with the family, friends and co-workers affected by this tragedy." The team also said there were plans to have support on-site Tuesday to help workers with their emotions...
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Friday, June 21, 2013

Criminal Charges Urged Against Sedgwick

Injured Workers’ Advocates Seek Criminal Penalties for Death After Insurer’s “Callous Indifference, Reckless Disregard of Care”

"Why is it not criminal when workers’ compensation insurance companies kill patients through delaying and denying medical care?"
Several attorneys from the Central Coast Chapter of the California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, held a news conference today on the steps of the Ventura County District Attorney Gregg Totten’s (DA) office and called for the DA to file criminal charges against a claims adjuster for Sedgwick Claims Services, and against Sedgwick itself, for their callous  indifference to, and reckless disregard for, the health and welfare of Charles Romano, a Ralph’s Grocery Co. worker, which resulted in his death.

“Even after a judge determined Charles’ illness was a result of his work injury, the insurance carrier continued to refuse medical care. Charles soon died,” said Jill Singer, a Ventura workers’ compensation insurance attorney, and Central Coast CAAA Chapter President. “Why is it not criminal when workers’ compensation insurance companies kill patients through delaying and denying medical care?”

Sid Freeman was Charles Romano’s friend, and helped care for him during the final months of his life. “Charles and I were friends for over 27 years.  He was like a brother to me. Charles was only in his 40’s when he was injured on the job. He had surgery to repair his injuries and afterwards contracted a highly resistant staph infection that attacked his lungs, kidneys and paralyzed him,” said Freeman.  Sedgwick, the insurer, refused to pay for the necessary care for the infection. Ms. McDivitt, the claims adjustor, said the infection was unrelated to Charles’ work injury. This lack of needed care led to a horrific downward spiral in Charles’ health. Sedgwick drove Charles to want to die. He said, ‘I’m tired of having to fight for everything.’ Two weeks later, he died.”