Employee Incident Protocol

For exposure to body fluids or blood call:

1. UCSF hotline: beeper# 719-3898
2. SFGH hotline: 821-8443 or 821-3177
   Follow all established infection control and medical center protocols. Workers’ compensation is a separate process.

If emergency treatment is required:

1. Go to the nearest emergency room:
2. Report the injury to your supervisor as soon as possible.
3. For follow-up care, go to:
   
   • Employee Health Services (415) 885-7580
   • St. Francis Memorial Health Center at SBC Park (415) 972-2249

For acute (non-emergent) care:

1. Call Occupational Health Services or St. Francis Memorial Health Center at SBC Park to arrange an appointment:
   
   • Occupational Health Services (OHS) clinic hours -7:30am to 4:00pm
     2330 Post Street, 4th Floor, Suite 460
     San Francisco, CA.
     (415) 885-7580
     Call OHS first to arrange an appointment.
   • St. Francis Memorial Health Center at SBC Park; clinic hours -7:30am to 5:00pm
     24 Willie Mays Plaza
     San Francisco, CA.
     (415) 972-2249
2. After clinic hours, go to: Long emergency department
3. For follow-up care, go to: Employee Health Services or to St. Francis Memorial Health Center at SBC Park.
4. If your treating physician certifies you for disability:
   
   1. Provide your supervisor with medical certification of any and all disability leave dates. 
   2. Provide your supervisor with medical certification of any and all future changes in disability leave dates.

It is very important that you keep your unit supervisor informed of your leave dates. Your supervisor will need copies of your treating physician’s certificate(s) stating the date(s) of your medical disability. Your supervisor should also be informed of all future changes in those dates. Failure to provide this information may delay your workers’ compensation payments and/or affect your other insurance coverage.

What is workers’ compensation?

Workers’ compensation is designed to assure that an employee who sustains a work-related injury or illness receives medical attention for the injury or illness, as well as partial wage replacement benefits and other support in returning to gainful work.

What benefits are provided by workers’ compensation?

1. Medical treatment and hospitalization - all reasonable and necessary care; no deductible, no co-payments
2. Temporary Disability (TD) - partial replacement of lost wages
3. Permanent Disability (PD) - for a rateable degree of residual disability
4. Supplemental Job Displacement Benefits (SJDB) - to assist in return to suitable, gainful employement
5. Death Benefits - payments to surviving dependents if the injury or illness materially leads to death

Who is covered?

All UCSF employees as defined by university policy and the workers’ compensation laws of california (labor code).

Who should file for workers’ compensation?

Any employee who feels they have sustained a work-related injury or illness.

What UCSF department coordinates the workers’ compensation program and receives all injury reports?

UCSF Human Resources
Disability Management Services
UCSF Box 0964
San Francisco, CA. 94143-0964
Phone: 476-2621; Fax: 476-2328

Who authorizes all medical treatment and processes all workers’ compensation benefits?

The university has an outside third party administrator who processes UCSF workers’ compensation claims and issues all benefits. This company is:

Sedgwick CMS
510-302-3180

What other information do I need to know?

1. Should you be medically unable to return to work, notify your supervisor immediately and continue to update your supervisor if and whenever disability is extended by your doctor.
2. Refer all billing and insurance-related questions regarding your medical care to Sedgwick CMS at 510-302-3180.
3. Refer all treatment authorization questions to Sedgwick CMS at (510) 433-5300. Only Sedgwick CMS can authorize medical treatment.
4. Sedgwick CMS will coordinate all workers’ compensation benefits until such time as further benefits are deemed unnecessary.
5. The UCSF Disability Management Services is available as the liason should concerns arise regarding the claims process.

1. Report the injury to your supervisor immediately.
2. Obtain medical care promptly.
3. Call 1-877-682-7778 and report incident to Sedgwick CMS.

1. Provide your supervisor with medical certification of:
   • Any and all disability leave dates.
   • Any and all changes in disability leave dates.
2. Ask your supervisor to provide transitional/modified work.

For exposure to body fluids or blood call:

1. UCSF hotline: beeper# 719-3898
2. SFGH hotline: 821-8443 or 821-3177 Follow all established infection control and medical center protocols. Workers' compensation is a separate process.

If emergency treatment is required:

1. Go to the nearest emergency room:
2. Report the injury to your supervisor as soon as possible.
3. For follow-up care, go to:
   • Employee Health Services (415) 885-7580
   • St. Francis Memorial Health Center at SBC Park (415) 972-2249

For acute (non-emergent) care:

1. Immediately report the injury to your supervisor.
2. Call Employee Health Services or St. Francis Memorial Health Center at SBC Park to arrange an appointment:
   • Employee Health Services (EHS) clinic hours -7:30am to 4:00pm 2380 Sutter street, 3rd Floor (entrance on: Divisadero) San Francisco, CA. (415) 885-7580 (near UCSF shuttle's Mount Zion stop) Call EHS first, to arrange an appointment.
   • St. Francis Memorial Health Center at SBC Park; clinic hours -7:30am to 5:00pm 24 Willie Mays Plaza San Francisco, CA. (415) 972-2249

1. After clinic hours, go to: Long emergency department
2. For follow-up care, go to: Employee Health Services or to St. Francis Memorial Health Center at SBC Park.
3. If your treating physician certifies you for disability:
   1. Provide your supervisor with medical certification of any and all disability leave dates.
   2. Provide your supervisor with medical certification of any and all future changes in disability leave dates.

What is workers' compensation?

What benefits are provided by workers' compensation?

1. Medical treatment and hospitalization - all reasonable and necessary care; no deductible, no co-payments
2. Temporary Disability (TD) - partial replacement of lost wages
3. Permanent Disability (PD) - for a rateable degree of residual disability
4. Supplemental Job Displacement Benefits (SJDB) - to assist in return to suitable, gainful employement
5. Death Benefits - payments to surviving dependents if the injury or illness materially leads to death

Who is covered?

Who should file for workers' compensation?

What UCSF department coordinates the workers' compensation program and receives all injury reports?

Who authorizes all medical treatment and processes all workers' compensation benefits?

What other information do I need to know?

1. Should you be medically unable to return to work, notify your supervisor immediately and continue to update your supervisor if and whenever disability is extended by your doctor.
2. Refer all billing and insurance-related questions regarding your medical care to Sedgwick CMS at 510-302-3180.
3. Refer all treatment authorization questions to Sedgwick CMS at (510) 433-5300. Only Sedgwick CMS can authorize medical treatment.
4. Sedgwick CMS will coordinate all workers' compensation benefits until such time as further benefits are deemed unnecessary.
5. The UCSF Disability Management Services is available as the liason should concerns arise regarding the claims process.