What a wonderful turnout for our Quarterly KC Workers' Compensation Coalition Meeting last night on the panel discussion- Physician's Perspective on Managing Challenging Workers' Compensation Cases. A special thank you to all of the Physician Panelist-Daniel J Stechschulte Jr., MD at Kansas City Orthopedic Alliance, Daniel C. Reeves, MD, at Conservative Care OHC and Joseph F. Galate, MD at Metro Spine & Rehab, PA. To our Sponsor/Moderator- Brian Stewart with Kansas City Orthopedic Alliance. To our Host Sponsor SERC Physical Therapy. We hope everyone who attended enjoyed the panelist discussion and had an opportunity to network. Thank you, as well, to Tony Andersen, for providing the Legislative/Legal Updates.
We will be posting very soon with details on the next meeting in July to mark your calendar, hope to see you at our next meeting.
Leah Noland, Rebecca Tomlin,Jonathan Zeiger#workerscompensation
Delve into the world of Workers' Comp with our latest exclusive web series article: 🔗https://cmsatoday.com/ "An Interview with Orthopedic Workers’ Compensation Case Manager Karen Mackey, BSW, MBA, from NHOC" sheds light on the vital role of case managers in ensuring injured workers receive optimal care and support. Learn from Karen's experience and insights in navigating the complexities of workers' compensation, then comment and share to continue the conversation! #WorkersComp#CaseManagement#OrthopedicCaseManager#CMSA#CMSAToday#HealthcareArticle
Higher quality, lower cost, better accessibility and better outcomes. MSK seems to be a bit of a silent plan-killer on performance in the health benefits space. Always near the top of overall spend but rarely talked about because there are few individual “shock” claims. Love the approach to tackle this issue from Aware Health - started and driven by providers in this arena. M3 Insurance#employeebenefits#healthcare#innovation#captives#medicalstoplosscaptives#benefits#insurance
I help self funded employers cut their orthopedic spend in half by eliminating inappropriate healthcare. Marketing, sales & CS advisor. Lifelong learner.
I had an opportunity to sit down with Jason Nordby, MS, GBDS, M3's Director of Employee Benefits Captive Practice.
We talked about the strategies that innovative captives are leveraging to reduce #msk costs.
Jason's perspective will show up in our white paper that we're working on, but for now, here's a snippet that was really intriguing to me.
Some MSK vendors actually INFLATE costs, not reduce them.
This theme is coming up more often for me.
Yesterday, I talked with an advisor who said that once she put in a direct contract with an orthopedic center, she saw her msk costs increase because it drove more surgeries.
It costs $0 for employees to get surgeries there, and they get paid while on disability. Why would they choose to pay for physical therapy and have to work?
I had never heard that perspective before and I wondered how plan design might help to mitigate that from happening.
I also realized that if you're going to have a direct contract with a ortho practice, you should make sure you have a PT offering to offset the inertia for surgeries.
Comment "white paper" if you want to get on the list to receive our white paper once it's published. You will find insights from some of the most innovative consultants, practice leaders and employers who are tackling MSK head on.
Cute pair. $700 million dollar contract to hit a ball with a stick of wood. Meanwhile, Heart and Brain Surgeons make $500K a year and save lives. What is wrong with the United States of America?
This thought-provoking post highlights the vast pay disparity between professional athletes and critical healthcare professionals in the United States. While athletes earn millions of dollars for their skills, highly trained surgeons make significantly less despite their life-saving work. This raises the question, what are our national priorities? It's time for us to reexamine our values and support those who truly make a difference in our society. #healthcare#sports#values#priorities
https://lnkd.in/gjwDE-4V
"One political challenger suggesting Rockhampton Hospital was a "basket case" due to years of government neglect"?
Rockhampton Hospital has 2,469 people on the category 3 waiting list (up 15.2% on last year), but they are performing 29.0% less surgeries than last year, with 749 people waiting more than the clinically recommended period for their surgery (up 47.7% on last year). Moreover while 50% of those on the category 3 waiting list had their surgery within 363 days, overall 90% waited within 696 days.
All those extra coal royalties did not go into Qld Health.
Is it just me or are SNF Therapists underrepresented on social media? No judgement but all I see is clinic owners, ACL repair protocols, high level return to sports! where are my SNF/Rehab PTs? I think I saw a recent apta survey stating we rep about 15-20% of PTs. Let me know if you agree! We can be more than ankle weights and front wheeled walkers! rocktherecovery.com has SNF related articles to read, check it out! #physicaltherapist#skillednursing#rehabilitation
Let me help you enjoy treating shoulders again!
How do you make this transformation?! Your answer is here. The FREE training ‘Measure what matters in shoulder rehab’ is happening on Tuesday 27th August at 8pm (ACST).
🔗 https://lnkd.in/gNbszD2s
Inside I’m going to reveal my 5 step process that’s going to help you learn how to measure what matters in shoulder rehab to improve your shoulder patient outcomes. And after, you’re going to feel so much more confident and knowledgeable, making you ready to take on any shoulder patient that comes into your world.
At the end of the workshop, you will walk away with:
- Understanding which shoulder tests are reliable for shoulder assessment
- Having a framework and system to avoid recipe based approaches
- Understanding what the evidence supports
- The ability to make data-driven decisions
If this sounds like something that could help you thrive again, I'd love for you to join me.
I'm so excited to teach this, as this is the exact process I’ve used to help over hundreds of allied health clinicians to help level up their shoulder game.
If you have questions, let me know, but I look forward to speaking soon!
Ben
#simpleshouldersystems#shouldertesting#physio#sportsphysio#shoulderhealth#healthtech#sportsmedicine#evidencedbased#returntoplay#returntosport
Great news! Two fitness and wellness businesses launched in New Hartford, NY, further validating that the demand for comprehensive healthcare, particularly Physical Therapy services in the local area, is rising. One of them, New Hartford Physical Therapy Wellness offers an array of services such as balance/gait training, post-surgical rehab that aim to transform the well-being of its clients. As Physical Therapy professionals, one common concern we often overlook is the need for specialized outpatient physical therapy practices that effectively respond to orthopedic conditions. Are we sufficiently equipped to address this? If this ignites a spark of reflection, it might be worth considering a second opinion from a Physical Therapy expert. I, Jim Tomasin, MSPT, am here for all collaboration opportunities, insights, and solutions. Here's to improving care practices in the PT industry!
#PhysicalTherapy#NewHartford#Wellness#HealthcareInnovation#OutpatientTherapy
Although I was at ELEVATE® Conference in person last month, rewatching and relistening to these two brilliant women discussing the Physician Shortage in #WorkersComp today was refreshing! I encourage you to find 20 minutes in your day today but if you can't, here are some key takeaways.
🙏 Leslie Cadet, MD, MPHKimberly Kinney
😨 It is estimated that there will be a shortage of 130K physicians and > 200K nurses by 2030
👌 Part of the shortage is that doctors don’t like being told what to do, it’s a lot of paperwork, and disability is confusing
😲 There are only 2000 board certified occ med docs in the US!
👩🌾 Set expectations early on. Light duty vs. take off work
💁♀️ It may be helpful to warn the worker about contrasting orthopedic viewpoints and explain that the PTP ultimately quarterbacks the case
🙅♂️ Patient Satisfaction Score model does NOT work well in comp
👯♀️ Collaboration between occ med doctor and specialties is a must
Example: Femur break with pre-existing history of osteoporosis. We could be looking at 6-8 weeks then address OP non-industrially vs 6 months off work
🙌 It’s so important to set an expectation of healing. Maybe we can all adopt the referring of an injured worker as “The Healing Worker”!
👁️🗨️ To assist the doctors, after a diagnosis is issued, they run that code through ODG and produce an expectation report, and based on that diagnosis, a timeline can be set. Then, if treatment extends beyond that time frame, it’s time to ask why?
😤 If a doctor closes claims faster than ODG, why do we send to UR?
§ Example: LBP + psychosocial factors + normal exam why PT? Just give me an MRI to close claim or the cost of the claim rises.
😎 For self-insured and administered employers, its effective to create a pass through and not bother with UR.
🥦 Comorbidities often times drive docs crazy. If docs at Loma Linda see something preventing recovery, they can refer to diabetes, wellness, exercise, smoking cessation programs but make it clear this is not WC but will aid in their recovery.
🚬There is an intersection of comorbidities and claims. For example, if we address obesity, we can help the knee heal faster. If surgery is recommended, we should help them with smoking cessation.
✅ Explain to doctors that, if stated correctly and there’s a clear line between the different payors, there can be a different outcome and the carrier/employer is not stuck paying for weight reduction program, etc.
🧠 Pain + Psychiatric issues are common but you don’t have to inherit psych claims. We all have baggage. At Loma, employees are seen, they are issued a risk assessment score, determine if they will go sideways then partner with group who will do pain management for psychosocial perspective but not buy a psych claim
💟 Educate the worker that this is a blessing vs. a complete diversion from life
Peak EvalsRehabOne Medical GroupBLOOMhttps://lnkd.in/gRausZ49
Physical therapy is costly to your business. It’s not always necessary.
A return-to-work exam typically involves communicating with the patient, making an accurate diagnosis, and deciding on a plan of action to ensure a quick, full recovery.
Conventionally, physicians order an MRI and prescribe physical therapy for pains and strains, and book a follow-up with the patient to check their progress.
In our first ever blog, we dive into the costs of this approach, alternative solutions, and why it’s a common practice:
https://lnkd.in/eSR8rh2i#occupationalmedicine#OSHA#workplacesafety#injury#occupationalhealth#safetyfirst#employeehealth#physicaltherapy
✬✬ MISSION DRIVEN PHYSICIAN | EXECUTIVE ✬✬ Clinical Ops Excellence | Quality Patient Care | Healthcare Improvements
6moLooking forward to hopefully making the next one! Looks like it was a great meeting.