Divine Savior HealthcarePortage, WI

Onsite Industrial Health Service

On-Site Industrial Health… The “Sports Medicine” Model of

CareTraditional Onsite

Industrial Health

Same Care!

Same Results!

Our MissionDivine Savior Healthcare’s On-Site Health Team views your employee as an “industrial athlete”, an integral asset to your company’s overall success.

Our focus is on prevention and early intervention of musculoskeletal disorders.

Goals for On-Site Care…

Endorsed by OSHA & WI Safety Council Improve communication between the Employers / Employees &

the Medical Community Improve efficiencies of healthcare decisions by

Employers/Employees Decrease healthcare costs for the Employer

– Direct and indirect healthcare costs

Pro-active vs. Reactive Medicine

Injury Management

Trained Industrial Rehab Clinicians Injury Assessment Manage Musculoskeletal Disorders Job Site Analysis

Certified Ergonomic Assessment Specialists Case-Management Coordination of return to work Promotion of workplace safety

Industry Concerns…With MSD’s

OSHA Recordables Lost Time

Lost days Restricted days

Decreased Production Work Comp Payouts Insurance Utilization

Indirect costs

On-Site Industrial Health

PreventionErgonomic

Intervention Personal Ergonomics

Injury Assessment

ON-SITE Presence

PreventionTaking care of the “Industrial Athlete” through prevention and early intervention

– Education / Orientation Stretching & Conditioning Proper Lifting Posture

– Identifying Risks / Issues that can lead to an MSD

Job Site Analysis Body Mechanics

– Wellness Fit for work – Fit for life

Mechanics of Movement &Injury Causation

Personal Ergonomics– Dynamic Posture &

Positioning– Efficiency of movement

Job Engineering Strategies– Cost effective measures

Easy to Implement

Assessment of the Employee

Early intervention & recognition Work & Non-Work Related

Management of the MSD Home Exercises / Education In-House Duty Modifications Monitoring & Follow-Up Referral

– When appropriate based on condition / severity

Documentation

Our Approach…. Employee Interaction

– “On the Floor” – A Shift in Culture

Building Rapport Assessing the Job Brief & Efficient Minimized Production

“Down” Time– Private Consult When

Appropriate Supervisor Interaction HR / Safety Interaction

Compliments Company Safety Programs

Early Intervention Impact…

Decrease Worker Compensation Payouts– Lateral Epicondylitis (Tennis Elbow) Common $$’s

Associated Medical Appointments (Physician) $300 Prescription Medications $100 Physical Therapy Care (8-10 visits ) $2000 Diagnostics (MRI / X-Rays) $1500 Total = ~ $4000

On-site Early Intervention : Proactive Care No Workers Compensation Payout

On-Site Industrial HealthAdditional Benefits

Decreased Staff Turnover– Decreased Training Costs

Decreased Absenteeism Increased Employee Morale Improved Work Conditions

Focus is on the Employee

Onsite Industrial Health

The “Sports Medicine” Model of Care

Early Recognition– Building a Relationship with staff– Onsite visibility– Early identification & management of MSD’s

Efficient– Onsite time used effectively and appropriately– On the floor presence - private consults when

necessary– A Shift in Culture

Collaboration– Physician Relationships– Return to Work Restrictions– Direct Communication– Ambassador to the medical community

Cost Effective– This model of care can save dollars in both work

comp. claims and indirect insurance costs

Working Together….

DSHCOnsite Clinician

Business & Industry

Medical Community

Employee

Employee Injury

Report to Supervisor

Employee Receives Medical

Attention

Follow Up Appointmen

t

Follow Up Appointment

Start Physical Therapy

Follow Up Appointment

MRIReferral

6-8 Weeks

Return to Work Cost $$$$

Work Assignments

Staffing Issues

Prescription

Recordable Injury

Restrictions

Job Accommodatio

ns

Communications? Employee? Supervisor? Safety Coordinator? Physician? Clinician

Case Management

Employee Injury

Report to Supervisor

Employee Receives

Education / Home Exercises

Follow Up

2 - 4 days later

Not Recordabl

e

No Lost Time or Work

Restrictions

Cost

Frequent Communications

PT is on floor or notified

Short Term Duty

ModificationCommunicationsEmployeeSupervisorSafety CoordinatorPhysicianClinician

Follow Up

2 - 4 days later

Communication with Supervisor &

Safety

Rapport with Employee

COMMUNICATIONS One of the biggest benefits of this

program Interaction and trust with staff Connection with others on Case

Management Keeping current with injury progress Work related / non-work related Proactive before injury becomes WC

Work Related Injury….1) Employee Injury2) Reported to Supervisor3) Medical Attention (Available appointment or utilizing the

Emergency Department) 4) Report Filed5) Get/Request Restrictions6) Prescription Given (now Recordable Injury)7) Accommodations8) Follow up visit with Provider (1 week)9) Follow up visit with Provider (1 week)10) Continue Restrictions/Accommodations11) Start Therapy (3 weeks after DOI)12) Follow up visit with Provider (2 weeks)13) Continue Therapy14) MRI (6 weeks after DOI)15) Determines no further treatment** This case is Work Related, Recordable, Employee on Restricted Duty for 45+ days,

cost of injury = approximately $4,000

Sports Medicine Injury….

1) Employee Injury2) PT on Site or notified of injury3) Evaluates Injury4) Home Exercises, Education, Ice/Heat5) Checks back with Employee (2 – 4 days later) 6) Reviews Body Mechanics on Job7) Consult with Supervisor8) Weekly review with Safety Coordinator9) Checks back with Employee (2 days later)10)Revises exercises/instructions11)Checks back with Employee (2 days later)12)Employee is better (7 – 10 days after DOI)

** This is NOT a Worker’s Compensation Claim, Employee Does Not Miss Any Work, Cost of “On-Site Industrial

Health Program”

Worker Compensation DataHospital & Extended Care

36464437

466

950

1173

97

271 343

173

21

0

200

400

600

800

1000

1200

1400

06 07 08 09

RecordableRestrictedLost

Managing the Claims Although the number of Recordable

Injuries has remained relatively the same

This program has allowed us to “Manage” the incidents

Restricted days from over 1,000 to less than 100 days annually

Lost time days from over 300 to less than 25 days

Direct WC cost averaged $100,000 – reduced to $30,000

We Are All Pieces of the Puzzle in Case Management

On-Site Industrial Health

Physician

Supervisor

Safety Coordinato

r

Employee

Wellness Program

Communication

Light Duty

Ergonomics

“The Sports Medicine program has greatly reduced our staff time away from work due to injury – it has also freed up some of my time as they follow-up on individuals with work injuries and act as liaison between administration, the physician, and injured employee.”

Cindy – Director of Aging Services

“DSH has a really nice program for helping employees who either have an injury from work or best of all, not injured on the job. It helps the employee with an injury to recover faster and teaches employees strengthening exercises so hopefully it won’t happen again.

Jim has always worked with me and each week he not only checks up on me, but others to see how each and everyone is doing. Jim has a very positive and upbeat attitude.” Thanks Jim and DSHJoy - Employee

The program has been helpful for me primarily because the ATs usually know the case well prior to the pt coming to see me and so they are able to often give me useful information relating to both physical and psychosocial factors..  If I learn that the AT has already had the pt on restricted work, then I would be inclined to order PT sooner, and that may speed things along.

Dr. Oh - Occupational Health Physician

Early Intervention Impact…

Pro-active – on the floor presence Assessment of the injury and the

ergonomics Communications with all parties involved Relationship with staff Managing the case Following the progress of treatment Education, exercises, start at a much earlier

stage Reduces WC claims, staffing issues, and

COST

www.dshealthcare.com608-745-6290

Onsite Industrial HealthThe “Sports Medicine” Model of

Care

Questions…