Health care service provider advisory committee
This presentation is the property of its rightful owner.
Sponsored Links
1 / 15

Health Care Service Provider Advisory Committee PowerPoint PPT Presentation


  • 44 Views
  • Uploaded on
  • Presentation posted in: General

Health Care Service Provider Advisory Committee. June 23, 2006. Frances Huntley – Cooper Administrator of Worker’s Compensation Division. History of this Committee. Created under rule: 81.00 Advises: Department of Workforce Development and Worker’s Compensation Advisory Council

Download Presentation

Health Care Service Provider Advisory Committee

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Health care service provider advisory committee

Health Care Service Provider Advisory Committee

June 23, 2006

Frances Huntley – Cooper

Administrator of Worker’s Compensation Division


History of this committee

History of this Committee

  • Created under rule: 81.00

  • Advises:

  • Department of Workforce Development and

  • Worker’s Compensation Advisory Council

  • Supervises any modifications of Treatment Guidelines


Appointments

Appointments

  • Health Care Service Providers Committee:

    • Consensus list of twenty four (24) names

      • Wisconsin Medical Society

        • (Russ Leonard)

      • Wisconsin Chiropractic Association

        • (Laura Leitch)

      • Wisconsin Hospital Association

        • (Mark Grapetine)


Structure of the committee

Structure of the Committee

  • Chair - Administrator of Worker’s Compensation (WC)

  • Total of 14 Members

  • License and Practice in Wisconsin

  • Providers of medical treatment to Worker’s Compensation


Representation of committee members

Representation of Committee Members

  • 12 Members comprised of:

    • Six (6) medical doctors of different specialties

    • Two (2) chiropractors

    • Two (2) hospital representatives

    • One (1) registered nurse

    • One (1) physical therapist


Members at large

Members At-Large

  • Two individuals selected by:

    • Department of Workforce Development (Worker’s Compensation Administrator)

  • License and Practice in Wisconsin


Committee primary duties

Committee Primary Duties:

  • Review Rule: 81.00 (Handout)

  • Update guidelines to include:

    • “New Procedures”

    • “Treatment Options” for injuries classified within the initial guideline

  • “Expanding” the guidelines to cover new classes of injuries

  • “Clarifying” the intent and description of the guidelines


Worker s compensation agreed upon bill sb 474 2005 wis act 172

Worker’s Compensation “Agreed Upon” Bill - (SB 474)2005 WIS ACT 172

  • Introduced in Senate 12/13/05

  • Passed in Senate 2/25/06

  • Passed in Assembly 3/9/06

  • Governor Doyle signed bill 3/21/06

  • Effective 4/1/06


Rules vs statutes

Rules vs. Statutes

  • State Constitution grants Legislature power to enact laws

  • Legislature delegates to state agencies (DWD) authority to promulgate administrative rules

  • Rule implement or interpret statutory provision

  • Rule created HCPA committee and Guidelines


Administrative rule

Administrative Rule

  • Requires Legislative review prior to promulgation (adoption)

  • Allows for monitoring by elected officials

  • Allows for legislatures & DWD to work together and resolve issues

  • DWD holds Public Hearings


Dwd has authority to enact and revise rule

DWD has authority to enact and revise rule

  • Some rules maybe too controversial to be included in law

  • Allows agency experts the task of regulating highly technical fields (i.e. Heath Care Provider Advisory committee guidelines)

  • Allows for quicker response to problems or emergency situations


Where are we now

Where Are We Now?

  • Rule will be submitted

  • Amendments or Revisions

  • Consensus by HCPA committee for minor revisions

  • Worker’s Compensation Advisory Council approval (August 16)


Amendments or revisions

Amendments or Revisions

  • Minor ones with committee agreement may be considered

  • WCAC reviews changes


Worker s compensation advisory committee

Worker’s Compensation Advisory Committee

  • Respects the committee’s expertise

  • Will take action based on committee work and recommendations

  • Thanks for lending your expertise and taking on this important task!


Questions

Questions?


  • Login