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Providing Injured Workers with Unparalleled Care During Unprecedented Times

The Paradigm Pandemic Clinical Management Program provides injured workers with COVID-19 — and their families — the very best chance at an optimal recovery.
By: | April 23, 2020

Our nation currently faces one of the great challenges of our lives—preventing, treating, and, ultimately, saving patients with COVID-19. As this global health crisis rapidly escalates, approximately 20% of COVID-19 cases will require hospitalization to address complex challenges, and 5% of cases will need critical or intensive care requiring mechanical ventilation.

To meet the unique health care needs of this unprecedented event, Paradigm has launched the Paradigm Pandemic Clinical Management Program: a one-of-a-kind solution to give injured workers with COVID-19—and their families—the very best chance at an optimal recovery.

This clinical management program will assist injured workers who have been diagnosed with COVID-19 as a primary diagnosis, as well as those who have a catastrophic or complex injury compounded by a COVID-19 diagnosis. Using clinical resources that span Paradigm’s Catastrophic Care Management and Complex Care Solutions divisions, care management teams can support COVID-19 patients through their diagnosis and recovery, regardless of severity.

Paradigm’s Unique Expertise

Kevin Turner, Chief Executive Officer, Paradigm Catastrophic Care Management

Paradigm has spent the past 30 years honing its unique approach to solve catastrophic and complex health care challenges. The Paradigm team developed the Pandemic Clinical Management Program by taking their vast expertise, breadth of knowledge, and clinical resources to solve traumatic injuries and applying them to the highly volatile COVID-19 situation.

“At Paradigm, we are always looking forward and around the corner at issues impacting the workers’ compensation industry,” said Kevin Turner, Chief Executive Officer of Paradigm Catastrophic Care Management. “The rapid spread of COVID-19 presents our industry with a complex set of risk decisions and challenges. We have used our clinical management resources developed over the past 30 years of managing catastrophic injuries to establish a plan to manage these challenges and support injured workers affected by the COVID-19 pandemic.”

The Paradigm Pandemic Clinical Management Program includes treatment plans with specific clinical and time-based outcomes for individuals with a COVID-19 diagnosis. Care teams of skilled physicians, nurse case managers, and centers of excellence are critical in supporting injured workers with a COVID-19 diagnosis. These teams have extensive experience in caring for the most critical catastrophic conditions, many of which involve the kind of severe respiratory, neurological, and behavioral health issues patients with COVID-19 are facing.

Systematic Care ManagementSM

Michael Choo, MD, Chief Medical Officer, Paradigm

The Paradigm Pandemic Clinical Management Program solution includes all the core elements of its Systematic Care ManagementSM approach with special elements to support COVID-19. The essential COVID-19 program is spearheaded by Paradigm Chief Medical Officer Michael Choo, MD, a highly respected clinical leader in emergency medicine and critical care. It is centered around a strong, dedicated national network of physicians, providers, centers of excellence, and medical supply partners who make up the team necessary to get injured workers the resources they need in a tumultuous health care environment.

Injured workers with a COVID-19 diagnosis will have immediate access to a team of COVID-19 trained and certified experts. Paradigm medical directors with specialty expertise and credentials in infectious disease, pulmonology, cardiology, critical care, physical medicine, and neurorehabilitation will guide care plans and consult with treating providers offering telepresence support. Neuropsychology experts will address post-ICU psychological conditions, including Post-Traumatic Stress Disorder. Dedicated nurse case managers with critical care and ICU experience, who have undergone specific COVID-19 clinical training, will oversee and support recovery plans. The program will also address the mental and emotional aspect of recovery. Paradigm will partner with behavioral health service provider AiRCare Health to provide community support specialists who will work with injured workers and their families to address any behavioral health concerns.

“Psychosocial support for COVID-19 injured workers and their families is vital to the recovery process,” said Kathy Galia, Chief Operating Officer of Paradigm Catastrophic Care Management. “Using our whole person, whole family approach, we continually assess the psychosocial well-being of injured workers and their families throughout recovery and adjust our care plan to achieve the best possible outcomes.”

Addressing Needs from Head-To-Toe

Kathy Galia, Chief Operating Officer, Paradigm Catastrophic Care Management

The Paradigm Pandemic Clinical Management Program is uniquely designed to assist workers regardless of the severity of the injury and whether COVID-19 is a primary diagnosis or a complicating factor.

“The most severe cases of COVID-19 involve a set of clinical challenges that are also prevalent in the management of catastrophic injuries,” explained Dr. Choo. “It affects the respiratory system, cardiovascular system, brain, nervous system, and the behavioral health system. Our program addresses patient needs from head-to-toe, focusing on all of these areas and aligning them for effective outcomes management.”

Every case is customized to meet a patient’s specific needs, and includes robust, HIPAA-compliant telepresence platforms and virtual capabilities to safely connect injured workers with their care teams.

Reliable Data Assets are Vital to Recovery

Paradigm relies on its proprietary clinical data assets and case management system, EDDG, to create and execute recovery plans. Using the company’s 30-year proven approach, the solution aims to reduce the duration of functional disability associated with COVID-19 complications, including Acute Respiratory Distress Syndrome (ARDS), Post-Intensive Care Syndrome (PICS), and associated Post-Traumatic Stress Disorder (PTSD). The solution also aims to reduce post-discharge medical volatility associated with the COVID-19 recovery period.

Paradigm offers flexible pricing options beyond the traditional at-risk outcome plan contracts, including case rate and other alternatives, to deliver its clinical management expertise in this unprecedented situation. Flexibility is key in the spirit of Paradigm’s mission to reach more individuals in need and broaden access to the company’s unique resources.

With COVID-19, every second counts. To learn more about the Paradigm Pandemic Clinical Management Program, call (877) 875-9479, or visit https://www.paradigmcorp.com/paradigm-pandemic-clinical-management-program-covid-19-solution/.




This article was produced by the R&I Brand Studio, a unit of the advertising department of Risk & Insurance, in collaboration with Paradigm. The editorial staff of Risk & Insurance had no role in its preparation.

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex and catastrophic injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business, including its risk-based clinical solutions, case management services, high-value specialty networks, home health, and payment integrity programs. Paradigm is headquartered in Walnut Creek, California, with offices across the U.S. For more information, please visit www.paradigmcorp.com.

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