why roll the dice?

OPM - Objective Performance Metrics 1

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Don’t Roll the DiceDon’t Roll the Dice

Copyright 2011 – eMetrex LLC

OPM - Objective Performance Metrics 2

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How to Win Every ClaimHow to Win Every Claim

Copyright 2011 – eMetrex LLC

Every TimeEvery Time

OPM - Objective Performance MetricsOPM - Objective Performance Metrics 3

Bio-mechanics of aBio-mechanics of a

Soft-tissue injurySoft-tissue injury


Usually, when a ligament or muscle of a moving joint is injured, the normal range of motion (ROM) is initially diminished in proportion to the severity of the injury.


Every moving joint has a Range of Motion (ROM) that is measured in degrees from the neutral range.


These measurements are also known as findings and

Documented in the medical records as objective evidence of treatment


These measurements are also known as findings and Documented in the

medical records as objective evidence of treatment

Objectively Quantifies soft-tissue injury recovery, stability or deficit disability.


In the claims world: The Carrier will try to use

medical consultants to mitigate their potential claims loss.




The legal side will pay their medical consultants to counter the carrier’s consultants.




The legal side will pay their medical consultants to counter the carrier’s consultants.

A costly, unnecessary and time consuming process!


Why not use the evidence documented by the treating providers in the claim file?

The objective findings of the joint range of motion are the most powerful evidence of injury or stability.


Individually, those numbers are objective evidence of:

The provider’s efficacy of treatment.



The provider’s efficacy of treatment. Your client's muscle motion




recovery or deficit. The Point of Maximum Improvement




recovery or deficit. The Point of Maximum Improvement Can disclose fraudulent behaviors


Cumulatively, those numbers produce your OPM Screen™ to insure you will never have to roll the dice.

You will possess the injury facts as documented by the treating providers.


What is OPM?

The documented Range of Motion changes of a soft-tissue injury by the treating medical

providers from the beginning of the claim.AKA = Objective Evidence.

Objective Performance

Metrics


What is Objective Evidence?

The documented Range of Motion measurements that verifies the efficacy of treatment

Objective Evidence


What is Subjective Opinion ?

1. The third party opinion of the status of medical recovery based on a one-time examination.

2. Used by carriers and attorneys to claim and counter claim special damages.

Subjective Statements


What’s the differance?

1. Objective Evidence

2. Subjective Opinion




a. Measurements of the patient’s injury ROM that can be immediately and independently verified.


a. Non-quantitative information that is not verifiable at any time.





b. “Cervical Flexion is 60˚ today”



b. “Pt states his neck still hurts.”





b. “Cervical Flexion is 60˚ today”

c. “Left Foot Dorsi Flexion is 12˚”



b. “Pt states his neck still hurts.”

c. “ROM is much worse today.”


Injury DeficitInjury Deficit

DefinedDefined


Injury deficit - illustratedThe difference between the

initial injured ROM



initial injured ROM and the recovered ROM



initial injured ROM and the recovered ROM is the injury deficit.


Injury deficit - illustrated

The difference between the initial injured ROM

and the recovered ROM

is the injury deficit.

and an objective basedobjective based case value case value metricmetric


Your Competitive Edge with OPM?

This valuable Information is available only to our client

The OPM Screen™ is a 3rd Party Work Product Report.


Case Valuation Principles

Use the objective based injury deficit findings as your basis for calculating your wage loss claim.

You will possess the only data that any jury would understand as a loss and how you calculated the amount of the loss.

Your claim values for injury cases will lead the firms in your area.


Value of eMetrex?

We quantify the injury improvement or injury deficit of:

1. every injured motion


Value of eMetrex?



2. by every treating provider


Value of eMetrex?



2. by every treating provider

3. for every documented treatment visit from the first documented ROM finding through out the treatment history.


What injuries can we document?

All joints from the

Jaw to the Toes

Documented in the claim file


Our ServicesOur Services


Our Services?

1. We identify all objective data in the file


Our Services?

1. We identify all objective data in the file

2. We process the data with our proprietary technology


Our Services?

1. We identify all objective data in the file2. We process the data with our proprietary technology3. We produce a non-biased summary of every injury

motion for every visit by every treatment provider

Narrative Summary Graphic Summary


Some benefits of the narrative summary

1. Case Demographics




2. Summary of Medical Reviewer





3. Summary of Initial and Current Deficits





3. Summary of Initial and Current Deficits

4. Unusual findings


Some benefits of the graphic summary

A picture is worth a thousand words




Identify the Point of Maximum Medical Improvement (MMI)





Identify Special Evaluations





Identify Special Evaluations Identify case age of

treatment





Identify Special Evaluations Identify case age of

treatment Identify current deficits


Litigation benefit of the graphic summary

Jury Friendly – EZ to Read



Jury Friendly – EZ to ReadEasy to see treatment trends



Jury Friendly – EZ to ReadEasy to see treatment trendsEasy to understand injury

motion




motionEasy to follow injury recover or

deficit time-line





deficit time-lineEasy to follow explanation of

injury deficits





deficit time-lineEasy to follow explanation of

injury deficits

Attorney Friendly – Easy to tell your story to the jury


The Winner?

One side will own the best objective based medical information of the entire treatment history and not just a snapshot in time.


The Winner?


One side will know when to cut their losses and settle quickly.


The Winner?



One side will know when to litigate without rolling the dice.


The Winner?




On side will have a tool that any jury would understand

Treatment Trends


The Winner?




On side will have a tool that any jury would understand

One side will become the 1st called firm there area for soft-tissue injuries.

Treatment Trends


Win with

Objective Performance Metrics

(OPM)


What’s Hiding in Your Files?What’s Hiding in Your Files?

Let us help you to be the first called in your area for soft-Let us help you to be the first called in your area for soft-tissue injuries.tissue injuries.

Let us help you negotiate from a position of knowledge.Let us help you negotiate from a position of knowledge.

Let us help you monitor your case inventory.Let us help you monitor your case inventory.


Your POC

Roy Koenig, BSN, RN, LCHonolulu, HI808-478-3557 (cell)[email protected]

Files can be sent to us electronically or USPS

why roll the dice?

Documents

injury cases

injury facts

rom isthe injury deficit

patients injury rom

powerful evidenceof

medical consultants

documented rom

injured motion