workstrong works! where are we now? where are we headed? how are we going to get there?
TRANSCRIPT
WorkStrong Works!
Where are we now?Where are we headed?
How are we going to get there?
In their own words…
• UC employees share their experience with the WorkStrong program.
(play video)
From the Physician’s Perspective
1. The “continuum of injury rehabilitation to wellness.”
2. The conundrum of UC WorkStrong entry criteria.
3. Factors in participant selection.
From the Physician’s Perspective-Foundations of WorkStrong
1. A committed team that includes physician, wellness coordinator/coach, RD, PT, and behavioral specialists.
2. Putting participants in charge of their own individual wellness, and holding them accountable to their stated goals.
3. Setting the expectation.
UC-Wide WorkStrong Data6/1/2012 - 3/31/14
Referrals to WS: 3885Enrolled in WS: 631Graduates: 331*New injuries(claims): 89Individual claimants: 65Ave weeks to graduate: 17.5Ave cost per participant: $2220
* Most of balance are mid-program
LocationUnique
ReferralsParticipants Graduates
No. of New Injuries
No. of Claimants
UCB 355 59 17 5 4UCD 363 87 60 15 11UCI / UCIMC 381 51 25 1 1UCLA / UCLAMC / SM / NPI 1171 175 80 19 15UCR 103 35 14 4 3UCSD / UCSDMC 558 62 51 25 18UCSF / UCSFMC / LPI 508 49 29 5 5UCSB 162 41 17 2 2UCSC 79 20 9 1 1UCDMC 205 52 29 12 5
Totals 3,885 631 331 89 65
WorkStrong Data Through 3/31/14
Areas for improvement
Engaging off-site Occupational Health Physicians
Supportive MDs have transcended the pay for encounter model.
Some say, “Once in WorkStrong, I never see them back!”
WS is an added tool in their tool box for help that is not meds, PT, or surgery.
Need to meet with the off-site MDs.
What we are doing well
Top Best Practices from the WorkStrong workgroup that met Monday June 16th, 2014
Follow up after WorkStrong
WorkStrong Actuarial AnalysisFeasibility
Number of claims that WorkStrong could address
Cost of these claims (Loss & ALAE) Compare to cost of WorkStrong
Average Ultimate Claim SizeThe First Claim Costs the Least….
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Can WorkStrong Pay for Itself?Feasibility: Need Savings of about 20%
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WorkStrong Actuarial AnalysisEstimated Savings
Compare Actual to Expected Reported Claims
Compare Actual to Expected Claims Costs (Developed to Ultimate, Trended)
Actual vs. Expected ClaimsPost-Graduation
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Total Claims:Actual = 89, Expected = 134Actual 34% below expected
Actual vs. Expected Claims CostsPost-Graduation
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* Trended to 2014 Dollars
Total Ultimate Loss & ALAE:Actual = $1.43M, Expected = $1.70MActual 15% below expected
Tracking with the newWorkStrong IBM Form
WorkStrong Data &Wellness/Group Health Efforts
WorkStrong results greatly informs the connection between personal health improvement and…
Safety
Worker’s Comp results
Group Health plans
Wellness on campuses and vendors
Physician network efforts
WELLNESS DOES WORK at UC
Questions