Workplace Accommodations

Todd W Franzen

June 17, 2023

Essentials for a Smooth Transition

Workplace accommodations have become a crucial aspect of modern workplaces, especially in light of the ongoing COVID-19 pandemic. Employers are increasingly recognizing the importance of providing reasonable accommodations to their employees to ensure their safety and well-being.

An impressionistic interpretation of "Workplace Accommodations" with the text Workplace Accommodations: Essentials for a Smooth Transition

Accommodations can include modifications to the work environment, specialized equipment, or adjustments to work schedules or responsibilities.

Employers must have a clear plan to accommodate employee needs as workplaces reopen post-COVID.This plan should take into account the unique needs of each employee, including those with disabilities or medical conditions.

They must ensure their accommodation policies meet federal and state laws like the Americans with Disabilities Act and Rehabilitation Act.

Employers can empower workers to excel at their job by offering reasonable accommodations and fostering a sense of support and value.

Overview of Workplace Accommodations

What are Workplace Accommodations?

Workplace accommodations adjust the job or environment to enable individuals with disabilities to perform their duties. Accommodations may include specialized equipment, modifications to the work environment, adjustments to work schedules, or changes to work responsibilities.

These accommodations are designed to level the playing field and provide equal employment opportunities for individuals with disabilities.

Why is Workplace Accommodations Important?

Workplace accommodations are essential for creating an inclusive workplace that values diversity and promotes equal opportunities. By providing reasonable accommodations, employers can help employees with disabilities to perform their essential job functions and achieve their full potential.

This can lead to increased job satisfaction, higher productivity, and reduced turnover rates.

Legal Requirements for Workplace Accommodations

The Americans with Disabilities Act (ADA) requires employers to provide reasonable accommodations to employees with disabilities, as long as doing so does not create an undue hardship for the employer.

The Equal Employment Opportunity Commission (EEOC) provides guidance on the direct-threat standard and individualized assessment, which are important considerations when determining whether an accommodation is reasonable.

The Job Accommodation Network (JAN) provides accommodation information and resources for employers and employees. The U.S. Department of Labor’s Office of Disability Employment Policy (ODEP) also provides guidance on workplace accommodations and the ADA.

Return to Work Programs

What is a Return to Work Program?

A Return to Work Program is a process that helps employees who have been absent from work due to injury, illness, or disability to return to work. It is a structured approach that involves collaboration between the employee, their healthcare provider, and their employer to create a plan that supports the employee’s return to work.

Benefits of Return to Work Programs

Return to Work Programs have several benefits for both employees and employers. For employees, it can help them regain their sense of purpose, self-esteem, and financial independence. For employers, it can improve productivity, reduce absenteeism, and retain valuable employees.

Components of a Successful Return to Work Program

A successful Return to Work Program should have several components, including:

  • Communication: Open and ongoing communication between the employee, their healthcare provider, and their employer is crucial for the success of the program.
  • Medical Documentation: Employers should request medical documentation from the employee’s healthcare provider to ensure that they have a clear understanding of the employee’s medical condition and any restrictions or limitations.
  • Workplace Accommodations: Employers should provide workplace accommodations, such as modified work schedules or telework options, to help employees ease back into work.
  • Transitional Work: Employers should provide transitional work, such as modified job duties or reduced work hours, to help employees gradually return to full-time work.
  • COVID-19 Pandemic: Employers should consider the impact of the COVID-19 pandemic on their Return to Work Program and provide additional support and flexibility to employees as needed.

Return-to-Work Programs aid employees who are unable to work due to injury, illness, or disability to return to work.

Employers can support employees’ successful return to work, boost productivity, and reduce absenteeism by following a structured approach that includes communication, medical documentation, workplace accommodations, and transitional work.

Accommodation Ideas for Managers

As a manager, it is important to understand your responsibilities when it comes to providing reasonable accommodations for employees with disabilities. The following are some best practices for requesting accommodations, as well as accommodation ideas for specific disabilities, and how technology can be used as a tool for accommodation.

Best Practices for Requesting Accommodations

When an employee requests an accommodation, it is important to engage in an interactive process to determine what accommodations are necessary. This process should be done in a timely and confidential manner. Managers should also be familiar with the types of accommodations that are available and be prepared to provide them.

Accommodation Ideas for Specific Disabilities

There are a variety of accommodations that can be made for specific disabilities. For employees with low vision, accommodations can include screen magnifiers, large print materials, and specialized lighting. For employees with psychiatric disabilities, accommodations can include flexible work schedules, quiet workspaces, and access to counseling services.

Technology as a Tool for Accommodation

Technology can be a powerful tool for providing accommodations. For example, speech recognition software can be used by employees with mobility impairments to dictate text, while text-to-speech software can be used by employees with visual impairments to have text read aloud.

Remote work technologies, such as video conferencing, can accommodate employees unable to come into the office.

Accommodations for Low Vision and Psychiatric Disabilities

For employees with low vision, accommodations can include screen magnifiers, large print materials, and specialized lighting. For employees with psychiatric disabilities, accommodations can include flexible work schedules, quiet workspaces, and access to counseling services. It is important for managers to be aware of these accommodations and to provide them when necessary.

Overall, providing accommodations for employees with disabilities is an important responsibility for managers. Managers can create a more inclusive workplace by understanding the types of accommodations and best practices for requesting them.

Undue Hardship and Restructuring

What is Undue Hardship?

Undue hardship refers to a situation where an employer is unable to provide accommodation to an employee with a disability without causing significant difficulty or expense. The determination of undue hardship is based on various factors, such as the nature and cost of the accommodation, the size and financial resources of the employer, and the impact of the accommodation on the operations of the business.

Employers are expected to make reasonable efforts in accommodating employees with disabilities, considering that the undue hardship standard is a high one. Employers should engage in an interactive process with their employees to explore possible accommodations and assess whether they would cause undue hardship.

Restructuring as an Accommodation

Restructuring is one type of accommodation that employers may consider when attempting to accommodate employees with disabilities. This means altering an employee’s duties, hours, or location to enable them to perform their job’s essential functions.

Employers may need to restructure an employee’s job duties if they are unable to perform certain tasks due to their disability. For example, an employee with a back injury may be unable to lift heavy objects, and their employer may need to reassign that task to another employee.

In some cases, employers may need to modify an employee’s work schedule to accommodate their disability. For example, an employee with a medical condition may need to take frequent breaks or work part-time.

Employers may also need to modify an employee’s work location to accommodate their disability. For example, an employee with a mobility impairment may require an accessible workspace or parking spot.

Employers should restructure as an accommodation only after exploring reasonable alternatives and determining that they would cause undue hardship. Employers should also ensure that any restructuring does not result in a demotion or loss of pay for the employee.

Final Thoughts…

Employers should be aware of the undue hardship standard when considering accommodations for their employees with disabilities. They should only restructure as accommodation after exploring alternative reasonable options and identifying potential undue hardships.

Employers should engage in an interactive process with their employees to explore possible accommodations and ensure that any restructuring does not result in a demotion or loss of pay for the employee. -T

FAQs

What are workplace accommodations?

Workplace accommodations are modifications made to the work environment, equipment, or work schedules/responsibilities to enable employees to perform their job duties to the best of their abilities.

Why are workplace accommodations important?

Workplace accommodations are important to ensure employee safety, well-being, and job performance. They also help create an inclusive and supportive workplace culture.

What should employers consider when providing workplace accommodations?

Employers should consider the unique needs of each employee, including those with disabilities or medical conditions. They should also ensure that their accommodation policies comply with federal and state laws, such as the Americans with Disabilities Act (ADA) and the Rehabilitation Act.

How can employers comply with the ADA and Rehabilitation Act?

Employers can comply with the ADA and Rehabilitation Act by providing reasonable accommodations to employees with disabilities or medical conditions. They should also engage in an interactive process with employees to determine what accommodations are needed and ensure that those accommodations are effective.

What are some examples of workplace accommodations?

Examples of workplace accommodations include modified work schedules or responsibilities, assistive technology or equipment, ergonomic furniture, and physical modifications to the work environment.

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Todd W Franzen


I am a two-time Hodgkin's lymphoma survivor with 17 years of documented cancer survivorship experience that spans multiple treatment eras. My journey began in November 2009 with a Stage 4B diagnosis at age 33, and continued through recurrence and treatment in 2019-2021. This rare longitudinal perspective—living through two complete treatment cycles a decade apart—gives me comparative insight into cancer care evolution that no single medical professional can replicate.

MY TREATMENT EXPERIENCE

First Treatment Cycle (2009-2010)
• 12 infusions of ABVD Chemotherapy over 6 months
• 2 infusions of ICE Chemotherapy (4-day infusions)
• 1 infusion of BEAM Chemotherapy
• 1 Autologous Stem-Cell Transplant
• 8 PET Scans
• 6 CT Scans

Second Treatment Cycle (2019-2021)
• 2 infusions of Brentuximab and Bendamustine
(Severe allergic reaction to Brentuximab — hives)
• 25 rounds of Radiation to Mediastinum (46RAD combined)
• 4 infusions of Keytruda Immunotherapy
• 2 infusions of IGEV Chemotherapy (5-day infusions)
• 1 Total Body Radiation (2RAD)
• 1 Sibling Allogeneic Stem-Cell Transplant
• 6 PET Scans
• 6 CT Scans

COMPARATIVE EXPERTISE

Surviving two stem-cell transplants—one autologous, one sibling allogeneic—across different decades of cancer treatment has given me firsthand experience with nearly every major modality in lymphoma care: combination chemotherapy, salvage chemotherapy, immunotherapy, radiation protocols, and both types of stem-cell transplantation. I've experienced treatment side effects from the "standard" ABVD era through the modern immunotherapy period.

This comparative expertise matters for survivors. Treatment protocols in 2009 looked very different from 2019, and the long-term survivorship implications are still emerging. Doctors treat; survivors live with the aftermath. I've done both—twice.

CREDENTIALS & PROJECTS

• Founder: Strap In For Life 501(c)(3) nonprofit
• Author: Internal Architect: A Cancer Survivor's Memoir
• Licensed Insurance Agent (practical healthcare system navigation)
• 17-year cancer survivor documenting the journey since 2008

WHAT I WRITE ABOUT

Cancer survivorship doesn't end when treatment stops—it's when the real reconstruction begins. My blog covers:
• Practical survivorship (relationships, careers, identity)
• Treatment experience insights (what they don't tell you)
• Long-term effects and secondary health considerations
• Mental health and emotional reconstruction
• Healthcare system navigation

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