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Getting it Right the First Time through Effective Triage and Real Time Care




Kelli Pearson DC, DABCO, FICC


Jim Morris, BS, RRT


Anthony Tevlin, B.Ed

Biographies References

Misdiagnosis of the key pain generator and the resulting wasted treatment dollars.
Waste and inefficiencies in the current treatment model are driving up costs, lengthening treatment timeframes and prolonging the employees return to work.
Slow response time in the absence of good clinical outcomes.
Pay for procedure system that does not hold the provider accountable for outcomes and lack of focus on quality improvement.
Aging and deconditioned work force coupled with increasing obesity of patients is a growing concern, given the heavy lifting requirement of patient care.

Value based care
Provider accountability related to quality
Outcome based care
Care based on Evidence Based Medicine
Access to qualified practitioners recognized by NCQA

On-site clinic for the management of musculoskeletal conditions of the injured worker population. Clinic services could include pain control through manipulation, massage, exercise and mental health care. Consider the following case studies of an on-site industrial chiropractic program: Case Studies.

Effective triage at the onset of care
Care provided in real time as it relates to the injury
Convenience in receiving care for the injured worker
Real time communication with the direct supervisor
Creative return to work strategies reducing indirect costs
Rehab efforts designed for specific work demands
Early identification of yellow flag signs
Utilization of on-site specialists (interventional pain management specialists, imaging)
Improved worker retention due to effective return to work strategies

Data collection to determine status of direct and indirect costs for management of musculoskeletal pain of injured workers.
Report outlining what savings would be expected with the implementation of an initial pilot project. (References for similar industry costs will be provided)
Pilot project proposed with details before the initiation of the project.

A facility which is self insured can greatly diminish their costs for treatment by paying for outcomes rather than procedures.
Employees returning to work sooner equates to less non-productive time incurred by the employee due to the injured leave.
Utilization of employer's existing services (e.g. diagnostics, pain control) by way of an on-site clinic can further cut costs and keep dollars within a self-insured entity's system.

Administrative Office:
Pearson Workplace Improvement

S. 2119 Tekoa | Spokane, WA 99203
(509) 994-7947 | (509) 624-0223 fax | kpearsondc@mac.com