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Health Care Provider Advisory Committee
Aurora Medical Center in Summit
January 23, 2015
Present: Mary Jo Capodice, DO ; Amanda Gilliland ; Richard
Goldberg, MD ; Michael Lischak, MD ; Jeff Lyne, DC ; John Metcalf
(Chair) ; Ron Stark, MD; Sri Vasudevan MD (by teleconference).
Excused: Theodore Gertel, MD; Maja Jurisic, MD; Stephen Klos, MD;
; Marlin Nelson; Peter Schubbe , DC ; Jennifer Seidl
Staff present: Mary Lynn Endter, Ana Lopera; James O'Malley
Observers: Forbes McIntosh, ATI Physical Therapy, and Lynn Steffes,
Wisconsin Physical Therapy Association
- Call to Order/Introductions: Mr. O'Malley convened the Health Care Provider Advisory Committee(HCPAC) meeting at approximately 10:05 AM in accordance with Wisconsin's open meeting law.
Committee members, Worker's Compensation Division Staff and observers introduced themselves.
- Acceptance of October 14, 2014 Meeting Minutes:
Dr. Lischak moved to approve the minutes of the October 14, 2014
meeting. Dr. Stark seconded the motion. The minutes were unanimously approved
- Future Meeting dates: The members agreed to schedule future
meetings on the following dates: May 8, 2015, August 14, 2015, and
October 16, 2015.
- Unfinished business:
Dr. Capodice and Dr. Vasudevan discussed
the final draft of the paper
Clinical Management Guidelines for Wisconsin Worker's
Patient Care. Mr. O'Malley reminded the members they
agreed at the last meeting to accept the final draft of
the paper with the changes that were approved. The
members agreed that all of the approved changes were
included in the final draft of the paper.
Mr. Metcalf advised the next step was to
present the paper to the Worker's Compensation Advisory Council (WCAC)
at the next meeting on February 10, 2015. Dr. Capodice and Dr. Vasudevan
will plan to attend that meeting. Dr. Stark wanted to know how the paper
would be disseminated. Mr. Metcalf and Mr. O'Malley said it may be
posted on the Worker's Compensation Division (WCD) website, that it
could possibly be incorporated into an insurance letter, and that it
could be shared by the Wisconsin Medical Society on its website with
other interested parties such as the Wisconsin Hospital Association. Dr.
Stark suggested the paper be submitted as a medical journal article.
Dr. Vasudevan gave a brief update on the work
being done to reduce prescription drug abuse at the national level with
the National Governors Association.
The members discussed working with the
Wisconsin Medical Society to develop a webinar for professional
education and development for physicians who treat employees with
work-related injuries. After the last HCPAC meeting Dr. Capodice, Mr.
Metcalf and Mr. O'Malley participated in a telephone conference call
with Nancy Nankivil from the Wisconsin Medical Society where four (4)
training modules for physicians were discussed. The modules included
training in the worker's compensation law, how to write prescriptions,
emphasis on employees returning to work and hurdles associated with
this, and permanent partial disability (PPD) assignment and ratings. Dr.
Capodice recommended that the training modules could be posted on the
Wisconsin Medical Society's website after they are completed for easy
access to this information. The
Wisconsin Medical Society and the Worker's Compensation Division will
continue to work together on developing the training modules and other
future education and professional development activities.
The members of the HCPAC engaged in a
discussion on compounding drugs. Dr. Capodice explained the difference
between re-packaged and compounding drugs.
Compound drugs are frequently mixed into a
cream and used for topical applications. Compound drugs are needed for
patients who cannot take the drug orally.
The cost of compound drugs can be high cost,
for example a 30 day supply can cost thousands of dollars per
prescription. In Wisconsin the pharmacy fee schedule does not cover
compound drugs so the cost of the creams is unregulated.
Mr. Metcalf stated that proposed
law changes to limit charges for re-packaged drugs were contained in the
last Agreed Upon Bill but that it did not pass in the legislature. Dr.
Capodice and Dr. Vasudevan will discuss issues associated with
re-packaged and compound drugs at the next WCAC meeting.
- Proposals for legislative changes to the WCAC from the public:
Mr. O'Malley discussed the legislative
proposals from the public presented to the WCAC for
consideration in the current Agreed Upon Bill. The
proposals were listed in a handout that was distributed
at the meeting.
- Status of updating minimum permanent disability ratings in s. DWD
Mr. O'Malley discussed the status of the project to update the
minimum permanent partial disability (PPD) ratings contained in s. 80.32
of the Wisconsin Administrative Code. The minimum ratings are based on a
consensus of responses from physicians who responded to previous
questionnaires. The WCAC must approve any changes to the minimum PPD
ratings to be included in the Wisconsin Administrative Code. A copy of a
previous questionnaire used to survey physicians was distributed. Mr.
O'Malley requested assistance from the members in developing and
responding to new questionnaires that will be used to update the minimum
ratings. There was general agreement that it is more convenient for
physicians to respond to questionnaires electronically. Dr. Stark
supports this process and pointed out that different doctors are more
familiar with different types of disability.
- New Business: There was no new business
- Adjournment: The meeting was adjourned at approximately