EK HEALTH

Catastrophic Referral - Multiple Traumatic Injuries

• 50 year old male
• Date Referred to Case Management: March 3, 2009
• Date of Injury: March 3, 2009
• Diagnosis: Fracture left wrist, fracture left pubic ramus,
• fracture pelvis, compression fractures of T11, T12, and L1
• Obstacles: Status post IV drug abuser with chronic liver disease, multiple treating physicians, psycho social factors involving non-compliant verbally abusive spouse including threats of litigation
• Treatments: Surgery to left wrist, external fixation device, back brace, PT, DME including walker and crutches,  x-rays, CT scans, Percocet, Norco, Ultram, Lyrica, and Tramadol
• Interventions:
  • Identification of applicable physicians early in the case
    • Trauma physician
    • Pain management physician
    • Neurosurgeon
    • Hand surgeon
  • Coordination and monitoring of all diagnostics, DME, and aggressive treatment plans
  • Council and education of the injured worker on importance of compliance
  • Reduction of pain medication, Percocet and Norco, after 60 days then weaned to Ultram, Lyrica, and Tramadol to reduce narcotic and opioid use or abuse
  • Avoidance of cervical surgery through conservative treatment, coordination, and monitoring of functional restoration
  • Frequent communication with employer, physicians, injured worker, and claims examiner including avoidance of litigation
• Outcomes: Returned to modify duty on July 1, 2009; Full duty – November 9, 2009
• Declared P&S on December 21, 2009
• Estimated Hard Savings of $71,250
• Estimated Soft Savings of $19,000

To refer a medical case, please contact us at (877) 861-1595.