California Research Colloquium on
Workers' Compensation Medical Benefit Delivery
and Return to Work

AGENDA

Day 1
Thursday, May 1

Opening Remarks 8 am

Welcome
to the Colloquium!

Suzanne Marria
Acting Chief Deputy Director
California Department of Industrial Relations

Christine Baker
Executive Officer
Commission on Health and Safety and Workers’ Compensation
(CHSWC)

 

Presentation 1
8:30 am

Overview:
The Scope of Issues in Workers’ Compensation and Occupational Health

John Howard, MD
Director
National Institute of Occupational
Safety and Health (NIOSH)

Presentation 2
9:00 am

Labor - Management Panel

Tom Rankin
President, California Labor Federation
CHSWC Commissioner

Jill Dulich
CHSWC Chair
Regional Director,
Marriott International

 

Presentation 3
9:30 am

Current State of Workers’ Compensation Health Care in California

Medical Care Costs and Cost Drivers: What are the trends in the non-occupational and occupational setting?

David Bellusci
Executive Vice President
Workers’ Compensation Insurance Rating Bureau (WCIRB)

Frank Neuhauser
Project Director, Survey Research Center, University of California at Berkeley

 

Michael Nolan
President
California Workers’ Compensation Institute


Gerald F. Kominski, PhD

Principal Investigator
UCLA School of Public Health

Break 10-10:15am

Presentation 4
10:30 am

Evidence of Effectiveness of Policy Levers

What are the cost control levers we have at our disposal, either in use or those that could be used in the non-occupational and occupational setting?

Richard A. Victor
Executive Director
Workers’ Compensation Research Institute

Dr. Thomas Fogarty
Chief Medical Officer
Concentra Integrated Services

Erik Taylor
First Health Group

 

Lunch 11:30 am

 

Presentation 5
12:30 pm

Methods for Improving and Measuring Quality of Care

What are the ways we have of assessing quality, and how do we meaningfully assess outcomes rather than inputs?

Stephanie Teleki, PhD
Associate Policy Analyst, RAND Health

Liza Greenberg, RN, MPH
Vice President
Research and Quality Initiatives, URAC

Linda Rudolph, MD
MediCal Program
California Department of Health
"URAC Performance Measures"

Linda Shelton
Assistant Vice President
Product Development
National Committee for Quality Assurance

 

Presentation 6
2:00 pm

Patient Satisfaction with Workers’ Compensation Medical Care: Workers’ Experiences and Measurements

What are the ways we have of assessing quality?

Ben Amick, PhD
Project Director
Worker Injury National Survey (WINS),
University of Texas at Houston

 

Kathy Dervin, MPH
California Division of
Workers’ Compensation

Donna Farley
Senior Social Scientist
RAND Health

Susan Levin
Attorney
East San Jose Law Community Center

Representative
California Applicants’ Attorneys Association

 

Break 3:30 pm

 

Presentation 7
3:40 pm

System Efficiencies /
Inefficiencies

A panel discussing the opportunities in the workers’ compensation system

Jeff Harris, MD, MPH, MBA
Harris Associates

Andrew Newman, Ph.D
Research Director
Integrated Benefits Institute

Patsi Sinnott, PT, MPH
Health Services and Policy Analysis
School of Public Health, UC Berkeley

Alex Swedlow
Executive Vice-President
Research and Development
California Workers’ Compensation Institute

 

Wrap Up 4:40 pm
(END OF DAY 1)

Day 2
Friday, May 2

Presentation 8
9:00 am

Lessons from Innovative Approaches in Other States


Jay Himmelstein, MD, MPH
Assistant Chancellor
Health Policy and Research,
University of Massachusetts Medical School
Director, The Robert Wood Johnson
Workers’ Compensation Health Initiative

Barbara Wynn
Senior Policy Analyst
RAND

Amy Lee
Coordinator, Research and Oversight Council, Texas Workers’ Compensation Commission

Thomas M. Wickizer, PhD
Professor
Health Services and Community Medicine
University of Washington

 

Presentation 9
9:45 am

Access to Treatment

How can we assure access to quality medical care in Workers' Comp?

Allard E. Dembe, ScD
Associate Professor
Center for Health Policy and Research University of Massachusetts Medical School

Robert Harrison, MD, MPH
Clinical Professor
University of California at San Francisco

Ellen Braff-Guajardo
Project Director
California Rural Legal Assistance

Break-10:30 am


Day 2, Friday

Presentation 10
10:45 am

Reconciling Limited Resources with Unlimited Expectations

 

Jamie Robinson, PhD
School of Public Health
University of California, Berkeley

Chris Mardesich, JD, MPH
RAND Institute of Civil Justice

 

Lunch 11:30 am

 

Presentation 11
12:30 pm

Research on Medical Care and Return to Work

What is and should be the role of medical care and medical professionals in the return to work process?

John Frank, PhD, MD
Senior Scientist
Health Services Research,
Monitoring and Evaluation,
Canada Institute for Work and Health

Juliann Sum, JD, ScM
Institute of Industrial Relations
UC Berkeley

 

Gideon Letz, MD
Medical Director
State Compensation Insurance Fund

Phillip Polakoff, MD, MPH
Chairman, Founder, and
Medical Director
Total Health Advocacy Partners

Bernyce Peplowski, DO
Coordinator Chief and Physician Director of Occupational Health Services for Southern California Permanente Medical Group

Robin Nagel, MS
ID/AM Consulting & Mediation
Integrated Pain Management

 

Presentation 12
2:00 pm

Dispute Resolution Mechanisms for Treatment Issues

Bert Cohen
Workers’ Compensation Judge
CA Div of Workers’ Compensation

Thomas L. Gilevich
Counsel, HMO Help Center
Department of Managed Health Care

David Studdert, ScD
Harvard School of Public Health

 

BREAK

Presentation 13
3:00 pm

A New Vision of Medical Care: Occupational and Non-occupational

The future of workers’ compensation health care

John Garamendi
Insurance Commissioner
California Department of Insurance (Invited]

Richard Brown, PhD
Director
Center for Health Policy Research
UCLA

John Burton, Jr., PhD
Professor
Rutgers University

Robert Reville, PhD
Director, Institute for Civil Justice
RAND

 

Presentation 14
4:00 pm

Next Steps


Richard Gannon
Administrative Director
Division of Workers’ Compensation

 

Wrap-up
Appreciation

Closing Remarks

 

California Research Colloquium on Workers’ Compensation Medical Benefit Delivery and Return to Work

When:      Thursday, May 1, 2003, 8 am to 5 pm

                  Friday, May 2, 2003, 8 am to 4:30 pm

 

Registration:   Starts at 7am

 

Where:    UCLA Faculty Center

                  480 Circle Drive

                  Los Angeles, CA   90095

                  http://facultycenter.ucla.edu/access.htm

Cost:          $100.00 per participant
(Includes continental breakfast & lunch both days)

                    (Limited scholarships available)

CHSWC Fed. Tax ID #:      94 - 3160882

Hotel:         Please see hotel information on Colloquium site. 

Refunds:   No refunds will be given.  Substitute attendees are allowed at any time.

CEUs:     Continuing Education Units may be earned by:

Physicians:

California Research Colloquium on Workers' Compensation Medical Benefit Delivery and Return-To-Work is an activity offered by the Center for Occupational and Environmental Health, a CMA accredited provider.  Physicians may report up to 13.25 Category 1 credit hours towards the California Medical Association Certification in Continuing Medical Education and the American Medical Association's Physician's Recognition Award.

Qualified Medical Evaluators:

California Research Colloquium on Workers' Compensation Medical Benefit Delivery and Return-To-Work is approved by the California Industrial Medical Council for Qualified Medical Evaluator continuing education.  Physicians may report up to 4 hours of credit for QME reappointment.  Provider #420

Nurses

COEH Continuing Education is an approved provider by the California Board of Registered Nursing.  Provider # 12983.  

Industrial Hygienists

ABIH approved 2.0 Safety CM Points

Attorneys

State Bar of California for approved a total of 10.75 MCLE credit hours

Rehabilitation Professionals

CDMSC approved 9.0 hours credit and CRCC approved 9.0 hours credit for certificate maintenance purposes for rehabilitation professionals.

Case Managers

CCMC approved 9.0 hours credit

Insurance Professionals

An application is pending with the Department of Insurance License Bureau for CE provider certificate and course approval.

 

 

Hosts

California Commission on Health and Safety and Workers' Compensation
California Department of Industrial Relations
Division of Workers’ Compensation

Joint-Sponsor

Center for Occupational and Environmental Health
Continuing Education Program

University of California, Berkeley

And
Southern California Education and Research Center, Continuing Education Program
University of California , Los Angeles

Co-Sponsors
CHSWC, DIR, and DWC are pleased to acknowledge and thank the following organizations
for their contributions to and/or endorsements of this Colloquium

California Correctional Peace Officers Association

The California Wellness Foundation

Institute for Labor and Employment
University of California

International Workers’ Compensation Foundation, Inc

School of Public Health
University of California at Los Angeles

Workers’ Compensation Health Initiative
of the Robert Wood Johnson Foundation

Colloquium Objectives

        Develop baseline information on the current status of the California workers' compensation medical benefit delivery system.

       Advance policy awareness and discussion on medical treatment, quality, outcome measures, access, and system costs.

At the end of the Colloquium participants will be able to:

?           Review the current scope of workers' compensation issues and occupational health

?           Report on a panel discussion of labor management relations in the workers' compensation arena

?           Describe the current state of medical care costs and cost drivers in California workers' compensation health care and the trends in the non-occupational and occupational settings

?           Explain the cost control levers we have at our disposal either in use or that could be used in both non-occupational and occupational settings

?           Discuss the ways we have of assessing quality and how we can meaningfully assess outcomes rather than inputs

?           Discuss patient satisfaction with workers' compensation medical care from the point of view of worker experiences and measurements to assess quality

?           Report on a panel discussion of the inefficiencies in the workers' compensation system and how they might be reduced

?           Review the lessons learned from innovative approaches in other states

?           Review models for organized delivery systems

?           Discuss the role of medical care and medical professionals in the return to work process

?           Discuss mechanism for dispute resolution of treatment issues

?           Discuss a new vision of occupational and non-occupational medical care for workers' compensation