Post Injury Physical/Occupational Therapy
During the early stages of treating a workplace injury, the approach is not dissimilar from that used in relation non-workplace injuries. Our highly trained physical and occupational therapists offer a supportive, friendly and comfortable environment for all their patients. Many companies are more concerned with their therapists productivity than their efficacy. E3, naturally, wants their therapists to be productive, but when it comes to work-related injuries, their willingness to take a little extra time with a patient is often the reason the patient can start Job-Centric Work Conditioning/Hardening sooner than they might otherwise.
Job-Centric Work Conditioning/Hardening
- Each patient entering E3's work conditioning/hardening system is given a unique program specifically designed to move them safely and effectively towards their pre-injury baseline
- E3 utilizes a combination of free weights, specialized machines, neuro-adaptive exercise, and most importantly work simulation activities (when possible, with actual jobsite materials) to achieve the optimum outcome
- Each client is treated/managed throughout the course of their treatment by actual certified therapists, not therapy assistants or students and E3 management reviews every progress report on every patient
- Our highly trained staff manipulates the volume, intensity, and duration of activity on a continuous basis to maximize results
- The client's physical abilities are formally tested on a bi-weekly basis and compared to their job's critical physical demands when possible
- Everyone at E3 ensures the patient is mentally invested in getting well and putting forth an effort, just like they would be required to do at their workplace.
Every job has critical physical demands that must be met in order for the client to return to unrestricted duty. Before beginning therapy, E3 can identify these demands through a combination of pre-existing job descriptions, employee/supervisor interviews/questionnaires or "micro" job analysis using digital video. E3 can also create a full-fledged Functional Job Analysis/Description to identify the essential functions. This approach ensures that return-to-work decisions are made based on the client's ability to perform essential functions rather than arbitrary ratings of strength, range of motion, or pain levels thus reducing both direct and indirect costs associated with a workplace injury.
E3 Treatment Cap
E3 does not believe in "warehousing" clients who are ready to return to work and we believe strongly in the effectiveness of our work conditioning/hardening programs. As such, E3 work conditioning/hardening services will be offered at a 50% discount after 20 sessions as long as the following criteria are met:
- The client is compliant with treatment (see In-treatment Validity of Effort Testing)
- The client continues to make measurable and meaningful changes in functional status.
- The client remains unable to return to regular or modified duty.
In-Treatment Validity of Effort Testing
If changing the specific therapy approach doesn't beget improvement, E3 addresses behavioral issues that may be affecting outcomes of treatment. When present, these issues often go unaddressed until after the injured worker has reached maximum medical improvement. Some therapists note a patient's effort in progress notes, but do so subjectively which means very little is ever done to change the treatment or the patient's mindset toward treatment. Naturally, this lengthens recovery periods, sometimes to the point where MMI is "reached" solely out of frustration.
E3 does not believe use of validity of effort testing should be reserved for FCEs alone. That is why, in cases where progress plateaus, E3 incorporates objective validity of effort testing into our bi-weekly functional progress notes. This not only verifies the accuracy of the client's physical capabilities each step of the way, but allows for behavioral issues to be addressed in a supportive environment thereby maximizing rehabilitation potential.
On-Site Industrial Rehabilitation Program
E3's on-site services are the same as our Post-Injury PT/OT and Job-Centric Work Conditioning/Hardening systems, save for the fact they're done at the worksite.
If the therapist is on-site regularly (be it every day, a couple times a week or even just once a month) they can also be used to apply solutions arrived at via E3's On-Site Injury Prevention program.
Single Point of Contact
Good communication can make all the difference between effective case resolution and costly delays in returning to work. Treating therapists are often difficult to reach, for that reason, E3 has a designated single point of contact for all our referral sources.
This individual is available to answer any or all questions related to the care of the injured employee. They act as a liaison between treating therapists and the case manager, doctor, adjuster, etc. and, perhaps most importantly, they problem-solve difficult cases by providing perspective a treating therapist often lacks due to proximity with the patient.