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Medical treatment utilization schedule (MTUS) - disclosure of conflicts of interest

To ensure that California’s injured workers have access to effective and appropriate treatment, the MTUS regulations created a Medical Evidence Evaluation Advisory Committee (MEEAC), which reviews the latest medical evidence and advises the division about incorporating new evidence-based guidelines into its MTUS.

MEEAC provides recommendations to the administrative director on matters concerning the MTUS and advises the DWC medical director on potential revisions, updates and supplements that will keep California's treatment guidelines current.

MEEAC's recommendations are advisory in nature and do not constitute scientifically based evidence. The MEEAC members represent various medical fields. The regulations concerning the MEEAC are set forth in § 9792.26 of Title 8, California Code of Regulations.

The disclosures of conflicts of interests (COI) for MEEAC members and Subject Matter Experts appointed in 2012 are listed below:

Anne Searcy, MD (Subject Matter Expert)
Chief Medical Officer/Senior Vice President of Zenith Insurance Company
Specialty – Family Medicine
National, Regional, Local Committee Affiliations - Member, American College of Occupational and Environmental Medicine; Member of the Board of Directors and the Legislative Committee, Western Occupational and Environmental Medical Association; Member, American Academy of Family Physicians; Member, National Council on Compensation Insurance, Medical Data Research Committee
Financial/Non-Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts– None
Claire Johnson, DC
Professor, National University of Health Sciences; Editor-in-Chief, Journal of Manipulative and Physiological Therapeutics
Specialty – Chiropractic
National, Regional, Local Committee Affiliations – Member, American Public Health Association; Member, American Chiropractic Association; Board of Directors,  NCMIC (National Chiropractic Mutual Insurance Company); Peer Review Chair for annual educational and scientific conference, Association of Chiropractic Colleges; Scientific Peer Review Coordinator, World Federation of Chiropractic
Financial/Non-Financial Conflict of Interest –None
Research Grants and Other Support – None
Other Stated Conflicts – None
Dong Ji, PhD, LAc
Faculty and Clinic Supervisor, Pacific College of Oriental Medicine; Clinical Specialist, Integrative Medicine Educator, UCLA Center for East-West Medicine
Specialty – Acupuncture
National, Regional, Local Committee Affiliations – Faculty Governance Committee, Curriculum and Program Review Committee and Institutional Review Board, Pacific College of Oriental Medicine; Examination Item Writer, National Certification Commission for Acupuncture and Oriental Medicine; Member, Society of Neuroscience
Financial/Non-Financial Conflict of Interest – None Research Grants and
Other Support- None Other Stated Conflicts – None
Frank Kase, DPM
Chairman, Health Policy, Podiatric Medical Association; Podiatric Medical Advisor, Blue Cross of California; Podiatric Consultant, Board of Podiatric Medicine
Specialty - Podiatric Medicine
National, Regional, Local Committee Affiliations – Member, Health Systems Committee, American Podiatric Medical Association
Financial/Non-Financial Conflict of Interest – None
Research Grants and Other Support – None
Other Stated Conflicts – None
Gary Franklin, MD, MPH
Medical Director, Washington Department of Labor and Industries; Research Professor, Departments of Environmental and Occupational Health Sciences, Neurology, and Health Services, University of Washington
Specialty – Neurology
National, Regional, Local Committee Affiliations – None
Financial/Non-Financial Conflict of Interest – None
Research Grants and Other Support – Centers for Disease Control and Prevention; Evaluation of the Washington State Guidelines on Opioid Dosing for Chronic Pain, Washington State Department of Labor and Industries, Occupational Health Services Project
Other Stated Conflicts – None
Josh Kirz, PhD
Assistant Clinical Professor, Stanford University School of Medicine
Specialty
- Psychology
National, Regional, Local Committee Affiliations – Member, California Society of Industrial Medicine and Surgery
Financial/Non-Financial Conflict of Interest – None
Research Grants and Other Support – None
Other Stated Conflicts – None
Lee T. Snook, Jr., MD, FACP, DABPM, FASM
President and Founder of Metropolitan Pain Management Consultants (MPMC), A Medical Group, Inc.
Specialty - Internal Medicine/Anesthesiology/Pain Medicine/Addiction Medicine
National, Regional, Local Committee Affiliations – Member, American Society of Interventional Pain Physicians; Member, American College of Physicians; Member, American Medical Association; Member, American Pain Society; Member, American Society Addiction Medicine; Member, American Society of Anesthesiologists; Member, American Heart Association; Member, Anesthesia Patient Safety Foundation; Member, California Academy of Pain Medicine; Member, California Medical Association (CMA); Member, California Society of Addiction Medicine (CSAM); Member, CMA and CSAM Physician’s Wellness Committees; Chair, CMA Worker’s Compensation Technical Advisory Committee; Member CSAM Public Policy Committee; Member, California Society of Anesthesiologists; Member, California Society of Interventional Pain Physicians; Member, International Anesthesia Research Society; Member, International Spinal Interventional Society (ISIS); Member, North American Neuromodulation Society; Member, North American Spine Society; Member, Sierra Sacramento Valley Medical Society.
Financial/Non-Financial Relationships with Organizations – Medical Executive Committee, Greater Sacramento Surgery Center (annual compensation)
Research Grants and Other Support – Clinical studies with reimbursement per subject for study completion: St. Jude Medical (SJM) Registry study of patients treated by MPMC who have been implanted with a SJM Device; and Boston Scientific (BS) study of patients treated by MPMC who have been previously implanted with a BS Device.
Other Stated Conflicts – None
Lesley Anderson, MD
Orthopedic Surgeon, California Pacific Medical Center, Assistant Clinical Professor, Department of Orthopedic Surgery, University of California, San Francisco
Specialty – Orthopedic Surgery
National, Regional, Local Committee Affiliations – Chair, California Orthopedic Association; Member, Workers’ Compensation Committee, California Society Industrial Medicine & Surgery
Financial/Non-Financial Conflict of Interest – None
Research Grants and Other Support – None
Other Stated Conflicts – None
Leslie M. Israel, DO, MPH, FACOEM
Medical Director, City of Los Angeles Department of Water and Power
Specialty – Occupational Medicine
National, Regional, Local Committee Affiliations – Chair of Board of Directors (2014) Western Occupational and Environmental Medical Association; Fellow, American College of Occupational and Environmental Medicine; Member, American College of Physicians; Member, Osteopathic Association
Financial/Non-Financial Conflict of Interest – Chapter Author-Cadmium, Poisoning & Drug Overdose, 6th edition, 2012. McGraw-Hill; Chaper Co-Author-Clinical Toxicology, Occupational and Environmental Medicine, 4th edition. 2007 ; Consultant, MED-TOX Health Services
Research Grants and Other Support –None currently
Other Stated Conflicts – None
Leslie Torburn, DPT
Owner, Sihouette Consulting, Inc.; Physical Therapist, Gait & Motion Analysis Laboratory, Lucille-Packard Children’s Hospital/Stanford Medical Center; Physical Therapist, Motion Analysis Laboratory, Shriners Hospital for Children, Sacramento
Specialty - Physical Therapy
National, Regional, Local Committee Affiliations - California Physical Therapy Association, Member of Education Committee and Payment Policy Committee; Member, American Physical Therapy Association,
Financial/Non-Financial Conflict of Interest – Owner, Silhouette Consulting, Inc.
Research Grants and Other Support – None
Other Stated Conflicts – None
Lori Reisner, PharmD (Subject Matter Expert)
Clinical Pharmacist, Nurological Surgery, Department of Clinical Pharmacy, UCSF; Clinical Professor of Pharmacy, Department of Clinical Pharmacy, UCSF School of Pharmacy
Specialty – Clinical Pharmacy, Pain Management in Neurological Surgery
National, Regional, Local Committee Affiliations – Member, American Pain Society; Member, American Society of Health-system Pharmacists; Member, California Society of Health-system Pharmacists; Member,Golden Gate Society of Health-system Pharmacists; Member, International Association for the Study of Pain; Member, Editorial Board, Journal of Pharmaceutical Care in Pain & Symptom Control
Financial/Non-Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts– None
Mark Diaz, MD (Subject Matter Expert)
Associate Clinical Professor, UC Davis Department of Family and Community Medicine; Private Practice
Specialty – Family Practice/ Occupational Medicine
National, Regional, Local Committee Affiliations – Chair, National Hispanic Health Foundation Board of Directors
Financial/Non-Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts – None
Mary Foto, OT, FAOTA, CCM
President of the Foto Group, a medical review company
Specialty - Occupational Therapy
National, Regional, Local Committee Affiliations - Occupational Therapy Association of California; American Occupational Therapy Association; American Occupational Therapy Foundation
Financial/Non-Financial Conflict of Interest - The Foto Group contracts with Maximus Center for Health Dispute Resolution to perform Medicare reconsiderations; contract with Lockheed Martin for Department of Justice and US Attorney Office for medical review work
Research Grants and Other Support – None
Other Stated Conflicts – None
Melvin Belsky, MD
Medical Director, Corporate Workers' Compensation, Safeway, Inc.
Specialty - Physical Medicine and Rehabilitation
National, Regional, Local Committee Affiliations – None
Financial/Non-Financial Conflict of Interest – None
Research Grants and Other Support – None
Other Stated Conflicts – None

Michel Kliot, MD
Professor of Neurosurgery, Northwestern Feinberg School of Medicine, Chicago, Illinois
Specialty – Neurosurgery
National, Regional, Local Committee Affiliations – Congress of Neurological Surgeons; American Association of Neurological Surgeons; Society for Neuroscience, New York Academy of Sciences; International Stroke Society; American Society for Peripheral Nerve; The Sunderland Society
Financial/Non-Financial Conflict of Interest – Physiosonic: Co-Founder
Research Grants and Other Support – The Life Sciences Discovery Fund Grant by State of Washington: Definitive Human Testing of Pain Localization and Quantification Based on Transcutaneous Acoustic Palpation (TAP); US Army Grant, Department of Defense: Refining an Automated Transcranial Doppler System for the Detection of Vasospasm after Traumatic Brain Injury; TATRC, Department of Defense: A Biomarker fo Non-Invasive Intracranial Pressure.
Other stated Conflicts – None

Nancy Morioka-Douglas, MD, MPH
Clinical Professor, Stanford University School of Medicine
Specialty – Family Practice
National, Regional, Local Committee Affiliations – Member, Study Panel, Health Quality and Effectiveness, Agency for Healthcare Research and Quality (AHRQ), Office of Extramural Research, Education and Priority Populations (OEREP), Division of Scientific Review (DSR); Member, Quality Council, Stanford University School of Medicine; Member, Appointment and Promotion Committee for Clinical Educators, Stanford University School of Medicine; Member, Appointment and Promotion Committee for Adjunct Clinical Faculty, Stanford University School of Medicine; Member, Health Plan of San Mateo (HPSM) Quality Assurance Committee; Member, Credentialing Committee, Blue Shield of California; Member Academy of Family Physicians.
Financial/Non-Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts - None
Rajiv Das, MD, MPH
Medical Director, City of San Jose; Physician Reviewer, EK Health Services
Specialty - Occupational Medicine/Physical Medicine and Rehabilitation/Pain Medicine
National, Regional, Local Committee Affiliations – Member, American Medical Association; Member, American College of Occupational and Environmental Medicine; Member, American Academy of Physical Medicine and Rehabilitation
Financial/Non-Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts – None
Robert Larsen, MD, MPH
Director, Center for Occupational Psychiatry; Clinical Professor, Department of Psychiatry, UCSF School of Medicine
Specialty - Psychiatry
National, Regional, Local Committee Affiliations – Northern California Psychiatric Society, Academy of Organizational and Occupational Psychiatry; American Academy of Psychiatry and the Law; American College of Occupational and Environmental Medicine; American College of Psychiatrists, Finance Committee; Fellow, American Orthopsychiatric Association; American Psychiatric Association; Member: California Medical Association, California Society of Industrial Medicine & Surgery, San Francisco Medical Society
Financial/Non-Financial Conflict of Interest – None
Research Grants and Other Support – None
Other Stated Conflicts – None
Ronald Koretz, MD
Attending Staff Physician without compensation, Olive View-UCLA Medical Center; Emeritus Professor of Clinical Medicine, David Geffen-UCLA School of Medicine
Specialty - Internal Medicine/Gastroenterology
National, Regional, Local Committee Affiliations – American Gastroenterological Association, American Association for the Study of Liver Diseases, American Society of Parenteral and Enteral Nutrition, European Society of Parenteral and Enteral Nutrition, Cochrane Collaboration; Member of Board of Directors for the Midnight Mission; Los Angeles; President of GI Issues
Financial/Non-Financial Conflict of Interest – None
Research Grants and Other Support – None
Other Stated Conflicts – None
Sean Mackey, MD, PhD
Associate Professor of Anesthesiology, Pain Medicine, Neurosciences and Neurology Chief, Stanford University
Specialty - Anesthesia and Pain Management
National, Regional, Local Committee Affiliations – American Academy of Pain Medicine; American Society of Regional Anesthesia; American Pain Society; American Society of Anesthesiologists; International Association for the Study of Pain; International Anesthesia Research Society; California Society of Anesthesiology; Society of Neuroscience
Financial/Non-Financial Conflict of Interest – None
Research Grants and Other Support – National Institutes of Health: Stanford CAM Center for Chronic Back Pain; Chris Redlich Endowment in Pain Research: Pain medicine research efforts; Dodie and John Rosekrans Pain Research Endowment Fund: Projects related to pain research  (Neuroimaging and Mentoring in Translational Pain Research; fMRI of Pain in the Human Spinal Cord); Stanford University: (1) Bio-X NeuroVentures: Understanding and Preventing Neuropathic Pain (2)CME Grant: Safe Opioid Prescribing and Risk Evaluation and Mitigation Strategies; (3) Department of Anesthesia Training Program in Biomedical Research (4) Prescription Opioid Use, Misuse, and Pain in Post-Surgical Patients (5) Research Training Using TMS to Study Pain Processing in Long-Term Opioid Use (6) The Role of Proinflammatory Factors in Mediating the Negative Consequences of Chronic Opioid Use (7) Determinants of Time to Pain Resolution Following Surgery: Complimentary Clinical & Preclinical Models
Other Stated Conflicts – None

COI disclosures for MEEAC members who contributed to the MTUS regulations update which became effective July 18, 2009 are available here.

July 2014