Creating WorkSafeBC first reports

Physicians First Report: Select to create a new WorkSafeBC First Report (form 8). This form should be completed for first visits involving a comprehensive consultation, a time loss claim, or a modified duty claim.

Worker's condition of treatment has changed: please describe in Clinical Information Area: Select to create a WCB Progress Report (Form 11). This report should be submitted if the worker's condition or treatment has changed since last report or if the worker is ready for Return to Work.

A report is not necessary or desired if the worker's condition is stable and there will be a planned follow up at an appropriate future date.

A report is also not necessary if the worker is enrolled in a WorkSafeBC sponsored rehabilitation program. Payment of benefits to a worker is not contingent on follow-up every two weeks if the above conditions are met.

Enter the WCB Claim Number if known. This claim number is provided by WorkSafeBC after a First Report has been processed. The WorkSafeBC Claim number is mandatory when creating a Progress Report.

Enter the date when the WorkSafeBC related injury occurred. In the case of occupational diseases, enter the date when medical attention was first sought.

You can type the date into the text box or click the Calendar button and double-click the date.

The date of service is the date when the service described on this report was performed. It is automatically entered here depending on the appointment the WorkSafeBC report was linked to when first creating the report.

To select a previously entered global employer (an employer entered for any patient in the EMR), click the binoculars icon and choose the employer.

To enter a new employer, click the binoculars icon and click <<Add New>>. Enter the employer Information.

Employer Name: Enter the employers name or company name. This name is then available from the employer list for future use.

Inactive: Select if the employer as inactive if the employer is not the current employer.

Employee information pre-populated from the information in Patient Maintenance, although you can also edit it here.

The worker’s first name, last name, and PHN should match the information on the worker’s British Columbia CareCard.

Select if you are the patient's regular provider. WorkSafeBC may contact you for medical history or to discuss claims issues.

If you selected the Are you the worker’s regular physician? check box, select one of the radio buttons to indicate how long you have been the patient's Physician (0-6 months, 7-12 months, or > 12 months). This information is useful for claims information.

Enter the medical practitioner (name) or facility (emergency department, clinic, hospital, and so on) who provided the first treatment. This does not include first aid at the work site.

Select the E-Form fee to display in the billing module for this WorkSafeBC report.

Select the visit fee to display in the billing module for this WorkSafeBC report.

Enter the service start and end times using the 24 hour clock (for example, 1600).

Enter details about pre-existing or new non-occupational conditions that may affect injury, recovery or disability. You can enter a maximum of 160 characters.

If insufficient space, add remaining information to the Clinical Information box (at the bottom of the window). For example an MVA while receiving care for WorkSafeBC claim.

Enter an ICD9 code or keyword and press Enter, and then in the drop-down list, click a code.

This is the ICD9 diagnosis code and is entered on the invoice (claim record). The full set of codes is available at health.gov.bc.ca/msp/infoprac/diagcodes/index.html.

Enter a text description of the injury diagnosis.

Note: The diagnosis entered here will be displayed in a second encounter entry to display the diagnosis in the patient's list of encounter records found on the medical summary as well as other locations.

Enter the following information to describe the injury codes and diagnosis:

*Position: This is a code for the anatomical position code (side) of the injury from the WorkSafeBC subset of CSA codes (80/80 list).

*Body Part: Enter a body part or its code and then press Enter. This is a 5-character (numeric) code for the area of injury (body part) from the WorkSafeBC subset of CSA codes (80/80 list). The full set of codes is available at www.worksafebc.com/health_care_providers/Assets/PDF/body_parts_complete.pdf

*Nature: Enter the nature of the injury or its code and then press Enter. This is the 5-character (numeric) code for the nature of injury from the WorkSafeBC subset of CSA codes (80/80 list). The full set of codes is available at www.worksafebc.com/health_care_providers/Assets/PDF/nature_injury_complete.pdf.

If the worker has been disabled from work since the injury or the last report, click Yes. Otherwise, click No.

Enter the date of injury or click the Calendar button and double-click the date.

Enter the date the injury was known or click the Calendar button and double-click the date.

This field is displayed only if you selected Yes for *From injury or since last report, has the worker been disabled from work?)

S either Yes or No to indicate if the Worker can return to their normal pre-injury duties.

If you click No, elaborate in the restrictions area below

Describe the physical and/or psychological restrictions related to the injury that are barriers to the patient returning to work. This information will be used by the WorkSafeBC case managers and medical advisors in working with employers to find suitable alternative/modified work.

Estimate the length of time before the worker can return to the workplace in any capacity. For example, the earliest possible return to the workplace if suitable duties were available.

Select No if the worker is not ready for rehabilitation or if a rehabilitation program is not appropriate. If the worker is ready for rehabilitation, select Yes, and then select the type of rehabilitation program in the additional area that the EMR displays (Select Rehabilitation Program).

If the worker is ready for a rehabilitation program, select Work Conditioning or Other.

If you select Other, indicate the type of program (for example, occupational rehabilitation program, pain program) in the Clinical Information area on the Clinical Information tab.

Select whether you want to consult with a WCB physician, nurse, or advisor.

Maximal medical recovery (full recovery or best possible recovery) date. This is sometimes also called date of “maximal medical improvement”. It refers to the date at which no further improvement in condition is expected. At that time the worker may still have significant impairment/disability or may be fully recovered. It is recognized that the “date” indicated is an estimate only and may change if the clinical course changes.

Enter the date of Maximal Recovery or click the Calendar button and double-click the date.

Select whether additional correspondence can be anticipated.

Displays the attending physician for the patient.

Enter the payee number issued by MSP that uniquely identifies the individual or organization who submits the associated invoice to WorkSafeBC and who will be paid by WorkSafeBC.

Displays who created the report (or the practitioner for whom you created the report).

Displays the date and time the report was created.

Displays when the report was last edited.