1 / 18

Who Wins and When?

Who Wins and When?. “Win” does the case end?. Physician: Case ends when all is done that can be; patient lost to follow-up; patient is on autopilot to a determined outcome Worker: When wholeness is achieved both economically and physically.

amina
Télécharger la présentation

Who Wins and When?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Who Wins and When?

  2. “Win” does the case end? • Physician: Case ends when all is done that can be; patient lost to follow-up; patient is on autopilot to a determined outcome • Worker: When wholeness is achieved both economically and physically. • Missouri: 2 years after last visit to w/c provider • Employer: When productivity, moral, and workforce is restored • Insurers: Motivated to get off books; limit long term liability; case closure; do the right thing; “Pay what we owe.” • Attorney: ? • System: W/C Case ends at point after which minimal change over course of the following year is expected

  3. “Win” does the case end? • Physician: Case ends when all is done that can be; patient lost to follow-up; patient is on autopilot to a determined outcome • Worker: When wholeness is achieved both economically and physically. • Missouri: 2 years after last visit to w/c provider • Employer: When productivity, moral, and workforce is restored • Insurers: Motivated to get off books; limit long term liability; case closure; do the right thing; “Pay what we owe.” • Attorney: $ • System: W/C Case ends at point after which minimal change over course of the following year is expected

  4. “Win” does the case end? • Physician: Case ends when all is done that can be; patient lost to follow-up; patient is on autopilot to a determined outcome • Worker: When wholeness is achieved both economically and physically. • Missouri: 2 years after last visit to w/c provider • Employer: When productivity, moral, and workforce is restored • Insurers: Motivated to get off books; limit long term liability; case closure; do the right thing; “Pay what we owe.” • Attorney: ? • System: W/C Case ends at point after which minimal change over course of the following year is expected

  5. Case closure begins… • Application for employment • Hire strong young men? • Hire healthy workers • Smokers • Obesity • Chronic disease

  6. Case closure begins… • Application for employment • Hire strong young men? • Hire healthy workers • Smokers • Obesity • Chronic disease

  7. Case closure begins… • Application for employment • Hire strong young men? • Hire healthy workers • Smokers • Obesity • Chronic disease

  8. Case closure begins… • Pre-placement • Job matching • Strength testing • Culture of collaboration • Pre-placement and post accident drug testing • Accepting that complaint is legitimate then verify! • Transparency in seeking the underlying problem

  9. Case closure begins… • Pre-placement • Job matching • Strength testing • Relationship building • Pre-placement and post accident drug testing • Accepting that complaint is legitimate then verify! • Transparency in seeking the underlying problem

  10. Case closure begins… • Pre-placement • Job matching • Strength testing • Relationship building • Pre-placement and post accident drug testing • Accepting that complaint is legitimate then verify! • Transparency in seeking the underlying problem

  11. Case closure begins… • Pre-placement • Job matching • Strength testing • Relationship building • Pre-placement and post accident drug testing • Accepting that complaint is legitimate then verify! • Transparency in seeking the underlying problem

  12. Reasons for hiring attorney • Employee does not know what to expect • Fearful for themselves and families • Controversy develops between employee/employer or employee/adjuster

  13. Keys to Closure • Case management intervention before expectations and patterns have developed • Early diagnosis/aggressive diagnostics including MRI (careful!)

  14. Keys to Closure • Maintain communication with employee even if off work • Identify and alleviate employee’s concerns • Move quickly towards normalcy by closing case, settling, and moving on.

  15. Avoid These Mistakes! • Provide immediate care • Late reporting • Ignoring the employee • Under reporting compensation • Not complying with restrictions

  16. Summary • Hire right demographics • Hire healthy workers • Pre placement drug testing • Pre placement job matching and strength testing • Post accident drug testing • Early diagnosis; set expectations • Early closure and move on!

More Related