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).