Workers Compensation - Washington

Tara Reck, Managing L&I Attorney at Reck Law PLLC - Workers' Compensation Attorneys

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L&I Claim Retraining: The Importance of Good Retraining Plans

The Department of Labor and Industries (L&I) provides a variety of vocational services. The goal of L&I claim vocational services is to help work injury claimants resume continuous, successful, and gainful employment.

 

L&I claim retraining – Who is eligible?

Job retaining isn’t available to everyone. If you have a workers’ compensation claim in Washington State, you may be eligible for retraining if you meet certain conditions. First, you can no longer work at your job of injury. Second, you don’t possess skills to do work under your physical limitations. Finally, if you’re eligible for retraining, then time loss payments continue while you actively and successfully participate in retraining.

 

Retraining plans must be reasonable and appropriate

Retraining programs are a significant benefit following a work injury. However, in my opinion, for a retraining plan to be effective, it must be reasonable and appropriate. For starters, let me explain what I mean by reasonable and appropriate.

 

Reasonable: From my perspective, reasonable plans are within the aptitudes of work injury claimants. They are written for success and not repeated failure. Also, when submitting plans, there’s sufficient time for approval. Moreover, plans allow the work injury claimant to obtain the necessary books, hardware, and other supplies BEFORE the term begins. Good plans include provisions for any necessary educational accommodations. Furthermore, accommodations are pre-arranged and pre-approved with the educational facility. Finally, they are drafted based on recent information about program requirements and course offerings. The latter minimizes the likelihood of class unavailability or program changes.

 

Appropriate: In my opinion, appropriate plans provide a real chance to obtain work once the plan completes. Therefore, there must be actual demand and labor market. Additionally, the job must be something the work injury claimant can sustain in real life. Whenever possible, the plan should also involve a retraining goal that interests the work injury claimant.

 

 

The importance of good work retraining programs

It’s important for retraining plans to be reasonable so that injured workers succeed. Unreasonable plans have a very high likelihood of failure. For example, when plans exceed the aptitudes of a work injury claimant, they tend to fall behind, fail classes, and often must repeat classes. In fact, I’ve seen plans that include repeat classes in the coursework because of vocational counselor’s assumption the injured worker will fail the class the first time. This doesn’t inspire success. On the contrary. It makes work injury claimants feel defeated before they begin.

 

Another unreasonable issue is when work injury claimants don’t get the hardware, books, supplies or help they need until weeks into the term. By then, they are already behind and may not recover in time to achieve passing grades. In short, plans that are not reasonable make work injury claimants feel like they’ve been set up to fail. Reasonable plans, on the other hand, inspire success.

 

As a primary matter, any retraining goal must be physically appropriate for the work injury claimant. They need to be able to do the work with success and continuity. Beyond that, work injury claimants are far more likely to become successfully employees after retraining if they can obtain a job that satisfies them. The first step towards that goal is ensuring the retraining plan will enable workers to obtain a satisfying job. In my experience, there’s rarely anything more defeating than telling an injured worker they’ve lost a job they love to disability and have no choice but to do a job they hate. While the law does not require people to return to their pre-injury earning capacity, it also doesn’t require them to be miserable.

 

Personal experiences

In summary, plans that are reasonable and appropriate are likely to succeed. Plan success means achieving the goal of vocational services to help work injury claimants resume continuous, successful, and gainful employment. Retraining is an incredibly valuable benefit. For many, retraining is the only hope for returning to work. However, to achieve employability, for it to truly succeed, the plan must be reasonable and appropriate. Sadly, I don’t feel like we place enough emphasis on the importance of reasonable and appropriate retraining plans. While not universally true, I feel that stakeholders put more effort on pushing plans through approval than ensuring they’re reasonable and appropriate. I commend and thank the vocational rehabilitation counselors who actively work for reasonable and appropriate plans. Your work truly changes lives for the better!

 

Interestingly, Terry, my paralegal, was injured at his previous workplace and went through retraining under his workers’ compensation claim. That’s how he achieved his paralegal diploma. Recently, I asked him what retraining meant to him. He replied:

When I went through the plan development process, it was important to me that I found a plan that fit my aptitudes and physical restrictions. I needed my training program to provide me with the skills needed to safely support myself and my family in a new job. I was fearful that I would not be able to find this because early on in the process, I was being presented with options such as weeks-long office assistant that appeared to be within my physical restrictions, but very minimal in the job skills that would be acquired. If I had not been able to get in a program that was appropriate for my educational and physical situation, I would have likely ended up back in a labor-based job, risking further injury.

L&I Claim for Spine Injury and Radiculopathy

I’ve been thinking a lot about L&I claim for spine injury and radiculopathy lately. That’s because I have several clients that have nerve and radiculopathy issues in their L&I claim in Washington State.

 

Radiculopathy in your L&I claim for spine injury

Radiculopathy is a condition that comes up fairly frequently in a workers’ compensation claim. Understandably, people with a work injury claim tend to be nervous when they learn they may have radiculopathy. It’s a challenging condition. On top, it can be difficult to decide which treatment to pursue. Therefore, I think it’s important for people to understand radiculopathy. What it is, how it occurs, and what treatments are available under the L&I guidelines. The general information in this article isn’t a replacement for medical advice. Rather, it’s a way to help work injury claimants that don’t have medical training to learn about the condition.

 

Why is the spine important?

The first step to understanding radiculopathy is to look at the structure of the spine. Medical doctors sometimes refer to the spine as the backbone. It’s the central structural support for the entire body. The spine connects different parts of the musculoskeletal system, which enables body postures. For example, postures like sitting, standing, walking, bending, twisting, crouching, squatting, and lifting are all possible because of the spine. Therefore, the spine has a critical role in many types of employment. Consequently, it’s also susceptible to workplace injury or disease at work.

 

The spine is made up of 33 bones or vertebrae in a stack. Together, they form 3 curves or a S-shape. These vertebrae connect to each other by bony structures and intervertebral disks. The disks act like jelly-filled shock absorbers. Muscles, ligaments, and tendons also help hold the spine’s shape. Furthermore, in addition to providing structural support, the spine also protects the nerves of the spinal column. Hence, any damage to the spine means the nerves of the spinal column might be susceptible to damages as well.

 

What is radiculopathy?

In general, radiculopathy refers to a pinched or impinged nerve in the spinal cord. A pinched or impinged nerve is when there’s excessive pressure on the nerve. The cause for the pressure can be bones, cartilage, muscles, or tendons near the nerve. On top, this condition can produce a variety of symptoms. These symptoms may include weakness, radiating pain, muscle spasm, numbness, and tingling.

 

L&I claim for spine injury – How does radiculopathy happen?

Structures of the spine (or surrounding tissues) can experience an injury, displacement, or even abnormal growths. For the latter, reasons can include bone spurts, tumors, or calcium deposits. Any of these occurrences can cause excessive pressure on nerves of the spinal column resulting in radiculopathy. Personally, from my experience and observations, radiculopathy cases usually involve: (1) A significant traumatic injury to the spine resulting in an acute fracture or disc herniation; or (2) A disease causing the areas where the nerves exit the spine to narrow.

 

Radiculopathy from work injury and causal relationship

An L&I claim for spine injury can be complex. There are several challenges with radiculopathy diagnosis in L&I claims. For one, some can argue that the cause for radiculopathy is the natural aging process rather than work-related conditions. Therefore, I commonly see the Department of Labor and Industries (L&I) deny coverage. For denials, they often base decisions on a medical opinion that the condition relates to the person’s age and not to a work injury or work illness.

 

Remember, we rely on medical evidence and medical opinions to show causation. Hence, if a medical provider feels that radiculopathy relates to your workers’ compensation claim, then it’s important for them to have a clear, logical, and medically-appropriate basis for the opinion. If you were diagnosed with radiculopathy or if it’s a suspected diagnosis, don’t be afraid to talk to your doctor about the condition. Moreover, ask them to explain why they think you have the condition. Also, ask whether they think it’s connected to your workplace injury or work-disease. Finally, take your time. Make sure you’re understanding the various treatment options so you can choose the one that suits you best.

L&I Claim Interpretation Services in Washington State

The Department of Labor and Industries (L&I) oversees work injury claims in Washington State. Every L&I claim is unique. Moreover, L&I claims can be very challenging to work injury claimants. Some of the challenges are even more frustrating for workers who do not speak English well.

 

Interpreting services for L&I claims

L&I offers a variety of interpretation services for people with a workers compensation claim. Previously, interpretation services were available primarily for in-person appointments. For example, appointments or meetings such as a medical consult and vocational provider conversations. To set them up, providers go through the InterpretingWorks online system.

 

With COVID, L&I announced that interpreters who provide in-person services must be vaccinated. This is in line with the Washington State Governor’s mandate. In fact, the mandate requires most state employees, healthcare workers and long term care workers to be fully COVID-19 vaccinated by October 18, 2021. Moreover, under the mandate – employees, contractors, volunteers, and providers of goods and services in a healthcare setting must also get the vaccine. Hence, the mandate includes L&I interpreters.

 

L&I interpretation services for online meetings

With COVID-19, we’ve seen a surge in virtual, video, and telephonic appointments in L&I claims. Obviously, these kinds of appointments also have interpreting needs. Consequently, L&I provides telephonic and video interpretation services through CTS LanguageLink. The services are available whenever in-person interpretation services are impossible or unnecessary. Interestingly, CTS LanguageLink has been providing statewide interpretation services for Washington State agencies since 1999. They offer over-the-phone interpretation as well as video services.

 

Setting up interpretation services for your L&I claim

As before, it’s up to the service provider to set up interpretation services when they need them. Providers can use the phone numbers below to set up CTS LanguageLink services. More explicltly:

 

First, service providers need to set up an account with CTS LanguageLink in order to access the services. For signup, providers can establish an account by emailing their L&I provider number or ID, name, and email address to ClientRelations@Language.Link. Then, the company will verify your provider information before they activate your account. Once active, you can utilize the services whenever you need them.

 

The viewpoint of an injured worker

I’m a workers’ compensation attorney in Washington State representing work injury claimants. I’m always concerned that people understand what’s occurring in their L&I claim. Also, it’s imperative for injured workers to be able to communicate effectively with service providers. Therefore, it always encourages me to see service providers utilizing interpreter services. Furthermore, I am very grateful to L&I for making these services easily accessible.

 

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