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Regence would like to invite you to participate in an Ergonomics program benchmarking survey. We are interested in gathering information from other Blue Cross Blue Shield Plans on program offerings, how ROI is measured, and provide an opportunity to share best practices.

Results of the survey will be available to interested participants (please be sure to include your name and contact information at the end of this survey if you are interested in receiving the results).

We would greatly appreciate your response by April 15, 2010. If you have any questions regarding the survey, please contact Debbie Melton (206) 332-2332.

Thank you for your time and consideration.
 
 
What is the name of your Blue Cross/Blue Shield Plan?
   
 
 
How many people are employed by your Plan?
 
0 to 500
 
501 – 1,000
 
1,001 – 2,000
 
2,001 - 3,000
 
More than 3,000
 
 
 
Do you have an Ergonomics program for your employees?
 
Yes
 
No
 
 
What type of assistance do you offer? Please check all that apply:
 
Ergonomics information posted on your internal website (intranet)
 
Ergonomics tool purchased from a vendor
 
Phone assessments
 
In-person assessments
 
Training//education
 
Other
 

 
 
Do you contract with an outside vendor or are the evaluations done by in-house staff?
 
In-house
 
Outside Vendor
 
 
What types of “standard” ergonomic equipment do you offer to employees (i.e. furniture/equipment provided as a part of a typical employee’s workstation set-up)? Please check all that apply.
 
Adjustable height seated workstations
 
Sit/stand workstations
 
Keyboard Trays
 
Adjustable chairs
 
Keyboards
 
Pointing Devices (i.e. mice, trackballs, etc)
 
Assistive Technology (i.e. voice dictation software, screen readers, etc)
 
Footrests
 
Document Holders
 
Headsets
 
Lighting options
 
None
 
Other (Please specify)
 

 
 
What types of equipment is provided to employees based on ergonomic and/or medical need (i.e. as suggested by ergonomics staff member or recommended by a health care professional)?
 
Adjustable height seated workstations
 
Sit/stand workstations
 
Keyboard Trays
 
Adjustable chairs
 
Keyboards
 
Pointing Devices (i.e. mice, trackballs, etc)
 
Assistive Technology (i.e. voice dictation software, screen readers, etc)
 
Footrests
 
Document Holders
 
Headsets
 
Lighting options
 
None
 
Other (Please specify)
 

 
 
Do you use metrics to determine ROI?
 
Yes
 
No
 
 
What measures do you use to determine if your Ergonomics program is successful?
   
 
 
Do you have any additional information on your ergonomics program that you would like to share?
   
 
 
Do you offer Ergonomics information/educational materials to your subscribers/members?
 
Yes
 
No
 
 
If you would like to receive the results of this survey, please provide your contact info below.
 
Contact Information
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
 
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