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Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
Rsa forms revisited felix1
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Rsa forms revisited felix1

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  • 1. Utah Labor CommissionRestorative Services Authorization/Denial
    RSA Forms Revisited
    9th Annual Utah Labor Commission Worker’s Compensation Educational Conference
    Sept. 29, 2011
  • 2. Traditional Standard of Care
    • Restorative Services
    • 3. Medical Physician
    • 4. Chiropractor
    • 5. Physical Therapist
    • 6. Occupational Therapist
    • 7. Focus of treatment
    • 8. Reduce pain
    • 9. Increase Range of Motion
    • 10. Improve strength
    • 11. Function (Activities of daily living, sports, work…)
    9th Annual Utah Labor Commission Worker’s Compensation Educational Conference Sept. 29, 2011
  • 12. RSA History
    Restorative Services Authorization/Denial
    FORM 221
    • Started in 1996 by the Utah Labor Commission
    • 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 payor
    9th 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

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