ADVANCED FIRST AID

The First Aid Opportunity Nobody Built - Until Now

WorkPartners built the structured pathway to resolve tougher MSK cases inside first aid without unnecessary clinic referral.

Advanced First Aid expands physician authority inside OSHA-defined first aid — before escalation reshapes your claims.

Confidential. No obligation.

THE MOMENT EVERYTHING CHANGES

"I'm in pain."

— When an injured worker says this, actions change.

  • Supervisors are not physicians. They do not have the authority to make a medical call.
  • So they take the most conservative route. Sending the injured worker to the clinic.
  • HSE prepares for a recordable. Escalation feels like the safest move.
  • And once that referral happens, control starts to slip.

THE REAL PROBLEM

The Real Problem Isn't the Injury

Most strains and sprains do not require escalation of care beyond first aid.

93%

of WorkPartners-managed sprains and strains remain as first aid

That means no more than 7% should require escalation.

However, 16% have escalated so far this year.

Why?

Because pain creates fear.
Fear creates anxiety.
Anxiety creates uncertainty.

Without structured, physician-backed first aid authority, minor injuries drift into recordables. Escalation is not purely clinical. It is the predictable outcome of uncertainty without medical authority.

THE ESCALATION PATH

How First Aid Quietly Escalates Into a Recordable

Most reported injuries start as manageable events. But when pain creates doubt:

Is it worse than it looks?

Could something be broken?

Are we missing something?

If there is no way to resolve that uncertainty at the job site.
That is when uncertainty guides the next decision. Escalation.

MSK EXPOSURE

MSK Injuries Are Not A Niche Problem

They are the core of the exposure.

35-50%

of all triaged injuries are musculoskeletal (MSK)

~80%

of physician visits are driven by pain

Most MSK strains and sprains do not medically require escalation. Yet escalation still occurs.

Because pain creates uncertainty. And uncertainty triggers referral. When supervisors do not have physician authority at first aid, escalation feels safer than judgment.

Once the case leaves first aid, the cost profile changes.

THE ECONOMICS

The Cost of Uncertainty

Assume 100 reported injuries.

Current State

Through MD triage, ~80% remain in first aid. That leaves 20% escalating into clinic-driven claims.

Average escalated MSK claim cost

$18,000

20 claims x $18,000 = $360,000

That is the cost of uncertainty

WITH AFA

Through earlier physician oversight, diagnostic confidence, structured first aid protocols, and tighter documentation control.

Reduced average cost per claim

$9,000

20 claims x $9,000 = $180,000

Recoverable Impact

$180,000

per 100 reported injuries — through diagnostic confidence, preserved employer control, reduced HSE stress, and OSHA-compliant first aid.

THE DIAGNOSTIC GAP

The Imaging Tension

Research shows 20–50% of radiologic exams are low value and do not meaningfully influence management.

At the same time, evidence-based imaging referral guidelines reduce unnecessary utilization and cost.

This exposes the core tension:

  • Too little diagnostic confidence drives escalation.
  • Too much unmanaged imaging drives waste.

     

The answer is structure, physician-directed imaging inside first aid.

HOW IT WORKS

Clear first aid process from intake to outcome

STEP 1

Employee reports discomfort

An employee reports a minor musculoskeletal issue to a supervisor or safety lead. Early reporting keeps minor issues from escalating.

STEP 2

Physician review

A WorkPartners physician evaluates the case. No scripts. No default escalation. A licensed provider determines the right level of care.

STEP 3

Advanced First Aid ordered

When appropriate, the physician orders on‑site imaging or soft tissue care as first aid. The goal is resolution, not referral.

STEP 4

Imaging or Myofascial Release

If needed, on‑demand imaging or guided recovery services are scheduled. Care remains focused on function and safe return to work.

Employer Updates: You receive completion details and work status updates. You maintain visibility while keeping the case non‑recordable when managed as first aid.

First Aid Clarification: Participation in this program does not automatically make an injury OSHA recordable. When ordered and managed as directed, this program qualifies as first aid management.

THE SOLUTION

The New Operating Model

Advanced First Aid does not attempt to send fewer injuries to the clinic. It expands medical authority and diagnostic confidence inside first aid. 

Instead of defaulting to referral when uncertainty rises, employers embed physician oversight at the first point of care. Supervisors follow structured, MD-backed first aid pathways with clear escalation guardrails.

WHAT ADVANCED FIRST AID INCLUDES

MD oversight at the first aid level and before escalation

Diagnostic confidence through clinically appropriate imaging when needed

Structured first aid protocols aligned with OSHA definitions

MD escalation guardrails — knowing when to stay in first aid and when to move to clinic

Supervisor engagement as an active feedback loop

Defensible, employer-focused documentation

Targeted soft tissue care for pain reduction and mobility

Active recovery permitted within First Aid guardrails

Zero PT coding

WorkPartners built the process and infrastructure on behalf of our customers — coordinating relationships, overseeing onsite and on-demand services, and following each case through resolution.

WHAT IT IS NOT

Not a way to avoid legitimate medical care

Not a delay tactic

Not a replacement for your claim or clinic proces

Not physical therapy or rehabilitation

Not a referral program

Not a back door around workers’ compensation

Advanced First Aid does not include physical therapy, chiropractic manipulation, or joint/spine adjustment.

This changes the decision point.

Pain no longer automatically triggers escalation.
Uncertainty is resolved before referral.
Escalation becomes deliberate — not reactive.

Validation Framework

Our approach is built for measurable, executive-level validation across four dimensions.

ESCALATION CONTROL

Structural Validation

Confirms that escalation drift was real — and changed.

SUPERVISOR CONFIDENCE

Supervisor Confidence Validation

Confirms supervisor stopped defaulting to referral.

DIAGNOSTIC CONFIDENCE

Diagnostic Confidence Validation

Confirms imaging/MD oversight reduced fear-driven decisions.

SEVERITY COMPRESSION

Severity Compression Validation

Confirms cases stayed first aid or escalated more cleanly.

Outcomes That Matter

Advanced First Aid expands medical authority at the moment it matters most and preserves employer control before escalation takes over.

  • Fewer unnecessary clinic referrals
  • Reduction in avoidable recordables
  • Lower downstream claim severity
  • Faster return to work for appropriate MSK injuries
  • Greater supervisor confidence
  • Stronger documentation to defend OSHA classification

FAQ

How common are MSK injuries?

Approximately 35–50% of WorkPartners triaged injuries are musculoskeletal.

Through MD triage, roughly 80% of reported injuries are resolved at the first aid level without clinic referral.

Escalation is often driven by slowly resolving pain or diagnostic uncertainty rather than medical necessity.

AFA expands first aid to include soft tissue care  and active recovery within OSHA first aid limits.

Clinically appropriate mobile X-ray coordination helps evaluate bone and joint injuries, which helps prevent fear-driven referral.

Any employee who may require further care or evaluation for their first aid level MSK injury.

Research supports early conservative care and soft tissue mobilization for MSK pain reduction and functional improvement in the short period after an injury.

Earlier pain resolution and diagnostic clarity reduce unnecessary referrals, lost time, and downstream claim severity.

No. If escalation criteria are met, the case moves immediately into the clinic and claim pathway.

Imaging alone does not automatically make an injury recordable. Classification depends on imaging results,  treatment and OSHA criteria.

No. Structured first aid active recovery is not rehabilitation or ongoing therapy. It operates within OSHA first aid limits.

The MD is able to provide more options to achieve expected outcomes after discussion and explanation.. If clinical thresholds are met or symptoms warrant escalation, the case moves forward.

No. AFA operates before claim stage. It supports structured decisions within first aid.

Supervisors follow defined guidance and provide feedback on recovery progress. Engagement improves outcomes and reduces unnecessary referral.

Employers receive guidance and supporting materials to help align job requirements and documentation practices with OSHA first aid standards.