The FCC Report An Author’s Perspective Presented by Dianne Taylor Reg. P.T. December 2006 Dianne M. Taylor & Associates Inc.

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Presentation transcript:

The FCC Report An Author’s Perspective Presented by Dianne Taylor Reg. P.T. December 2006 Dianne M. Taylor & Associates Inc.

Purpose To document and organize a concise plan for current and future care needs with associated costs relevant to the individual’s accident related disabilities To document and organize a concise plan for current and future care needs with associated costs relevant to the individual’s accident related disabilities Dianne M. Taylor & Associates Inc.

First Step  Provision of comprehensive file records  Elapsed time since date of loss  Sufficient time must pass to allow the claimant’s health care status to have stabilized without foreseeable significant changes in status  Availability of current medical reports with opinions on probability of the development of secondary conditions Physiatrist NeurologistPhysiatrist Neurologist Neuro-Psychiatrist PsychologistNeuro-Psychiatrist Psychologist OrthopaedicOrthopaedic Dianne M. Taylor & Associates Inc.

Timing of The Report FCC can proceed when the following criteria is met:  Days  Receipt of records  File review  Identification of missing information  Discussion with referral source  Meeting with claimant  Written communication with treatment team If the above criteria can not be met a File Review may be an option Dianne M. Taylor & Associates Inc.

Content of report  Review Claimant’s Medical, Rehabilitation and Vocational records  Description of claimant’s status based on medical information and observation during home interview  Written recommendations from members of the treatment team  Pre-accident issues  Objective analysis of previously documented issues for accuracy, objectivity and validity Dianne M. Taylor & Associates Inc.

Challenges of Children Probability and common sense Probability and common sense Increasing educational & social disparity with chronological peers Increasing educational & social disparity with chronological peers Increasing needs over time Increasing needs over time Supported by clinical experience Supported by clinical experience Dianne M. Taylor & Associates Inc.

Justification Were it not for the accident? Life Expectations:  Family  Home  Work  Recreation Dianne M. Taylor & Associates Inc.

Defendable Recommendations Based on:  Documented medical opinions  Clinical experience  Relevant literature  Current costs  Common sense Dianne M. Taylor & Associates Inc.

Med Rehab Costs Med Rehab Costs Dianne M. Taylor & Associates Inc.

Med Rehab 2 Med Rehab 2 Dianne M. Taylor & Associates Inc.

Med Rehab 3 Med Rehab 3 Dianne M. Taylor & Associates Inc.

Attendant Care Benefit Attendant Care Benefit Dianne M. Taylor & Associates Inc.

Other Other Dianne M. Taylor & Associates Inc.

Accident Benefits vs. Tort  SABS Guidelines  Market Rates Dianne M. Taylor & Associates Inc.

SABS GUIDELINES SABS GUIDELINES Dianne M. Taylor & Associates Inc.

MARKET VALUE PRICING MARKET VALUE PRICING Dianne M. Taylor & Associates Inc.

Summary  Initiate referral early  Provide independent medical reports  Maintain open dialogue  Copies of this presentation may be obtained at: Dianne M. Taylor & Associates Inc.