High-impact claims by benefit payment percentage
High-impact claims are allowed lost-time claims that have been shown to have significant impacts on people who have been injured at work and their employers. The WSIB is focused on return-to-work and recovery outcomes and supporting people and employers to reduce the impacts of these claims. Specialized case management teams, new evidence-based health services, and expedited access to expert medical intervention are some of the initiatives implemented at the WSIB in recent years to improve outcomes related to high-impact claims.
High-impact claims refer to three specific types of claims--those involving the lower back, shoulder, and fractures. These claims account for 42 per cent of all benefit payments and 30 per cent of all allowed lost-time claims.
High-impact claims by average days lost
Due to the nature of high-impact claims, the average days lost within three and six months post injury or illness is usually higher for these claim types in comparison to all other lost-time claims combined.
The WSIB continues to focus on programs aimed at improving recovery and return-to-work outcomes for high-impact claims.
Data for average days lost within three months published September 2018 and average days lost within six months will be published in November 2018.
High-impact claims as a percentage of all lost-time claims
In general, the percentage of lost-time claims related to lower back and shoulder injuries has remained fairly constant. Over the same five-year period, the percentage of fractures continued to decrease slightly since 2013 and shoulder injuries have remained fairly constant.
In 2017, the three types of high-impact claims represented approximately 30 per cent of all lost-time claims, a slight decrease from 2016. Lower back claims continued to account for the highest proportion at 17 per cent.
The leading characteristics for high-impact claims have remained fairly consistent since 2013. The services, health care, manufacturing, and construction sectors continue to account for more than 70 per cent of all high-impact claims. Similarly, male employees continue to represent about 65 per cent of all high-impact injuries and those 50 to 54 years of age experience the highest percentage of these injuries.