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The ODG Product Line

Official Disability GuidelinesODG Treatment in Workers’ Comp

May 31, 2006Phil Denniston, PresidentWork Loss Data Institutephil@worklossdata.com760-753-9992

                           

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Agenda Background on WLDI Return-to-Work Guidelines demo Treatment Guidelines demo Summary presentation

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Background on WLDI Independent Database Development Company

Focused on Workplace Health & Productivity Offices in Texas and California Founded in 1995 “To create, maintain and market information

databases to implement standards for managing workforce health and productivity based on strict principles of evidence-based methodology, with ongoing focus on improving outcomes for all parties.”

Real and lasting cost-savings in workers’ comp only come through quality and timely care

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RTW Guidelines Demo Access/Ease of Use Multidisciplinary Advisory Board Back Sprains

Return-to-Work Guidelines Links to Treatment Guidelines

State Adoptions 14 states/provinces have adopted ODG

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Treatment Guidelines Demo Evidence Rating Updating Low Back Chapter

Treatment protocols Treatment modalities (Proc. Sum.) Cost-driver procedures

• Fusion, IDET, Manipulation, Physical Therapy Disability management/RTW

Chronic Pain Chapter

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Major Advantages of ODG1. Evidence-Based (with explicit links)2. Integrated Treatment and Duration3. Accepted by AHRQ for NGC4. Ongoing Updates, Annual Editions5. Independent, Multidisciplinary6. Designed for Utilization Review (in

addition to clinical practice)7. Proven Results/Excellent Feedback8. Cost effective access for all parties,

including providers & injured workers

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Evidence-Based Recommendations Linked to Evidence Aggregate of Over 10 Million Lost Time Cases Comprehensive, Ongoing Literature Review Focused on Best Patient Outcomes “Most direct form of evidence that can be

offered” under Federal Rules of Evidence (“Daubert Defensible”)

S.M.E. Charles W. Kennedy, Jr., MD Founding member of Evidence-Analysis

Committee for AAOS

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Integrated Protocols Complete Source for Integrated

Treatment and Disability Duration Guidelines in Workers’ Comp

Guidelines Should Interface to be Effective (disability durations typically correspond to treatment pathways)

Two birds, One Stone

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Accepted by AHRQ for NGC Agency for Healthcare Research and

Quality’s (AHRQ) National Guideline Clearinghouse (www.guidelines.gov)

Evidence-based: “Based on a systematic literature search and review of existing scientific evidence published in peer-reviewed journals”

Current: “developed, reviewed, or revised within the last five years”

One of the Few WC Guidelines Accepted

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Ongoing Updates,New Editions Annually Update Process in Continuous Operation Scientific Medical Literature Review (new

studies posted constantly) Quality of evidence rated & described Survey Data Analysis (OSHA, CDC) Expert Panel Validation (80-Member

Advisory Board, Annual Peer-Review) ODG is the Clear Leader (competition

typically updates every 3-5 yrs)

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Independent, Multi-Disciplinary WLDI Independent of any Single Provider

Group or Medical Specialty NOT JUST Occupational Doctors,

Orthopaedic Surgeons, Physical Therapists, or Chiropractors, etc

Bridges the Interest of ALL PROVIDERS Based on Best Available Evidence

Considerable Provider Acceptance

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For UR & Clinical Practice Clear and Unambiguous Procedure Summary: Recommended, Not

Recommended, with Links to Evidence Number and Frequency of Visits Identified Patient Selection Criteria, where Appropriate Codes for Auto-Approval Applies CPT codes to

ICD9 codes (for “auto-payment” of charges when practicing in line w/ODG)

Treatment Protocol for Ideal Cases

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Proven Results Ohio BWC Adoption November ’03 CompManagement Pilot Study Treatment Delay Reduced 77%

Med. Costs Lost Days

Pre-ODG $7,298,522 116,729

Post-ODG $2,655,338 36,143

Savings 64% 69%

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Feedback in Ohio (Adoption Statewide by BWC in 2003) “I think this program sounds like a time

saving & effective tool in bettering and improving the current process.”

“Best part was that the injured worker did not have to wait for the treatment.  Also cut down on paperwork.”

“These innovative methods must be supported and further explored."

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More Feedback in Ohio “Would like to see this used with all

managed care organizations.” “It saves a lot of time." “The physicians thought highly of the

Official Disability Guidelines program.” “If I was able to pull up ODG guidelines

per patient on the web, that’d be great." “We like the concept."

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Support, Prices, Licensing License Fees Include Free Support &

Training in How to use ODG AADEP Courses Available for CME Credit Also self-paced CD-ROM training Toll-free ODG Helpdesk Staffed 7-5 PST Published Fees $85 - 325 Per User, up to

50% Discount in States where Adopted Web Version, Textbook, Data Integration Summaries at no cost on AHRQ NGC

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Questions (or comments)

More info also can be found at:

www.worklossdata.com