As a Physiotherapist that travelled the world with Cirque Du Soleil, I got to experience how different countries manage the health of their citizens. Some good and some that left me in distress when I would drop off a million dollar circus athlete and leave them in their care.
And here is one of the major challenges organisations across Australia today, you loose control of your staff when you drop them off at the Doctor. What that Doctor now says, can determine the outcome of the situation. As an organisation you quite often don’t have any input no matter how good the suitable duties and RTW plans are. How often does a 2 min consultation lead to time off work which we know is not the right way to manage the situation.
I had a Doctor in Russia argue with me because I asked for an X-ray of a Wheel of Death artists wrist, I kept seeing an elbow!!!! We had to find new Doctors and health professionals to help us manage things that were outside of our scope of practice. Physiotherapists are experts at pain and injury, we are not good at diagnosing fractures, that’s an X-ray and a Radiologists job.
So in a traditional healthcare approach you tend to LOOSE CONTROL of your staff member and the rehabilitation that all organisations can provide onsite. When you have an expert onsite or online assisting with this situation you can avoid a ot of unnecessary Doctors appointments, maintain some control and most importantly deliver better outcomes for all of your staff that may experience pain or injury.
Safe & Healthy once worked within Medical centers offering the clinic an array of Allied health professionals such as Physiotherapists, Dieticians, Podiatrists and Exercise Physiologists. As a private practice, health professionals are working in a fee for service model. This means we only get paid when people turn up to an appointment. What does this incentivise us to do?
As a business owner and health professional it was conflicting, I wanted to deliver great care but I also wanted to run a successful business and in a fee for service model this is sometimes conflicting. I set KPIs for my team on how many times they needed to see Workcover patients regardless of their injury. See what I mean…
This is all across healthcare, we are incentivised to keep our patients coming back in a fee for service model.
In a Corporate health model, Safe & Heathy work in a fee for outcome model, meaning we only get paid if we ge the result for the individual or your organisation. We do whatever it takes to get the positive outcome, which in some cases may mean we don’t want to see the person and we will monitor their compliance to their prescribed program. Technology is allowing us to be creative and innovative in so many ways and a term active rehabilitation you will certainly hear more and more about. No longer should we expect someone to fix us, as an individual its my responsibility to all that’s necessary and take part in my recovery, this is the future of health care.
So another big difference is the model, fee for service VS fee for outcome!
One final note, something that I have written about before here. In the traditional health care model, its common practice for health professionals to not communicate about a patient across professions. Even when we worked within the medical centres, it’s rare to discuss different opinions and strategies to help an individual with their challenges.
Integrated care is the gold standard, there are items within the Medicare system to facilitate this and even in Private practice we should be discussing treatment of care across professions. In the corporate model, where we strive for the outcome, it is common practice to make the time to discuss the patient with another health professional. WHY?????
- Because it’s in our model to get an outcome
- We are getting paid for it
If you build in financial incentives to deliver outcomes to your corporate integrated model, you will see the benefit.
This is the fundamental differences organisations will see when they start to take action of their organisational health. With recent improvements in technology and lower barriers to entry for virtual care, smaller organisations are starting to take this opportunity. If you are on a site with > 5 staff contact us today to discuss the opportunities that are now available.
Safe & Healthy