Documents Bernacki, Edward J. 4 results

In 1992, the Johns Hopkins Hospital and University in Baltimore (MD, USA) initiated a programme aimed at the early diagnosis and treatment of potential upper extremity work-related musculoskeletal disorders (UEWMSDs) among employees. The programme consisted of an ergonomic assessment of workplaces of employees with UEWSMSD, as well as the identification and correction of areas throughout the hospital and university where UEWMSDs could possibly occur. The programme resulted in an initial increase in the number and cost for the treatment of UEWMSDs. Subsequently, there was a significant decrease in the number of UEWMSDs reported and virtual elimination of the need to use surgical procedures to correct these conditions.

This article reports three years of activity of the Johns Hopkins Self-Insured Workers' Compensation Program in the State of Maryland, USA. The occupational physician/nurse team coordinates the entire care-management system from prevention of accidents to facilitated return to work. The latter includes follow-up of workplace hazards and corrections of unfavourable ergonomic conditions. The decrease in claims and the significant savings achieved indicate the success of this integrated approach in a state where employees are free to choose their physicians.