WorkCare Services Overview 2013

Overview of Services

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03 About Us04 Medical Surveillance 06 Incident Intervention® 08 Onsite Clinical Services10 TravelCare®12 Consulting Medical Director13 Case Management & Return to Work 14 Absence & Disability Management 16 WorkLink® 17 Contact Us18 Physician CVs

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From customized solutions to innovative off-the-shelf programs, WorkCare holds an impressive record for helping employers meet the challenges of managing a 21st century workforce. Our services go beyond compliance by keeping workers safe and productive from hire to retire.

As the nation’s first physician-managed, full-service occupational health consulting firm, we have more than 30-years of experience in the areas of toxicology, internal medicine and occupational medicine. With offices in California, Tennessee and Utah, we service more than 300 clients in the manufacturing, energy and utilities, service, biotech and pharmacy, and environmental engineering industries—providing services to more than 500,000 employees nationwide.

Our client retention rate is 99% over a 20 year period which demonstrates our capacity to meet our clients’ need through scalable customized solutions. Our full complement of scalable and customizable services includes:

• Medical Surveillance • Incident Intervention® • Onsite Clinical Services• TravelCare®• Consulting Medical Director• Absence & Disability Management

We offer direct 24/7 access to a member of our physician team which allows for immediate medical guidance in making business decisions regarding health and safety issues, compliance programs or questions pertaining to Workers’ Compensation cases, or other risk situations that require medical perspective and

expertise. Our clients have experienced the following positive outcomes from our services: • Improved workforce productivity• Enhanced employee health• Regulatory compliance • Reduction in healthcare costs• Positive employee health behaviors

Our success is driven by our experienced staff, technological prowess and expansive clinic provider network. We are proud of our reputation for collaborating with clients and developing programs that help to deliver reliable solutions and improve employee performance.

About Us

Medical Surveillance

5Medical Surveillence •

Employers often view compliance-driven programs required by OSHA, DOT or other federal agencies as resource drainers—offering minimal or no return on a company’s investments. However, as practitioners in preventive medicine, we believe that medical surveillance programs add value to an organization.

Our approach to medical surveillance transforms a compliance-driven program into a benefit-producing process. We accomplish this by aligning our program with a company’s goals, operations and culture. We offer a turnkey medical surveillance program that includes:

• Consolidated management of all participants in the medical surveillance program, including timely notification of employee health clearance status to appropriate staff as well as to the employee

• Streamlined administrative management of employee

health exams, including scheduling, participation tracking, consolidated pricing and record retention

• Clinic provider management to ensure clinical services are delivered in an efficient, quality-driven manner

• OSHA record keeping services

Exam Scheduling

When scheduling exams and testing for employees, an organization can lose valuable time, money and effort trying to find reliable clinics. This is why we have more than 2,500 credentialed clinics throughout the U.S. and several foreign countries. This means that WorkCare has the capacity to schedule an exam with a quality provider in nearly any city. We administer more than 30,000 exams annually.

Drug Testing

When it comes to a drug testing program, time plays an important role. Employers

need to have their employees cleared for work in an expedient manner. We offer complete drug and alcohol testing programs and compliance services for employers nationwide. These programs provide employers with the management expertise needed to design, manage and implement drug and alcohol testing programs and workplace substance abuse services that meet federal and state regulations.

Our drug testing program aims for efficiency and excellent customer service. The program is managed by a team that specializes solely in drug testing to ensure that test results are turned around quickly and accurately. These dedicated employees are committed to excellent customer service and manage the entire testing process so that employees can return to work faster.

WorkCare serves as a Third Party Administrator for programs mandated by DOT and provides MRO services, as well as consultation services, regarding the establishment and development of substance abuse policies and testing programs.

“It is WorkCare's commitment to excellence and devotion to their customers which have brought me

back with three companies spanning the course of 10 years.” — Jasen Y., Health & Safety Manager

Incident Intervention®

7Incident Intervention •

When a health and safety injury occurs, most managers know the appropriate chain of command for reporting the injury, but who decides the appropriate level of care? If the medical treatment is too conservative, the injury could worsen; if treatment is excessive, it could result in an unnecessary OSHA recordable.

Incident Intervention® provides employers with 24/7 immediate telephonic access to a member of WorkCare’s clinical staff of nurses and physicians who intervene at the time of a workplace injury and illness. The goal of the program is to help drive safe and effective outcomes.

When a company utilizes this service within the first hour of the incident, known as the “golden hour,” our clinical team has a window of opportunity to guide the case so that medical evaluation and treatment are rendered appropriately. This early intervention service benefits both the employee and the company, as it provides the right care, at the right time, in the right setting.

Using Incident Intervention is easy. At the time of a workplace injury or illness, the supervisor on duty notifies WorkCare using our toll free number (in some cases, the employee may call WorkCare directly). The supervisor provides information on the type of incident, possible cause and the scope of the situation.

With the details of the incident recorded, an experienced clinician provides:

• Responsive evaluation of the incident• Access the employee and provide

education so they can make an informed decision

• In the case of a clinic visit our physician performs a peer-to-peer consult, explaining the employers return-to-work program and acts as an advocate for the employee

These services provide health and safety managers with an effective tool that:

• Helps reduce unnecessary lost time• Reduces the number of inappropriate

OSHA recordables • Lowers Workers’ Compensation costs• Transitions employee's safely back to work

“In the three years that my company has subscribed to this program [injury

management], our employees have made over 150 calls to WorkCare and in approximately 70% of these instances, WorkCare was able

to successfully resolve the employee’s medical issue without a visit to a clinic thereby

avoiding a Workers’ Compensation claim and an OSHA recordable.” — Edward L.,

Operations Manager

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With the understanding that an employee’s health and presence at work is inextricably linked to a company’s productivity and its value chain, WorkCare believes that onsite medical clinics are a win-win option for medium to large sized organizations.

Onsite clinics ensure that employees receive the care that they need, while helping employers save on healthcare costs. Studies have shown that onsite clinics allow workers to take less time off, and get more of the health screenings and coaching they need to avoid costly illnesses.

We have provided onsite clinical services to leading national firms in the biotech, petroleum, technology, energy and consumer products industries for more than 20 years. Our technical qualifications in the area of onsite clinic administration are based on our understanding and knowledge of preventive health principles in the workplace that support corporate health and safety goals.

Onsite Clinic Services

“WorkCare has assisted us in avoiding 8–10 lost-time accidents a year. In most cases, employees are back to work on restricted or

full duty. This is a service that our Workers’ Compensation carrier

cannot perform.” — Mike L., Health and Safety Manager

9Onsite Clinic Services •

What makes our onsite clinic services both special and successful is our clinical staff. Our experienced and well-trained team of physicians and nurses go the extra mile to understand the culture of a company and its workforce. This is an important factor because a mutual understanding between the clinician and the employee helps build trust which often leads to improved program participation among workers. We offer a variety of traditional and alternative onsite clinic models:

Traditional Model

Full-service Clinic (Industrial Model)Full-time or part-time staff, physician onsite, 24/7 telephonic coverage, occupational and non-occupational health services.

Alternative Models

Occupational Medicine ClinicFull-time or part-time staff, physician visits periodically, 24/7 telephonic coverage, and occupational health services only.

Onsite Lite® (One model, flexible staffing options)This program model employs non-traditional staff such as nurses, paramedics and EMTs who are supported by board-certified physicians.

Telehealth Occupational MedicineWe use the latest technology to provide clients with video access to a member of our clinical team 24/7.

We are experienced with building onsite clinics from the ground up and with the process of taking over the management and administrative components of existing clinics. Our facilities are staffed with clinicians

who treat minor injuries and illnesses, such as the flu, earaches, minor cuts, sprains and strains. Onsite clinic services may also include health fair coordination, annual screenings, employee education and wellness program management. Aside from cost savings and improved employee health, the benefits of onsite clinics include:

• Reducing employee productivity associated with travel to personal care providers

• Minimizing employee time away from work• Assuring the early detection and treatment of

employee illness and injury by using consistent protocols for first-aid treatment, emergency room visits or periodic health exams

• Ensuring compliance with OSHA’s record keeping standard and appropriate utilization of standardized forms

• Identifying high-risk jobs where workers may benefit from post-offer or fit-for-duty exams

>> A recent year-long study conducted by Kaiser Permanente included a project in which WorkCare implemented onsite services for a large county in California. The following are study highlights.

• Cases Kaiser Permanente handles in Southern California: 12 million/year

• Cases used for this study: 600,000• Number of County cases in the study: 2,806• Number of work days saved by the County

compared to the regional average: 1,698• Percent of reduction of lost days by County

compared to regional average: 10%

TravelCare® Program

11TravelCare Program •

Whether it’s setting sail for a job on a Caribbean cruise ship, planning for a business trip to Southeast Asia or preparing for the sandy landscapes of Iraq, WorkCare’s TravelCare® program helps employees prepare for their adventure—destination anywhere!

Our travel medicine program is designed to assist health and safety managers by extending the reach of their corporate health programs to the remote corners of the world with the goal of maintaining a viable and healthy global workforce.

On the surface, travel medicine may seem like a straight forward process with a simple formula: travel destination = vaccination. But it actually requires a bit more finesse. We offer a first class travel medicine program that takes a holistic approach to employee health and provides the traveler with personalized care, up-to-date educational materials, cautionary advice and offers emergency assistance during the trip and upon return.

Our TravelCare team is staffed by a team of clinicians composed of registered nurses and travel health specialists, whose sole purpose is to:

• Conduct pre-travel health screenings

• Provide health and safety travel guidance

• Schedule employee health exams

Through this model, we are able to meet rapid turn-around requirements, and issue thorough and accurate medical clearance opinions from a WorkCare physician—whether travel deployment consists of 1 or 1,000 employees.

While the TravelCare program is customized to meet the needs of our individual clients and are determined by the travel destination and length of stay, our services include:

• Consultation with a trained travel medical professional

• International Certificate of Vaccinations (as provided by clinic)

• Complete immunization services for diseases such as Hepatitis A and B, typhoid, meningitis, rabies, yellow fever, etc.

• Prescriptions for the prevention of malaria and treatment of traveler’s diarrhea from an appropriate physician

• Physical examination (if needed)

• Notification of epidemics and environmental risks

• AIDS information alerting travelers to test requirements and blood-screening measures

• Maps illustrating risk areas for yellow fever, malaria and other diseases

• Suggested medical preparation checklist and first-aid kit

• A report that addresses the treatment and prevention of illness while abroad, as well as contact information for U.S. and British embassies and other consulates abroad

“Our travel team has the capacity to expedite as many as 40 exams within a seven day period.”

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M.D.With a focus on prevention, our team of consulting medical directors custom design occupational health programs that meet the needs of our diverse clientele. We tailor our programs to the specific requirements of each employer and use state-of-the-art technology to provide customized reporting.

WorkCare’s consulting medical directors are vigilant about looking for signs of worksite prevention failures. By closely communicating with frontline EHS managers, they are in a unique position to “red flag” potential lapses in engineering, work practice and personal protective equipment controls—helping employers maintain employee health and safety while ensuring compliance with regulations.

Our á-la-carte contracting approach allows clients to select the services that best fit their corporate culture and operations. Program models and consultation services are designed to identify and control work-related disease and injury by providing organizations with proven tactics to help eliminate and reduce workplace hazards. Our services are carried out with a focus on enhancing employee productivity.

Consulting medical director services provide most of the benefits of an on-staff physician, without the overhead costs. This is an ideal option for mid-sized companies, or larger firms that do not need an on-site doctor. Services may include the following:

• 24/7 access to a member of our medical director team (telephonic and electronic)

• Design of consulting health strategies (including medical protocols for compliance issues)

• Occupational health program development and management

• Occupational health audits • Analysis of workplace health

data • Medical evaluation and

Workers’ Compensation case management

• Travel medicine support (national and international)

• Policy development and medical support related to reproductive health

• EHS training • Americans with Disabilities

Act (ADA) and Family Medical Leave Act (FMLA) compliance

• Preventive programs including ergonomics and wellness

Consulting Medical Director

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WorkCare’s Case Management program is designed to facilitate a successful return to work road map for injured or ill employees who are off work for non-occupational or occupational related reasons.

Did you know that uninspired corporate safety cultures, out of date company procedures, medical provider bias and the “medicalization” of employee work failures are among the top 10 factors that deter injured employees from quickly returning to work? Our case managers are experienced with navigating these factors and operate with the belief that setting early return to work expectations with a graduated increase in activity can positively affect physical and psychological healing for employees.

Our program provides employees with a robust support system that addresses both psychological and social concerns, and empowers individuals to take advantage of available resources (EAP services, financial counseling, mental health assistance, etc.) in an effort to return them to work under optimal

levels of health and productivity. What makes our service unique is our holistic 3-step approach to managing cases:

1st Step: Assessment

During this phase, a member of our clinical team conducts a thorough and objective assessment of the employee’s current medical need(s). Assessment includes evaluating and documenting the employee’s physical and psychosocial requirements.

2nd Step: Treatment Plan Development

Using pre-established treatment protocols, the second step in our process is to develop a holistic treatment plan that considers the employee’s cultural background, economic situation, and social concerns that may impact health status and participation in the program. The treatment plan also includes employee education about self care and tips for a successful recovery plan.

3rd Step: Employee Monitoring and Follow-Up

The third step in our process involves close monitoring of the employee’s health status. By maintaining contact with the employee, the case manager helps to

ensure compliance with the treatment plan; prevents the employee from becoming estranged from the workplace and assists with identifying early indicators for a delayed employee recovery. Early indicators may include an expressed anger toward their supervisor, a history of poor work performance, evidence of undue sympathy from friends and family or a history of substance abuse.

As part of this process, case managers also serve to identify risk factors that may inhibit a successful return to work including the employee’s last work performance appraisal score, recent disciplinary action in last six months, date of hire and prior disabilities or injuries.

Case Management & Return to Work

“By intervening at the onset of an injury, our clients experience less

than 1% lost time.”

Absence & Disability Management

15Absence & Disability Management •

Does your company have a formal return to work program in place that encourages employees to get back to work while they are recovering from illnesses or disabilities? If not, we can help.

WorkCare’s absence and disability management services are advocacy-based programs that combine the power of nurse care coordination with the technological resources of WorkLink®, a proprietary, web-based software system. WorkLink provides an employee centric, real time communication tool between all players supporting the employees’ return to work goal.

What sets our services apart from other companies is our:

• Physician oversight• Medical objectivity • Peer-to-peer clarification• “Healthy employees = happy

employees” philosophy • Customized reporting and

data capabilities

Services are typically delivered by an onsite clinical team that includes nurses, health advocates, consulting medical physicians, health & fitness coaches, and support from qualified occupational health providers.

Our clinical team works in a cross functional approach to ensure that employees receive the entire

continuum of care—from onset of initial injury/illness to full recovery.

We understand that few laws cause more frustration for employers than FMLA (Family and Medical Leave Act) and ADA (Americans with Disabilities Act). As part of our absence management and disability services, we offer FMLA and ADA support.

Our absence management team is composed of physicians, nurses and certified FMLA leave specialists who serve as a back office medical resource and can help employers:

• Authenticate employees’ medical certification using the FMLA process for medical clarification

• Develop policies and procedures that will ensure appropriate employee FMLA use and curb abuse

• Provide red flag alerts for fraud (patterns of absence, evidence of moonlighting, etc.)

• Review employee medical documentation to verify ADA accommodation needs

• Manage leave challenges that result from complex chronic conditions

• Provide medical guidance on fitness-for-duty issues

Services are carried out in a manner consistent with the client’s health and safety goals, and in alignment with best practice, disability duration and treatment guidelines established by the American College of Occupational and Environmental Medicine and other industry standards.

“Our team works in a cross functional

approach to ensure that employees

receive the entire continuum of care.”

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The 21st century workplace requires a modern-day approach to managing workplace absences and leave. With this in mind, WorkCare offers a best in class communication solution called WorkLink®. This innovative software program provides employers and third party administrators with an easy-to-use tool for tracking and managing employees with chronic absenteeism.

Supported by our multidisciplinary information technology staff, WorkLink provides clients with the ability to fully leverage technology to improve processing times, reduce duplicative tasks, receive real time case information, maintain accurate records of a claim and collect and analyze relevant data. The software was developed in-house and is

currently used by our clinical team to manage all the information related to occupational and non-occupational claims, as well as provide case records.

WorkLink supports communication and employee return to work metrics for both centralized and decentralized employers. Its real time system starts with the automated referral

process and provides easy to access, real-time employee absence status information. The system is HIPAA compliant with a self-contained email and fax capability to protect employee data.

Employers can measure their employees return to work progress based on WorkLink’s calculation of the employee’s expected versus actual return to work date and can track an employee’s return to work plan. WorkLink is easily integrated within a company’s reporting process and operates on existing computer systems using current staff.

“WorkLink is a real time saver! We like it more each time we have the opportunity to use it.” — Cindy S., Leave Administrator.

WorkLink®

“WorkLink enables companies to

substantially reduce costs by exchanging vital information, obtaining work status reports and facilitating employees early return to work.”

WorkLink®

WorkLink®

Main Office300 S. Harbor Boulevard, Ste. 600Anaheim, CA 92805P: 714.978.7488 F: 714.456.2154

WorkCare North1320 Harbor Bay Parkway, Ste. 115Alameda, CA 94502P: 510.748.6900 F: 510.748.6915

WorkCare Tennessee2603 Corporate Avenue, Ste. 150Memphis, TN 38132P: 800.455.6155F: 901.345.2800

WorkCare Rocky MountainParkside Tower Building215 S. State Street, Ste. 700Salt Lake City, Utah 84111P: 800.455.6155 F: 801.484.0081

Con

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Peter P. Greaney, M.D.John Paul M. Longphre, M.D., M.P.H.Peter D. Swann, M.D., F.A.A.A.P.Dennis W. Stephens, M.D., A.B.F.M.Irene L. Grace, M.D., M.P.H.Patrick O'Callahan, M.D., M.P.H

Phys

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PETER P. GREANEY, M.D.

LICENSED PHYSICIAN AND SURGEONBOARD-CERTIFIED OCCUPATIONAL MEDICINE PHYSICIAN

BOARD-ELIGIBLE CLINICAL TOXICOLOGISTCERTIFIED MEDICAL REVIEW OFFICER

EDUCATION

• University of California Southern Occupational Health Center, Irvine, California, Occupational Medicine Residency, 1983

• University of California Irvine Medical Center, Family Medicine Residency, 1981• University of Galway Regional Hospital, Galway, Ireland, Cardiopulmonary Medicine Residency, 1978• Our Lady of Lourdes Hospital, Drogheda, Ireland, Internal Medicine/Surgery Internship 1977• University of Galway Medical School, Galway, Ireland, Medical Degree, 1976

CERTIFICATIONS & LICENSURE

• Alaska Licensed Physician, #6941• Arizona Licensed Physician, #47050• California Licensed Physician and Surgeon, #A35541• Colorado Licensed Physician, #DR0052570• Montana Licensed Physician, #11332• New Mexico Licensed Physician, #MD2010-0615• Washington Licensed Physician and Surgeon, #MD60212125• Wyoming Licensed Physician, #7535A• Illinois Licensed Physician, Surgeon, #S/B 036.128505• Illinois Controlled Substances, #S/B 336.089726• American Board of Preventive Medicine, Board-Certified Occupational Medicine, 1988• American Board of Family Medicine, Diplomate, 1983–1989• Fellow, American College of Occupational and Environmental Medicine• N.I.O.S.H. Pneumoconiosis, Certified A-Reader• Certified Medical Review Officer, MROCC• U.S. Army Medical Research Institute of Chemical Defense, “Management of Chemical Biological Casualties”

course, Johnston Atoll, June 26-28, 1997

PROFESSIONAL HISTORY

• Founder and Medical Director, WorkCare, Inc., Orange, CA, 1984–present• Founder and Medical Director, Greaney Medical Group, Anaheim, CA, 1984–1999• Medical Director, CORE, Irvine, CA, 1995–1998• Assistant Clinical Professor, Department of Community and Environmental Medicine, Southern

Occupational Health Center, University of California, Irvine, CA, 1983–present• Clinical Assistant Professor of Preventive Medicine, School of Medicine, University of Southern California,

Los Angeles, CA, 1993–2000• Medical Consultant, Med-Tox Occupational and Environmental Health Services, Tustin, CA, 1983–1986• Medical Director, Tri City Industrial Inc., City of Industry, CA, 1993–1987• Assistant Clinical Director, Occupational Medicine Clinic, University of California Irvine Medical Center,

Orange, CA, 1983–1984• Founder and Director, Community Minor Emergency Center, Ventura, CA, 1982–1983

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REPRESENTATIVE EXPERIENCE

Dr. Greaney founded Greaney Medical Group, an occupational health care facility in Anaheim, California, in 1984 and simultaneously developed a medical consulting practice, which is now separately organized as WorkCare™. He provides consultation to private companies, public agencies, insurance carriers and the legal profession on toxic, environmental and other occupational induced injuries/illnesses. He has retainers to serve as medical director for over 20 different companies, including chemical, oil and gas, manufacturing, engineering, geotechnical and hazardous material. He has established medical surveillance and OSHA compliance programs for over 200 employers and has established post-offer medical standards for a variety of state, county, and local governments, including making recommendations for effective employee health programs. He has acted as an expert witness and Agreed Medical Examiner in complex workers' compensation and toxic tort cases.

His accomplishments and experience include:• Elected as the new Speaker of the House of Delegates for the American College of Occupational and

Environmental Medicine (ACOEM), an international medical society of more than 6,000 occupational and environmental physicians (2002)

• Co-authored “A Model Medical Surveillance Program for Persons in Hazardous Waste Operations,” National Institute for Occupational Safety and Health (NIOSH) Conference on Best Practices in Workplace Surveillance, Identification and Tracking Workplace Injury, Illness, Exposures and Hazards, Cincinnati, Ohio, November 8, 2001

• Article on “Incident Intervention” published in the Synergist by the American Industrial Hygiene Association (2002)

• Published article on “Indoor Air Quality: An Invisible, Yet Costly Threat to Human Health and Productivity” Osh Manager, Malaysia

• Established the scope of the medical surveillance baseline, annual and exit examinations, which has since become an industry standard

• Lobbied (testify) before the State of California Legislature in State Senate hearings on specific issues related to workers’ compensation

• Established first physician-owned medical practice to be licensed as an HCO, Health Care Organization. (HCO’s are a managed care model for workers’ compensation providers in California)

• Member of the Medical Review Officer Certification Council• Past President of the Western Occupational and Environmental Medicine Association, a group of 1,200

occupational, board-certified physicians• Fellow and House Recorder for American College of Occupational and Environmental Medicine

AFFILIATIONS

• American Industrial Hygiene Association• American College of Occupational and Environmental Medicine• Western Occupational and Environmental Medical Association

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JOHN PAUL M. LONGPHRE, M.D., M.P.H.

LICENSED PHYSICIANBOARD-CERTIFIED OCCUPATIONAL MEDICINE PHYSICIAN

EDUCATION

• Duke University Medical Center, Durham, North Carolina, Occupational Medicine Residency, 2008• University of North Carolina Chapel Hill, Chapel Hill, North Carolina, Master’s Degree, Public Health

(M.P.H.), 2007• Duke University Medical Center, Durham, North Carolina, Clinical and Research Fellowship in Undersea

and Hyperbaric Medicine, 2006• University of North Carolina Chapel Hill, Chapel Hill, North Carolina, General Surgery Internship, 2004• University of North Carolina Chapel Hill, Chapel Hill, North Carolina, M.D., 2003


• Alabama Licensed Physician, #MD 29781• Alaska Licensed Physician, #5522• Arkansas Licensed Physician, #E-6785• California Licensed Physician, pending• Colorado Licensed Physician, #47922• Connecticut Licensed Physician, #047565• Florida Licensed Physician, #ME 105823• Georgia Licensed Physician, #062391• Hawaii Licensed Physician, #MD-16283• Illinois, MRO Certification, 807676• Louisiana Licensed Physician, #MD 203404• Maryland Licensed Physician, #D0068737• Massachusetts Licensed Physician, 3/10/2580• Michigan Licensed Physician, #L1605674• Mississippi Licensed Physician, pending• Nevada Licensed Physician, #13219• New Mexico Licensed Physician, #MD2012-0128• New York Licensed Physician, #262356• North Carolina Licensed Physician, #2006-01926• Ohio Licensed Physician, #35.094994• Oregon Licensed Physician, MD154299• Pennsylvania Licensed Physician, #MD154299• Tennessee Licensed Physician, #45944• South Carolina Licensed Physician, #TL31570• Texas Licensed Physician, #N5201• Utah Licensed Physician, #0101245536• Virginia Licensed Physician, #0101245536• American Board of Preventive Medicine, Board-Certified in Occupational Medicine, 2010• American Board of Preventive Medicine, Board-Eligible Undersea & Hyperbaric Medicine, 2005• Certified Medical Review Officer, MROCC


Associate Medical Director, WorkCare, Inc., Anaheim, CA, 2008–present

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Achievements• Academic Journal Article: (first author): First Aid Oxygen in Recreational Diving Injuries. Longphre JP, Vann

R, Freiberger JJ. Journal of Undersea and Hyperbaric Medicine (January/February 2007)• Abstract: Comparison of end-tidal versus arterial measures of CO2 during immersed exercise at surface and

depth. Pollock NW, Cherry AD, Forkner IF, Natoli MJ, Frieberger JJ, Stolp BW, Longphre JP, Conard JL, Rhodes MA, Schinazi EA, Doar PO, Boso AE, Alford EL, Walker AJ, Frederick HJ, Moon RE. Undersea and Hyperbaric Medical Society (UHMS) Annual Meeting, 2007

• Abstract: Evaluation of Interlaminar versus Transforaminal Epidural Steroids for Radicular Low Back Pain. Longphre KM, Yeh CC, Longphre JM, Sim WS, Huh BK. American Society of Anesthesiology Annual Meeting, 2007

• Poster Presentation: Interesting Case of Lead Poisoning in a Police Officer. Longphre, JM, Darcey, DJ. ACOEM Annual Meeting, 2008

• Textbook Chapter: Tetrachloroethylene Chapter. Text: Clinical Practice of Biological Monitoring, (co-authored with Brian Caveney MD, JD, MPH; in press)

• Textbook Chapter: Hyperbaric Medicine Chapter, Civetta, Taylor, and Kirby’s Critical Care 4th Ed., Moon R, Longphre JP, 2008

• Textbook Chapter: Diving Medicine Chapter, Elsevier’s Encyclopedia of Respiratory Medicine (co-authored under Dr. Richard Moon), 2006

• Magazine Article: First Aid Oxygen Update and the DAN® Oxygen Card, Alert Diver Magazine, November/December 2006

• Magazine Article: First Aid Surface Oxygen, Is it worth it? Alert Diver Magazine, July/August 2005• Occupational Physician’s Scholarship Fund: Full scholarship, 2006–2008.• Rotary Foundation Ambassadorial Scholarship: Japan 1996–1998.

AFFILIATIONS

• American College of Occupational and Environmental Medicine• Association of Occupational and Environmental Clinics

FLUENCIES

Japanese

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PETER D. SWANN, M.D., F.A.A.A.P.

LICENSED PHYSICIAN AND PHYSICIAN AND SURGEONBOARD-CERTIFIED FAMILY MEDICINE

CERTIFIED MEDICAL REVIEW OFFICER

EDUCATION

• Haas School of Business, Evening Master in Business Administration Program, 2000–2001• Tufts University School of Medicine, 1984–1988• Dartmouth College, 1979–1983


• California Licensed Physician and Surgeon, #G69836• Arizona License #46231• Nevada License #14634• American Board of Family Medicine, Board Certified since 1991• American Academy of Family Physicians, Diplomate and Fellow• American College of Occupational and Environmental Medicine, Fellow• Certified Medical Review Officer, MROCC & AAMRO• US Army Combat Casualty Care Course, Fort Sam Houston, San Antonio TX, 1991• US Army Nuclear, Biological, Chemical Casualty Care Training, Fort Sam Houston, San Antonio TX, 1993


• Associate Medical Director, WorkCare, Inc., Anaheim, CA, 2011–present• Concentra Health Services: San Francisco Bay Area Medical Director, 2006–2011• Concentra Health Services: Medical Director, On-Call Physician Services, 2001–2006• Concentra Health Services: Associate Bay Area Medical Director, 2001–2005• Emcare, California, Inc. Staff Emergency Room Physician, 2000–2001• Emcare, California, Inc. Medical Director, 1998–2000• Integrated Medical Resources: Western Medical Director, 1997–1999• The Permanente Medical Group: Staff Physician, 1995–1996• Baynes-Jones Army Community Hospital: Family Practice Clinic Director, 1994–1995

TEACHING EXPERIENCE

• Scientific Assembly of California at San Francisco Occupational Medicine Conference• University of California at San Diego, Veterans Administration Medical Center• Alameda/Contra-Costa Academy of Family Physicians Procedure Clinic


Dr. Swann serves as a member of WorkCare’s assistant medical director team. As a trained occupational physician with a master’s degree in business administration, he offers our clients a unique set of talents that balance the healthcare needs of employees with the business savvy sought after by employers. Dr. Swann’s professional experience is vast and includes stints as an emergency room staff physician and medical director. He has extensive teaching experience and lecturing capabilities, and has served on panels for the University of California and private organizations.

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His accomplishments and experience include:• Appointed to internal national Utilization Review Board responsible for guidance and training of Utilization

Review Division. Included active utilization review of internal and external cases using multiple evidence-based

• Authored ongoing Utilization Review column, articles selected by California State Insurance Fund for training network physicians

• Lead CQI team addressing primary care appointment backlog resulting in the elimination of 600 appointments backlogs for Pap smears and well child visits

• Directed a multidisciplinary team redesigning outpatient care delivery• Chairman of Pharmacy and Therapeutics Committee• Deployed an electronic medical record (EMR) system in all Bay Area clinics resulting in the elimination of

$300K annual transcription cost, a reduction in annual billing cost of $150K and increased reimbursement 20% through appropriate E&M coding

• Successfully incorporated Urgent Care into all Bay Area occupational medicine clinics, including physician training, mentoring and leadership resulting in an 11% growth in physician revenue

• Pioneered use of GPS enabled Blackberry devices for field physician support including point-to-point telenavigation, GPS user tracking and secure e-mail document delivery

AFFILIATIONS

• American College of Occupational and Environmental Medicine• Western Occupational and Environmental Medicine Association • Chair of Legislative Committee 2003–2008• Secretary and Newsletter Editor 2004–2009• American Academy of Family Physicians, Board Certified Family Practice • California Academy of Family Physicians, member of managed care reference committee• Alameda/Contra Costa Chapter of CAFP, Secretary/Treasurer

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DENNIS W. STEPHENS, M.D., A.B.F.M.

BOARD-CERTIFIED AMERICAN BOARD OF FAMILY MEDICINE

EDUCATION

• University of California at Irvine, Irvine, CA, Family Medicine Residency 1997–2000• University of California at Los Angeles School of Medicine, Los Angeles, CA, M.D., 1997• University of California at Berkeley, Berkeley, CA Biochemistry, B.A., 1987


• Associate Medical Director, WorkCare, Inc., Anaheim, CA, 2011–present• Center Medical Director, Concentra Medical Center, San Leandro, San Leandro, CA, 2007–2011• Family Physician, Medical Institute Little Company of Mary Care Station Walk-in Clinic, Manhattan Beach,

CA, 2005–2007• Family Physician, Newport Walk-in Medical Group, Inc., Newport Beach, CA, 1999–2005• Family Medicine Resident Physician, University of California Irvine Family Practice Center Santa Ana, CA,

1997–2000

CERTIFICATIONS AND LICENSURE

• California Licensed Physician A-066374• Board Certification, American Board of Family Medicine (2000-2014)

AFFILIATIONS

• American Academy of Family Physicians • American College of Occupational and Environmental Medicine• Western Occupational & Environmental Medical Association

PUBLICATIONS

• Y Lu, X Li, C Palaniappan, F Challita-Eid, R Amado, D Stephens, D Kohn, A Bakker, P Fay, R Bambara, V Planelles, J Rosenblatt. Inhibition of H1V-1 replication using a mutated tKNA-LYS3 primer. Biol Chem 272, No. 23

• A Bakker, X Li, C Ruland, D Stephens, A Black, J Rosenblatt Human T-cell leukemia virus type 2 rex inhibits pre-mRNA splicing in vitro at an early stage of spliceosome formation. J Virol 70(4), 1996.

• E Ejima, J Rosenblatt, M Massari, E Quan, D Stephens, C Rosen, D Prager. Cell type specific transactivation of the parathyroid hormone related-protein gene promoter by the HTLV-I lax and HTLV-I1 tax proteins. Blood 81, No.4,1993

FLUENCIES

English, Spanish (semi-fluent)

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IRENE L. GRACE, M.D., M.P.H.


EDUCATION

• University of Southern California, Los Angeles, CA, Residency, Occupational and Environmental Medicine, 1994–1996

• University of California, Irvine, Irvine, CA, Residency, Additional practicum training, Occupational and Environmental Medicine, 1995–1996

• University of Southern California, Los Angeles, CA, Alpha Omega Alpha, Medical School M.D., 1992• University of California, Los Angeles, Los Angeles, CA, Environmental Health Sciences, Public Health,

M.P.H. Degree 1995• University of California, Irvine, Orange, CA, Residency, Anesthesiology, 1993–1994• St. Mary Medical Center, UCLA affiliate, Long Beach, CA, Internship, Internal Medicine, 1992–1993 • University of California, Los Angeles, Los Angeles, CA, Kinesiology B.S., 1985


• Medical Board of California, License # G078441• Drug Enforcement Administration License, Current & Unrestricted• Recertified – Occupational & Environmental Medicine, 2007• Medical Review Officer, Recertified 2004 & 2011 (AAMRO Certification # 041107208)• Qualified Medical Evaluator, 2000• Diplomat, American Board of Preventive Medicine, Occupational & Environmental Medicine, 1997• Diplomat, National Board of Medical Examiners, 1992


• Associate Medical Director, WorkCare, Inc., Anaheim, CA, 2013–present• Occupational Health Services Officer, City of Long Beach, Department of Health and Human Services, Long

Beach, CA, Occupational Health Division, 2002–2013• Physician Reviewer, Part-Time, CompPartners, Inc., Irvine, CA, January 2009 – Feb 2013• Medical Director, HealthFirst Medical Group/Boeing – Anaheim, Santa Fe Springs, CA/Anaheim, CA,

Boeing Anaheim Medical Department, 2001–2002 • Medical Director, Fullerton-Placentia Medical Center, Placentia, CA, Industrial Clinic, 1996–2000• Industrial Physician, Part-Time, Orange Medical Center, Anaheim, CA, 1995–1996

AFFILIATIONS

• American College of Occupational and Environmental Medicine• Western Occupational and Environmental Medical Association• American Medical Association

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PATRICK D. O’CALLAHAN, M.D., M.P.H.


CERTIFIED MEDICAL REVIEW OFFICER

EDUCATION

• Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, Master’s Degree Public Health (M.P.H.) in Occupational & Environmental Medicine, 2012

• University of Rochester School of Medicine, Rochester, New York, Family Medicine Residency, 1998• University of Rochester School of Medicine, Rochester, New York, Family Medicine Internship, 1996• Columbia University College of Physicians and Surgeons, New York, New York, M.D., 1995• College of the Holy Cross, Worcester, Massachusetts, B.A., Cum Laude with Honors, 1989


• California Licensed Physician, #C53489• Connecticut Licensed Physician, #037119• Massachusetts Licensed Physician, #202514• New York Licensed Physician, #243828• Maine Licensed Physician, pending• Certified Medical Review Officer, MROCC, #10-08881• ACLS (Advanced Cardiovascular Life Support) Certified• ATLS (Advanced Trauma Life Support) Certified• START Mass-casualty Certified• Radiation Emergency Medicine & Advanced Radiation Medicine training, REAC/TS, Oak Ridge, TN, 2011 &

2012• American Board of Family Medicine, Board-Certified 1999; re-certified 2005 & 2012


• Associate Medical Director, WorkCare, Inc., Anaheim, CA, 2013–present• Medical Director, Harvard University Health Services, AHUCC and Stillman Infirmary, Cambridge,

Massachusetts, 2012–2013• Medical Director, Stanford University Occupational Health Center, Stanford, California, 2008–2012• Site Occupational Medical Director, SLAC Linear Accelerator (DOE Facility), Menlo Park, California, 2010–

2012• Clinical Assistant Professor, Stanford University School of Medicine, Department of Internal Medicine, Palo

Alto, California, 2008–2012• Site Physician, Pfizer Global Research Headquarters, Global Occupational Health and Wellness, Groton,

Connecticut, 2006–2008• Founder of Patrick O’Callahan, MD, LLC, 2006–2008• Emergency Medicine Attending Physician, Department of Emergency Medicine, Lawrence & Memorial

Hospital, New London, Connecticut, 2000–2008 • Attending Physician in Occupational Medicine (per-diem), Lawrence & Memorial Hospital, New London,

Connecticut, 2003–2008• Attending Physician, Department of Emergency Medicine (per-diem), Day Kimball Hospital/NES, Putnam,

Connecticut, 2001–2004 • Locum Tenens Physician, CompHealth, Inc., (ME, NH, CT, NM, AK, ND), 1998–2000• Medical Director, Isaiah House Hospice, Rochester, New York, 1996–1998

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HOSPITAL AFFILIATIONS

• Brigham & Women’s Hospital, Boston, MassachusettsDepartment of Internal MedicineClinical Instructor and Attending Physician, 2012–present

• Stanford Hospital and Clinics, Welch Road, Palo Alto, CaliforniaDepartment of Medicine, General Medical Disciplines Clinical Assistant Professor, 2008–2012

• Lawrence & Memorial Hospital, New London, ConnecticutDepartment of Emergency Medicine & Department of Occupational MedicineAttending Physician, 2000–2008

• Day Kimball Hospital, Putnam, ConnecticutDepartment of Emergency MedicineAttending Physician, 2001–2004

AFFILIATIONS

• American College of Occupational and Environmental Medicine• Western Occupational and Environmental Medical Association• New England College of Occupational and Environmental Medicine• American Academy of Family Physicians

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WorkCare Services Overview 2013

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