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Product Information
Deepnet Security DualShield
January 02, 2013
Deepnet Security LimitedProduct:
$649 for five-user starter pack
- Features:
- Ease of Use:
- Performance:
- Documentation:
- Support:
- Value for Money:
- Overall Rating:
- Strengths: Huge feature set, supports wide array of platforms, well documented.
- Weaknesses: Could possibly be overkill for smaller implementations, no syslog support we could find.
- Verdict: Good choice for full-featured authentication tool. Recommended.
Multifactor authentication is easy to do for workstation and server logins, but what about web-based applications? With its DualShield, Deepnet Security offers a product that can add that extra layer of security to those applications - at a reasonable price point.
For testing, we were presented with a series of install files and a SafeID OATH token. There are several ways to deploy DualShield: An administrator can combine all modules onto a single server, or break out the front- and backend components to different locations. In addition, multiple database types are supported, which makes the tool extremely flexible. In the end, we chose to perform a basic install, placing all components on a single server and allowing the installer to configure a MySQL server and database instance for us.
Since we wanted to begin testing by setting up basic two-factor authentication with a workstation, we also had to install the Windows Login agent on the server, and client software on the workstation. The client software installation was simple. However, the agent portion requires, counter-intuitively, that it be registered to the authentication server before installing it. We then set up a link to Active Directory as our identity source, set up a basic Windows logon procedure, linked the OATH token to our test account, and we were done. The steps to configure the solution appeared more complicated than they actually were, and by following the documentation we had our basic installation and configuration complete within an hour.
While SSL VPN access can be augmented with any authentication method DualShield supports, IPsec VPN access is limited to one-time password methods due to limitations in RADIUS. The Self Service module allows administrators to enable their end-users to reset passwords, request replacement tokens or even request an emergency login code. The product also offers a strong logging system, which allows administrators to monitor all events, and its organization proved useful during troubleshooting. Unfortunately, there is no syslog support that we could find, so any log viewing needs to be done on the product management console. A small sacrifice, considering everything else you get.
Documentation was thorough. Deepnet has prepared implementation guides for a number of common products, including Cisco, F5, Juniper, Outlook Web Access, VMware and others, along with more general guides for incorporating DualShield into custom IIS apps and SAML 2.0-compliant cloud services. The documentation was easy to follow with plenty of screen shots. However, there wasn't any bookmarking, so we found ourselves scrolling around a lot.
Deepnet has broken its support offerings into three tiers: Basic gets users eight-hours-a-day/five-days-a-week email and web assistance. Standard includes the basic features, but adds phone and WebEx sessions. Premium expands support to 24/7. During evaluation, the standard support package comes free.
The product licensing is based solely on a per user license model - all modules and features are included. For 1,000 users, the cost is around $32 per user, and a five-user starter pack can be purchased for $649.
SC Magazine Articles
- Was Spotify breached? Account info shows up on Pastebin
- Report: Ransomware feeds off poor endpoint security
- Researcher finds backdoor that accessed Facebook employee passwords
- Locky ransomware spotted using Javascript downloader
- Over 7M Minecraft mobile credentials exposed after Lifeboat data breach
- DōTERRA breach exposes customer info; including SS, DOB, and addresses
- UPDATE: Petya ransomware leverages Dropbox and overwrites hard drives
- Federal court bucks trend, rules general liability insurance covers data breach
- The anatomy of a spearphishing scam, or how to steal $100M with a fake email
- FBI investigating attack against computer networks at U.S. law firms
- Ransomware rampant, but chinks found in its armor
- Mining company's data is more valuable than gold
- PCI DSS version 3.2 release extends multifactor authentication requirement
- RSA EMEA Summit: Writing a security strategy that will make Vivaldi proud
- U.S. CIO hints federal adoption of 'bimodal IT' to balance old and new tech


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Enders News
BBC 3 May 2016
Tom Harrington was quoted in an article on Vimeo acquisition of a streaming start-up VHX. Tom said subscription services offered a "superior" experience for consumers, adding that, "there's some great stuff on YouTube but there are hundreds of millions of hours of rubbish as well". He said "in terms of connecting to your intended audience, without distraction, an off-the-shelf streaming service would be superior. But, given that Vimeo has spent over a decade concentrating on creating a name and reputation synonymous with quality, the provision of white-label services seems a choice contrary to its business so far".
Variety 3 May 2016
Claire Enders was quoted in an article on the UK entertainment industry and the economic effect of Britain exiting the EU. Claire estimated that the amount of direct U.S. investment in British companies since 2010 sits at £10 billion to £15 billion ($14.4 billion to $21.5 billion). But, if the UK companies lose some of the market advantages inherent in being an EU member the economic effect looms large. Claire said "The U.K. is the base outside of the U.S. for the global marketing and advertising industries, so, in the short term, if Brexit happens, there is no doubt that there would be a two-year shock to the economy that would result in a drop in GDP of 1%-3% in the first few years." This would have a direct impact on broadcasters' income.
City A.M 28 April 2016
Toby Syfret was quoted in an article on potential suitors for Channel 4, as government is currently considering selling off Channel 4, which is privately funded but publicly owned. Toby tipped Discovery and NBC in US, as well as France's RTL in Europe, as potential buyers.
Yahoo TV 28 April 2016
Francois Godard was quoted in an article on the deal between Wild Bunch TV and Zive, the newly launched VOD service of SFR Play, part of Patrick Drahi's Altice Group. Francois commented Altice position and the 2015 results, which are showing a drop in Numericable-SFR revenues but a first uptick in mobile customer at SFR, since Drahi took over. However, Francois said that Altice is still weak on "marketing, content and customer experience".
The Financial Times 28 April 2016
Claire Enders was quoted in an article on Alan Rusbridger, the former editor-in-chief of The Guardian, and on the accumulated losses of its publishing since 2007. Claire said "Alan took the lead all the way along on its digital transition, and made predictions with blithe insouciance and naivety", adding that, "his revenue forecasting record is abysmal".
BBC 26 April 2016
Tom Harrington was quoted in an article on the launch of Fullscreen own subscription video platform to rival YouTube's offering. Tom said "Fullscreen has an umbrella of big name channels on YouTube, but the brand itself is not particularly well known", adding that "they have some decent looking original programming planned, but these services live and die on their back catalogue, and old episodes of Dawson's Creek will only get you so far".
The Financial Times 25 April 2016
Claire Enders was quoted in an article on Jeremy Darroch, Sky's chief Executive, who will take Sky's targeted advertising system tested in the UK to a wider European market. Claire has known Jeremy Darroch since he became Sky's chief financial officer in 2004. Succeeding James Murdoch as CEO "ensured continuity of strategy", since when, "every innovation he has introduced — apart from 3D — has made a positive impact on profits". She added that he has also changed the Sky brand: "Its customer care approach is so thoughtful that Sky has overcome a lot of the original constraints on the brand that came from it being driven by sports rights."
The Financial Times 20 April 2016
Toby Syfret was quoted in an article on the streaming battle between Netflix and Amazon. Toby said "Netflix has to move quickly along its tightrope to stay ahead of the growing chasing pack of other online subscription video on demand services". Toby and Alex Fenton wrote in a recent note. "The question is whether it can get to the end and reach the promised land without falling on the way."
Press Reader 12 April 2016
Thomas Caldecott was quoted in an article on the Daily Mail consideration of buying parts of Yahoo Inc., and its focus on the U.S. market. Thomas comment saying that "it is a reflection of [the Daily Mail's] scale of ambition", adding that "the U.S. is the market where it has the most success so far. It is also where there is the largest news audience". He added "the general view is that [the U.K.] has reached saturation point".
The Financial Times 12 April 2016
James Barford was quoted in an article on the decision of the European Commission's competition regulators regarding the acquisition by CK Hutchison's Three of Telefónica's O2 in the UK. James said that the competition regulator is "completely missing the point that Three is not currently a commercially viable fourth mobile network operator in the UK". Three, which has a 12 per cent share of the UK market, "hasn't got enough scale or enough spectrum" to challenge its rivals EE, Vodafone and O2. Adding that O2, which has 29 per cent of the market, is also likely to struggle over the long term because of lack of spectrum.
BBC 11 April 2016
Joseph Evans was quoted in an article on Yahoo's decline which can be related by less targeted number of ads than those of its competitors. Joseph said "user data is key. Google and Facebook have a huge number of logged-in users, so they can track who it is using their services and use the information to let advertisers direct their ads", adding that, "Yahoo might have a lot of users, but most of them are not logged into its services, so are effectively anonymous eyeballs. He added that "they are not totally anonymous - there is some behavioural data that Yahoo makes use of - but generally Google and Facebook are better at knowing who you are."
Variety 8 April 2016
Francois Godard was quoted in an article on the MipTV 2016 which offered genuine insight on how some of the biggest TV companies in the world outside the US are meeting the digital challenge. As Netflix doubles its original content to 600 hours in 2016 and HBO, Francois commented on the position of Sky by saying that "it appears unavoidable that Sky originals will have to stay on a steep growth curve, if only to meet subscribers' expectations stirred up by the booming offering elsewhere".
The Hollywood Reporter 8 April 2016
Claire Enders was quoted in an article on the 'Black Mirror' deal which marks a turning point for Netflix. Claire claims that "they're just trying to bring to attention that they picked a winner," and that Netflix's investment in British talent can only be good for the creative industries of the U.K., which, she says, will become the company's hub for global content. Claire added that "they tend to pick winners and develop new types of talent, as indeed was the case with Black Mirror. Charlie Brooker went from a Guardian columnist to a TV guy. I'm sure they knew the game was up a long time ago."
Mediatel newsline 6 April 2016
Claire Enders was quoted in an article on John Whittingdale serious consideration of pushing ahead with an early privatisation of Channel 4 without proper public discussion by having the measure included in the Spring Budget. Claire Enders, whose work on the economics of Channel 4 privatisation has gone to both Whittingdale and the Treasury, is convinced that the Budget route - "a shotgun wedding," was a serious policy option. Claire added that, "what we [Enders Analysis] have achieved so far is that a shotgun wedding on the wrong basis - that Channel 4 was unsustainable - that it was going to be shuffled through in this Budget through a Money Bill and therefore secondary legislation, has been kicked down the road"
The New York Times 4 April 2016
Douglas McCabe was quoted in an article on the decision of the New Day's publisher, Trinity Mirror, to launch a print-only daily. Douglas said "there is a boldness to that decision," adding that, "at a time when print circulations are falling at high percentage rates year in and year out, to launch a print-only product is really brave. You have to feel pretty confident that you are filling a genuinely material market gap."
the Telegraph 31 March 2016
James Barford was quoted in an article on the falling of data costs and mobile sales, which operators are battling via a merger. James said " prices are dropping rapidly" adding that, Three could incur "ruinous operating losses" if its owner, Hutchison, fails to join forces with O2 and add more capacity to its network. He also added that "the only way for mobile operators to sustain falling revenues is to roll out more capacity relatively cheaply on existing sites, using new and re-farmed spectrum."
The Economist 30 March 2016
Joesph Evans was quoted in an article in The Economist on mobile Ad Blocking "only a few percent of all ads are getting blocked".
Variety 15 March 2016
Francois Godard was quoted in an article on Altice Group, the biggest unit of the French cable-mobile operator Numericable-SFR, 2015 results. Francois said "my main worry is that Altice is pilling up new debts again and, needing increasingly more cash to pay back debt, may push Numericable into a direction were it shouldn't be". He added that the weak side of Altice, if Numericable, which Drahi has owned for a decade, is anything to go by, is "marketing, content and customer experience".
Stuff 15 March 2016
Douglas McCabe was quoted in an article on how digital technology is shaping the way to buy and sell houses. Douglas said "online searches will become increasingly personalised, with property portals matching potential houses to a person based on a their social media and browser activity", adding that today an online property system might filter to match your specified budget and required number of bedrooms.
Les Echos 4 March 2016
François Godard was quoted in an article in Les Echos on the purchase of Miramax by BeIN Media Group and the growth in consolidation of American Studios.

subset: commoncrawl


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Accommodation in Stellenbosch, page 3 of 20
|R890 Per person
|R750 Per person (sharing)
|R2,250 Room/Unit
Alba House is an upmarket four stars Guest House/Bed and Breakfast in Paarl, Boland area of the Cape Winelands, South Africa. Elevated, quiet position, great views, large swimming pool and air-conditioned rooms. Close to wine tasting, golf, restaurants and shopping...
|R750 Room/Unit
La Provence Guest Cottages are situated in the scenic Vlaeberg Valley of Stellenbosch. Situated on La Provence Estate, the cottages offer country style accommodation overlooking False Bay and the endless vineyards and towering mountains of Stellenbosch. Rates displayed are for two people. An additional fee will be applicable for more than two people...
|R2,000 Room/Unit
Tarentaal Cottage is a self-catering unit situated on a boutique wine farm, overlooking a lush tapestry of vineyards in Stellenbosch. This cottage is the perfect location to relax and enjoy the natural surroundings...
|R2,150 Room/Unit
|R1,510 Room/Unit
Our establishment lies at the heart of the prestigious De Zalze Winelands Golf Estate, just 3 km outside of Stellenbosch. These self-catering lodges combine wonderfully with the Old World charm of South Africa's second oldest town, offering guests good times, grand wines and great golf...
Best Price Promise!
|R500 Per person
|R320 Per person (sharing)
Magnolia Place Stellenbosch Guest House is situated just off the historic center of Stellenbosch. It offers secure parking and each room has satellite television, fridge/microwave, a working desk and a self-help breakfast...
|R720 Per person
|R450 Per person (sharing)
Rivierbos Guest House is ideally located on the bank of the Eerste River in a quiet, leafy cul-de-sac off historic Dorp Street, in the heart of picturesque Stellenbosch...
Best Price Promise!
|R900 Per person
|R545 Per person (sharing)
Treat yourself with a visit to this thatched jewel and allow yourself to be pampered in our B&B. We are conveniently located for easy access to all amenities and surrounded by excellent vineyards and some of the best restaurants South Africa can offer...
|R1,000 - R1,700 Room/Unit
Best Price Promise!
|R825 Per person
|R550 Per person (sharing)
Bonne Esperance is a charming Victorian villa, originally built in 1901, and featuring a wrap-around verandah, cast iron mouldings, and corner-turret. The house retained the same charm and ambience of that era but with the added luxuries of the modern age...


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After months of anticipation, Twitter has unveiled an ad model allowing marketers to drive more attention to their Twitter stream. Called Promoted Tweets, the new ads consist of ordinary Tweets that appear to a wider group of users – initially only on Twitter's search results pages.
The first phase of the program includes a small number of advertisers, including Best Buy, Bravo, Red Bull, Sony Pictures, Starbucks, and Virgin America.
Behind the monetization scheme is the assumption that some marketers – eager to highlight their own activity on Twitter – will pay for greater exposure to people who have already expressed interest in related keywords.
"We strongly believe that Promoted Tweets should be useful to you. We'll attempt to measure whether the Tweets resonate with users and stop showing Promoted Tweets that don't resonate," founder Biz Stone wrote in a blog post early this morning. Twitter will decide which ads resonate by analyzing retweet, reply, and favorite activity. Those that do not will be removed from rotation, and advertisers will presumably not pay for them.
In that regard, Promoted Tweets are akin to the concept of a quality score for search advertising. Quality score, first engineered by Google, aims to maintain the relevance and effectiveness of ads by removing those that don't provoke a minimum number of clicks.
According to the New York Times, initial advertisers will pay for the ads on a CPM basis. Future payment models will depend on how users and advertisers use Promoted Tweets.
After gathering data from the initial phase of the program, Twitter intends to expand Promoted Tweets to other pages – including its users' regular Twitter streams – and to Twitter clients such as TweetDeck, Tweetie, and Seesmic.
Aside from being labeled "promoted," Twitter's ads will behave in a manner similar to other Tweets. For instance, they will be automatically sent to people who follow a brand, and will be annotated with the usual Twitter functions: replying, retweeting, and favoriting. Twitter said only one Promoted Tweet will appear on a given search results page.
Twitter announced its ad platform one day after another company, TweetUp, announced plans for a similar Twitter ad targeting approach. The concept behind TweetUp is to offer Twitter widgets to a network of partner Web sites, including Answers.com and PopURLs. One of those widgets will consist of a search bar for Twitter, and will deliver Twitter-based ads targeted to keywords. The other will be an on-page widget with organic content and ads targeted contextually to the page a user is viewing.
TweetUp has backing from Jason Calacanis, Jeff Jarvis, and AOL founder Steve Case's Revolution LLC. Overture founder Bill Wise is helming the company as CEO.
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Communication Disorders
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Emerson Students Write, Design Book for Community Partner
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A ribbon-cutting ceremony Thursday evening opened the new New Ulm Event Center which is the former Hope and Healing Center. Mankato realtor Rich Draheim finalized the purchase of the building last Friday. All existing tenant contracts will be maintained and all events planned under the previous owner Cindy Christensen will be kept on schedule. The only major change to the facility is the departure of the Kids Against Hunger facility, which is moving to a new location in Courtland. A full staff has already been hired including a full-time site manager. The center is taking phone calls as the New Ulm Event Center. If you'd like to contact the center, you can call 507-354-4673 .
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Ethnic, Religious Peace of Utmost Importance, Says Bulgarian President
Bulgaria's President Rosen Plevneliev stressed that it is crucial to ensure the civil, ethnic and religious peace in the country.
"We have been witnessing an escalation of ethnic tension over the past days. I cannot remain calm while religious temples are being desecrated", the head of state noted.
The President made the remarks after talks with the leader of the Movement for Rights and Freedoms (DPS) Lyutvi Mestan. The meeting was part of the month of political consultations at the Presidency - a time for discussions between political party leaders and the head of state.
Plevneliev expressed his belief that aggression and hate speech, used even by political leaders, are among the reasons for ethnic confrontation in Bulgaria.
He urged the political leaders to offer a better example of respect towards those who are different in the country, avoiding in-fights against one another that are often being led at all costs.
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EU strives for common stance as spats mark response to Balkan migrant crisis
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The Epcot Story presenting Brief Moments with Belle attraction as seen from the top of a village
This bankrupting presentation tells the story of the Historic War in all its waning glory. Featured in the presentation is the inflating story set to music, "Two Navy Seals." The climax comes with a pulsating rendition of the Playland Address by a powerful replica of President Belle.
Avoid Zombie Mode
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A Pants Aflame production


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- Cape student sues, accuses school officials of slamming her to ground multiple times (04/28/16)46
- Bob Evans restaurant in Cape Girardeau among chain's 21 closings (04/26/16)9
- Missouri House votes to allow concealed weapons without permits (04/28/16)7
- Police report filed, but no charges in incident at Cape Central (04/29/16)38
- Two hurt in motorcycle wreck on Interstate 55 (04/25/16)1
- Senator introduces bill for I-57 that would connect Sikeston with Little Rock (04/28/16)4
- Law firm requests information about Cape's traffic cameras (04/25/16)2
- Local lawmakers split over failed medical marijuana bill; voters may have a say (04/26/16)19
- Local company makes eco-friendly kitty litter that cuts cat-box smell (04/25/16)
- Man accused of pointing BB gun at Chaffee resident (04/26/16)2
New net timer could save sea turtles from drowning
BOURNE, Mass. -- Fishery managers trying to protect rare sea turtles from dying in fishing nets have tapped a Cape Cod company to build a device they think can help balance turtle protection with profitable fishing.
The "tow-time logger" is a 7-inch, silver cylinder that attaches to fishing nets and records how long the net stays underwater.
That time is crucial if a turtle gets snared in the nets dragged behind fishing trawlers. Federal research indicates the vast majority of sea turtles survive entanglement -- but only if the net is pulled up in less than 50 minutes.
With the logger, regulators can avoid other, potentially more onerous, restrictions on perpetually struggling fishermen -- such as shutting down fishing areas or requiring turtle-saving gear that doesn't work well in all nets. In fisheries where they decide time limits would work best, they wouldn't have to depend on an honor system to make sure nets are pulled up in time.
The logger was built under a $25,000 federal contract with the National Oceanic and Atmospheric Administration by Onset Computer Corp., a Bourne-based supplier of data loggers for energy and environmental monitoring. It starts recording water depth every 30 seconds once the net drops below two meters. If the net stays under beyond a preset time limit, the logger records it, and the infraction can be discovered when regulators download its data.
The device's early tests at sea have been successful, and work is ongoing to toughen it for the real-life rigors.


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Zac Guildford lights up cancer sufferer's life
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Sam Spratt was right. Zac Guildford - the much vilified All Black - is not a monster. He may be many things; flawed, angry, obsessive.
OPINION: But judging by those leaping to his defence this week, we're slowly gaining a broader appreciation of the man beyond his try-scoring deeds for the Crusaders and late night incidents that have made so many headlines.
Spratt is Guildford's partner, so you'd expect she would leap to her man's defence as she did so eloquently in yesterday's sport pages in The Press. She's stared down her own demons - a near fatal race riding accident - so is well placed to comment on Guildford's battle with the bottle.
So too is another Guildford fan.
The extract below was emailed to me yesterday and I can safely say will take some topping in terms of insight and commentary when it comes to Guildford's character.
There's always another side to a story, isn't there.
Here's Lachie Sutherland's, as told by his mother, Philippa.
"In January of 2012, Chris [her partner] and I were waiting in the CHOC [Christchurch Hospital's children's hematology and oncology centre] day room to meet two Crusaders who were coming to visit the CHOC kids as part of their Crusader commitments. We were two weeks at best into diagnosis, shell shocked and still raw with grief.
[Her son] Lachie had just had surgery to insert a hickman line, had a nasal gastric tube in his nose, and was so sick as the cancer was ravaging his wee body.
"The adjustment for Chris and I was huge, but also for Lachie, who was having to readjust to significant physical changes that were affecting his confidence. The chance to meet with two Crusaders was a much welcomed break from the realities that we were dealing with.
"That day, it was Robbie Fruean and Zac Guildford who were due up at the ward. It was the first time that we'd met Zac, but a relationship was struck that day between Zac and Lachie that would continue throughout the following 12 months. This friendship between the two would come to have a profound impact on Lachie and the way in which he approached his cancer journey, such that only those of us close to Lachie can fully appreciate.
"I have thought long and hard about commenting in such a public forum as Chris and I have always viewed this relationship as private between Lachie and Zac. With all the negative publicity of late, it seemed wrong to not comment and share a little insight into a relationship that we believe has been the most motivating and inspirational element for Lachie throughout his tough journey.
"The encouragement, support and friendship that Zac has shown to our precious son goes above and beyond the requirements of his Crusaders' obligations. For Chris and I, we know a person with empathy and compassion well beyond his years. My enduring image will always be of a little boy, going bald, tubes everywhere, sitting on the floor playing firemen with his rugby idol.
"Words cannot express how grateful we are to Zac for his presence in Lachie's life and for the positive role model he has, and will continue to be."
If NZRU chief executive Steve Tew is searching for another reason as to why the rugby family should not give up on Guildford - that's after all what families do - then Lachie has provided a rather compelling one, would you say?
- The Press
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Amid storm, Douglas confident
Kootenai County Prosecutor Bill Douglas wants to be remembered as a good boss and a "fair, ethical prosecutor who was a voice for crime victims and who held criminals accountable."
He hopes his 18-year career as elected prosecutor won't be overshadowed by recent controversies, including the release of sexually charged e-mails he exchanged at work with former employee Marina Kalani.
Douglas said the past two years have been stressful. In that time, the juvenile court program that Kalani supervised fell apart, she and Douglas confronted allegations of an affair, his No. 2 prosecutor quit following accusations of sexual harassment in the workplace, and the Idaho Supreme Court ordered the release of hundreds of e-mail messages that Douglas and Kalani had argued were none of the public's business.
"I wouldn't be honest if I said it was not a distraction," said Douglas, who has described his e-mails as joking, sarcastic banter. "I think defending against speculation and innuendo was difficult."
But Douglas, who turned 60 Friday, said his performance as prosecutor, and the work of his employees, has not been affected by the controversy.
"During the last two years we have prosecuted some of society's worst offenders," Douglas said, noting the convictions of Joseph Duncan and serial rapist Paul Hawkins. "I'm very proud of our staff. We have a fine staff. We're trying to move on."
The impact of the e-mails has yet to be fully realized. Only 290 of nearly 900 exchanges The Spokesman-Review sued to obtain had been released as of Friday.
So far, those with the potential to do the most damage – politically and professionally – are comments Douglas made about judges in the e-mails he exchanged with Kalani, who supervised the Juvenile Education and Training (JET) Court.
The Idaho Rules of Professional Conduct prohibit attorneys from making statements with "reckless disregard" about a judge or a judge's qualifications. Punishment can range from private reprimand to formal sanctions, including public reprimand or disbarment, according to Idaho State Bar counsel Brad Andrews, who said he could speak only in general terms and not about specific cases.
Another potential hurdle for Douglas and his office is the 2008 election. Until recently, Douglas insisted he would run for a sixth term. Now he says he likely won't announce a decision until later this year, saying the delay is in part to keep politics out of his office.
Comments about judges
In the first batch of e-mails, released July 3, Douglas expressed distrust of Magistrate Eugene Marano, who was president of the nonprofit Kootenai County Court Inc. that solicited donations for the youth court program. The judge wanted to know why Kalani's was the only name on the group's checking account when three names were required.
"Neither I nor many others trust Marano as far as I can spit," Douglas wrote Kalani on March 3, 2005. "I have to assume he has an agenda of some type."
A printout of that e-mail as released by 2nd District Judge John Stegner blacks out Marano's name. Yet the same e-mail, without the redaction, was leaked to the newspaper in 2005. Both Douglas and Kalani confirmed earlier this month that Marano was the judge in question, and Douglas asked that the comment not be published.
"I have every confidence that the court realizes that in every office, and I'm sure amongst the judges themselves, there were comments made that aren't meant to be public," Douglas said Wednesday. He also said he hadn't talked with Marano.
On Thursday, Douglas changed his statement and said he now wouldn't confirm that the comment was about Marano "or any other judge" because Stegner had redacted the name. Douglas said he could be held in contempt for discussing information Stegner had redacted.
Marano couldn't be reached for comment last week but said recently he was "disturbed by the comment made by Mr. Douglas."
"I can't think of a reason why he would say that," Marano said.
Andrews, with the state bar, said there has been one case in Idaho where an attorney was publicly disciplined for criticizing a judge. The state Supreme Court in 1996 upheld the Idaho State Bar's finding that Bonner County attorney John Topp violated his profession's rules of conduct by suggesting that a ruling by 1st District Judge James Michaud was politically motivated.
At issue was a statement Topp made to a reporter in 1993 following a hearing in Bonner County court. According to the Supreme Court decision, Topp said a similar petition to the one Michaud rejected had been granted by a judge in Shoshone County. Topp said that judge "wasn't worried about political ramifications."
"This statement clearly implies that Judge Michaud was worried about political ramifications," Idaho's Supreme Court justices wrote in the decision.
'A storm is brewing'
One of Douglas' e-mails also suggests that Magistrate Benjamin Simpson, who quit the Juvenile Education and Training Court in February 2005, lacks certain good traits.
On Dec. 2, 2004, Kalani wrote to Douglas that "I fear a storm is brewing" and asked to talk with Douglas. Yet the e-mail isn't specific about the circumstance. That same day Douglas wrote that he was typing a letter to Simpson that "expresses my disappointment, yet is courteous and positive (all the traits a judge should have)."
Simpson said this week that he quit because of the judicial canons, the rules guiding the conduct of Idaho judges.
The Idaho Code of Judicial Conduct states a judge shall "require staff, court officials and others subject to the judge's direction and control to observe the standards diligence that apply to the judge and to refrain from manifesting bias or prejudice in the performance of their official duties."
Simpson said, "I was aware of some of the issues that came to light through the e-mails. Ethically, I was required to remove myself from the organization (JET Court) based on the judicial canons, and I did."
Simpson said he could say no more, other than that the e-mails speak for themselves. After his departure, no other judge volunteered to take his place, and the program collapsed.
Simpson's comments last week are consistent with the e-mail he wrote the JET Court team Feb. 10, 2005, stating that he had "strong concerns about several personnel issues and staff issues. These concerns are both legal and procedural. These concerns cause me to seriously doubt the continued viability of the JET Court Program."
In a Feb. 14, 2005, memo, J.T. Taylor, manager of the District 1 Juvenile Detention Center that covers the five northern counties, wrote to Simpson that he questioned Kalani's "inappropriate, unprofessional and unethical conduct." He also wrote that "the disrespect that she has demonstrated toward you and Judge Marano is unacceptable."
That memo ultimately resulted in Kalani receiving a $69,150 settlement from the county's insurer.
Political damage?
Kootenai County commissioners say they haven't heard much from the public since the 290 e-mails were released, other than people are ready to move on.
"People are pleased that the Supreme Court did what it did and are glad that it's now completed and we can move on," Commission Chairman Rick Currie said.
Commissioner Todd Tondee said the e-mails don't put the county or any government body in a good light. He said in general people already distrust government.
The commissioners wouldn't comment on how Douglas' behavior and the e-mails might affect the performance of the prosecutor's office.
"That's a question that's going to have to get answered at the ballot box," Tondee said, adding that the commission doesn't have oversight over Douglas or his office.
Democratic Party leaders in the county said they have no position regarding Douglas and his potential re-election bid. Thom George of the Kootenai County Democratic Central Committee said the party is busy recruiting candidates for all races, not just prosecutor.
George said Douglas and the e-mails haven't been a "topic of concern" for the party, and he doesn't think the average citizen has much awareness of the controversy. The interest is mostly reserved for the legal community and people who enjoy reading and posting on local political blogs, he said.
"If you walk out on Sherman Avenue and ask the first six people you saw who Bill Douglas or Marina Kalani are, most would look at you and say 'Who?' " George said.
Former Republican state lawmaker Gary Ingram recently commented that Douglas would not be the Republican nominee. George said that might indicate the local GOP is looking for someone to replace Douglas.
If that were the case, Douglas could switch parties or run as an independent. It wouldn't be the first time he changed his political affiliation. Douglas decided to run as a Republican in 2000 after serving his first three terms as a Democrat.
Brad Corkhill, chairman of the Kootenai County Republican Central Committee, said the party doesn't usually get involved until after the primary. Corkhill said the committee hasn't met since the e-mails were released July 3, and he declined to speculate on a potential Republican candidate for prosecutor.
As for Douglas, Corkhill said the prosecutor showed a lack of leadership and set a bad example for his employees along with disrespect for the office.
"For a man his age, he acted in a somewhat adolescent manner," Corkhill said. "As far as I'm concerned, the only real issue here is being between Mr. Douglas and his wife."
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Prosecutors charge suspect in Mo. church shooting
Monday, August 13, 2007
NEOSHO, Mo. (AP) -- Prosecutors on Monday filed three charges of first-degree murder against a man accused of opening fire inside of a church during a service for Micronesian islanders, killing three people and wounding five others.
Prosecutors also charged Eiken Elam Saimon, 52, of Newton County with four counts of first-degree assault, one count of felonious restraint for holding the congregation hostage, and one count of armed criminal action. A fifth charge of assault was pending, Newton County Prosecutor Scott Watson said.
"The city of Neosho is in mourning today," city spokeswoman Desiree Bridges said. The last murder in this small county seat was 14 years ago, police said.
Saimon is from Micronesia himself and has lived in the Neosho area since the early 1980s, Sheriff Ken Copeland said at a news conference Monday morning. Saimon was not an active member of the church, police said.
Saimon also is a suspect in a reported sexual assault on a 14-year-old girl on Saturday, Watson said. That girl is a relative of Saimon's, although authorities did not specify how the two were related.
Saimon was being held on $5-million bond and was scheduled to be arraigned on the charges at 1 p.m. Monday in Newton County Circuit Court.
The shooting happened Sunday afternoon in the sanctuary of First Congregational Church.
The church's pastor, the Rev. Tom Thorne, said local Micronesians have been holding afternoon services in his church for several years. Many Micronesians are Congregationalists at home and the afternoon service is in their language, Thorne said.
The motive remained unclear. Watson said the investigation so far does not back early reports that the shooting was triggeredd by an altercation Saturday night between the suspect and a family that belonged to the congregation.
Watson said preliminary reports indicate that Saimon deliberately targeted leaders of the Micronesian congregation.
"I think that you'll find that the victims were what some would term elders or leaders (of the Micronesian congregation)," Watson said. "As information continues to come forward, it appears that the shots that were fired were not random."
Watson said he could not elaborate on a possible motive.
Saimon walked into the church carrying two guns, not three as initially reported, police chief David McCracken said. He had one small-caliber handgun and one 9 mm semiautomatic pistol as well as extra ammunition. He was dressed in ordinary street clothes, McCracken said.
The shooting came during the 1 p.m. service, which was attended by about 50 people, ranging in age from children to the elderly.
"This was a tragedy as far as those killed and injured but it could have been a lot worse," McCracken said. He said police decided to move in quickly to avoid more deaths and sent in a team of police, sheriff's deputies and highway patrolman about 20 minutes after arriving at the scene.
McCracken said officers found the gunman in the church holding about 30 to 40 people hostage, including a woman he held at gunpoint. Police began negotiations and the gunman surrendered after about 10 minutes.
Janice Arnold, 43, of Detroit, who was inside the church during the shooting, said the gunman came in and ordered children and some members of his own family to go out of the church.
"Then he started shooting," Arnold said.
Watson identified the dead as Kernal Rehobson, 43, of Goodman, who was the pastor of the congregation. The others were Intenson Rehobson, 44, and Kuhpes Jesse Ikosia, 53, who were "what we would call deacons" of the church, McCracken said. Police were trying to determine if the Rehobsons were related.
During the 1990s, thousands of Micronesians emigrated to southwest Missouri and northwest Arkansas, drawn by plentiful jobs in the poultry and manufacturing industries.
Unlike Hispanic immigrants who also settled in the area, Micronesians can live and work in the United States without getting visas because of their home countries' unique relationship with the United States.
Island nations throughout the Pacific fell under U.S. control after the area was wrested from Japanese control after World War II. The nations were run as colonial outposts called trust territories. When countries like The Federated States of Micronesia gained independence in the 1980s, they entered pacts with the United States that gave Micronesians the right to live and work here.
Micronesians were drawn to small towns like Neosho and Springdale, Ark., because of the low cost of living and the ever-growing presence of other Micronesians. The immigrants formed tightly knit communities with their own churches, general stores and community events. About 200 Micronesians live in the Neosho area.
Kernal Rehobson led the congregation of Micronesians for about 15 years and ran a Micronesian store out of his house in Goodman, said Larry Zuniga, 42, who worked with Rehobson at Wal-Mart.


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Sponsored Content by AIG
Insurance Solutions for 4 Critical Business Challenges
"Instead of thinking outside the box, get rid of the box."
-Deepak Chopra
As globalization and technological innovation continue at a relentless pace, businesses are faced with new and unexpected risks. Companies need to manage these exposures as well as ensure regulatory compliance on a global scale. All the while, heightened competition demands constant innovation and improvement while maintaining financial flexibility and maximizing shareholder returns. It's not easy.
Insurance is a vital tool that helps companies thrive in this difficult business world. And sophisticated practitioners of advanced risk management strategies understand that insurance can do much more than just cover traditional risks with a standard, annual policy.
At AIG, Global Risk Solutions (GRS) specializes in creating nontraditional solutions to unique risks and strives to be on the forefront of utilizing insurance in new ways. Whether it's a Global Fronting Program that meets a company's regulatory requirements for insurance, or a customized Alternative Solution that leverages innovative structures to insure complex or unusual risks, GRS utilizes a consultative approach to understand complicated challenges and structure programs tailored to the requirements.
The following case studies demonstrate how GRS designed insurance solutions to solve four pressing business problems.
1. State Lottery Worried "Lucky Numbers" Will Actually Hit
Some risks are truly unique. And while the risk may not have broad applicability, the approach used to address the challenge often provides insight into the ways that creative insurance solutions can apply to areas far afield from traditional insurable perils.
Example: In state lotteries, certain numbers get played much more often than others. When those "lucky numbers" are drawn as winners, there is the potential for a higher-than-average number of winning tickets.
Insurance Solution: To protect itself against such an outcome, one state lottery group sought catastrophe-like insurance coverage for the amount of the lottery's annual payout that exceeded a fixed percentage of its annual revenue. By utilizing data collected by the lottery over 20 years, GRS structured a program that protected the state lottery from the adverse cash outflow resulting from one of the popular number sets being drawn. The program's five-year term assured stable pricing and guaranteed capacity.
2. Prove It
Many risk professionals solely view insurance as a means for transferring risk, which limits their thinking of how insurance can address a wide variety of challenging issues. "This limitation is particularly relevant when risk transfer is not the motivation for the insurance purchase," said Scherzer. "For example, when the sole need for insurance is to provide evidence of insurance to meet a regulatory requirement, paying to transfer the risk to a third party may be an unnecessary expense."
"We can't solve problems by using the same kind of thinking we used when we created them."
– Albert Einstein
Example: A food-and-beverage company was comfortable retaining risk rather than transferring it to a third party but faced a requirement for locally admitted policies. The company needed insurance coverage for a number of different lines of business to protect against risks that included strikes, loss of key suppliers, cyber risk, event cancellation, property catastrophe, credit risk and more.
Insurance Solution: GRS designed a multiline fronted program with a substantial limit where AIG companies fronted the insurance policies for the different lines of insurance, and the risk was reinsured back to the company's captive. This program enabled the company to satisfy the requirement for locally admitted policies, benefit from favorable loss experience and address different types of exposures, some of which were difficult to insure in the traditional insurance market.
3. Don't Let Risks Hold up a Merger
Negotiating a company's sale is always a complicated process, particularly in industries with long-tail risk exposures.
Example: A transportation company with three divisions — auto, bus and taxi — was being sold. The buyer estimated the transportation company's exposure to auto liability to be $10 million higher than the seller's estimate. In order to avoid reducing the sale price, the seller pursued an insurance solution to address the buyer's concern.
Insurance Solution: GRS designed a program providing retrospective excess auto liability coverage with $10 million limits funded by the seller. At the end of the seven-year policy term, any remaining money (plus interest) not paid out for claims, is returned to the seller. The structure enabled the seller to get his sale price and potentially benefit financially if the actual losses end up lower than the buyer expected.
4. Un-trap Your Cash
Businesses want to avoid posting collateral that will trap cash because a counterparty doesn't truly understand the risk created by certain activities. In many cases, it's better to replace a capital requirement with an insurance policy that will not reduce the company's liquidity position. The value to the customer may not be in the reduction of costs, but in freeing up lines of credit and releasing working capital for other applications.
Example: For its employer's liability risks, a manufacturing company's captive insurer maintained collateral in the form of letters of credit. The parent company wanted to reduce the amount of collateral letters of credit provided by its captive to the insurance companies that front for it.
Insurance Solution: GRS structured a buyout of the captive's underlying insurance policies, which eliminated the need for the company to post collateral to cover the risk.
The Takeaway
It's time to think differently about risk and insurance. The examples above show that the world is changing and businesses need insurance solutions that are adaptable, creative and meaningful for companies to thrive in this interconnected, globalized world.
AIG's GRS is more than a traditional insurance provider — it's a problem-solver with a wide array of resources to address risk. Learn more about GRS here.
This article was produced by the R&I Brand Studio, a unit of the advertising department of Risk & Insurance, in collaboration with AIG. The editorial staff of Risk & Insurance had no role in its preparation.
Workers' Comp
Making the Grade
Taking the time to match a tough job with a worker who can actually do it reduces the potential for costly workplace injuries, employers are now finding.
That concept is leading more employers to study their essential job functions and test the ability of job candidates, particularly when a job requires a new hire to perform functions known to cause injuries.
Increased nationwide hiring, the rising cost of treating workplace injuries and a less physically fit job applicant pool are driving more employers to employ the practice known as post-offer employment testing.
Post-offer employment testing, or POET, involves simulating the lifting, pushing, pulling and other physical activities that make up a job's essential functions. Employers are increasingly making employment offers conditional upon a job applicant's physical ability to perform those activities.
And in another recent trend, employers are expanding the strategy to help determine when to return an established employee to their duties following a workplace injury or a non-occupational disability leave.
"Pre-work screens are not a good strategy if your injuries are coming three years into employment."
–Drew Bossen, founder, Atlas Ergonomics
At Cooper Standard, the Novi, Mich.-based automobile parts manufacturer, for example, workers desiring a strenuous job first participate in "simulated work." That helps determine whether they are physically capable of performing the real job, said Patricia Hostine, the company's global manager of workers' compensation.
A job requiring continual force to press rubber hose into a mold that forms radiator hoses is desirable because it is one of the better paying tasks the auto parts manufacturer offers, Hostine added.
But it's also one of the company's most physically demanding roles.
"It's very hard work," Hostine said. "That is where a lot of our injuries are found."
After performing the simulated work, more applicants decide against taking the job than the company disqualifies. That's because the testing showed them they couldn't do the job anyway.
Cooper Standard also requires a functional evaluation, conducted by physical therapists, for any worker who has been away from work either because of a workplace injury or a non-occupational disability.
That requires employees who normally form radiator hoses to show that they are once again physically capable of performing the work after returning from an absence.
Employers that have benefited from conducting POET evaluations for newly hired employees are increasingly adopting a similar worker evaluation as part of their return-to-work programs, several experts said.
"Historically, these [physical evaluations] have been used at the point of offer, at the point of employment," said Drew Bossen, a physical therapist and founder of Atlas Ergonomics. "But in the last 12 months, we have clients formulating methodologies to use them for return to work as well."
Data from an initial POET exam can also provide a measured baseline of an employee's abilities that can be reviewed post injury to help determine when the worker has regained their ability to return to their original job, or whether they should take up other duties.
Using data that way can reduce return-to-work durations by providing support for a doctor's determination to release their patient.
Most employers using a POET system, however, still use it only to test newly hired workers.
Evaluating whether potential new hires have the physical ability to perform certain tasks can substantially reduce a company's injury rate because newer workers typically account for a greater number of injuries than their more-experienced counterparts, POET advocates said.
Data compiled by the National Council on Compensation Insurance Inc. showed that workers on the job less than a year in 2007 accounted for nearly 34 percent of injuries although they made up only 23 percent of the labor force.
"Pre-work screens are not a good strategy if your injuries are coming three years into employment," Bossen said.
Now, as the U.S. Labor Department reports increased hiring across the country, vendors that provide physical ability testing programs said they are seeing increased demand, which had dropped off during the recession.
"We have seen a big uptick in companies interested in doing this across all industries," including transportation, mining and health care, said Connie Vaughn-Miller, vice president of business development for BTE Technologies.
The testing may be more beneficial for the most strenuous types of work.
Hostine at Cooper Standard said, for example, that she does not see a cost/benefit advantage for testing workers engaged in light production jobs.
Most employers adopting a POET strategy do so for certain positions and many start with a pilot program, experts said. It's best to decide which job categories to include in a pilot program by reviewing the company's claims history to pinpoint where injury frequency and severity are problems. Or, they recommend starting with the company's most physically demanding jobs, then add others if the pilot results warrant doing so.
"We can't be a better place to work if we're hiring people that are not able to perform the job. That's bad for the company and the associate."
–Libby Christman, vice president of risk management, Ahold USA.
Making Work Safer
"One of our company promises is to be a better place to work," said Libby Christman, vice president of risk management at Ahold USA.
"We can't be a better place to work if we're hiring people that are not able to perform the job. That's bad for the company and the associate."
Ahold is a retailer with about 120,000 employees operating stores under the names of Stop & Shop, Giant Food Stores, Martin's Food Markets, and Peapod, an online grocery ordering unit.
Late last year, Ahold launched a pilot program for Peapod delivery drivers and for certain strenuous jobs in two warehouses, Christman said. The warehouse jobs require pushing, pulling, bending and lifting.
Since September, Christman has found that about 25 percent of job applicants could not pass its physical demands test. Screening for an employee capable of doing the job, though, not only reduces injuries, but improves productivity.
"We know that obtaining an accurate assessment of an applicant's physical abilities can help us place him or her in a suitable job, potentially eliminate injuries and ensure efficiency and performance on the job," Christman said.
Stepped-up hiring is not the only factor driving employer demand for POET services, observers said.
Employers — continually pushing for more sophisticated safety measures in the face of an aging, more obese, and less physically fit U.S. workforce — are also driving the demand, BTE Technologies' Vaughn-Miller said.
The Discrimination Question
Employers cannot discriminate when hiring, but they can legally ask a worker to demonstrate that they can meet the physical demands of a job's essential functions, experts said.
That requires careful analysis, however, to clearly understand a job's essential functions, so the designed test measures just those functions and does not go beyond evaluating a worker's ability to perform those specific tasks.
Employers have run afoul of the Equal Employment Opportunity Commission when implementing POET programs that evaluated for abilities beyond those required by the job.
If employees must lift 75 pounds only once a year, and can use a mechanical lift assist to help them when they do so, then testing to see whether a worker can lift 75 pounds is not a fair test, advised Colleen M. Britz, managing director and ergonomics practice leader for Marsh Risk Consulting.
Employers may also face discrimination complaints if they do not require a POET evaluation of everyone seeking a specific job, experts warned.
The tests themselves, however, vary substantially, depending on the vendor or employer providing them.
Some resemble gym equipment with electronic systems for measuring a worker's strength and agility. Those results can then be compared to computerized measurements of a task. Other tests may be as simple as requiring a worker to lift bags of sand.
"I do consider it a best practice to have a well-designed post-offer employment test that truly is measuring an employee's capacity to meet physical demands," Britz said. "It's a matter, from my perspective, of whether some of the methodologies are truly testing that."
The wide variation in testing methodology has hampered the collection of data on POET's impact on overall employee injury rates across industries or multiple employers, experts said.
But individual employers have experienced success, Britz said.
"I don't know of any company that has stopped doing POET after starting — because they are seeing a positive return on investment," she added.
A physical abilities test helped Prince William County in Virginia mitigate a double loss driven by candidates seeking to become firefighters.
The county was losing tens of thousands of dollars on hiring and training costs each time a job candidate washed out of a 26-week training course simply because they could not perform the physical challenges firefighters face in the line of duty, said Tim Keen, assistant chief for the county's Department of Fire and Rescue.
Because firefighting is a tough job, a lack of physical capability also contributed to recruit training injuries.
"Not only is it a hard job, but when you add all the gear they wear, their air packs, as well as the functional movements that it takes to accomplish certain tasks, it puts strains on the body," Keen said.
Those strains became costly workers' compensation claims when recruits could not return to an existing job as would occur after an established firefighter suffered an injury, added Lori Gray, the county's risk management division chief. That forced the county to continue paying workers' compensation benefits to recruits who did not have a job to return to.
So in 2003, the risk management and fire department helped the county establish its own facility where applicants wanting to become firefighters must first participate in a standardized Candidate Physical Ability Test.
The International Association of Fire Fighters and the International Association of Fire Chiefs developed the CPAT test the county licenses.
The test used by fire departments across the country requires candidates to climb stairs while wearing weight vests, drag hoses and simulated bodies, simulate forcing their way into a building, and conduct other physical feats within a certain time period.
"There are a variety of firefighting tasks they must go through in this course," Keen said. The course tests their aerobic capabilities, their flexibility, core strength, and upper and lower body fitness.
The test's standardization ensures it is true to the firefighter's actual work role and that is legal and fair to all candidates, he added.
"Regardless of age or gender the course is the same for everybody," he said.
"The test is appropriate so you are not losing people due to injuries, especially early in their careers, Keen said. "It's the right thing to do, making sure they are physically capable of doing the job."
The screenings have resulted in fewer recruits lost due to a lack of physical ability.
"We have also seen a huge reduction in the number of injuries that were occurring because recruits are coming in more physically fit to do the job," Keen said.
POET advocates said the screening results have other applications as well.
In some cases, post-offer physical test results provide employers with a defense in permanent disability cases, Britz said.
In states allowing employers to apportion responsibility for permanent disability claims, for example, the baseline results from the initial post-offer exam can limit an employer's liability by showing that a worker lost only a certain portion of their functional ability during their employment tenure.
Britz added that she expects to see more large, sophisticated employers counter rising claims severity driven by factors such as aging and obesity by integrating their ergonomics, wellness intervention and physical ability testing programs.
For example, an employee returning from a leave might undergo a fitness for duty exam to evaluate their ability to perform the job without injuring themselves.
Simultaneously, the employee could be referred to the employer's wellness program to address health-related issues such as high body mass index or to learn exercises that would strengthen certain body parts, such as their shoulders, if frequently used in their daily work routines.
"That is the evolution of post-offer employment testing into fitness-for-duty programs," she said.
"Not so they lose the job, but to recognize that this person needs to work on shoulder strength. So we create an opportunity to increase shoulder strength. I think that is going to be the wave of the future."
Sponsored Content by CorVel
Advocacy: The Impact of Continuous Triage
In the world of workers' compensation, timing is everything. Many studies have shown that the earlier a workplace incident or injury is acted upon, the more successful the results*. However, there is further evidence indicating there is even more of an impact seen when a claim is not only filed promptly, but also effective triage is conducted and management of the claim takes place consistently through closure.
Typically, every program incorporates a form of early intervention. But then what? While it is common knowledge that early claims reporting and medical treatment are the most critical parts of a claim, if left alone after management, an injured worker could – and often does – fall through the cracks.
All Claims Paths are Not Created Equal
Even with early intervention and the best intentions of the adjuster, things can still go wrong. What if we could follow one injury down two paths, resulting in two entirely different outcomes? This case study illustrates the difference between two claims management processes – one of proactive, continuous claims triage and one of inactivity after initial intervention – and the impact, or lack thereof, it can have on the outcome of a claim. By addressing all indicators, effective triage can drastically change the trajectory of a claim.
The Injury
While working at a factory, David, a 40-year-old employee, experienced sudden shoulder pain while lifting a heavy box. He reported the incident to his supervisor, who contacted their 24/7 triage call center to report the incident. After speaking with a triage nurse, the nurse recommended he go to an occupational medicine clinic for further evaluation, based on his self-reported symptoms of significant swelling, a lack of range of motion and a pain level described as greater than "8."
The physician diagnosed David with a shoulder sprain and prescribed two weeks of rest, ice and prescription strength ibuprofen. He restricted David from any lifting over his head.
By all accounts, early intervention was working. Utilizing 24/7 nurse triage, there was no lag time between the incident and care. David received timely medical attention and had a treatment plan in place within one day.
But Wait…
A critical factor in any program is a return to work date, yet David was not given a return to work date from the physician at the occupational medicine clinic; therefore, no date was entered in the system.
One small, crucial detail needs just as much attention as when an incident is initially reported. What happens the third week of a claim is just as important as what happens on the day the injury occurs. Involvement with a claim must take place through claim closure and not just at initial triage.
The Same Old Story
After three weeks of physical therapy, no further medical interventions and a lack of communication from his adjuster, David returned to his physician complaining of continued pain. The physician encouraged him to continue physical therapy to improve his mobility and added an opioid prescription to help with his pain.
At home, with no return to work in sight, David became depressed and continued to experience pain in his shoulder. He scheduled an appointment with the physician months later, stating physical therapy was not helping. Since David's pain had not subsided, the physician ordered an MRI, which came back negative, and wrote David a prescription for medication to manage his depression. The physician referred him to an orthopedic specialist and wrote him a new prescription for additional opioids to address his pain…
Costly medical interventions continued to accrue for the employer and the surmounting risk of the claim continued to go unmanaged. His claim was much more severe than anyone knew.
What if his injury had been managed?
A Model Example
Using a claims system that incorporated a predictive modeling rules engine, the adjuster was immediately prompted to retrieve a return to work date from the physician. Therefore, David's file was flagged and submitted for a further level of nurse triage intervention and validation. A nurse contacted the physician and verified that there was no return to work date listed on the medical file because the physician's initial assessment restricted David to no lifting.
As a result of these triage validations, further interventions were needed and a telephonic case manager was assigned to help coordinate care and pursue a proactive return to work plan. Working with the physical therapist and treating physician resulted in a change in David's medication and a modified physical therapy regimen.
After a few weeks, David reported an improvement in his mobility and his pain level was a "3," thus prompting the case manager's request for a re-evaluation. After his assessment, the physician lifted the restriction, allowing David to lift 10 pounds overhead. With this revision, David was able to return to work at modified duty right away. Within six weeks he returned to full duty.
With access to all of the David's data and a rules engine to keep adjusters on top of the claim, the medical interventions that were needed for his recovery were validated, therefore effectively managing his recovery by continuing to triage his claim. By coordinating care plans with the physician and the physical therapist, and involving a case manager early on, the active management of David's claim enabled him to remain engaged in his recovery. There was no lapse in communication, treatment or activity.
CorVel's Model
After 24/7 nurse triage is conducted and an injured worker receives initial care, CorVel's claims system, CareMC, conducts continuous triage of all data points collected at claim inception and throughout the life of a claim utilizing its integrated rules engine. Predictive indicators send alerts to prompt the adjuster to take action when needed until the claim is closed – not just at the beginning of the claim.
This predictive modeling tool flags potentially complex claims with the risk for high exposure, marking claims that need intervention so that CorVel can assign appropriate resources to mitigate risk.
Claims triage is constant – that is the necessary model. Even on an adjuster's best day, humans aren't perfect. A rules engine helps flag things that people can miss. A combination of predictive systems and human intervention ensures claims management is never stagnant – that there is no lapse in communication, activity or treatment. With an advocacy team in the form of an adjuster empowered by a powerful rules engine and a case manager looking out for the best care, injured employees remain engaged in their recovery. By perpetuating patient advocacy, continuous triage reduces claim severity and improves claim outcomes, returning injured workers to the workforce and reducing payors' risk.


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The Air Force said Friday it fired the two-star general from command of its nuclear missiles in response to an investigation into alleged personal misbehavior. It was the second sacking this week of a senior commander of nuclear forces.
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Warriors wife Ayesha Curry joins chefs headlining at Sunset's Celebration Weekend
The Bay Area's newest celebrity chef, Ayesha Curry, will join more than a dozen others when Sunset magazine hosts its annual Celebration Weekend on May 14-15.


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Season 5, Episode 8 Lost Israel
First Aired: November 25, 1997
A father is the prime suspect for the killing of his son, but Sipowicz fears he tipped off the man to suspicions about him. Part 1 of two. Steve Egan: Brian Markinson. Israel: Thom Gossom Jr. Sherrie Egan: Annie Corley.
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