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2 Case Study provides onsite medical services for improved care and increased savings. Oil & Gas Medical Services Overview Accessible, quality medical care for healthier employees! s system of delivering medical services onsite is a new way of looking at an old problem bringing quality healthcare services to employees at an affordable price. Whether you are at an oil and gas drilling site, a manufacturing facility, a traditional office, or a construction site, can help. PMR onsite clinics keep healthcare costs down and productivity up! What s our secret? We work smarter to drive costs out of your existing healthcare system. We manage referrals and prescriptions, eliminate third party providers, and reduce administrative paper work. You experience cost savings from fixed-rate direct billing vs. insurance claim billing, fewer referrals to specialist networks, better-negotiated rates from most common outside procedures, and reduced claims. What do we do differently? Healthcare means treating people, not pushing paper. At PMR Onsite Clinics, patients are treated promptly and efficiently. There is no more long waits, commuting to far away appointments or hurried consults with overworked doctors. Your employees get a chance to see a doctor in an emergency or whenever they need to, without it costing you more. Doctors get to know patients histories, to catch problems earlier. Doctors see injured patients immediately and manage their return-to-work programs. The results? Reduced lost work time and absenteeism due to illness and injury, along with reduced healthcare costs. What kind of savings can you expect? Many of our clients achieve healthcare savings of more than 25% in the first year alone. Depending on the number of employees and the healthcare services you need, the savings could be even greater in following years, based on administrative paper work, referrals, and prescription needs. What onsite services do we provide? Our experienced healthcare professionals can analyze your needs and create a custom solution that achieves maximum savings for your site. Once your onsite healthcare clinic is up and running, our knowledgeable medical staff can deliver a broad spectrum of onsite healthcare services to meet your company s unique needs: occupational care services, primary care services, wellness programs, drug and alcohol screening, patient evacuation and case management services. What are the benefits? Immediate treatment for injuries and illness means fewer Workman s Comp claims. The result? Lower costs. Access to preventative care without traveling long distances means fewer people getting sick or working while they are sick. The result? Less lost work time and greater productivity. Flat rate services mean you know what you are going to spend. The result? Real cost control. Meet OSHA s standard to provide medical attention within 3-4 minutes. For more information about PMR healthcare services, see the back of this data sheet.

3 Oil and Gas Field Occupational Care Services Reduce recordable injury rates, lost-time incidents, workers compensation claims, insurance premiums, safety fines, and citations and get a quick return to work. Specially trained medical staff and onsite injury treatment First report of injury and witness statement forms Management of follow-up care, modified work duty programs, and return to work programs Employee health and safety training Mobile medical units Pulmonary function, hearing, and basic vision testing Pre-employment physicals Disability management Workers Compensation and OSHA/MSHA record keeping Remote medical clinics Oil and Gas Field Primary Care Services Provide onsite services dealing with the most common medical issues and injuries. Treatment of general medical disorders, aches, and pains Treatment of most chronic illnesses, such as diabetes and hypertension Care for episodic illnesses, such as cold and flu Minor personal injuries, such as bruises & lacerations Pre-employment physicals and annual exams Flu shots and other vaccinations Laboratory and X-ray services Dispensing prescriptions Remote medical clinics Wellness Programs Give your employees access to illness screening, education, and treatment options to get healthy and stay healthy. Note: These services can be provided at any site. Health fairs and health risk assessment (HRA) Basic vision, blood pressure, blood sugar, and cholesterol screening Back pain prevention Smoking cessation, nutrition, weight management Personal health education Bone and foot health How do you get started? Visit our website or call us today So we can help you realize your employee healthcare program objectives! 7399 N. Shadeland Ave., #103 Indianapolis, IN PHONE: TOLL FREE: OUTSIDE U.S.: WEBSITE: Drug and Alcohol Screening Take advantage of a cost-effective solution with a variety of testing options, review services, and expert customer service. Note: These services can be provided at any site. Breath, blood, and saliva alcohol screening 5 and 10-panel drug screens DOT, hair, and saliva drug screens Drug testing program development Onsite/offsite collection with secure online results Case Management Experience a stress-free way to manage injured employees cases while a PMR medical case manager works directly with the medical provider, employer, and employee. Educate all parties about return-to-work programs and non-recordable treatment options Determine appropriate and necessary treatment for successful return to work Create a care plan with goals and timeframes Clearly communicate with medical service providers and caregivers

4 C provides onsite medical services for improved care and increased savings. Healthcare Onsite Clinic Benefits Affordable, accessible, and personal healthcare A PMR onsite clinic provides a win-win solution for your employees and your company. For employees, a PMR onsite clinic means improved healthcare and wellness services, with reduced out-of-pocked costs. For your company, a PMR onsite clinic means decreased healthcare program costs, as well as reduced lost work time and absenteeism due to illness and injury. PMR Onsite Clinic Benefits at a Glance A PMR onsite clinic provides a broad spectrum of benefits your company and employees. Employees Affordability $0 dollar co-pay Reduced paycheck deductions Reduced prescription costs Accessibility Onsite No travel time Easy access to physicians No more waiting immediate treatment Quality More time for doctors to spend with patients Earlier diagnosis of illness with better follow-up care and wellness education Company Affordability Reduced premiums Reduced claims Reduced 3 rd party administration costs Productivity Less paperwork and administration Decrease in lost work time and absenteeism Improved case management Increased wellness and productivity Quality Increased healthcare utilization Quality-assurance audits Higher employee morale How do you get started? Visit our website or call us today So we can help you realize your employee healthcare program objectives! 7399 N. Shadeland Ave., #103 Indianapolis, IN PHONE: TOLL FREE: OUTSIDE U.S.: WEBSITE: An Effective Alternative PMR onsite clinics fit in with the current Affordable Care legislation by providing alternative ways to bring costs down. Immediate treatment for injuries and illness means fewer claims. The result? Lower costs. Access to preventative care without traveling long distances means fewer people get sick or work while they are sick. The result? Less lost work time and greater productivity. Flat rate services mean you know what you are going to spend. The result? Real cost control. A Unique Solution PMR assesses your unique situation to develop just the right clinic for your work community a clinic that meets your financial needs, industry situation, and employees healthcare concerns. We take care of every facet of your healthcare program, from evaluation of current practices, through construction of a clinic facility, staffing and training of personnel, to running and monitoring your healthcare program. We re with you for the long run, to make sure your clinic is a success, with well-treated employees and reduced healthcare costs. With healthcare costs down, worker productivity up, and increased quality of care for employees everyone benefits!

5 provides onsite oil and gas field medical services for improved care and increased savings. Oil & Gas Field Occupational Care Services Onsite Oil and Gas Field Occupational Care Services save money and lives Imagine an onsite clinic at your oil or gas field site where any worker can be seen immediately, all cases are followed up, and a skilled medical staff is on your schedule. onsite Oil and Gas Field Occupational Care Services change everything! Accidents can occur If you are an oil or gas company, you know that accidents happen. And when they do, workers compensation claims get filed, recordables go up, and so do the costs not to mention, lost work time, safety fines and citations. Current Affordable Care legislation cannot address these issues, but PMR can. We understand you has worked with the oil and gas industry for years and understands the problems that plague you. With a PMR onsite clinic your employees are treated at the jobsite, rarely needing referral to an outside doctor or emergency room. This means you do not have to open a workers compensation claim which keeps your Experienced Modification Rating (EMR) low. If an injured employee requires hospitalization or recuperation time, PMR manages the care by working with the offsite medical staff and the injured employee to ensure the appropriate treatment and confirm follow-up appointments are kept. The result? Timely return to work. Oil and Gas Field Occupational Care Services becomes your partner by providing an onsite clinic to handle employees injuries and minor illnesses, as well as manage their follow-up care. Onsite Medical. s staff manages your onsite clinic and provides the following treatment and prevention services. Specially trained medical staff Immediate onsite medical treatment for injuries and minor illnesses First report of injury and witness statement forms assistance Functional capacity exams Hearing and basic vision testing Pulmonary function testing Workers compensation record keeping Follow-up Care and Case Management. If an injured employee needs follow-up care, appointments, or has to leave the jobsite, PMR Healthcare s staff follows up on your employee s injuries until that employee is cleared to return to work. Onsite follow-up patient visits Management of onsite and offsite followup care Modified work duty program support Return to work program support Short and long-term disability management

6 CHANGE BANNER Gas and Oil Field Medical Supplemental Services also provides additional services, such as safety program assistance and drug and alcohol testing. Whatever the service, we tailor it to fit your unique situation. Safety Program Assistance. PMR staff can become active assistants on your safety team, performing the following on your site: Safety orientations OSHA record keeping Safety walk through First aid classes CPR training Tool box talks Injury trend analysis Accident investigation assistance Drug and Alcohol Testing. PMR helps you implement the appropriate package of testing services to best meet your company s needs. 5 and 10-panel drug screens Hair and saliva drug screens DOT drug screens Drug testing program development Medical Review Officer services Secure online results Onsite and offsite collection Breath alcohol screening Blood alcohol screening Saliva alcohol screening How do you get started? Visit our website or call us today So we can help you realize your employee healthcare program objectives! 7399 N. Shadeland Ave., #103 Indianapolis, IN PHONE: TOLL FREE: OUTSIDE U.S.: WEBSITE: What s in it for you? With a onsite clinic, you save money, get quick return to work, reduced number of worker compensation claims, and reduced potential litigation. According to recent studies, 98.5% of injured employees are less likely to take legal action if they receive immediate medical treatment. Where do we operate? provides onsite Oil and Gas Field Occupational Services at virtually any location worldwide. Whether your oil and gas exploration takes place on land or offshore, we can help. Our medical and EMT staff have over 30 years experience working in oil and gas fields, as well as on offshore oil platforms. How have we helped? In San Diego, started an onsite clinic on a major industrial field site. The occupational clinic was up and running in seven days. After that, was on the scene with full-time personnel in an extended shift capacity, providing medical assistance to all employees, management, and guests on the site. During the first year, the site experienced: zero recordable injuries zero lost hours total savings of nearly $1 million Partnership with PMR Our staff of highly qualified professionals has the experience and knowledge to help you identify the solutions that will reduce your healthcare costs and increase the quality of care for all employees on your site.

7 PMR Primary Care onsite medical clinics provide improved care and increased savings. Oil & Gas Field Onsite Primary Care Services An innovative healthcare delivery system that lowers costs and improves employee care Small businesses and large corporations alike are grappling with the issue of healthcare. Employees everywhere want better and more affordable healthcare benefits, but what can employers realistically do? Current Affordable Care legislation may not be able to address cost issues, but PMR can. A PMR onsite healthcare clinic with Oil and Gas Field Primary Care services changes everything! The situation Your employees typically visit a doctor s office or emergency room for basic illnesses, aches, pains, colds, flu, personal injuries, and chronic health issues. Very few employees use their visits for preventative care. And still others wait until more serious issues arise before visiting a doctor. Some even come to work sick because they believe they cannot afford the medical bills, nor can they afford to miss work. As a result, your company may experience absenteeism due to travel to and from the doctor s office, decreased productivity and lost work-time due to illness, and increased healthcare costs. Our innovative solution A PMR Primary Care onsite clinic is a win-win solution for both your employees and your company. For employees, a PMR onsite clinic provides convenient access to improved healthcare and wellness services, with reduced out-of-pocket costs. For your company, a PMR onsite clinic helps decrease your healthcare program costs, as well as reducing lost work time and absenteeism due to illness and injury. How does it work? A PMR Primary Care onsite clinic offers the best medical care possible at your location. PMR places our private clinic at your facility, provides all necessary staff and equipment, and manages the clinic to save you money. PMR Primary Care professionals are dedicated to treating your employees for illness and injury. They are not focused on increasing their clinic patient base, therefor the patient caseload increases only as your workforce expands. As a result, PMR physicians have more time to spend with each patient. Did you know that the average patient visit in the U.S. is only 6 minutes! Not so with PMR Primary Care onsite clinics. Our doctors give each patient their undivided attention for as long as it takes to properly diagnose and answer patients questions. At a PMR Primary Care onsite clinic, your employees can see a doctor with less waiting, less time away from work, and more focused attention. For bottom-line information about services and benefits, see the next page.

8 Oil and Gas Field Primary Care Services becomes your partner by providing an onsite Primary Care clinic and staff to handle injuries, illnesses, preventative care, wellness issues, as well as managing follow-up care. Whatever the service, we tailor it to fit your unique situation. Treatment of general medical disorders, aches, and pains Treatment of most chronic illnesses, such as diabetes and hypertension Care for episodic illnesses, such as cold and flu Personal injuries, such as bruises and lacerations Pre-employment/pre-placement physicals and annual exams Flu shots and other vaccinations Laboratory services X-ray services Dispensing common prescriptions Care coordination with specialists What s in it for you? With a Primary Care onsite clinic, your company experiences the following benefits. Real physician-based medicine By treating all employees working at a single site, a PMR onsite primary care clinic can treat most illnesses, injuries and disease in the workforce. Additionally, the onsite clinic can head off potentially infectious illness or disease, prevent cross contamination and improve patient recuperation times. How do you get started? Visit our website or call us today So we can help you realize your employee healthcare program objectives! 7399 N. Shadeland Ave., #103 Indianapolis, IN PHONE: TOLL FREE: OUTSIDE U.S.: WEBSITE: Better follow-up care When your employees need to see a specialist, PMR staff will oversee the entire process. We make a point of coordinating with the specialist for updates in the patient diagnosis, care and treatment. Further PMR will get a copy of the patient s chart from the specialist allowing us to advise the patient with all follow-up care. Additionally, PMR can build clinics large enough to accommodate onsite many specialists onsite. Substantial savings The PMR staff sees your employees in a time effective, professional manner, without filing a healthcare claim. The result? Quality care and a cost reduction over standard healthcare programs. Employers can realize a cost savings of 10 50%, and employees experience low or no co-pays. Partnership with PMR Our staff of highly qualified professionals has the experience and knowledge to help you identify the solutions that will reduce your healthcare costs and increase the quality of care for all employees on your site.

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