Amputation claims trends & solutions

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Presentation transcript:

Amputation claims trends & solutions Mark Burton & Stephen Foster 1 February 2018

Introduction

Contents Introduction Lower limb tech Upper limb tech Osseointegration Legal review Claims inflation Tactical rehabilitation management Conclusions

Lower limb TECH

Lower Limb Prosthetics Rapid developments in the industry The past - mechanical limbs….. The present – hydraulic microprocessor limbs

Current Products on the Market Lower limb above knee amputation Genium X3 Genium (non-waterproof) Life cycle – 6 years

Current Products on the Market Lower limb above knee amputation C-Leg 4 Life cycle 6 years

Current Products on the Market Lower limb below knee amputation Empower foot Life cycle 6 years

Current Products on the Market Lower limb below knee amputation Meridium ankle / foot prosthesis Life cycle 6 years

Current Products on the Market Lower limb below knee amputation Triton ankle / foot prosthesis Life cycle 6 years

Current Products on the Market Through Hip amputation Helix hip prosthesis Life cycle 6 years

Upper limb tECH

Basic prosthetics Passive arm cosmesis What is it? Pros & cons Body-powered prosthesis

Advanced prosthetics Myoelectric prosthesis What is it? Pros & cons TMR (Targeted Muscle Reinnervation)

osseointegration

Osseointegration What is it? Process Suitability Rehab

Osseointegration Benefits Drawbacks Costs The future

Legal review

Issues Compensation principle vs reasonable need

Approach Miller v Imperial College Healthcare NHS Trust (2014)

Strategies Liability & con neg Settlement timing Experts Prosthetics Inter-dependent losses Synchronise Future chances PPOs

Claims inflation

Case study Super-inflation contingency Adverse impact on exams & career London property model

Tactical rehabilitation management

Problems Fait accompli Case manager Rehab Code

Solutions Alternative rehab models Trade your funding Agree ground rules Second opinions

conclusions

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