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

E

S

T

R

E

S

U

L

T

S

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:sheldon@aquanode.com 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 rsap@ohisystems.com 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?