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Outcome

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Newsletter Articles
Guides Newsletter (2016) 21 (6): 12–13.
Published: 01 November 2016
.... This outcome need not have been a foregone conclusion. Research has shown that, for adults, worklessness is harmful to both physical and mental health, as well as to marital, family, social, and economic well-being. Gaps in social fabric are creating job loss and work disability because none of the...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
... therefore, we have more limited experience in understanding all of its outcomes. Thus, clinical, functional, and permanent impairment assessment is challenging. Symptoms including fatigue, dyspnea, and cognitive difficulties have been referred to as “post-acute COVID,” “long COVID,” or “long haulers...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 3–7.
Published: 01 July 2020
... support documented impairment related to this illness. © 2020 American Medical Association. All Rights Reserved. 2020 American Medical Association COVID-19 Coronavirus Impairment Rating MMI Outcome PPI SARS-CoV-2 Almost everyone is aware of the presence of coronavirus 2019 (COVID-19...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 3–11.
Published: 01 January 2020
... treatment are necessary before OUD is confirmed and the patient is at MMI. The AMA Guides is based on impairments of activities of daily living (ADL), so a patient's MMI should result in a happy outcome and no impairment, although the burden of treatment compliance may be a relevant consideration. The...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 3–6.
Published: 01 January 2021
... of joint fluid to assist in lubrication. Generally, the greater the anatomical loss in a meniscectomy, the greater the functional loss. The disadvantage of the literal approach is that it fails to account for significant differences in meniscal and thereby functional loss, and long-term outcomes...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 9–17.
Published: 01 January 2021
..., calculate a Visual Acuity Score for reading (near) acuity. If the outcome is significantly different from the letter chart acuity score, document the differences and calculate the average. FAS global = (FAS letter chart + FAS reading )/2.” For the evaluator, the only way to conclusively demonstrate...
Newsletter Articles
Guides Newsletter (2020) 25 (6): 10–12.
Published: 01 November 2020
... for the injury in question, treatment outcomes, periods of unemployment, current symptoms (as described by the injured worker, not the physician), current medications, and current limitations on activities of daily living. Finally, the last part of section 2.7a emphasizes the importance of...
Newsletter Articles
Guides Newsletter (2020) 25 (5): 12–15.
Published: 01 September 2020
..., therefore, be at greater risk for injury while the same injury in a younger person would be a minor, inconsequential event. To put it another way, the potentially injurious “event” may be the same in two different individuals (ie, a fall, etc) but result in different outcomes (ranging from no disability to...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 14–15.
Published: 01 July 2020
...), confirming that scores of >80 rarely “make medical sense.” 5 Southam et al published a retrospective cohort of 481 examinees with five types of acute hand injuries, assessed when the person started hand therapy, and at the time of final outcome assessment. 6 These examinees had flexor tendon...
Newsletter Articles
Guides Newsletter (2019) 24 (3): 3–9.
Published: 01 May 2019
..., perception, and experience and cannot be better explained by another physical or psychiatric illness. Within this system of evaluation, administrative and medical iatrogenicity are associated with unnecessary medical care and poor outcomes for individuals. In addition to determining industrial causality and...
Newsletter Articles
Guides Newsletter (2020) 25 (3): 3–11.
Published: 01 May 2020
...; however, new technologies will likely eliminate many of these challenges. Until then, physicians need to address or solve problems or shortcomings. The credibility of outcome determinations may hinge on the ability to explain both what was done and why it was as efficacious as an in-person alternative or...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 12–14.
Published: 01 January 2020
... consultation, medication consumption, and hospital admission. Of all the potential consequences of unemployment in mid-adult life, the worst outcome is premature death. In 2011, Roelfs et al 13 published the systematic review of 42 studies that described 235 calculations of mortality on 20,000,000...
Newsletter Articles
Guides Newsletter (2018) 23 (1): 9.
Published: 01 January 2018
...Les Kertay, PhD Behavioral health terminology is an area beset by imprecision that results from confusing claim determinations, unnecessary evaluations, and poor outcomes that result from inappropriate treatment. In medical evaluation reports, one notes references to depression, anxiety, and stress...
Newsletter Articles
Guides Newsletter (2018) 23 (4): 3–8.
Published: 01 July 2018
...Marcos Iglesias, MD Many physicians were not formally trained in the evaluation and management of disability and must understand the language of disability, how disability is evaluated, what to expect from a medical evaluation, and how to communicate effectively to achieve the best outcomes. The...
Newsletter Articles
Guides Newsletter (2019) 24 (5): 8–13.
Published: 01 September 2019
... navigate the health system and act as a liaison between claims staff and medial providers. The researchers found that multiple comorbidities and obesity had similar effects on outcomes. Mental health and addiction-related conditions had a disproportionate effect on litigation rates and disability...
Newsletter Articles
Guides Newsletter (2019) 24 (4): 3–14.
Published: 01 July 2019
... outcome; for example, a conceptual change from workers' compensation (WC), which refers to benefits provided for presumed work-related illness or injury, to workers' recovery , or restoration of maximum functional capacity. 3 Specific practices range from the individual level (eg, reduce unnecessary...
Newsletter Articles
Guides Newsletter (2019) 24 (2): 15.
Published: 01 March 2019
... progression to UWD. The author offers a heuristic diathesis stress model of work-related disability as a framework for general and specific interventions to improve system performance and outcomes for all stakeholders. https://link.springer.com/article/10.1007%2Fs12207-013-9162-y . Springer US...
Newsletter Articles
Guides Newsletter (2018) 23 (6): 3–8.
Published: 01 November 2018
... lap belts, frontal airbag, windshield, steering wheel, knee bolster, or some combination thereof, with very different outcomes depending on which portions of the interior were contacted. Once the accelerations of the vehicle (delta-V divided by the duration of the vehicle contact [typically 100–120...
Newsletter Articles
Guides Newsletter (2016) 21 (6): 3–4.
Published: 01 November 2016
... outcomes. © 2016 American Medical Association. All Rights Reserved. 2016 American Medical Association Repetitive illness, sometimes called repetitive injury or cumulative trauma but probably mislabeled as such since there was no singular traumatic event, claims come to the attention of...
Newsletter Articles
Guides Newsletter (2016) 21 (5): 9–10.
Published: 01 September 2016
... should not find for both sides equally (ie, should not attempt to achieve parity in outcomes), particularly because any case sent for review has some feature that raised questions in the mind of an experienced observer. This experienced observer requires an impartial, expert physician advisor who can...