We re here to change that. Transforming Occupational Medicine, one client at a time. Mission Statement

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1 About Us is a privately owned company established in 1999 by its Founder, President & CEO Dr. Michael J. DeLitta. We believe that caring is the best medicine. This ideal is woven thoughout every aspect of our company. We are not your typical medical services provider, trying to make every client fit into the same structure and business model. recognizes that even in the same industries, every client is different and can have vastly different needs. Whether you have 10 employees in one location, or 10,000 employees spread all over North America, we work with every one of our clients to meet their indivdual medical needs all while consistently providing the highest quality service and care. Occupational Medicine has remained virtually the same over the years - which means the services you recieve and those providing it have remained the same along with it. It s impossible to expect great results when all of your choices are the same. You and your employees deserve better. We re here to change that. Mission Statement s purpose is to transform Occupational Medicine by providing the highest quality, most cost-effective comprehensive medical management services, maximizing the benefits to all parties involved: - Clients and their Employees - s Professionals Caring is the Best Medicine Budde Rd. Suite 801 The Woodlands, TX fax

2 Medical Consulting Services: 24/7 Nationwide Injury Management: Occupational Injury Case Management Short-term Disability & FMLA Case Management Personal Injury/Illness Case Management Medical Case Review Medical Programs Management: Physical Exam Programs OSHA Compliance Exam Programs Drug & Alcohol Testing Additional Services: Customized Client-Specific Programs Consolidated 3rd Party Billing Can Accommodate over 140 languages Jones Act/Martime Expertise On-site Medical Consulting Educational/Compliance Programs

3 Occupational Injury Telephonic Case Management When an employee incident occurs, immediate access to an occupational medical specialist ensures an optimal outcome for both the injured worker and employment organization. Medical Consulting recognizes an employee s health and safety are cornerstones to the success of your business. As OSHA regulatory and occupational case management experts, our licensed professionals are available 24/7 to assist with any need which may arise. While others promote case tracking, the benefits of s immediate intervention approach include: - Access to a licensed medical professional within minutes following the injury - Development of an agreed treatment plan - Telephonic follow up care through treatment and recovery Of the thousands of cases handled each month, over half of injury occurrences are internally managed with first aid measures, eliminating the need of formal medical attention. This alone saves a tremendous amount of money for clients by way of lower claims frequency and severity, reductions in incident rate, modifiers, costs and productivity. Through customizable reporting structures, dependent on our clients individual needs, open communication and timely status updates, we invite you to experience The Difference.

4 Telephonic Case Management Process Flow Chart Incident Occurs EMERGENCY? YES CALL 911 FIRST NO Non-Emergency Call to (281) , 24/7 Nurse Case Manager (NCM) Assigned - NCM begins Telephonic Assessment. Provides guidance and recommendations First Aid Treatment Clinic/ER Treatment NCM provides first aid recommendations and over the counter (OTC) medications NCM directs to appropriate and preferred Clinic or ER, Communicates with treating physician / medical staff and Employee (EE) NCM initial report within 3hrs after recommendations or treatment completed. NCM follow up communication to EE via phone and reports to designated individuals after any status change. Case closure when appropriate Don t wait to report! Time is of the Essence! Call 24/7 for all injuries

5 Personal, Short Term Disability (STD), Family and Medical Leave Act (FMLA) Telephonic Case Management While other companies may offer work related case management, believes you deserve more. As your full service comprehensive medical management provider, we are cognizant of and attentive to the productivity and profitability implications of employee absences. As our specially trained nurse case managers champion the recovery and return to productive employment, our clients take comfort in knowing is by their side, every step of the way: - Ensure adequate evaluation of the employee s disability. - Proactively and aggressively coordinate, monitor, and manage all aspects of the employee s treatment plan by verifying the effective delivery of recommended modalities and interventions. - Assist with development of modified duties, alternative work and other programs which minimize short-term indemnity costs and productivity loss. - Continuously review each case to determine our client s compliance with the Americans With Disabilities Act (ADA) and Family and Medical Leave Act (FMLA). Here are just a few of the benefits of utilizing this valuable service: - Lower medical claims costs. - Minimize productivity loss. - Lower short-term disability costs. - Provide a quick and safe return to work.

6 Medical Programs Management Quality and Consistency two critical aspects of service that are important on their own, but when combined provide the ultimate in compliance and services levels for our clients. is able to implement and manage any type of medical exam and drug & alcohol programs you need for your employees. By utilizing this valuable service, here are a few of the benefits you will receive: - Dedicated Project Managers, Medical Directors and support staff - Customized protocols, authorization forms and notifications - Consistent and accurate exam clearances - National network of medical facilities - Consolidated Billing of 3rd Party Invoices Of the thousands of exams facilitated at local clinics each year, over 25% have inappropriate clearances - such as issuing of DOT medical certificates when the applicant did not meet the DOT standards, or employees who were unable to perform the essential functions of the job. This is a major problem which not only increases your risk, but also leads to increasing work related injuries and workers comp claims. From a baseline pre-employment exam to annual OSHA and DOT compliance exams, let us take the guess work out of the equation for you. Our Project Managers will diligently manage those local clinics on your behalf, ensuring the work is done right the first time. By having manage your medical programs you can rest assured that your employees will always be healthy and fit to work.

7 Medical Programs Management Process Notifications Depending on the type of program, will be notifed in two ways: - Pre-Employment / Pre-Placement - client notifies of the need for exam - Ongoing Compliance - will notify client when employees are due for exam Clinic Setup / Scheduling Much of our Project Manager s time and effort is spent managing the local medical facilities for our clients. During initial set up, works individually with each client to determine the bext local medical facilities capable of performing the required exams, and supplies all specific exam protocols and authorization forms to each facility. Once notifed of the need for an exam, will provide all appropriate for contact info for the employee to schedule their exams. Results Aquisition Our Project Managers diligently work with the medical facility to aquire complete an accurate results. Should there be incomplete results, or issues with the exams you can rest assured that the Project Manager catches these errors and takes appropriate actions immediately. Review s Project Managers first enter all reults in our systems, while simultaneously reviewing for completion and accuracy. Our Medical Directors then review all exam results and formulate their opinions based upon the exam results, job descriptions, regulatory information and any pertinent information from the client. Clearance / Communication of Results After review, our Medical Directors draft Physicians Written Opinion letters (PWOs) that state the findings of the exam - pass, pass with restrictions or medical hold. A copy goes to the designated company representative, and a copy goes to the employee that also lists any personal medical information. This personal information may not hinder their job, but includes our advice on seeking appropiate follow up with their personal physician. Data Tracking / Compliance When entering exam results into our systems, our Project Managers mark when the employee is due again for any recertification exam (DOT, annual Audiogram, etc). Extensive reporting and statistics can also be generated for our clients review. Invoice Management Managing the local medical facilities and paying their invoices on our clients behalf is an often overlooked benefit. Every clinic is different, works in different ways and charges different amounts too. helps you stay compliant with consistent results, nationwide.

8 Hearing Conservation Program The work your company does is not easy, nor is it quiet. Exposure to high levels of noise in the workplace can cause hearing loss, sometimes permanently. OSHA requires a Hearing Conservation Program for those employees subjected to noise at a time weighted average of 85dBA over an 8 hour shift. This means your employees need to wear proper hearing protection, and receive annual hearing tests called Audiograms to detect any shifts in their hearing. can implement and manage this program providing: - A Project Manager that tracks your employee population, and sends designated company represenatives notifications when an employee s annual Audiogram is due. - Set up and coordination of testing at a pre-determined local medical facility - Medical Director review and clearances - Immediate response and action to any Standard Threshold Shift (STS) in the hearing indicating potential issues - Management of the local medical facilities, including invoicing Your employees health and well being is important to you, as is the job at hand. How do you balance ensuring the work gets done, with keeping your employees safe, healthy, and risk free? It s a difficult task to try to accomplish alone. can help.

9 Respiratory Fit & Protection Program Air - you can t see it, or really taste it, but it surrounds us and is vital to our survival. Sometimes your employees work in environments where the air has been compromised by dust, smoke, fumes, vapors, or in places where chemicals required for work are harmful to breathe. OSHA regulations require you to protect your employees by placing them into a Respiratory Protection Program - ensuring annual questionnaires are performed, and providing proper and well fitting respirators that help them breathe clean air and continue to work. can help by managing this program offering a Project Manager that provides: - Coordination of respirator mask fit-testing at a pre-determined local medical facilities - Customized program protocols including Pulmonary Function Tests (PFTs) - Sends designated company represenatives notifications when an employee s annual Questionnaire is due, and provides electronic and / or hard copy of the form and helps coordinate PFT if required - Medical Director review and clearances of Questionnaires and exams - Immediate response and action to any potential issues - Management of the local medical facilities, including invoicing Your employees health and well being is important to you, as is the job at hand. How do you balance ensuring the work gets done, with keeping your employees safe, healthy, and risk free? It s a difficult task to try to accomplish alone. can help.

10 Physical Exam Programs Taking care of your employee population can be a challenging puzzle to solve. No one likes to get sick. We work for a reason, and when health issues prevent us from working, no one wins. It s a fact - a healthy employee whose physical abilities are matched to their job is safer, more productive and overall less of a risk to their company. Arranging physical exams for your employee population is an important and often overlooked piece of the puzzle. not only will facilitate that medical piece, but can help you solve the puzzle in many different ways: - DOT Physical Exams, cleared by Medical Directors on the National Panel of DOT Certified Physicians - Pre-Employment / Pre-Placement Exams based on your specifc protocols - Functional Capacity Exams / Fit-for-Duty, based on job descriptions, essential job functions and physical demand analysis - HAZWOPER (HAZardous Waste OPerator Emergency Response) Exams - Customized Exam Programs, tailored to suit individual and specific needs All Exam Programs are managed by our Project Managers, who oversee the entire process from local clinic set up, tracking results, notifications, medical clearances, and invoicing. They are your expert you can rely on to help provide solutions and keep your employees healthy and on the job. Your employees health and well being is important to you, as is the job at hand. How do you balance ensuring the work gets done, with keeping your employees safe, healthy, and risk free? It s a difficult task to try to accomplish alone. can help.

11 Drug & Alcohol Testing As an employer, you not only care about your employees health, you also do everything in your power to help limit risk and ensure the work you do meets all regulations, including anything related to Drug & Alcohol testing. Understanding and implementing a Drug & Alcohol program can be a challenging road to navigate. There are many twists and turns, and you need a partner to help you determine the best route to take. is an expert in Drug & Alcohol testing- a proven and valuable co-pliot providing to our clients: - Pre-Employment testing - DOT and Non-DOT Random testing - Post Incident, Reasonable Suspicion - Policy Administration including written plans and supervisor training As with all Medical Program Management services, you d also recieve the following benefits: - Project Managers and Medical Directors to help track, oversee, provide clearance and expert advice and manage the entire process - Compliance to DOT regulations, and set up and implementation of a Company specific Non-DOT program - All necessary forms including Chain of Custody/Control - Nationwide network of collection facilities including mobile collectors - Consolidated billing of 3rd party collection fees Your employees health and well being is important to you, as is the job at hand. How do you balance ensuring the work gets done, with keeping your employees safe, healthy, and risk free? It s a difficult task to try to accomplish alone. can help.