Implementing an Effective Injury Triage Program to Reduce Work Comp Costs

Post injury triage offers countless opportunities to interested stakeholders seeking to reduce workers’ compensation costs. It not only provides an immediate injury response, but it gives the employee peace of mind that someone cares about them. The additional benefits include a better injury investigation, and future mitigation, which can reduce workers’ compensation program costs.

Platforms for Injury Triage

Advancements in technology have allowed injury triage programs to expand the opportunities for employers seeking to implement an injury triage program. These models include:

• Telephonic injury triage: This involves more traditional lines of communication via telephone. Following a work injury, the employee or supervisor can contact an offsite triage nurse to assess a work injury. This same nurse can also direct medical care when necessary, and assist with other required follow-ups.

• On-site Occupational Health Clinics offer employers an effective way to direct medical care. Properly implemented, these clinics improve health outcomes and convenience for employees and reduce costs for employers. On-site clinicians can treat work-related injuries the moment they occur – early intervention at its best. Clinicians become familiar with the work environment and policies so they can support safety, workers’ compensation, and return-to-work programs.

When it doubt, call 911 following a work injury where the employee’s life is in jeopardy. The goal of injury triage is to ensure the employee receives proper immediate medical care and treatment, and ensure the incident is properly reported.

Deeper Dive: The Roles of Injury Triage

The concept of “triage” is not new to healthcare. It was first developed in wartime situations to allow medical staff to evaluate the needs of a solider and best direct and prioritize medical care. In the context work workers’ compensation, injury triage has the same effect.

• Mechanism of Injury: It is important to capture information regarding the mechanism of injury. This is because a claimed injury sometimes may not fit them motions, and activities occurring at that moment. This can include the frequency, or time period at which a certain activity is performed. It can also include the movements such as lifting (how high an object is being lifted), or twisting, and bending. Failure to correctly capture this information can result in claims being unnecessarily accepted;

• Assessment of Post-Injury Condition: Hopefully most injuries can be treated with an onsite first aid kit. This can include cleaning out an abrasion, and the use of gauze, or bandages are common post-injury care. Other conditions require more specific guidance. This can include the assessment of one’s condition that involves sprains, strains, and fractures. Injury triage can identify problems, and make recommendations such as whether to call am ambulance, or transport an employee to a health care facility; and
• Health care Provider Referrals: Employers can, and should establish a network of healthcare facilities where injured employees can receive medical care following an incident. This includes locations near the employer’s place of employment, and within a greater community to provide easier access. Other affiliated locations can be included in a network to ensure traveling employees, and those working in the field have immediate access to quality medical care. There is no downside to these networks. Most jurisdictions require multiple visits at the same facility in order for that provider to be considered the “primary” facility. This allows employees to receive medical care without fear of litigation to obtain a change in medical provider.

Injury triage can provide these services, which ensure proper injury reporting, and immediate medical care.

Delivering Empathy When It is Needed

Nurse triage services also deliver the one benefit that means the most, and costs nothing – empathy. It goes without saying that the workers’ compensation process can be frustrating from the employee’s point of view. They are facing a loss in wages, and time spent receiving medical care. While using an injury triage services does not right any perceived wrongs, it can provide empathy and direction. This benefit can pay dividends in the long run.

Conclusions

Interested stakeholders in the workers’ compensation system have an opportunity to reduce program costs via post-injury triage functions. It will not only provide for a best in class injury response, but also ensure the information related to a claim is being captured accurately. Implementing a program can also drive empathy and compassion, which means a lot to the injured employee. By taking the steps to introduce this system into a program, overall costs can be reduced, which allow for additional claims to be resolved in a timely manner.

Author Michael Stack, CEO Amaxx LLC. He is an expert in workers’ compensation cost containment systems and helps employers reduce their workers’ comp costs by 20% to 50%. He works as a consultant to large and mid-market clients, is a co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is the founder & lead trainer of Amaxx Workers’ Comp Training Center, which offers the Certified Master of Workers’ Compensation national designation.

Contact: mstack@reduceyourworkerscomp.com.

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