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Assuring Accurate Diagnosis

Physicians are advised; “first, do no harm.” But let’s be frank: care providers make incorrect diagnoses, and not just ‘once in a blue moon:’ Mayo Clinic found up to 26% of medical diagnosis by primary care providers were wrong! Yet, having an accurate diagnosis is essential to clinical care and case management. On March 6, […]

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MegaSession video: “Achieving Shorter Disability Durations and Better Outcomes”

On December 7, 2017, at the National Workers’ Compensation and Disability Conference, Dr. Brigham had the opportunity to speak in the MegaSession on “Living Abled! Achieving Shorter Disability Durations and Better Outcomes.” Medical providers, attorneys, insurers, employers, and an individual’s coping and resiliency strengths all contribute to determining why people with similar injuries or illnesses […]

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Living Aloha and Pono

On September 27, 2013, I was blessed with the opportunity to be the keynote conference for the Western Occupational Health Conference. I felt honored to serve in this role; it was also challenging. The following are my remarks. “`I am sharing you my perspectives of “Living Aloha and Pono” not as a Hawaiian (which obviously […]

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Physician Practice and Pono

On May 29, 2013, the Hawaii Prescription Drug Summit focused on the challenges Hawaii is facing with prescription drugs, particularly those associated with opioids and physician dispensing. Joe Paduda of Managed Care Matters was the keynote speaker – he was fabulous, as always. I was asked to do the closing session, titled “Physician Practice and […]

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Needless dis/ability and a flawed medical industry

Many of the challenges we face in workers’ compensation are the results of flawed processes and the wrong incentives — that drive certain behaviors — ultimately harming injured workers and society. There is a increasing awareness of need for change to a “biopsychosocial” approach for claims management. Highly recommend the new documentary “Escape Fire: The […]