ACCforum: IOA AND IMA REFERRAL (FOR VOCATIONAL REHABILITATION) - ACCforum

Jump to content

  • 2 Pages +
  • 1
  • 2
  • You cannot start a new topic
  • You cannot reply to this topic

IOA AND IMA REFERRAL (FOR VOCATIONAL REHABILITATION) OCCUPATIONAL + MEDICAL ASSESSOR RECOMMENDATIONS

#21 User is offline   Alan Thomas 

  • Advanced Member
  • PipPipPip
  • Group: Members
  • Posts: 10813
  • Joined: 10-June 06

Posted 05 May 2009 - 01:02 PM

I certainly wanted to work myself and even found at my own vocational rehabilitation programme investigating all manner of different opportunities with my residual capacity. Unfortunately all the diligent searching which would have used one of two hours a day every day cause the ACC to believe that I could work. Perhaps I would have been better watching television like the others.
0

#22 User is offline   doppelganger 

  • Advanced Member
  • PipPipPip
  • Group: Members
  • Posts: 1740
  • Joined: 19-September 03

Posted 05 May 2009 - 03:28 PM

View PostFighter for Justice, on May 5 2009, 11:39 AM, said:

Doppelganger, I started 3 new threads yesterday in: Assessments, IOA, and IMA. I posted yesterday on original Thread in: VIMA.
I am under the 1982 Act. Dec 2003 IOA done. Mid 2004 IMA done by Dr Keith Murray. In November 2004 assessed by Dr Turner! at ACC's insistence. ERC cut very early 2005. ERC reinstated on Appeal in June/July 2008.
Am I correct in thinking I should see one of these two Doctors for the next IMA?
(See my 3 new threads yesterday + one posting on existing thread).



right your IMA was done by Keith Murry. what injury did he claim that you had cover for? Did he claim that you had other injuries that were causing your incapacity and did he say that those injuries were not covered? this is important as when deciding what injuries are covered you look at the 82 Act to see if the injuries are accepted under that act. No decision was necessary on acceptance of the injuries under the 1982 Act but since the 1992 Act the legislation changed and made that when no decision was given on cover there was no cover. the 2001 Acthas made the case manager give a decision or the cover is deemed.

this is why they end up with a bogus injury. ACC haven't kept acurate records. one thing that must be checked is the IRP is the Medical Disibility Advisor Duration Date. if the injury is permanent then it must be listed as so. Your injury must be permanent as if it wasn't it would not be causing any incapacity, you wouldn't be here.

as for the IOA if you use the same person that person will have to identify why they are changing the job options and offering the university education. I'm betting the blame will be directly on the case manager for not supplying the correctly covered injuries. You will also recorded this in the IRP. Technically they can not add any more jobs because if they do then they mislead the Corporation in the first IOA.

When you go to the IMA you will have a document like this showing why the jobs are not sutitable. notice there is nothing to say that he can not do any of the occupations.

Quote

Job Summaries

91412 Loader and/or checker

Due to the injury, many of the duties in this occupation are working in all weather conditions, lifting and carrying are constant, repetitive movements are frequent, driving of forklifts and other equipment frequent and requires mental skills of organisation and practical. The PSTD has limited my thinking and organising skills making this occupational impossible to carry out.

41312 Dispatch and Receiving Clerk

The duties in this occupation require fine motor skill work for filling out dispatch notes, exposure to current weather conditions, constant standing, lifting and carrying constantly, driving of forklifts, use of minor office and hand tools and requires mental skills of organisation and practical. Working in cold weather affects the extremities as in the medical reports from specialists. This occupation is therefore impracticable.

41311 Stock Clerk

Stock Clerk duties include standing, lifting and carrying, repetitive arm hand and finger movements are constant, use of minor office tools are frequent and require mental skills of organisation and practical. The use of minor office tools is very limited as hands swell when in constant use. This is the known fact with my injury that there is a very limited time period that the hands can be used.

91411 Packer

Packer involves standing constantly, lifting and carrying, repetitive hand movements are common, cold conditions are common and requires mental skills of organisation. Repetitive hand movements cause severe aggravation and subsequently pain in hands as per medical reports therefore this occupation is out of my capability.

91514 General Labourer

General labourer is the position I held at ACC where my injury originated from. Labouring involves tasks of working outdoors (or cold) constant standing, heavy lifting carrying and pulling or pushing frequently, and repetitive movements frequently. As it was this former occupation that caused the injury, this type of occupation for me to participate in should be dismissed, as it will only aggravate my injury further.

91111 Cleaner

Cleaning duties involve gripping with the hands to sweep, scrub, and polishing floors. Outdoor work, standing constantly, light to medium lifting or pulling and repetitive movements are also a necessity of this occupation. Medical reports state gripping or repetitive motions aggravate my injury it is therefore applicable that this occupation is again outside of my capabilities and should be avoided so as to not aggravate my injury.


41443 General Clerk

General clerk includes duties of repetitive arm hand and finger movements on a constant basis, use of hand tools on a frequent basis and requires sound level of keyboarding, mental skills of organisation and practical. Again this occupation is out of my capabilities because of repetitiveness in the duties it is therefore impracticable that this occupation be recommended.


41444 Office Machine Operator

Machine operator has duties of loading of paper and insertion of stencils, standing frequently, lifting and carrying, use of minor office tools, carry out repairs and adjustments and requires mental skills of organisation and practical. Fine skills such as loading of machinery and use of minor office tools should be avoided as per medical reports. Standing is also an issue because pain from standing for periods dissabilitates me. My injury prevents me from carrying out many of the duties involved in this occupation and so therefore should be avoided.

41412 Record and Filing Clerk

Record and filing clerk is another occupation that has duties of operating binding and covering equipment, standing frequently, lifting and carrying, repetitive arm hand and finger movements, use of minor hand tools and requires mental skills of organisation and practical. Lifting and carrying should be avoided as these alone aggravate my injury.

33422 Teacher Aide

Teacher Aide is an occupation that I am very familiar with. I am unable to carry out many of the duties in this occupation as it involves standing frequently, lifting carrying and holding, repetitive movements with hands, use of tools and power tools and requires mental skills of organisation and practical. My PTSD diagnosis prevents me from mental skills and practicable skills. The lifting and repetitiveness of the duties also would be a factor on aggravation of my injury. As I am involved in this occupation at Accident Compensation Corporation I am able to recognise that many of the duties are outside of my capability and therefore this occupation is impossible for me to do on a full time basis.


31142 Computer Systems Technician

Computer system technician is what my social employment is currently classified as. Although this job is an excellent occupation it is still outside of my capabilities to do this over a prolonged period. Duties in this occupation include machine repair and maintenance, standing frequently, medium lifting, use of hand tools and power tools, repetitive movements on a frequent basis and requires mental skills of organisation and practical. My injury deteriorates with repetitiveness and lifting. The need for fine motor skills is also affected by my injury. Many of the duties are unable to be conducted by myself and frequently the use of students to contribute to the duties is the only thing that allows me to continue this social occupation at the school. It is therefore noted that this occupation is impracticable during the course of a full day.


83212 Light Truck or Van Driver

Light truck or van driver involves many duties that are outside of my capability. These include working in all weather conditions, lifting and carrying frequently, repetitive hand and arm movements on a frequent basis, driving frequently and requires mental skills of organisation and practical. It is noted in medical reports that my driving capability of around 2 to 3 hours in any day contributes to increased pain and swelling of the hands. It is also noted occupations that involve working in cold conditions need to be avoided; therefore this occupation is again not a viable option.

52111 Sales Assistant (Electronic and Related Goods)

Sales assistant is an occupation I am familiar with from when I was employed at the computer/video shop. Duties of writing invoices or dockets, standing frequently, lift and pass items, lifting pulling or carrying, repetitive hand and finger movements on a frequent basis, use of hand tools frequently and requires mental skills of organisation and practical. Handling of items such as money is unable to be pursued. Lack of fine motor skills and no sensory feeling in hands and repetitiveness prevents me from pursuing this occupation.


82922 Electric and Electronic Equipment Assembler

Electric and electronic equipment assembler includes duties of standing constantly, frequently on concrete floors, handling tools on a frequent basis, many tasks are repetitive, use of hand power and machine tools and requires mental skills of organisation and practical. As my injury involves sensory loss, electrical shocks and heat extremities are not detected until damage has been done. The repetitive movements in this occupation are also a factor that it aggravates my injury and causes pain and stiffness. This occupation need to be kept well clear of as it's potentially a life threatening situation for me to be engaged in.


yours will be different but there is a few rules. Make sure that you cover all of the incapacities. make sure that you identify which occupation that you are looking to gain rehabilitation in.

You must have the job options in your IOA to obtain the Vocational Rehabilitation but remember ACC will say that you can complete on the job training. If your incapacity does not permit you to work longer hours it also does not permit you to carry out up skilling either.

Sparrow has said something and does not know that the reason why I have transfered to the inviliads benefit to the unemployed benefit. She also forgets to mention that WINZ are trying to find employment with employers but is having a problem as ACC removed cover of covered injury with out making a decision. She also forgets that in 2004 Winz was the reason why I ended back up in hospital because of a relapse of my injury. She also forgets that in 1993 a private Investigator claimed that I don't want to work in writing and a judge and reviewer used that information before facts that I had increased my earnings after the PI written statement.

And Sparrow doing this also stops the possible of a fraud proscution. I heard in the pipeline that ACC is looking at new ways to curate fraud to long term claimants.
0

#23 User is offline   Alan Thomas 

  • Advanced Member
  • PipPipPip
  • Group: Members
  • Posts: 10813
  • Joined: 10-June 06

Posted 05 May 2009 - 04:20 PM

this type of summary information on each occupation is entirely inadequate for the purpose. Each occupation must must must contain every single work task activity with due particularity. For example the use of a screwdriver is entirely different between a blacksmith and a jeweller but iss still the use of the screwdriver. Information such as bending twisting and suchlike is entirely unhelpful and even misleading information is it provides a false sense of security for the people paying for the information.. This type of information is designed explicitly order's entitlement. Probabblly the occupational assessor providing such information should be personally held liable. For example they should be sued aand bankrupted. It is even possible that occupational assessors producing such documentation could even be prosecuted in the criminal court in producing a document desiigned for pecuniary advantage. I have certainly challenged occupational assessors on this level of absolute utter rubbish in the past quite successfully. Getting a document like this should be nipped in the bud. Only an idiot would proceed with such a document On to a medical assessment
0

#24 User is offline   doppelganger 

  • Advanced Member
  • PipPipPip
  • Group: Members
  • Posts: 1740
  • Joined: 19-September 03

Posted 05 May 2009 - 06:44 PM

this is the profile of a Dispatch and receiving clerk off the ACC site.

Quote

Receiving Clerk Print this page Download word version

Description:
•Verifies and maintains records of incoming and outgoing goods in a warehouse or distribution centre and prepares goods for despatch.

Work Tasks (may include any combination of the following):
•Identifies items and containers of incoming and outgoing shipments and verifies them against consignment records; ensures outgoing shipments are in good condition and meet specifications; arranges internal distribution of goods received; organises the dispatch of goods with completed documentation; maintains prescribed records of goods received and dispatched; examines shipping documents and verifies cargo to be released; records customs clearance requirements and authorises collection of cargo; calculates storage and clearance charges and bills customers; receives details of outgoing cargo, and arranges bookings of freight space and collection of goods from customers; provides information to customers on custom tariffs, tariff classifications and concessions, and methods of clearing goods.

Work Environment:
•Employees work indoors in an office and/or storeroom/warehouse environment where the goods or stock produced or utilised by an organisation for production are received and dispatched.
•Employees usually work in adequately heated and ventilated work spaces, but for some organisations and products employees may work outdoors for periods such as at a timber yard where they may be exposed to weather conditions.
•Traffic movement is likely around the loading and unloading areas in the form of forklifts, overhead cranes, trolleys or other equipment used to assist in the loading and unloading process.
•The work may be dirty or dusty depending upon the type of goods handled.

Work Function/Activity1:
•Sedentary to light physical demand levels.
•Employees frequently walk and/or stand about the work area to verify cargo and examine shipping documents.
•Employees frequently sit at computer workstations while completing the clerical tasks required.
•Stretching, twisting, climbing, lifting and carrying movements are not typically a significant component of this job.
•Bending, squatting or crouching may be required for lifting tasks and the inspection of goods.
•Repetitive movements are likely on an occasional to frequent basis.
•Driving is not a significant component of the job.
•Use of hand-held objects and equipment such as pens, calculators, markers and electronic scanners is frequent.
•Mental activities necessary include a good level of record keeping, organisation and communication.

Further Comments:
•There are opportunities for flexibility of movement.

Entry Requirements:
•A New Zealand Register Level 2 or 3 qualification or at least one year of relevant experience. In some instances particular experience and/or on-the-job training may be required. For entry-level positions on-the-job training is sufficient.


but not everything is needed to be explained as the cold weather was one of the greatest,

that is why one statement is placed on here.

Quote

41312 Dispatch and Receiving Clerk

The duties in this occupation require fine motor skill work for filling out dispatch notes, exposure to current weather conditions, constant standing, lifting and carrying constantly, driving of forklifts, use of minor office and hand tools and requires mental skills of organisation and practical. Working in cold weather affects the extremities as in the medical reports from specialists. This occupation is therefore impracticable


there is only one reason in this job that is mention and that is working in cold weathers. notice how the reference to the medical reports to back up the statement.

now I have seen assessor write down Claimant claims that they can't do the job as stock clerk. they have left out the reason but has asked misleading questions. This is because the assessor has nothing in writing.


Alan what I am trying to get people to do is be more active in obtaining entitlements and yes the next document will be more refined just as ACC does in getting there reports.

Fight for Justice can choose to follow Sparrow and not get cut off, but will have a second assessment as there are erroprs in the assessment.
Or

Can just supply more information where the Corporation will make a decision on the rehabilitation and if the answer is no rehabilitation because it is not going to be economic, then the ACC will not mind paying the Compensation until retirement. Think long term.
0

#25 User is offline   Alan Thomas 

  • Advanced Member
  • PipPipPip
  • Group: Members
  • Posts: 10813
  • Joined: 10-June 06

Posted 05 May 2009 - 07:14 PM

What I am saying is information is insufficient for its purpose. A medical professional cannot possibly determine occupational safety with such inadequate information. Yes I do know a lot about the subject as I paid a very large amount of money to produce a software programme for automated assessments linking in the individual work task activities with the individual occupations. You will note that the new standard classification of occupations shared with Australia also includes a skill criteria which clarifies the whole matter.

If you look at what an employer is purchasing in terms of skilled labour they certainly would not accept such silly and inadequate information. Occupational assessors should at the very least have a degree in human resources management and have particular qualification and experience in the major occupational groups that they are assessing. Instead the ACC is providing contracts to occupational assessors that have no relevant no qualifications or experience whatsoever and simply do not know what they are talking about. They are simply picking up the job specifications like a lucky dip. This practice is of course completely illegal and criminal action that will result in prosecutions in due course.

Doppelganger & Huggy what you need to be thinking in terms of is criteria whereby the individual can justify receiving earnings from the employer for all of the individual tasks necessary for the occupation are carried out to a professional standard. Anything less would be offering an employee to the employer based on fraudulent misrepresentation which is exactly what the occupational assessor was doing on behalf of the claimant. As the claimant is invariably ignorant on these matters it is uncertain as to whether or not the claimant would actually be liable for criminal prosecution initiated by the employer. Most simply do not get a job and as such has never becomes an issue between the claimant an employer.

what the ACC are doing is commissioning the production of a false document for their own pecuniary advantage and then claiming ignorance by relying upon the so-called expert occupational assessor that they have authorised as being acceptable without any due diligence as to whether or not they are competent to be an assessor.
0

#26 User is offline   doppelganger 

  • Advanced Member
  • PipPipPip
  • Group: Members
  • Posts: 1740
  • Joined: 19-September 03

Posted 24 February 2012 - 01:33 PM

this is a ACC earlier letter sent to the Vocational Independence assessments including VIMA, IMA

Quote

Claim Number: [claim number]
[Date]
[Medical Assessor Full Name]
[Medical Assessor Postal Address]
Name:
Address:
Telephone:
DOB:
DOl:
\
/ Dear [Medical Assessor Title] [Medical Assessor Surname]
Work Rehabilitation Assessment: Medical Assessment
[claimant full name] ,
[claimant postal address]
[claimant phone number 1]
[claimant dob]
[claimant doa]
[claimant full name] requires a Work Rehabilitation Medical Assessment following the
completion of their individual rehabilitation programme and occupational assessment.
Please arrange an appointment with [him/her] for this assessment within the next 21 days.
To assist with your assessment, I have attached an ACC192 Work Rehabilitation
Assessment: List of Referral Documents for Medical Assessor, along with copies of each
of the documents in the attached folder. The Medical Assessor Referral Folder is divided
into two sections starting at the back:
• Work Rehabilitation Assessment documents (ACCI91A file summary, ACC 191B
Claimant Quality Check, ACC193 Claimant Questionnaire, ACC194 GP
questionnaire, ACC195 occupational assessment form, ACC196 job details sheets,
ACC197 recommendation form, individual rehabilitation plants), relevant case
notes, consent form).
• All medical documents in chronological order from earliest at the back, to most
recent on the top (original advice of injury form, all GP specialist and radiological
reports, relevant physical therapy and pain management reports, latest ARCI8).
Please undertake a clinical examination of [claimant full name] and provide a report of
their capacity for work in each of the job options identified in the occupational
assessment. Please make only one recommendation for each occupation. You should note
that for the purposes of defining capacity to work, a person must be able to consistently
perform the required duties for 35 or more hours a week. Please complete the ACC197
Section 2.
We ask that you recommend whether the claimant has a capacity to work 30 hours or
more per week (current legislation) as well as whether the claimant has the capacity to
work 35 hours or more per week. The new bill proposes a 35 hour per week capacity. We
have taken a proactive approach by assessing capacity for work of 35 hours or more per
week. This will apply to all new claimants who commence the Work Rehabilitation
Assessment Process on or after 15 January 2001.

If in your opinion, any non-accident conditions affect [claimant full namel's capacity for
work, please clearly describe the condition and how it impacts on their function. Please
note you are only required to take into account the effects of personal injury when
forming your opinion of their capacity for work in each of the identified jobs. Therefore, if
a non-accident condition affects the claimant's capacity to work this should not influence
your opinion.
During the assessment interview, please make sure that [claimant full name] is aware of
both your findings and the likely nature of your opinion to ACe. It is important that
[claimant full name] has the opportunity to discuss any potential injury-related concerns
about the specific job options listed, and that these are reflected in your report to ACe.
When you have completed your assessment, send your report and invoice to me for
payment within eight working days of the assessment. Invoices should quote both Claim
No: [claim number] and Reference No: [purchase order no].
On completion of the assessment report, please send a copy to the claimant and a copy to
the ACC Case Manager.

If any of the listed referral information is missing, or if you have any difficulties contacting
[claimant full name], please contact me on [office phone number].
Thank you.
Yours sincerely
[Staff Name]
[Staff Designation]
Encl. ACC192 List of Referral Documents; ACC191A File Summary; ACC191B Claimant
Quality Check; ACC193 Claimant Questionnaire; ACC 194 GP Questionnaire; ACC 197
Work Rehabilitation Assessment: Recommendation; Rehabilitation Plans; Relevant Case
Notes; Medical Documents

0

#27 User is offline   not their victim 

  • Advanced Member
  • PipPipPip
  • Group: Members
  • Posts: 10829
  • Joined: 04-August 08

Posted 25 February 2012 - 08:46 AM

however, i had a VIMA done, which was in my favour

then, acc wrote to the assessor, and asked her to ammend it

then, as she still supported me, acc wrote a 3rd time

this time, said assessor ammended the report in acc favour!!!

turned out, acc had already been given directions by the D/C Judge, and the law firm representing me...

so what happened, acc got their way for a while, until a complaint overturned the decision, but it turns out, i should never have been cut off in the 1st place...and acc compltely ignored the Judge/Lawyer

their antics are disgusting...especially, when case manager has been told to exit you regarless...so they leave out the medical experts comprehensive reports...
0

#28 User is offline   doppelganger 

  • Advanced Member
  • PipPipPip
  • Group: Members
  • Posts: 1740
  • Joined: 19-September 03

Posted 25 February 2012 - 09:16 AM

So the claim manager left out a report but claimed in a letter to assessor ALL medical information was given.
0

#29 User is offline   not their victim 

  • Advanced Member
  • PipPipPip
  • Group: Members
  • Posts: 10829
  • Joined: 04-August 08

Posted 25 February 2012 - 09:50 AM

1st vima, no mention of neck
2nd VIMA , no mention of neck
3rd Vima...ammended report in acc favour
4th vima...specialist and pain management letters deliberately withheld

judge stated in 2006 after 2nd vima...should not be off erc...

acc now dangling carrot...sign acc 167 and relinquish privacy, and they MIGHT restart erc

this from the person who scrubbed out my IRD number, and put smeone elses in, which makes it look like ive had a massive payout! grrrr

i ammended the acc 167 to say all reports must come thru me 1st...to keep ACC HONEST...bearing in mind the privacy commissioners concerns

acc are now trying to make me NON COMPLIANT again!!! and im not even on the books yet!

and as for the ombudsman and hdc, here we loopy loo...round and round they go...
0

Share this topic:


  • 2 Pages +
  • 1
  • 2
  • You cannot start a new topic
  • You cannot reply to this topic

1 User(s) are reading this topic
0 members, 1 guests, 0 anonymous users