Mike Del Fierro – JDi Data

Michael Fariello – JDi Data

Ingrid O’Keefe - ODG
 Big Data

2 days
= 90% of all
as much data was
data created created in
from
past 2 Every minute:
beginning of
100 hours of years. 204 million
time until
video emails,
2003.
uploaded to 278,000
YouTube tweets,
every 200,000
minute. photos to FB.
Who Uses Big Data?
How Do Risk Managers Get Big Data?
API (Application Programming Interface)
How Do Risk Managers Get Big Data?
Reporting Tools
How Do Risk Managers Get Big Data?
 What Do I Do With It?

• Define Business Needs

• Create Dashboards
• Data Mining/Analytics
• Fraud 1/10
• Benchmarking to Flag Claims
 ODG from Work Loss Data Institute

• Publisher of ODG Product Line

• Evidence-based disability duration, medical treatment guidelines

• Predictive Analytics and Medical Management

Tools
• Comorbidity Calculator, Cost Calculator, Risk Assessment
Score, RTW Prescription, UR Advisor, Drug Formulary, NDC
Advisor
Where Did We Come From? Circa 1996…
 Where Does the Data Come From?

Collection of 10 Million Lost Time Cases

• Claims Data
• 3.5 Million Claims
• National Workers Comp and STD Carriers
• TPAs and Self-Insured Employers
• National Health Interview Survey hosted by the CDC
• OSHA
• Survey of Occupational Injuries and Illnesses (SOII)
 Where Does the Data Come From?

Scientific medical literature review

•Alphanumeric evidence ranking process

Raw (claims & survey) data analysis

What is Data Used For?
What is Data Used For?
What is Data Used For?
What is Data Used For?
 EBM RTW
Cast
Treatment Duration
Modeling
Guidelines Guidelines
ODG 2016
 Return-To-Work /Duration Guidelines
• Total costs are an EXPONENTIAL function of disability duration
/ return-to-work
 Risk Assessment Score (RAS)
• What is it?
• Where does it come from?
• How well does it work?
• What are the needed inputs?
• How often do scores change?
• Can I just get it on ODG?
• Should I ?
• How does it compare to others?
 Risk Assessment Score (RAS)

Magnitude
Score 50%

Volatility
Score 50%
Demographics
Performance Data Workers’ Comp
Claim File National Carrier
 RAS For Indemnity

Did RAS Predict High Risk Claims?

 RAS For Indemnity
Put your resources to the highest and best use attacking
problem claims early with RAS scoring

EBM medical and RTW management drives optimal

health outcomes, lower costs
Maximize ROI On Claim Spend

Connectivity & Automation

Future of Big Data
 Thank You!

Ingrid O’Keefe Mike Del Fierro

ingrid@worklossdata.com Info@JDiData.com