when we say health and the WFI Medical Screenings Firefighter Fitness MFD WELLNESS FITNESS INITIATIVE Medical Screening Behavioral Health Injury Rehab Fitness Synergistic Integration of Services ID: 540514
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Slide1
What do we think of when we say health and the WFI?
Medical Screenings
Firefighter Fitness Slide2
MFD
WELLNESS FITNESS INITIATIVE
Medical Screening
Behavioral Health
Injury Rehab
Fitness
Synergistic Integration of Services
Firefighter Empowerment through Health Education
Quality Data Analytics
Focus on Firefighter Health Slide3
GPS FOR TODAY’S PRESENTATIONSlide4
MKE WFI roadmap
2009- Established Behavioral Health Program decided to adopt the WFI
.Peer Support Team/CISM
2010- Certified first group of PFTs
75% of Causal factors for Strains and Sprains were fitness
related (Safety Program)
Implemented Return To Work Program
2011-Established continuing education program for PFTs
Implemented Dept. wide PFT Programs
2012- AFG Award for NFPA 1582 Physicals
Established Academia Partnership with UWM
Informally Initiated Firefighter Injury Rehab 2013-Began Development of the Injured Firefighter Rehab ProgramProvider network, case
management, open communication 2014 Fully Implemented the injury Rehab ProgramImplemented Injured firefighter conditioning programSlide5
The Black Hole of Injury Rehabilitation
What is happening with our firefighter
Time to definitive diagnosis
Excessive wait times for Appointments, conservative orders for imaging, premature physical therapy
Delayed procedures
Lack of communication between providers
Lack of communication between providers and department. Job requirements, Return to work
No communication with Workers Compensation: IME’s
Poor job comprehension among providers and workers compensation: Not ready to return to work
Firefighters navigating the care system on their own. Off of the payroll.Slide6
Our Needs
Firefighter centered Injury Rehab Process
Definitive Diagnosis
Case Management
Integrated Care
Address the MUDA/Waste in the current rehab process
Clarity among all participants in the rehab process/Team Approach (Providers, w/c, the member, the department)
System to supplement the current Work Comp process
Joint Labor Management buy in
Establish BMP’s
Validate the process
Were we addressing the problem
AS a bi-product: It was a great way to save money From 2010-2014 $ 1,782,543.58
in Backfill dollars alone Slide7
Bi-Product of the MFD WFI Product Implemented
Lost Time Injuries and Hours
Backfill Dollars Saved Slide8
Why Sports Medicine Approach
The Sports Medicine Approach
Need the athlete back in the game with high performance in mindThe rehab treatment plan is customized with the nature of the athlete in mindBeyond therapy to heal the injury
Translating the sports medicine world to the firefighter worldProvider Network The MFD and Local 215
Workers Compensation
Members Slide9
Why would this work
Care Team Members like the team approach, just do not believe it was possible
Providers DepartmentsLabor
Management W/C MembersWorkers Compensation State Laws
Employee Driven Workers Compensation
Employer Driven Workers Compensation
Providers:
Slide10
What’s the processSlide11
MUDA = Value
It’s
Cost effective Imaging vs PTDefinitive Diagnosis / Lead Time Reduction
$650.00/shift to backfill
Started 5-10 shifts = $3250-6500.00
Now 2-3 shifts =$1,300.00-$
1,950Slide12
What we have learned that allows us to improve the improve the injury rehab program
Identified more areas of waste beyond definitive diagnosis
Work Hardening Program
Communication among workers compensation
Additional obstacles that impact the rehabilitation process
Firefighter’s Mental Health
Firefighter’s Conditioning Slide13
Academia Partnership
Fire Departments and academia can create great synergy
Continuing education curriculum
Evidenced based data research and program validation
Injury
Rehab Program
Peer Fitness Training Program
Academy Performance
Partnership in WFI Program Development
Real-world, experiential learning for students
Over 15 student research presentations in 2013
Cost effective
Opportunity to share exclusive resources Expanded eligibility for funding i.e. Fire Prevention Safety FEMASlide14
Current Projects
Developing curriculum and providing training to prepare the Peer Fitness Trainer to work with the healthy and injured
firefighterHigher level firefighter performance consultations
Studying the effectiveness of movement screens for firefighters
How effective are they in the progression assessment of injured firefighters
Developing a firefighter
specific Functional Capacity
Evaluation
for
Milwaukee FirefightersFor the therapist to clinically evaluate if a firefighter is ready to return to the fieldSlide15
Interview Results
Factors Affecting WFI Establishment and Sustainability
BudgetOnly 10% of departments were able to quantify the value of their injuries
Injury Rehabilitation is the one WFI section that has the greatest potential for rapid cost savings
Appropriate staffing and support
Lack of a strategic plan
Joint Labor Management Relationship
Integration of WFI components is key
Majority of savings comes from waste identifiedSlide16
The keys needed to make this work
Joint Labor Management Agreement
Dedicated position internally to oversee administrative and overall operations
Clinical Liaison between the providers and the department
Community Partnership with Academia
Committed Provider Network
Working relationship with your Third Party Administrator or Worker Compensation Section Slide17
It Takes A Village To Build A Wellness ProgramSlide18
Thank You For Your Time
Luis Rivera
Luis@tahpi.org
Jason MimsJason@tahpi.org
Kyle Ebersole
Kyle@tahpi.org