An Examination of Washington State Workers’ Compensation Claims for Home-Based Health Care Workers, 2006 to 2016: Part 1. Description of Claims and Claimants

Abstract

Home-based health care can be physically and emotionally demanding, resulting in injury or illness. Washington State’s workers’ compensation compensable claims between 2006 and 2016 were analyzed to describe the characteristics of injured home-based health care (HBHC) providers and the burden created by these injuries. Comparisons were made with clinical health care (CHC) providers, as well as between all compensable claims and work-related musculoskeletal disorder (WMSD) claims. Over 90% of claimants for both HBHC and CHC were female. The mean age of all compensable HBHC claimants (45.7 years) was significantly older than for CHC, with the majority (54.5%) between the ages of 40 and 59. However, HBHC claimants with WMSDs were younger, overall. Across health care type and claim type, the majority of injured care providers were overweight or obese (BMI ≥ 25). The highest mean age occurred among claimants injured from falls, either on the same level or to a lower level (HBHC: 48.3-48.6 years, CHC: 46.1-48.1 years). This same group also had the highest BMIs. WMSDs accounted for 47.3% of HBHC compensable claims and 50.3% for CHC. Falls on the same level were the second most common injury event among HBHC claims. For both HBHC and CHC, back injuries were the most common body part for both claim types (all compensable claims: 28.8% HBHC and 23.9% CHC, WMSD claims: 60.8% HBHC and 47.5% CHC). Overexertion was the injury event most attributed to WMSDs (HBHC: 82.6%, CHC: 71.6), overexertion during lifting being the most prevalent overexertion type (HBHC: 27.8%, CHC: 19.6%).

An Examination of Washington State Workers’ Compensation Claims for Home-Based Health Care Workers, 2006 to 2016: Part 2. Injury Rates and Trends

“…With the elimination of medical-only claims, 43,513 claims formed the final dataset. An earlier analyses of these data 24 found a greater proportion of HBHC providers were female than CHC providers (all compensable claims 90.1% vs 79.5%; WMSD claims 91.6% vs 81.7%). The mean age of HBHC claimants with WMSDs was 45.3 years, significantly older than CHC claimants with WMSD (42.9 years).…”

“…In a separate analysis of these workers’ compensation claim data, the overall claim rate across all study years was also found to be higher for CHC. 24 However, HBHC claims were more expensive, and involved more lost work days. 24 These are important factors to consider when prioritizing resources for injury prevention.…”

“…24 However, HBHC claims were more expensive, and involved more lost work days. 24 These are important factors to consider when prioritizing resources for injury prevention.…”

“…A detailed description of data extraction methods is provided in a companion study using these same data. 24 Washington State workers’ compensation claim data between 2006 and 2016 was extracted for analysis. Data were extracted in February 2019 for claims accepted between January 1, 2006 and December 31, 2016.…”

“…This research continues an examination of home-based health care workers’ compensation claim data between 2006 and 2016 in Washington State. Earlier analyses of these data 24 found the majority of injured HBHC providers were between the ages of 40 and 59, with a median age of 45.7, younger than the national median age for registered nurses of 52 years. 25 Work-related musculoskeletal disorders (WMSDs) accounted for close to half of the compensable claims for HBHC.…”