TRIAGENOW NURSE TRIAGE PROGRAM A A Workers C s Compensa sation - - PowerPoint PPT Presentation

TRIAGENOW NURSE TRIAGE PROGRAM

A A Worker’s C ’s Compensa sation cost c t conta ntainment p nt partne tner

In 2011 a total of $60.2 Billion paid in benefits

PAIN IN THE BOTTOM LINE…

National Academy of Social Insurance - August 2013

Injury Occurs

Injured Employee reports incident to Supervisor

Sprains and Strains Soreness or Pain Bruises and Contusions Cuts and Lacerations Fractures Unreported

KNOW THY ENEMY

The industry’s worst offender is the “Major Medical” system. Nearly every workplace injury turns into a claim.

TIME o

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 Shift t su superviso sors s an and man anag agers s don’t t mak ake medical al car are decisi sions  Red educ uce n num umber er of

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WHERE TO TURN

According to Liberty Mutual, the following increase in expense

• ccurs with each delay in reporting:

4-7 days 9% 1-2 weeks 20% 2-3 weeks 32% 3-4 weeks 48% 5+ weeks 72%

TIMELY REPORTING

Tim imely r reporting o g of in incid idents is is cruc ucial to mit itiga igatin ing t g the costs o

• f workplace

in inju jurie ies. We help lp y you m manage ge t the c cla laims wit ith accurate and tim imely ly r reportin ing.

A QUICK OVERVIEW

Bi-Lingual Registered Nurse 24x7

• Speak with Injured employee to

recommend best level of care

• Completes required reports
• First report of Injury
• Incident report
• Automatically sends reports to

required parties after completion

• f the call.

Injured Employee reports incident to Supervisor

Homecare

Supervisor and injured employee call TriageNow

Urgent Care

IMPLEMENTATION AND TRAINING

 Materials

• - Poster
• Place these in prominent place in each work location
• - Calling Cards
• Give these to employees or supervisors
• - ID Stickers
• Place these small stickers on ID badges
• Phones
• First Aid kits

 Custom Phone number  Call 24/7

• Always call unless injury can be treated with

first aid kit. Example: paper cut

• Call even if Injured Employee doesn’t feel it’s

important

• Call even if you think treatment is not

required, often times homecare remedies will help alleviate pain

 If the situation is obviously an emergency, call 911 or go directly to the Emergency Room. Call TriageNow after the employee is stable.

WHEN TO CALL THE TRIAGENOW

Call TriageNow with Supervisor and Injured Employee. Allow injured employee privacy.

Ha Have r ready…

 In Injure jured Emplo loyee d ee dem emogr

• graphics

 In Incid iden ent De Detail ils

• Employer name & address
• Injury location
• Supervisor Name & phone #
• Date/time injury was reported to Supervisor
• Names of Witnesses

 Pap aper & & Pen

STEP 1

Intake Coordinator or RN will gather pertinent information regarding the Injured Employee and the incident. Patient will then be triaged by the

• nurse. The incident will be recorded.

STEP 2

 If treatment or advanced protocols are needed, a facility referral will be made at this time.  All MCCCD clinics have been loaded into our program. STEP 3

 Reports will be distributed, including:

• Triag

ageNow I Incident R Repor

• rt
• A comprehensive overview of the incident and workplace

information

• Provider N

Notice ce

• Incident overview, with Treatment Plan and Work Status for

return

• State F

First R t Report o t of Injury

• States required notice of injury

STEP 4

• Please call TriageNow back if symptoms worsen or

new symptoms arise.

• If Supervisor is unavailable, contact WC Liaison
• Interpreters are available if necessary.
• Reports are delivered quickly to Donna Huetter and to

the TPA (Third Party Administrator).

GOOD TO KNOW

• You will receive your custom triage phone

number

• You will receive your materials to post and

hand out.  Start calling TriageNow and get your employees back to work sooner!

WHAT’S NEXT…

Thank y you

• u!

We are looking forward to being your workers’ compensation management partners.

Ques estion

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WRAPPING UP