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Health Care Provider Advisory Committee
Aurora Medical Center in Summit
July 25, 2014
Present: Mary Jo Capodice, DO ; Theodore Gertel, MD ; Amanda Gilliland ;
Michael Lischak, MD ; Jeff Lyne, DC ; John Metcalf
(Chair) ; Peter Schubbe , DC ; Ron Stark, MD; Sri Vasudevan MD.
Excused: Richard Goldberg, MD ; Barbara Janusiak, RN ; Maja Jurisic, MD; Stephen Klos, MD; Marlin Nelson; Jennifer Seidl PT;
Staff present: Janine Smiley; James O'Malley
Observers: Joanne Alig, Wisconsin Hospital Association Inc.; Forbes McIntosh, ATI Physical Therapy
- Call to Order: 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. HCPAC members, Worker's Compensation staff and observers present at the meeting introduced themselves.
- Acceptance of May 2, 2014 Meeting Minutes: The
members were given additional time to review these minutes and the
approval of these minutes will be considered at the next meeting on
October 17, 2014.
- Future Meeting Dates: The following dates are scheduled for
future meetings: October 17, 2014; January 23, 2015 (with an alternate
snow date of February 6, 2015); May 8, 2015; and August 14, 2015.
- Modification of Paper on Chronic Opiod Guidelines:
Capodice and Dr. Vasudevan will make final revisions to the paper,
"Chronic Opioid Clinical Management Guidelines" by Dr. Scott Hardin
from Aurora Health Care. The
revisions will include "chiropractic care" as an additional non-opioid
therapy. The revisions will
also include the five (5) "A"s and the four (4) "C"s as proposed by
Dr. Vasudevan. Dr. Capodice
and Dr. Vasudevan may also create a brochure for distribution that
will include the same or similar information regarding opioid
therapy. The revised paper
and/or brochure will be put on the Department of Workforce
Development (DWD) website pending approval by the HCPAC and the DWD.
- Revised Language for FCA/FCE Guidelines:
Previously, Ms. Seidl proposed a change to the
functional capacity assessment/evaluation language in s. DWD
81.06(1)(k)4 of the Wisconsin Administrative Code to reflect the
difference between functional capacity assessments and functional
capacity evaluations. She prepared
the final draft of the proposed change.
This issue was held over until the next meeting attended by Ms. Seidl
- Review of Chapter DWD 81, Wis. Admin. Code:
discussed the possibility of revising Chapter DWD 81 of the
Wisconsin Administrative Code to incorporate prescription guidelines
for opioids. At the next
meeting, Mr. O'Malley will distribute guidelines for the use of
medications from the states of Minnesota and New Mexico for the
members to review and discuss.
The members also discussed the inflated
pricing of compounded medications.
It was noted that it is not within the purview of the HCPAC to
set medication prices but recommendations could be submitted to the
Worker's Compensation Advisory Council (WCAC) on this issue.
Dr. Capodice will draft a letter to WCAC to recommend limits on
reimbursements for compounded medications.
- Unfinished Business:
Dr. Capodice is working with the State Medical Society
to provide training to physicians on causation determinations in the
worker's compensation arena. The
goal is to provide some training online that would not require the
physician to log in as a member since not all doctors belong to the
State Medical Society.
In addition, the Department will continue its project to update Chapter
DWD 80.32 of the Wisconsin Administrative Code. This section provides minimum PPD ratings for certain conditions
and procedures. The project
has recently been on hiatus due to the GEF1 fire. There were requests for additional permanent disability minimums
to include carpal tunnel releases and rotator cuff repairs. Mr. O'Malley noted there must be a consensus among practitioners
who treat and examine injured employees before any new permanent partial
disability ratings can be presented to the WCAC for approval to include
in the Wisconsin Administrative Code.
- Adjournment: The meeting was adjourned at 12:30 pm. The next meeting is scheduled to be held on
October 17, 2014.