Nurse Case Manager Chronicles

Thrown from a Horse: How Technology Gave One Worker His Life Back

As workers’ compensation technology continues to grow, nurse case managers find the right devices to foster independence and cut costs.
By: | August 15, 2018 • 4 min read

Thrown from a horse. Injured with a broken back. Left as a paraplegic.


He was a young man in his mid-twenties, working on a ranch as a foreman. He used four-wheelers daily, rode horses and drove a pick-up truck. At home, he had a wife and two young kids. He hunted game to provide food for his family.

This foreman needed to work.

“He was determined to get back to work despite the obstacles set before him,” said Kevin Glennon, vice president of clinical programs for One Call. Glennon, who has been with One Call for 22 years, was a nurse case manager at the time. He was assigned to the foreman’s case and knew exactly what he had to do.

“I had to tap into the available technology to get him back to work as a functioning member of society.”

Finding the Right Devices

“Every year there are more and more advancements with technology,” said Glennon.

For this worker, Glennon needed to find devices that could support him both on the ranch and in his home. Glennon approached the carrier and adjuster with his plans to include innovative technologies in the recovery plan. Lucky for him, they were in full support.

Kevin Glennon, vice president of clinical programs, One Call

As an avid hunter, the foreman needed a way to get into a deer stand. Glennon researched “hydraulic deer stand” and found a lot of different products. To get the foreman back on his horse, Glennon researched “specialty saddles for horses for paraplegics.”

“Thank goodness for the internet,” quipped Glennon. Before, he had to search catalogs for this kind of workers’ comp tech.

Now, the internet acts as a jumping point, providing an answer to the most important question: Is there a technology out there for this?

Cost-Effective Solutions

Sometimes the more “high-tech” devices are actually the most cost-effective in a workers’ comp case. A standing wheelchair, for example, can replace the need for multiple devices.

“I like to explain to the carrier that instead of buying multiple pieces of equipment, like a wheelchair and standing table, sometimes we can buy one that does it all,” said Glennon. “That’s cost-effective for everyone, including the injured worker who won’t need to make room for two devices.”

“Innovative approaches foster independence in patients and increase their self-esteem and self-worth. Technology today can make all the difference in a case. It provides case managers with so many more options than they had just a few decades ago.” — Kevin Glennon, vice president of clinical programs, One Call

The foreman qualified for a standing wheelchair and a ramp was placed inside the barn where he worked, which was used to raise him up to a horse’s height. A trapeze, which the foreman used to hoist himself onto his horse, was also installed.

Additionally, Glennon, as the case manager, found a saddle that comfortably supported the foreman atop his horse without straining the animal.

“Someone else has to strap him in [to the saddle], but once he’s on, he’s good to go,” said Glennon.

And as for this worker’s personal life, Glennon acquired a hydraulic deer stand. This stand enabled the worker to wheel himself into the cabin and use a button to raise the stand to a hunting height.

“Innovative approaches foster independence in patients and increase their self-esteem and self-worth,” said Glennon. “Technology today can make all the difference in a case. It provides case managers with so many more options than they had just a few decades ago.”

Increasing independence decreases the need for attendant care, which is typically $30 to $35 an hour, Glennon explained. This, in turn, keeps the injured worker less dependent on the health care system.

“That’s the biggest thing technology is doing — fostering independence.”

The Endless Possibilities of Technology

New devices can impact many types of claims. One type of technology making waves in the workers’ comp industry is wearables.

“When we talk about wearable technology, most people think about watches or the new iPhone. People don’t often think about manual wheelchairs in terms of a wearable, but they can bring a person into an upright position,” said Glennon.


While standing wheelchairs enable a paraplegic to move around, reach items on high shelves or get back to work, something as simple as a GPS monitor inserted into a shoe can foster that same independence for someone with a minor brain injury.

“It’s just like a Dr. Scholl’s insert, and it will track people with mild head injuries who might get lost,” said Glennon.

Wearables also promote safety by preventing injury from happening in the first place. There are helmets with sensors that alert users to physical hazards in their work environment. Exoskeletons are built to prevent workers from overextending at work. Chips have been embedded in workers’ clothing to detect safe noise levels and temperature.

“As technology continues to advance, it’s important to always look for ways to keep workers safe, independent and returning to work.”

And as for the case of the foreman: “He maintained his foreman status. That claim had no attorney involvement, and he went on to have three more kids.” &

Autumn Heisler is the digital producer and a staff writer at Risk & Insurance®. She can be reached at [email protected]

More from Risk & Insurance

More from Risk & Insurance

2018 Risk All Stars

Stop Mitigating Risk. Start Conquering It Like These 2018 Risk All Stars

The concept of risk mastery and ownership, as displayed by the 2018 Risk All Stars, includes not simply seeking to control outcomes but taking full responsibility for them.
By: | September 14, 2018 • 3 min read

People talk a lot about how risk managers can get a seat at the table. The discussion implies that the risk manager is an outsider, striving to get the ear or the attention of an insider, the CEO or CFO.


But there are risk managers who go about things in a different way. And the 2018 Risk All Stars are prime examples of that.

These risk managers put in gear their passion, creativity and perseverance to become masters of a situation, pushing aside any notion that they are anything other than key players.

Goodyear’s Craig Melnick had only been with the global tire maker a few months when Hurricane Harvey dumped a record amount of rainfall on Houston.

Brilliant communication between Melnick and his new teammates gave him timely and valuable updates on the condition of manufacturing locations. Melnick remained in Akron, mastering the situation by moving inventory out of the storm’s path and making sure remediation crews were lined up ahead of time to give Goodyear its best leg up once the storm passed and the flood waters receded.

Goodyear’s resiliency in the face of the storm gave it credibility when it went to the insurance markets later that year for renewals. And here is where we hear a key phrase, produced by Kevin Garvey, one of Goodyear’s brokers at Aon.

“The markets always appreciate a risk manager who demonstrates ownership,” Garvey said, in what may be something of an understatement.

These risk managers put in gear their passion, creativity and perseverance to become masters of a situation, pushing aside any notion that they are anything other than key players.

Dianne Howard, a 2018 Risk All Star and the director of benefits and risk management for the Palm Beach County School District, achieved ownership of $50 million in property storm exposures for the district.

With FEMA saying it wouldn’t pay again for district storm losses it had already paid for, Howard went to the London markets and was successful in getting coverage. She also hammered out a deal in London that would partially reimburse the district if it suffered a mass shooting and needed to demolish a building, like what happened at Sandy Hook in Connecticut.

2018 Risk All Star Jim Cunningham was well-versed enough to know what traditional risk management theories would say when hospitality workers were suffering too many kitchen cuts. “Put a cut-prevention plan in place,” is the traditional wisdom.

But Cunningham, the vice president of risk management for the gaming company Pinnacle Entertainment, wasn’t satisfied with what looked to him like a Band-Aid approach.


Instead, he used predictive analytics, depending on his own team to assemble company-specific data, to determine which safety measures should be used company wide. The result? Claims frequency at the company dropped 60 percent in the first year of his program.

Alumine Bellone, a 2018 Risk All Star and the vice president of risk management for Ardent Health Services, faced an overwhelming task: Create a uniform risk management program when her hospital group grew from 14 hospitals in three states to 31 hospitals in seven.

Bellone owned the situation by visiting each facility right before the acquisition and again right after, to make sure each caregiving population was ready to integrate into a standardized risk management system.

After consolidating insurance policies, Bellone achieved $893,000 in synergies.

In each of these cases, and in more on the following pages, we see examples of risk managers who weren’t just knocking on the door; they were owning the room. &


Risk All Stars stand out from their peers by overcoming challenges through exceptional problem solving, creativity, clarity of vision and passion.

See the complete list of 2018 Risk All Stars.

Dan Reynolds is editor-in-chief of Risk & Insurance. He can be reached at [email protected]