Chief Executive OfficeRISK MANAGEMENT BRANCHRISK MANAGEMENT BRANCH

January 18, 2012

There are two types of reevaluations performed There are two types of reevaluations performed by CEO OHPby CEO OHP

MedicalMedical

PsychologicalPsychological

A Medical Reevaluation is an independent assessment by a County physician to determine whether an employee’s medical condition may pose a direct threat of harm to others while performing either essential or non-essential duties Can involve both essential and non-essential dutiesCan involve both essential and non-essential duties

Examples of such duties include:Examples of such duties include: Driving on County time Driving on County time Operating moving equipmentOperating moving equipment

Sudden loss of consciousness episode, either on Sudden loss of consciousness episode, either on or off dutyor off duty

Sudden episode of confusion, either on or off Sudden episode of confusion, either on or off dutyduty

Employee had their driver license temporarily Employee had their driver license temporarily suspended due to a medical conditionsuspended due to a medical condition

Employee has poorly controlled sleep apnea as Employee has poorly controlled sleep apnea as evidenced by sleepiness on the jobevidenced by sleepiness on the job

Medical Reevaluations can be requested even if:Medical Reevaluations can be requested even if: Employee files for WCEmployee files for WC Employee has an accepted claim for the condition of Employee has an accepted claim for the condition of

concern concern

Medical Reevaluations can be requested despite:Medical Reevaluations can be requested despite: Being returned to full duty by the WC systemBeing returned to full duty by the WC system Being returned to full duty by the employee’s personal Being returned to full duty by the employee’s personal

care providercare provider Unrestricted licensure by DMVUnrestricted licensure by DMV

When concerns first arise:When concerns first arise: Take immediate actionTake immediate action Contact an OHP physician to discuss the caseContact an OHP physician to discuss the case

If OHP determines that a Medical reevaluation is If OHP determines that a Medical reevaluation is warranted, prepare a written request:warranted, prepare a written request: Employee’s informationEmployee’s information Full description of concernsFull description of concerns Departmental contact’s informationDepartmental contact’s information

Communicate the need for the evaluation to the Communicate the need for the evaluation to the employee employee (in writing is advised)(in writing is advised)

Have employee sign a short consent statement to Have employee sign a short consent statement to the reevaluation the reevaluation (attach to written request)(attach to written request)

If not possible, document employee’s verbal agreementIf not possible, document employee’s verbal agreement

If employee refuses, department may seek a formal If employee refuses, department may seek a formal CEO concurrence to administratively order the CEO concurrence to administratively order the employee to undergo reevaluationemployee to undergo reevaluation Progressive disciplineProgressive discipline Departmental responsibility to take administrative actionDepartmental responsibility to take administrative action

Civil Service Rule 9.07(B)Civil Service Rule 9.07(B)

Forward request for Medical Reevaluation to:Forward request for Medical Reevaluation to:

Roberto Chavez, Chief Program SpecialistRoberto Chavez, Chief Program Specialist

Occupational Health ProgramsOccupational Health Programs

3333 Wilshire Blvd, Suite 10003333 Wilshire Blvd, Suite 1000

Los Angeles, CA 90010Los Angeles, CA 90010

(213) 351-6433(213) 351-6433

Fax: (213) 637-0822Fax: (213) 637-0822