Confusion between price and costs often prevents early case management intervention.
Economic effects are complex
| Direct Costs | Indirect Costs |
| Insurance | Replacing Employees |
| Indemnity | Decreased Productivity |
| Medical Treatments | Retraining/Decreased Morale |
Numerous studies have concluded that early contact (in the first week) with a nurse case manager, NCM, substantially improves the odds of a successful RTW. The PRICE of the NCM is a fraction of the COST when the NCM function is performed according to the following standards:
- Assist the Injured Worker (IW) in getting the proper care
- Provide information that allows the IW to make an informed decision
- Eliminate delays in treatments/benefits
- Communicate with the Employer and Providers about alternate work programs
- Early return to work (RTW) to decrease indemnity payments
You should expect your NCM to promptly:
- Confirm treatment plans
- Assess the IW’s ability to RTW
- Assist the IW with treatment options
- Communicate useful info in a continuous feedback loop
- The NCM will ensure that the IW follows the medical care plan and develops a RTW plan with regard to the IW’s recovery, restrictions and limitations.
Early intervention by the NCM justifies the price because the TOTAL COSTS are lower.
Pay a little more now and a lot less later!
March 2010
Author: Betty Markee, BSN, RN, CCM
Edited By: D. Perry