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OR Medical Advisory Committee Evaluation Of AMA Guides 6th Edition

04 November, 2009 02:48:00 compnewsnetwork
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Portland, OR (CompNewsNetwork) - The Oregon Medical Advisory Committee evaluated the AMA Guides, 6th Edition. The AMA Guides is based on 2001 WHO ICF and is already required by US DOL for FECA, Energy Employees, and Longshoreclaims and many other state jurisdictions. The findings are as followed:

ROM and function not well-correlated. ROM is not a good indicator of specific pathology, disease burden, function or wage loss.

Measurement of ROM problematic -lack of accuracy and reproducibility. It is voluntary and can be manipulated by the claimant and the examiner.

The OR system is heavily dependent on ROM.

Based on the findings, Oregon DWC concluded that the options available for them are to:

Adopt Guides

Adopt Guides methods and update Oregon specific “schedules”

Create Oregon specific modification of Guides

Maintain status quo
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