Copyright

(c) 2010-2026 Jon L Gelman, All Rights Reserved.

Wednesday, August 27, 2014

NTSB Releases Final Report on Paulsboro Derailment

Topdays post is shared from njtvonline.org
Two years after the toxic spill in Paulsboro, the NTSB’s final investigation report determines that the crew was met with a red signal on the bridge. They radioed to dispatch for the moveable bridge to be locked. The NTSB report says the conductor had no formal training before he inspected the bridge and “erroneously” concluded it was locked. The dispatcher gave the train permission to pass. Moments later, half the train was off the rails.
The NTSB determined the key cause of the derailment to be two things: Conrail “allowing the train to pass the red signal” with rail locks “not fully engaged” and a lack of proper training that would have “prepared the train crew to examine the bridge lock.”
The NTSB found contributing factors to the accident included a “lack of a comprehensive safety management program that would have identified and mitigated risks associated with the continued operation of the bridge despite multiple bridge malfunctions of increasing frequency” and “the failure of the incident commander to implement” “hazardous materials response protocols”.
Gary Stevenson was the deputy fire chief the day the disaster happened right in his backyard.
“We need to do things different the next time this happens. I hope all of us responders have learned from that incident. So we can apply it and spread that knowledge out to other fire departments within the state,”...
[Click here to see the rest of this post]

The Word Didn't Get There

Problems with the national workers' compensation system are addressed in today guest post authored by David DePaola and shared from http://daviddepaolo.blogspot.com/
Then I get an email from a former claims professional turned auditor that completely deflates my enthusiasm and makes me angry.
The emailer has been in the process of auditing some cases on behalf of an insurance carrier whose cases are administered by a Third Party Administrator.
This is a pretty typical arrangement. Carriers are very good at "writing the paper" and all the processes involved from brokerage administration to determining the risk (underwriting) and marketing. Then the job of actually handling the claims gets outsourced to specialized companies: TPAs.
The auditor writes she's appalled; outraged at the lack of any sense of urgency, the lack of responsiveness to defense attorneys, not to mention applicant's attorneys.
She's astounded at the failure to pay temporary total disability, the failure to advance permanent disability a year after the Agreed Medical Examiner's findings are undisputed to a person who's getting $500.00 a month from Social Security.
She's offended that the TPA lets the defense attorneys handle the files, lets cases linger until a pinky finger from 2008 ends up turning into hand, arm, neck, back, internal, sleep, psyche, etc., etc. - on a case that was really ready to settle no less than 4 years ago.
She asks, "Why would these cases still be open (excluding those with obvious complex if not catastrophic issues) when the file reflects many opportunities for settlement that slipped away?"
Of...
[Click here to see the rest of this post]

Tuesday, August 26, 2014

NATIONAL CENSUS OF FATAL OCCUPATIONAL INJURIES IN 2012 (PRELIMINARY RESULTS)

A preliminary total of 4,383 fatal work injuries were recorded in the United States in 2012, down from a revised count of 4,693 fatal work injuries in 2011, according to results from the Census of Fatal Occupational Injuries (CFOI) conducted by the U.S. Bureau of Labor Statistics. The 2012 total represents the second lowest preliminary total since CFOI was first conducted in 1992. The rate of fatal work injury for U.S. workers in 2012 was 3.2 per 100,000 full-time equivalent (FTE) workers, down from a rate of 3.5 per 100,000 in 2011.

Over the last 5 years, net increases to the preliminary count have ranged from 84 in 2011 to 211 in 2009. The revised 2011 figure represented a 2 percent increase over the preliminary total, while the 2009  figure was a 5 percent increase. Revised 2012 data from CFOI will be released in the late Spring of 2014. 

Monday, August 25, 2014

The Father of the 11th Circuit Court Decision

Today's post is authored by Peter Rousmaniere and shared from workcompcentral.com
The Florida 11th Circuit Court decision on Aug. 13 appears to be the first state court decision in many years to declare an entire workers’ compensation statute as unconstitutional. The fingerprints of the Dean of Workers’ Compensation Research John Burton are all over Judge Jorge Cueto’s reasoning.
Since the 1970s, Burton, with a law degree and PhD in economics, has been the leading academic scholar in workers’ compensation, even now years after his retirement from a faculty position at Rutgers University. Burton surely thinks that this decision is long coming. So, what’s his complaint?
Cueto wrote that through the years, the state has cut back permanent partial disability benefits so severely that the state “no longer provides any benefits for this class of disabled worker.”
 Burton’s writings indicate that he holds that whatever permanent disability benefits there are in Florida, they are so low and PPD so significant, that the entire workers’ comp system in Florida is inadequate. Cueto agrees.
He cites National Council on Compensation Insurance estimates that legislative changes in 1979, 1990, 1994 and 2003 cut PPD benefits severely. Per Burton, Florida “eviscerated the permanent partial benefit system.” The current benefits are “less than available during the 1970s and markedly lower than...
[Click here to see the rest of this post]

Chicago and 2 California Counties Sue Over Marketing of Painkillers

Today's post is shared from the nytimes.com

As the country struggles to combat the growing abuse of heroin and opioid painkillers, a new battlefield is emerging: the courts.
The City of Chicago and two California counties are challenging the drug industry’s way of doing business, contending in two separate lawsuits that “aggressive marketing” by five companies has fueled an epidemic of addiction and cost taxpayers millions of dollars in insurance claims and other health care costs.
The severity of drug abuse is well documented: Use of prescription opioids contributed to 16,651 deaths in the United States in 2010 alone, and to an estimated 100,000 deaths in the past decade. When people cannot find or afford prescription painkillers, many have increasingly turned to heroin.
The lawsuits assert that drug makers urged doctors to prescribe the drugs far beyond their traditional use to treat extreme conditions, such as acute pain after surgery or injury or cancer pain, while underplaying the high risk of addiction. Such marketing, the plaintiffs say, has contributed to widespread abuse, addiction, overdose and death.
Taking the drug makers to court recalls the tobacco liability wars of the 1990s, with government entities suing in the hope of addressing a public health problem and forcing changes from an industry they believed was in denial about the effects of its products. The tobacco settlement led to agreements by the tobacco industry to change marketing practices, which is a goal of the opioid lawsuits.
...
[Click here to see the rest of this post]

Medicare Star Ratings Allow Nursing Homes to Game the System

Today's post was shared by The New York Times and comes from www.nytimes.com



CARMICHAEL, Calif. — The lobby of Rosewood Post-Acute Rehab, a nursing home in this Sacramento suburb, bears all the touches of a luxury hotel, including high ceilings, leather club chairs and paintings of bucolic landscapes.
What really sets Rosewood apart, however, is its five-star rating from Medicare, which has been assigning hotel-style ratings to nearly every nursing home in the country for the last five years. Rosewood’s five-star status — the best possible — places it in rarefied company: Only one-fifth of more than 15,000 nursing homes nationwide hold such a distinction.
But an examination of the rating system by The New York Times has found that Rosewood and many other top-ranked nursing homes have been given a seal of approval that is based on incomplete information and that can seriously mislead consumers, investors and others about conditions at the homes.
The Medicare ratings, which have become the gold standard across the industry, are based in large part on self-reported data by the nursing homes that the government does not verify. Only one of the three criteria used to determine the star ratings — the results of annual health inspections — relies on assessments from independent reviewers. The other measures — staff levels and quality statistics — are reported by the nursing homes and accepted by Medicare, with limited exceptions, at face value.


The ratings also do not take into account entire sets of...
[Click here to see the rest of this post]

Restoring Faith

Today's post was shared by WorkCompCentral and comes from daviddepaolo.blogspot.com
That was just one work comp group and happened to be the most prolific. Plenty of other comments have been made in other venues.
I never in my wildest dreams would have imagined that my little, slightly sarcastic, muse on being both an employee and employer dealing with the same work injury and ultimately deciding that work comp was the worst of all worlds for dealing with it would create such interest, controversy, engagement and interaction.
But it did.
Some disputed that it could be labeled industrial since it was only a back sprain. Others said to stay out of the work comp system at all costs. And others simply demonstrated a lack of understanding of work comp, at least relative to California law.
No one, though, said that I should file a claim as an employee or report the claim as an employer.
Perhaps that's because everyone is a professional in the system, an insider, and everyone knows that once a claim comes into the system both the employer and the employee lose control to the gaming that every single vendor - insurance company, doctor, lawyer, etc. - will engage in to "do the right thing" according to their special interest.
Certainly there were more "claim denied" or "services denied" responses than I thought would occur.
Just like real life work comp.
The California Workers' Compensation Appeals Board on Thursday designated a case a "Significant Panel Opinion" because a carrier that had approved nurse case manager services prior...
[Click here to see the rest of this post]

Sunday, August 24, 2014

This is why wages have risen so slowly. (But the Fed can help!)

Today's post was shared by Steven Greenhouse and comes from www.washingtonpost.com

It’s no coincidence that there’s been an outpouring of research on wage trends of late, just in time for the annual meeting of the world’s central bankers at Jackson Hole, Wyo. But one noted monetary expert who should but won’t be there is Elsa, the ice queen from “Frozen,” whose policy of “Let it Go” is critically important when it comes to allowing for non-inflationary wage growth (so perhaps “let ‘em grow” is a bit more precise).
This new spate of analysis, which I’ll describe in a moment, generates two important findings. First, considerable lingering labor market slack is still a drag on wage growth. Second, the linkages between wage growth and price inflation are not very tight at all. Both findings should lead those poised to snuff out wage growth — in the case of the Fed, by raising interest rates — to stand down.
A key challenge for the Fed in recent years has been figuring out just how tight or slack the job market is, a question that’s been harder than usual because the unemployment rate isn’t as revealing a signal as usual. The reasons for the weaker signal are weak labor force participation and unprecedented shares of long-term unemployment, both of which dampen the jobless rate’s traditional dominance as a measure of labor market tautness. Simply put, the job market...
[Click here to see the rest of this post]

Friday, August 22, 2014

Are Your Medical Records Vulnerable To Theft?

Today's post was shared by Kaiser Health News and comes from www.kaiserhealthnews.org

This KHN story also ran in . It can be republished for free. (details)
A decade ago almost all doctors kept paper charts on every patient. That is changing quickly as laptops become as common as stethoscopes in exam rooms. Recent hacking attacks have raised questions about how safe that data may be.  Here are some frequently asked questions about this evolution underway in American medicine and the government programs sparking the change.
Are my medical records stored electronically?
At least some of the information you share with your doctor or any hospital or clinic where you’ve been treated is probably stored on a computer. It's pretty common for most hospitals, clinics and doctors’ offices to digitally store your basic information including your name, address and insurance company, the same way many retailers do.


It's also likely that at least some information about your specific medical conditions is linked to that data. Health care providers have been using computers to help them get paid for decades. That means many computer-generated bills sent to you and/or your insurance company contain medical details like the conditions you were treated for, prescriptions and referrals to specialists.
Where things are really changing quickly is in the use of electronic records for day-to-day patient care. Until recently, most doctors used paper charts to record information generated during patient visits. But the 2009 economic stimulus package offered doctors and...
[Click here to see the rest of this post]

SeaWorld Won't Appeal Ban On Trainers Performing With Orcas

Today's post was shared by WCBlog and comes from www.npr.org

SeaWorld has decided not to appeal a court ruling that prohibits its trainers from performing with killer whales, the Orlando Sentinel reports, citing a filing with the Securities and Exchange Commission.
The legal battle has lasted for years, beginning with the death of trainer Dawn Brancheau by an orca named Tilikum in 2010.
As we reported after the incident, the Occupational Safety and Health Administration fined SeaWorld $75,000 and kept trainers from performing alongside orcas. At the time, SeaWorld contested OSHA's conclusion.
This past April, a U.S. Court of Appeals in Washington, D.C., upheld that citation.
SeaWorld has taken a lot of heat for its use of orcas for entertainment, particularly after the 2013 documentary Blackfish, which featured Tilikum.
Since Brancheau's death in 2010, SeaWorld has taken steps to improve safety for trainers. As NBC 6 in South Florida reports, it "has implemented new safety protocols and equipment for trainers, including an investment of $70 million in lifting floors in the pools that could quickly isolate whales."
SeaWorld announced Aug. 15 that it would be creating bigger "living spaces" for the whales, the first of which will be at SeaWorld San Diego and is scheduled to open in 2018. The...
[Click here to see the rest of this post

Why More, Not Fewer, People Might Start Getting Health Insurance Through Work

Today's post was shared by WCBlog and comes from www.nytimes.com

In an earnings call last week, Walmart announced that its workers were signing up for health insurance en masse. The news was bad for the company’s shareholders, since the added $500 million it will cost to cover them will eat into expected profits. But it also means that many more low-income families have health insurance now than did last year.
The change didn’t come because of a more generous company policy. Walmart has long offered health insurance to its full-time workers for relatively low premiums — about $18 every two weeks for its lowest-paid workers. It came because many more workers decided to take advantage of the offer.
It’s early yet to be sure of a strong trend, but the Walmart experience mirrors evidence from early polls and the historical experience of Massachusetts, which enacted a law similar to the Affordable Care Act in 2006. More people may be signing up for employer-based coverage than did before.
When we talk about the effect of the Affordable Care Act on health insurance, we often focus on people who were shut out of the market before, either because a prior illness made insurance inaccessible to them or because a high premium put coverage out of their financial reach. What Walmart’s experience reminds us is that there were also uninsured people who simply chose not to buy coverage before there was a law requiring them to do so. Now they may be changing their minds.This increase, if it is permanent, is going to cost...
[Click here to see the rest of this post]

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.

Food additives on the rise as FDA scrutiny wanes

Today's post was shared by Take Justice Back and comes from www.washingtonpost.com



Thousands of consumers say a protein-rich fungus in Quorn products has caused them to experience allergic reactions and severe bouts of vomiting and diarrhea. The manufacturer says allergic reactions are rare and that their vegetarian product line is safe and healthy. (Bill O'Leary/The Washington Post)
The explosion of new food additives coupled with an easing of oversight requirements is allowing manufacturers to avoid the scrutiny of the Food and Drug Administration, which is responsible for ensuring the safety of chemicals streaming into the food supply.
And in hundreds of cases, the FDA doesn’t even know of the existence of new additives, which can include chemical preservatives, flavorings and thickening agents, records and interviews show.
“We simply do not have the information to vouch for the safety of many of these chemicals,” said Michael Taylor, the FDA’s deputy commissioner for food.
The FDA has received thousands of consumer complaints about additives in recent years, saying certain substances seem to trigger asthmatic attacks, serious bouts of vomiting, intestinal-tract disorders and other health problems.
At a pace far faster than in previous years, companies are adding secret ingredients to everything from energy drinks to granola bars. But the more widespread concern among food-safety advocates and some federal regulators is the quickening trend of companies opting for an expedited certification process to a degree never intended when it...
[Click here to see the rest of this post]

Labor Secretary Perez on how to produce better-paying jobs

Today's post was shared by US Labor Department and comes from www.latimes.com


Secretary of Labor Thomas Perez comes to Los Angeles, talks minimum wage and manufacturing
Secretary of Labor Thomas Perez comes to Los Angeles, 
talks minimum wage and manufacturing

At the Los Angeles Area Chamber of Commerce this week, U.S. Labor Secretary Thomas Perez kicked off a cross-country, pre-Labor Day tour to champion higher minimum wages, higher-wage jobs and other causes in talks with employers, workers and local leaders.
Perez told the chamber audience at a luncheon Monday that the nation faced two major challenges -- a stagnation in wage growth and the increase in long-term unemployed workers. He also noted the decline in the unemployment rate and improving prospects for skilled manufacturing.
Before taking his post a year ago, Perez was the assistant attorney general for the Justice Department’s civil rights division, where he led investigations into the death of unarmed Florida teenager Trayvon Martin and alleged police misconduct in the wake of Hurricane Katrina in New Orleans.
He also spoke with Times reporters and editors. Here is an edited version of that interview:
Why is there so much attention on pay for entry-level jobs as opposed to moving workers into better jobs?
All of the billion dollars we’ve been giving out is designed to strengthen the ladders of opportunity to the middle class. The CareerConnect grant is all about training people in STEM [science, technology, engineering and mathematics] fields so people don’t graduate from high school and go right to fast food.
They go out of high school with the skills that enable...
[Click here to see the rest of this post]

Health groups: OSHA rules needed for farmworkers — Four indicted at Rancho — Industry reps on bottom of organic scorecard

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

With help from Helena Bottemiller Evich
HEALTH GROUPS: OSHA RULES NEEDED FOR FARMWORKERS: Farmers would have to post information for their workers on the pesticides being used if public health advocates had their way. Workers who experience potentially life-threatening exposure to a pesticide would be guaranteed treatment within four to five minutes, not 30 minutes.
Those are just a few examples of how advocates say Occupational Safety and Health Administration standards would better protect pesticide applicators than changes EPA is now proposing to its worker rules. Friends of the Earth, the American Academy of Pediatrics and other health and farmworker advocates are urging the agency to bring its standards more in line with OSHA’s, an idea that is unlikely to sit well with the agriculture industry or state agriculture departments already weary of the administration’s interference.
“Under [EPA’s worker protection standards], even with the proposed updates, farm workers’ protections are inferior to other workers’ protections on matters such as personal protective equipment, the right to know about workplace chemicals, safety training, and emergency assistance,” Friends of the Earth argues in its Aug. 5 comments to EPA. “EPA has the authority and moral responsibility to correct this inequity for farm workers, the vast majority of whom are low-income people of color.” More on the health groups push is...
[Click here to see the rest of this post]

How a Part-Time Pay Penalty Hits Working Mothers

Today's post was shared by The New York Times and comes from www.nytimes.com

Women get paid less than men in almost all jobs, but when women in low-wage jobs need to take time off work to care for children, they are at an even greater disadvantage.
If all employees got paid the same hourly amount (assuming they’re equally productive on the job), it would go a long way toward closing the gender pay gap, according to Claudia Goldin, a Harvard economist who has analyzed income data across occupations, including a new set of unpublished data on hourly workers that she prepared for the White House Summit on Working Families in June.
Instead, she has found, people in professions like law and finance get paid disproportionately more when they work extra-long hours. At the other end of the spectrum, people in low-wage jobs do not benefit much from working more, but get paid disproportionately less per hour when they work fewer than 40 hours a week. The penalty is similar for men and women — but ends up hurting women more, because they are far more likely to take breaks during their careers or need shorter or predictable hours to handle child care.


Working fewer hours in low-paying jobs, Ms. Goldin said, “can get even nastier, because of the problem that flexibility here is not just the number of hours but whether you even know which hours you’re going to be working.”
While the challenges are different at high-income and low-income jobs, the bottom line is the same: Employees, particularly parents, need some measure of...
[Click here to see the rest of this post]

Florida Court Holds Exclusive Remedy Facially Unconstitutional

Today's post authored by The Hon David Langham is shared from http://flojcc.blogspot.com/
For some reason, I have found myself thinking of great comedians this week (veiled reference to the loss of one of America's greatest last Sunday). I am always a fan of those that make me laugh. One that came to mind yesterday afternoon is Jim Carrey and his portrayal of the Grinch in Ron Howard's modern adaptation. There is a scene in which the Grinch is somewhat forcibly fed "pudding" by the Whos, with each spoonful receiving a comment. This scene ends when one spoon is shoved in his mouth with the comment "this is not pudding," to which he replies with some alarm (and a priceless facial expression) "what IS IT?!?"
I blog twice a week, usually on Mondays and Wednesdays. I have a lot of respect for those who have the energy to produce more often or even daily like Bob Wilson (Bob's Cluttered Desk) and David DePaolo (DePaolo's Workcomp World). But I take to the blogophere this morning because the world of workers' compensation has many questions this morning. Could August 13, 2014 be a "red letter day" in workers' compensation across the country?
Yesterday, a Circuit Judge in Miami concluded that Florida's workers' compensation law is unconstitutional on its face. That is, there is no circumstance whatever in which Florida's exclusive remedy is constitutional. There will be much head scratching this day and many will be as confused as the Grinch and they analyze this decision and the equivalent of a cry "what IS...
[Click here to see the rest of this post]