What do we think of
What do we think of

What do we think of - PowerPoint Presentation

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What do we think of - Description

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 Download Presentation

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rehab firefighter wfi program firefighter rehab program wfi injury work compensation management providers health process fitness communication workers time




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Presentation on theme: "What do we think of"— Presentation transcript


What do we think of when we say health and the WFI?

Medical Screenings

Firefighter Fitness Slide2



Medical Screening

Behavioral Health

Injury Rehab


Synergistic Integration of Services

Firefighter Empowerment through Health Education

Quality Data Analytics

Focus on Firefighter Health Slide3


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



What’s the processSlide11

MUDA = Value


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 =$1,300.00-$


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


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



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


Jason MimsJason@tahpi.org

Kyle Ebersole