Notes
Slide Show
Outline
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OWCP
Interagency Meeting


  • April 19, 2005
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Agenda
  • Welcome and Introductions


  • DFEC FY2004 Overview
    • Statistics
    • iFECS
    • CQS


  • SHARE FY2004 Performance
    • OSHA
    • OWCP
    • Awards
    • Agency Presentations

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Division of Federal Employees’ Compensation
 Overview
  • FY 2004 – The year in review
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Division of Federal Employees’ Compensation
 Overview

  • FY 04 Program Performance
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Internal Measurements
  • 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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Internal Measurements
  • 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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Internal Measurements
  • 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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iFECS
  • 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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Claimant Query System
  • 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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Safety Health and Return to Employment
(SHARE)
  • First year of initiative is complete.
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"Government timeliness goal met and..."

  • Government timeliness goal met and exceeded by almost 18%
  • Government LPD goal missed by almost 12%.


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Here is how we did in the first year…
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CA-1/CA-2 Timeliness
(by major agency)
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Lost Production Days
(per 100 employees)
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Lost Production Days
(by major agency)
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Where do we go from here?
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  What’s New
    • 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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New OWCP actions/approaches
  • 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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For SHARE to succeed, we must do both:
  • 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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FECA Reform
  • 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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FECA Reform
  • 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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FECA Reform
  • 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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Exceptional Achievements in Timeliness
  • “Gold Star” Agencies
    •  met their goals and exceeded 80% timeliness

      • Dept. of Labor – 88.9%
      • Postal Service – 88.7%



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Exceptional Achievements in
Lost Production Days
  • “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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Agency Presentations
  • United States Postal Service
  • Department of Defense
  • Air Force
  • Department of Treasury
  • NASA
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ACS… Where are we?
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Status Overview – As of 4/3/2005
  • 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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Status Overview – As of 4/3/2005

  • 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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Making Progress

  • 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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Our progress – cont’d

  • 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 Relations
  • Provider outreach now emphasized at the local level


  • “Escalation process” for severe problems


  • More internet-based ACS interaction
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