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 * Sections
   * Critical Risks
   * Risk Management
   * The Insurance Industry
   * Claims & The Law
   * Workers’ Comp Forum
   * Risk Insiders
   * Sector Focus
   * .
   * Risk Central
   * Power Broker
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   * Risk Scenarios
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   * Digital Issue
   * Issue Archive
   * Subscribe
 * Conferences
   * Ergo
   * National Comp
 * Advertise
 * Subscribe
 * More
   * Award Applications
   * Newsletters
   * &BrandStudio
   * Privacy Policy
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WHEN IT COMES TO COVID RESPONSE, STEAL A PAGE FROM OKLAHOMA CITY RISK MANAGER
NICK KELLY’S BOOK

Quick, focused action by this public sector risk manager no doubt saved lives
for the City of Oklahoma City.
By: Jared Shelly | September 2, 2021
Topics: Profiles | Public Sector | Risk All Stars | Risk Management | September
2021 Issue | Workers' Comp | Workers' Comp Forum



As COVID-19 took hold, Nick Kelly took action.

The risk manager for the City of Oklahoma City (COKC) aimed to make sure its
5,000 employees stayed safe and healthy. His goal was simple: Avoid mass
outbreaks and keep services running smoothly.

In the early days of the pandemic, he focused on giving workers up-to-date
COVID-19 information and access to testing. Later, he helped develop a vaccine
program in coordination with the police and fire departments.

The City first created a Medical Monitoring Unit in coordination with Oklahoma
City Emergency Management (OEM), a COKC fire paramedic and a police sergeant.

Kelly quickly realized they needed external support to field the influx of phone
calls, schedule testing, and handle incident intake. So he contracted CorVel
Corporation, which used registered nurses for testing, followed CDC guidance on
exposure and reported results for contact tracing.

Kelly also assembled a weekly COVID Working Group Task Force to ensure nothing
was being missed or overlooked.

He and his team implemented temperature monitoring, installed plexiglass
barriers at workspaces, filtered air with bipolar ionization units, and secured
plenty of personal protective equipment. They even extended access to testing
and vaccinations to household family members of city employees and contract
workers.

Kelly estimates the city had as many as 140 workers positive at the same time.
From December 2020 to June 2021, the City had a total of 3,238 COVID-19
incidents. The city cited 1,808 incidents during which a rapid test was
performed.

When vaccines became available, COKC OEM set up 33 vaccination pods, including
9,233 vaccinations administered to employees, contractors or household family
members.

Nearly 60% of the City workforce has now been vaccinated.

“The City did a great job reacting to this crisis. There is no rest for public
safety, fixing streets or keeping the water running — and we still got
everything done,” said Kelly.

“The city responded as well as any organization and took every step to keep
employees safe.”

In the immediate future, Kelly and his team are working on a plan to get more
city workers vaccinated by visiting worksites and starting an information
campaign on the effectiveness of the vaccine.



Joyce Lumpkin, senior vice president at CorVel, said Kelly’s ability to listen
and entertain fresh ideas sets him apart as a strong leader: “No ideas were off
the table, no amount of expense was spared to keep the City employees safe. Nick
realized that the City had the ability to extend testing and vaccinations to
spouses, children and all household members which in turn protected their
workforce and our community population.”

When asked about his success, Kelly put the praise not on himself but on his
team.

“I couldn’t have done this without some really good people behind me. CorVel was
a great partner in this. My staff has done a great job. I had a lot of help from
a lot of people. Everyone pulled together to make people as safe as possible. It
was a great team effort.” &

--------------------------------------------------------------------------------

Every year, Risk & Insurance selects deserving candidates to become Risk All
Stars. These are risk managers who, through their perseverance, passion and
creativity, make a big difference to the stability of their organizations.

See all the 2021 Risk All Star Winners here.

Jared Shelly is a journalist based in Philadelphia. He can be reached at
riskletters@theinstitutes.org.





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SPONSORED CONTENT BY CONCENTRA



BRINGING CARE TO THE EMPLOYER’S DOORSTEP: HOW THE PANDEMIC CHANGED THE GAME FOR
MOBILE AND ON-SITE HEALTH CARE

Concentra is filling an increasingly important need in the market by providing
expanded mobile and on-site health care support to employers large and small.
By: Concentra | May 2, 2022

It’s a matter of record that the COVID-19 pandemic changed not only the way we
work but also the way in which employers support their talent base. Maintaining
the physical and mental health of our workers is more of a priority than ever
before due to evolving market and cultural changes.

Mike Rhine, chief operating officer for Concentra® Onsites, said this renewed
focus on employee health is creating a robust market for episodic health care
support and mobile services to effectively meet the needs of employers and their
employees.

The COVID-19 pandemic drove many companies to arrange on-site testing services
and gave employers a taste of the benefits they could reap by having Concentra
provide quality staff and vital services at their locations. As a result,
employers are now looking to see what else they can do to increase savings and
productivity gains — while also reinforcing their commitment to workforce health
with their employees.

“I think a lot of larger employers that previously didn’t have experience with
episodic services saw the true benefits for the first time during the pandemic,”
Rhine said.

Rhine said that process might have started with a service provider coming in and
providing symptom screening at the beginning of the pandemic. That then evolved
into testing programs and providing vaccinations and continued with providing
vaccination boosters.

While some companies attempted to internalize those services, Rhine said that
they found it was more efficient to partner with a provider like Concentra. He
is seeing evidence of a robust trend in that direction.

“We thought there would be some drop in this type of offering, but now employers
are looking beyond COVID-19 and thinking about what other services can they
bring into their facilities,” he said. “We have seen that they’re primarily
looking for two types of onsite services.”

“There are episodic onsite services where you arrange for us [Concentra] to come
and go as there is a need, maybe quarterly. There are also permanent onsite
clinics. We’re seeing growth in both,” he added.

“In addition to the benefits I mentioned, folks have been spending so much time
on COVID-19 that a lot of employers are behind on their compliance testing when
it comes to the audiometric testing, surveillance, blood work, and other health
services.”

Mike Rhine, Chief Operating Officer for Concentra® Onsites

“Due to the labor shortages many companies are experiencing, employers are now
looking at what services they can bring into their facilities to save time and
support productivity,” Rhine said.

With so many employees pressed for time and already under stress, any service
offered at their place of employment that can save time — including time spent
on the road to and from appointments — will be embraced and help drive employee
engagement.

“It’s a productivity saver for employers to not have employees leaving their
place of work for any type of testing or services they might need – outside,
say, an injury where an employee needs to physically go see a physician and have
an X-ray,” Rhine said.

Employers have been exploring everything from episodic care, such as quarterly
surveillance exams and vaccinations, to full-service on-site clinics that
provide occupational, urgent, and primary health care. On-site nurse and
athletic trainer programs for injury prevention, triage, and first aid have also
seen an increase. No matter what services and mode of service delivery an
employer chooses, there is the added benefit of maintaining a culture of health
and wellness.

“We’ve created a department focused on episodic and mobile services and we’ve
added it to our onsite team assigned to permanent clinics for large employers.
That gives us an entire team that spends their days – and sometimes evenings —
thinking about how we’re going to solve our clients’ episodic needs,” Rhine
added.

“That may mean bringing staffing agency personnel on site to handle a short-term
need for our clients, or even engaging a mobile unit partner to go on site for a
large hiring event or quarterly compliance testing,” he said.

Sectors that are utilizing health care support services include manufacturing,
construction, and perhaps surprisingly, health care.

Health care institutions are experiencing high levels of employee burnout and
resignations, Rhine said, and in turn need their own health care support.

“Some health care systems are so stressed that their employee health department
can’t keep up, and they’re needing assistance,” Rhine said.

Rhine added that in construction, a drive-up health support service can provide
crucial safety and health monitoring and support.


COMPANIES OF A CERTAIN SIZE

Concentra can customize its on-site and episodic services for any company. The
company closely collaborates with its clients to fully understand their
workforce health needs and develop the most effective on-site health program.

For example, Concentra recommends episodic and mobile services for companies
with a minimum of around 100 employees, Rhine said.

“When you’re at 100 employees or more, that’s usually when it makes sense,
especially if you are involved in manufacturing.”

Rhine said an example of a good fit for episodic and mobile services would be an
electric vehicle (EV) battery plant. Employees in those plants need to be
monitored for possible exposures and to make sure their respirators are fitted
properly.

A fully equipped and staffed on-site clinic might make more sense for employers
with 500 or more employees, Rhine said.


PRE- AND POST-EMPLOYMENT TESTING

Yet another area where on-site and mobile health care support services are
needed is in pre- and post-employment offer testing. Concentra can staff or
utilize a mobile unit to support large hiring events to handle all pre-hire
medical and fitness testing. This saves time for employee and employer by
limiting the number of providers used and having to go into the community for
these services.

Large organizations that need to rapidly onboard dozens of workers can partner
with Concentra to do so safely.

“We now do hiring events where folks show up on a Saturday and we go through 200
plus physicals and take care of everything the employer needs to hire those
folks that same day,” Rhine said.

On-site clinicians can support employers in their efforts to recruit and retain
workers. An on-site athletic trainer can test a prospective employee’s physical
capability to perform the job they’re applying for – saving a company time and
money, not to mention reducing future workers’ compensation risks.

For example, an individual may apply for a warehouse position that requires them
to repeatedly lift 50 pounds or more. When the candidate is tested by the
on-site athletic trainer, it’s found that they aren’t quite at the fitness level
they need to be to safely perform the job.

The on-site athletic trainer can provide the physical conditioning support the
candidate needs to allow the employer to hire them, provided that Concentra and
the employer can support the employee’s progression into their new role as they
train for the job and become acclimated to it.

“If they don’t pass, maybe the candidate is spending a half hour with the
athletic trainer pre-shift and then rotating into the eventual job they’re going
to be in,” Rhine said.

“It’s a way to improve an employee’s physical health and physical capacity,
while also giving them job-specific coaching prior to performing a new role full
time,” he added.

According to Rhine, this approach to accommodating employee fitness levels has
increased in frequency as employers struggle with labor shortages.

“This was not really prevalent two years ago,” he said.

At the time of the ‘Great Resignation,’ when employee loyalty has never been
more tenuous, Concentra is providing a service that not only saves valuable
human and economic resources, but also helps employers demonstrate their
commitment to employees.

Such concepts were always best practices, but at this moment in time, they are
becoming much more urgent considerations for employers.

To learn more, visit:
https://www.concentra.com/onsite-clinics/onsite-healthcare-models/.





This article was produced by the R&I Brand Studio, a unit of the advertising
department of Risk & Insurance, in collaboration with Concentra. The editorial
staff of Risk & Insurance had no role in its preparation.







Concentra® is America’s leading provider of occupational medicine, delivering
work-related injury care, physical therapy, and workforce health services from
nearly 520 Concentra medical centers and more than 150 onsite clinics at
employer locations nationwide.







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