Case manager assists in transition from hospital to home.

September 06, 2014, Kitchener, Ontario

Posted by: Robert Deutschmann, Personal Injury Lawyer

The Waterloo Region Record recently reported that a motorcycle driver from Kitchener was seriously hurt in an accident with a car.  The motorcycle was struck by a car on Friday September 5, 2014.  The car-motorcycle accident occurred early in the morning at the intersection of Bleams Road and Strasburg Road.  The police indicate that the motorcycle was struck by a car that was turning left from Bleams Road onto Strasburg Road.  The motorcycle driver was taken to a local hospital.  Given the seriousness of the injuries, the motorcycle rider was then airlifted to Hamilton General hospital, the local trauma hospital serving the Kitchener Waterloo Cambridge area.

When a person is seriously injured in a car/motorcycle accident, they may be deemed “catastrophically” impaired.  This is a classification under the Statutory Accident Benefits schedule.  If you are deemed to be catastrophically impaired then the level of benefits to which you are entitled increases significantly.  This includes up to $1million in medical and rehabilitation benefits, $1million in attendant care benefits and housekeeping assistance.  The Statutory Accident Benefits schedule provides that you will be classified as catastrophically impaired immediately if the person injured in the accident registers a Glasgow Coma Scale rating of 9 or less, loses a limb or suffers blindness.  In the event that you have suffered serious orthopedic injuries in the accident, you may have to wait up to 2 years in order to have an assessment completed to determine if you meet the definition of Catastrophic Impairment under the Statutory Accident Benefits schedule.  That assessment would determine whether you suffer a whole person impairment rating of 55% or more.  This is a very complicated process that considers both physical and psychological injuries. 

One benefit that you would be entitled to if you are catastrophically impaired is the services of a case manager.  While you are in the trauma hospital, a social worker will be assigned to assist you and act as your liaison with the various medical services providers at the hospital as well as assist with your transition out of the hospital to a treatment facility or your home.  The social worker acts very much like your advocate and assists your and your family with the difficult period following the accident.  The case manager fulfills a similar role outside of the hospital setting.  When you are deemed catastrophically impaired then the injured party is entitled to appoint a case manager of their choosing to work on the file.  The case manager will assist the injured person and family members with all aspects of the transition from the hospital to the home.  This includes ensuring that services are available to assess the home and obtain any necessary equipment needed to accommodate the injured person and his/her injuries.  The case manager will review all rehabilitation services and ensure that there is continuation, whether in the home or outside.  The case manager acts as the quarterback, overseeing the services provided to the injured person.  This includes regular reports to the insured, the insurance company and all service providers. This will also include team meetings among services providers to ensure that activities are coordinated and everyone is operating in the best interest of the injured person.  A personal injury lawyer will be able to assist the family in finding a case manager that is properly qualified to deal with the type of injuries suffered by the accident victim.  The case manager will ensure that the injured person is getting access to all approved medical services and will advocate on the injured persons behalf with the insurance company where required and appropriate.   

Posted under Personal Injury, Automobile Accident Benefits, Car Accidents, Catastrophic Injury, Drunk Driving Accidents, Motorcycle Accidents, Treatment

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About Deutschmann Law

Deutschmann Law serves South-Western Ontario with offices in Kitchener-Waterloo, Cambridge, Woodstock, Brantford, Stratford and Ayr. The law practice of Robert Deutschmann focuses almost exclusively in personal injury and disability insurance matters. For more information, please visit or call us toll-free at 1-866-414-4878.

The opinions expressed here, while intended to provide useful information, should not be interpreted as legal recommendations or advice.

Practice Areas

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  2. Motorcycle accidents
  3. Automobile accident benefits
  4. Catastrophic injury
  5. Brain or Head injury
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  8. Drunk driving accidents
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  10. Fibromyalgia
  11. Nursing Home Fatality Claims

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