CASE MANAGEMENT

What is occupational health case management? Occupational health case management is the process of assessing, planning, facilitating, and evaluating an employee’s occupational health needs in order to achieve overall employee health in a cost-effective and efficient manner.

Our robust and powerful disability Case Management Module in Cority’s Occupational Health Software Suite provides an occupational health manager with a complete system for the management of occupational and non-occupational (disability) cases. This module provides extensive absence management capabilities, allowing case managers to coordinate care in the most efficient and cost effective methods possible and foster a timely and healthy return to work.

Key Benefits of the Case Management Module:

This module will enable occupational health management professionals to:

  • Track all types of occupational and non-occupational claims, including, but not limited to, workers’ compensation, STD, LTD and FMLA (US)
  • Record and track an employee’s progress related to occupational and non-occupational injuries including their absences, work restrictions and expected return date
  • Respond to regulatory and corporate body inquiries on the spot by having case details available at your fingertips
  • Integrate with the Clinic Visit and Incident Management modules to enhance communication, ensure record accuracy, and reduce redundant data entry with auto-population of shared data (as permitted by your security settings)
  • Streamline regulatory compliance with auto-population of forms based on the case data you’ve collected and tracked in the system
  • Directly access integrated disability duration guidelines and treatment guidelines for each specific diagnosis to reference evidence-based absence benchmarks and other important information regarding the relevant medical condition
  • Demonstrate tangible return on investment (ROI) from your case management efforts with comprehensive and easy-to-run reports
  • Create and configure a personalized and interactive to-do list and case management dashboard that will enable you to effectively organize and prioritize your activities

Key Components

The components of this module are as follows:

Tracking Cases

  • Integrate with the Clinic VisitIncident Management or Body Fluid Exposure modules for auto-population of pertinent case details (employee information, date/time of injury, chief compliant, injury/illness details, etc.)
  • Record whether the case is occupational or not; occupational cases can be shared with safety and the Incident Management Module
  • Easily generate workers’ comp and other regulatory forms that are auto-populated with pertinent data
  • Capture detailed case information including but not limited to:
    • Employee information and the onset date of the illness or injury
    • Assigned case manager and third-party adjusters, where applicable
    • The date the case was initially opened and the date the employee was first contacted
    • User-definable case types (STD, LTD, WCB, etc.) and case status (Pending, Open, Closed, etc.)
    • Unlimited medical conditions including start and end date
    • Provider that determined the diagnosis
    • Extensive case notes
    • Tracking for FMLA and ADA purposes
    • Insurance claim details
  • Determine work hours lost through automatic system-generated calculations
  • Schedule recall appointments with automatic notifications sent to employees, using the Scheduling Module
  • Record OSHA details (U.S. customers):
    • OSHA Logic feature automatically marks the case as OSHA recordable based on the nature of injury, medication, procedures, restrictions, absences, employee death or loss of consciousness; or, you can manually flag the case as OSHA recordable
    • Date the case become recordable is auto-populated from historical data
  • Record work restrictions and track all work restrictions, including those captured in other Cority system modules (e.g., Clinic VisitMedical Chart, etc.)
  • Reference and track additional details in the case record for efficiency:
    • The employee’s diagnoses and case-related procedures
    • The employee’s absences (see below)
    • To-do items and activities related to the case
    • Case-related questionnaires (integrates with the Questionnaire Module)
    • Case-related findings & actions
    • Letters and documents (see below)
  • Efficiently generate and send a host of case letters (e.g., STD acceptance/denial, LTD acceptance/denial, other benefit notifications) using pre-defined templates
  • Attach any related documents to the case record (e.g., physician correspondence, physical therapy progress notes, return to work notes, MRI or other test results)

Tracking Absences

  • View an absence summary that tracks days taken and days remaining for STD, State & Federal FMLA, or other benefit programs
  • Record continuous absences for the employee:
    • Details tracked include absence status, reason, start date, and percent full duty (to indicate that the employee worked part of the time on restricted duty)
    • Add multiple restrictions to the record in a single step for a restricted work days (RWD) absence
    • Indicate whether the absence should count against STD, FMLA, or State FMLA totals
    • The Cority system regularly calculates lost time and restricted time, giving you the most current absence information
  • Record intermittent absences for the employee:
    • Details tracked include start date, hours per day, whether it is an STD or FMLA related absence, and any notes pertaining to the absence
  • Automatically link to the Medical Chart Module to display all of the employee’s absences on the electronic medical record

Disability Guidelines (ODG/MD)

  • Access the Official Disability Guidelines® (ODG) from the Work Loss Data Institute or the Reed Group® MDGuidelines directly from within the case management module to reference:
    • Recommendations for minimum and maximum disability durations by diagnoses
    • Related treatment guidelines
  • Compare disability duration guidelines with the personal medical doctor estimate; calculate any early return negotiated by the case manager to provide return on investment (ROI) information related to case management services

To-Do List

  • Track all of your case-related activities in a comprehensive to-do list, which acts as a tickler list of all outstanding and upcoming actions as well as a chronological history of all activity related to a case
  • Record company-defined activity type, activity date/time, time taken to complete, provider, costs (if applicable), case notes, and outcomes
  • Sign activities if necessary
  • Print a list of all to-do items for a specific practitioner
  • Receive automatic e-mail reminders for overdue to-do items

Case Management Reports

  • Run comprehensive reports using Cority’s Standard Reports tool, such as:
    • Time lost by employee / case type / provider / department
    • Expected versus actual return to work time showing actual work days saved
    • Reports of case management activities including cost and time data and new, opened and closed case summary/detail
  • Use Cority’s Report Writer to run analysis on any additional information captured in the case management module
  • Analyze case counts by case manager, category, status type, etc. and/or track company-specific case management measures/targets, etc. using Cority’s dynamic Metrics tools
  • Gain one-stop access to your important case management reports, to-do list, claims information, case counts, etc. using the Dashboard tool

Integration Points

Below is a list of the modules that integrate with the Case Management module in the Cority system:

Occupational Health Software Suite:

Safety Software Suite:

Contact an EHSQ Expert to Schedule a Demo