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Utah Labor CommissionRestorative Services Authorization/Denial RSA Forms Revisited 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference  Sept. 29, 2011
Traditional Standard of Care ,[object Object]
Medical Physician
Chiropractor
Physical Therapist
Occupational Therapist
Focus of treatment
Reduce pain
Increase Range of Motion
Improve strength
Function (Activities of daily living, sports, work…) 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference  Sept. 29, 2011
RSA History Restorative Services Authorization/Denial FORM 221  ,[object Object]
Established to focus restorative services towards a return to function
Given as a guide to control WC abuse
Provided for communication between provider, employer, and payor9th Annual Utah Labor Commission Worker’s Compensation Educational Conference  Sept. 29, 2011
Proposal to Update Current RSA forms  Easier to follow More room for notes/comments More functional information More specific Spinal Upper Extremity Lower Extremity 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference  Sept. 29, 2011
FORM 221 RSA 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference  Sept. 29, 2011
Form 221 requires that the provider has an understanding about the injured worker’s job. 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference  Sept. 29, 2011
Obtain Job Description Interview injured worker Call employer Request written job description Dictionary of Occupational Titles On-site visit 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference  Sept. 29, 2011
9th Annual Utah Labor Commission Worker’s Compensation Educational Conference  Sept. 29, 2011
9th Annual Utah Labor Commission Worker’s Compensation Educational Conference  Sept. 29, 2011

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Rsa forms revisited felix1

  • 1. Utah Labor CommissionRestorative Services Authorization/Denial RSA Forms Revisited 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 2.
  • 11. Function (Activities of daily living, sports, work…) 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 12.
  • 13. Established to focus restorative services towards a return to function
  • 14. Given as a guide to control WC abuse
  • 15. Provided for communication between provider, employer, and payor9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 16. Proposal to Update Current RSA forms Easier to follow More room for notes/comments More functional information More specific Spinal Upper Extremity Lower Extremity 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 17. FORM 221 RSA 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 18. Form 221 requires that the provider has an understanding about the injured worker’s job. 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 19. Obtain Job Description Interview injured worker Call employer Request written job description Dictionary of Occupational Titles On-site visit 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 20. 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 21. 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 22. Identify the Injured Workers Current Functional Abilities Functional range of motion Overhead, shoulder, horizontal, knee, floor Work place tolerances Sitting, standing, walking, reaching, stoop, kneel, climbing, etc. Lifting / carrying / push/pull strength Manual dexterity Hours required to work per day 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 23. Measure Functional Abilities Lifting, carrying, push/pull Sitting, standing, stooping, squatting, kneeling Walking, climbing stairs or ladder Grip and Pinch strength Manual dexterity Balance Etc. 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 24. Report Measured Functional AbilitiesRSA SPINE 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 25. Report Measured Functional AbilitiesRSA UPPER EXTREMITY 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 26. Report Measured Functional AbilitiesRSA LOWER EXTREMITY 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 27. Obtain the Injured Worker’s Perceived Functional Abilities Functional Ability Questionnaires Modified Oswestry Disability Questionnaire Neck Disability Questionnaire Disabilities of the Arm, Shoulder and Hand (DASH) Hand Function Sort Lower Extremity Functional Scale (LEFS) Knee Outcome Etc. 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 28. Functional Outcomes 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 29. Acknowledge the Injured Worker’s PAIN 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 30. Provide a treatment plan 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 31. Communicate with Payor 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 32. Payor Communicates with Provider 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 33. 9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011