Contractor Survey-COP Nurse

COP Nurse Survey
1. Introduction
Thank you for taking the time to complete this survey regarding your experiences with OWCP.
The goal of the survey is to provide feedback to OWCP on the effectiveness of recently implemented
operational enhancements as well as to provide a baseline for future changes. All responses will be kept
anonymous and confidential. Your honest feedback is important to our future success and genuinely
appreciated.
This survey will take approximately 5-10 minutes to complete.

2. CA-3
1. Within the last six months, have the number of referrals to you where
the injured worker has already returned-to-work decreased?
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Yes

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No

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Don't Know

2. Within the last six months, has the total number of cases you received
decreased?
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Yes

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No

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Don't Know

3. COP Portal and Report
3. Has the reinstitution of the Web Portal allowed you to receive
assignments from the Staff Nurses faster?
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Yes

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No

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Don't Know

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COP Nurse Survey
4. Has the reinstitution of the Web Portal allowed you to complete your
required calls/contacts earlier in the COP period?
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Yes

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No

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Don't Know

5. How has the reinstitution of the Web Portal impacted your ability to
report?
(Please check all that apply)
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Made the submission easier

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Made the submission process faster

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Allows me to be more timely with report submission

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No Impact

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Other (please specify)

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6. Do you think the new COP report format allows you to report the most
important information to the Claims Examiner better than the previous
format?
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Yes

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No

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Don't Know

If NO, please provide additional feedback on how the report format could be improved in the comment box below):

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COP Nurse Survey
7. How effective do you think the COP reports are in communicating the
following information?
Extremely Effective Somewhat Effective
Whether or not the
employee has returned

Somewhat

Extremely

Don't Know/Not

Ineffective

Ineffective

Applicable

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to work
Estimated return to
work dates
Obtaining medical
information for more
rapid adjudication
Problems the
employee is having
with treatment, return
to work or psychosocial issues that may
need to be dealt with
Problems the
employing agency may
be having with
obtaining needed
medical information in
order to facilitate
return to work
Communicating the
barriers to return to
work
Suggesting
interventions to assist
with recovery and
return to work
Additional Comments

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4. COP Nurses

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COP Nurse Survey
8. To what degree do you think the COP Nurse program is successful in
accomplishing the following goals?
Gathering information
on whether or not the

Extremely

Somewhat

Somewhat

Extremely

Don't Know/Not

Successful

Successful

Unsuccessful

Unsuccessful

Applicable

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employee has returned
to work
Gathering information
so the case can be
adjudicated quickly
Gathering information
so a recovery and
return to work plan can
be put together
Facilitating information
from the physician on
physical restrictions
Assisting with obtaining
needed medical
treatment
Assisting with obtaining
needed medical
treatment
authorizations and
assisting with billing
problems
Additional Comments

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9. OPTIONAL: Are there any suggestions you have to improve the
effectiveness of the COP Nurse program?
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5. Field Nurses
10. On what percentage of new claims, after your initial COP phone calls,
can you determine the need or lack of need for a Field Nurse intervention?
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None – additional information is required

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1 - 25%

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26 - 50%

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51 - 75%

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76 - 100%

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COP Nurse Survey
11. How often are you assigned as the Field Nurse on a case where you
were the COP Nurse?
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Never

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Less than 10% of the time

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10% but less than 25% of the time

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25% but less than 50% of the time

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50% of the time or more

6. Staff Nurse Role
12. How is your performance as a COP Nurse evaluated by OWCP?
(Please check all that apply)
c
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Staff Nurses monitor process-related measures (timeliness of reports, etc) on my cases and use that to

evaluate my performance

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OWCP surveys Claims Examiners and/or Employing Agencies to determine their level of satisfaction with my

services

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Staff Nurses use return to work or lost production day statistics to monitor COP Nurse results

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Staff nurses use return to work or lost production day statistics but take into consideration the severity of injury

and evaluate catastrophic case management separately

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I do not know how my performance as a COP Nurse is evaluated

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Other (please itemize any additional evaluation criteria in the comments box below)

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13. Would it be helpful to you in managing your cases if you had more
specific, outcome-oriented performance goals?
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Yes

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No

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Don't Know

If YES, what types of outcome goals would be most meaningful/helpful?

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COP Nurse Survey
14. Overall, how helpful is the Staff Nurse in providing direction on the COP
cases that are referred to you?
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Extremely

Helpful

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Somewhat

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Not Very Helpful

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Not At All Helpful

Helpful

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Don't Know/Not

Applicable

7. Information Sharing
15. What information are you allowed to share with the employing agencies
without a specific written authorization from the employee?
(Please choose the description that is the most accurate):
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Any material in the claim file

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All nurse and rehabilitation counselor reports

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Only information that does not contain medical evidence

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All information necessary to assist in the return-to-work effort, including psychiatric tolerance limitations (but

not full psychiatric reports)

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All information necessary to assist in the return to work effort

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I cannot give them any specific written material, but can discuss return to work with the agency

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No information without a specific signed authorization from the employee

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I am not sure

8. Demographics

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COP Nurse Survey
16. For which DFEC District Office do you work?
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Boston

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Chicago

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Cleveland

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Dallas

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Denver

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Jacksonville

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Kansas City

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New York

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Philadelphia

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San Francisco

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Seattle

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Washington, D.C.

17. In total, how long have you worked for DFEC?
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Less than a year

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1 to 3 years

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3 to 5 years

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5 to 10 years

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More than 10 years

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