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Sedgwick CMS Clinical Consultation Service Improves Workplace Injury Response

Posted on: Tuesday, 30 June 2009, 14:08 CDT

MEMPHIS, Tenn., June 30 /PRNewswire/ -- Sedgwick Claims Management Services, Inc. (Sedgwick CMS) has established a new clinical consultation service for its workers' compensation claims administration clients as an optional program enhancement. The telephonic nurse triage service makes qualified medical guidance readily available to workers who suffer occupational injuries, no matter when or where the incident occurs.

The Sedgwick CMS clinical consultation program benefits employers, employees and supervisors alike:

  • Employers realize savings in total workers' compensation costs along with employee relations benefits from the early involvement of nurses in the efficient facilitation of appropriate care.

  • Injured workers experience reassurance and improved medical outcomes from having timely and caring assistance in identifying and accessing the right level of medical care for their situation.

  • Supervisors who lack medical expertise are relieved of pressure to make treatment recommendations by access to a professional advisory resource that also integrates conveniently, based on employer elections, with the workers' compensation claims reporting process.

Clinical consultation begins as soon as a worker reports an injury to a supervisor. The supervisor and employee together call the Sedgwick CMS Clinical Consultation Center and speak directly with a registered nurse. The employee then continues the call privately with the nurse, who evaluates the injured worker's medical condition, recommends immediate steps ranging from first aid to urgent care, and when indicated makes an appointment with a pre-qualified network medical provider in the worker's vicinity. With the injured individual's permission, the nurse also shares information from the consultation with the medical provider in order to expedite treatment at the time of the appointment.

The clinical consultation process minimizes the risk that care will be delayed or that serious conditions will go unrecognized. It also adds value by identifying alternatives to unnecessary emergency room trips and costly over-treatment of minor cases.

"We have already implemented clinical consultation for several of our major clients with very positive results," said Sedgwick CMS Medical Director Teresa Bartlett, M.D. "It is making a difference for both employees and employers in the critical early stages of the medical response through prompt and appropriate care and referrals. We believe it also establishes a positive tone for interactions throughout the workers' compensation process that reinforces a shared focus on healthy recovery."

The Sedgwick CMS Clinical Consultation Center operates around the clock 365 days a year from offices in San Antonio, Texas and Memphis, Tennessee.

Sedgwick Claims Management Services, Inc. is the leading North American provider of innovative claims and productivity management solutions. Sedgwick CMS and its affiliated companies deliver cost-effective claims administration, medical management, risk consulting and related services to clients through the expertise of approximately 6,400 colleagues in a hundred and fifty offices in the U.S. and Canada. The company specializes in workers' compensation; disability, FMLA and other employee absence; general, automobile and professional liability; and warranty and credit card claims services. Sedgwick CMS and its affiliates design and implement customized programs based on proven practices that meet client needs. For more see http://www.sedgwickcms.com.

Contact: Frank J. Huffman, Senior Vice President, Corporate Communications, 901-415-7548, frank.huffman@sedgwickcms.com

SOURCE Sedgwick Claims Management Services, Inc.


Source: PR Newswire

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