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"Starting from Scratch" Occupational Medicine Webinar
- 1. Waldo Insurance and Saltzer Medical Group present A Recipe for Successful Management of Occupational Injury
- 2. Today’s Presenters & Moderator Howard W. Shoemaker, MD Dave Waldo, Pres/CEO Waldo Insurance Tony Kahmann Waldo Insurance
- 3. Welcome! Dave Waldo, Pres/CEO Waldo Insurance
- 7. Today’s Featured Presenter Howard W. Shoemaker, MD
- 29. SPICE It’s not just for cooking anymore!
- 46. In Conclusion Waldo Agencies Four-step Process
- 48. Thank You for Attending!
Editor's Notes
- 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 & 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?