2010 pac annual report - owcc.state.ok.us pac annual report.pdf · 2010 annual report of the...

2010 ANNUAL REPORT

OF THE

PHYSICIAN ADVISORY COMMITTEE

Presented to:

The Honorable Mary Fallin

Governor

The Honorable Brian Bingman

President Pro Tempore of the Senate

The Honorable Kris Steele

Speaker of the House of Representatives

��

COMMITTEE MEMBERSHIP

LeRoy E. Young, D.O., Chairman

Robert L. Remondino, M.D., Vice Chairman

Jeff A. Fox, M.D.

David Garrett, D.P.M.

William R. Gillock, M.D.

Duane G. Koehler, D.O.

Scott A. Mitchell, D.O.

John A. Munneke, M.D.

C. Keith Muse, D.C.

COMMITTEE STAFF

Oklahoma Workers' Compensation Court

Laura Robinson, Research Analyst

1

2010 ANNUAL REPORT

OF THE


I.

INTRODUCTION

This is the 2010 annual report of the Physician Advisory Committee, an advisory body to

the Oklahoma Workers’ Compensation Court statutorily created by section 201.1 of Title 85 of

the Oklahoma Statutes. This report identifies the progress and activities of the committee during

calendar year 2010.

Current members of the committee are LeRoy E. Young, D.O., Chairman, Robert L.

Remondino, Vice Chairman, Jeff A. Fox, M.D., David Garrett, D.P.M., William R. Gillock, M.D.,

Duane G. Koehler, D.O., Scott A. Mitchell, D.O., John A. Munneke, M.D., and C. Keith Muse,

D.C.. A current membership list, including medical specialty, appointing authority and

congressional district represented, is included in the appendices to this report. Staff support for

the committee is provided by the Oklahoma Workers’ Compensation Court as provided in 85

O.S., Section 201.1(F).

II.

STATUTORY DUTIES

The statutory duties of the Physician Advisory Committee are set forth in 85 O.S. §201.1, a copy

of which is included in the appendices. These duties include:

• assisting and advising the Administrator of the Workers' Compensation Court

regarding utilization review and the medical practices of health care providers,

• making recommendations for acceptable deviations from the American Medical

Association's "Guides to the Evaluation of Permanent Impairment" and for

alternative methods of evaluating permanent impairment,

• adopting treatment guidelines and protocols for treatment of injuries to the hand,

wrist, back, knee, neck and shoulder and utilization controls for all treatments,

• adopting guidelines for the prescription and dispensing of controlled substances,

• providing general recommendations to the judges of the Workers' Compensation

Court regarding issues of injury causation and apportionment, and

• conducting educational seminars and assisting the judges of the Workers'

Compensation Court in accessing medical information.

2

III. 2010 ACTIVITIES

The primary focus of the Physician Advisory Committee during 2010 was the continued

development of guidelines and protocols for the treatment of injuries pursuant to the legislature’s

statutory direction. The Committee continued to review nationally accepted treatment guidelines

and protocols in the treatment areas mandated by the legislature, including the American Pain

Society’s report on Pain Management, Medicare’s study on Epidural Injections, and the North

American Spine Society’s Guidelines on Cervical Radiculopathy. The Committee also reviewed

the American College of Occupational and Environmental Medicine’s Guide to High-Value

Physician Services in Workers’ Compensation.

The Committee heard several presentations over different topics related to workers’

compensation during the year. Mr. Edminsten, an Oklahoma Bureau of Narcotics and Dangerous

Drugs Agent, presented information on diversion and fraud as related to prescription drug crimes.

Ms. Susan Rogers, General Counsel of the Bureau of Narcotics, presented information on the

Prescription Monitoring Program for Oklahoma. Ms. Tish Sommer, Workers’ Compensation

Court Special Counsel, reported on workers’ compensation related legislation of interest to the

Committee.

The Committee completed development of one treatment guideline during 2010.

Following a public hearing, the Committee adopted Treatment Guidelines for Continuing Medical

Maintenance for Scheduled Drugs, which are pending review and approval by the Workers’

Compensation Court Administrator.

The treatment guidelines developed by the committee and adopted as provided by law are

intended to prevent over-utilization by outlining a standard course of treatment for a workers’

compensation injury. The guidelines also are intended to promote optimum recovery and return

to work, while containing workers’ compensation costs. The Committee continues to work

toward the development of additional guidelines.

In October 2010, Chairman LeRoy Young, D.O., and Committee Member William

Gillock, M.D., participated in the Oklahoma Bar Association’s educational program entitled

Workers’ Compensation: New Directions. They discussed Committee activities, legislative

changes impacting the Committee, and the Committee’s efforts regarding development of

continuing medical maintenance treatment guidelines.

IV. PUBLIC MEETINGS & HEARINGS

The Committee held four (4) public meetings, one (1) special meeting, and two (2) public

hearings in 2010. A copy of the agendas and minutes for each of the meetings is in the appendices

to this report.

Regular meetings of the Committee for calendar year 2011 are scheduled on January 14,

2011, April 15, 2011, July 15, 2011, and October 14, 2011. The meetings are scheduled for 2:00

p.m. in the second floor En Banc Courtroom at the Workers’ Compensation Court, 1915 N. Stiles

Avenue, Oklahoma City, Oklahoma.

3

V. CONCLUSION

The Physician Advisory Committee is pleased to submit this report. We hope our efforts

help enhance meaningful review of medical issues affecting our state’s workers’ compensation

system.

4

Appendices


AN ADVISORY BODY TO THE

OKLAHOMA WORKERS’ COMPENSATION COURT

Name Area of Medical

Licensure

Appointment Source Expiration of

Term

Congressional

District

Jeff A. Fox, M.D. Medicine and

Surgery

Speaker of the House January 1, 2013 At Large

Duane G. Koehler, D.O. Osteopathy Speaker of the House January 1, 2011 2nd District

C. Keith Muse, D.C. Chiropractic Speaker of the House January 1, 2012 4th District

LeRoy E. Young, D.O. Osteopathy President Pro

Tempore

January 1, 2013 At Large

William R. Gillock, M.D. Medicine and

Surgery

President Pro

Tempore

January 1, 2014 1st District

Reed Burk, D.P.M. Podiatry President Pro

Tempore

January 1, 2010 3rd District

David Garrett, D.P.M.

Replacing Reed Burk

Podiatry President Pro

Tempore

January 1, 2013 2nd District

Scott A. Mitchell, D.O. Osteopathy Governor January 1, 2013 At Large

John A. Munneke, M.D. Medicine and

Surgery

Governor January 1, 2012 At Large

Robert L. Remondino,

M.D.

Medicine and

Surgery

Governor January 1, 2014 5th District

LEROY E. YOUNG, D.O.

Chairman

1211 Shartel Avenue

Oklahoma City, OK 73103

(405) 235-6200

ROBERT L. REMONDINO, M.D.

Vice-Chairman

4120 W. Memorial Road, Suite 300

Oklahoma City, OK 73120 (405) 748-3300

DAVID GARRETT, D.P.M.

30 B Street Southwest

Miami, OK 74354

(918) 542-5551

JEFF A. FOX, M.D.

6585 S. Yale Avenue, Suite 200

Tulsa, OK 74136

(918) 481-2767

WILLIAM R. GILLOCK, M.D.

7170 S. Braden, Suite 175

Tulsa, OK 74136-6323

(918) 481-0994

DUANE G. KOEHLER, D.O.


Miami, OK 74534

(918) 542-5551

SCOTT A. MITCHELL, D.O.

3601 N.W. 138th Street


(405) 775-9355

JOHN A. MUNNEKE, M.D.

36 W. Memorial Road, Suite 3C

Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA ROBINSON

Workers’ Compensation Court

1915 N. Stiles Avenue


(405) 522-8759

Year

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Mem

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Tom

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.O.

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when s

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Mem

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repla

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successor

on 5

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Speaker

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Mem

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, D

.O.

2/2

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incum

bent)

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Speaker

Loyd B

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Mem

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Larr

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11/2

3/9

8 -

1/1

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filli

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nexpired

term

of

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1999

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Waugh, M

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Govern

or

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nk K

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Mem

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Ala

n B

raly

, M

.D.

5/7

/99 -

1/1

3/2

003 (

resig

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Gary

Massad, M

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Govern

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self

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Massad, M

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John C

lark

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, M

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Govern

or

Bra

d H

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Mem

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Kyle

Waugh, M

.D.

1/1

/03 -

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Ross E

dw

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Pope, D

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Govern

or

Bra

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Mem

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Tom

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1/1

/03 -

1/1

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2004

Gary

Lam

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, D

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Speaker

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Mem

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self

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4 -

8/1

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007

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D.C

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peaker

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Mem

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phen T

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Ph., M

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Ric

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iam

R. G

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Pre

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pore

Cal H

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Mem

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Mark

A. H

ayes, M

.D.

6/2

3/0

4 -

1/1

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2005

John A

. M

unneke, M

.D.

Govern

or

Bra

d H

enry

Mem

ber

John C

lark

Osborn

, M

.D.

8/8

/2005 -

1/1

/2006

LeR

oy E

. Y

oung, D

.O.

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sid

ent P

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pore

Mik

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org

an

Mem

ber

Him

self

3/5

/2005 -

1/1

/2007

Duane G

. K

oehle

r, D

.O.

Speaker

Todd H

iett

Mem

ber

10/6

/2005 -

10/6

/2008

C. K

eith M

use, D

.C.

Speaker

Todd H

iett

Mem

ber

10/6

/2005 -

10/6

/2008

G. K

eith S

mith, M

.D.

Speaker

Todd H

iett

Mem

ber

10/6

/2005 -

10/6

/2008

Robert

Rem

ondin

o, M

.D.

Govern

or

Bra

d H

enry

Vic

e C

hairm

an

Carlos A

lbert

o G

arc

ia-M

ora

l, M

.D.

8/8

/2005 -

1/1

/2008

Scott A

nth

ony M

itchell,

D.O

.G

overn

or

Bra

d H

enry

Mem

ber

Ross E

dw

ard

Pope, D

.O.

9/1

9/2

005 -

1/1

/2007

Will

iam

R. G

illock, M

.D.

Pre

sid

ent P

ro T

em

pore

Cal H

obson

Mem

ber

Him

self

2/2

5/2

005 -

1/1

/2008

Will

iam

R. G

illock, M

.D.

Pre

sid

ent P

ro T

em

pore

Mik

e M

org

an

Mem

ber

Him

self

8/1

/2005 -

1/1

/2008

2006

John A

. M

unneke, M

.D.

Govern

or

Bra

d H

enry

Mem

ber

Him

self

1/1

/2006 -

1/1

/2009

Revis

ed 1

/7/2

011

2

Year

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2007

LeR

oy E

. Y

oung, D

.O.

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sid

ent P

ro T

em

pore

Mik

e M

org

an &

Co-P

resid

ent P

ro T

em

pore

Gle

nn C

off

ee

Chairm

an

Him

self

1/1

/2007 -

1/1

/2010

Reed B

urk

, D

.P.M

.P

resid

ent P

ro T

em

pore

Mik

e M

org

an &

Co-P

resid

ent P

ro T

em

pore

Gle

nn C

off

ee

Mem

ber

Thom

as H

enry

, D

.P.M

.1/1

/2007 -

1/1

/2010

Scott A

nth

ony M

itchell,

D.O

.G

overn

or

Bra

d H

enry

Mem

ber

Him

self

1/1

/2007 -

1/1

/2010

2008

Jeff

A. F

ox, M

.D.

Speaker

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85 O.S., Section 201.1

A. 1. There is hereby created a Physician Advisory Committee comprised of nine (9) members

to be appointed as follows:

a. the Governor shall appoint three members, one of whom shall be licensed in this

state as a doctor of medicine and surgery, one of whom shall be engaged in the

practice of family medicine in a rural community of the state, and one of whom

shall be an osteopathic physician,

b. the President Pro Tempore of the Senate shall appoint three members, one of

whom shall be licensed in this state as a doctor of medicine and surgery, one of

whom shall be licensed in this state either as a doctor of medicine or a doctor of

osteopathy and shall be engaged in the practice of occupational medicine, and

one of whom shall be licensed in this state as a podiatric physician,

c. the Speaker of the House of Representatives shall appoint three members, one of

whom shall be licensed in this state as an osteopathic physician, one of whom

shall be licensed in this state either as a doctor of medicine or a doctor of

osteopathy, and one of whom shall be licensed in this state as a chiropractic

physician.

2. a. To fill the positions for which the term of office expires on January 1, 1996, the

Governor shall appoint a resident of the Fifth Congressional District, the President Pro

Tempore of the Senate shall appoint a resident of the First Congressional District and the

Speaker of the House of Representatives shall appoint a resident of the Second

Congressional District.

b. To fill the positions for which the term of office expires on January 1, 1997, the

Governor shall appoint a resident of the Sixth Congressional District, the

President Pro Tempore of the Senate shall appoint a resident of the Third

Congressional District and the Speaker of the House of Representatives shall

appoint a resident of the Fourth Congressional District.

c. To fill the positions for which the term of office expires on January 1, 1998, the

Governor, the President Pro Tempore of the Senate and the Speaker of the

House of Representatives shall appoint residents of the state at large.

d. Thereafter, appointments shall be made from the Congressional District

numbered the same as the district from which the original appointment was

made pursuant to this paragraph, if a Congressional District so numbered exists.

When congressional districts are redrawn, each member appointed prior to July

1 of the year in which such modification becomes effective shall complete the

current term of office and appointments made after July 1 of the year in which

such modification becomes effective shall be based on the redrawn districts. Appointments that were to be made from a numbered Congressional District

which no longer exists shall be appointed from the state at large.

85 O.S., Section 201.1 2

e. Effective July 1, 2005, all members of the Physicians Advisory Committee shall

be subject to reappointment regardless of their appointment date, with any new

appointee to serve out the remainder of the unexpired term of the committee

member so replaced.

B. The Committee shall:

1. Assist and advise the Administrator of the Workers' Compensation Court regarding

utilization review as it relates to the medical practice and treatment of work-related

injuries. Such utilization review shall include a review of reasonable and necessary

treatment; abusive practices; needless treatments, testing, or procedures; or a pattern of

billing in excess of or in violation of the Schedule of Medical Fees. The Physician

Advisory Committee shall review and make findings and recommendations to the

Administrator of the Workers' Compensation Court with respect to charges of

inappropriate or unnecessary treatment or procedures, abusive practices, or excessive

billing disclosed through utilization review. The guidelines shall be designed to assist providers by offering an analytical framework for the evaluation and treatment of injured

workers.

The Workers’ Compensation Court shall be bound by the findings and recommendations

of the Physician Advisory Committee in regard to reasonable and necessary medical treatment, duration of treatment, continuing medical maintenance, and development of a

formulary for the use of prescription medicines, unless there is clear and convincing

evidence to the contrary. Any order for medical care not consistent with findings and

recommendations of the Physician Advisory Committee shall contain specific findings to

support the deviation from said findings and recommendations;

2. Assist the Administrator of the Workers' Compensation Court in reviewing medical

practices of health care providers, including evaluations of permanent impairment

provided by health care providers, as provided for in Section 201 of this title. The

Committee shall review and make findings and recommendations to the Administrator

with respect to charges of abusive practices by health care providers providing medical

services or evaluations of permanent impairment through the workers' compensation

system;

3. After public hearing, review and make recommendations for acceptable deviations from

the American Medical Association's "Guides to the Evaluation of Permanent Impairment"

using appropriate and scientifically valid data. Those recommendations may be adopted,

in part or in whole, by the Administrator to be used as provided for in paragraph 11 of

Section 3 and Section 22 of this title;

4. After public hearing, review and make recommendations for an alternative method or

system to evaluate permanent impairment that shall be used in place of or in combination

with the American Medical Association's "Guides to the Evaluation of Permanent

Impairment". Appropriate and scientific data shall be considered. The alternative method

or system to evaluate permanent impairment may be adopted, in part or in whole, by the

Administrator to be used as provided for in paragraph 11 of Section 3 and Section 22 of this title. Revisions, deviations and alternatives to the American Medical Association's

"Guides to the Evaluation of Permanent Impairment" shall become effective as provided

in paragraph 11 of Section 3 and Section 22 of this title;

5. After public hearing, adopt treatment guidelines and protocols for treatment of injuries,

including, but not limited to, injuries to the hand, wrist, back, knee, neck and shoulder

and utilization controls for all treatments, including, but not limited to, x-ray and imaging

85 O.S., Section 201.1 3

technology for diagnostic purposes, for adoption by the Administrator. Treatment

guidelines and protocols shall be based upon nationally accepted practice standards and

shall indicate when surgery is indicated and the appropriate surgical procedure for the

condition. Compliance with treatment guidelines shall be mandatory and an employer or

insurer for an employer shall not be required to pay for treatment which is not in

compliance with the guidelines, unless prior authorization is received. If an employer or insurer for an employer refuses to give such prior authorization, the employee may

request the case be reviewed by an independent medical examiner pursuant to the

provisions of subsection B of Section 17 of this title. Provided, however, if the employer

and employee are unable to agree on the appointment of an independent medical

examiner for prior authorization purposes, the Court shall randomly select an independent

medical examiner within seven (7) days of receipt of a written request by the employee.

The independent medical examiner shall review the medical records of the employee,

examine the employee, or both, as necessary to render an opinion as to whether prior

authorization should be given. If prior authorization is granted, the employer shall pay the

costs of the independent medical examiner subject to limits established by the

Administrator. If prior authorization is denied, the employee shall pay the costs of the

independent medical examiner subject to the limits established by the Administrator;

6. After public hearing, adopt guidelines for the prescription and dispensing of any

controlled substance included in Schedule II of the Uniform Controlled Dangerous

Substances Act;

7. Review utilization on cases or of providers when requested by any employer, injured

employee or insurer. The Committee may issue a public or private censure to any

provider for utilization which is excessive or inadequate, or recommend the Court order

treatment within the treatment guidelines;

8. Provide general recommendations to the judges of the Workers' Compensation Court on

the issues of injury causation and apportionment;

9. Conduct educational seminars for the judges of the Workers' Compensation Court,

employers, employees, and other interested parties;

10. Assist the judges of the Workers' Compensation Court in accessing medical information

from scientific literature; and

11. Report its progress annually to the Governor, the President Pro Tempore of the Senate,

and the Speaker of the House of Representatives.

C. The term of office for initial appointees shall expire March 1, 1994. Thereafter, successors in

office shall serve as follows:

1. The term of office for three positions, one each appointed by the Governor, the President

Pro Tempore of the Senate and the Speaker of the House of Representatives, shall expire

on January 1, 1996;



on January 1, 1997;



on January 1, 1998;

85 O.S., Section 201.1 4

4. Thereafter, successors in office shall be appointed for a three-year term. Members shall

be eligible to succeed themselves in office; and

5. Any person appointed to fill a vacancy shall be appointed for the unexpired portion of the

term.

D. Members of the Physician Advisory Committee shall receive no compensation for serving on the

Committee but shall be reimbursed by the Workers' Compensation Court for their necessary travel

expenses incurred in the performance of their duties in accordance with the State Travel

Reimbursement Act.

E. Meetings of the Physician Advisory Committee shall be called by the Administrator but held at

least quarterly. The presence of a simple majority of the members constitutes a quorum. No action

shall be taken by the Physician Advisory Committee without the affirmative vote of at least a

simple majority of the members.

F. The Administrator shall provide office supplies and personnel of the Workers' Compensation

Court to assist the Committee in the performance of its duties.

G. Upon written request, the State Insurance Commissioner, CompSource Oklahoma, and every

approved self-insured employer in Oklahoma shall provide the Committee with data necessary to

the performance of its duties.

H. Any health care provider acting in good faith and within the scope of the provider's duties as a member of the Physician Advisory Committee shall be immune from civil liability for making any

report or other information available to the judges of the Workers' Compensation Court or to the

Administrator of the Workers' Compensation Court or for assisting in the origination,

investigation, or preparation of the report or other information so provided.

NOTICE OF REGULARLY SCHEDULED MEETING

The Physician Advisory Committee will hold a rescheduled regular meeting at the Workers’ Compensation Court, 1915 N. Stiles, Oklahoma City, Oklahoma on Friday, January 15, 2010 at 2:00 p.m.

AGENDA

1. Call to order.

2. Roll call and determination of quorum present.

3. Announcements and introductions.

4. Discussion and possible action concerning minutes for the October 9, 2009 regular meeting of the Physician Advisory Committee.

5. Subcommittee reports by Drs. Gillock and Munneke regarding continuing medical maintenance provided workers’ compensation claimants and discussion and possible action regarding same.

6. Discussion regarding the December 2009 NCCI research brief on narcotics in workers’ compensation.

7. Discussion regarding the American Pain Society Guidelines.

8. Adjournment.





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

3413 N. 14th Street

Ponca City, OK 74601

(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) (918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

WILLIAM W. WILES, JR.

Staff Attorney




(405) 522-8766

MINUTES OF THE REGULAR MEETING OF THE PHYSICIAN

ADVISORY COMMITTEE HELD ON FRIDAY, JANUARY 15, 2010 AT

THE WORKERS’ COMPENSATION COURT IN OKLAHOMA CITY,

OKLAHOMA.

PRESENT: Drs. LeRoy E. Young, Jeff Fox, William R. Gillock, Duane G.

Koehler, John A. Munneke, Keith Muse, Robert L. Remondino, and Reed Burk

OTHERS PRESENT: Workers’ Compensation Court Judges Kent Eldridge

and John McCormick, Dr. Scott Anthony, William W. Wiles, Jr., Court Staff

Attorney, and Tish Sommer, Court Special Counsel

Call to Order: The meeting was called to order by the chairman, Dr. LeRoy

E. Young, on January 15, 2010 at 2:00 PM. The Secretary of State’s Office

had been notified of the meeting and the agenda was posted at the Workers’

Compensation Court’s Oklahoma City location, 1915 N. Stiles Avenue.

Roll call and determination of quorum: All members were present except

for Dr. Scott A. Mitchell who was unable to attend. A quorum was noted.

Announcements and Introductions: There were no announcements or

introductions.

Discussion and possible action concerning minutes for the October 9, 2009

regular meeting of the Physician Advisory Committee: A motion was made

and seconded to approve the minutes of the October 9, 2009 meeting. The

motion was approved by a unanimous vote of those present.

Subcommittee report by Drs. Gillock and Munneke regarding continuing

medical maintenance provided workers’ compensation claimants and

discussion and possible action regarding same: New treatment guidelines

for continuing medical maintenance, particularly in relation to prescribing

narcotics, were discussed at length. The idea of a periodic review by the Court

of all pain management cases also was discussed. The subcommittee was asked

to work in more detail on the Treatment Guidelines, and to report to the

Committee at a special meeting in six weeks time.

Discussion regarding the December 2009 NCCI research brief on narcotics

in workers’ compensation: The Committee was asked to review the brief,

especially as related to Treatment Guidelines. The Committee also discussed a

new recommendation to send all drug screenings to a medical review officer.

Discussion regarding the American Pain Society Guidelines: The

Committee was given copies of news releases concerning the updated American

Pain Society Guidelines concerning interventional procedures and opioid





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************


Staff Attorney




(405) 522-8766

LAURA BOEN




(405) 522-8759

prescribing. Dr Scott Anthony was asked to get the new Treatment Guidelines for the Committee.

Drs. William Gillock and Scott Anthony were asked to look into updating the Committee’s own

Treatment Guidelines based on this update. The Committee will revisit this issue at the next meeting.

Adjournment: A motion was made and seconded to adjourn the meeting. The motion was approved

by unanimous vote of those present and the meeting was adjourned at 2:50 PM.

NOTICE OF SPECIAL MEETING

The Physician Advisory Committee will hold a special meeting at the Workers’ Compensation Court, 1915 N. Stiles, Oklahoma City, Oklahoma on Friday, February 26, 2010 at 2:00 p.m.

AGENDA

1. Call to order.



4. Discussion and possible action concerning minutes for the January 15, 2010 regular meeting of the Physician Advisory Committee.

5. Subcommittee reports by Drs. Gillock and Munneke regarding continuing medical maintenance provided workers’ compensation claimants and discussion and possible action regarding same.

6. Adjournment.





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

3413 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) (918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************


Staff Attorney




(405) 522-8766

LAURA BOEN




(405) 522-8759

MINUTES OF THE SPECIAL MEETING OF THE PHYSICIAN

ADVISORY COMMITTEE HELD ON FRIDAY, FEBRUARY 26, 2010

AT THE WORKERS’ COMPENSATION COURT IN OKLAHOMA

CITY, OKLAHOMA.

PRESENT: Drs. LeRoy E. Young, William R. Gillock, John A. Munneke,

Keith Muse, and Reed Burk

OTHERS PRESENT: Workers’ Compensation Court Judges Kent Eldridge,

Tom Leonard, and John McCormick; Tish Sommer, Court Special Counsel;

Laura Boen, Court Research Analyst; Joe Biscone, Attorney; and CompSource

Representatives Bruce Outland, Kenny Wood and Sherry Oden


E. Young, on February 26, 2010 at 2:07 PM. The Secretary of State’s Office

had been notified of the meeting. The agenda was posted at the Workers’

Compensation Court’s Oklahoma City and Tulsa locations and on the Court’s

web site.

Roll call and determination of quorum: Drs Robert Remondino, Jeff Fox,

Scott Mitchell and Duane Koehler were absent. All other members were

present. A quorum was noted.

Announcements and Introductions: There were no announcements. Joe

Biscone, Workers’ Compensation Attorney, was introduced.

Discussion and possible action concerning minutes for the January 15,

2010 regular meeting of the Physician Advisory Committee: A motion was

made and seconded to approve the minutes of the January 15, 2010 meeting.

The motion was approved by a unanimous vote of those present.

Subcommittee update by Drs. Gillock and Munneke on draft treatment

guidelines for continuing medical maintenance provided workers’

compensation claimants, and discussion and possible action regarding

same: The draft treatment guidelines for continuing medical maintenance were

discussed at length, especially concerning urine drug screens and chain of

custody requirements.

A motion to delete paragraph 3c in its entirety and substitute the wording,

“Urine Drug Screens must be done per PAC guidelines with a chain of

custody,” and to renumber subsequent paragraphs was made and seconded.

The motion was passed by unanimous vote of all members present.

A motion was made and seconded to change the language of paragraph 3d to,

“Must utilize the Oklahoma Prescription Monitoring Program (PMP) Drug





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA BOEN




(405) 522-8759

website as maintained by the Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD).” The

motion passed by unanimous vote of all members present.

A motion to accept the Continuing Medical Maintenance Treatment Guidelines as amended was made,

seconded, and passed by unanimous vote of those present.

A motion to consider the treatment guidelines at a Public Hearing was made, seconded and passed by

unanimous vote of those present.

Discussion and possible action regarding report by Dr. William Gillock and Dr. Scott Anthony

on the necessity of revising the Physician Advisory Committee’s Treatment Guidelines in view of

the updated American Pain Society Guidelines: This item was not discussed in view of the loss of a

quorum.

Adjournment: The meeting adjourned at 2:59 PM.

NOTICE OF PUBLIC HEARING

The Physician Advisory Committee will hold a public hearing at the Workers’ Compensation Court, 1915 N. Stiles, Oklahoma City, Oklahoma on Friday, April 9, 2010 at 2 p.m.

AGENDA

1. Call to order.

2. Opening remarks by the Chairman of the Physician Advisory Committee.

3. Receive public comments and/or proposals, including views or arguments, orally or in writing, regarding revisions, if any to the Committee’s proposed Continuing Medical Maintenance Treatment Guidelines.

4. Closing comments by the members of the Physician Advisory Committee.

REGULAR MEETING IMMEDIATELY FOLLOWING

SAME LOCATION

2ND

FLOOR EN BANC COURTROOM

WORKERS’ COMPENSATION COURT

1915 NORTH STILES AVENUE

OKLAHOMA CITY, OKLAHOMA





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA BOEN




(405) 522-8759

MINUTES OF THE PUBLIC HEARING OF THE PHYSICIAN

ADVISORY COMMITTEE ON CONTINUING MEDICAL

MAINTENANCE GUIDELINES HELD ON FRIDAY, APRIL 9, 2010 AT


OKLAHOMA.

Present: Drs. LeRoy E. Young, William R. Gillock, Duane G. Koehler, John

A. Munneke, Robert L. Remondino, and Reed Burk

Others Present: Workers’ Compensation Court Judges John McCormick and

Eric Quandt; Marcia Davis, Court Administrator; Tish Sommer, Court Special

Counsel; and Laura Boen, Court Research Analyst. Linda Chandler from

EOOC, Jeanne Edmondson from McBride Clinic, Bruce Outland from

CompSource and Carole Read from OSSO were also present.

Call to Order: The public hearing was called to order by the chairman, Dr.

LeRoy E. Young at 2:02 PM. Notice of the hearing and the agenda were

posted at the Workers’ Compensation Court’s Oklahoma City and Tulsa

locations, and online on the Workers’ Compensation Court’s website. They

were also sent electronically to persons requesting such notice.

Opening Remarks by the Chairman of the Physician Advisory Committee:

Dr. Young welcomed everyone attending the public hearing and thanked them

in advance for their participation. Dr. Young announced that the public hearing

was intended to permit public input regarding revisions, if any, to the Physician

Advisory Committee's proposed Continuing Medical Maintenance Treatment

Guidelines.

Receive public comments and/or proposals, including views or arguments,

orally or in writing, regarding revisions, if any to the Committee’s

proposed Continuing Medical Maintenance Treatment Guidelines: The

Committee heard comments from the public in attendance. Dr. Young

summarized PCI’s comments (attached), mentioned additional comments

received verbally, and responded to questions of the committee by those in

attendance about the proposed guidelines. The majority of the comments

concerned clarification to the language of the guidelines. Dr. Koehler

suggested it might be helpful to include an appendix with the DEA regulations

concerning prescribing narcotics in the guidelines. Dr. Young requested

additional comments from those in attendance and there were none.

Closing Comments by the members of the Physician Advisory Committee:

Dr. Young advised that the comments would be taken into consideration, and

thanked attendees for their participation.





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA ROBINSON




(405) 522-8759

NOTICE OF REGULAR MEETING

The Physician Advisory Committee will hold a regular meeting at the Workers’ Compensation Court, 1915 N. Stiles, Oklahoma City, Oklahoma on Friday, April 9, 2010 immediately following the public hearing to be held at 2:00 p.m. at the same location.

AGENDA

1. Call to order.



4. Discussion and possible action concerning minutes for the February 26, 2010 special meeting of the Physician Advisory Committee.

5. Discussion and possible action regarding proposed Continuing Medical Maintenance Treatment Guidelines.

6. Discussion and possible action regarding approval of the 2009 Annual Report of the Physician Advisory Committee.

7. Discussion and possible action regarding report by Dr. William Gillock and Dr. Scott Anthony on the necessity of revising the Physician Advisory Committee’s Treatment Guidelines in view of updated American Pain Society Guidelines.

8. New Business.

9. Adjournment.





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA BOEN




(405) 522-8759


ADVISORY COMMITTEE HELD ON FRIDAY, APRIL 9, 2010 AT


OKLAHOMA.


A. Munneke, Robert L. Remondino, and Reed Burk

Others Present: Workers’ Compensation Court Judges John McCormick and

Eric Quandt, Marcia Davis, Court Administrator, Tish Sommer, Court Special

Counsel, Laura Boen, Court Research Analyst. Linda Chandler from EOOC,

Jeanne Edmondson from McBride Clinic, Bruce Outland from CompSource

and Carole Read from OSSO were also present.


E. Young at 2:25 PM. The Secretary of State’s Office had been notified of the

meeting and the agenda was posted at the Workers’ Compensation Court’s

Oklahoma City and Tulsa locations, and online on the Workers’ Compensation

Court’s website.

Roll call and determination of quorum: Drs Jeff Fox, Scott Mitchell and

Keith Muse were absent. All other members were present. A quorum was

noted.


introductions.

Discussion and possible action concerning minutes for the February 26,

2010 special meeting of the Physician Advisory Committee: A motion was

made and seconded to approve the minutes of the February 26, 2010 meeting.

The motion was approved by a unanimous vote of those present.

Discussion and possible action regarding proposed Continuing Medical

Maintenance Treatment Guidelines: After receiving input from the Public

Hearing, it was recommended to continue to work on the draft. A motion was

made and seconded to form a subcommittee including people outside the

Committee to continue work on the draft. This motion was approved by a

unanimous vote of those present. A Public Hearing will be held on July 23,

2010 for consideration of the revised draft, and the revised draft will be

released to the public in advance of that date.

Discussion and possible action regarding approval of the 2009 Annual

Report of the Physician Advisory Committee: A motion was made and

seconded to approve the 2009 Annual Report of the Physician Advisory

Committee. The motion was approved by a unanimous vote of those present.

The staff was charged to distribute the report as directed by the Committee, and





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA ROBINSON




(405) 522-8759

to send a copy of the report to each Committee member.

Discussion and possible action regarding report by Dr. William Gillock and Dr. Scott Anthony

on the necessity of revising the Physician Advisory Committee’s Treatment Guidelines in view of

updated American Pain Society Guidelines: Dr. Young advised the Committee is still waiting on

permission from the publishers to use articles from Spine and Journal of Pain. Once use is authorized,

the Committee will move forward with this issue.

New Business: No new business was introduced.



NOTICE OF PUBLIC HEARING

The Physician Advisory Committee will hold a public hearing at the Workers’ Compensation Court, 1915 N. Stiles, Oklahoma City, Oklahoma on Friday, July 23, 2010 at 2:00 p.m.

AGENDA

1. Call to order.

2. Opening remarks by the Chairman of the Physician Advisory Committee.

3. Receive public comments and/or proposals, including views or arguments, orally or in writing, regarding revisions, if any to the Committee’s proposed Continuing Medical Maintenance Treatment Guidelines.

4. Closing comments by the members of the Physician Advisory Committee.

REGULAR MEETING IMMEDIATELY FOLLOWING

SAME LOCATION

2ND

FLOOR EN BANC COURTROOM

WORKERS’ COMPENSATION COURT

1915 NORTH STILES AVENUE

OKLAHOMA CITY, OKLAHOMA





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA ROBINSON




(405) 522-8759

MINUTES OF THE PUBLIC HEARING OF THE PHYSICIAN

ADVISORY COMMITTEE ON CONTINUING MEDICAL

MAINTENANCE GUIDELINES HELD ON FRIDAY, JULY 23, 2010 AT


OKLAHOMA.


A. Munneke, Scott A. Mitchell, C. Keith Muse, and Reed Burk

Others Present: Workers’ Compensation Court Judges Kent Eldridge, John

McCormick and Tom Leonard; Tish Sommer, Court Special Counsel; Laura

Robinson, Court Research Analyst. Linda Chandler from EOOC, Jeanne

Edmondson from McBride Clinic, Laura Morales and Mary Forsythe from

Morales and Associates, Susan Rogers and Melton Edminsten from the OK

Bureau of Narcotics and Dangerous Drugs Control, Erin Sexton from

Medtronic, Ann Jones from Williams Co., Kenny Wood from CompSource,

Rita McCauley, Larry Derryberry, Michael Utter, Joe Biscone, Todd Estes,

Tenal Cooley, and Larry Brawner were also present.

Call to Order: The public hearing was called to order by the chairman, Dr.

LeRoy E. Young at 2:00 PM. Notices of the hearing and the agenda were

posted at the Workers’ Compensation Court’s Oklahoma City and Tulsa

locations, and online on the Workers’ Compensation Court’s website. They

were also sent electronically to persons requesting such notice.

Opening Remarks by the Chairman of the Physician Advisory Committee:

Dr. Young explained the purpose of the public hearing was to receive remarks

and input for the Continuing Medical Maintenance Guidelines, and introduced

the subcommittee that worked to produce the current draft. He then opened up

the floor to the public.

Receive public comments and/or proposals, including views or arguments,

orally or in writing, regarding revisions, if any to the Committee’s

proposed Continuing Medical Maintenance Treatment Guidelines:

Medtronic provided a handout (attached) with comments, and comments sent

from PCI (attached) were discussed. The Committee heard comments and

responded to questions from the public in attendance about the proposed

guidelines.

Closing Comments by the members of the Physician Advisory Committee:

Since the members had no closing remarks, Dr. Young concluded the meeting

at 2:40 pm.





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA ROBINSON




(405) 522-8759


The Physician Advisory Committee will hold a regular meeting at the Workers’ Compensation Court, 1915 N. Stiles, Oklahoma City, Oklahoma on Friday, July 23, 2010 immediately following the public hearing to be held at 2:00 p.m. at the same location.

AGENDA

1. Call to order.



4. Discussion and possible action concerning minutes for the April 9, 2010 meeting of the Physician Advisory Committee.

5. Presentation by Oklahoma Bureau of Narcotics and Dangerous Drugs Agent Melton Edminsten.

6. Discussion and possible action regarding proposed Continuing Medical Maintenance Treatment Guidelines.

7. Update on access to American Pain Society Treatment Guidelines.

8. Discussion and possible action regarding enacted legislation pertaining to the Physician Advisory Committee.

9. Adjournment.





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA ROBINSON




(405) 522-8759


ADVISORY COMMITTEE HELD ON FRIDAY, JULY 23, 2010 AT


OKLAHOMA.


A. Munneke, Scott A. Mitchell, C. Keith Muse, and Reed Burk

Others Present: Workers’ Compensation Court Judges Kent Eldridge, John

McCormick and Tom Leonard; Tish Sommer, Court Special Counsel; Laura

Robinson, Court Research Analyst. Linda Chandler from EOOC, Jeanne

Edmondson from McBride Clinic, Laura Morales and Mary Forsythe from

Morales and Associates, Susan Rogers and Melton Edminsten from the OK

Bureau of Narcotics and Dangerous Drugs Control, Erin Sexton from

Medtronic, Ann Jones from Williams Co., Kenny Wood from CompSource,

Rita McCauley, Larry Derryberry, Michael Utter, Joe Biscone, Todd Estes,

Tenal Cooley, and Larry Brawner were also present.


E. Young at 2:40 PM. The Secretary of State’s Office had been notified of the



Court’s website.

Roll call and determination of quorum: Drs. Jeff Fox and Robert

Remondino were absent. All other members were present. A quorum was

noted.


introductions.

Discussion and possible action concerning minutes for the April 9, 2010

meeting of the Physician Advisory Committee: A motion was made and

seconded to approve the minutes of the April 9, 2010 meeting. The motion

was approved by a unanimous vote of those present.

Presentation by Oklahoma Bureau of Narcotics and Dangerous Drugs

Agent Melton Edminsten: Mr. Edminsten discussed diversion and fraud as

related to drug crimes. Susan Rogers, General Counsel of the Bureau of

Narcotics, discussed the Prescription Monitoring Program for Oklahoma.

Discussion and possible action regarding proposed Continuing Medical

Maintenance Treatment Guidelines: The Committee discussed the input

received from the public hearing. After discussion of the Guidelines, a motion

was made and seconded for approval of the Treatment Guidelines for

Continuing Medical Maintenance with the new title discussed and with the





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA ROBINSON




(405) 522-8759

revisions mentioned. The motion was passed by a unanimous vote of those present. The revisions will

be made, after which the Guidelines will be submitted for approval and adoption by the Workers’

Compensation Court.

Update on access to American Pain Society Guidelines: Dr. Mitchell will review the articles in

question to determine if any changes to the Committee’s guidelines need to be made in relation to the

American Pain Society Guideline changes.

Discussion and possible action regarding enacted legislation pertaining to the Physician

Advisory Committee: Tish Sommer summarized some of the changes pertaining to the Physician

Advisory Committee in the recently passed HB 2650, which goes into effect August 27, 2010.

Possible issues the Physician Advisory Committee should look at in light of these changes will be

further investigated.




The Physician Advisory Committee will hold a regular meeting at the Workers’ Compensation Court, 1915 N. Stiles, Oklahoma City, Oklahoma on Friday, October 8, 2010 at 2:00 p.m. in the 2

nd Floor

Court En Banc.

AGENDA

1. Call to order.



4. Discussion and possible action concerning minutes for the July 23, 2010 meeting of the Physician Advisory Committee.

5. Discussion and possible action concerning minutes for the July 23, 2010 Public Hearing of the Physician Advisory Committee.

6. Discussion and possible action regarding the American Pain Society report on Pain Management.

7. Discussion and possible action regarding Medicare’s study on Epidural Injections.

8. Discussion and possible action regarding the North American Spine Society’s Guidelines on Cervical Radiculopathy.

9. Discussion and possible action regarding the American Pain Society’s report on Back Pain.

10. Discussion and possible action regarding ACOEM’s Guide to High-Value Physician Services in Workers’ Compensation.

11. Discussion and possible action regarding recent Oklahoma law revision involving duration of treatment.

12. Discussion and possible action regarding recent Oklahoma law revision involving prescription medication formulary development.

13. Update on the Committee’s Continuing Medical Maintenance Treatment Guidelines.

14. Discussion and possible action regarding proposed scheduling of regular meetings for the year 2011 as follows: January 7, April 8, July 8, and October 14, to begin at 2:00 pm on each date.

15. Adjournment.





Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74534

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA ROBINSON




(405) 522-8759


ADVISORY COMMITTEE HELD ON FRIDAY, OCTOBER 8, 2010 AT


OKLAHOMA.

Present: Drs. LeRoy E. Young, Robert Remondino, Jeff Fox, William R.

Gillock, Reed Burk, Duane Koehler, and John Munneke

Others Present: Workers’ Compensation Court Judges Kent Eldridge and John

McCormick; Laura Robinson, Court Research Analyst. Erin Sexton from

Medtronic, Bruce Outland and Don Holmes from CompSource, and Joe Biscone

were also present.

Call to Order: The meeting was called to order by the chairman, Dr. LeRoy E.

Young, at 2:10 PM. The Secretary of State’s Office had been notified of the



Court’s website.

Roll call and determination of quorum: Drs. Scott Mitchell and Keith Muse

were absent. All other members were present. A quorum was noted.

Announcements and Introductions: Members of the public attending the

meeting were recognized by the chairman and introduced themselves.

Discussion and possible action concerning minutes for the July 23, 2010

meeting of the Physician Advisory Committee: A motion was made and

seconded to approve the minutes of the July 23, 2010 meeting. The motion was

approved by a unanimous vote of those present.

Discussion and possible action concerning minutes for the July 23, 2010

public hearing of the Physician Advisory Committee: A motion was made

and seconded to approve the minutes of the July 23, 2010 public hearing. The

motion was approved by a unanimous vote of those present.

Discussion and possible action regarding the American Pain Society report

on Pain Management: A subcommittee of Drs. Munneke, Mitchell, and

Anthony, and Ross Pope was formed to review the guidelines and prepare

recommendations regarding further action.

Discussion and possible action regarding Medicare’s study on Epidural

Injections: A subcommittee of Drs. Munneke, Mitchell, and Anthony, and

Ross Pope was formed to review epidural injection methods and prepare






Chairman

1211 Shartel Avenue


(405) 235-6200


Vice-Chairman


Oklahoma City, OK 73120 (405) 748-3300

REED BURK, D.P.M.

2210 N. 14th Street


(580) 718-0002

JEFF A. FOX, M.D.


Tulsa, OK 774136

(918) 481-2767



Tulsa, OK 74136-6323

(918) 481-0994



Miami, OK 74354

(918) 542-5551




(405) 775-9355



Oklahoma City, OK 73114 (405) 755-9702

C. KEITH MUSE, D.C.

6825 S. Western


(405) 842-3413

****************************

LAURA ROBINSON




(405) 522-8759

Discussion and possible action regarding the North American Spine Society’s Guidelines on

Cervical Radiculopathy: A subcommittee of Drs. Remondino, Gillock, Koehler and Muse was

formed to review and prepare recommendations regarding further action.

Discussion and possible action regarding the American Pain Society’s report on Back Pain: A

subcommittee of Drs. Remondino, Gillock, Koehler and Muse was formed to review and prepare


Discussion and possible action regarding ACOEM’s Guide to High-Value Physician Services in

Workers’ Compensation: This guide is for informational purposes at this time. However, it might

require action in the future, given the participants in the study.

Discussion and possible action regarding recent Oklahoma law revision involving duration of

treatment: Given the language of HB 2650, the Committee will look into duration of treatment for

their guidelines. Drs. Fox, Burk and Munneke will look into upper extremity and lower extremity

guidelines, while Drs. Remondino, Gillock, Koehler, and Muse will look into the guidelines concerning

the spine.

Discussion and possible action regarding recent Oklahoma law revision involving prescription

medication formulary development: The Committee discussed the possibility of adopting a drug

formulary already produced by the state. This idea will be further investigated before the next meeting.

Update on the Committee’s Continuing Medical Maintenance Treatment Guidelines: At this

time, the Committee is still waiting on final approval of the guidelines by the Court.

Discussion and possible action regarding proposed scheduling of regular meetings for the year

2011 as follows: January 7, April 8, July 8, and October 14, to begin at 2:00 pm on each date:

The proposed schedule for the 2011 PAC meetings was changed to January 14, April 15, July 15, and

October 14 and agreed upon by the members.



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