Centers of Occupational Health & Education (COHE)

Accountability

Give providers information that will help them better manage their workers’ compensation claims.
Measure the operations of COHEs and determine if they are meeting contractual obligations.

Measure	Benchmark
% of APFs Completeness & Timeliness.	80% of all APFs in the random (manual) review.
% of all claims initiated in this reporting period with at least 1 APF in the first 12 weeks.	80% of all claims.
% of all claims with a provider/employer phone call.	25% of all claims.
% of time-loss claims with a billed provider phone call or any HSC billed activity.	80% of all time-loss claims.
% of all claims with an HSC billed activity.	30% of all claims.
% of time-loss claims with an HSC billed activity.	80% of all time-loss claims.
Median days from claim established date to first HSC billed activity.	10 business days.
% of all claims initiated during the reporting period that have any time-loss compared to non-COHE claims in the COHE catchment area.	be lower than non-COHE.
% of all providers that are low adopters of COHE best practices.	less than 20% of all providers.
% of ROAs complete when submitted.	80% of all ROAs.
% of ROAs submitted within 2 business days.	80% of all ROAs.