Comments for Outlook on Outcomes http://www.paradigmcorp.com/blog The latest from Paradigm Management Services Mon, 30 Apr 2012 16:56:36 +0000 hourly 1 http://wordpress.org/?v=3.3.2 Comment on Employer Best Practices Improve Workers’ Compensation Cost Control by Peter Gallaher http://www.paradigmcorp.com/blog/?p=392#comment-932 Peter Gallaher Mon, 30 Apr 2012 16:56:36 +0000 http://www.paradigmcorp.com/blog/?p=392#comment-932 I have a couple of comments and/or additions to best practices in WC cost control. First, an employer should utilize post offer pre-placement functional testing to be identify functionally qualified employees for a job. This process is inexpensive and has shown to product significant reductions in injuries and their severity. Second, post injury an employer should utilize MEDICAL Case Management to assist the adjuster in making appropriate treatment and return to work decisions. This allows medically trained professionals to work directly with the treating providers to assist in directing care and preventing unnecessary treatment. I have a couple of comments and/or additions to best practices in WC cost control. First, an employer should utilize post offer pre-placement functional testing to be identify functionally qualified employees for a job. This process is inexpensive and has shown to product significant reductions in injuries and their severity. Second, post injury an employer should utilize MEDICAL Case Management to assist the adjuster in making appropriate treatment and return to work decisions. This allows medically trained professionals to work directly with the treating providers to assist in directing care and preventing unnecessary treatment.

]]> Comment on Traumatic Brain Injury Occurs More Frequently Than You Think by Philip Johnson http://www.paradigmcorp.com/blog/?p=32#comment-924 Philip Johnson Mon, 16 Apr 2012 09:50:48 +0000 http://www.paradigmcorp.com/blog/?p=32#comment-924 Very interested in your article as we have similar situations in UK. I work with an organisation here set up over 25 years ago, to cover just the situations you alude to; how to cope with cognitive difficulties that appear after a mild TBI, how to manage after leaving hospital following neuro surgety (or diagnosisis of neurological illness)when there appears to be little co ordinated assistance to encourage understanding of memory, planning, concentration, or organisational skill impairment, which all have an impact on skills of daily living, let alone financial implications. We are now gradually, gaining national recognition and hopefully wider awareness of this huge problem. Very interested in your article as we have similar situations in UK. I work with an organisation here set up over 25 years ago, to cover just the situations you alude to; how to cope with cognitive difficulties that appear after a mild TBI, how to manage after leaving hospital following neuro surgety (or diagnosisis of neurological illness)when there appears to be little co ordinated assistance to encourage understanding of memory, planning, concentration, or organisational skill impairment, which all have an impact on skills of daily living, let alone financial implications.
We are now gradually, gaining national recognition and hopefully wider awareness of this huge problem.

]]> Comment on Building an Employee Wellness Program by Christine http://www.paradigmcorp.com/blog/?p=380#comment-922 Christine Fri, 13 Apr 2012 20:48:16 +0000 http://www.paradigmcorp.com/blog/?p=380#comment-922 Thank you for this great post about corporate wellness initiatives. You included some great tips like getting employees to buy in and measuring success. This is very good information for smaller companies; however, we have found that many larger corporations benefit from using a company like MediFit to initiate and implement their employee wellness programs. Regardless of the means by which an organization gets there, wellness programs are a must to increase productivity and employee happiness. Best Christine, MediFit (http://www.medifit.com/corporate-services/corporate-wellness/delivery-options/) Thank you for this great post about corporate wellness initiatives. You included some great tips like getting employees to buy in and measuring success. This is very good information for smaller companies; however, we have found that many larger corporations benefit from using a company like MediFit to initiate and implement their employee wellness programs. Regardless of the means by which an organization gets there, wellness programs are a must to increase productivity and employee happiness.

Best
Christine, MediFit (http://www.medifit.com/corporate-services/corporate-wellness/delivery-options/)

]]> Comment on Obesity and Workers’ Compensation by Bettie http://www.paradigmcorp.com/blog/?p=371#comment-919 Bettie Sun, 08 Apr 2012 20:57:53 +0000 http://www.paradigmcorp.com/blog/?p=371#comment-919 I can't see obesity being a higher problem than regular employees because once you work out the non-work related injuries you will only deal with what has occurred at work. The problem often is that the claims specialist try to completely fix the obese employee rather than getting the employee back to where they were before they were injured. Assertiveness is needed in the industry where the adjustors let the obese employee know what injury is actually being addressed. I can’t see obesity being a higher problem than regular employees because once you work out the non-work related injuries you will only deal with what has occurred at work. The problem often is that the claims specialist try to completely fix the obese employee rather than getting the employee back to where they were before they were injured. Assertiveness is needed in the industry where the adjustors let the obese employee know what injury is actually being addressed.

]]> Comment on Case Study Stories: David Miller by Peter Rousmaniere http://www.paradigmcorp.com/blog/?p=252#comment-913 Peter Rousmaniere Thu, 15 Mar 2012 18:30:05 +0000 http://www.paradigmcorp.com/blog/?p=252#comment-913 Very instructive case study. I infer that the prescribing doctor was over his head, and welcomed Paradigm's intervention. I hope you can induce the Nov WC conference to includes you in presenting several case studies, some successes and some failures. Very instructive case study. I infer that the prescribing doctor was over his head, and welcomed Paradigm’s intervention. I hope you can induce the Nov WC conference to includes you in presenting several case studies, some successes and some failures.

]]> Comment on Neuroplasticity and Repetitive Stimulation by Alicia Barco http://www.paradigmcorp.com/blog/?p=154#comment-275 Alicia Barco Sat, 11 Jun 2011 01:19:08 +0000 http://www.paradigmcorp.com/blog/?p=154#comment-275 Dr. Holt, I actually read this book about 2.5 years ago and remembered how amazed I was with Dr. Doidge's findings. One phrase that stuck to me - 'Use it or lose it'! So true! I highly recommend this book. Dr. Holt,

I actually read this book about 2.5 years ago and remembered how amazed I was with Dr. Doidge’s findings. One phrase that stuck to me – ‘Use it or lose it’! So true!

I highly recommend this book.

]]> Comment on TBI and the Wounded Warrior by Ernie http://www.paradigmcorp.com/blog/?p=143#comment-129 Ernie Thu, 19 May 2011 18:45:01 +0000 http://www.paradigmcorp.com/blog/?p=143#comment-129 If you aren't doing so already, Paradigm may want to inquire as to possible blast exposure for IW refrrals who have been discharged from the military within the past 5-7 years. If you aren’t doing so already, Paradigm may want to inquire as to possible blast exposure for IW refrrals who have been discharged from the military within the past 5-7 years.

]]> Comment on A Neuropsychiatric Overview of Traumatic Brain Injury (Part 1) by toni corbin http://www.paradigmcorp.com/blog/?p=110#comment-73 toni corbin Sun, 24 Apr 2011 02:15:17 +0000 http://www.paradigmcorp.com/blog/?p=110#comment-73 We have found it very difficult, nay, impossible to find a neuropsych in middle Tennessee to help my severe tbi 33 yr old son. And other Drs. he's seen don't seem to have a grasp on tbi patients. I will save up to buy the linked book and will continue to follow your posts. I found the info. very enlightening. We have found it very difficult, nay, impossible to find a neuropsych in middle Tennessee to help my severe tbi 33 yr old son. And other Drs. he’s seen don’t seem to have a grasp on tbi patients. I will save up to buy the linked book and will continue to follow your posts. I found the info. very enlightening.

]]> Comment on Traumatic Brain Injury Occurs More Frequently Than You Think by Nancy Germond http://www.paradigmcorp.com/blog/?p=32#comment-6 Nancy Germond Thu, 27 Jan 2011 14:11:42 +0000 http://www.paradigmcorp.com/blog/?p=32#comment-6 I often think workers' compensation providers sometimes miss the boat on head trauma. Especially when coupled with previous head trauma, minimal brain injury is often misdiagnosed and missed entirely until late in injury when treatment may be less effective. When I ran a claims unit, we implemented immediate three-point contact on any head strike, along with obtaining a thorough medical history to rule out the possibility of previous head strikes. Early treatment is critical to future cognitive function, in my opinion. Thanks for reminding us. I often think workers’ compensation providers sometimes miss the boat on head trauma. Especially when coupled with previous head trauma, minimal brain injury is often misdiagnosed and missed entirely until late in injury when treatment may be less effective. When I ran a claims unit, we implemented immediate three-point contact on any head strike, along with obtaining a thorough medical history to rule out the possibility of previous head strikes. Early treatment is critical to future cognitive function, in my opinion. Thanks for reminding us.

]]> Comment on Traumatic Brain Injury Occurs More Frequently Than You Think by Brett http://www.paradigmcorp.com/blog/?p=32#comment-5 Brett Wed, 26 Jan 2011 22:33:05 +0000 http://www.paradigmcorp.com/blog/?p=32#comment-5 What a surprise stumbling onto your blog today. I work for a large specialized (TBI & SCI) post-hospital rehab provider in Omaha called QLI. From a provider's perspective, I can attest that it is a breath of fresh air for us to work with an industry leader like Paradigm. The catastrophic injury rehab industry greatly benefits from the quality and experience of your case managers and your focus on research and outcomes that are beneficial to all parties involved. I hope that your blog draws the attention that it deserves - I know I will plan to stay tuned! What a surprise stumbling onto your blog today. I work for a large specialized (TBI & SCI) post-hospital rehab provider in Omaha called QLI. From a provider’s perspective, I can attest that it is a breath of fresh air for us to work with an industry leader like Paradigm. The catastrophic injury rehab industry greatly benefits from the quality and experience of your case managers and your focus on research and outcomes that are beneficial to all parties involved. I hope that your blog draws the attention that it deserves – I know I will plan to stay tuned!

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