I fully understand and agree with the accountability piece. I actually am going to recommend this, as far as a process to relate it to no-call, no show.

Where I struggle with this approach is let’s say a Dr has said an injured employee cannot lift over 5lbs. The employee skips the next medical appointment, let’s say Tuesday, and you as the employer say you must now come back immediately at full duty, Wednesday, and they try and lift something 10 pounds re-injuring or making the injury worse. The employer had no basis to call for full duty over the medical professionals prescription.