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California Workers Compensation
System
Challenges, Solutions, A program For
Excellence
A publication
of
California Industrial Relations Institute
“A Center For Excellence in Industrial Relations”
Presented by:
Ismail Yassai, Ph.D.
California Industrial Relations Institute2
Purpose
♦ Identify major challenges
♦ Introduce “PRC TOTAL CARE” as a solution
-Legislative links
-Employer acceptance
-Labor advocacy Groups acceptance
-Governor’s Office
-On-going formal education, University Linkage
♦ Define proof of concept process and validation
• Validation Requirements
• Validation environment and parameters
• Invite Collaboration from all stakeholders
The differentiating advantage, setting the standards of
excellence.
California Industrial Relations Institute3
Major Challenges
♦ Un-necessary Adversarial position
between the employer and the employee.
♦ Inappropriate medical care
♦ Inaccurate publicity aimed at workers
California Industrial Relations Institute4
PRC TOTAL CARE
A Proven Solution
♦ Educating the employers, workers and medical
service providers on the “concept” and its detail,
documented procedures.
♦ Preliminary medical service provider “self audits”
♦ Medical Service Provider Certification, front
office, back office and medical professionals.
♦ Employee awareness campaign
♦ Incentives for all stakeholders
California Industrial Relations Institute5
Expected Outcome. Critical
Metrics
♦ Lower non medical costs to result in up to
30% overall cost reduction.
♦ Shorten the “back to work” cycle.
♦ Reduce “permanent disability” cases.
♦ Increase overall revenue by promoting
standards of excellence.
California Industrial Relations Institute6
Legislative and Employer Links
♦ Communication with the Governor’s Office to
harmonize with the reform agenda.
♦ Collaboration with Senator Charles Poochigian’s
Office who leads the reforms legislation.
♦ Communication and cooperation with Assembly
member Chuck DeVore.
♦ Cooperation and feedback from former Assembly
member Pat Bates
♦ Communication and cooperation with Labor
Advocacy Groups.
♦ Solid Acceptance by over 20 employers with a
minimum of 200 employees.
California Industrial Relations Institute7
On- going Education
♦ Detail curricula and related modules for
each discipline.
♦ - Insurance Adjusters
♦ -Employers Human Resources staff
♦ -Employees
♦ -Front Office non-medical staff
♦ -Back Office Non Medical Staff
♦ -Medical Professionals
California Industrial Relations Institute8
On- going Education
A collaborative approach
♦ Established relationship with major University
System.
♦ Experienced and credible instructors
♦ On-going Research to update modules
♦ Coordination and collaboration with employer,
employee advocacy groups.
♦ Linkages with Small Business Advocates
♦ Educational funding assistance for small
businesses.
California Industrial Relations Institute9
Defining the Proof of Concept and
Validation of “Total Care”
♦ Gather data on critical metrics for 2000 existing
closed cases.
♦ Conduct detail analysis of the critical metrics.
♦ Conduct training, education and certification for
all related entities.
♦ Process approximately 2000 cases following the
standards of excellence of “Total Care”.
♦ Conduct an “independent” comparison of the
critical metrics”.
♦ Publish results
California Industrial Relations Institute10
Validation Requirements
♦ Gather data on critical metrics for 2000 existing
closed cases.
♦ Conduct detail analysis of the critical metrics.
♦ Conduct training, education and certification for
all related entities.
♦ Process approximately 2000 cases following the
standards of excellence of “Total Care”.
♦ Conduct an “independent” comparison of the
critical metrics”.
♦ Publish results, Establish the Standards of
Excellence
California Industrial Relations Institute11
Validation environment and
parameters
♦ Complete “independent” framework design by a
credible academic institution.
♦ Independent data gathering, sampling.
♦ Independent verification of “comparison cases”.
♦ Independent side by side analysis of critical
metrics.
♦ Independent publication of the results.
♦ Establishment of “California Industrial Relations
Institute” as a non profit, tax exempt California
entity.
♦ Establishment of research and education facility
at California State University.
California Industrial Relations Institute12
An invitation for collaboration to
set the “Standards of Excellence”
♦ “PRC Total Care” and “California Industrial
Relations Institute” are structured to attract the
participation of all stakeholders in setting the
standards of excellence for California Workers
Compensation System. We invite medical service
providers to review and consider the
implementation of the “standards of excellence”
within the “PRC Total Care”, and produce
approximately 2000 comparison cases for the
validation process.
California Industrial Relations Institute13
The Differentiating Advantage
♦ Unique differentiation by documented evidence
resulting from a credible independent
comparative analysis.
♦ Increased Revenue
♦ Become the “provider of choice” to employers.
♦ Provide leadership in bringing a proven solution
to a $29 billion dollar challenge and a threat to
California businesses.
♦ Stay ahead of the competition and in harmony
with legislative reforms.
California Industrial Relations Institute14
Contact and Follow up
California Industrial Relations Institute
Ismail Yassai, PhD.
Co-Founder and Principal
Bijan R. Kian
Co-Founder and Principal
Former Director
State of California
Office of Foreign Investment
Former senior economic development advisor
State of California
www.calindustry.org
Prc_2002@sbcglobal.net
Bijanrkian@cox.net
(714) 730-0505

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California Workers Compensation System

  • 1. California Workers Compensation System Challenges, Solutions, A program For Excellence A publication of California Industrial Relations Institute “A Center For Excellence in Industrial Relations” Presented by: Ismail Yassai, Ph.D.
  • 2. California Industrial Relations Institute2 Purpose ♦ Identify major challenges ♦ Introduce “PRC TOTAL CARE” as a solution -Legislative links -Employer acceptance -Labor advocacy Groups acceptance -Governor’s Office -On-going formal education, University Linkage ♦ Define proof of concept process and validation • Validation Requirements • Validation environment and parameters • Invite Collaboration from all stakeholders The differentiating advantage, setting the standards of excellence.
  • 3. California Industrial Relations Institute3 Major Challenges ♦ Un-necessary Adversarial position between the employer and the employee. ♦ Inappropriate medical care ♦ Inaccurate publicity aimed at workers
  • 4. California Industrial Relations Institute4 PRC TOTAL CARE A Proven Solution ♦ Educating the employers, workers and medical service providers on the “concept” and its detail, documented procedures. ♦ Preliminary medical service provider “self audits” ♦ Medical Service Provider Certification, front office, back office and medical professionals. ♦ Employee awareness campaign ♦ Incentives for all stakeholders
  • 5. California Industrial Relations Institute5 Expected Outcome. Critical Metrics ♦ Lower non medical costs to result in up to 30% overall cost reduction. ♦ Shorten the “back to work” cycle. ♦ Reduce “permanent disability” cases. ♦ Increase overall revenue by promoting standards of excellence.
  • 6. California Industrial Relations Institute6 Legislative and Employer Links ♦ Communication with the Governor’s Office to harmonize with the reform agenda. ♦ Collaboration with Senator Charles Poochigian’s Office who leads the reforms legislation. ♦ Communication and cooperation with Assembly member Chuck DeVore. ♦ Cooperation and feedback from former Assembly member Pat Bates ♦ Communication and cooperation with Labor Advocacy Groups. ♦ Solid Acceptance by over 20 employers with a minimum of 200 employees.
  • 7. California Industrial Relations Institute7 On- going Education ♦ Detail curricula and related modules for each discipline. ♦ - Insurance Adjusters ♦ -Employers Human Resources staff ♦ -Employees ♦ -Front Office non-medical staff ♦ -Back Office Non Medical Staff ♦ -Medical Professionals
  • 8. California Industrial Relations Institute8 On- going Education A collaborative approach ♦ Established relationship with major University System. ♦ Experienced and credible instructors ♦ On-going Research to update modules ♦ Coordination and collaboration with employer, employee advocacy groups. ♦ Linkages with Small Business Advocates ♦ Educational funding assistance for small businesses.
  • 9. California Industrial Relations Institute9 Defining the Proof of Concept and Validation of “Total Care” ♦ Gather data on critical metrics for 2000 existing closed cases. ♦ Conduct detail analysis of the critical metrics. ♦ Conduct training, education and certification for all related entities. ♦ Process approximately 2000 cases following the standards of excellence of “Total Care”. ♦ Conduct an “independent” comparison of the critical metrics”. ♦ Publish results
  • 10. California Industrial Relations Institute10 Validation Requirements ♦ Gather data on critical metrics for 2000 existing closed cases. ♦ Conduct detail analysis of the critical metrics. ♦ Conduct training, education and certification for all related entities. ♦ Process approximately 2000 cases following the standards of excellence of “Total Care”. ♦ Conduct an “independent” comparison of the critical metrics”. ♦ Publish results, Establish the Standards of Excellence
  • 11. California Industrial Relations Institute11 Validation environment and parameters ♦ Complete “independent” framework design by a credible academic institution. ♦ Independent data gathering, sampling. ♦ Independent verification of “comparison cases”. ♦ Independent side by side analysis of critical metrics. ♦ Independent publication of the results. ♦ Establishment of “California Industrial Relations Institute” as a non profit, tax exempt California entity. ♦ Establishment of research and education facility at California State University.
  • 12. California Industrial Relations Institute12 An invitation for collaboration to set the “Standards of Excellence” ♦ “PRC Total Care” and “California Industrial Relations Institute” are structured to attract the participation of all stakeholders in setting the standards of excellence for California Workers Compensation System. We invite medical service providers to review and consider the implementation of the “standards of excellence” within the “PRC Total Care”, and produce approximately 2000 comparison cases for the validation process.
  • 13. California Industrial Relations Institute13 The Differentiating Advantage ♦ Unique differentiation by documented evidence resulting from a credible independent comparative analysis. ♦ Increased Revenue ♦ Become the “provider of choice” to employers. ♦ Provide leadership in bringing a proven solution to a $29 billion dollar challenge and a threat to California businesses. ♦ Stay ahead of the competition and in harmony with legislative reforms.
  • 14. California Industrial Relations Institute14 Contact and Follow up California Industrial Relations Institute Ismail Yassai, PhD. Co-Founder and Principal Bijan R. Kian Co-Founder and Principal Former Director State of California Office of Foreign Investment Former senior economic development advisor State of California www.calindustry.org Prc_2002@sbcglobal.net Bijanrkian@cox.net (714) 730-0505