Town Hall Overview:
In recent years, obesity has become a growing concern within the workforce, particularly in the context of workers’ compensation injury care. The impact of obesity on musculoskeletal (MSK) injuries can have profound consequences for both individuals and employers. In this blog post, we will explore the key insights from a recent NAOHP Town Hall discussion on obesity management and outcomes in MSK workers’ compensation injury care. We will delve into the benefits of optimal management, the process of identifying individuals who would benefit from obesity management, and the considerations employers and payers should have when building an optimal obesity management program.
Benefits of Optimal Management:
Obesity, as highlighted in the town hall discussion, is a chronic and progressive condition that severely impacts an individual’s health and well-being. In the context of workers’ compensation injury care, obesity has been linked to increased workplace accidents, higher healthcare costs, increased chronic conditions, musculoskeletal problems, absenteeism, lost productivity, and increased morbidity and mortality. Furthermore, research has shown that people with obesity are at a greater risk of severe COVID-19 complications and hospitalizations. Optimal management of obesity can address these issues and lead to improved outcomes for both the individual and the employer.
Identification of Individuals in Need of Obesity Management:
Identifying individuals who would benefit from obesity management is crucial for successful intervention. The town hall discussion highlighted various approaches to identifying such individuals. These included warm handoffs from healthcare providers who have identified obesity as an issue, analysis of medical claims data and weight-related comorbidities, and the use of biometric screenings or health physicals. By implementing these methods, employers and payers can target populations that require obesity management programs and provide the necessary support for these individuals.
Building an Optimal Obesity Management Program:
The process of building an optimal obesity management program involves careful consideration of various factors. Collaboration between stakeholders, such as healthcare providers, obesity management organizations, and employers, is essential. The program should facilitate a proactive approach to obesity management, starting with prevention, early intervention, and ongoing support. The integration of behavioral and medical interventions is crucial for managing the complex nature of obesity. Additionally, funding mechanisms should be in place to ensure the viability and sustainability of the program.
Co-managing Behavioral and Medical Issues:
In the town hall discussion, the concept of co-managing behavioral and medical issues in obese workers was emphasized. The approach advocated for a team-based model of care, treating the injured worker as an industrial athlete. This collaborative approach involves occupational health workers, musculoskeletal specialists, behavioral health professionals, physical therapists specialized in obesity management, and obesity management organizations. By addressing the unique challenges faced by obese individuals, including swelling, chronic inflammation, and reduced healing capacity, the co-management team can provide comprehensive care and improve outcomes.
Outcomes and Future Considerations:
Although data specifically focusing on the outcomes of managing obese patients in a workers’ compensation injury care setting is limited, the discussion highlighted the need for setting realistic expectations and goals for these individuals. Holistic management should consider both the physical and psychological aspects of obesity, allowing for tailored interventions that address underlying issues.
Employers and payers are evolving in their approach to obesity management programs. The increased focus on population health management, primary care practices, and payment reform is changing the landscape of healthcare delivery. Forward-thinking organizations are exploring innovative ways to measure the impact of optimal obesity management, including cost savings, avoidance of unnecessary surgeries, and improved patient outcomes.
The link between obesity management and outcomes in workers’ compensation injury care is a critical topic that requires attention from all stakeholders involved. By implementing optimal obesity management programs, employers and payers can address the unique needs of obese workers, improve outcomes, and reduce the burden on both individuals and organizations. Collaboration, realistic goal setting, and holistic care should be at the forefront of any obesity management program. Moving forward, continuous research, data analysis, and program evaluation will further enhance our understanding of the impact of obesity management on MSK workers’ compensation injury care.
Slides:
Google Drive Obesity Management and Outcomes in MSK Worker’s Compensation Injury Care
Dropbox Obesity Management and Outcomes in MSK Worker’s Compensation Injury Care
Additional Resources:
To inquire about obesity management and workers compensation programs, contact Larry, Ted, or Steve below.
Larry Earl, M.D.
President, NAOHP
learl@naohp.com
760-230-0398
Ted R. Borgstadt
CEO, TrestleTree
ted.borgstadt@trestletree.com
479-973-7171 (o)
479-790-7576 (m)
TrestleTree Website
Steven F. Schutzer, M.D.
Co-Founder, the Moving To Value Alliance
Co-Founder, Upswing Health
steve.schutzer@gmail.com
860-212-2864
Upswing Health Website
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