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1
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- Welcome and Introductions
- DFEC FY2004 Overview
- SHARE FY2004 Performance
- OSHA
- OWCP
- Awards
- Agency Presentations
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- FY 2004 – The year in review
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- FY 04 Program Performance
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11
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- Workload Processing for 2004
- 164,694 new cases created
- 155,893 decisions issued
- 24,124 initial claims for wage loss received
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- 97.8% of 134,970 traumatic cases adjudicated within 45 days.
- 95.0% of 18,204 basic occupational disease cases adjudicated within 90
days.
- 85.5% of 6,619 extended occupational disease cases adjudicated within
180 days.
- 99.7% of extended occupational disease cases adjudicated within 365
days.
- 87.2% of 103,471 wage loss claims processed within 14 days
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- Communications
- 96.9% of written priority inquiries answered within 14 days
- 2.7 days average response time for telephone inquiries
- 86.1% of general written inquiries answered within 30 days
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14
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- Integrated Federal Employees’ Compensation System
- Combined data from 12 district offices into one integrated database.
- Updated information now available in AQS.
- Will allow for reporting capabilities
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- Claimants can use Employee Express to access their claim information.
- Other systems being used by agencies will be addressed after successful
integration with Employee Express.
- Target date: Not yet established but OPM will grant a special release
once testing is completed.
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34
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35
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- First year of initiative is complete.
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36
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- Government timeliness goal met and exceeded by almost 18%
- Government LPD goal missed by almost 12%.
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40
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41
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42
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- Web-based Resources
- (www.dol-esa.gov/share)
- Outreach
- Alliances with agencies to address case management and return-to-work
issues
- One-on-one seminars and strategy sessions
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44
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- Employee Express – Claimant Query System
- AQS Report Suite
- District Office targeting of agencies
- Improving the SHARE website
- Best Practice Models
- Electronic RTW reporting
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45
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- Reduce the number of serious injuries
- Get people back to work
- It’s a joint Safety and Workers’ Comp. activity, and agencies have to
get both right
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46
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- Applies to new claims only.
- Strengthens the program while still maintaining generous benefits.
- Projected savings of $721 million over the next 10 years.
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47
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- Incentives
- “Conversion benefit” for retirement aged claimants
- Setting compensation at 70% for all claimants
- Change the schedule award to allow for payment during the wage loss
period, eliminate FECA/OPM shuffle
- Retirement “Bonus” (Allen bill)
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48
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- Equity and Fixes
- Restore waiting period
- Allow for subrogation of COP for Third Party Claims
- Update disfigurement and burial payments
- Pay all schedule awards at average salary rate (GS-11 step 3)
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- “Gold Star” Agencies
- met their goals and exceeded 80%
timeliness
- Dept. of Labor – 88.9%
- Postal Service – 88.7%
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- “Gold Star” Agencies
- met their goals and had fewer
than 45 LPD
- Dept. of Air Force – 32.2
- Dept. of Army – 36.8
- Dept. of Defense – 34.3
- Dept. of Energy – 25.8
- Dept. of Labor – 38.1
- Dept. of Health & Human Services – 24.9
- Dept. of Housing & Urban Development – 37.3
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- United States Postal Service
- Department of Defense
- Air Force
- Department of Treasury
- NASA
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- More than 334,849 providers enrolled/registered
- Average 1,417 calls/day on MED AUTH LINE with average hold time of 1.22
seconds.
- Average 2,362 calls/day, ALL OTHER, average hold time of 2.43 minutes.
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- Average 2.03 days for prior authorizations
- 96% of all bills processed within 28 days
- Adjustments processed in an average 12.82 days
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- Vastly improved communications with providers, claimants, agencies:
- IVR—seamless revocation of toll-free number
- RV improvements
- Complaint escalation process
- Standardization across District Offices
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- Web portal redesigned—more user-friendly
- Now, providers can request and receive authorizations online
- Claimant eligibility query for specific services without secure log on
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- Provider outreach now emphasized at the local level
- “Escalation process” for severe problems
- More internet-based ACS interaction
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