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News on Permanent Impairment
Disability and More...

May 8, 2008

In this issue

Sixth Edition Development Process

Intensive One-Day Seminar - 6th Edition
in Honolulu & Philadelphia

Chapter Highlights of the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition

Catastrophic or Not Catastrophic?
Applying The AMA Guides* to Real Cases

AMA Guides: 101 Webinar Series

Low Cost Solution To Ensuring
Accurate Impairment Ratings


 

Sixth Edition Development Process
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by Christopher R. Brigham, MD

The Sixth Edition process involved many participants. The process was guided by an Editorial Panel and an Advisory Committee, and featured an open, well-defined, and tiered, peer review process. The Editorial Panel was established to include a Medical Editor (Robert Rondinelli, MD), five Section Editors, and four core physician experts. The editorial process used an evidence-based foundation when possible, primarily as the basis for determining diagnostic criteria, and a consensus based approach to the impairment ratings themselves. When there was not a compelling rationale to alter impairment ratings from what they had been previously, consistency of the ratings with those provided in prior editions was the default. The Section Editors led a group of 53 specialty-specific, expert contributors in developing the chapters and in conjunction with the Senior Contributing Editor wrote considerable portions of the revised chapters. The review process involved over 140 physicians, attorneys and other professionals.

An Advisory Committee was developed to provide ongoing discussion of items of mutual concern and current issues in impairment and disability. The group is comprised of numerous representatives from medical specialty societies and experts from certification and teaching organizations and workers' compensation systems. The primary objectives of the Advisory Committee were:

  • Serve as a resource to the Guides Editorial Panel by giving advice on impairment rating as relevant to the member's specialty.
  • Provide documentation to staff and the Editorial Panel regarding the medical appropriateness of changes under consideration for inclusion in the Guides.
  • Assist in the review and further development of relevant impairment issues and in the preparation of technical education material and articles pertaining to the Guides.
  • Promote and educate its membership on the use and benefits of the Guides.

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AMA Guides: 101 Webinar Series



AMA Guides, 5th Edition: 101 Webinar Series
(Series Currently In Progress)

Hundreds of people have already taken this web-based series on the Guides, 5th Edition. This is a great course for novice impairment raters or as a refresher. The Fundamentals is an overview on the use of the AMA Guides, 5th Edition, with a focus on principles of impairment evaluation, and assessment of spine, upper extremity, lower extremity, neurological, and pain impairments.

The seminar is offered in four convenient two hour sessions, totaling eight hours of superb training. This seminar is designed for physicians, attorneys, and claims staff with minimal or no experience in the use of the Guides. It is also an excellent review for individuals who may have attended an introductory course and desire further review and clarification. Most individuals require two to three learning experiences to grasp the complexities of impairment evaluation.

At the conclusion of these Guides Webinars you will be able to:

  • Demonstrate the appropriate use of the AMA Guides to the Evaluation of Permanent Impairment, 5th Edition in assessing musculoskeletal, neurological and pain impairment.
  • Explain how to review an impairment evaluation report to determine if the rating is accurate or not.
  • Describe specific claims and legal strategies to manage erroneous ratings.
The schedule for this series is as follows:

    Past Session:

  • Wednesday, May 7th, 2:00-4:00 p.m. PST
    Overview, Lower Extremity

    Remaining Sessions:

  • Wednesday, May 14th, 2:00-4:00 p.m. PST
    Upper Extremity
  • Wednesday, May 21st, 2:00-4:00 p.m. PST
    Spine
  • Wednesday, May 28th, 2:00-4:00 p.m. PST
    Other Chapters & Strategies

For Registration Details lick Here

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Low Cost Solution To Ensuring
Accurate Impairment Ratings

Our Impairment Screen is a low-cost screening of a permanent impairment report to determine if the permanent impairment rating is correct. We highly recommend the review of all impairment rating reports.

This is a very cost effective screening method of determining if an impairment evaluation was correct or not. It is applicable to anyone who wants to determine if a rating is reliable, i.e. clients include claims professionals, attorneys (defense and plaintiff), and physicians. This screening report presents our conclusions in this case, however does not include the narrative discussion and explanations provided in our standard Rating Review reports. (For cases where the report is used to be used for feedback to the original rating physician, evidence in the case, to prepare for cross-examination, or negotiations we recommend our standard reports.)

For the month of May we are offering a modest fee of $95 for a routine "Impairment Screen" (correct or incorrect). The standard fee is $95 for correct and $195 for incorrect. This low-cost option is most useful for screening purposes and internal case management. After your review of the Rating Screen we can provide a detailed narrative report at an additional charge.

This screening service is restricted to impairment assessment (without analysis of causation, apportionment or disability rating), to the review of a single impairment evaluation report, less than 30 pages of records, the assessment of two body regions or less, and excludes complex cases (such as hand impairment assessment, medical and psychological issues).

Our time frame is 5 working days for most reviews although complex or lengthy cases may require additional time. Rush reviews are available in less than 5 working days at an additional fee.

Use our easy online referral www.impairment.com/referral - once registered make a referral in less than a minute.




First of all, thank you to all of you who came by and visited our booth during the RIMS Conference in San Diego, CA.

We have updated our calendar of events on our website. Click the following link: http://www.impairment.com/events.htm to see if we'll be at an event near you.

Finally, Happy Rating and we hope to see you soon!


  • Intensive One-Day Seminar - 6th Edition
    in Honolulu & Philadelphia
  • paandhi

    This unique one-day seminar provides a solid orientation to the new Sixth Edition of the AMA Guides to the Evaluation of Permanent Impairment. If you are involved in performing or reviewing impairment assessments - it is essential that you attend this seminar - you need to learn the new Guides. Participants will demonstrate the fundamental skills required to assess most common impairments, based on new approaches.

    Philadelphia Seminar Details:

    • Date: May 23, 2008

    • Time: 8:00am - 5:15pm

    • Fees: $495 per person (discounted fees available for offices with more than 5 attendees)

    • Location: The Downtown Club
      150 S. Independence Mall West
      Suite 1100
      Philadelphia, PA 19106

    www.downtownclub.com

    Honolulu Seminar Details:

    • Date: June 6, 2008

    • Time: 8:00am - 5:15pm

    • Fees: $495 per person (discounted fees available for offices with more than 5 attendees)

    • Location: Waikiki Beach Marriott Resort & Spa
      2552 Kalakaua Avenue
      Honolulu, HI 96815

    www.marriottwaikiki.com

  • Chapter Highlights of the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition
  • guides5th

    Chapter 10: The Endocrine System
    by Aimee Topping, CIR, WCCP

    This article is tenth in a series intended to point out a few of the highlights from each chapter of the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition (Cocchiarella L, Andersson G, AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, AMA Press, 2001).

    Important points of reference for Chapter 10, The Endocrine System include the Introduction section of this chapter which notes:

    • This chapter provides criteria for evaluating permanent impairment of the endocrine system. The endocrine system is composed of the hypothalmic-pituitary complex, thyroid, parathyroids, adrenals, islet cell tissue of the pancreas, and gonads. These ductless glands secrete hormones that regulate the activity of organs or tissues of the body. These hormones control growth, bone structure, sexual development and function, metabolism, and electrolyte balance. The various endocrine glands are usually interdependent, and a disorder of one gland may be reflected by dysfunction in one or more of the other endocrine glands, which, in turn, may affect other body systems. Consider multiple system effects when an endocrine permanent impairment is identified.
    This chapter is rarely used in the insurance field. This chapter would be used for individuals with conditions such as thyroid disease, hypoglycemia, or diabetes.

    Section 10.7b Diabetes Mellitus (5th ed., 231) may be used to rate individuals with Type II diabetes. Many individuals with Diabetes who can control their insulin with diet may fall in Class I impairment. An alternative rating would be under "Effects of Medical Treatment" in chapter 2 of The Guides as discussed in our prior article found in the June 20, 2007 edition of our ezine.

    Any impairments assigned in Chapter 10 The Endocrine System would then be combined with whole person impairment ratings from other organ systems using the Combined Values Chart (5th ed., 604).

    Watch for the next article in this series, which will highlight sections of Chapter 11 Ear, Nose, Throat, and Related Structures.

  • Catastrophic or Not Catastrophic?
    Applying The AMA Guides* to Real Cases
  • *AMA Guides to The Evaluation Of Permanent Impairment, 4th Edition

    With Special Guests:


    Christopher Brigham, MD
    and Lorne Direnfeld, MD

    The top Ontario Catastrophic Assessors and two of the foremost authorities on the AMA Guides in the United States compare and contrast approaches to multiple case studies including the following procedural issues:
    • Choosing the proper assessment team

    • Applying ranges of impairment

    • Rating and scoring errors

    • Methodological errors

    • How to address causation issues

    • The role of the clinician

    and the following substantive issues:

    • Scoring mental and behavioral impairments as a percentage and the interplay between (f) and (g) scoring

    • Scoring mild and moderate traumatic brain injury

    • Scoring for chronic pain complaints

    • Scoring for psychiatric illnesses

    Click here for Schedule of Events/Further Details

    Email to Register











    619-299-7377