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Return on Investment for an Independent Medical Examination (IME) – An Industrial Case Study

The Employee –  a middle aged, middle manager with a slowly progressive musculoskeletal (MSK) condition, made a claim to the Workers’ Compensation Board for a work-related incident.

The Employer – a middle sized company with 250 employees in a highly specialised industrial sector with a high risk of accidents.

The Independent Medical Exam (IME) – requested by the Employer to identify:

  • What is the current medical problem(s)?
  • What are the current functional limitations of the worker?
  • Is further treatment required?
  • Can treatment be expedited?
  • Has the employee recovered from the “aggravation” of his MSK condition?
  • What can the employer do to accommodate this worker now and in the future?
  • Has this worker’s medical disability been caused totally by his work at my company, or did he have this problem before he came to work for me?

The Medical Evaluator – an experienced occupational health physician who is familiar with the employee’s work conditions and job demands; understands the WCB system, its rules and regulations; has the consent of the worker to access all previous medical files and will send a full medical report to the employer and the employee’s treating physician.

Results of the IME:

  • The worker has permanent medical limitations in terms of lifting, walking, climbing, and duration of work.
  • The major medical problem is a chronically progressive inflammatory musculoskeletal (MSK) condition.
  • The condition is being optimally managed from a medical perspective.
  • The condition pre-dates the work-related claim by 10 years and has caused multiple medical consultations and time loss from work for the MSK condition. Some work absences were hidden as vacation days instead of sick leave but analysis of the medical file shows the true nature of the absences.
  • A critical look at work-related incident shows that the trauma was insufficient on medical grounds to cause a prolonged aggravation of the pre-existing condition.
  • The Medical Examiner concluded that the maximum impairment that should be attributed to the incident (and the current employer) was 50%. It was recommended that the Employer appeal this to the WCB.

The Financial Consequences:

  • Cost of the Independent Medical Exam: $1,500.00
  • Estimated cost of full income replacement for three years @$52,000= $156,000.00
  • Revised Claim based on IME (50% income replacement): $78,000.00

SAVINGS = $78,000, RETURN ON INVESTMENT (ROI) = 78,000/1500 = 52 times

  • Additional benefit – employee is motivated to stay at work, as he will only receive 50% of income replacement.


Travel Health & Immunizations

PRAXES’ travel medicine clinic provides travel health advice and immunizations for individuals, families, or groups.

Plan ahead!

  • Some vaccines require multiple doses over time – plan ahead so you are able to complete vaccination process prior to travelling
  • Proof of immunization is required in certain countries for entry

The Travel Medicine Consultation – major destination or remote location

Our travel clinic health nurse or travel doctor will review your destination and trip plans and provide advice regarding safe health practices and immunization needs specific to your needs.

Vaccines and travel medications available include:

  • Hepatitis A, Hepatitis B or Hepatitis A&B combination
  • Tetanus, Tetanus Diphtheria & Polio combination, or Tetanus Diphtheria & Pertussis combinations.
  • Polio, Measles, Mumps & Rubella (MMR), Seasonal Influenza, Meningitis, Yellow Fever and Typhoid Fever.

Remote Medical Staffing

PRAXES has been supplying remote medical staff for assignments in Canada and aboard for over 15 years. The PRAXES approach:

  • We have a rigorous processes for hiring, screening and training our remote health staff.
  • We serve highly specialized needs.  Example – prisons
  • We know the medical and legal requirements of different operating jurisdictions and are familiar with the liaison requirements of industrial boards etc
  • We supply PRAXES proprietary methods and technologies (EMwerx) to support our staff and provide a higher level of response and efficacy as a result
  • We supply the full range of services required
    • Health professionals in all categories
    • Standby medevac services to support staff
    • Software

24/7 Global Telemedicine

Sometimes you can’t call 911 – call PRAXES

“Partnering with PRAXES ensures our medics in remote locations across Canada – both onshore and offshore – have immediate 24/7 access to world-class medical advice in emergency situations”.

– President, Frontier Medex

A unique healthcare model

Our remote healthcare delivery model is designed to do three things:

  1. Improve employee health
  2. Reduce risks – both financial and operational
  3. Save money by dealing with medical incidents immediately

PRAXES Telemedicine is the only service that:

  • Has one global call number
  • Guarantees caller has emergency physician on line in under 5 minutes, anywhere.
  • Bilingual services (French/English) as well as translation for other languages
  • Records every call
  • Establishes a medical record for every call
  • Assesses skills of the caller/medic on every call
  • Auto-faxes information to referral clinic or hospital as appropriate
  • Sends incident alert to the client if desired

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Medical Exams & Testing

Employee medical exams and testing

Many industry sectors require specific medical exams for specific job types or activities. PRAXES supports most industries with a comprehensive list of exams, including:

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PRAXES Emergency Specialists Inc.

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