Waldo Insurance and Saltzer Medical Group present A Recipe for Successful Management of Occupational Injury
Today’s Presenters & Moderator Howard W. Shoemaker, MD Dave Waldo, Pres/CEO Waldo Insurance Tony Kahmann Waldo Insurance
Welcome! Dave Waldo, Pres/CEO Waldo Insurance
<ul><li>Discover some key, additional issues that drive the “total cost of risk” </li></ul><ul><li>Identify the key driver...
<ul><li>“ Isn’t  Workers Compensation just another entitlement  program?”  </li></ul><ul><li>“ What is the impact of, and ...
<ul><li>“ Are we too small to implement a claims management system?” </li></ul><ul><li>“ How can we control the outcome of...
Today’s Featured Presenter Howard W. Shoemaker, MD
<ul><li>Where did Idaho and Oregon rank nationally in </li></ul><ul><li>workers compensation premiums in 2008? </li></ul>P...
<ul><li>Inspiration for recipe </li></ul>
<ul><li>A  truth-inspired tale  that  inspired me  to create a  “Recipe for a Comprehensive Unifying Strategy”  (CUS) that...
<ul><li>What was interesting (besides being a good movie) </li></ul><ul><ul><li>Followed recipe/attention to detail </li><...
<ul><li>Recipes are made of ingredients </li></ul><ul><ul><li>Employer </li></ul></ul><ul><ul><li>Insurance </li></ul></ul...
<ul><li>Develop a  team approach for success </li></ul><ul><ul><li>the  ingredients are your partners/team members </li></...
<ul><li>One key ingredient:  Providers </li></ul><ul><li>In order to be part of the employers CUS, we need a CUS of our ow...
<ul><li>Trained </li></ul><ul><li>Experienced </li></ul><ul><li>Commitment </li></ul><ul><li>Knowledgeable </li></ul><ul><...
<ul><li>“ Despite remarkable advances in health care and increased emphasis on safety, ergonomics, and general employee he...
<ul><li>Current literature supports growth in disability unique to the modern western culture. </li></ul><ul><li>Prevalenc...
<ul><li>Patient’s ability to tolerate discomfort can depend on: </li></ul><ul><ul><li>The level of biological stimulus (di...
<ul><li>90/10 </li></ul><ul><ul><li>Out of 106,961 WC Low back injuries - </li></ul></ul><ul><ul><ul><li>86% of the cost w...
<ul><li>Minimal Psychosocial </li></ul><ul><li>Problems </li></ul><ul><li>Discomfort is acceptable </li></ul><ul><li>Medic...
<ul><li>Entitlement </li></ul><ul><ul><li>A number of published reports have recognized such iatrogenic (system-induced) d...
<ul><ul><li>Medical treatment coverage </li></ul></ul><ul><ul><ul><li>Clinical care, services and supplies </li></ul></ul>...
Just The Tip <ul><li>Personal Health Costs </li></ul><ul><ul><li>Medical Care </li></ul></ul><ul><ul><li>Pharmaceutical Co...
<ul><li>“ This predicament is not the result of an </li></ul><ul><li>inadequate fund of available information with </li></...
<ul><li>Don’t reinvent the wheel – the wheel already exists </li></ul><ul><li>Forward Treatment Method </li></ul><ul><ul><...
<ul><li>The US Military, in a study of modern warfare, found that soldiers with simple physical complaints who received in...
<ul><li>A plan for successful treatment was needed </li></ul><ul><li>Forward Treatment model was developed </li></ul><ul><...
<ul><li>Both groups are basically healthy and intelligent </li></ul><ul><ul><li>those with pre-existing disabilities are s...
SPICE It’s not just for cooking anymore!
<ul><li>Comprehensive application of SPICE is meant to facilitate effective treatment, reduce workers’ compensation cost, ...
<ul><li>S  = Simplicity </li></ul><ul><li>P  = Proximity </li></ul><ul><li>I  = Immediacy </li></ul><ul><li>C  = Centralit...
<ul><li>S implicity   </li></ul><ul><li>Use simple/uncomplicated terms </li></ul><ul><ul><li>Treating potential benign con...
<ul><li>Diagnosis </li></ul><ul><ul><li>Provide an explanation of the probable pain mechanism </li></ul></ul><ul><ul><li>R...
<ul><li>P roximity  </li></ul><ul><li>Keep the employee physically and emotionally tied to the workplace </li></ul><ul><li...
<ul><li>A challenge to employers </li></ul><ul><ul><li>Developing a “work family” </li></ul></ul><ul><ul><li>Assisting the...
<ul><li>Return to Work </li></ul><ul><ul><li>The longer an injured worker is kept from the worksite, the less likely it be...
<ul><li>I mmediacy  </li></ul><ul><li>Deal with the injury in a timely manner </li></ul><ul><ul><li>Avoids establishing “d...
<ul><li>C onsistent approach </li></ul><ul><li>C ontinuity of providers </li></ul><ul><li>C oordination of the “care team”...
<ul><li>Primary Treating Provider </li></ul><ul><ul><li>Establishes a point of contact for the treatment of the injured em...
<ul><li>A study shows 50% of injured workers had received no information from the employer about where to go to get medica...
<ul><li>E xpectancy   </li></ul><ul><li>Injured workers typically accomplish the clinical expectations set for them </li><...
<ul><li>E xpertise </li></ul><ul><ul><li>Patient confidence </li></ul></ul><ul><li>E xperience  </li></ul><ul><ul><li>Cred...
<ul><li>Studies have shown that using a Board Certified </li></ul><ul><li>Occupational Medicine Specialist can reduce the ...
<ul><li>The  SPICE  model will provide the needed structure for comprehensive problem-solving strategies that: </li></ul><...
<ul><li>“ Treatment of the part should never be attempted without treatment of the whole.  This is the error of our day, s...
In Conclusion Waldo Agencies Four-step Process
<ul><li>If you would like more information on: </li></ul><ul><ul><li>Saltzer Medical Group’s Occupation Medicine program <...
Thank You for Attending!
<ul><li>Colledge, A., S.P.I.C.E. – A model for reducing the incidence and costs of occupationally entitled claims.  Occupa...
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"Starting from Scratch" Occupational Medicine Webinar

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A joint WaldoECG & Saltzer Medical Group webinar on occupational medicine and risk management.

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  • Discuss with Dave: “an” additional issue; or “some key additional” issues. Dave to share story re “additional issue”?
  • Dr. S is board-certified in Occupational Medicine, with a Masters degree in Health Administration His career spans over 30 years in the field of Occ Med, with valuable, complementary experience in hospital-based programs, in-house corporate medical directorships, and professional medical groups Dr. S currently serves as Medical Director of the Occupational Medicine dept at Saltzer Medical Group, the largest multi-specialty physician group in Idaho. Welcome, Dr. Shoemaker!
  • In the course of our joint preparations for this webinar, you shared some interesting statistics on the rankings of both Idaho and Oregon for their effectiveness in managing workers compensation claims. Since most of our attendees today are from Oregon and Idaho, I thought that sharing where we rank would provide a helpful perspective for our discussion today. We invite the audience to now consider and respond to the first of a few polling questions we have for you today. Here’s the question you should now see : Where did Idaho and Oregon rank nationally in workers compensation premiums in 2008? (#1 being the highest/best ranking , and #51 the lowest) NOTE: Whether your business is located in Oregon or Idaho, the correct letter answer is the same for both! Dr. S., what is your take on these stats and how we doing in Idaho and Oregon? Ask Dave re state rankings vs the “real world” of the employers “experience mod factor” Thank you both. I appreciate your clinical and risk mgmt perspectives. Dr S, with that, let’s learn about your “recipe”.
  • Question: doesn’t it strike you as a bit ironic that our highly advanced Western medicine is the “carrier” of Disability to third-world societies? Why is that?
  • So, “nonverifiable” claims and “unsubstantiated”claims are really one in the same. Given how disproportionate they are in the # of claims compared to costs, what can we do to better manage them?
  • One of the common questions that Dave shared in his opening remarks related to Workers Comp being perceived as an entitlement. What are your thoughts on that?
  • Tee up to “Tip of the Iceberg” slide Our agency specializes in the new and emerging field of Health &amp; Productivity Management. I’ve come to realize how significant indirect costs are to health-related risks. Can you speak to that, in terms of occupational injury?
  • Question: Given the indirect costs and additional Causative factors with workers comp claims, how can employers better control the cost of injury claims?
  • Dr. S: don’t read or comment on second paragraph
  • Frankly, before I became acquainted with you, I had not heard of the SPICE model. Ask 2 questions together: How widely known and used is SPICE in non-military, occupational injury practices? Would it be fair to say that most board-certified Occ Med physicians are familiar with and use this clinical model?
  • Dave may comment on how we, as broker, can help facilitate communications with employer and employee
  • “ Immediacy” implies urgency. Given the desire to act quickly, who determines where an employee who has an injury will go for treatment? Ask f/u question, re “who has the legal right to designate a provider”? In light of that, do you have any recommendations, particularly in relation to Oregon vs Idaho employers? Moving on…you’ve talked about Simplicity, Proximity and Immediacy; what is Centrality?
  • Dave: Reinforce our (broker) role in facilitating communications with all Team members? Segway We’re at the last SPICE ingredient -- Expectancy
  • Dr. S., with your presentation today, I hope that we all better understand the role of and value that a board- certified, occupational medicine physician can bring to management of work injuries. Let’s get the audience’s feedback:
  • Dr. S: what is the correct answer?
  • Dr. S: you’ve made a good argument for employers to use implement a “claims management system”. Q: How big does an employer have to be to be to implement the kind of system you’ve described? Q: Dr. S… any final thoughts you’d like to share? Just tell the story (about your first patient)
  • Dave: summarize Goals for today: Discover addt’l issues that drive the total cost of risk; Identify the key drivers of increased time loss in injury claims Learn about a more effective approach to managing claims and costs Questions we hoped to answer: Is WC just another entitlement program? What can we do to better define unsubstantiated claims? How can we better control the outcome of claims? Are we too small to implement a claims management system, such as what Dr. S has described?
  • "Starting from Scratch" Occupational Medicine Webinar

    1. 1. Waldo Insurance and Saltzer Medical Group present A Recipe for Successful Management of Occupational Injury
    2. 2. Today’s Presenters & Moderator Howard W. Shoemaker, MD Dave Waldo, Pres/CEO Waldo Insurance Tony Kahmann Waldo Insurance
    3. 3. Welcome! Dave Waldo, Pres/CEO Waldo Insurance
    4. 4. <ul><li>Discover some key, additional issues that drive the “total cost of risk” </li></ul><ul><li>Identify the key drivers of increased time loss in injury claims </li></ul><ul><li>Present a refreshing approach to managing workers comp claims and reducing costs </li></ul>Goals for Today
    5. 5. <ul><li>“ Isn’t Workers Compensation just another entitlement program?” </li></ul><ul><li>“ What is the impact of, and what can we do about “unsubstantiated claims”? </li></ul>Common Questions
    6. 6. <ul><li>“ Are we too small to implement a claims management system?” </li></ul><ul><li>“ How can we control the outcome of claims?” </li></ul>Common Questions
    7. 7. Today’s Featured Presenter Howard W. Shoemaker, MD
    8. 8. <ul><li>Where did Idaho and Oregon rank nationally in </li></ul><ul><li>workers compensation premiums in 2008? </li></ul>Polling question <ul><li>Idaho: </li></ul><ul><li>3 rd </li></ul><ul><li>13 th </li></ul><ul><li>34 th </li></ul><ul><li>46th </li></ul><ul><li>Oregon: </li></ul><ul><li>7 th </li></ul><ul><li>15 th </li></ul><ul><li>39 th </li></ul><ul><li>43rd </li></ul>
    9. 9. <ul><li>Inspiration for recipe </li></ul>
    10. 10. <ul><li>A truth-inspired tale that inspired me to create a “Recipe for a Comprehensive Unifying Strategy” (CUS) that employers could follow to assure successful outcomes in workers comp </li></ul><ul><li>One woman gained success by cooking all 524 recipes in Julia Childs’ book “ Mastering the Art of French Cooking ” </li></ul>Inspiration
    11. 11. <ul><li>What was interesting (besides being a good movie) </li></ul><ul><ul><li>Followed recipe/attention to detail </li></ul></ul><ul><ul><li>Hand selected ingredients </li></ul></ul><ul><ul><li>Successful outcomes assured </li></ul></ul><ul><li>Did not recreate the wheel/invented nothing </li></ul>Inspiration
    12. 12. <ul><li>Recipes are made of ingredients </li></ul><ul><ul><li>Employer </li></ul></ul><ul><ul><li>Insurance </li></ul></ul><ul><ul><li>Provider </li></ul></ul><ul><ul><li>Broker </li></ul></ul>Recipes
    13. 13. <ul><li>Develop a team approach for success </li></ul><ul><ul><li>the ingredients are your partners/team members </li></ul></ul><ul><li>Ingredients are hand-selected: knowledgeable, equal partners </li></ul><ul><li>Requires active participation </li></ul><ul><li>Not every employer has what it takes to be a Master Chef </li></ul>This Recipe
    14. 14. <ul><li>One key ingredient: Providers </li></ul><ul><li>In order to be part of the employers CUS, we need a CUS of our own to treat work comp patients </li></ul>Ingredients
    15. 15. <ul><li>Trained </li></ul><ul><li>Experienced </li></ul><ul><li>Commitment </li></ul><ul><li>Knowledgeable </li></ul><ul><li>Preventing iatrogenic disability is at the core of CUS for providers </li></ul>Characteristics of a Worthy Provider
    16. 16. <ul><li>“ Despite remarkable advances in health care and increased emphasis on safety, ergonomics, and general employee health, the incidence and cost of workers’ compensation and disability claims continue to increase.” ( A. Colledge) </li></ul><ul><ul><li>Safety – Ergonomics – Awareness </li></ul></ul><ul><ul><li>All of these focal points have improved, yet costs and disability claims continue to rise. </li></ul></ul>Introduction
    17. 17. <ul><li>Current literature supports growth in disability unique to the modern western culture. </li></ul><ul><li>Prevalence of discomfort – 45% world wide. </li></ul><ul><li>Disability is virtually nonexistent in third world countries </li></ul><ul><li>Disability is increasing in third world countries as western medicine is being introduced </li></ul>Disability
    18. 18. <ul><li>Patient’s ability to tolerate discomfort can depend on: </li></ul><ul><ul><li>The level of biological stimulus (discomfort) </li></ul></ul><ul><ul><li>Existing psychological distress </li></ul></ul><ul><ul><li>Current personal social stress </li></ul></ul><ul><li>Studies indicate that people who seek healthcare report more life stressors </li></ul><ul><ul><li>Conclusion: These results imply that psychological &/or social distress can manifest as physical complaints that create a perceived need for professional health care </li></ul></ul>Psychosocial Issues
    19. 19. <ul><li>90/10 </li></ul><ul><ul><li>Out of 106,961 WC Low back injuries - </li></ul></ul><ul><ul><ul><li>86% of the cost was incurred by 10% of the claimants </li></ul></ul></ul><ul><ul><ul><ul><li>(The Ninety/Ten Rule – A small percentage of the people generate the overall cost) </li></ul></ul></ul></ul><ul><ul><li>From Washington State </li></ul></ul><ul><ul><ul><li>5% of their claims (84% of the cost) were from non-verifiable muscle & back complaints </li></ul></ul></ul>Psychosocial Issues
    20. 20. <ul><li>Minimal Psychosocial </li></ul><ul><li>Problems </li></ul><ul><li>Discomfort is acceptable </li></ul><ul><li>Medical intervention might be </li></ul><ul><li>sought </li></ul><ul><li>(Claim might be filed) </li></ul><ul><li>(Recovery is as expected) </li></ul><ul><li>(No disability) </li></ul><ul><li>Recovery </li></ul><ul><li>Significant Psychosocial </li></ul><ul><li>Problems </li></ul><ul><ul><li>Discomfort is unacceptable </li></ul></ul><ul><ul><li>Medical intervention occurs – claim </li></ul></ul><ul><ul><li>is filed </li></ul></ul><ul><ul><li>Recovery is delayed </li></ul></ul><ul><ul><li>Additional medical intervention is </li></ul></ul><ul><ul><li>sought </li></ul></ul><ul><ul><li>Minimal resolution of symptoms </li></ul></ul><ul><ul><li>Subjective complaints exceed objective </li></ul></ul><ul><ul><li>findings </li></ul></ul><ul><li>Disability </li></ul>The Disability Cascade
    21. 21. <ul><li>Entitlement </li></ul><ul><ul><li>A number of published reports have recognized such iatrogenic (system-induced) disability occurring within entitlement systems and suggest the need for appropriate policy and management reforms. </li></ul></ul><ul><ul><li>Work Comp is an entitlement system </li></ul></ul>Psychosocial Issues
    22. 22. <ul><ul><li>Medical treatment coverage </li></ul></ul><ul><ul><ul><li>Clinical care, services and supplies </li></ul></ul></ul><ul><ul><li>Indemnity payments </li></ul></ul><ul><ul><ul><li>Replacing wages during recovery </li></ul></ul></ul><ul><ul><li>Death benefits </li></ul></ul><ul><ul><ul><li>Weekly payments to surviving spouse & children </li></ul></ul></ul><ul><ul><li>Impairment settlement </li></ul></ul><ul><ul><ul><li>Compensation for permanent physical loss </li></ul></ul></ul><ul><ul><li>Disability benefits </li></ul></ul>Automatic Benefits Under WC
    23. 23. Just The Tip <ul><li>Personal Health Costs </li></ul><ul><ul><li>Medical Care </li></ul></ul><ul><ul><li>Pharmaceutical Costs </li></ul></ul>30% 70% Sources: Loeppke, R., et al., &quot;Health and Productivity as a Business Strategy: A Multi-Employer Study&quot;, JOEM.2009; 51(4):411-428. and Edington DW, Burton WN. Health and Productivity. In McCunney RJ, Editor. A Practical Approach to Occupational and Environmental Medicine. 3rd edition. Philadelphia, PA. Lippincott
    24. 24. <ul><li>“ This predicament is not the result of an </li></ul><ul><li>inadequate fund of available information with </li></ul><ul><li>which to address the matter. Instead the </li></ul><ul><li>problem emanates from a the lack of a </li></ul><ul><li>comprehensive and unifying problem-solving </li></ul><ul><li>strategy.” </li></ul><ul><li>LaRocco </li></ul>Summary of Causative Factor
    25. 25. <ul><li>Don’t reinvent the wheel – the wheel already exists </li></ul><ul><li>Forward Treatment Method </li></ul><ul><ul><li>Military developed </li></ul></ul><ul><ul><ul><li>Comprehensive </li></ul></ul></ul><ul><ul><ul><li>Unifying </li></ul></ul></ul><ul><ul><ul><li>Dynamic </li></ul></ul></ul>Solution
    26. 26. <ul><li>The US Military, in a study of modern warfare, found that soldiers with simple physical complaints who received inappropriate treatment for battle-related stress tended to become permanently & totally disabled. </li></ul><ul><li>Combat-induced anxiety and stress caused the protective psychological reserves to erode and defense mechanisms formed. </li></ul>Forward Treatment
    27. 27. <ul><li>A plan for successful treatment was needed </li></ul><ul><li>Forward Treatment model was developed </li></ul><ul><ul><li>Proactive and comprehensive </li></ul></ul><ul><li>Developed with over 100 years of experience of military physicians world wide </li></ul><ul><li>Developed to prevent system-induced disabilities </li></ul><ul><li>Forward Treatment lead to the SPICE model </li></ul>Forward Treatment
    28. 28. <ul><li>Both groups are basically healthy and intelligent </li></ul><ul><ul><li>those with pre-existing disabilities are screened out </li></ul></ul><ul><li>Both groups are expected to function as a “team” rather that as individuals (as a rule) </li></ul><ul><li>Both groups have legally mandated entitlement programs for on-the-job- injuries </li></ul>Military vs. Civilian Personnel
    29. 29. SPICE It’s not just for cooking anymore!
    30. 30. <ul><li>Comprehensive application of SPICE is meant to facilitate effective treatment, reduce workers’ compensation cost, and reduce system-induced disability. </li></ul><ul><li>SPICE was originally published in 1993 in The Journal of Occupational Rehabilitation and updated in 2000. </li></ul>SPICE
    31. 31. <ul><li>S = Simplicity </li></ul><ul><li>P = Proximity </li></ul><ul><li>I = Immediacy </li></ul><ul><li>C = Centrality </li></ul><ul><li>E = Expectancy </li></ul>The SPICE Model
    32. 32. <ul><li>S implicity </li></ul><ul><li>Use simple/uncomplicated terms </li></ul><ul><ul><li>Treating potential benign conditions in a complex manner can have adverse affects on the employee’s recovery </li></ul></ul><ul><li>Avoid over medicating and over treatment </li></ul><ul><li>Give reassurance and simplistic advise </li></ul>S PICE
    33. 33. <ul><li>Diagnosis </li></ul><ul><ul><li>Provide an explanation of the probable pain mechanism </li></ul></ul><ul><ul><li>Reassurance the condition is not a serious disease </li></ul></ul><ul><ul><li>Present a favorable prognosis and history of the disorder </li></ul></ul>Simplicity
    34. 34. <ul><li>P roximity </li></ul><ul><li>Keep the employee physically and emotionally tied to the workplace </li></ul><ul><li>Maintain the employer/employee relationship </li></ul><ul><li>Normalcy of everyday activities </li></ul><ul><li>Create meaningful light duty </li></ul>S P ICE
    35. 35. <ul><li>A challenge to employers </li></ul><ul><ul><li>Developing a “work family” </li></ul></ul><ul><ul><li>Assisting their employees in coming to work ready to give 100% </li></ul></ul><ul><ul><li>Managing life stresses </li></ul></ul><ul><ul><li>Fulfilling individual goals & purposes in life </li></ul></ul>Proximity
    36. 36. <ul><li>Return to Work </li></ul><ul><ul><li>The longer an injured worker is kept from the worksite, the less likely it becomes that he/she will ever return to productive employment </li></ul></ul><ul><ul><li>Return to work takes a combined effort of the patient, the healthcare provider, and the employer </li></ul></ul>Proximity
    37. 37. <ul><li>I mmediacy </li></ul><ul><li>Deal with the injury in a timely manner </li></ul><ul><ul><li>Avoids establishing “disabled” behavior </li></ul></ul><ul><li>Delays in treatment can have considerable effects on psychosocial issues and may encourage a delay in the recovery </li></ul><ul><li>Return to full duty as quickly as possible </li></ul>SP I CE
    38. 38. <ul><li>C onsistent approach </li></ul><ul><li>C ontinuity of providers </li></ul><ul><li>C oordination of the “care team” </li></ul><ul><ul><li>Therapists, Specialist, Adjusters, Case Managers </li></ul></ul><ul><li>C ommunicate </li></ul><ul><ul><li>Employer – Carrier – Patient – Providers – Care Team -IC </li></ul></ul>C entrality
    39. 39. <ul><li>Primary Treating Provider </li></ul><ul><ul><li>Establishes a point of contact for the treatment of the injured employee. </li></ul></ul><ul><ul><li>Provides a link with a network of providers involved with ongoing treatment. </li></ul></ul><ul><ul><li>Coordination of patient care </li></ul></ul>Centrality
    40. 40. <ul><li>A study shows 50% of injured workers had received no information from the employer about where to go to get medical care for their work related injury. </li></ul><ul><li>Majority of Comp related litigation arises from the frustration, ignorance, unrealistic expectations, and/or fear level of the injured workers. </li></ul>Communication
    41. 41. <ul><li>E xpectancy </li></ul><ul><li>Injured workers typically accomplish the clinical expectations set for them </li></ul><ul><li>Objectively state what is expected in terms of treatment and case closure and Maximum Medical Improvement </li></ul><ul><li>Proactive RTW goals are set in the beginning </li></ul><ul><li>Promote accountability and motivation on the part of the patient </li></ul>SPIC E
    42. 42. <ul><li>E xpertise </li></ul><ul><ul><li>Patient confidence </li></ul></ul><ul><li>E xperience </li></ul><ul><ul><li>Credibility </li></ul></ul><ul><li>E ducation </li></ul><ul><li>E ncouragement </li></ul><ul><ul><li>Ability not Disability </li></ul></ul>Expectancy
    43. 43. <ul><li>Studies have shown that using a Board Certified </li></ul><ul><li>Occupational Medicine Specialist can reduce the </li></ul><ul><li>average workers compensation claims costs by: </li></ul><ul><li>10% </li></ul><ul><li>25% </li></ul><ul><li>50% </li></ul><ul><li>I was not aware that using a Board Certified Occ. Medicine Specialist could reduce our claims costs </li></ul>Polling question
    44. 44. <ul><li>The SPICE model will provide the needed structure for comprehensive problem-solving strategies that: </li></ul><ul><ul><li>Decreases employee disability </li></ul></ul><ul><ul><li>Maintains worker productivity </li></ul></ul><ul><ul><li>Reduces workers compensation costs </li></ul></ul><ul><li>*** </li></ul>In Summary
    45. 45. <ul><li>“ Treatment of the part should never be attempted without treatment of the whole. This is the error of our day, separation of the body from the soul.” </li></ul><ul><li>Aristotle </li></ul>In Conclusion
    46. 46. In Conclusion Waldo Agencies Four-step Process
    47. 47. <ul><li>If you would like more information on: </li></ul><ul><ul><li>Saltzer Medical Group’s Occupation Medicine program </li></ul></ul><ul><ul><ul><li>Contact: Tom Mears, Director of Occupational Medicine, at 208.463.3146, or tjmears@saltzermed.com </li></ul></ul></ul><ul><ul><li>Workers Compensation Risk Reduction Services, through Waldo Insurance </li></ul></ul><ul><ul><ul><li>Dave Waldo: 800.829.0305, ext 213; cell 208.707.3333; [email_address] </li></ul></ul></ul><ul><li>This webinar will be posted and available for viewing soon. </li></ul><ul><li>Confirmation and a link will be posted on our agency website </li></ul><ul><li>at www.waldoecg.com </li></ul>Next Steps
    48. 48. Thank You for Attending!
    49. 49. <ul><li>Colledge, A., S.P.I.C.E. – A model for reducing the incidence and costs of occupationally entitled claims. Occupational Medicine: State of the Art Reviews, Vol. 15, No. 4 , Oct-Dec 2000. Philadelphia, Hanley & Barfus, Inc. </li></ul><ul><li>Colledge, A., A model for the prevention of iatrogenic disease associated with work-related low back pain. The Journal of Occupational Rehabilitation, 1993 & 2000, Plenum Publishing Corporation, Springer Netherlands </li></ul><ul><li>Colledge, A., Holmes, E., Pack, R., Johnson, H. I., DeBerard, S., Management of occupational low back injuries </li></ul><ul><li>Bigos S, Nachemson AL. Work for all: For those with low back pain as well. Clin Orthop 179:77-85, 1983 </li></ul><ul><li>Loeppke, R., et al., &quot;Health and Productivity as a Business Strategy: A Multi-Employer Study&quot;, JOEM.2009; 51(4):411-428. and Edington DW, Burton WN. Health and Productivity. </li></ul><ul><li>McCunney RJ, Editor. A Practical Approach to Occupational and Environmental Medicine. 3rd edition. Philadelphia, PA. Lippincott </li></ul>References
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