Newswise — August 24, 2020 – As the COVID‑19 pandemic continues, business leaders face critical decisions on how to safely reopen and resume operations. A set of general guidelines for Safely Returning America to Work was published by the Journal of Occupational and Environmental Medicine, official journal of the American College of Occupational and Environmental Medicine (ACOEM). The journal is published in the Lippincott portfolio by Wolters Kluwer.

“Guidance regarding return-to-work decision-making from a worker-safety and medical perspective incorporating the principles of risk, capacity, and tolerance is critical,” according to Part I of the ACOEM Guidance Document, providing general guidance for employers reopening amid the challenges of COVID-19. Posted online today, the new document will appear in the journal’s September issue.

The guidance was prepared by ACOEM Return to Work (RTW) Work Group under the auspices of the Council on OEM Practice. Topic areas include:

The Context of Returning to Business. Whether they have continued to operate or are transitioning to re-opening, employers must create and communicate clear policies. Occupational and environmental medicine (OEM) physicians can provide “clear routes” to meeting challenges such as COVID‑19 screenings, exposure assessments, and RTW clearances. With experience in organizational behavior, OEM specialists can also lend insights into behavioral issues and interpersonal conflicts that may occur during reopening.

Clinical Manifestations of COVID-19. The guidance addresses the now-familiar clinical findings and potential complications of COVID‑19, as well as the course of recovery and rehabilitation. OEM physicians can provide advice on the care of workers recovering from illness, including possible work accommodations, as well as the mental health impact of COVID-19.

Developing a Successful RTW Policy. Employers will need to make plans to protect returning employees, including policies for dealing with infected and exposed workers, asymptomatic employees, and screening/surveillance policies. The occupational risk pyramid developed by the Occupational Safety and Health Administration (OSHA) provides a basis for assessing exposure risks associated with various job tasks.

Pre-/Re-Opening Actions. The ACOEM guidance outlines the hierarchy of controls for re-opening, emphasizing physical distancing, environmental adaptation, and education strategies. It outlines practical considerations in RTW strategy, including steps to reduce the risk of viral transmission, maintain employee mental health, and protect vulnerable populations. OEM professionals will play key roles in COVID‑19 testing and interpretation.

After Opening. Good communication is essential throughout the re-opening process, with an emphasis on safety and monitoring practices. Re-opening plans will be influenced by the course of the pandemic, governmental decisions, and company leadership. Experience from other countries that are further along in reopening may provide important lessons on how to proceed.

RTW After Infection. COVID-19 testing and evaluation will have important implications for RTW after infection. OEM physicians can provide information and support for dealing with issues involving infected or exposed employees. Work-relatedness will take on special importance in workers’ compensation cases involving COVID‑19.

Industry-Specific Guidance. Different industries face unique challenges in re-opening, and OEM physicians will play an important role in interpreting and applying guidance in various settings. Part II of the ACOEM Guidance Document, to be published later this year, will provide more in-depth information on industry-specific concerns.

As for all articles related to COVID‑19, both parts of the ACOEM Guidance Document will be made freely available on the journal website. Online versions will be updated as new information becomes available, including lessons learned from businesses that have successfully reopened.

Click here to read “Safely Returning America to Work Part I: General Guidance for Employers.”

DOI: 10.1097/JOM.0000000000001984



ACOEM (, an international society of 4,000 occupational physicians and other health care professionals, provides leadership to promote optimal health and safety of workers, workplaces, and environments.

About the Journal of Occupational and Environmental Medicine

The Journal of Occupational and Environmental Medicine ( is the official journal of the American College of Occupational and Environmental Medicine. Edited to serve as a guide for physicians, nurses, and researchers, the clinically oriented research articles are an excellent source for new ideas, concepts, techniques, and procedures that can be readily applied in the industrial or commercial employment setting.

About Wolters Kluwer

Wolters Kluwer (WKL) is a global leader in professional information, software solutions, and services for the clinicians, nurses, accountants, lawyers, and tax, finance, audit, risk, compliance, and regulatory sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with advanced technology and services.

Wolters Kluwer reported 2019 annual revenues of €4.6 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 19,000 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.

Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students with advanced clinical decision support, learning and research and clinical intelligence. For more information about our solutions, visit and follow us on LinkedIn and Twitter @WKHealth.

For more information, visit, follow us on TwitterFacebookLinkedIn, and YouTube.

Journal Link: Journal of Occupational and Environmental Medicine