Newspaper article THE JOURNAL RECORD

Uniformity, Self-Evaluation Pivotal to Ongoing Success for CWMPs

Newspaper article THE JOURNAL RECORD

Uniformity, Self-Evaluation Pivotal to Ongoing Success for CWMPs

Article excerpt

Solid growth in any industry can only be achieved with the willingness of the individuals and companies involved to institute a system of repeated and thorough self-examination as a means of improvement.

This is particularly significant with the certified workplace medical plan (CWMP) where the results could profoundly benefit individuals enrolled in the program, which has been the principal purpose of the CWMP since it was created.

Evolution of CWMPs

When these plans were established in November 1994 as a result of legislative reform, their goal was to provide quality managed health care for work-related injuries and establish a new communications paradigm to include all parties involved in a patient's care process: the employee/patient, employer, physician, and insurance provider. While this primary objective has not changed, the basic construct of the CWMP continues to evolve in order to provide uniform practice standards to the benefit of all CWMP enrollees and their employers.

The foremost goal of any CWMP is to provide the highest caliber of treatment from a network of quality medical service providers immediately following a workplace injury. Such prompt attention to the employee's medical needs results in expediting the employee's return to optimum health and to work. Individual cases are coordinated by a case manager who works to facilitate patient recovery and serve as the central communication provider for all parties involved in the patient care process. Employers and employee/ patients both enjoy multiple benefits from CWMPs; immediate communication with treating physician for diagnosis and suggested course of treatment; facilitated recovery through the use of national practice parameters; continual dialog with case manager as to patient expectations and/or limitations. With a case manager coordinating every aspect of patient care, patients need only focus on one thing -- getting better. Not only have such advantages proven successful in allowing patients to recover more quickly, but have decreased the total number of adversarial and often litigious claims brought against employers.


Before any of the state's CWMPs began operation, leaders and executives of the individual network providers formed a self- monitoring Quality Assurance Association to promote consistency of service delivery throughout the system. Self-funded, this quality assurance program ensures the needs of each enrollee are the foremost priority.

Association members meet monthly to discuss current prevailing issues and work diligently to ensure all member organizations are acting in a consistent manner with regard to legislative regulations. The association has become a driving force in building cohesiveness among the state's 13 CWMPs. …

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