Part 2 of my report on the CCMC conference. On Day 2 of the CCMC conference we heard a very interesting plenary session on the future of healthcare by Dr. Robert Pearl, one of Modern Healthcare’s 50 most influential physician leaders. He stated, “We spend more on healthcare than [...]
Last week I attended the CCMC case management conference. I usually attend the WCRI conference every year and this year the schedule for the two conferences conflicted. I missed WCRI and #1 felt a little bit left out, and #2 it was in Arizona instead of Boston in February, [...]
Just want to give you fair warning, there is not a profound message in this post. Meet Hope Kirkendal. I sat next to her on the plane today on my way to San Diego to give a talk on opioids to a group of adjusters. At first I have [...]
The URAC Accreditation Committee met on August 14, 2018 and reviewed the CompAlliance application for re-accreditation for Workers’ Compensation Utilization Management Version 7.3 Program. The Accreditation Committee voted to grant CompAlliance FULL Accreditation pursuant to the Workers’ Compensation Utilization Management, Version 7.3 Program. This award is effective from September [...]
Workers that do not Return to Work (RTW) experience a significant reduction in their overall income. There is a potential for delayed RTW and/or RTW to an inappropriate position due to absent or delayed communications with employers or the claims professional. As case managers, we refer to the Case [...]
This week I have been working on CompAlliance’s re-accreditation for Utilization and Case Management, and as a result have been examining in detail our processes, protocols and procedures. It made me think of an article I recently read on LinkedIn by someone who performs file reviews and analysis [...]
The role of nurses as patient advocates is well recognized by healthcare professionals and I believe is becoming more frequently recognized in the workers' compensation industry. However, I believe actually understanding the meaning of the role of advocate for the patient, or injured worker, is frequently misunderstood by all parties, [...]
National Nurses Week begins each year on May 6th and ends on May 12th, Florence Nightingale's birthday. In honor of National Nurse’s Week, I thought I would reflect on ome of the changes in nursing just since the 1970’s. That doesn’t sound so long ago, right? But there is [...]
Fukoku Mutual Life Insurance in Japan is about to replace claim adjusters with a software robot from IBM. The computer will scan hospital records and other documents to determine insurance payouts, factoring injuries, patient medical histories and procedures administered. Could that be the future of case management? Manufacturing jobs [...]
CompAlliance completed a mid-cycle monitoring review related to our URAC Case Management Accreditation on April 11, 2017. We received notification on Wednesday April 12, 2017 that our organization was considered compliant with the URAC mandatory standards for Case Management as of the date of the review. In their notification [...]
Sometimes, discoveries happen when we least expect them or processes evolve in ways we hadn't anticipated. One case in point would be the invention of penicillin, and Pacemakers were a byproduct of research on hypothermia. Serendipity happens with all kinds of everyday products, too. One of my personal favorite is [...]
