Risk Insider: David Dubovich

Pooled Resources a Plus for All

By: | December 1, 2014 • 2 min read
David Dubovich, a disability case manager at Allina Health, Minneapolis, has 20 years' experience in case management, vocational counseling and job placement. He coordinates and facilitates return to work for employees that are on workers comp/short term or long term disability. He can be reached at [email protected]

A return to work program is one aspect of a successful integrated disability management program. It emphasizes collaboration and multidisciplinary effort to help injured employees return to and stay at work.

The disability management program at Abbott Northwestern Hospital, a part of Allina Health in Minneapolis, was developed over time starting in 1985, when the hospital launched a case management process for worker’s compensation. As a result, Allina recognized a reduction in indemnity costs. But when the organization’s lost work days were piling up not long ago, it was clear it was time for a review of the organization’s return-to-work process.

Jeff Fliss, manager of the hospital’s “float pool” analyzed staffing needs and learned there were valuable resources that could help accomplish projects and other work that needed to be done. The solution: a central scheduling program which expedites the return to work process.

The central scheduling program was implemented to pool resources and ensure that work was getting completed. Fliss partnered with an employee occupational health case manager who is the keeper of the medical documentation and information.

Essentially, the central scheduling program acts as a clearinghouse for the large hospital, pooling resources and employees on light duty. The pooling of resources is set up with a patient flow supervisor who understands the workflow and the needs of units in the hospital on a daily basis.

Employees who have sustained workplace injuries that resulted in temporary or long-term restrictions are directed back to their home unit and placed on transitional duty. If their home department doesn’t have work available, the employee is directed to a house patient flow supervisor who finds work for them across the hospital while in transitional duty.  They also may be assigned to ongoing projects across the hospital as available.

Education was a key piece of the implementation process for the central scheduling program. Extensive training for managers and supervisors was conducted through group meetings, as well as through email and individual meetings. Managers were provided with the steps to help guide injured employees to the appropriate resources to help them stay at work.

Lost Days Plunge

The impact of having a central scheduling program resulted in dramatic drop in lost work days as well as indemnity costs for Abbott Northwestern.

The lost work days for patient care dropped significantly — from 6,560 in 2008 to 898 in 2012. The average claim cost dropped from $29,000 in 2008 to $13,000 in 2012.

These results have been shared throughout the company so that the managers and supervisors utilizing the system could see the remarkable change that occurred by implementing this process, reinforcing the culture of return to work and stay at work.

Abbott Northwestern was able to improve outcomes for injured workers and cut costs dramatically, using existing internal resources and creating a seamless process across workers’ comp and human resources.

While educating and training supervisors and managers is a critical requirement for a successful return-to-work program, sharing the results with them is equally critical for making the program a part of company culture.

Risk Management

The Profession: Curt Gross

This director of risk management sees cyber, IP and reputation risks as evolving threats, but more formal education may make emerging risk professionals better prepared.
By: | June 1, 2018 • 4 min read

R&I: What was your first job?

My first non-professional job was working at Burger King in high school. I learned some valuable life lessons there.

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

After taking some accounting classes in high school, I originally thought I wanted to be an accountant. After working on a few Widgets Inc. projects in college, I figured out that wasn’t what I really wanted to do. Risk management found me. The rest is history. Looking back, I am pleased with how things worked out.

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


I think we do a nice job on post graduate education. I think the ARM and CPCU designations give credibility to the profession. Plus, formal college risk management degrees are becoming more popular these days. I know The University of Akron just launched a new risk management bachelor’s program in the fall of 2017 within the business school.

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

I think we could do a better job with streamlining certificates of insurance or, better yet, evaluating if they are even necessary. It just seems to me that there is a significant amount of time and expense around generating certificates. There has to be a more efficient way.

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

Selfishly, I prefer a destination with a direct flight when possible. RIMS does a nice job of selecting various locations throughout the country. It is a big job to successfully pull off a conference of that size.

Curt Gross, Director of Risk Management, Parker Hannifin Corp.

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

Definitely the change in nontraditional property & casualty exposures such as intellectual property and reputational risk. Those exposures existed way back when but in different ways. As computer networks become more and more connected and news travels at a more rapid pace, it just amplifies these types of exposures. Sometimes we have to think like the perpetrator, which can be difficult to do.

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

I hate to sound cliché — it’s quite the buzz these days — but I would have to say cyber. It’s such a complex risk involving nontraditional players and motives. Definitely a challenging exposure to get your arms around. Unfortunately, I don’t think we’ll really know the true exposure until there is more claim development.

R&I: What insurance carrier do you have the highest opinion of?


Our captive insurance company. I’ve been fortunate to work for several companies with a captive, each one with a different operating objective. I view a captive as an essential tool for a successful risk management program.

R&I: Who is your mentor and why?

I can’t point to just one. I have and continue to be lucky to work for really good managers throughout my career. Each one has taken the time and interest to develop me as a professional. I certainly haven’t arrived yet and welcome feedback to continue to try to be the best I can be every day.

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

I would like to think I have and continue to bring meaningful value to my company. However, I would have to say my family is my proudest accomplishment.

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

Favorite movie is definitely “Good Will Hunting.”

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

Tough question to narrow down. If my wife ran a restaurant, it would be hers. We try to have dinner as a family as much as possible. If I had to pick one restaurant though, I would say Fire Food & Drink in Cleveland, Ohio. Chef Katz is a culinary genius.

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

The Grand Canyon. It is just so vast. A close second is Stonehenge.

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


A few, actually. Up until a few years ago, I owned a sport bike (motorcycle). Of course, I wore the proper gear, took a safety course and read a motorcycle safety book. Also, I have taken a few laps in a NASCAR [race car] around Daytona International Speedway at 180 mph. Most recently, trying to ride my daughter’s skateboard.

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

The Dalai Lama. A world full of compassion, tolerance and patience and free of discrimination, racism and violence, while perhaps idealistic, sounds like a wonderful place to me.

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

I really enjoy the company I work for and my role, because I get the opportunity to work with various functions. For example, while mostly finance, I get to interact with legal, human resources, employee health and safety, to name a few.

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

I asked my son. He said, “Risk management and insurance.” (He’s had the benefit of bring-your-kid-to-work day.)

Katie Dwyer is an associate editor at Risk & Insurance®. She can be reached at [email protected]