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© Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Injury Management Overview Axiom Medical Consulting,

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Presentation on theme: "© Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Injury Management Overview Axiom Medical Consulting,"— Presentation transcript:

1 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Injury Management Overview Axiom Medical Consulting, LLC Caring is the Best Medicine ® Budde Rd., Suite 801, The Woodlands, TX (281)

2 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Mission Statement We are committed to providing the highest quality and cost-effective medical management services available to promote a safe and healthful environment for your employees - Dr. Michael J. DeLitta President & CEO

3 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. The high road to service is traveled with integrity, compassion and understanding. People don’t care how much we know until they know how much we care. Service

4 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Partial Client List n Air Liquide n Baker Hughes, Inc. n BJ Services n BP n Cactus Drilling n Chevron n ConocoPhillips n Cudd Energy n Encana n Exterran n Flint Energy n FMC n GDF Suez Energy NA n Grey Wolf n Precision Drilling n Halliburton n Honeywell n Key Energy n Marathon Oil n Mirant Services, LLC n PHI n Schlumberger n TEPPCO n Team Industrial Services, Inc. n Universal Ensco, Inc. n Weatherford

5 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n Who Are We n Injury Management Process n Two Case Examples n Stats on Immediate Intervention n Closing Injury Case Management Topics

6 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n Full Service Medical Department Who We Are n Physicals – OSHA, DOT n Drug Testing - DOT, non-DOT n Wellness ü Case Management

7 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n We are NOT a Third Party Administrator (TPA) Axiom Different From a TPA n We do not process Workers’ Comp claims n We do not negotiate or pay work comp bills n Case Managers, not Case Trackers

8 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n We are 24/7 - We don’t close at 5 How TPA Different From Axiom n We understand OSHA and its importance to our clients n All Case Managers (CM) are medically licensed (minimum of RNs) n Our CMs carry a case load of less than 15 – 20 cases (compared to 100 – 200)

9 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n Our staff consists of: Board Certified Physicians (MD)Board Certified Physicians (MD) –Occupational and Environmental Medicine –Internal Medicine –Family Practice –Medical Review Officers (MRO) –Qualified Medical Examiners (QME) –Masters in Public Health (MPH) Board Certified Physician Assistants (PA-C)Board Certified Physician Assistants (PA-C) Medical Staff

10 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n Continued... Psychologists (Ph.D.)Psychologists (Ph.D.) Registered Nurses (RN) with Bachelor or Masters of Science - Nursing (BSN / MS)Registered Nurses (RN) with Bachelor or Masters of Science - Nursing (BSN / MS) Certified Case Managers (CCM)Certified Case Managers (CCM) Certified Disability Management Specialists (CDMS)Certified Disability Management Specialists (CDMS) Medical Staff

11 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n Continued... Certified Occupational Health Nurses (COHN)Certified Occupational Health Nurses (COHN) Certified Occupational Health Nurses- Specialist (COHN-S)Certified Occupational Health Nurses- Specialist (COHN-S) Certified Occupational Health Nurses- Specialist/Case Manager (COHN-S/CM)Certified Occupational Health Nurses- Specialist/Case Manager (COHN-S/CM) Medical Staff

12 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n If the injury is critical or life threatening call 911 and then contact Axiom Injury Management Process n Never delay treatment in the event of an emergency n If the injury is not an emergency contact Axiom before you transport the employee to a medical facility – this is important and will be explained

13 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n Call comes into Call Center and received by our Intake Specialists Injury Management Process n Basic info taken and case is assigned to Case Manager (CM) n CM calls injured employee within 5 – 10 minutes

14 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n CM discusses incident and injury with employee Injury Management Process n CM gather critical medical info n Supervisor is removed from treatment decisions n Determines if employee requires evaluation at medical facility

15 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n If a medical facility is indicated, CM directs employee to appropriate medical facility and provides initial info on case to health care provider Injury Management Process n Speak with medical facility before employee leaves n Assist in getting post-accident drug and alcohol test –per company policy

16 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n If a medical facility is not indicated, CM will provide 1 st aid recommendations and monitor employee’s condition Injury Management Process n 50% of cases never require clinic visit n CMs do NOT diagnose, nor do they need to in order to provide 1 st aid measures

17 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n Employee and person calling in case (i.e., HSE, supervisor) must be in agreement with CM’s 1 st aid recommendations) Injury Management Process n If not, employee will be sent to medical facility for evaluation

18 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n CM provides a direct number to employee and supervisor to call with any questions, problems or changes Injury Management Process n First goes out within 2 hours after treatment is completed n First follow-up call is usually made within first 4 hours; then 24 hours

19 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n This may mean calls in the evenings or weekends Injury Management Process n Keep mgmt and HSE updated via phone and during entire process n Follow employee until able to perform regular duties or until adjuster assigned – depends on client’s preference

20 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. n Ongoing dialog with employee, supervisor and treating doctor n Transitional duties (light duty) n Will assist with return to work exam, FCE, etc. if indicated n Important to determine if employee can safely perform all aspects of their job Injury Management Process

21 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Tuesday n 3:30 PM - Employee (EE) holding a bolt and was struck in the hand by a sledge hammer by co-worker Medical Case Management Case #1 n 4:00 PM - EE taken to local hospital n 4:30 PM - Axiom called to intervene Called ER and spoke with charge nurse EE in x-ray

22 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Medical Case Management Case #1 Tuesday n 5:45 PM - Spoke with ER doc X-rays negativeX-rays negative Diagnosis - hematomaDiagnosis - hematoma Plan to give prescription if infection occursPlan to give prescription if infection occurs Told doc we would follow case & look for infection. Prescription not writtenTold doc we would follow case & look for infection. Prescription not written Return to work (RTW) - full dutyReturn to work (RTW) - full duty

23 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Medical Case Management Case #1 Wednesday n 8:45 AM - Spoke with Supervisor (Supv) and EE. EE doing well. Regular duties. Reviewed importance of OTC NSAIDs and ice Friday n Spoke with EE and Supv. EE still doing well. No sign of infection. Case closed

24 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Medical Case Management Case #2 n 8:25 AM - Pipe rolled off truck bed and struck EE in thigh yesterday n EE was Spanish-speaking only n EE had continued swelling and discomfort today, but was able to work Friday

25 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Medical Case Management Case #2 Friday n Had Spanish-speaking Case Manager speak with EE n Determined injury was soft tissue only n After getting thorough medical history EE was instructed on ice, heat, NSAIDs n Gave direct number to EE

26 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Medical Case Management Case #2 Saturday n EE off work, but called him at home n Reviewed treatment plan and discussed starting heat on Sunday n Spoke with EE on Monday at work n Significant improvement. Told to continue treatment plan n Closed case on Tuesday

27 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Outcomes of Injuries n Without Case Mgmt Non-Work Related Non-Work Related First-Aid First-Aid Recordable.. 33Recordable.. 33 Restricted... 42Restricted Lost Time... 33Lost Time TOTAL TOTAL n With Case Mgmt Non-Work Related Non-Work Related First-Aid First-Aid Recordable... 16Recordable Restricted Restricted Lost Time Lost Time TOTAL TOTAL

28 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Immediate Intervention n 75% of cases - notified same day n 14% of cases - the following day n 11% of cases - notified 2 days or greater 40% of these were over 1 week40% of these were over 1 week 80% of those were placed on OSHA 30080% of those were placed on OSHA 300 –All 6 lost times fell into this category

29 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Immediate Intervention n If case received within 24 hrs of injury the average time to close was 7 days n If case received within 2 days of injury the average time to close was 14 days n If case received on 3rd day or greater following the injury the average time to close was 32 days

30 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Benefits To Employees n Immediate access to Medical Professional 24/7 for injuries n Employee can call CM at any time should medical condition change or if question comes up n Axiom Case Manager is not a “Company Doctor”

31 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Benefits To Employer n Immediate access to Medical Professional 24/7 for injuries n Supervisor removed from treatment / medical decisions n Communication n Lower Claims Frequency/Severity n Reduction in Incident Rate, Reduction in Costs, Reduction in Modifier

32 © Axiom Medical Consulting, LLC. All rights reserved. © Axiom Medical Consulting, LLC. All rights reserved. Closing n It’s important to report injuries immediately – no matter how minor n A delay of reporting and treating injury by 1 day increases recordability by 60% n 24 / 7 /365 coverage - (this is crucial) n Have only one number to call (877) ( AXIOM)(877) ( AXIOM)


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