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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
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.