1. 1 The ODG Product Line Official Disability Guidelines ODG Treatment in Workers Comp May 31, 2006 Phil Denniston, President Work Loss Data Institute phil@worklossdata.com 760-753-9992

2. 2 Agenda Background on WLDI Return-to-Work Guidelines demo Treatment Guidelines demo Summary presentation

3. 3 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

4. 4 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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10. 10 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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17. 17 Major Advantages of ODG 1. Evidence-Based (with explicit links) 2. Integrated Treatment and Duration 3. Accepted by AHRQ for NGC 4. Ongoing Updates, Annual Editions 5. Independent, Multidisciplinary 6. Designed for Utilization Review (in addition to clinical practice) 7. Proven Results/Excellent Feedback 8. Cost effective access for all parties, including providers & injured workers

18. 18 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

19. 19 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

20. 20 Accepted by AHRQ for NGC Agency for Healthcare Research and Qualitys (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

21. 21 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)

22. 22 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

23. 23 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

24. 24 Proven Results Ohio BWC Adoption November 03 CompManagement Pilot Study Treatment Delay Reduced 77% Med. CostsLost Days Pre-ODG $7,298,522116,729 Post-ODG $2,655,33836,143 Savings64%69%

25. 25 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."

26. 26 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, thatd be great." We like the concept."

27. 27 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

28. 28 Questions (or comments) More info also can be found at: www.worklossdata.com