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George is a 67-year-old man with diabetes, cardiac problems, and asthma who takes more than 10 medications. He is insulin- and oxygen-dependent, lives alone, and is illiterate.
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A newly hired occupational health nurse knew intuitively what she was saving her company, but lacked quantifiable numbers. To come up with hard data to show her worth, the nurse turned to her workers' compensation carrier.
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Here are definitions of three types of workers' compensation insurance policies, according to Christine R. Zichello, RN, COHN-S, CSHM, ARM, FAAOHN, senior risk control specialist at PMA Insurance Group's Mount Laurel, NJ, branch office:
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As part of its efforts to promote healthy living and save health care dollars in the long run, Regence BlueCross BlueShield is rewarding members for adapting healthy lifestyles.
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A Medicare demonstration project in Florida that includes both telephonic case management and face-to-face interventions has improved clinical outcomes for beneficiaries who are eligible for both Medicare and Medicaid and have congestive heart failure or any combination of comorbidities that include congestive heart failure, diabetes, and coronary artery disease.
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"People think of insurance as somebody gets hurt, they submit a claim, they get paid, and that's the end of it, but there are all different types of programs," says Christine R. Zichello, RN, COHN-S, CSHM, ARM, FAAOHN, senior risk control specialist at PMA Insurance Group's Mount Laurel, NJ, branch office.
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Getting more involved in workers' comp is your "chance to show cost savings to upper management," says Moniaree Parker Jones, RN, MSN, COHN-S, CCM, formerly a senior occupational health nurse in the Alabama/Mississippi regional office of State Farm Insurance Co.
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[Editor's note: This is the second part of a two-part series on how IRBs can cut costs during these lean budget times. States are forcing higher education payroll and departmental budget cuts across the nation, and IRBs likely will be impacted. IRB Advisor asked a number of IRB efficiency experts to discuss how IRBs can make do with fewer resources. In this month's issue we present a case study of how one university approached IRB cost-cutting. In the April, 2009, issue, there were stories on collecting outcome data and making your IRB more cost-efficient.]
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Large research institutions can improve IRB consistency, education, and networking by establishing an oversight board that will bring IRB chairs together at committee meetings.
