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1 <br />City of Santa Ana Response to Request for Proposal (REP) Medical Services Review 1 2/9/15 <br />or more of the essential functions of thejob and to save time by eliminating costly delays. <br />Obtain Medical Information <br />Next, OCCn-Med selects the appropriate physician to provide the needed medical information (this can be <br />the treating physician or an independent specialist). Occu-Med contacts the employee by issuing an <br />lndividualized Assessment/Reasonable Accommodation Letter. The Individualized <br />Assessment/Reasonable Accommodation Letter will introduce Occu-Med to the employee as the City's <br />healthcare and human resources consultant and will explain that the IRTW Evaluation is an ADA/FEHA <br />compliant reasonable accommodation process. Additionally, the letter will inform the employee of the <br />necessary steps and information required to complete the IRTW Evaluation. The letter, to be made <br />available to the appropriate physician or physicians designated, requests the specific, appropriate medical <br />information that will be necessary to determine whether the employee continees to be an appropriate <br />placement in thejob, with or without restrictions. When such medical information is submitted, our <br />medical staff evaluates it in conjunction with the essential functions of the employee's job to determine <br />whether a contraindication to job performance exists. <br />Recommendation <br />Occu-Med delivers a recommendation to the City through verbal communication followed by a legally <br />defensible written report outlining the specific process that occurred and how the recommendation was <br />determined (all while protecting the confidentiality of all medical information that is notjoh related nor <br />consistent with business necessity). The recommendation specifically advises the client of whether <br />Occu-Med recommends that an employee should be returned to work or not returned to work. <br />Occu-Med`s recommendation is outlined in each report and is determined by the evaluation of the medical <br />information submitted in conjunction with the review of the essential functions of thejob class. <br />The aforementioned qualifications are explained in each report along with the specifics of the case. For <br />example, sometimes the recommendation is that the employee be retained in or returned to the job with <br />work accommodations or restrictions. In this case, OCen-Med will provide the requested restrictions or <br />accommodations to the client, and the client must then identify the necessary accommodations or <br />restrictions that are reasonable, if any. Thus, the City's obligation to reasonable accommodation of the <br />employee is met Job assessment is completed and the employee can be returned to swork in the same <br />Job if the recommended accommodations are indeed reasonable. <br />In the event that the restrictions or accommodations aren't reasonable, thee I i ell L must then determine if an <br />,,....,, <br />13 <br />1 Occu-Med <br />