Journal article
Occupational differences in workers' compensation indemnity claims among direct care workers in Minnesota nursing homes, 2005‐2016
American journal of industrial medicine, Vol.63(6), pp.517-526
06/2020
DOI: 10.1002/ajim.23102
PMID: 32166773
Abstract
Background
Nursing assistants have one of the highest injury rates in the U.S., but few population‐based studies assess differential injury risk by occupation in nursing homes. This statewide study assessed differences in musculoskeletal disorders (MSDs) and patient handling injuries among direct care workers in Minnesota nursing homes.
Methods
Indemnity claims from the Minnesota workers' compensation database were matched to time at risk from the Minnesota Nursing Home Report Card to estimate 2005 to 2016 injury and illness claim rates for certified nursing assistants (CNAs), licensed practical nurses (LPNs), and registered nurses (RNs). Associations between occupation and claim characteristics were assessed using multivariable regression modeling.
Results
Indemnity claim rates were 3.68, 1.38, and 0.69 per 100 full‐time equivalent workers for CNAs, LPNs, and RNs, respectively. Patient handling injuries comprised 62% of claims. Compared to RNs, CNAs had higher odds of an indemnity claim resulting from an MSD (odds ratio [OR] = 1.67; 95% confidence interval [CI], 1.31‐2.14) or patient handling injury (OR = 1.89; 95% CI, 1.47‐2.45) as opposed to another type of injury or illness. CNAs had lower odds of receiving temporary and permanent partial disability benefits and higher odds of receiving a stipulation settlement.
Conclusions
CNAs in Minnesota nursing homes are at heightened risk for lost time MSDs and patient handling injuries. Claims filed by CNAs are more frequently settled outside the regular workers' compensation benefit structure, an indication that the workers' compensation system is not providing adequate and timely benefits to these workers.
Details
- Title: Subtitle
- Occupational differences in workers' compensation indemnity claims among direct care workers in Minnesota nursing homes, 2005‐2016
- Creators
- Christina E. Rosebush - University of MinnesotaBrian Zaidman - Minnesota Department of Labor and IndustryKatherine E. Schofield - University of Minnesota, DuluthDarin J. Erickson - University of MinnesotaMarizen Ramirez - University of MinnesotaBreca Tschida - Minnesota Department of Labor and IndustryPatricia M. McGovern - University of Minnesota
- Resource Type
- Journal article
- Publication Details
- American journal of industrial medicine, Vol.63(6), pp.517-526
- DOI
- 10.1002/ajim.23102
- PMID
- 32166773
- ISSN
- 0271-3586
- eISSN
- 1097-0274
- Number of pages
- 10
- Grant note
- Midwest Center for Occupational Health and Safety (T42OH008434)
- Language
- English
- Date published
- 06/2020
- Academic Unit
- Occupational and Environmental Health
- Record Identifier
- 9984282464202771
Metrics
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