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A Deep Dive into an External Workers' Compensation Case Management Program

1 hr RN, SW, CCM

Members: $0
Non-Members: $40

ABSTRACT:  

There is a need to deliver cost effective care in the competitive health care market while bringing in a sustainable revenue. The health care market is tight, and many health care organizations are merging to extend care options while maintaining budgets. This presentation will take a deep dive into one health organization’s workers compensation care delivery model that was initiated to improve return to work rates and customer satisfaction which ultimately led to increased revenue. Using statistics to drive value-based care and process improvement, this program has forged a partnership with community businesses and workers compensation carriers to become a leading example of patient-centered care within the community.

The external workers compensation case management program brings in business while driving workplace metrics within the community. Acting as a community leader, this program has evolved into a full-blown case management practice. This presentation will review the history of the present practice and future aspirations of the external workers compensation case management program developed to increase customer satisfaction and address loss of revenue. This will include addressing return to work issues, care access, and billing errors. This program has weathered the changing healthcare landscape through various health care mergers and still continues to grow!

OBJECTIVES: 

1. Describe what factors contribute to a successful external workers compensation case management program.
2. Summarize how statistics help to drive value-based care through process improvements.
3. Identify key interventions to promote early return to work.

PRESENTER:

Penelope Bolf, BSN, RN, CCM