Tim Stout was setting cooling lines at his job in industrial glass production when the unthinkable happened. He was injured in a life-changing accident that crushed his left side—8 broken ribs and a collapsed lung. But Tim says he doesn’t think about the accident anymore. He’s focused on recovery.
Paradigm Outcomes offers a wide range of informative videos covering everything from claims management advice to the lives of injured workers we’ve assisted. Watch a sampling of this film library below or view the complete archive on our YouTube channel.
Even though catastrophic injury claims only account for 6% of all workers’ compensation claims, these cases account for a staggering 50% of all claims spending.
Paradigm Outcomes offers plans for acute catastrophic injuries such as acquired brain injuries, spinal cord injuries, multiple traumas, amputations and severe burns. Paradigm’s comprehensive approach to catastrophic care management limits your risk exposure while ensuring the injured worker, and everyone involved, are supported every step of the way. Paradigm’s unique outcome guarantees align incentives and eliminate the financial volatility from these unpredictable cases.
Paradigm’s comprehensive and collaborative approach leads to better medical and functional outcomes for the injured worker, and ultimately translates into substantial savings for payors:
- 40% lower lifetime medical costs
- 5x better return to work rate
With Paradigm, there’s no commitment, and once a contract price is agreed upon, it never increases.
Our goal is to work collaboratively with your staff and existing processes to supplement your capabilities with a comprehensive team of specialists. This will ensure the highest level of care and attention is provided for the injured worker. This custom assembled Paradigm Management Team are dedicated to the case and remain in place until the guaranteed clinical outcomes are achieved.
Mr. Coffman was a corrections officer on his way into work one winter morning when he slipped on ice in the parking lot and fell, landing on his back. The pain was intense and his left foot began to drag about one hour later, but his suffering had just begun. Twelve years after the accident, he continued to experience chronic pain and a range of complications. With personal determination and support from Paradigm Outcomes, Butch now leads an active life.
Mr. Griffin sustained multiple traumas, including a spinal cord injury, as a result of a truck-to-truck collision. Thanks to his personal motivation and support from the Paradigm Management Team, Mr. Griffin is back in the driver's seat.
As soon as Paradigm received Mr. Griffin’s case, the Paradigm Management Team sprang into action. Watch this video to learn just what it takes to manage a catastrophic injury toward the highest possible outcome. Mr. Griffin’s Medical Director, Network Manager and Director of Clinical Services describe what he had to overcome and their roles in supporting his recovery.
Nancy Vanveldhuizen was broadsided by a gravel truck while driving to her office in rural Iowa. The multiple traumatic injuries she sustained threatened her life and led to the loss of her arm. With great courage and the support of the Paradigm Management Team, Nancy recovered and leads a full life with her family.
Valerie Tate sustained multiple traumatic injuries when a drunk driver struck her while walking through a crosswalk in Puerto Rico. Despite the challenges she faced during her recovery, Ms. Tate is now independent in all aspects of daily living thanks to her positive outlook and the support of the Paradigm Management Team.
When it comes to complex pain cases, comprehensive care management is vital to helping an injured worker manage their pain. It includes a step-by-step process of symptom elimination, misdiagnosis correction, side effect alleviation, and cutting down unmanageable costs. Paradigm works with the injured worker to ensure they are getting the care they need to make a recovery, while keeping costs and unnecessary procedures to a minimum.
Here are five ways you can facilitate effective pain management:
1. Get an objective confirmation of the diagnosis before approving any treatment request.
2. Know that a specific diagnosis is the gateway to appropriate treatment.
3. Understand the conflict of interest of a physician referring the injured worker to himself.
4. Develop a strategy to help an injured worker who is not a legitimate candidate for a procedure.
5. Map out clear goals and help the injured worker understand and participate in achievement.
Complex pain is a whole-person problem, and that’s why Paradigm takes a biopsychosocial approach to pain management. Paradigm’s specialized clinical teams and Systematic Care ManagementSM methodology help injured workers make real improvement over manageable timeframes.
Requirements surrounding Medicare Set-Asides, or MSAs, often interfere with efforts to settle the medical portion of an open file. Yet, properly managing chronic pain cases can significantly reduce an MSA—whether existing or to-be-determined—and increase the likelihood of medical settlement.
Evidence suggests that in order to achieve durable change on a case with a high MSA—or an MSA that threatens to be high—the case must be addressed at 3 levels:
Medical: Confirming the accuracy of the diagnosis, having an evidence-based treatment plan, and defining a functional restoration outcome make sure future treatment is reasonable and that alternative plans are available when it is not.
Cognitive behavioral factors: Unfortunately, addressing medical issues alone is usually not sufficient to bend the trajectory of a case featuring a high MSA; cognitive behavioral factors including poor coping strategies, dysfunctional thought patterns and readiness to change must also be addressed. A comprehensive treatment plan must also include focus interventions for addressing these cognitive behavioral factors.
Social: Family dynamics, social support and secondary gain factors also impact the clinical landscape. These factors must be identified and mitigated in order to engage the injured worker in functional restoration and self-management.
Settling medical on cases with high MSAs can be extremely problematic. But addressing such cases comprehensively—addressing the medical, psychological and social factors underlying the case—can change the trajectory of a case in a way that facilitates settlement. This is a win for everyone.
Paradigm Outcomes shares three trends in the U.S. having a large impact on the workplace and healthcare system – medical marijuana, the aging population and wearable technology.
Medical marijuana is rising in popularity as long-held beliefs on its value are shifting, but it also raises questions for workers’ compensation. Employers use drug testing results to make decisions and workers under the influence of marijuana might cause unintended issues in the workplace.
The aging population signifies an increase in healthcare services and higher labor costs. In the near future, people over 65 years old will outnumber those who are under 18. Baby boomers especially seem ill-prepared for retirement and plan to work as long as they can. Normal aging and potential disease can have a negative effect on employees’ responses to workplace hazards.
Wearable technology in also on the rise with these devices monitoring health and fitness, which can help injured workers. We’re watching emerging healthcare tech trends that could help healthcare teams access and compare data to improve patient outcomes. Integrated healthcare technology offers an exciting future for even catastrophic healthcare, as long as privacy concerns are adequately addressed.