impairment is the objective measurement of the injury disability involves a complex blend of...
TRANSCRIPT
IMPAIRMENT IS THE OBJECTIVE MEASUREMENT OF THE INJURY
DISABILITY INVOLVES A COMPLEX BLEND OF IMPAIRMENT AND PSYCHOSOCIAL FACTORS
IMPAIRMENT AND DISABILITY ARE NOT THE SAME THING!
American College of Occupational and Environmental Medicine (ACOEM) – ‘Preventing Needless Work Disability by Helping People Stay Employed’ www.acoem.org
AMA Guides to the Evaluation of Work Ability and Return to Work www.ama-assn.org
THE BEGINNINGSRecognizing the inconsistencies in occupational and specialty practices that resulted in lengthy periods of disability, Brian Konowalchuk, MD from Essentia Health (then St Mary’s Hospital System) partnered with Minnesota Power, a large employer in Duluth, MN to host a multi-stakeholder conference in 2006. A member of the faculty for that first meeting was Jennifer, Christian, MD.
About the same time Mayo Clinic disability management staff began talks with the Occupational Medicine Practice to discuss strategies for improving communications and collaboration to reduce disability durations.
Having attended a 2007 conference in Duluth, MN, Mayo staff approached Dr. Konowalchuk for advice from his conference experiences. Dr. Konowalchuk suggested the two organizations partner in the effort and IWD was born.
Facilitated by Jennifer Christian, MD a multi-stakeholder summit in Minnesota was held to review and evaluate the recommendations from ACOEM’s guideline. One of the major recommendations was the need for continued education for all parties.
PRACTICE GAP REINFORCED THROUGH NEEDS ASSESSMENT
• Physicians in Psychiatry, Family Medicine, Physical Medicine and Rehabilitation, Orthopedics, Neurology and Occupational Medicine were surveyed.
• Through the course of their practice, health care providers identified inconsistencies in prescribing return to work recommendations , and a lack of knowledge regarding:– the consequences of prolonged
disability– the importance of their –or others’ –
roles in managing disability– disability duration guidelines– resources and education
CONFERENCE LEARNING OBJECTIVES
• Explain the impact the physician has on preventing needless work disability
• Establish how improved communications between health care provider, employer and employee (patient) contributes to optimal management of injured/ill employees
• Assess negative impact on patient and economy that results from poor RTW management
• Demonstrate best practices and new ideas that improve RTW outcomes
• Explain the physician’s role in defining appropriate disability management
TOPICS
• Managing chronic illness• Rational imaging of spine pain• Effective management of
behavioral health disabilities• Physician role in the workers
compensation system• Physician imposed activity
restrictions• Addiction and disability• Health promotion and wellness• When disability exceeds
impairment• FMLA medical certification• Canada’s mental health
standards
• Motivational Interviewing• Concussion• Opiate epidemic• Psycho social aspects • Accommodations for
effective SAW/RTW• Evidence based disability
guidelines• Rehabilitation of chronic low
back pain • Social Security Disability• Return to work programs
and management• Minimizing psychological
impairment
TOPICS
• Major depression and depression as co-morbidity
• Workers compensation reforms in Washington state
• Resilience• Neuropsychological
examinations • ADA interactive process• Chronic pain• Communication strategies
for productive interactions• Living abled
• Navigating and understanding workers compensation, FMLA and Americans with Disabilities Act (ADA)
• Post traumatic stress disorder• New concepts in managing pain• Personal, social and policy • ramifications of low back pain• A course in power and what • works in managing injury and• illness• Obesity, diabetes and the ADA• The crippling of America
FACULTY
• International thought leaders
• Subject matter practitioners
• Individuals who overcame impairments
• Academics• Attorneys• Researchers
AUDIENCE
• Health Care Practitioners• Occupational Health
Nurses• Employers• Insurers• Rehabilitation
Professionals• Attorneys
FEATURED KEYNOTES
• Billy McLaughlin-Billboard Top Ten guitarist and star of an award winning documentary about living with dystonia
• Gary Karp-motivational speaker and author of Life on Wheels who suffered a spinal cord injury at 18
• Darryl Strawberry-major league baseball slugger who battled substance abuse and founder of addiction rehabilitation centers in Florida and Texas
• Ken Barlow-Emmy award winning meteorologist whose bipolar disorder was misdiagnosed into his forties
• Jim Abbott- Former major league baseball pitcher who played despite having been born without a right hand
• Kevin Kling- American commentator for National Public Radio and acclaimed storyteller who acquired significant impairments following a near fatal motorcycle accident
• Josh Blue –the comedian who put the ‘cerebral’ in Cerebral Palsy, voted the Last Comic Standing on NBC's reality show, star of Comedy Central and several TV programs
• Lori Schneider-adventurer and author who climbed the world’s seven summits after a diagnosis of multiple sclerosis
APPLYING NEW KNOWLEDGE TO PRACTICE• Incorporate more psychosocial approaches into my practice• Turn to new learned resources for boosting knowledge base • Recognize and address of signs psycho social issues • Use proper language/words to describe employee's medical status to focus on
function, not pathology• Learned different and important perspectives of others involved with an impaired
person• Know the difference between impairment and disability• I have significant tools to use in my practice• Paradigm changing concepts for me• I will share these concepts with colleagues in my practice• Incorporate discussion of return to work planning in every appointment• More empathy-not sympathy-and humanistic approach to clients• Be aware of both physical and psychosocial elements in practice• JAN is an excellent accommodation resource I will use• Use better interviewing skills when recovery is delayed• Provide appropriate referrals when co-morbidities are issues• New knowledge about MRI spine interpretations • Will establish a more comprehensive program to assist employees with delayed
recovery• Create more partnerships with others in the process-be more collaborative• Use better interviewing to really engage the employee in their own recovery• I will focus on abilities, not what someone can’t do• I have a better understanding of compliance and legal issues• I will use the ACOEM guidelines to improve my practice• I will use in mentoring medical grads-these concepts in caring for and evaluating
patients are vital for them to learn now • Over medication is an issue-will continue to minimize prescriptions and opiate and
consider alternatives presented• Change is perception will cause me to seek even more knowledge to change
aspects of my clinical practice
Mayo School of Continuous Professional DevelopmentMayo Clinic in collaboration with Essentia Health offers
Impairment Without DisabilitySeventh Annual Conference
October 2-3, 2014Duluth, MN
www.impairmentwithoutdisability.com/
THANK YOU
Jane [email protected]