Courtney King Dye
Kessler Institute for Rehabilitation, New Jersey
Select Specialty Hospital, Phoenix, AZ
Select Specialty Hospital, Indianapolis, IN
To combat continually rising workers' compensation costs, the health care environment continues to migrate towards more rigorous standards of evidence-based practice. In order to facilitate the consistent delivery of evidence-based rehabilitative treatment, the Select Medical Outpatient Division has designed, developed and deployed a Utilization Management System (UMS) that is the cornerstone of its cost containment program.
In order to overcome limitations in commercially available guidelines, we have created a proprietary guideline set for the management of rehabilitation in the workers' compensation arena. Guidelines are
based upon nearly one million unique episodes of care and are risk adjusted to include:
By utilizing diagnostic-specific benchmarks with established performance parameters, we are able to assist companies with historical analysis of past claims to determine effectiveness of rehabilitative services, and provide prediction of future utilization and healthcare costs. This enables companies to more accurately set medical reserves, as well as evaluate the network's performance in facilitating a quicker return to work and reducing the overall cost of care.
Kramer Beverage Company