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Methodology · v1.0 · March 2026

How Eunosaactually works.

Two evidence systems power Eunosa. A curated peer-reviewed research corpus that backs every cited answer, and the proprietary RTW Complexity Risk Model that turns case context into explainable, defensible analysis. This document covers both, the rules that connect them, and the limits of what V1.0 can do.

Section 01 · The Research Corpus

697 peer-reviewed studies, curated, not scraped.

Every cited answer Eunosa returns is grounded in this corpus. The evidence base is curated — not scraped — and weighted toward Canadian regulatory, cultural, and healthcare contexts. When the literature is sparse on a question, Eunosa flags the gap rather than inventing a study to fill it.

Canada-first, then comparable jurisdictions.

Studies are weighted by jurisdictional fit on a three-tier hierarchy so the corpus reflects the legal, cultural, and healthcare realities of the Canadian workplace.

  1. Tier 1
    Canada-first
    Studies grounded in Canadian regulatory, cultural, and healthcare contexts
  2. Tier 2
    Comparable jurisdictions
    Australia, United Kingdom, New Zealand, Nordics, Netherlands
  3. Tier 3
    Other international
    United States and other international evidence included only when findings are demonstrably generalizable across systems

Inclusion criteria.

  • Peer-reviewed publication
  • English-language
  • Methodological quality threshold (cohort, RCT, systematic review, meta-analysis prioritized)
  • Direct relevance to RTW, accommodation, or workplace mental health
  • Canadian or comparable-jurisdiction applicability flagged at intake
  • Foundational classics admitted on case-by-case review

Reference institutions.

Sources are drawn from the institutions and standards bodies that govern Canadian workplace research and disability practice.

  • Institute for Work & Health (IWH, Toronto)
  • Canadian Centre for Occupational Health and Safety (CCOHS)
  • WSIB Ontario · WorkSafeBC · CNESST
  • NIDMAR (National Institute of Disability Management and Research)
  • Mental Health Commission of Canada (MHCC)
  • CSA Z1003 / ISO 45003 standards bodies
  • APA PsycNET · PubMed · Web of Science
  • Cochrane Collaboration

Featured studies.

A representative sample of published studies in the V1.0 launch corpus. Each is peer-reviewed and graded for evidence strength downstream by /ask retrieval.

  • Mustard 2024
    Supervisor RTW practices and case duration in healthcare cohort
    Mustard et al. · Journal of Occupational Rehabilitation · strong
  • Cancelliere 2016
    Systematic review of factors affecting RTW after injury and illness
    Cancelliere et al. · Chiropractic & Manual Therapies · strong
  • van 2015
    Workplace interventions for preventing work disability
    van Vilsteren et al. · Cochrane Database of Systematic Reviews · strong
  • Cullen 2018
    Effectiveness of workplace interventions across musculoskeletal, pain, and mental health conditions
    Cullen et al. · Journal of Occupational Rehabilitation · strong
  • Steenstra 2017
    Prognostic factors for duration of sick leave with low back pain
    Steenstra et al. · Journal of Occupational Rehabilitation · strong
  • Nieuwenhuijsen 2014
    Interventions to improve RTW for workers on sick leave with depression
    Nieuwenhuijsen et al. · Cochrane Database of Systematic Reviews · strong

Section 02 · The Risk Model

A rule-based engine that explains itself.

The RTW Complexity Risk Model is a knowledge-engineered, rule-based scoring system. It produces a continuously updated case-complexity signal that recalculates whenever new data enters the platform — and whenever time passes without required actions. Every score change traces back to a specific rule, factor, and source.

Built on a curated subset of the corpus.

The Risk Model draws from a focused subset of 48 catalogued primary sources within the broader corpus. Each is paired with structured evidence extracts and mapped to factors and rules. Both stores share the same audit trail.

Five domains.

Risk is organized into five domains representing the major categories of influence on RTW complexity. Each domain contains four factors. Definitions, measurement methods, and the evidence backing for each factor live in the gated methodology document.

  • Culture / Team Climate

    Psychological safety, belonging, peer support, and stigma around disclosure determine whether workers feel safe engaging with the RTW process authentically.

  • Supervisor Capability

    Supervisor behaviour is the single most modifiable workplace predictor of RTW outcomes — training, confidence, communication quality, and speed of contact.

  • RTW Process Quality

    The timeliness, coordination, and quality of formal RTW processes — planning, accommodation, follow-up — directly predict duration and sustainability of return.

  • Work Design / Context

    Job demands, control, role clarity, and the availability of modified duties shape whether the workplace itself supports or undermines recovery.

  • Compliance / System Maturity

    Organizational readiness — policy infrastructure, standards implementation, reporting culture — acts as a multiplier on individual case risk.

Three role-based views.

Output is shaped by who is reading it. Privacy is enforced at the field level — supervisors do not see clinical detail; executives do not see individual case data.

StakeholderWhat they seeWhat they act on
SupervisorCase-level signal, overdue alerts, recommended next stepsCommunication scripts, accommodation actions, follow-up scheduling
HR / Disability ManagementPortfolio-level distribution, process compliance, factor breakdownCoordination, escalation decisions, resource allocation
Executive / Insurer / WCBAggregate trends, compliance gaps, organizational maturity impactPolicy, investment, audit readiness

Section 03 · Boundaries & standards

What the model does not do.

Scope discipline is part of defensibility. Eunosa is decision support — and only decision support. It is human-in-the-loop by design, intended for qualified professionals to interpret in context.

Aligned with Canadian standards.

The model maps to two CSA standards. Compliance maturity acts as an organizational multiplier — strong systems dampen case risk; weak systems amplify it. The specific mapping logic is documented in the gated methodology document.

CSA Z1003

Psychological Health and Safety in the Workplace

15 elements mapped to factors

CSA Z1011:20

Work Disability Management System

15 elements mapped to factors

Citation Resolution Guarantee · Canadian data residency · No training on your data · PHIPA-aware · 90-day query retention

Section 04 · Governance & version

Versioned, peer-reviewable, honest about scope.

v1.0

March 2026 · Draft · Quarterly cadence

Initial documented release of the RTW Complexity Risk Model and the curated /ask Research Corpus. Architecture and counts are catalogued; full methodology document available on request.

Next version: V1.1 — empirical calibration against pilot outcomes

Version lifecycle.

Every model version moves through a documented lifecycle. Released versions are immutable; new evidence and pilot feedback flow into the next draft.

DraftUnder ReviewReleasedDeprecated

What V1.0 does not yet do.

Six limitations are documented up front so consultants can speak to them when their work is reviewed.

  • No empirical weighting in V1.0

    V1 uses expert-assigned rule logic rather than empirically derived weights. Calibration against real outcomes data is planned for V1.1.

  • Canadian-centric

    The model is designed for Canadian workplaces. Compliance mapping is specific to CSA standards. Adaptation for other jurisdictions requires re-mapping.

  • No diagnostic input

    The model deliberately excludes medical diagnosis as an input, focusing on workplace and process factors. This is a feature, not a limitation, but users must understand its scope.

  • Survey-dependent factors

    Culture and team climate factors require organizational survey data. Without it, those factors fall back to default assumptions.

  • Single-condition focus

    V1 does not model comorbidity or multi-condition complexity. Future versions may add this.

  • Decision-support only

    Every output carries a decision-support disclaimer. The model is human-in-the-loop by design — not a replacement for professional judgment.

Section 05 · Request the full document

Want the full methodology?

Factor definitions, measurement methods, the full Score Update Rulebook, the data dictionary, intervention mappings, and the compliance multiplier logic live in the v1.0 methodology document. Available to Founding 25 members, partners, and prospective enterprise customers under a confidentiality acknowledgement.

A few sentences is enough — research, consulting practice, internal program design, etc.

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