Session 2103 – 1.5 CME I 1.5 ABPM
Diabetes Education in the Workplace: Examples of Public Private Partnerships and Resources
Moderator:
Pamela Allweiss, MD, MPH*, University of Kentucky, Division of Diabetes Translation, CDC, Lexington, KY
Faculty:
Roger P. Austin, Henry Ford Health System, Sterling Heights, MI
Corporations view their health care costs as a competitive liability in the world marketplace. Chronic diseases exert a major cost burden on corporations in lost productivity and worker disability. Employees with chronic diseases working full-time find it difficult to take time off from their jobs to attend office appointments. The workplace is an ideal location for a diabetes education and intervention program for working adults. This model provided individualized diabetes education and treatment interventions using patient activation and behavioral modification strategies. Data collected at both worksite locations showed improvements in hemoglobin A1c, blood pressure, and lipid profiles and demonstrated reductions in absenteeism. The resources and lessons learned will be presented..
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Session 2105 – 4.5 CME I 4.5 ABPM
Failure to Recover Normally: Assessing and Managing the Clinical Situation
Moderator:
Jennifer H. Christian, MD, MPH, FACOEM*, Webility Corporation, Wayland, MA
Faculty:
Elizabeth Genovese, MD*, IMX Medical Management Services, Bala Cynwyd, PA
Douglas W. Martin, MD, FACOEM, FAADEP, FAAFP*, St. Luke’s Center for Occupational Health Excellence, Sioux City, IA
Pamela A. Warren, PhD*, Carle Clinic Association & University of Illinois, Monticello, IL
The first half of this session will cover differential diagnosis of failure to recover "normally"; role conflict & ethical challenges in assessment; and systematic review of assessment process & tools with guidance on selection. There will be a panel discussion of assessment challenges. The second half will cover presenting conclusions of assessment; management strategies to drive difficult cases towards best possible outcomes; "Poor Copers"; distortion by non-medical issues; co-morbid and treatable mental illness; and intentions.
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Session 2109 – 3 CME I 3 ABPM
What's New in Health, Productivity and Human Capital Management
Moderator:
Pamela A. Hymel, MD, MPH, FACOEM*, Cisco Systems, San Jose, CA
Faculty:
Ronald R. Loeppke, MD, MPH, FACOEM*, Alere, Brentwood, TN
Wendy D. Lynch, PhD, Human Capital Management Services, Cheyenne, WY
Thomas Parry, PhD*, Integrated Benfits Institute, San Francisco, CA
The Health and Productivity Section (H&P) continues to lead this field on innovations and new solutions for occupational medicine physicians working with employers of all sizes. This session will review the latest findings from the Health and Productivity Summit, focusing on how we can move workplace H&P toward a model of wellness and prevention rather than reactive treatment of illness; the role of Evidence Based Medicine (EBM) in H&P; what will effective programs look like in the workplace of the future and how do we encourage employers to embrace H&P as a long-term strategy. As a part of this session, we will describe how a market economics approach explains these dilemmas and inconsistencies, and better yet, how it suggests new solutions. Describing a “Health as Human Capital” approach, this session will provide evidence about how policies influence workers perceptions of health and their willingness to engage in health protection behaviors. Attendees should come prepared to change their presumptions about healthcare and benefits design and consider different sorts of human capital investments. Attendees will also learn how to align human capital strategies to optimize health and performance. This session is sponsored by the Health and Productivity Section.
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Monday, April 27
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Meal Session 7200 – 1 CME I 1 ABPM
What Happens in the Smoke Filled Room: Practical Lessons in Management of Workers' Compensation Reform
Moderator:
Robert M. Aurbach*, Uncommon Approach Inc, Albuquerque, MN
Faculty:
Kathryn L. Mueller, MD, MPH, FACOEM*, Colorado Division of Workers Comp, Denver, CO
Specific recent examples of legislative and regulatory medical initiatives will be examined, including, but not limited to, the Colorado experience with adoption and upkeep of internally developed Medical Practice Guidelines, the Delaware experience with the adoption of it’s first medical cost containment initiatives, the experiences of a number of states with regard to the 6th Edition of the AMA Guides to Assessment of Physical Impairment, the Florida initiative regarding removal of the physician from decisions concerning return to work., and such other initiatives as are “hot off the presses” as the legislative season ends. Reference will be made to the seven principles guiding a physician’s role in workers’ compensation reform. Attendees will leave with knowledge of what strategies worked and what did not in real examples of attempts by the health care providers to guide reform movements, and will be able to contrast the approaches that they discussed with the historical outcomes. Additional fee required. Seating is limited: Pre-registration required.
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Session 2203 – 1.5 CME I 1.5 ABPM
All Rise for the Judge at ACOEM Court: Understanding Key Legal Issues in Occupational Medicine
Moderator:
Walter S. Newman, Jr, MD*, Monterey Mushrooms, San Jose, CA
Faculty:
Alan S. Levins, Esq, Littler Mendelson, P. C., San Francisco, CA
Phil Walker, Esq., Lewis, Brisbois, Bisgaard, & Smith, San Francisco, CA
After a brief examination of new OEM case law and critical national decisions: you will be the judge! The gavel will fall and an injured, litigating employee will take the stand. Plaintiff and defense attorneys will argue the merits of the case and our robed guest judge will render the “final answer” decision. There will be ample opportunity for questions and comments.
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Session 2205 –1.5 CME I 1.5 ABPM
Improving Employee Productivity: The Role of Health, Disability, and Absence Care Management Programs
Moderator:
Robert N. Anfield, MD, JD*, CIGNA Group Insurance, Dallas, TX
Faculty:
Robert N. Anfield, MD, JD*, CIGNA Group Insurance, Dallas, TX
Angelica Greene, MHS, CRC, CIGNA Group Insurance, Dallas, TX
Health and productivity care management programs can have a substantial impact on an individual’s health, well-being and workplace performance, complementing efforts by employers and practicing physicians. This session will review how integrating these programs, offered by health insurers, disability insurers and stand-alone care management companies, can minimize the total impact of injury and illness on the health, well-being and productivity of individuals and on their employers’ bottom lines. This session will cover: Key findings from medical literature linking work performance to health status; The science of quantifying lost productivity – tools to measure absenteeism and presenteeism and to translate lost productivity into dollars saved; Measuring the impact of lost productivity on the total cost of injury and illness to employers; Proactive, prevention programs to address health risks, existing illnesses and chronic conditions; Interventions and tools to support a safe and timely return to work for those who become disabled; Vocational rehabilitation resources that help employees return to productivity in new, different jobs that are appropriate to medical restrictions; Integrating vendor health and productivity care management programs; Disability/lost productivity predictive modeling and proactive interventions to prevent or mitigate the severity of disability, absenteeism and presenteeism; The role of leave management and total absence management programs in managing both health and productivity; and The role of health and productivity risk assessments.
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Meal Session 7203 – 1 CME I 1 ABPM
Saying Yes to Success: Ten Interventions You Can Initiate to Help Your Company Minimize Work-Related Illness and Associated Costs
Faculty & Moderator:
Phil Walker, Esq., Lewis, Brisbois, Bisgaard, & Smith, San Francisco, CA
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Session 2208 – 3 CME I 3 ABPM
Unraveling Causality of the Difficult Claim: A Review of Evidence on Cumulative, Degenerative, Psychiatric, and Delayed Recovery Claims Using an Evidence-Based Paradigm
Moderator:
Michael Coupland, C-P, CRC, Behavioral Medical Interventions, Palm Beach, FL
Faculty:
Richard F. Johnson, MD*, Lakeside Occupational Medical Centers, Largo, FL
Mark Schroeder, MD, Independent Medical Reviewer, Mansfield Center, CT
Causality determination of workplace injuries is a complex and multifaceted investigative clinical task. The causality determination presents an opportunity for the Occupational Physician to prevent recurrences / similar injury in others; enact immediate preventive assessment or protection efforts; and define compensability. This panel consisting of an occupational physician, psychiatrist and psychologist will present the evidence-based Bradford-Hill Causality Paradigm to present causality evidence on cumulative trauma; musculoskeletal injuries that demonstrate pre-existing degenerative disease; Physical/Mental claims; Mental/Mental claims; and Delayed Recovery claims. The Bradford-Hill Causality paradigm follows three steps: Biological Plausibility (Biopsychophysiology, Odds or Dose-Response Ratio); Epidemiological Evidence (Incidence, Extent, Duration); and Case Specific Factors. This presentation will teach participants how to unravel the ambiguities of Causality and Delayed Recovery by lecture, presentation of the medical evidence, and examples the participants can bring forward during a “Stump the Expert” Q&A period. This session is sponsored by the Private Practice in Occupational Medicine Section.
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Tuesday, April 28
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Meal Session 7300 – 1 CME I 1 ABPM
HIPAA in the Occupational Medicine Setting
Moderator:
Karl Auerbach, MD, FACOEM*, Strong Occupational and Environmental Medicine, Rochester, NY
Faculty:
Karl Auerbach, MD, FACOEM*, Strong Occupational and Environmental Medicine, Rochester, NY
James A. Tacci, MD, JD, MPH, FACOEM*, Xerox Corporation, Rochester, NY
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) defined a narrow “corridor” for flow of information regarding workers compensation. This was seized upon as a route for much occupational medicine related information to flow to both the carrier and employers. As HIPAA has matured, this “corridor” has been undergoing redefinition and further narrowing. This meal session will discuss current understanding of HIPAA as it relates to occupational medicine and employment related information.
Additional fee required. Seating is limited: Pre-registration required.
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Session 2314 – 3.0 CME I 3.0 ABPM
Delivering Extraordinary Patient Service in an Occupational Health Clinic
Moderator & Faculty:
Frank H. Leone, MBA, MPH*, Ryan Associates, Santa Barbara, CA
This session will provide a detailed roadmap for effectively managing every patient encounter and instilling an organization-wide patient service ethic. It will address such key occupational health patient service principles as hiring, training and motivating staff, measuring patient expectations and satisfaction, developing a comprehensive patient service plan, and ensuring an optimally functioning clinic. Other topics will include addressing negative feedback, collecting survey results, balancing scheduled visits with walk-ins, and enhancing the efficiency and consistency of call handling. Innovative methods for using patient service evaluations as a core marketing tool will be emphasized. Registrants will learn how to: Develop a patient satisfaction-driven team through astute hiring and training; Develop appropriate methodologies for measuring patient satisfaction; Develop a customized patient service plan appropriate for their organization or clinic; Employ patient service successes as a core marketing tool; Deal effectively with difficult people and uncomfortable situations; Establish performance benchmarks; Provide physicians with standout customer service tools; Deliver appropriate pre- and post-visit patient/employer communication; Develop standardized greetings; and Ensure optimal clinic access. The over-riding purpose of the session will be to provide occupational medicine practitioners with the tools to operate more efficiently and to generate far greater satisfaction among their patient and client constituencies.
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Session 2312 – 1.5 CME I 1.5 ABPM
The Role of Occupational Health and The Value Modeling for Occupational Health Services
Moderator:
Joseph Flynn, Occupational & Environmental Health Network, Inc., Marlborough, MA
Faculty:
Joseph Flynn, Occupational & Environmental Health Network, Inc., Marlborough, MA
Thomas W. Schenk, MPH, PhD, General Motors Corporation, Detroit, MI
Communicating the value proposition and the financial benefit (ROI) to senior management are two of the major responsibilities of every occupational health program leader. This session will enable you to identify and confidently present financial data as well as utilize best practices and metrics to leverage positive outcomes across your occupational health program. In addition, this session will describe the process of systematically assessing the value of occupational health services provided by clinical staff. Attendees will learn the fundamentals necessary to develop a valuation model, and how to apply value models as an internal management tool for occupational health clinics.
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