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Surgical Best Practices Pilot

What are the benefits to workers, employers and other participants?

From the participants’ perspective, the SHSC helps:

Injured workers:
  • Prevents delays during the surgery authorization, pre-operative and post-operative appointments.
  • Explains complicated L&I return to work processes.
  • Facilitates safe return to work by communicating surgeons’ restrictions.
  • Upon request, can assist in finding a post-operative follow-up provider when surgical phase of treatment is concluded.
 
Employers:
  • Communicates when surgery is scheduled and what their employee’s restrictions may be following surgery.
  • Provides assistance with requests for surgeons to review job descriptions for safely returning workers to work.
  • Facilitates safe return to work by communicating surgeons’ restrictions.
 
Referring providers:
  • Communicates whether surgery is being scheduled and when and how to request assistance from surgeons.
  • May invite providers to care team conferences when treatment plans need to be adjusted and/or continue beyond the surgical care stage.
 
Surgeons:
  • Ensures necessary medical records are received pre-operatively.
  • Assists with obtaining prior authorization from L&I.
  • Provides job descriptions for regular or light duty work with the employer to assist in post-operative return to work planning conversations.
  • May help facilitate case conferences for the care team (surgeon, other providers including PT/OT) when return to work and/or rehab goals are not being met.

 


Questions?

Contact Carole Horrell at Caroline.Horrell@Lni.wa.gov or 360-902-5080.

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