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WorkStrong Works!

WorkStrong Works!. Where are we now? Where are we headed? How are we going to get there?. In their own words…. UC employees share their experience with the WorkStrong program. (play video). From the Physician’s Perspective. The “continuum of injury rehabilitation to wellness.”.

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WorkStrong Works!

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  1. WorkStrong Works! Where are we now? Where are we headed? How are we going to get there?

  2. In their own words… UC employees share their experience with the WorkStrong program. (play video)

  3. From the Physician’s Perspective • The “continuum of injury rehabilitation to wellness.” The conundrum of UC WorkStrong entry criteria. Factors in participant selection.

  4. From the Physician’s Perspective-Foundations of WorkStrong • A committed team that includes physician, wellness coordinator/coach, RD, PT, and behavioral specialists. • Putting participants in charge of their own individual wellness, and holding them accountable to their stated goals. • Setting the expectation.

  5. UC-Wide WorkStrong Data6/1/2012 - 3/31/14 Referrals to WS: 3885 Enrolled in WS: 631 Graduates: 331* New injuries(claims): 89 Individual claimants: 65 Ave weeks to graduate: 17.5 Ave cost per participant: $2220 * Most of balance are mid-program

  6. WorkStrong Data Through 3/31/14

  7. Areas for improvement Engaging off-site Occupational Health Physicians • Supportive MDs have transcended the pay for encounter model. • Some say, “Once in WorkStrong, I never see them back!” • WS is an added tool in their tool box for help that is not meds, PT, or surgery. • Need to meet with the off-site MDs.

  8. What we are doing well • Top Best Practices from the WorkStrong workgroup that met Monday June 16th, 2014

  9. Follow up after WorkStrong

  10. WorkStrong Actuarial AnalysisFeasibility • Number of claims that WorkStrong could address • Cost of these claims (Loss & ALAE) • Compare to cost of WorkStrong

  11. Average Ultimate Claim SizeThe First Claim Costs the Least….

  12. Can WorkStrong Pay for Itself?Feasibility: Need Savings of about 20%

  13. WorkStrong Actuarial AnalysisEstimated Savings Compare Actual to Expected Reported Claims Compare Actual to Expected Claims Costs (Developed to Ultimate, Trended)

  14. Actual vs. Expected ClaimsPost-Graduation

  15. Actual vs. Expected Claims CostsPost-Graduation

  16. Tracking with the newWorkStrongIBM Form

  17. WorkStrongData &Wellness/Group Health Efforts WELLNESS DOES WORK at UC WorkStrongresults greatly informs the connection between personal health improvement and… • Safety • Worker’s Comp results • Group Health plans • Wellness on campuses and vendors • Physician network efforts

  18. Questions

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