On Tuesday, July 17, CAAA submitted comments to the Department of Industrial Relations in regard to the proposed Evidence-Based Updates to the Medical Treatment Utilization Schedule that were posted for public comment.
The key principle underlying the Medical Treatment Utilization Schedule (MTUS) is that clinical decisions are to be based on Evidence-Based Medicine (EBM).
In the comments, CAAA expressed concerns about the inclusion of "best practice" guidelines for physicians from the American College of Occupational and Environmental Medicine into the MTUS when said guidelines only address report writing and other evaluation procedures as opposed to addressing "standards of care" or recommendations for the frequency, duration and appropriateness of medical treatment procedures. The danger is that a physician's failure to comply with these non-treatment "best practice" guidelines could result in a denial of medical care even though the treatment is otherwise supported by the MTUS.
While CAAA strongly supports the goal of getting the most appropriate treatment to the worker as quickly as possible, this can only be achieved if the MTUS allows for the integration of the best available medical research with clinical expertise and patient values. In other words, treatment guidelines must comply with the agreed definition of evidence-based medicine.
To view CAAA's comments in their entirety, click here