2. Kaiser On-the-Job® (KOJ)
Presentation to
COLA
Return To Work Coordinators
October 22, 2009
Presented By: Valarie Hartzell
Executive Account Manager

3. Kaiser Permanente (KP)
Integrated medical care delivery system founded on the principle of pre-paid care for industrial injuries
Kaiser Permanente offers the value of conservative, evidence based medicine
Kaiser Permanente physicians are exclusive to our network
We stand alone in our ability to have so much impact on the customer (employer), user of services (employee/injured worker) and the claims administrator (TPA/insurer)

4. Kaiser On-the-Job® (KOJ)
• Developed by Kaiser Permanente in the early 1990’s
• First KOJ facility opened
• KOJ had over 533,500 industrial patient visits
• Dedicated Occupational Health Clinics in California
• Medical care and treatment for all injured workers (KP & Non- KP)
• Integrated health care delivery system
• Board Certified physicians
Trained in Occupational Medicine
Specialized in a wide range of areas, including orthopedics, cardiology, neurology, infectious diseases, psychiatry, physical medicine & rehabilitation, and many others
Dedicated – KOJ MDs are committed to provide high quality care to employees
• KOJ case coordinators and case managers to facilitate communication

5. COLA MPN – Kaiser On-the-Job® (KOJ)
Injured worker access to KOJ and KP providers through the COLA MPN
COLA MPN Website/Worksite Referral
KOJ Network Structure:
1) Initial treatment - KOJ – Occupational Health Centers
2) If KOJ is closed, seek treatment at Kaiser Permanente After Hours – Urgent Care locations
3) If After Hours – Urgent Care is closed, seek treatment at Kaiser Permanente Emergency Departments
4) Specialty referrals available within Kaiser Permanente
5) Ancillary services available within Kaiser Permanente

6. Benefits of Kaiser On-the-Job® (KOJ)
• Reporting
High quality
Strive for timeliness
• Quality, evidence-based medicine
Focus on Causation
ACOEM Guidelines
• Integrated Medical Care delivery
Regional Oversight
Professional & staff development
Physician Education
Apportionment
Impairment Ratings
Legislative & Regulatory Updates
Patient Satisfaction Surveys/Employee Satisfaction
Technology KP HealthConnect

7. KP HealthConnect
Largest civilian health care information technology implementation in the United States
Electronic medical record
Real-time appointment scheduling
Real-time prescription fills & tracking
Digitized x-rays
Patients contact physicians electronically
Reinforces RTW
Identifies & shares best medical practices
Shares & prompts physicians to medical conditions
Employer specific data on work force injury & illness
Medical staff can share patient information system-wide

8. Partnering with Kaiser On-the-Job® (KOJ)
• Establish relationship with Kaiser On-the-Job® staff
Meet KOJ staff & physicians
Shared RTW philosophy
Get to know the KOJ case managers/case coordinators
• KOJ clinic protocol
Injured worker will be seen by Physician, with some exceptions
A Doctor’s First Report of Injury will be sent to payer
Injured worker will be given a work status form after each treatment at KOJ
Work status will also be faxed as indicated in the treatment referral form presented by IW at point of service
• Questions regarding RTW or other issues
Call the KOJ Clinic - Contact the Case Coordinator/Case Manager
Refer to KOJ Clinic Contact List for names and direct phone numbers

9. Your Kaiser On-the-Job® (KOJ) Team
Regional Chief Physicians and Regional Administrators oversee the operations and services for occupational health centers across the Region.
Chief Physicians work with the Regional Chief Physicians to oversee the operations and services for occupational health centers.
Clinic Managers (Department Administrators) hospital administrators responsible for occupational health centers and related services within a specified geographic area.
Case Managers/Case Coordinators provide utilization management and review for work-related injuries and illnesses. They help coordinate activity between the treating physician, the employer and the payer for the injured or ill worker. They may also help to facilitate return to work.

10. Who to call for assistance….
Kaiser On-the-Job® (KOJ) Clinic Contacts:
Case Coordinator/Case Manager
Return to work and treatment questions, authorizations, specialty access, transfer of care, message to the physician
Clinic Manager
Service Issues, appointment access, staff courtesy
Physician Chief
Clinical, quality of care questions/concerns
See KOJ Clinic Contact List for names and direct phone numbers, by clinic

11. Additional Assistance …
Regional Contacts:
Marketing information, profile updates & general questions:
Valarie Hartzell, KOJ Executive Account Manager ,
Charmayne Hale, KOJ Associate Account Manager ,
KOJ Operations – Southern California Region
Esther Liu, Assistant Administrator, Operations ,
KOJ Operations – Northern California Region
Angela Broadbent, Associate Director, Operations ,

12. Kaiser On-the-Job®
Thank you!
Thank you!