Management of Employee Medical Work Restrictions and Accommodations

We evaluated TVA’s management of employee medical work restrictions and accommodations to determine if they were effectively managed. We determined there were gaps in the management of employee medical work restrictions and accommodations which resulted in the process being ineffective. Specifically, (1) the medical case management process was not consistently followed, including (a) restrictions and accommodations were not managed in accordance with the medical case management process, (b) time limits of work assignment forms and follow-ups were not consistently met, and (c) the monthly constraint review process was not consistently performed; and (2) some line managers were unaware of the restrictions placed on their employees. We also identified other areas for improvement related to Medgate system limitations and training.