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AOASM 2014
Craig Halls and
Dwight Gaal
The Industrial Athlete
4 Principles of Sports Medicine Model
PERFection
Prevention Early injury recognition, early intervention Rapid and aggressive response to injuries Functional treatment and rehabilitation
The “SMART” Approach Sports Medicine Athletic Rehabilitation and Training
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SMART Approach for Industry
• Job coaching • OCR’s (observe, coach, reinforce) • Stretching/Conditioning/Fitness • New employee orientations • Lifting labs (train, evaluate, return-to-work)
SMART Approach for Industry
• “Accommodation” program • Early Recognition education • Rapid diagnosis and treatment • Therapeutic modalities (US, E-stim, etc.) • Injury triage and minor 1st aid
“Lab tests have proven that babies who start drinking soda during early formative years have a much higher chance of “fitting in” during those awkward teen years. Start them on a strict regimen of sodas and other sugary carbonated beverages right now, for a lifetime of guaranteed happiness.”
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“A case of Blatz Beer means much to mother and obviously baby participates in its benefits. The malt in the beer supplies nourishing qualities that are essential at this time.”
How SMM Differs from THC:
SMM Approach THC Approach Proactive Reactive
Aggressive Passive
On-site Off-site (referral)
Flat rate fee Third party bill
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Return on Investment
$1
$2
$3
$3-5
$5-7
$7+
0.0% 5.0%
10.0% 15.0%
20.0% 25.0%
7.7%
11.5%
11.5%
23.1%
23.1%
23.1%
25% or greater decreases
67%
75%
87% 88% 88%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
# Restricted work days
# ED visits $ Work-related injuries
# Work-related injuries
# Days away from work
Dwight Gaal, MA, CEO
The Industrial Athlete, Inc. serving:
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Question: Who Gets Better Healthcare…
Our Workforce…
Question: Who Gets Better Healthcare…
Or Bears and Lions?
Fact:
The Sports Medicine System: • Treats the highest paid, most performance
oriented workforce in the world • About 1/3 the cost of THC • Immediate cost avoidance!
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How does TIA achieve our results?
How does TIA achieve our results? Athletic Trainers working under supervision of a State Medical Director’s Standing Orders, within scope of practice.
How does TIA achieve our results?
Ability to Triage is imperative!
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How does TIA achieve our results?
Pre-determined metrics for success • Impact on comp cost • Impact on DART rates • Impact on OSHA reportable incidents • Cost avoidance • “Touches” (job coaching, OCRs, training education, etc.)
Case Studies and Results
Comp Costs: • F 500 DC - 1st year decreased by 51% • F 500 DC - $125,000 saved within 4 mo.
Case Studies and Results: DART Rate FY 14; P 1o FY 13; P 10 FY 12; P 10 Grocery 0.00 6.50 17.17
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8 Period 9 Period 10 Period 11 Period 12 Period 13
1st Shift Grocery DART Rate
FY 12
FY 13
FY 14
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Case Studies and Results: DART Rate FY 14; P 10 FY 13; P 10 FY 12; P 10 Perishables 0.00 0.00 22.99
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
45.00
Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8 Period 9 Period 10 Period 11 Period 12 Period 13
2nd Shift Perishable DART Rate
FY 12
FY 13
FY 14
Case Studies and Results: Cost Avoidance
FY 14; P 10 - $19,182.37 FY 13; P 10 - $22,145.40
$-
$5,000.00
$10,000.00
$15,000.00
$20,000.00
$25,000.00
$30,000.00
$35,000.00
P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13
Total Cost Avoidance FY14 v. FY13
FY 13
FY 14
Case Studies and Results “Touches”
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Case Studies and Results: Ergonomic Related Injury Trend Analysis
Obstacles
• OSHA • Traditional Healthcare Practitioners:
§ PTs § OHNs § Physicians
OSHA Injury treatment vs. non-injury treatment: Is muscle discomfort OSHA reportable?
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OSHA Common sense say, “NO”; OSHA says “YES”
OSHA Policies built on traditional healthcare foundation; No concept of sports medicine, prevention!
Other Obstacles • Physical and Occupational Therapists • OHNs
• Physicians
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BEWARE:
The Wolf in Sheep’s Clothing!!!!!
Traditional Health Care, disguised as
The Sports Medicine Model!
Growth of TIA
2006 – In 2 states; MI, NY 2007 – In 1 state; FL 2008 – In 3 states; FL, CT, PA 2010 – In 5 states; FL, CT, PA, IN, IL 2011 – In 6 states; FL, CT, PA, IN, IL, MI 2013 – In 7 states; FL, CT, IN, IL, MI, WI 2014 – In 8 states; FL, CT, IN, IL, MI, WI, CA
Growth of TIA Anticipate new business in: MI, NY, CA, FL, SC, GA
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Relate to AOASM
Currently seeking State Medical Directors for: • Florida • Indiana • South Carolina • Georgia
Contact Info
Craig Halls [email protected] 920-277-3622
Dwight Gaal [email protected] 248-375-9377
