Celebrating 18 years as a free-standing rehabilitation center for injured workers.

COR follows a multidisciplinary ‘center of excellence’ (CoE) healthcare delivery model that promotes evidence-based care, educational outreach, and collaboration with important stakeholders in the work disability problem.

Pre-certification for all services.

Teresa Wilson offers friendly coordination and facilitation with claims, TPAs, transportation providers, and hotels as necessary. We also have an on-site pharmacy (no narcotics). While most carriers have a designated TPA for prescription medications, it is often helpful to have day-to-day Rx control for our program clients as we taper narcotics and simplify the protocol. On discharge, the client reverts to their designated TPA for mail order, etc.

PT can also provide a TENS trial with one of your approved providers. We can handle it all if that works for you!

Evidence-based, time limited, cost-effective…

We focus on what the individual claimant actually requires to restore function and return to work in the shortest possible timeframe. Our services typically last a period of several weeks. Longer-term medication follow-up may be an option until case settlement. All clients are at MMI with PPI rating performed on discharge from our care; often in a matter of several weeks.

We know how to recognize and treat ‘high-risk’ injured workers.

The COR staff realizes that 10% of chronically-disabled workers with chronic pain account for 90% of total indemnity and medical expenses. We also know that most injured workers are open and honest; however, 30% to 40% of this high-risk sub-population exhibit a continuum of symptom exaggeration and secondary gain (whether attentional, financial, or both). Performance validity testing by all Team members allows us to better understand these clients and communicate assertively and respectfully about issues that directly impact their work disability.

Positive outcomes mean strong bonds with referral sources.

Injured worker: “You all saved me from having a [lumbar] fusion. I’ve been back to work for 6 months and just got accepted into the Army for active duty. When do we shoot my commercial for you?”

Injured worker: “There is no comparison between treatment at COR and what I received at the other place. I wasted six months. You have taught me ways to get strong and manage pain…I’m back to the gym after this”.

Orthopedic MD office: “The doctor is extremely satisfied with your services. All of those patients did well and although they stated it was an ‘intense’ program, it got them back to work. We will certainly keep you in mind for any future referrals. Thanks so much for all your help and I especially liked getting the records via email versus fax!”

RN, CCM:  “Thank you all for all you do for patients on my case load. I have always felt when we all work together we can help people get back to their lives, their families and the things that are important to them. Thankfully most of the time that works. More challenges ahead that’s for sure. Thank you very much”.

RN, CCM: “I think you all do a marvelous job. I was very impressed with the outcomes for two of my injured workers whom I did not feel optimistic about when they entered your program”.

‘Pain management’ does not have to mean drug dependence and ruined lives.

As is the priority at large, academic medical work hardening programs like PRIDE in Dallas, COR has been providing outpatient narcotic tapering in a multidiscliplinary Team setting since 2004. In our clinical experience, a program-based outpatient medically-supervised detoxification with active recondioning and psychological support is  nearly always preferable to a brief (e.g. 5-day) inpatient ‘detox’ without integrated support and follow-up.

All clients on opioid medications are required to sign a medication use agreement which often includes random, serial drug screening and invidual medical appointments to assure safety and optimal adherence.