Problem: 4 year large scale construction project utilizing 3,000 – 7,000 construction workers in high security area. Potential liability and lost productivity costs resulting from injuries and illnesses at the worksite (2005 – 2008)
Solution: Full time onsite clinic staffed with Nurse Practitioner and Medical Assistant, coupled with Medical Director oversight. Services included:
- Demand management (urgent care / first aid / emergency stabilization – 600 visits / year)
- Primary Care (ailments and illnesses non work related, dispensing over the counter medications)
- Targeted injury risk reduction programs (partnership w/ OCIP Safety Team)
- Physical and occupational therapy (200 visits / year)
- Case Management
- Drug Testing (pre-employment and random testing – 2,500 tests / year)
- Referral / Specialty Network Management
Outcome: Annual hard dollar savings of $700,000 – equivalent to nearly 3x the annual operating cost of the onsite clinic. Cost savings included:
- Avoided costly and time consuming visits to urgent care clinics and ER
- Lost productivity savings from lost work time with off-site care
- Less costly specialty care through high value network – avoiding unnecessary procedures
