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MSC Care Management + TMS = Force of the Future

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logo-msc-care-management.gifMSC Care Management, the industry's leading provider of medical products and services to post-discharge and post-injury workers' compensation claimants nationwide, announced today that it has acquired Total Medical Solutions (TMS), a national company specializing in large-loss claims. The acquisition of TMS brings with it more than 17 years of experience working with complex and catastrophic cases and further fortifies MSC's position as the leading provider of clinically based, specialized ancillary solutions in the workers' compensation market.

Comprised of industry professionals, TMS has distinguished itself by addressing all aspects of complex claims, from clinically managed homecare to home and vehicle modifications and assistive technologies. TMS' Complex Care Unit (CCU) team immerses itself in each catastrophic case, assessing the claimant and researching rehabilitation treatment and technology options. The CCU gathers and synthesizes data into a comprehensive, multi-media report with detailed assessments and specific recommendations for home health care products and services.

"We have devoted ourselves to finding best-in-class solutions within our core area of expertise," said Joe Delaney, MSC's President and CEO. "Our guiding principle has been to combine clinical expertise with the most highly skilled network of locally based providers committed to delivering the best service possible. Our acquisition of TMS is evidence of our continued commitment to that strategy, as it further strengthens our in-house expertise surrounding the development and delivery of our catastrophic care program. TMS's professionals support our mission in every aspect of our business and culture," Delaney said.
The highly successful TMS model provides a hands-on approach, which includes sending team members to work with claimants and their providers in rehabilitation centers or hospitals and visiting the claimant's home to evaluate the physical and psycho-social environment. "Often we find that equipment prescribed at the rehab center doesn't fit in the home, or that a ceiling lift could eliminate the need for a costly bathroom modification. Home visits also help determine the level of support the claimant will likely receive from family members. We are establishing relationships with everyone involved in the claim and we're getting the right home modifications, equipment and services in place from the beginning, which ultimately contains costs," said Cara Barde, Vice Chairman of the Board for TMS.

ccu logo final copy.jpgTMS' Complex Care Unit standardizes the best practices developed over the years into a unique approach to caring for seriously-injured employees. This targeted approach will now be combined with MSC's extensive team of more than 40 clinically trained Care Coordinators and RN's, one of whom is assigned to each and every case. MSC's clinical team provides peer-to-peer clinical support and streamlines the coordination of efforts between the claims team, field nurse case management staff and MSC on high-exposure catastrophic claims. "MSC's clinical resources will help TMS deliver on its mission to provide the highest level of care so the claimant can achieve and sustain the greatest level of independence for as long as possible, while maximizing cost containment," said Cara Barde.

"As severity levels rise and medical costs continue to climb, we remain committed to providing superior resources and capabilities for our clients," said Joe Delaney. "Our merger with Total Medical Solutions represents the coming together of two highly respected firms, which together represent a powerful solution in the management of large-loss claims. Together, we will continue to provide the highest quality of service to our clients with an increased ability to draw upon the expertise and resources for which MSC and TMS are well known." 

About MSC

Headquartered in Jacksonville, Fla., MSC is a care management company focused on coordinating care for its customers' post-discharge and post-injury workers' compensation claimants. MSC's customers include the nation's leading workers' compensation insurers, third-party administrators and self-insured employers. MSC offers customers four highly focused product and service areas, each with distinct expertise but available via a single point of contact. These are: Catastrophic & Home Health Services, Equipment & Device Management, Surgical Implantable Devices, and Transportation & Translation. For more information, visit www.YourMSC.com.

About Total Medical Solutions
An INC. 5,000 fast-growing company, TMS is a leading provider of complex care products and services, specializing in workers' compensation. Providing services nationally, the company coordinates home health care and catastrophic care services, home infusion therapy, custom mobility, home modifications, assistive technology, and durable medical
equipment and supplies. For more information, please call 1-800-700-9393 or visit www.newtms.com and TMS' blog www.workcompcomplexcare.com.

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V.A.C Therapy saves turtle

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Wound V.A.C. (Vacuum Assisted Closure) Treatment is a therapy used widely within the workers’ comp and healthcare world. It’s known to expedite the healing process, essentially returning an injured worker back to work or a familiar way of life sooner. However, it’s equally important to understand how V.A.C. Therapy works deep inside the wound to achieve these outcomes.

V.A.C. Therapy provides negative pressure wound therapy for applications ranging from severe wounds and grafts/flaps to post-surgical incision management. The variety of V.A.C. Dressing configurations enhances ease-of-application and reduces the need for dressing changes to only every 48-72 hours. The durability and portability of the battery-powered V.A.C. Therapy System enables patients to receive treatment during ambulation or other arrangements.

KCI offers a wide range of clinically proven, economically beneficial wound healing therapies and technologies designed to deliver positive outcomes for patients and healthcare professionals. They even have a branch designed for veteranarian use — KCI Animal Health.

We are used to seeing this used for injured workers, but interestingly enough, this technology was repurposed to save the life of a sea turtle after sustaining two propeller injuries - and even shortened his healing time.

 

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Real Ramping Project 101

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When any injured employees become wheelchair bound, it is important to have a reliable vendor partner who is knowledgeable in the installation of modular aluminum ramping. It is important that the necessary adjustments are made to ensure a claimant's home is both safe and accessible. These aluminum ramps far outweigh their wooden ramp counterparts. Did you realize the hidden costs involved in setting up wooden ramps? They require regular maintenance, must be installed by a licensed contractor or carpenter, require a building permit and typically take two to three days to install. Can you just hear the "cha-ching" noises going off! Plus, they have no resale value and could contain dangerous chemicals or applied treatments.


This Real Ramping Project is brought to us by Mobility Specialist, Mike Connor. This was of particular interest because of the unique shape of the home and the porch addition to the side of the home. "It was more of a challenging install because he had a steel ramp that had to be removed because it didn't have railing and wasn't up to the ADA code." says Mike. "That day I learned how to operate a tractor and how to use a cutting torch. I was very determined to get the unsafe ramping removed and out of the way.  The install turned out really nice and the customer not only has a safe exit from the back porch but was also happy with the way it turned out."

Before

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After

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Damaging Effects of Smoking on Equipment

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We all grow up hearing about the health concerns associated with smoking: coronary heart disease, stroke, lung cancer, etc. How about the adverse effects of secondhand smoke? According to American Cancer Society, secondhand smoke immediately affects the heart and blood circulation in a harmful way.

greenbutts-ed02.jpgNow, imagine a home of four adults, including an injured worker trying to recover - all of which are chronic smokers. Ultimately, the smoke within the home can cripple the injured worker's road to recovery, but not just because of the health issues related to smoking. What about the equipment used to facilitate that recovery? Can equipment be victim to secondhand smoke? If smoke can have such damaging effects on an individual, imagine the effect it can have on a low air-loss mattress - another "breathing" unit within the home.

Zack Craft, Vice President of Rehabilitation Technology and Complex Care with Total Medical Solutions, addresses the impact smoking has the equipment in his most recent article, Smoking Kills...Equipment too, published on the Property Casualty 360° website. After reading this article, think of those cases you are currently dealing with that may have a similar underlying issue that, at surface, isn't visible, but underneath causes long-term, costly problems.

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Nurses Encouraged to Go Green! Earth Day 2011

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Earth Day's 2011 theme is "A Billion Acts of Green." This year, The American Nurses Association (ANA) Celebrates Earth Day 2011  and encourages all registered nurses to participate in the observance of Earth Day on Friday, April 22.

Are you a registered nurse? Is there something you can do or change to be greener? According to ANA, nurses have an obligation to seek sustainable and environmentally-friendly practices and products in their profession to preserve human and environmental health. ANA's Center for Occupational and Environmental Health (COEH) reminds all nurses to THINK GREEN! and reuse, reduce and recycle whenever possible.

ANA also urges support for the Safe Chemicals Act of 2011. ANA joined a group of health care professionals and lawmakers on April 14 to speak out against proposed cuts to the Environmental Protection Agency's (EPA) budget. They feel the cuts represent a serious threat to the public's health. Read the press release.

ANA and COEH offer the following tools to help with your efforts to go green:

-ANA's Green Meeting Guide;
-Principles of a Healthy, Sustainable Food System;
-ANA's Principles of Environmental Health for Nursing Practice with Implementation Strategies

For more information about Earth Day and Earth Day celebrations, visit Earth Day Network.

And watch the official Earth Day 2011 video: 

 

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Is Your Patient a Candidate for Home Infusion Therapy?

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Home infusion therapy is a cost-effective, safe and desirable option for discharging your patient from the hospital and continuing on to their next phase of care in the comfort and safety of their own home. Home infusion therapy allows your patient to continue to receive necessary treatments that require intravenous medications at home.

The advantages of transitioning your patient to home infusion therapy include:

  • Significant reduction in hospital costs
  • Reduced risk of infection
  • Privacy and more interaction with family members
  • Involving the patient in their own treatment program
  • Less stress for patient and family members
  • Homecare Assessment Tool

    Patients should be screened to ensure they are a good fit for homecare. Not all patients are good candidates as they, along with their caregiver, must learn new skills and make changes in the home in order to accommodate special equipment and procedures. To help you identify whether or not your patient is a good candidate for homecare, go through the following list of questions:

    - is there a working phone?
    - is there a working refrigerator?
    - is there a family member, friend or neighbor to act
        as the caregiver?
    - is there space in the home to create a clean, clutter-free
        area away from pets and children?
    - can your patient thread a needle? (corrected vision okay)
    - can your patient program a pump and/or use a calculator?

    Key Components: Discharge Planning and Interdisciplinary Team

    Before your patient is discharged from the hospital, a comprehensive discharge and continuing care plan should be developed by a qualified clinician. An interdisciplinary "team" should be developed and is critical to ensure medical and quality of care standards are in place. An interdisciplinary team should include:

    -physician
    -patient / family members
    -primary care nurse
    -social worker or discharge planner
    -case manager from insurance company
    -therapy provider(s) of home services

    Home infusion therapies should ONLY be provided by an accredited provider. If you would like assistance identifying your workers' comp patients that may be candidates for home infusion therapy, or to schedule a Continuing Education workshop for your nurse case managers, RNs or adjusters, contact Total Medical Solutions at 1-800-700-9393.

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    An article by Satish Misra, MD posted on iMedicalApps states the U.S. spent over $70 billion on home health care in 2009. "Medical kiosks - a new drive-thru model for healthcare? " also talks about how a Massachusetts-based telehealth company has been working on several platforms for delivering healthcare in remote locations. The three platforms currently available by BL Healthcare include: television, kiosk and touchscreen.  

    Dr. Misra points out that the kiosk technology holds some promising opportunities for people who are physically unable to make regular visits to the doctor for preventative care. If the kiosk technology can be packaged into "mobile care units" it could allow patients with limitations the ability to get regular preventative care, keeping them out of the hospital and improving their quality of life. Learn more about BL Healthcare's healthcare delivery platforms.

    Will the iPad change the way doctors practice medicine?

    The iPad 2 event was big news last week all over the airways and the blogosphere. The unveiling of the iPad 2 certainly created a log of excitement to say the least. In another article on iMedicalApps, "iPad 2 keynote video by Apple: the iPad will change the way doctors practice medicine", Iltifat Husain explains how Dr. John Halamka, Chief Information Officer of Beth Israel Deaconess Medical Center, was featured in the iPad video presentation titled "2010, the year of the iPad" video. In the video, Dr. Halamka says "The iPad will change the way doctors practice medicine."

    Steve Jobs also made reference in the keynote speech to the plethora of apps available for the iPad in vertical markets like medical. Watch the iPad 2 keynote video at Apple's website.

    As evidenced by the launching of the 2nd generation of iPads in a year's time, technology continues to evolve at a rapid pace. It will be interesting to see what innovations lie ahead in healthcare delivery. Be sure to watch Dr. Halamka's blog, Life as a Healthcare CIO, as he is sure to provide an interesting perspective.

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    Total Medical Solutions

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