During our time at NWCDC 2014, we had Workers’ Comp industry stakeholders participate in WorkCompWire’s “3 For NWCDC” series, focused on this year’s developments and on improving the system! Here’s what Kevin Glennon, RN, BSN, CDMS, CWCP, QRP, One Call Care Management’s Vice President of Clinical Education & Quality Assurance Programs had to say:
1. Looking back on 2014, what do you believe was the most significant development for the Workers’ Comp industry? (If you did 4for14 at RIMS, how did your prediction pan out?)
I participated in 4for14 at RIMS, and predicted that the American Medical Association’s reclassification of obesity as a disease would be a critical development for 2014. It’s still a challenge that is playing out, especially as the incidence of obesity rises. At its current rate of growth 51% of Americans may be obese by 2030, according to the National Heart Forum. One effect of the AMA reclassification is physicians may look to treat obesity as part of the work injury, arguing that it’s required for a more successful chance of recovery. Obese claimants are also more likely to have other conditions, such as diabetes and high blood pressure, which can hamper the recovery process. They may have special needs in regards to treatment, recovery, bariatric equipment, and return-to-work (RTW) planning. As we move into the future, workplace wellness programs may serve a critical role in helping to control weight across the U.S., and WC claims professionals must strive to identify claims affected by obesity early in the life of the claim in order to proactively manage these claims toward optimal costs and outcomes.
2. If you could wave your magic wand, and instantly change one thing about 1) Workers’ Comp and 2) your business, what would you change?
I would love to magically eliminate any delays in the workers’ comp claims process, so the industry as a whole could move the injured worker through the continuum of care and back to work quickly and efficiently. At One Call, many members on our Complex Care team have actually been in our customers’ shoes. This gives us keen insight into their needs and concerns. For example, with my varied experience as a nurse and case manager, I understand how critical it is to get critically injured workers the care they need promptly and seamlessly, especially for critically injured claimants who are discharged from the hospital. I understand the pain points of busy adjusters and case managers, and our goal is to make their lives easier. With our company, they can make ‘one call,’ and behind the scenes, our team coordinates the plethora of services and equipment their complex cases require—everything from transportation, durable medical equipment, home health and physical therapy services.
3. What is one thing you’d like to promote?
As Vice President of Clinical Education, I spend a lot of time traveling and educating claims examiners and nurse case managers on key workers’ compensation challenges. In the midst of today’s many claims challenges and medical complications, workers’ compensation professionals are looking for guidance on how to achieve quality care, cost savings, and optimal outcomes. One Call has invested in an unparalleled depth of experts, who provide thought leadership at conferences and deliver CEU training to thousands of adjusters and nurse case managers each year through our One Call University. In addition at the 2015 RIMS Conference, I am slated to deliver an educational session on the use of medical marijuana in the industry. I hope your readers will be able to join me for that presentation.
About Kevin Glennon
Kevin Glennon is Vice President of Clinical Education & Quality Assurance Programs at One Call Care Management. He has over 30 years of experience in healthcare, encompassing clinical and claims management for workers’ compensation, auto, and general liability. His background includes medical case management of complex and catastrophic injuries and long-term disabilities. He applies his combined knowledge and experience to assist organizations in better managing and controlling costs associated with complex injury claims for the best-possible outcomes. He can be reached at Kevin_Glennon@onecallcm.com.
One Call is a WorkCompWire ad partner.
This is not a paid placement.