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Definitions

Active Cases

Active cases are cases created in the current quarter that remain on the OWCP rolls through the duration of the current quarter. Costs are projected for active cases only.

Case Create Date

The date that the OWCP enters the case into the database. The case create date is usually after the date of injury because of the normal reporting lag-time.

Cause (of Injury/Illness)

Cause identifies the principal action/agent that effected the result of the injury/illness such as fall, slip, trip, etc. The person reporting the injury/illness chooses and assigns a cause code from an established list.

Closed Cases

Closed cases are cases created in the current quarter that do not remain on the OWCP rolls at the end of the current quarter. Since payments for these cases are relatively small, costs are not projected.

Direct Costs:

All OWCP benefit payments for medical, hospital and disability made to employees and their beneficiaries for a job related injury/illness or fatality.

Fatality:

Death resulting from an injury (traumatic) or illness/disease (occupational). The OWCP identifies a fatality with a "O" in the Extent of Injury (Ext_Inj) database field.

Fatality Projected Direct Costs

The average annual cost for a fatality case is $17,965. Benefits for fatality cases are paid an average of _____ years. The fatality case projected direct cost is $________ (rounded). (______X____=$______).

The average annual fatality case cost was computed by analyzing all payments for fatality cases, during the period 1993 through 1997. The total number of cases was 118. The total annual amount paid for all cases was $2,119,893. The average annual per case cost is $17,965 ($2,119,893/118 = $17,9645).

The average number of payment years was computed by analyzing all cases during the period 1993 through 1997. The total number of payment years for each case was computed by subtracting the case create date from the last year in which payments were made. The sum of all payment years, for all cases was _____. The total number of cases during the period was ____. The average number of payment years is ____ (_____/_____= ____).

Indirect Costs:

For every dollar spent on direct costs, four to ten dollars are spent on indirect costs.

Indirect costs are hidden costs resulting from an employee job related injury/illness or fatality. Unlike direct costs, indirect costs are charged to the Service operating budget or to the operating budget of the unit suffering the accident. Indirect costs include lost employee work time, resources spent on accident investigations, reduced co-worker productivity, replacement and training of new employees, and administrative management of accidents and accident compensation.

Illness/Disease (Occupational)

A physiological harm or loss of capacity produced by systematic infection; continued or repeated stress or strain; exposure to toxins, poisons, fumes, etc.; or other continued and repeated exposures to conditions of the work environment over a period of time. For practical purposes, an occupational illness/disease is any reported condition which does not meet the definition of injury (traumatic).

Injury (Traumatic)

A wound or other condition of the body caused by external force including stress or strain. The injury is identifiable by the time and place of occurrence and member or function of the body affected, and is caused by a specific event or incident or series of events or incidents within a single day or work shift.

Injury/Illness Incident Rate:

The number of injuries and illnesses per 100 full-time workers. Rates are calculated as:

(NX200,000)/EH

N = number of injuries and illnesses during a month, a quarter, a fiscal year, or any other time period.

EH = total hours worked by employees during the period.

200,000 = base for 100 full-time workers (working 40 hours per week, 50 weeks per year).

Lost-Time Case

A nonfatal traumatic injury that causes loss of time from work beyond the day or shift it occurred; or a nonfatal nontraumatic illness/disease that causes disability any time. The OWCP identifies Lost-Time Cases with an "X" in the Extent of Injury (Ext_Inj) database field.

Lost-Time Case Projected Direct Costs

The average annual lost-time case cost is $5,466. Benefits for lost-time cases are paid an average of 2.71 years. The lost-time case projected direct cost is $15,000 (rounded). ($5,466X2.71=$14,812).

The average annual lost-time case cost was computed by analyzing all payments for lost-time cases, during the period 1993 through 1997. The total number of cases was 2,078. The total annual amount paid for all cases was $11,357,310. The average annual per case cost is $5,466 ($11,357,531/2,078 = $5,466).

The average number of payment years was computed by analyzing all cases during the period 1993 through 1997. The total number of payment years for each case was computed by subtracting the case create date from the last year in which payments were made. The sum of all payment years, for all cases was 3,537. The total number of cases during the period was 1,309. The average number of payment years is 2.71 (3,547/1,309= 2.71).

Lost-Time Injury/Illness Rate:

The number of Lost-Time Cases per 100 full-time workers for any time period. The Service uses the OWCP Case Create Date to determine the cases included in the rate computation for all time periods.

Nature (of Injury/Illness)

Nature describes the injury/illness in terms of its principal characteristic such as fracture, laceration, amputation, sprain, etc. The person reporting the injury/illness chooses and assigns a nature code from an established list.

No Lost Time Case

A nonfatal injury (traumatic) or illness/disease (occupational) that does not meet the definition of Lost-Time Case. The OWCP identifies No Lost Time Cases with a "1" in the Extent of Injury (Ext_Inj) database field.

No Lost-Time Case Projected Direct Costs

The average no lost-time case cost is $2000 (rounded). Benefits for most no lost-time cases are paid within one year of the injury/illness case create date. The average benefits were computed by analyzing all no lost-time cases, during the period 1993 through 1997. The total number of cases was 2,601. The total amount paid was $4,859,645. The average payment is $1,868 ($4,859,645/2,601 = $1,868).

Office of Workers’ Compensation Program (OWCP)

The Office of Workers' Compensation Programs (OWCP) was established in 1916 to administer and pay claims under the Employees' Compensation Act. Benefits are available under this Act to federal employees (and their beneficiaries) who suffer a compensable job related injury/illness or fatality.

Each year the Service is billed by the OWCP for benefits paid. The Service receives an annual budget appropriation to reimburse the OWCP.