Care management of work injuries: results of a 1-year pilot outcome assurance program
| Autor: | Jeffrey S. Davin, Linda F. Ford, Miriam J. Nightingale, Pamela L. Shannon, Douglas H. Linz, Carol O. Bradford, Craig D. Shepherd |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Adolescent Quality Assurance Health Care Pilot Projects Managed Care Organization Indemnity Outcome (game theory) Occupational safety and health Outcome Assessment Health Care Medicine Accidents Occupational Humans Prospective Studies Occupational Health business.industry Work disability Managed Care Programs Public Health Environmental and Occupational Health Emergency department Middle Aged medicine.disease Work (electrical) Managed care Workers' Compensation Female Medical emergency Sick Leave business |
| Zdroj: | Journal of occupational and environmental medicine. 43(11) |
| ISSN: | 1076-2752 |
| Popis: | A 1-year pilot study was conducted, linking the efforts of a workers' compensation managed care organization with those of an occupational health clinic and emergency department of manage work-related injuries and associated work disability. Sustained (> 90 day), injury-specific return-to-work outcomes, modified by job title, were compared with loosely managed and well-managed benchmarks. The mean return-to-work outcome, measured as lost workdays (LWDs), was 5.11 +/- 21.0 LWDs for 418 workers. These results exceeded benchmarks for both loosely managed care, 14.0 +/- 17.2 LWDs, P < 0.001 (8.9 fewer LWDs/case), and optimally case-managed care, 6.99 +/- 7.64 LWDs, P = 0.044 (1.9 fewer LWDs/case). An estimate of the value of these saved LWDs to the employers-at $200 per workday was $740,400 for the loosely managed benchmarks and $157,000 for the well-managed benchmarks. The Outcome Assurance Program virtually eliminated typical delays in the diagnosis and medical management of these injured workers. |
| Databáze: | OpenAIRE |
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