DULUTH, Ga.--(BUSINESS WIRE)--After agreeing to reduce opioid prescriptions for injured workers, many physicians feel uncomfortable managing the weaning process and want to refer to a more specialized venue. Seeing the need for a standard set of criteria to assess clinics, PRIUM has launched “Centers with Standards,” a service rating functional restoration programs according to their adherence to best practices that can help predict outcomes
“Our clients need a way to objectively compare the quality of programs; it’s difficult to determine effectiveness from a website,” said Mark Pew, Senior Vice President of Business Development for PRIUM.
Pew spent several years analyzing the features of clinics with good outcomes, leading to the creation of a provider questionnaire. PRIUM processes responses through a proprietary algorithm built from evidence-based guidelines and industry best practices to produce a “Restore Score™.” Clinic data and scores populate a proprietary database accessible by PRIUM clients.
Some of the Restore Score™ criteria include using an inter-disciplinary team approach, inpatient capabilities for the detox process, consistent objective monitoring of progress, and post-discharge follow up. “The clinics with the best outcomes follow patients a year after they complete the program to help prevent relapse,” Pew said.
Functional restoration clinics focus on increasing physical fitness and stamina while addressing the psychosocial issues that contribute to a patient’s ability to cope with pain. Frequently offering yoga and other fitness classes, the clinics strive to return claimants to work or at least to a functional lifestyle.
Providers apply for their Restore Score™ certification via www.centerswithstandards.com.
“This is not a network,” Pew cautioned. “PRIUM has no financial arrangements with the providers and do not charge clients for the service. It is simply a tool to help payers find the best resources.”
Based in Duluth, Ga., PRIUM is a URAC-accredited utilization review and medical cost management company, providing medical and pharmaceutical reviews to the workers’ compensation industry. Services include a comprehensive complex claims control program, with an emphasis on opioid management that involves peer-to-peer discussion, enforcement through pharmacy benefit management and oversight via PRIUM’s clinical oversight team. To reach PRIUM, call 888-588-4964 or visit www.prium.net. For insight on medical management issues in workers’ compensation, please visit PRIUM’s blog at http://prium-evidencebased.blogspot.com.