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Current challenges in the care of injured workers:
- Misdiagnosis of the key pain generator and the resulting wasted treatment time and dollars.
- Gross inefficiencies in the current treatment model, poor worker-supervisor-provider communication, and prolonged employee return to work times.
- Poor and 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 de-conditioned work force coupled with increasing obesity of patients is a growing concern, given the heavy lifting requirement of patient care.
The industry desires...
- Value-based care
- Provider accountability related to quality
- Outcome based care
- Care based on Evidence Based Medicine
The solution is...
On-site clinic for the management of musculoskeletal conditions of the injured worker population. Clinic services could include pain control through manual based therapies, effective soft tissue therapies, exercise and nutritional education. Consider the following case studies of an on-site industrial chiropractic program: View our Case Studies.
Positive features of on-site care
- 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. Read more
- 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
Initial steps
- Data collection to determine status of direct and indirect costs for management of musculoskeletal pain of injured workers. Read more
- 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.
Possibilities for ROI
- A facility which is self insured can greatly diminish their costs for treatment by paying for outcomes rather than procedures. Read more
- 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.
