Key CIS injury management reports

Premium paying agencies are able to access their injury management and claims performance data through Comcare's Customer Information System (CIS).

The following CIS reports have been identified as particularly useful for:

Early intervention
Return to work planning
Working with rehabilitation providers
Monitoring performance

Early intervention

CIS report number

Information to be included

63. Early intervention

Description: This report is presented in list format and presents details for claims where no Section 37 costs have been incurred.

Benefits: The purpose of the report is to highlight to an organisation their claims that may benefit from a return to work plan.

Return to work planning

CIS report number	Information to be included
56. Open return to work plan	Description: This report is presented in list format and presents details of open return to work plans. This data is sorted by case manager. Benefits: This report is a useful tool in identifying for an agency all of their open return to work plans by case manager. Including details such as: RTWP Cost to date Provider Name Estimated Final Goal
58. Claim activity post RTW	Description: This report is presented in list format and presents details about closed return to work plans. This data is sorted by date of closure order. Benefits: The report looks at all closed RTWPS and provides information about incapacity and medicals since RTWP closure, listing records in date closure order.
59. Rehabilitation expenditure - List	Description: This report is presented in a table format showing the breakdown of the RTWP cost against cost to date. Benefits: The intention of the report is to provide a representation of the amount of money being expended on rehabilitation in comparison to all costs to date.
60. Rehabilitation expenditure - Chart	Description: This report is presented as a pie chart representing the percentage breakdown between RTWP cost and cost to date. Benefits: The intention of the report is to show the percentage breakdown between rehabilitation cost and all other costs to date.
61. Open/Expired return to work plan	Description: This report is presented in list format and presents details about return to work plans that have expired but not closed. This data is sorted by case manager. Benefits: The intention of this report it provide a listing of RTWP's where the plan end date has expired with no recorded lodgement of a return to work plan amendment or closure form.
62. RTWP average cost and duration	Description: This report is presented as a combined column and line chart plotting the average cost of a RTWP against the average RTWP cost broken down by mechanism of injury. Benefits: The intention of the report is to provide the customer with a representation of the average cost and duration of their return to work plans. It allows comparison of agency RTW costs and duration.
65. Claims with multiple RTW plans	Description: This report is presented in list format and presents details for claims with more than one RTWP. Benefits: The purpose of the report is to highlight all open claims that have more than one RTW plan to assist customers in evaluating the effectiveness of their RTW plan activity and policies.

Working with rehabilitation providers

CIS report number

Information to be included

64. Provider performance report

Description: This report is presented in list format and presents details for closed RTWP's as well as summarised indicators by provider.

Benefits: The purpose of this report is to highlight the performance of rehabilitation providers being utilised by an organisation.

Monitoring performance

The following reports provide information about your rehabilitation and return to work performance.

CIS report number	Information to be included
5. Prevention and rehabilitation performance summary	This report provides a quick overview of claim statistics. Number of claims Number of claims counts all claims accepted by Comcare in the specified period/s. This number can be used to calculate your agency's claim frequency. Divide the number of accepted claims by $ million payroll for your agency. Number of lost time injury claims Number of lost time injury claims is a subset of the number of claims and counts those claims that have recorded one shift or more time away from the workplace due to a compensated injury. This number can be used to calculate your agency's lost time frequency rate. Divide the number of lost time injury claims by the total number of hours worked by all agency employees in the period and multiply by 1,000,000. The total number of hours worked can be derived from the actual hours worked or from the number of hours of paid work, less a notional estimate for leave hours. Average cost of claims Average cost of claims is calculated by dividing the total cost of claims accepted in the specified period/s by the number of claims accepted in the period/s. Claim costs in this report represent claims accepted in the period with any date of injury and are not limited to claims with a date of injury in the last quarter, year or 4 yearly period. Time taken to lodge claims Time taken to lodge a claim measures the average number of calendar days taken for claims to be forwarded to Comcare from a date of injury. This measure only includes claims determined by Comcare in the specified period/s and excludes any claim received by Comcare 1000 calendar days or more after the date of injury. Number of claims reaching the 5th, 30th and 60th days of lost time Number of claims reaching the 5th, 30th and 60th days of lost time count claims that recorded the 5th, 30th or 60th cumulative calendar day of incapacity entitlement in the specified period/s. This measure counts all claims with an incapacity entitlement recorded in the period/s, irrespective of the date of injury, the date the claim was received or determined or the date or length of the period of incapacity entitlement. Percentage of claims with a new Return to work plan Percentage of claims with a new Return to work plan counts the number of claims, having had 10 or more days incapacity determined, who commenced a RTW plan determined either in the period or prior to the 10th day of incapacity being determined. The percentage is calculated by dividing this count by the total number of claims that recorded the 10th cumulative calendar day of incapacity entitlement in the specified period/s. Quality of return to work Quality of return to work counts the number of claimants who actually returned to work at the end of a return to work plan. This measure only includes return to work plans with an end date in the specified period/s. It exclude claims where the return to work plan has been amended to extend the initial end date.
23. Numbers of injuries resulting in 5 or more, 30 or more and 60 or more days incapacity	Description: The indicator counts claims which had the 5th day of incapacity, 30th day of incapacity and 60th day of incapacity determined within the reporting period. Benefits: This report allows visibility of an Agency’s effectiveness in RTW.
26. Numbers of injuries resulting in 5 days incapacity by mechanism of incident	Description: This report presents the number of claims in which the 5th day of incapacity was determined in the period resulting from the major Mechanism of Incident groups Benefits: This report allows visibility of an Agency’s effectiveness in RTW.
30. Quality of RTW outcome	Description: This report measures the outcome of the RTW plan at closure of the case. The data is presented as a table and shows three financial years of data grouped by month. Indicators displayed are: (Same employer same job) No. and % of cases who returned to pre injury duties (Same employer modified job) No. and % of cases who returned to modified job (Same employer new job) No. and % of cases who stayed with organisation but moved job or section (New employer any job) No. and % of cases who leave employ of the organisation and undertake employment elsewhere Total RTW (No RTW) No. and % of cases that did not return to employment Total Benefits: These indicator measures the nature of the outcome of return to work plan, across the scheme, at the closure of the case.
33. T4 - average weeks for RTW activity to commence	This report shows Agency intervention performance. Description: This report shows the average time taken (in calendar weeks) from date of injury to the date the first rehabilitation assessment service is provided. It reports all claims with the first rehabilitation service date recorded in each financial year period, commencing 2001-2002. The report also shows how performance needs to improve in order to reach the target of two weeks or less by 30 June 2012. Note that the indicator line has been set to a target of two weeks for all employers, including where the 2001-2002 average time taken is less than two weeks or where there were no cases in the 2001-2002 year. Benefits: This report measures early intervention performance for each financial year. Agencies should aim to reduce the time taken to undertake formal rehabilitation to an average of two weeks or less.
133. T4.1 average weeks for RTW activity to commence - Claim Detail	Description: This report provides details of the specific claims where the first rehabilitation assessment service date was recorded in each financial period, commencing 2001-2002. Included in the report are the time taken for RTW activity (the number of calendar weeks between the injury date and the first RTW service date), employee name, claim number, claim profile (type of injury), liable cost centre (the area of the agency that the employee belonged to at the time of injury), date of injury, first RTW service date (the date of the first RTW service processed against the claim by Comcare), and total cost (cost to date plus outstanding liability at the date of last case estimate update). This report can be selected by: all claims state liable cost centre view level - if set up for your agency It can only be produced by financial year commencing 2001-2002. Benefits: The purpose of this report is to enable agencies to examine specific cases and identify any particular areas and/or issues that are affecting performance.
29. Percentage of claimants with 10 or more days incapacity determined with a RTW plan	Description: This report presented as a table shows three financial years of data grouped by month. Base data displayed: Number of claimants who, in the period, reached the 10th day of incapacity Number of claimants who, having had 10 or more days incapacity determined prior to the period, commenced a RTW plan that was determined in the period Number of claimants who, having the 10th day of incapacity determined in the period, also had at any time prior to or within the period commenced a RTW plan Benefits: The indicator measures the number of claimants, having had 10 or more days incapacity determined, who commenced a RTW plan determined in the period (or, having had at any time prior to the end of the period a RTW plan determined, have the 10th day of incapacity determined in the period) as a percentage of the number of claimants who had the 10th day of incapacity determined in the period.