2016 Teddy Awards: Honorable Mention

Advocating for Injured Workers

By helping employees navigate through the workers' comp system, Cottage Health decreased lost work days by 80 percent.
By: | November 2, 2016 • 3 min read

Cottage Health was having trouble returning injured workers to the job. In 2014, the nonprofit hospital system recorded an all-time high of 1,953 recordable lost days.

In 2016, the three-hospital system in the Central Coast Region in California is on track to reduce that number to 400 – an 80 percent decrease in lost work days.

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The health system managed the impressive turnaround by modifying its transitional return to work program, hiring a workers’ compensation case manager and working to educate both managers, employees and medical providers about the opportunities and benefits of returning workers to the job as quickly as possible.

“Keeping somebody engaged at work returns them to their full capacity sooner,” said Angeli Mancuso, manager, employee health and safety at Cottage Health. “There’s a psychological component. When you get used to not working, even two weeks off, sometimes it makes it very difficult to come back.”

Rose Hatmaker, workers’ compensation case manager at Cottage Health, says the health care organization “works as an advocate for the injured workers.”

“It’s a team effort to return injured workers to a productive lifestyle in their position,” she said.

Angeli Mancuso, manager, employee health and safety, Cottage Health

Angeli Mancuso, manager, employee health and safety, Cottage Health

Hatmaker helps employees navigate the workers’ compensation system by directly communicating with occupational health physician partners, expediting physical therapy appointments, discussing treatment plans with physicians and assisting employees with any questions they have related to claims process, handled by third-party administrator Sedgwick.

Hatmaker also put together a job bank that helps her match jobs and abilities within the health system with injured employees.

But the worker advocacy program required pushing our culture forward, said Mancuso.

While she worked with the management team to educate them on the benefits of bringing injured employees back on modified duty, Hatmaker was brought on board in 2015 to work with the employees, physicians and service providers.

Cottage Health uses a tiered return-to-work program that first tries to place injured employees in their home department. If physical limitations make that impossible, employees are assigned to a different department in their own hospital or another in the system. As a last resort, employees are assigned to a nonprofit organization as a volunteer. The last option was added to the program as part of the goal to reduce lost days.

“You can utilize their brain if they are physically unable to do the job.” Angeli Mancuso, manager, employee health and safety, Cottage Health

Use of the modified duty options have had peaks and valleys over the years, said Molly Kellogg, employee health and safety consultant, “but we’ve never had as much buy-in or variety as we do now.”

Mancuso remembered one manager who declined to bring back an injured physical therapist because of limitations. After another therapy department in the hospital agreed to bring the therapist on to speak to patients on the phone, the first manager changed his mind. They ended up sharing the employee’s time, she said.

“You can utilize their brain if they are physically unable to do the job,” Mancuso said.

Cottage Health also, of course, strives to prevent injuries from occurring, and has a robust training program and safety tools to maintain employee health.

A safe-patient handling system is a key part of that, and any new construction or remodeling almost always includes ceiling lifts in all rooms as well as mobile equipment at existing facilities. When the program began in 2009 at a cost of $6 million, there were 41 preventable patient handling injuries. In 2015, there was one.

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The health care system also concentrated on its sharp safety program to prevent blood exposure among health care workers. Research at the hospitals revealed that surgical technicians had the highest incidence of needle sticks and other sharps injuries. It had been presumed that resident physicians had the highest rate.

By increasing education, the needle stick rate for surgical technicians decreased from 25 percent in 2014 to 14 percent in 2015.

Cottage Health begins its safety training at new employee initiation sessions and pursues safety awareness at departmental staff meetings. In addition it has a multi-disciplinary committee that includes representatives from many areas throughout the system to focus on “environments of care.” &

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Read more about the 2016 Teddy Award winners:

target-150x150Bringing Focus to Broad Challenges: Target brings home a 2016 Teddy Award for serving as an advocate for its workers, pre- and post-injury, across each of its many operations.

 

hrt-150x150The Road to Success: Accountability and collaboration turned Hampton Roads Transit’s legacy workers’ compensation program into a triumph.

 

excela-150x150Improve the Well-Being of Every Life: Excela Health changed the way it treated injuries and took a proactive approach to safety, drastically reducing workers’ comp claims and costs.

 

harder-150x150The Family That’s Safe Together: An unwavering commitment to zero lost time is just one way that Harder Mechanical Contractors protects the lives and livelihoods of its workers.

 

More coverage of the 2016 Teddy Awards:

Recognizing Excellence: The judges of the 2016 Teddy Awards reflect on what they learned, and on the value of awards programs in the workers’ comp space.

Fit for Duty: 2013 Teddy Winner Miami-Dade County Public Schools is managing comorbid risk factors by getting employees excited about healthy living.

Saving Time and Money: Applying Lean Six Sigma to its workers’ comp processes earned Atlantic Health a Teddy Award Honorable Mention.

Caring for the Caregivers: Adventist Health Central Valley Network is achieving stellar results by targeting its toughest challenges.

Advocating for Injured Workers: By helping employees navigate through the workers’ comp system, Cottage Health decreased lost work days by 80 percent.

A Matter of Trust: St. Luke’s workers’ comp program is built upon relationships and a commitment to care for those who care for patients.

Keeping the Results Flowing: R&I recognizes the Metropolitan Water Reclamation District of Greater Chicago for a commonsense approach that’s netting continuous improvement.

Anne Freedman is managing editor of Risk & Insurance. She can be reached at [email protected]

Risk Management

The Profession

Verizon’s risk manager David Cammarata loves when his team can make a real impact on the bottom line.
By: | May 2, 2017 • 4 min read

R&I: What was your first job?

I was a financial analyst with the N.J. Casino Control Commission.

R&I: How did you come to work in risk management?

I was told at a Christmas luncheon in 2003 that I was being promoted into a new job.

R&I: What is the risk management community doing right?

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I think the risk management community is getting a lot better at utilizing big data and analytics to manage risk. Significant improvements have been made, but there is still much more room for improvement.

R&I: What could the risk management community be doing a better job of?

I think that the insurance and brokerage communities need to really start thinking about what this industry is going to look like in 10 years. They need to start addressing how they are going to remain relevant. I think that major disruptions to existing business models will occur and that these disruptions combined with innovation and technological advances may catch many of today’s industry leaders by surprise.

David Cammarata, assistant treasurer, risk management and insurance, Verizon Communications Inc.

R&I: What was the best location and year for the RIMS conference and why?

San Diego, any year.

R&I: What’s been the biggest change in the risk management and insurance industry since you’ve been in it?

I think the advent of cyber risk and cyber insurance. For several years it has been, and it continues to be, the main topic of discussion at industry meetings.

R&I: What emerging commercial risk most concerns you?

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I think the most scary scenarios include a nuclear, biological, chemical or radiological event, a widespread global health epidemic and/or a widespread state sponsored cyber shutdown.

R&I: How much business do you do direct versus going through a broker?

We do almost all of our business through a broker.

R&I: Is the contingent commission controversy overblown?

No. It’s a conflict.

R&I: Are you optimistic about the U.S. economy or pessimistic and why?

Optimistic because hopefully President Trump’s policies (lower taxes and less regulation) will be pro-business and good for the economy.

R&I: Who is your mentor and why?

My dad, who passed away many years ago. He was very influential during the formative years of my career. He taught me how important integrity and reputation were to your brand and he had a very strong work ethic.

R&I: What have you accomplished that you are proudest of?

I would have to say raising two awesome kids. My daughter is graduating from James Madison University this year as co-valedictorian. My son is finishing his sophomore year at Rutgers and has near perfect grades. But more importantly, both of my kids have turned out to be really good people.

R&I: How many emails do you get in a day?

A lot.

“I love it when the risk management organization is able to contribute in a way that makes a real impact to the corporation’s overall objectives. On several occasions we have been able to make real contributions to the bottom line.”

R&I: What is your favorite book or movie?

“My Cousin Vinny.” That movie makes me laugh no matter how many times I watch it.

R&I: What’s the best restaurant you’ve ever eaten at?

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My dad used to take me to a place called Chick & Nello’s. It was an Italian place that did not have a menu. They came to your table and told you the two or three items they were making that day. The food was out of this world.

R&I: What is your favorite drink?

Iced tea. The non-alcoholic kind.

R&I: What is the most unusual/interesting place you have ever visited?

I can think of several places but for me it would be a tie between India and Italy. India just has such a different culture and way of life and Rome has breathtaking historical sites.

R&I: What is the riskiest activity you ever engaged in?

Well, one of the best thrill rides I’ve been on was Kingda Ka at Great Adventure. It feels risky but probably isn’t all that risky. I flew in a prop plane with my brother-in-law one time … that felt kind of risky. I have also parasailed, does that count? I think it definitely has to be driving on the N.J. Turnpike day in and day out.

R&I: If the world has a modern hero, who is it and why?

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What about the Fukushima 50? I don’t think I could have done what they did.

R&I: What about this work do you find the most fulfilling or rewarding?

I love it when the risk management organization is able to contribute in a way that makes a real impact to the corporation’s overall objectives. On several occasions we have been able to make real contributions to the bottom line.

R&I: What do your friends and family think you do?

I don’t think they really know. My children see me as dad; others just see me as an executive with Verizon.




Katie Siegel is a staff writer at Risk & Insurance®. She can be reached at [email protected]