1. Sue Keener Director of Virginia Office of Workers’ Compensation GOVERNOR'S HEALTH POLICY ADVISORS ANNUAL CONFERENCE

2. Comprehensive Cost Containment Program Public private partnership $43 million 5 year savings 37% reduction in lost time claims

3. Helping People, Saving Money Controlling medical costs Improving service delivery Reducing lost-time injuries Increasing communication Strengthening loss control

4. A Different Kind of Partnership Single-point contractor 10 subcontractors Shared office space Nurses and medical director Integration of medical management with claims process Discount prescription drug program Vocational placement specialists Improved technology Occupational PPO Network Web site www.covwc.com Increased loss control staff

5. Results That Make A Difference Integrated teams Reduced caseloads Better service Technical support Web access to claims data by agencies Emphasis on safety Improved accident investigation 24-hour reporting of claims Enhanced program management

6. Workplace Safety 12-credit college certification program OSHA training Accident prevention seminars Annual “Safety Day” Hazard inspections Ergonomic assessments Agency benchmark reviews Training integrated into Human Resource Institute

7. Governor’s Executive Order Experienced-based premiums to agencies Mandatory 10-day reporting of injuries Evaluate everyone for return to work Analyze agency trends and develop loss control goals annually A New Strategy

8. Changing Attitudes ThenNow Claims adjusters Benefit coordinators Claimant Injured employee Unproductive Valuable Unmanaged process Managed process Stay at home Work as therapy Expensive Cost effective

9. Getting Hurt Doesn’t Mean Losing Your Job Hundreds of state employees have returned to work under the “Work As Therapy” model Agencies required to develop return- to-work policies Every injured employee evaluated for return to work Experienced workers retained

10. Taking Care of the Employee Employees were expendable. Workers’ Compensation costs were out of control. 100% fitness required. “Work as therapy” model reduces lost- time claims. Public-private partnership has saved $32-plus million. Nobody is 100%. ThenNow

11. Disability Management IS: IS NOT: A proactive process, where early intervention is the key Claims management or a process coordinated through workers’ compensation Traditional vocational rehabilitation process It enables both the employee and management to have mutual responsibility

12. Disability Management IS: IS NOT: Promotes prevention of learned disability Controls the personal and economic costs of workplace injury and disability A passive response to injury, illness, or disability An expensive approach to controlling injury and disability costs

13. Returning To Work Requires Constant Communication Injured Worker Agency Safety Supervisor WC Benefit Coordinator WC Loss Control Treating Physician WC Nurse Consultant Agency HR

14. Continuing To Care Injured Worker Conference Featuring seminars on: Skills for returning to work Assistive technology Benefits Traveling with a disability Managing chronic pain Peer success stories

15. Leading With The Heart Cultural shift imperative for program’s success Leading with the heart rather than the checkbook No one is 100 percent Injured workers remain valuable members of the Commonwealth’s work force

16. Cashflow Saving

17. Reducing Lost Time Claims by 37% in lost time claims Claims where disability exceeds 7 days

18. Planting the Seeds of Change Close public-private partnership crucial Vendor and state committed to innovation Experience-based premiums Cultural shift Caring about the recovery of our employees Early return-to-work