October 2010 Archives

Real Ramping Projects: Accessibility 101

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If you have a disabled patient, making your claimant's home wheelchair accessible is essential to the recovery process. Ramping installation, as with many processes, includes variables and options which can make the process complex for a claim manager or an adjuster. Rather than grapple with the options and wonder if you are making the right choices for your claimants, Cara Barde, president of Total Medical Solutions, says "Choose a vendor partner you can depend on for custom aluminum ramping that meets the ADA requirements. Working with an experienced vendor for disability ramping ensures your claimants needs are handled appropriately, quickly and in a cost-effective manner."

Having a trusted vendor partner with the right expertise allows you to manage your claims more effectively, knowing your claimant's issues will be reviewed and handled with the utmost attention to detail. A good vendor partner saves time and money on your claims. You can then go on to other matters, making good use of your expertise where it matters the most. 

Modular Aluminum Ramping Systems are an excellent choice because the installation process is quick and easy, and they can be used for both home and commercial applications. Aluminum ramps are easy to install, can be moved if the claimant moves, and they can be stored and reused should you have claimants with temporary needs. Aluminum is a great option for all climates -- it is rust proof, light weight and requires little to no maintenance. It is environmentally friendly, extremely cost-effective and can be configured for nearly any situation, including 90- and 180-degree turns.  

Here's another example of a real ramping project completed by Total Medical Solutions...

Total Medical Solutions ramping project: BEFORE

Ramping E3.before.jpg


Total Medical Solutions ramping project: AFTER

RampingE2.after.jpg

To review more on why TMS recommends aluminum ramping, read our post called Disability Ramping: Consider Aluminum over Wood

See our earlier post on Real Ramping Projects

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Florida's Race for Governor -- Get out and VOTE!

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Just a week away from what could be Florida's most hotly contested races for governor. If you live in Florida, the most important thing to do by next Tuesday is - GO VOTE! Haven't decided who to vote for yet? Read up and make some decisions. But - GO VOTE! The accusations are running rampant on both sides, but you must pick a side and GO VOTE! 

Did you catch the debate last night on CNN between Rick Scott and Alex Sink? It left me wondering, "Does anyone follow the rules of debate anymore?" Highlights include: both candidates agree that the race is all about who is going to create the most JOBS in Florida; neither candidate knew the Florida minimum wage; Sink told Scott: "You can't lecture me on fraud!" and an Alex Sink campaign aide was fired for breaking the debate rules. As is typical it seems, the candidates NEVER answered the questions posed, they just kept spouting their campaign sound bytes! It did underscore one thing for sure: these candidates do not like each other and it is hard for them to mask. Read the Orlando Sentinel's take on the Sink-Scott debate

A few resources to help you decide. Read, review, then GO VOTE!

PolitiFact.com a political fact-checker produced by St. Petersburg Times and Miami Herald newspapers. Look up the candidates and review the statements being made by their campaigns to determine if they are True or False. 

The Workers' Compensation Section of the Florida Bar puts out an interesting collection of news and updates pertaining to Florida workers' compensation law. It's called News & 440 Report. Their Fall edition includes an interesting overview of the gubernatorial candidates and their differences when it comes to workers' compensation. Read Editor's Comments: Politics and Workers' Compensation for some insight on how the candidates differ when it comes to workers' comp. 

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October is National Disability Employment Awareness Month

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Yesterday in our nation's capital, 2010 National Disability Mentoring Day was launched with the support of national leaders who are committed to hiring people with disabilities. Click here to see a list of the DMD sponsors. All across the country, a series of events coincided with the national launch event, supported by the American Association of People with Disabilities (AAPD). This is part of a month-long awareness campaign during the month of October called National Disability Employment Awareness Month promoted by AAPD.

Watch a video about DMD... 

 

Discover and become a part of your state's DMD Day next year! The Florida DMD celebrated it's 10th year yesterday!

The Library of Congress, has a special tribute on their website including profiles of famous Americans with Disabilities including Helen Keller, Thomas Edison and Stevie Wonder. Read a letter written in 1893 by Helen Keller to Mabel Hubbard Bell, Alexander Graham Bell's wife after her visit to the Chicago World's Fair.

Read President Obama's Presedential Proclamation.

What Can You Do? is a campaign for disability employment -- a collaborative effort to promote positive employment outcomes for people with disabilities. The campaign focuses on educating and encouraging employers to recognize the value and talent people with disabilities bring to the workplace.

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Building Your Workers' Comp Toolbox

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We all agree that the workers' compensation industry is incredibly complex. As is the case in many industries, the jobs we perform are sometimes highly specialized, so we may not understand the bigger picture of what we do. A thorough understanding of the big picture, though, can help you in your job by allowing you to see and comprehend the part that you play and how important it is to the "big picture" we call workers' comp. 

Listed here are some tools to add to your workers' comp toolbox. You don't have a workers' comp toolbox? Well, perhaps you should start one. We certainly don't expect you to read all of this in one sitting. This is a collection of articles and resources to keep close at hand for when you need them. Whether you are a workers' comp pro, or a newbie, its a good idea to keep such resources on hand, for your own reference, or for sharing with a colleague in need.

Glossary of Workers' Compensation Terms - published by the California Department of Industrial Relations. NOTE: workers' compensation laws vary from state to state; some terms here may be specific to California, but generally this is a good overview of workers' compensation-specific terms.

Know the Difference Between Permanent Partial Disability and Permanent Total Disability available at WorkersCompensation.com

Finding the right doctor makes a big difference! Several studies have shown that getting experienced physicians involved in the claim from the onset makes a significant difference in the outcome of workers' comp claims. A Guide to High-Value Physician Services in Workers' Compensation developed by ACOEM provides a great step-by-step overview to help identify the best physicians for managing workers' comp claims.

Independent Medical Exams -- Selecting The Right Doctor by Illinois Workers' Compensation blog

Review of ACOEM's New Medical Guidelines for Workers' Compensation, an article found in Florida Underwriter Magazine

ACOEM's Occupational Medicine Practice Guidelines: Evaluation and Management of Common Health Problems and Functional Recovery in Workers, Third Edition -- available early 2011. These are encyclopedia-style volumes with tons of practical information categorized by topic, available for as low as $599 if your organization is a member of ACOEM. Published by the American College of Occupational and Environmental Medicine, ACOEM's Practice Guidelines are the best practices in effective treatment of occupational injuries and illnesses. The only evidence-based guidelines that focus on returning employees to work within 90 days of an injury or illness. These guidelines focus on quality of care and a reduction in over utilization -- an issue that plagues the workers' comp industry.

Workers' Comp Insider -- a workers' comp industry blog that covers workers' compensation, risk management, business insurance, workplace health and safety, occupational medicine, and more. This is a blog we follow and a great resource of information pertaining to workers' comp issues. A good blog to follow. Named by Lexis-Nexis as a Top 25 Blog for Workers' Compensation.

Managed Care Matters -- a blog by Joe Paduda. You may or may not always agree with Joe, but few people can rival his comprehensive understanding of healthcare and workers' compensation, and how the two overlap. This blog is definitely one to follow. Not only is it full of pertinent and interesting topics, it is quite entertaining at times. Named by Lexis-Nexis as a Top 25 Blog for Workers' Compensation.

Comp Time -- a blog published by Business Insurance and written by Roberto Ceniceros. Covers recent developments in the complex world of workers' compensation. Named by Lexis-Nexis as a Top 25 Blog for Workers' Compensation.

As we come across new and updated resources, we'll post them for you here so you can add them to your virtual workers' comp toolbox. Have one to recommend? Please pass along to marketing@newtms.com. Enjoy! 

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The Co-morbidities of Obesity: Watch Out!

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Okay, so hopefully we've made our point about obesity being a significant problem when it comes to workers' comp claims. See our previous posts on obesity. Obese workers file more claims, their claims costs are significantly higher and they stay out of work longer. The chance for complications increases dramatically. Fine. Point made. So, now what? 

Watch Out For Co-morbidities.
While there are many co-morbidities of obesity, the top three are: hypertension, diabetes and high levels of cholesterol. These lead to other chronic conditions and illness such as strokes, heart disease and kidney failure. There are increased risks to look out for because various parts of the cardiovascular system are compromised, and damage often occurs simultaneously. Case managers and adjusters can make a huge impact just by paying more attention to claims involving obesity. Ensuring coordination of care between multiple healthcare providers is critical.
 
Consider the Meds.
Another concern with claims involving obesity, is the number of medications required to manage the multiple chronic conditions. A careful review of the prescribed medications is essential. At a minimum, case managers and adjusters should coordinate an annual review of medications to avoid adverse drug interactions that could lead to further complications. Some claims may require more frequent reviews, depending on the specific circumstances of the claim. 
 
Be Prepared.
Obesity is a component of managing workers' compensation claims that can't be ignored. The best thing you can do to positively impact claims involving obesity is to be prepared. Get educated. Understand the co-morbidities and preempt further complications before they spiral out of control. There are several options for education on obesity, such as the upcoming Obesity Summit 2010 at the Cleveland Clinic's Center for Continuing Education. Plan on attending at least one continuing education class per year that focuses on managing obesity claims. Or, contact your complex care provider -- they should offer CEU classes on obesity.
 
Be Proactive. 
Employers and insurance companies understand that obesity is a significant risk factor. Many now offer wellness programs and incentives for employees to lose weight. Determine if the employer and/or insurer are open to discussing treatment methods to help the injured employee lose weight. Is gastric by-pass surgery an option? Are there any other treatment methods available to help the claimant lose weight? Is counseling an appropriate option? Consider all options. Involve the family when possible. Anything that can be done to assist the claimant in losing weight will have a positive impact on the outcome of the claim.
 
Resources
 
Essentials of a Bariatric Patient Handling Program by Online Journal of Issues in Nursing
 
 
Assessment and Management of Obesity and Comorbid Conditions available on the Obesity Resource Center website
 
 
Annual Bariatric Summit explores leading-edge clinical and technical innovations related to the advanced management and treatment of severe obesity 
 
LEAN Works by CDC - A Workplace Obesity Prevention Program

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Driving Dangerously: Consider The Risks...

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In August, we posted on the growing epidemic of distracted driving in our post titled Are Employees Driving While Distracted?  We think distracted driving and commercial driving safety issues are worth repeating. 

Commercial Driving: What Risks are Slipping Through The Cracks?
Last week, colleagues at Lynch Ryan posted Commercial Drivers and Medical Certification on their blog called Workers' Comp Insider. In their article, the topic of medical certification and how and when commercial drivers are removed from service is explored with reference to some pretty horrific accidents on record. They also highlight how weak the process is for medical certification of commercial drivers. It's pretty scary. 

Distracted Driving Revisited
The Safety Doctor -- Dr. Isabel Perry, an author and keynote speaker specializing in safety matters, offers information and resources on distracted driving in her October newsletter. Perry says vehicular accidents with company drivers are on the rise and also offers some possible solutions to the problem. 

Fatigue is often cited in commercial driving accidents as the leading contributing cause of the accident. Here are some tips to share with drivers as part of an ongoing safety program to educate commercial motor vehicle drivers: CMV Driving Tips

For a lot more information on trends and statistics related to commercial driving accidents in the U.S., visit the Federal Motor Carrier Safety Administration's Large Truck and Bus Crash Facts, 2008, released earlier this year. 

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Cancer-causing chemicals spike since BP Oil spill!

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According to an article that appeared in the Los Angeles Times recently, significantly higher levels of some cancer-causing oil compounds have been recorded by a research team in the waters off the Louisiana coastline. See High levels of cancer-causing chemicals recorded since BP spill. A research team from Oregon State University has been studying and recording levels of polycyclic aromatic hydrocarbons, or PAHs, since the spill.

The article includes a statement by Kim Anderson, an OSU environmental toxicology professor, who claims she found a 40-fold increase in PAHs from May to June, after the oil spill. The results of the study are still being analyzed. The article includes statements from officials from the Louisiana Department of Health and the Environmental Protection Agency that do not show cause for alarm at this time.  

 

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Smoke This - How Smoking Impacts Complex Care

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Ever consider the impact of smoking and how it affects your complex claims? What about what it does to medical equipment? Zack Craft, vice president of rehabilitation technology and complex care, thinks smoking is an important element of care -- one that requires attention and consideration at every stage when managing complex claims.

See What's In A Cigarette by American Lung Association

cigarette_composition.gif

Second-Hand Smoke Facts

    • Second-hand smoke is a major air pollutant
    • Second-hand smoke includes upwards to 4,000 chemicals
    • Second-hand smoke includes 200 known poisons including formaldehyde and carbon monoxide
    • Second-hand smoke contains 43 carcinogens
    • Men (about 24%) smoke more than women (about 18%)
    • About 31% of people who live below poverty level are smokers

Visit the CDC.gov website called Vital Signs for more information on Tobacco Use and Second-hand Smoke

Why is Smoking Important in Complex Care cases?

    • It negatively impacts the healing process
    • Wounds take longer to heal, or may never heal
    • Longevity of medical equipment should be considered
    • Carriers should anticipate additional claim costs

See Smoking and Wound Healing: A Guide for Surgical and Burn Patients by University of Wisconsin's School of Medicine and Public Health

Steps You Can Take

    • Incorporate questions into the assessment process in order to identify and manage claims where smoking may be an issue
    • Educate all involved in patient care about smoking and the health risks involved; include case managers, adjusters, home health care providers, patients and family
    • Consider the impact of smoke on medical equipment to anticipate future costs of replacing equipment
    • Evaluate claims where smoking is an issue regularly to assess: quality of care, treatment options and equipment needs

For more information on managing claims involving smoking, contact Total Medical Solutions, your complex care provider.

 

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Workers' Compensation - Is an overhaul coming?

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Peter Rousmaniere, well-known workers' comp consultant and writer, poses the question: "Will congress overhaul workers' compensation?" in an ongoing series titled Workers' Comp 20/20 presented by WorkersCompensation.com. In the article, Peter lays the groundwork for what is likely to happen depending on the outcome of our upcoming fall elections.

He also discusses two public policy issues -- one is the concept that employers are undercounting and under reporting work-related injuries for the purposes of OSHA reporting; and second is the concern that injured workers don't always file workers' comp claims. As usual, the article is thought provoking and raises some serious questions. 

For more on Peter Rousmaniere, visit his website. Be sure to read some of his other articles. His investigative style reporting and writing and depth of workers' compensation knowledge is unique to say the least. Enjoy!

 

 

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About this Archive

This page is an archive of entries from October 2010 listed from newest to oldest.

September 2010 is the previous archive.

November 2010 is the next archive.

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