D & D Total Health Solutions provides trained, experienced Case Management of catastrophic workers’ compensation injuries.  Although catastrophic injuries consist of only 1 percent of claims, they account for 20 percent to 30 percent of total medical spending in workers’ compensation. Ensuring the highest level of expertise and medical care results in successful medical outcomes, and translates into cost savings for our clients.

Early Case Management Intervention. The most crucial time frame following a catastrophic injury is during the acute care phase. The Catastrophic Case Manager should receive notice of catastrophic injuries as early as possible, preferably when the injured worker is still in the hospital and before they are discharged to the rehab facility. On the day the referral is received, the Case Manager will access the overall status and immediate needs of the claimant and begin coordinating recommended treatments.   Without early, proper management of a Catastrophic injury, recovery can be prolonged and become more costly than necessary.The overall goal of Catastrophic Case Management is to maximize the injured worker’s potential toward functional independence and maximum medical outcome while maintaining cost containment.

A Catastrophic injury is one that will impose permanent life changing impairments, require prolonged hospitalization and/or numerous surgeries or treatments. Catastrophic cases are identified based on diagnosis, complexity and expected increase in cost. Catastrophic injuries may include, but are not limited to

  • Amputation of any extremity
  • Traumatic brain injury
  • Burn injury requiring hospitalization
  • Electrocution requiring hospitalization
  • Heart attack, stroke, or coma
  • Injury requiring hospital stay
  • Paraplegics/Quadriplegics
  • Patient transportation by ambulance or life-flight
  • Reflex sympathetic dystrophy syndrome (RSD)
  • Serious spinal cord injuries
  • Toxic exposure
  • Crushing injury/multiple fractures
  • Major burns
  • Multiple injuries resulting in trauma
  • Thermal or chemical burns
  • Severe eye injuries resulting in loss of vision