About the Vocational Profile

There are 6 indicators of vocational provider performance. Data for these indicators is limited to L&I industrial insurance referrals. These indicators should be used in conjunction with other important aspects of quality and effectiveness as defined in the Performance Criteria (43 KB PDF).

View all training videos about the Vocational Profiles.

Overall structure

All indicators are shown for each provider. There is no default sort. The referral source must first select the most relevant indicator for the claim before the provider list appears. The list can then be re-sorted by any indicator or column heading.

The indicators

The 6 indicators are:

  • Timeliness of monthly progress reports.
  • Plans approved the first time.
  • AWA Eligible recommendations approved the first time.
  • Useful outcomes.
  • Disputes.
  • Complaints.

The indicators were selected after considering stakeholder feedback (714 KB PDF / 2 min) and the results of an independent study. Contact Jody Witham at Jody.Witham@Lni.wa.gov to request a copy of the study.

Using the indicators

When making referrals, L&I will:

Refresh schedule

Data is automatically updated monthly. Indicators use data through the last day of each month. Updated indicators are posted on the first day of each month.

Progress reports

Starting November 1, 2010, progress reports must be submitted electronically via the Claim and Account Center (CAC) to be counted as "timely" under the new performance indicator.

To receive credit for a timely report, a progress report must use the link with the correct due date. The report due date identified on the new CAC screens is the date used to calculate timeliness. Each vocational rehabilitation counselor (VRC) can view their list of progress reports, the due date, and the latest date that is considered "timely." Each referral type has a different format based on WAC requirements.

Each referral type has a different format based on WAC requirements.

Aggregation

Individual VRC data includes all referrals regardless of firm association. Scores are calculated when the minimum sample size is attained for the indicator.

Data for firms includes only referrals that were assigned within the firm. Each branch is shown with the firm's statewide score. The minimum sample size for each indicator is the same for both individual and firm scores.

Firm data as proxy

Firm data is substituted for individual VRC data when the VRC has less than the minimum sample size. When this occurs, the proxy score will be identified with an asterisk.

Using firm data increases sample size without using older or retroactive data and provides information about quality for new or low volume VRCs.

Proxy scores aren't used for Dispute or Complaint data.

Format for the indicators

The indicators are displayed using 4 formats:

  • Text summary.
  • Basic data.
  • Percentage.
  • Decile grouping along with the magnitude of statistical confidence.

Indicator formats were developed after considering many factors, including comments and recommendations from the independent study. Copies of the study are available by contacting Jody Witham at Jody.Witham@Lni.wa.gov.

Text summary

A text summary is available for complaints that are final and have findings. A summary is displayed after an individual vocational rehabilitation counselor (VRC) has 3 or more complaints with findings.

For a copy of a complaint summary, you may file a public records request with L&I.

Basic data

Disputes are shown as the total number of disputes and the number of disputes with no applicable findings (NAF).
Example: A VRC with 15 disputes in which 14 had no applicable findings will show as 15 : 14.

Percentage

Timeliness of progress reports is shown as a percentage.
Example: 95%.

Decile grouping

A decile divides the range of possible values into 10 equal parts (as a dime is 1/10th of a dollar).

3 indicators use a decile grouping:

  • Plans approved the first time.
  • AWA eligible recommendations approved the first time
  • Useful outcomes.

This is generally displayed as the first digit of the calculated value (in the same way that we would say 9 dimes).
Examples:

  • 92/100 and 95/100 are shown as "9."
  • 83/100 and 86/100 are shown as "8."
  • 100/100 is included in the 9th decile so "9" is the highest score possible.

Statistical confidence

The 3 indicators that use the decile grouping will also display the extent of statistical confidence. These indicators are:

  • Plans approved the first time.
  • AWA eligible recommendations approved the first time.
  • Useful outcomes.

Statistical confidence is defined in statistical tables. For each sample size, an upper and lower boundary is listed. This interval gives the range of likely "true" performance. Confidence will be displayed as either strong or moderate.

Strong statistical confidence is identified by bold font. Strong statistical confidence is associated with larger sample sizes and means that the value is very likely to represent "true" performance. Strong statistical confidence is when the lower boundary is within the decile grouping.
Example: The calculated result is 94 and the lower boundary is 91. Both are in the "9" decile so there is strong statistical confidence that "true" performance is in the 9th decile.

Moderate statistical confidence is identified by normal font. Moderate statistical confidence is associated with smaller sample sizes. Moderate statistical confidence is when the lower boundary is below the decile grouping.
Example: The calculated result is 94 and the lower boundary is 85. The result (94) is in the 9th decile, but the lower boundary (85) crosses the decile limit of 9. Therefore there is moderate statistical confidence that "true" performance is in the 9th decile.

Training

Three training sessions were conducted for private providers during September in Tumwater and Yakima. The same material is covered in 8 training videos. These videos explain the origin and structure of the Vocational Profile, the 6 indicators, Claim and Account Center (CAC), and L&I’s internal claim management system (ORION) screens and electronic progress reports.

To view your data

Providers with access to CAC can view the high level results for firms and vocational rehabilitation counselors (VRC).

Access to detail behind the high level results is limited to the vocational firm where the referral was assigned. This detail shows claim numbers, referral types, and other information. VRCs and firms can view their scores and their detail support data. These new Claim and Account Center (CAC) screens eliminate the need to request support data via email or fax.

Update your provider account information

If you want changes to your account reflected in the next report, they must be completed by L&I prior to the next publication date. Please allow at least 1 week for changes to a provider number and 2 weeks for applications for a new provider number with a different vocational firm or to change status from intern to VRC.

Submit your changes in writing by using the appropriate change form:
For firms use: Firm Vocational Provider Account Change Form (F252-022-000).
For individuals use: Individual Vocational Provider Account Change Form (F252-021-000).

Send the completed from to:
Private Sector Rehabilitation Services
Dept. of Labor and Industries
PO Box 44326
Olympia, WA 98504-44326

Questions

Submit questions or comments through the Vocational Profile Feedback form.

Contact

Jody Witham
Email: Jody.Witham@Lni.wa.gov
Phone: 360-902-4854
Fax: 360-902-5035
Mail:
Return-to-Work Services
Dept of Labor and Industries
PO Box 44324
Olympia, WA 98504-4324

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