Document
Excerpts from HealthQuest's Guidelines
HealthQuest’s publication “HEALTHQUEST - A risk management
approach for pre-placement health assessment, July 1992" is for
pre-placement health assessment, but its concepts should be applicable
for all its health
assessments including Fitness to Continue assessment.
Excerpts from the HealthQuest publication:
Page 20, Paragraph 4, 2.3 Discrimination issues
The Canadian Human Rights Commission provides helpful guidance on the
use of health assessments: “[medical] assessment is relevant only
when it measures the capacity of a person to perform the essential components
of the job safely, reliably and efficiently”.
Page 22, 2.3 Discrimination issues
Paragraph 1
The potential for misunderstanding is amplified where the health
assessor is unfamiliar with the type of work, the work environment
or the occupational
ramifications of medical conditions (or the medical ramifications
of work arrangements).
Paragraph 2
Discrimination in health assessments can be avoided through the following
measures:-
Insisting that a thorough job analysis with a statement of health
requirements and occupational hazards relevant to the job is prepared
prior to the
job selection and that it is available to applicants and health assessors;
ensuring an appropriate level of professional competence (qualifications,
experience, references) in health assessors; and using quality control
procedures for health assessments.
Page 38, Paragraph 2, Risk Evaluation or Risk Assessment
When it is proposed that a medical condition or impairment creates a
safety or performance risk in particular work contexts, this should be
substantiated.
Page 82, 13 Protecting Privacy
All records which contain personal information should be dealt with
in accordance with data protection principles endorsed by the NSW privacy
Committee. In general terms, this requires:
- Data subject knowledge of, and consent to, the collection of information;
- Data subject knowledge of the purposes for which the personal information
is collected and the persons to whom it may be
disclosed;
- Openness in information handling policies and practices;
- The right of access by data subjects to data relating
to them;
- Secure storage of data;
- Strict limits on the purpose for which personal
information may be used or disclosed.
Page 82, 14 Confidentiality – Record Keeping
In cases where some form of screening or medical examination is required,
the selected provider is required to forward a recommendation [HealthQuest’s
emphasis] to the prospective employer in regard to a potential employee’s
health in terms of capacity to perform rather than a medical diagnosis,
within the specified period.
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