Research Catalog

Title

Evaluating medical treatment guideline sets for injured workers in California / Teryl K. Nuckols ... [et al.].

Publication

Santa Monica, CA : Rand, c2005.

Items in the Library & Off-site

Holdings

Details

Additional Authors

• Nuckols, Teryl K.
• Rand Corporation.

Description

xxxviii, 132 p.; 26 cm.

Summary

• An evaluation of medical guidelines that might be used to determine the appropriateness of treatment for work-related injuries in California. Of 72 guideline sets that were identified and screened, five comprehensive sets were found to satisfy the legislative requirements and state preferences. Based on results of a comparative evaluation of the technical quality and clinical content of the five guideline sets, recommendations are given for actions the state might take in the short term, intermediate term, and longer term.
• In recent years, the California workers' compensation system has been encumbered by rising costs and high utilization of medical care. To address these concerns, the California legislature passed a series of initiatives that call for the use of evidence-based medical-treatment guidelines concerning, at a minimum, the frequency, duration, intensity, and appropriateness of all treatment procedures and modalities commonly performed in workers' compensation cases. The American College of Occupational and Environmental Medicine (ACOEM) guidelines were adopted as presumptively correct until alternative plans could be evaluated and a decision made about which guidelines to adopt for the long term. This report presents an evaluation of the medical guidelines that might be used to determine the appropriateness of care provided California's injured workers. The study identified 72 guidelines for work-related injuries, which were then screened using multiple criteria. Five comprehensive guideline sets were found to satisfy the requirements of the legislation and the preferences of the state. A comparative evaluation was made of both the technical quality and clinical content of the selected guidelines. Based on the results of the evaluation, recommendations are presented for actions the state might take in the short term, the intermediate term, and the longer term.

Subject

• California
• Disability Evaluation
• Disability evaluation > Law and legislation > California
• Disability insurance > Medical examinations > California
• Guidelines as Topic
• Insurance, Disability > legislation & jurisprudence
• Workers' Compensation > legislation & jurisprudence
• Workers' compensation > Law and legislation > California

Note

• "MG-400."

Bibliography (note)

• Includes bibliographical references (p. 127-132).

Additional Formats (note)

• Also available via the Internet.

Processing Action (note)

• committed to retain
• committed to retain

Contents

Context -- Identifying guidelines for work-related injury -- Selecting guidelines for further evaluation -- Evaluating the technical quality of the selected guidelines -- Evaluating the clinical content of the selected guidelines -- Stakeholder issues and concerns -- Application of the guidelines to determine whether care is reasonably required.

ISBN

0833038354 (pbk. : alk. paper)

LCCN

^^2005020346

Owning Institutions

Harvard Library