This document introduces PRC Total Care, a proposed solution to challenges in California's workers compensation system. It aims to reduce costs through education, certification of medical providers, and incentives for stakeholders. The proposal seeks legislative and employer support to validate the model by analyzing metrics like costs, return-to-work times, and disability rates for 2,000 cases processed under the new standards, compared to existing cases. Validation would be conducted independently to establish PRC Total Care as the new standard of excellence. Medical providers and all stakeholders are invited to collaborate.
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California Workers Compensation System
1. California Workers Compensation
System
Challenges, Solutions, A program For
Excellence
A publication
of
California Industrial Relations Institute
A Center For Excellence in Industrial Relations
Presented by:
Ismail Yassai, Ph.D.
2. California Industrial Relations Institute2
Purpose
Identify major challenges
Introduce PRC TOTAL CARE as a solution
-Legislative links
-Employer acceptance
-Labor advocacy Groups acceptance
-Governors Office
-On-going formal education, University Linkage
Define proof of concept process and validation
Validation Requirements
Validation environment and parameters
Invite Collaboration from all stakeholders
The differentiating advantage, setting the standards of
excellence.
3. California Industrial Relations Institute3
Major Challenges
Un-necessary Adversarial position
between the employer and the employee.
Inappropriate medical care
Inaccurate publicity aimed at workers
4. California Industrial Relations Institute4
PRC TOTAL CARE
A Proven Solution
Educating the employers, workers and medical
service providers on the concept and its detail,
documented procedures.
Preliminary medical service provider self audits
Medical Service Provider Certification, front
office, back office and medical professionals.
Employee awareness campaign
Incentives for all stakeholders
5. California Industrial Relations Institute5
Expected Outcome. Critical
Metrics
Lower non medical costs to result in up to
30% overall cost reduction.
Shorten the back to work cycle.
Reduce permanent disability cases.
Increase overall revenue by promoting
standards of excellence.
6. California Industrial Relations Institute6
Legislative and Employer Links
Communication with the Governors Office to
harmonize with the reform agenda.
Collaboration with Senator Charles Poochigians
Office who leads the reforms legislation.
Communication and cooperation with Assembly
member Chuck DeVore.
Cooperation and feedback from former Assembly
member Pat Bates
Communication and cooperation with Labor
Advocacy Groups.
Solid Acceptance by over 20 employers with a
minimum of 200 employees.
7. California Industrial Relations Institute7
On- going Education
Detail curricula and related modules for
each discipline.
- Insurance Adjusters
-Employers Human Resources staff
-Employees
-Front Office non-medical staff
-Back Office Non Medical Staff
-Medical Professionals
8. California Industrial Relations Institute8
On- going Education
A collaborative approach
Established relationship with major University
System.
Experienced and credible instructors
On-going Research to update modules
Coordination and collaboration with employer,
employee advocacy groups.
Linkages with Small Business Advocates
Educational funding assistance for small
businesses.
9. California Industrial Relations Institute9
Defining the Proof of Concept and
Validation of Total Care
Gather data on critical metrics for 2000 existing
closed cases.
Conduct detail analysis of the critical metrics.
Conduct training, education and certification for
all related entities.
Process approximately 2000 cases following the
standards of excellence of Total Care.
Conduct an independent comparison of the
critical metrics.
Publish results
10. California Industrial Relations Institute10
Validation Requirements
Gather data on critical metrics for 2000 existing
closed cases.
Conduct detail analysis of the critical metrics.
Conduct training, education and certification for
all related entities.
Process approximately 2000 cases following the
standards of excellence of Total Care.
Conduct an independent comparison of the
critical metrics.
Publish results, Establish the Standards of
Excellence
11. California Industrial Relations Institute11
Validation environment and
parameters
Complete independent framework design by a
credible academic institution.
Independent data gathering, sampling.
Independent verification of comparison cases.
Independent side by side analysis of critical
metrics.
Independent publication of the results.
Establishment of California Industrial Relations
Institute as a non profit, tax exempt California
entity.
Establishment of research and education facility
at California State University.
12. California Industrial Relations Institute12
An invitation for collaboration to
set the Standards of Excellence
PRC Total Care and California Industrial
Relations Institute are structured to attract the
participation of all stakeholders in setting the
standards of excellence for California Workers
Compensation System. We invite medical service
providers to review and consider the
implementation of the standards of excellence
within the PRC Total Care, and produce
approximately 2000 comparison cases for the
validation process.
13. California Industrial Relations Institute13
The Differentiating Advantage
Unique differentiation by documented evidence
resulting from a credible independent
comparative analysis.
Increased Revenue
Become the provider of choice to employers.
Provide leadership in bringing a proven solution
to a $29 billion dollar challenge and a threat to
California businesses.
Stay ahead of the competition and in harmony
with legislative reforms.
14. California Industrial Relations Institute14
Contact and Follow up
California Industrial Relations Institute
Ismail Yassai, PhD.
Co-Founder and Principal
Bijan R. Kian
Co-Founder and Principal
Former Director
State of California
Office of Foreign Investment
Former senior economic development advisor
State of California
www.calindustry.org
Prc_2002@sbcglobal.net
Bijanrkian@cox.net
(714) 730-0505