Selection of Workers’ Compensation Treatment Guidelines: California Experience

Details

• Personal Author:
  Asch SM ; Harber P ; Lim Y-W ; Mattke S ; Nuckols TK ; Wynn BO
• Description:
  Objective: Workers' compensation systems increasingly use mandatory treatment guidelines to guide clinicians and for utilization management. This article describes the steps for selecting such guidelines. Methods: On the basis of experience with the RAND/University of California, Los Angeles project to help California select guidelines, we identified the necessary choices and processes for guideline selection and evaluation. Results: Major steps in guideline selection include: 1) define purpose; 2) assign decision-making authority; 3) decide whether to use existing guidelines or develop new ones; 4) choose whether to use one or multiple existing guidelines; 5) specify clinical topics that guidelines should address; 6) identify and screen guidelines; 7) evaluate guidelines; 8) consider implications of results; 9) select guideline(s); 10) disseminate selection; and 11) assess long-term effectiveness. Conclusions: Given the many choices required, selecting mandatory workers' compensation guidelines should involve careful planning and a transparent, well-defined process. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Occupational Health Safety
• Keywords:
  Costs Guidelines Medical Care Medical Treatment Policy Workers Compensation
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  50
• Issue:
  11
• NIOSHTIC Number:
  nn:20058503
• Citation:
  J Occup Environ Med 2008 Nov; 50(11):1282-1292
• Contact Point Address:
  Philip Harber, MD, MPH, 10880 Wilshire Boulevard, Suite 1800, Los Angeles, CA 90024
• Email:
  pharber@mednet.ucla.edu
• Federal Fiscal Year:
  2009
• Performing Organization:
  University of California Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:781a211488f755f07f428f1bc367ead5318d2cbdffec8b6d43267f38a2e4a125f60d39ccfd618a7e707138bdf18a26ba203b3bedf2b083dc5632d769ec64e6f5
• Download URL:
  https://stacks.cdc.gov/view/cdc/221584/cdc_221584_DS1.pdf
• File Type:
  [PDF - 847.71 KB ]