Health Care Provider Advisory Committee
Meeting Minutes for July 20, 2007
Crowne Plaza
Madison WI.
 

Present: Mary Jo Capodice MD, Amanda Gilliland, Frances Huntley-Cooper, Barbara Janusiak RN, Maja Jurisic MD, Steven Kirkhorn MD, Mike Lischak MD, Jeff Lyne DC, Jennifer Pollak, Peter Schubbe DC, Sri Vasudevan MD, Timothy Waldoch

Excused:  David Bryce MD, Gina Buono MD

Staff present: Jim O'Malley, Sharon Stremcha-Gulvik, Mike Topp

Observers:

Meeting called to order by Chair Frances Huntley Cooper at 10:00 A.M.

It was moved by Sri Vasudevan and seconded by Timothy Waldoch, hearing no objections, the April 20, 2007 meeting minutes were adopted as submitted.

Discussion of Wis. Admin. Code s. DWD 81.12(1)(e) Lumbar Arthroplasty tabled until next meeting

Jim O’Malley reported the final draft of Wis. Admin. Code s. DWD 81.00 is now complete and will be submitted to the legislative committee. It is anticipated that the rule will go into effect November 1, 2007.

A hard copy of the rule was distributed to all committee members. The rule is also available on the internet at http://www.dwd.state.wi.us/wc/councils/wcac/80_81_final_7_16_07.pdf

Section 81.01(1) (a) was edited to add the words, “and appropriate” and now reads, “The purpose of this chapter is to establish guidelines for necessary and appropriate treatment of patients with compensable worker’s compensation injuries under s. 102.16 (2m), Stats., and s. DWD 80.73.”

Section 81.01 identifies the purpose and application of the rule.

Section 81.04 (5) identifies the circumstances where a provider may depart from the guidelines.

Training for the new rule is to be provided through members of the Workers Compensation Advisory Council (WCAC) Medical Liaisons and other constituency by any advisory council member .

Maja Jurisic will send a copy of her power point presentation of rule 81.00 to the committee members for discussion at next meeting.

Mike Lischak inquired how the committee is to introduce amendments to the rule. Amendments are to be introduced as needed during regular committee meetings and will probably take 7-8 months to become part of the rule.

Mike Topp provided the committee with a handout on types of disputed non-chiropractic treatment from July 1, 2006 – July 1, 2007.

There was great discussion regarding the letter submitted by Dr. Edward Bernacki and it was provided to this committee for information only.

Mike Lischak inquired how rule 81.00 would be monitored to evaluate its effectiveness. Frances will ask the WCAC how they intend to measure the outcome of the treatment guidelines and indicate that the committee would like to be on future council agenda.

It was moved by Peter Schubbe and seconded Maja Jurisic that we send a representative to speak with the WCAC regarding how one plans to measure the effectiveness of the treatment guidelines. The motion carried. Maja Jurisic and Mike Lischak will represent the committee at the advisory council meeting. Frances indicated that she would place them on the agenda but it would be after the agreed upon bill has been reached.

September 21, 2007, November 16, 2007 and any tentative committee meetings for 2007 were cancelled.

Peter Schubbe moved to adjourn meeting.
Maja Jurisic seconded.
Motion carried.
Meeting adjourned.

NEXT MEETING
March 7, 2008
10:00 am – 3:00 pm
Crowne Plaza
4402 E. Washington Avenue
Madison, WI

Tentative agenda items for the next meeting:

1. Introduction of new member
2. Discussion of Wis. Admin. Code s. DWD 81.12(1)(e) Lumbar Arthroplasty – Mary Jo Capodice
3. Amendments to 81.00 – Marja Jurisic
4. Report of outcomes for independent reviews – Mike Topp
5. Handout from Maja Jurisic, “Analysis Regarding Adoption of the ACOEM Occupational Medicine Practice Guidelines” by the Return-to-Work Workgroup of the Medical Advisory Committee


It was also agreed that the committee wanted a full day’s agenda for the next scheduled meeting. Many topics were discussed that would be included on the agenda. (see previous minutes for Maja’s proposals, Mary Jo Capodice’ report, dispute claim review including who the outliers are, interested in 47 chiropractor and 14 non-chiropractors, payor and provider information, amount disputed and who “won”, continual discussion on how to measure effective treatment guidelines, what are they (WCAC/medical liasions) thinking? And finally, feedback on Treatment guideline training).


 Updated February 06, 2012
 Division of Worker's Compensation
 Content Contact: WCLEGAL