Who Wins and When?

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

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

10. 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

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. 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

13. 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

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

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

16. 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.

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

18. 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!