How To Manage A Personal Injury Case Management

Transcription

1 Neurological Case Management Associates Providing a specialized approach to personal injury

2 Mission Statement To direct and facilitate the functional recovery of the client and their family by prioritizing concerns, developing a care plan and overseeing the implementation of the recommended services.

3 Neurological Case Management Associates Specialized Services Include: Neurological Case Management Traumatic and Acquired Brain and Spinal Cord Injuries (TBI / ABI / SCI) Special Needs Trust Management Forensic Case Management Life Care Plan Management Educational / Vocational Planning Service Coordination Advocacy Rehabilitation Consultation Trust Coordination

4 Case Management Objectives To assess the needs of the client, their family and others directly involved in the personal injury case. To design a comprehensive plan incorporating the needs of the client, their family, medical consultants, rehabilitation specialists and legal representatives. To coordinate the rehabilitation plan such that the best interests of the client are met by accessing quality treatment and medical care. To maintain ongoing communication with all parties involved in order to assess the effectiveness of the rehabilitation plan, revise it as necessary and communicate those changes to the client, the family, rehabilitation specialists, medical consultants and legal representatives. To ensure all federal, state, and local benefits are maximized.

5 Case Management Process Supervise Implementation Assessment Develop Care Plan Provides Ongoing Coordination of Care Prioritize Establish the Team Access Professionals

6 Traditional Individual Services Often Are Disconnected Community Contacts Family Insurance Representative Client Medical Consultants Legal Representative Rehabilitation Specialists

7 Case Management Provides Coordinated Client Centered Services; It is the Common Thread Case Manager Community Contacts Family Insurance Representative Client Medical Consultants Legal Representative Rehabilitation Specialists Case Manager

8 Referral Sources Include: Attorneys Insurance Representatives Rehabilitation Professionals Educational Service Providers Legal Guardians / Conservators Case Managers Medical Consultants Trust Managers Persons With Injuries Families Vocational Service Providers

9 Forensic Case Management: Of Benefit to All written by M. Davis & P. DePersis Personal published The NeuroLaw Letter May 1996, Volume 5, Number 9 Financial Legal Clinical Reprinted: West Virginia Trial Lawyers "Advocate", January Pennsylvania Association of Rehabilitation Professionals in the Private Sector (NARPPS), April Continuing Care Magazine, April 1997

10 Brain Injury is the Silent Epidemic It is a largely unrecognized major public health problem The Following Statistics are Courtesy of BIA Awareness Project, 2000

11 Scope of the Problem An estimated 5.3 million Americans a little more than 2% of the population currently live with disabilities resulting from brain injury (Centers for Disease Control and Prevention (CDC)) 2 million people sustain a brain injury every year Every 15 seconds an infant, child, teenager or adult sustains a traumatic brain injury Leading cause of death and disability among children and young adults and leading cause of death until age 44 4 th leading cause of death overall Each day 5,500 individuals sustain a traumatic brain injury BIA Statistics 2000

12 Scope of the Problem Approximately 1 in every 10 individuals is touched by brain injury BIA Statistics 2000

13 Scope of the Problem 50% of all people with brain injury died 30 years ago; that number now has been reduced to 22% BIA Statistics 2000

14 Other Statistics Traumatic brain injury results in 1½ times more deaths each year than AIDS More Americans died as a result of TBI between 1981 and 1993 than have been killed in all the wars in our history combined More than 50% of all motor vehicle crashes resulting in TBI involve alcohol Each year 230,000 persons are hospitalized with TBI and survive BIA Statistics 2000

15 Other Statistics 2/3 of firearm-related TBIs are classified as suicidal in intent Falls are leading causes of TBI for persons ages 65 and older; transportation-related injuries lead among persons ages % of firearm-related TBIs result in death 11% of fall-related TBIs prove fatal Fewer than 1 in 20 people with TBI will receive the rehabilitation that they need BIA Statistics 2000

16 Just Imagine... Fewer than 1 in 20 people with TBI will receive the rehabilitation that they need BIA Statistics 2000

17 TBI Incidence & Prevalence 2 million/yr injured 1 million/yr seek emergency care 230,000/yr are hospitalized 50,000/yr die with TBI 80,000/yr result in long-term disability 5.3 million Americans with TBI disability Up to 6.5 million Americans with TBI CDC figures as of 4/00

18 Injury and Disability Prevalence Rates 400,000 w/ Spinal Cord Injuries 500,000 with Cerebral Palsy 2 million Americans with Epilepsy 3 million with Stroke disabilities 4 million with Alzheimer s Disease 5 million with persistent mental illness 5.3 million with TBI disability 7.3 million Americans with mental retardation National organizations web sites, 4/2000

19 West Virginia Statistics West Virginia State population in 2000: 1,808,344 Est. TBI-related ER visits per year: 8,033 Est. TBI-related hospitalizations per year: 1,518 Est. TBI-related disabilities per year: 538 Est. TBI-related fatalities per year: 395

20 Costs of Brain Injury Cost in U.S. alone is $48 billion annually Brain injury accounts for more years of lost productivity than any other injury Every dollar used for brain injury rehabilitation saves up to $35 in future medical costs BIA Statistics 2000

21 BIA Family Helpline: BIA Web Site:

22 Michael W. Davis, CBIS-CE President Senior Case Manager Certified Brain Injury Specialist Specializing in the implementation and monitoring of life care plans.

23 Thank you for your attention We must work together for the betterment of all. P. DePersis For information please contact NCMA at: