Department of Industrial Relations

Industrial Medical Council Public Meeting

Holiday Inn - LAX, Los Angeles

Thursday, December 14, 2000

1.The meeting was called to order by Co-Chair Dr. Richard Pitts at 10:20 A.M.

Members present:

Maria Mayoral, M.D.;;Patricia Sinnott, PT, MPH

Ira Monosson, M.D.;;Richard Sommer, Esq.

Steven Nagelberg, M.D.;Lawrence Tain, D.C.

Jonathan Ng, M.D.;;Paul E. Wakim, D.O.

Richard Pitts, D.O.;;Gayle Walsh, D.C.

Glenn Repko, Ph.D.;;Benjamin Yang, C.A. OMD

Michael Roback, M.D.

Members absent:

Robert Larsen, M.D.

Marvin Lipton, M.D.

    1. Consent Agenda

a.Executive Medical Director's Report:

Dr. D. Allan MacKenzie indicated his EMD report stood as written. Dr. MacKenzie commented that the Med Legal Report Writing Distant Learning course video taping will be done on the 19th and 20th of December in San Francisco. He invited the Council members to attend the taping.

b.DWC Report:

Per Richard Gannon's request, Dr. Richard Pitts read a memorandum with Mr. Gannon's comments regarding the RBRVS proposed study on transition of the fee schedule to an RBRVS system.


    1. Adoption of the Minutes and Notice of Actions:

The Co-Chair, Dr. Pitts, asked for a motion to approve the minutes of the IMC meetings on September 21 and November 16. Dr. Walsh commented on a change for the November 16 minutes and Ms. Sinnott commented on a change for the October non-meeting. <

ACTION: The Consent Agenda was approved unanimously with a few corrections.

d.Legislative Update:

Nothing to report.

    1. Committee Reports

a.Education Committee Report and Recommendations for Action:

Dr. Walsh reported that the staff is working on the 12-hour course writing program. She mentioned the public hearings coming up for the report writing course and talked about the comments received.

Dr. Walsh reported that the Committee had proposed to move forward with another set of emergency regulations that will be effective January 1, 2001. The purpose of the regulations is to facilitate the registration of applicant's for the QME examination in March 2001.

Dr. Walsh: Motion: To approve for public hearing the application forms and regulations regarding the QME application process. It was seconded.

Action: Motion passes unanimously.

Dr. Monosson expressed his concern about requiring QMEs to give notice of change of business address at least 30 days prior to such change. He felt it is not always possible or practical and gave an example.

Discussion ensued on better language for the regulation.

Mr. David Kizer reported that the Committee has three QME continuing education courses for renewal, Osteopathic Physicians and Surgeons of California, Learner Education, and St. Francis Hospital.

Dr. Walsh: Motion: To approve the renewal of three QME continuing education courses. It was seconded.

Action: Motion passes unanimously.

Dr. Ng commented on the 5th Edition of the AMA Guides to the Evaluation of Permanent Impairment and stated that it was beautifully done. Also, that Dr. Lippe had written the pain section. He stated that he had reviewed the Cardiology and Pulmonology section and stated the AMA guidelines are the only nationwide standard. He commented that he will study the AMA Guides and he invited the Council members to also review them and to be aware of the discrepancies, differences and similarities to our IMC Guidelines. The point was made that California workers' comp could not follow the AMA guidelines.

b.Fee Schedule Committee Report:

Mr. Sommer reported that a proposal had been selected for the RBRVS study.

Dr. Susan McKenzie reported that the Committee recommends rewarding the contract to the Lewin Group. She then commented on their experience and knowledge on medical fee schedule issues and their RBRVS experience and knowledge. She went on to explain the timeline process should the Council decide to vote to award the contract today.

Dr. Pitts motioned to accept the recommendation. It was seconded.

Action: Motion passes unanimously.

c.Discipline Committee Report:

Mr. David Kizer reported that the Dr. Loren Taylor disciplinary issue will be discussed at the January 18, 2001 meeting.


Dr. Pitts announced that the next meeting will be on January 18, 2000 in South San Francisco. He also announced the Public Hearing to follow today's meeting at 1:00-5:00 in the same conference room regarding the IMC's Report Writing Course and invited everyone to attend.

Meeting adjourned at 11:56 A.M.

Thursday, December 14, 2000

IMC Staff present:

Gerry Evans;Sylvia Martinez

James Fisher, Esq.;

Anne Searcy, M.D

Elizabeth Ignacio;Larry Williams

David Kizer, Esq.

Allan MacKenzie, M.D.

Susan McKenzie, M.D.

Members of the public present:

Steven Becker, CCA;Philipp Lippe, MD

Carl Brakensiek, CSIMS;Jennifer Orosz, HNC Ins. Solutions

Jose Carnetti, Lien on Me;Diane Przepiorski, COA

Linda Coltrin, CA Chiropractic Assoc.Michael Pulley, Workers' Comp Adv

Vern Goldschmid, CAAA;Patty Siglock, Net MedReview

Pam Guiles, Corvel;Barbara Stansfield, CCA

Beverly Hartin, Lien on Me;Joseph Zammuto, OPSC

Bill Huchins, eRehab