The WHS Healthy Worker Pyramid (Part 2) – Stop Reacting, Start Predicting

stop reacting

In our first discussion of the WHS Healthy Worker Pyramid SM, we took a very high-level view of the entire pyramid.  We also discussed how many companies focus their occupational health efforts solely on the first level of the Pyramid.  The first level is reactive care.  Reactive care is focused on “fixing” an issue that has already occurred. Here’s what you need to know from our Healthy Worker Pyramid about how to stop reacting and start predicting!

Reactive Care is Costly

Unfortunately, reactive care is the most expensive part of occupational health and has the narrowest scope of impact.  You are working to heal a single injury on a single employee.  Reactive care also means that you’ve had a workplace injury.  That likely means that you’ve had an OSHA-recordable incident.  It means you’ve lost time and productivity.  It means you’ve incurred costs.

Reactive Injury Care Costs You and Your Employees

From the employee side, they’ve suffered the pain of the injury and the related loss of work.  They have some illness or condition that keeps them from doing the things that they want to do.

Reactive care is legally required—whether you provide it onsite or you allow employees to go offsite for their care.  These all sound like negatives—but reactive care is still a critical component of our services.

When we look at providing reactive care, our goal is to restore the employee to a safe and productive state as quickly and efficiently as possible.  As occupational health providers, we are obligated to provide the highest level of care possible.  However, we also recognize our unique role as a service provider to the company.  We work hard to ensure that employees can rehabilitate or treat their injuries in a responsible and cost-effective manner.  We work to build trusting relationships with the employees/patients we treat.  Our goal is to restore them to work in a fashion that is respectful of their unique needs and challenges.  Our occupational health services are sought out by employees because of the level of service and care that they receive.  This is the case even in states that cannot mandate workers’ compensation treatment at a specified location.

Stop Reacting, Start Predicting

We also view reactive care as an opportunity to launch proactive responses.  WHS evaluates each workplace injury or issue that generates a need for reactive care.  We work with your environmental health and safety team to discuss ways of preventing the injury from recurring.  Our clinicians evaluate the frequency of occurrence of each type of injury, the mechanism of injury, and the area(s) where injuries occur.  The goal is to gather data with a focus on prevention.

We look for ways to intervene earlier in the process, prior to a recordable injury occurring, where we can provide care to an employee and keep the reactive stage from occurring.  If we find that employees are suffering repetitive strain injuries, we may suggest implementing our RIP ProgramSM—Repetitive Injury Prevention.  This program uses proactive therapies, accuscope treatment, and trigger point modalities to prevent recordable injuries.  By treating at the preventative/first-aid level, we avoid loss of productivity, injury, and OSHA recordables.

As we said, reactive care is required.  But employers shouldn’t treat reactive care like a chore that they dread.  Employers should look for ways to do it better, more effectively, and more efficiently.  They should look for solutions that “fix” the current issue.  Our clients partner with us to improve overall workplace outcomes.  We work with our clients—and their employees—to enhance productivity, restore worker health, and build a happier, more cohesive workplace. Use our Healthy Worker Pyramid to stop reacting and start predicting!



Chief Solutions Officer

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Work Health Solutions is dedicated to preserving a safe work environment and improving existing programs and care for local, regional and national organizations.

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Dr. Michael Tenison

A series of notable accomplishments distinguish Dr. Michael Tenison’s career in medical operations and healthcare management:

  • Successfully led medical operations at a national healthcare provider, focusing on optimizing healthcare delivery and patient outcomes.
  • Oversaw the regional medical practices in key markets like Oregon and Northern California, ensuring consistent, quality medical care and service delivery.
  • Demonstrated exceptional leadership in building and mentoring a large medical provider team, enhancing team performance and patient care standards.
  • Implemented strategic company policies and protocols, significantly improving center efficiency, clinical quality, and patient experiences.
  • Played a pivotal role in financial planning and identifying growth opportunities for healthcare services, contributing to the organization’s overall success.
  • Served as a primary point of contact for regional employer clients and insurance companies, fostering strong relationships and effective communication.
  • Maintained high medical care and case management standards through diligent supervision, chart audits, and performance metric analysis.

Dr. Matt Feeley

Dr. Matt Feeley is a renowned figure in military aviation medicine, with a robust background in occupational and environmental medicine from the Johns Hopkins Bloomberg School of Public Health. 

  • Former Naval Flight Surgeon, exemplifying his expertise in aerospace medicine and commitment to military health.
  • Served with distinction at NSA Bahrain and HSM-37, earning the COMPACFLT Flight Surgeon of the Year award for exceptional medical service.
  • Supported U.S. Marines VMFA-323 aboard the USS Nimitz, MACG-38, and VMU-3, demonstrating versatility and leadership in diverse medical environments.
  • Broad interests and significant contributions in global health, corporate medicine, and aerospace medicine, highlighting his multidisciplinary approach.
  • Proven track record as a dynamic leader, well-equipped to face the challenges in a fractional medical directorship role with innovative solutions.

Dr. Glen Cheng

A physician-attorney with a dedication to healthcare innovation, informatics, and digital health.

  • Currently spearheads employee health protection and promotion within the VA Pittsburgh Health Care System.
  • Trained in residency at Harvard, achieving board certification as a physician; also a licensed patent attorney with experience as FDA regulatory counsel.
  • Co-founded Acceleromics, a consulting firm providing clinical and regulatory guidance to digital health startups.

Erin Davis

 Chief Clinical Officer at Work Health Solutions, certified in Adult-Gerontology (AGNP-C) and Athletic Training (ATC).

  • Oversees clinical operations and ensures high clinical standards across the company’s national field staff.
  • Former Manager of Clinic Operations and Occupational Health Nurse Practitioner at Stanford University Occupational Health Center (SUOHC).
  • Specialized in treating occupational injuries and illnesses, and provided medical surveillance and travel medicine consults at Stanford and SLAC National Accelerator Lab.
  • Dedicated to sports and occupational injury treatment and prevention.
  • Assistant Clinical Faculty at UCSF, mentoring students in clinical rotations within the Adult Gerontology and Occupational and Environmental Health Program.
  • Holds leadership roles as Treasurer and President Elect of the California El Camino Real Association of Occupational Health Nurses (CECRAOHN), affiliated with the American Association of Occupational Health Nurses (AAOHN).

Dr. Robert Goldsmith

Expert in benefits design and onsite innovation with specialization in the pharmaceutical industry.

  • Previous role as Executive Director for Employee Health at Novartis Services, Inc., leading health services and clinical support.
  • Instrumental in creating an integrated healthcare system at Novartis.
  • Former private practice in internal medicine in Stamford, Connecticut, and Medical Director consultant for GTE Corporation.
  • Transitioned to GE as a Global Medical Director in 2000.
  • Holds a medical degree from Albert Einstein College, an MPH from the University of Connecticut, and completed training at Greenwich Hospital and Yale-New Haven Medical Center.
  • Assistant professor in the Department of Medicine at the Vagelos School of Medicine, Columbia University.
  • Serves as a team physician for high school athletes in Stamford.
  • Published works on occupational health risks, primary prevention, and exercise-induced asthma.