Rapid Site Access Program Training for Signatory Unions
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Transcript of Rapid Site Access Program Training for Signatory Unions
Rapid Site Access Program
Training for Signatory Unions
Presented by:
Orgranizational Health Inc.
RSAP Third Party Case Administrators
Presented by:
Orgranizational Health Inc.
RSAP Third Party Case Administrators
Questions that will be answered…..
What is RSAP and how does it work? What are the benefits and key elements of RSAP? Who are the key service providers and what role
does each provider play? How does www.rsap.ca work with the dispatch
process? What does TPA Case Management look like? What are union responsibilities under RSAP? Who else is participating in the program?
What is RSAP?
An alternative to site access testing…
…with perks
Workers agree to be random tested while at work Those workers do not have to submit to site
access tests to get on participating sites while in compliance with RSAP
Elements of the program
Opting into the program
Dispatch
Random testing and follow-up testing
Notification of Inactive/Active Status
Case management and aftercare
Opting into the program…
Voluntary
Pre-enrollment test, with exceptions
Available to travel cards/permit workers
Meaningful limitations on opting out
Members Opt-in Consent
An excerpt from voluntary RSAP application….
“I understand the use of my SIN number shall be for the sole purpose of assigning each RSAP applicant/participant a unique RSAP ID Number, and my SIN number shall not be disclosed to any party thereafter.”
“I agree to the release and use of my personal information that is reasonably necessary for RSAP administration as between my union, the third party case administration, service providers, third party auditors, participant employers and testing facilities.”
Random testing for RSAP MEMBERS ONLY!
50% per year of employed participants
12 draws of 4.17% per month
All employed workers are in one random pool
Sample collections performed on work time on the site with the use of mobile units
Worker returns to work following successful completion of the collection
Oral fluid testing vs. urine testing
Maintaining Active Status
A participant work who is not employed with any participant contractor for a period of six consecutive months or more shall become inactive and must submit to a re-qualification test prior to becoming active again
Opting out of RSAP
Only participant workers currently in compliance with RSAP and who are not currently employed by a participant contractor may opt out – request to opt out must be made in writing
Participant workers shall not be permitted to opt out if not in compliance, if currently working with participating contractor or who have a signed return to work agreement with the third party administrator
Some program benefits….
Based on premise random testing is more effective in meeting safety objectives than site access testing
Continuity of multi-employer aftercare
Expedites dispatch
Managed by expert professionals
Privacy
Dispatch benefits…
Proceed directly to the site
Active status confirmed at point of dispatch
Those with inactive status are barred from dispatch
RSAP Member or Member Referred for Third Party Case Mgmt.
RSAP Member or Member Referred for Third Party Case Mgmt.
ORGANIZATIONAL HEALTH INC.ORGANIZATIONAL HEALTH INC.
Mobile Industrial
Health Services
Mobile Industrial
Health Services
Human Solutions
Human Solutions Unions Unions
ConstructionIndustry
Contractors
ConstructionIndustry
Contractors
MaxxamLab and
CommunityAddiction Resources
MaxxamLab and
CommunityAddiction Resources
Participant Owners
Participant Owners
Roles and Responsibilities – OHI Privacy Commitment
Role to house and disseminate information Ensure the integrity of RSAP processes Privacy officer Electronic files with multi-level data security Educate stakeholders regarding information that will and will
not be shared Sharing information based on “need to know” to ensure
program integrity and contribute to workplace safety in the AB Construction Industry
Case management focus – for all people with non-negative results…
Safety and Corrective Focus Based on Substance Abuse Expert
recommendations Managed for full term of aftercare on behalf of
entire trade division
Note: non-negatives include refusal to test, no-shows, sample tampering, failed integrity checks
Continuum of Services
Active Random Pool
Inactive Refer to SAE SAE Report to OHI Case Management Return to Active
Status Fitness for Work
Follow Up Testing
Active Status (Negative) Inactive Status (Non-negative) T
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Case management tools…
Tools include:Return to work testing
Follow-up testing
Education, treatment, detoxification, counseling
Twelve step meetings, confirmation of attendance
Requirement to check in
Dispatch restrictions
Medical Assessments if necessary
Current contact information required
OHI - TPA Testing
Test requests sent to Testing Administrator for: – new participants– monthly random draw– initial return to work and – fitness to work follow-ups
Testing administrator notifies contractor and OHI of any member who has been tested on site and deemed unsafe to RTW for that shift.
Mobile Industrial Health Services
Confidentiality▪Accountability▪Respect
Integrity▪Dedication to People
Worker Responsibilities
Cooperate with testing process as directed by collector
– Removing bulky outerwear– Emptying pockets– Fluids as directed– Patience during shy bladder protocol
Collection Procedure
Breath alcohol test will be completed first
Drug collection completed last -- lab-based (no instant result)
Positive Alcohol Confirmation
The collector will inform the company contact that the employee – Requires safe transportation back to his or her
lodging– Is not to return to duty until contacted by OHI
The collector will inform OHI as soon as is reasonably practicable
Oral Fluid Drug Collection
Simple collection process
Observed
Integrity assured
Refusal to Test
Failure to cooperate with the testing process Leaving the collection facility before completion
of the testing process Refusal to provide a sample Adulterated or substituted sample, or no medical
reason for providing insufficient quantity (MRO will determine)
Laboratory Testing
Maxxam Analytics – HHS certified – Follows strict chain-of-custody procedures
Non-negative results are verified and quantified using mass spectrometry
Result is reported to Medical Review Officer (MRO)
SAE Process
What Can I Expect?– A qualified expert in addictions– A competent standardized assessment based on
current clinical & ethical tools & practices, current human rights, privacy legislation, & employer substance abuse policiesfor example:
MAST/DAST/SASSI-3 Medical & Public Health models, DSM-IV-TR Diagnostics, Clinical
Interview Standardized Reporting
Possible Diagnosis
Three possibilities for both alcohol and/or drug diagnoses from an SAE:
Insufficient evidence Harmful Use Abuse
Dependence – Each diagnostic category will have specific
recommendations
Main dispatch players
OHI
UNION CONTRACTOR
DATABASE
www.rsap.ca
www.rsap.ca/selfregistration.asp www.rsap.ca/selfregistration.asp
Information must be current
Program integrity Stakeholder confidence Meet safety objectives Program effectiveness Minimize costs (direct and indirect) Develop and maintain good working relationships In order for program to work as it should, OHI must
have good information and know where workers are at any given time
Information Sharing with Unions
OHI to Union Hall: Active status
confirmations Inactive status
confirmations Contact information
changes
Union to OHI: Electronic dispatch
information including contractor and site information
Daily additions to ‘out of work’ list
Contact information changes
Commitments and promises
Individuals: No bidding on any union job for those who are out of compliance with RSAP
Unions: No dispatch for those who are out of compliance with RSAP to any union contractor
Contractors: No hiring of those who are out of compliance with the program
Owners: No site access for those out of compliance with the program
RSAP Procedural Rules – Agreed upon Union responsibilities…
Agree to comply with the terms and conditions of RSAP
Assist any interested members in registration Refer any members looking for self- help to
OHI who will provide further resources.
Agreed upon Union responsibilities…
Register and update any changes to contact information
Upload the RSAP dispatches of the day to the RSAP Data Base for confirmation of active status
Upload the daily additions to RSAP out of work lists
Agreed upon Union responsibilities…
Article 5.5
The union shall not knowingly dispatch an inactive participant worker to any contractor or site.
Contact for RSAP data base
For providing union dispatch information Sheldon Pereira-Database Creator Phone: 1-403-275-5266 Email:[email protected] https://www.rsap.ca (Jan 2010)
Participating owner sites
Alberta Envirofuels Inc.CNRL Dow ConstructionEpcor Keephills (Cap Power
Corp)KBR Mod YardKeephillsLong LakeNorthwest Upgrader
Positive discussions with others
Opti NexenPetro CanadaShell ConstructionSuncorSyncrude
Unions prepared to participate
Cement Mason- once data base flowing Boilermakers- once data base flowing ElectriciansInsulatorsIronworkers ReinforcingIronworkers Structural Millwrights (subject to ratification)Operating Engineers - once data base flowing PlasterersPlumbers & Pipefitters- once data base flowing Sheet Metal Sheeters, Deckers & CladdersGeneral Labourers- once data base flowing Carpenters- once data base flowing
Scenario -Tom
Sends in signed RSAP registration form Provides negative testing results (90 days) Now Active Participant & Dispatch eligible Is entered in random pool for testing
Tom cont’d…
Random test done 6 mths after sign up MRO reports non-negative for cocaine Inactive RSAP Status OHI contacts Tom and referral made to SAE Diagnostic category on SAE report “abuse “ SAE recommendations followed up by OHI
Tom cont’d…
Attends required educational sessions & compliant with recommendations
Return to work testing results negative Signed Return to Work Plan with OHI RSAP Status updated to Active Follow up testing required 8 tests over one
year
Tom cont’d…
Contractor refers to OHI due to Non-Negative Results for pre-access test on non- participating site
RSAP status changed to Inactive, union notified
OHI refers member to SAE although Tom disagrees with test results
SAE report received- alcohol dependence and requires residential treatment
Tom cont’d…
• Disagrees with SAE report and does not comply with recommendations
• Appeals test results and SAE findings and application made to Umpire for file review
Remains RSAP inactive member
Tom cont’d…
• Disagrees with SAE report and does not comply to recommendations
• Appeals test results and SAE findings and application made to Umpire for file review
Remains RSAP inactive member
Ways to sign up for RSAP…
By mail –to union hall or OHI By Fax – 1-877-423-0313 www.rsap.ca/selfregistration.asp (in near
future)
OHI contacts…
www.orghealthinc.com [email protected] Toll free phone 1-888-493-0725 Edmonton phone 780-493-0725 Toll free fax 1-877-423-0313 Edmonton fax 780-423-0313 On line registrations in very near future
https://www.rsap.ca/selfregistration.asp
Thank you.
Questions?