Defense Medical / Legal Services Back
We provide highly comprehensive, detailed reports for any specialty for defense medical/legal purposes. All of our medical consultants and allied health professionals understand the legal/medical proceedings. As trained professionals, they have the clinical experience and professional expertise to serve as expert witnesses in court when necessary. Because of their wide range of experience, they are able to substantiate their opinions with facts, medical knowledge and the authority that comes with a well documented case.
Functional Abilities Evaluation (FAE)
Functional Abilities Evaluation is a measurement of an evaluee's performance on a comprehensive series of
standardized tests, resulting in data that can be interpreted according to the predictive validity of each test. The goal of the evaluation is to determine the evaluee's ability to perform occupational demands, either of a specific job or of general occupational requirements.
The potential outcomes of having a claimant perform activities without testing their related functional ability can be both physically and financially costly. A Functional Abilities Evaluation reduces the risk of further injury or disability, while also guarding against unnecessary payment towards services, care, or benefits.
The Functional Abilities Evaluation (FAE) is a testing process that determines an individual's ability to perform activities safely, identifies the presence of disability resulting from impairment, and identifies any functional impairments to be resolved or accommodated. The Functional Abilities Evaluation is a significant tool that can be used to make objective and reliable assessments of the individuals condition. These assessments can be especially useful to employers when matching an employee to a position. When the employees abilities do not compliment the work environment this can result in lost time and injuries. An FAE assesses the individuals, strength, flexibility, balance, coordination, cardiovascular condition, and functional tolerances of lifting, pushing, carrying, pulling and, as well as body mechanics
FAE's provide the referral source with valuable information regarding a client's abilities, limitation, and return to work recommendations.
We offer four options when requiring an FAE:
· Post Offer Assessment
· Return to Work
A Post Offer Assessment will help provide valuable information on the fitness level of the employee before starting a new position. The Post Offer Assessment also provides a baseline for possible future injuries to be compared to and confirms that the employee is physically capable of performing the essential duties of the position.
A Return to Work (RTW) evaluation will provide you with a report designed to determine whether an individual is capable of performing the tasks required of him/her as determined by his/her pre-accident or pre-trauma position of employment.
A Baseline evaluation will determine areas of functional weakness prior to initiating a treatment program. This allows the program to be customized to these weaknesses and excludes unnecessary procedures that may not be cost-effective.
A Benchmark evaluation is used in conjunction with the Baseline assessment to determine progress made during treatment.
Home-site & Work-site Analyses Back
(Home-site / Work-site / Physical Demands Analysis / Ergonomic Assessment)
Home-site & Work-site Assessments provide practical recommendations for clients to reintegrate themselves effectively in their environment with an emphasis in returning clients to their pre-accident level of function in a safe, cost effective and expeditious manner.
Caring Health Assessments are an objective evaluation of the client's self-care and home environment tasks to determine their ability to function. These are valuable in determining if a client is able to live independently.
Homesite Assessments are used to evaluate the various tasks a client may have at home, and to what extent their injury may impair their ability to do so.
Job Site Analysis
The Job Site Analysis (JSA) is a comprehensive Physical Demands Analysis (PDA) accompanied by an analysis of the individual's medical status and capabilities in relation to the work environment, processes, methods and equipment. The JSA includes individualized recommendations regarding ergonomics and/or modifications for prompt Return to Work.
The workplace can present both barriers and risks to healthy work. The Ergonomic Assessment is an effective way to help avoid injury and/or disability through identification and education, thus reducing the risk of these barriers.
This is an assessment of the worksite to achieve resolution of pain or disability for employees at work or returning to work after injury/disability, who are experiencing ongoing difficulties. The Ergonomic Assessment includes evaluation, modifications, and employee education in order to identify risk factors and barriers impacting the employee and the completion of work tasks.
(Purpose: Return to Work / ADL / Treatment Plan Prep.)
This type of assessment is designed to identify whether an individual has the physical ability to perform part or all of his or her usual job tasks at some point in time following injury. This evaluation is usually performed following a rehabilitation program or work absence, but may also be performed immediately following an injury. Return-to-Work Evaluations determine an injured employee's functional requirements with respect to his or her job-specific,
pre-injury job duties, or functional capacity with respect to generic duties.
Early efforts to help injured employees return to work will increase the probability for successful transition and, thereby, reduce rehabilitation costs. Caring Health will assign an Injury Case Manager, Registered Nurse or disability Case Manger with appropriate training who will be accountable for the administration of the case. The Case Manager will liaise with all treatment professionals and keep the client and employer up to date with the case and medical status. The Case Manager will also facilitate hospital discharge where necessary, as well as coordinate, assess and monitor treatment with all associated professionals. This proactive approach for coordinating the activities of management, union, insurance carrier, health care professionals and vocational rehabilitation services will insure a timely and safe return to work.
Caring Health Assessment helps to design and implement a comprehensive RTW program including the completion of a Physical Demands Analysis, Functional Abilities Assessment, Vocational Assessment, and Transferable Skills Analysis, for employees returning to work.
At the case level, Caring Health can work with the claimant, insurer and/or employer to develop and coordinate a return to work plan that utilizes graduated or modified duties and job accommodations, where necessary. This benefits both employees and employers as downtime is reduced and the employees skills are being utilized during the recovery period. This also, in many cases saves the employer retraining and staff replacement costs.
In Home ADL Assessment
(Benefit Claimed: Housekeeping / Care giving / Non-earner)
People aged 65 and older are the fastest growing segment of the Canadian population (set to double in the next two decades). As people age, they depend more heavily upon outside support for health assessment and medical care. Current health-care infrastructure is inadequate to meet the needs of an increasingly older population. One solution is to enable aging in place, in which elders live independently and safely in their own homes for as long as possible, i.e. avoiding the transition to a care facility.
Living safely and independently requires frequent health assessment. This service is often provided by case managers (CMs), specially trained caregivers (not necessarily nurses) who visit elderly clients in order to assess their physical and mental health status. During monitoring visits, a CM tracks the abilities of the client and is responsible for introducing new equipment (e.g., walkers, grab bars, etc.) and services (e.g., personal care assistants, home-delivered meals, etc.) as needed. For a CM, a significant part of assessment is captured
by observing the clients performance over a specific set of activities - called activities of daily living (ADLs). ADLs
are chosen to represent overall cognitive function and physical abilities; they include bathing, preparing food, getting dressed, grooming, and eating meals.
Clients with acute orthopaedic or acquired brain injury may require treatment in home. Our OT's, PT's and Kins will
provide therapy to facilitate their involvement in a clinic or day program.
Future Cost of Care and Loss of Earning Capacity
Future Care Cost Analysis
Restoring a client's pre-disability status begins by developing a total understanding of the disability, as well as the costs involved in providing the necessary care to the individual. The Future Care Cost Analysis (FCCA) gives you this insight.
The FCCA prognosticates future treatment and service needs as well as corresponding lifetime costs of catastrophically impaired clients. The most common catastrophic disabilities presented for an FCCA are acquired brain injury, amputation, and spinal cord injury. The analysis provides a comprehensive summary of therapeutic modalities, evaluations, education, attendant care services, medical follow-up, equipment needs, pharmaceuticals, home modifications, vocational needs, and the associated costs for the individual over a specified period of time. The FCCA will assist legal counsel, insurance representatives, the court, and other professionals to understand the total nature of a client's disability.
Future Care Cost Assessment
A comprehensive detailed assessment that outlines a disabled person's current and future needs and quantifies the costs related to these needs over the individual's entire life span. Typically completed for individuals who have experienced catastrophic injury or have chronic health care needs. Future medical and vocational expenses are forecasted with the focus on maximizing independence, minimizing medical complications and, where appropriate, planning for productive work activity. Accommodation, attendant care, transportation, aids to daily living, medical expenses, professional services, education, pharmaceuticals, home modifications, vocational needs and all other associated costs based on the individual's disability are addressed.
Future Costs of Medical / Rehabilitation Benefits Assessment
A specific assessment of a disabled individual's entitlement to med/rehab benefits based on the appropriate legislation. Outlines treatments, assistive devices, housekeeping, attendant care, transportation, and other applicable medical/rehabilitation costs required to maximize function but limited by legislated funding.
Attendant Care (Form 1) Assessments
A thorough review of services and equipment needed for attendant care purposes. It is best used in conjunction with an In-Home Activities of Daily Living Assessment.
Worksite Evaluations provide objective information on the physical demands of the client's job. The results of such evaluations can be used to structure treatment and work simulation programs, as well as to make recommendations on work site modifications or work aides to assist the client in returning to work.
Independent Medical Assessment
An Independent Medical Examination (IME) is an objective, third party assessment of a persons current medical status. Either an individual or multi-disciplinary medical team at your request performs this. It is often used when there is a question or need for clarifications of the persons medical diagnosis, current rehabilitation program, return to work abilities and dispute resolution.
An IME is often combined with a Functional Abilities Evaluation to provide medical clearance and a complete picture of the persons current level of function. Validity cross-check between the two evaluations can be performed. An IME can also be obtained early in the life of a case to assist in clarifying diagnosis, treatment direction and return to work strategies.
MRI, CT & Sleep studies
- Magnetic Resonance Imaging (MRI) uses non-invasive techniques (the skin or body cavity is not cut into or entered surgically) to create detailed images of your body. Your doctor uses the results from these images to aid in the diagnosis and treatment of an injury or illness.
- Computerized Axial Tomography - also known as CAT or CT, scans images your body in slices showing the structures in that area. A computer is used to provide clear, sharp images. CT is used to detect and define the characterization of various disease processes of the body. Our programs are set up to ensure the best diagnostic images are produced with minimum radiation exposure to the patient. CT is used to assist in biopsies (removal of tissue for laboratory testing) and abscess drainages. It provides an image allowing pathological processes to be easily localized. Needle placements can also be accomplished with as accurate measurements as possible. The exam is done on an outpatient basis, eliminating most surgical expenses and hospital stays.
- Sleep Studies is a patient care facility specializing in sleep disorders. We treat insomnia, sleep apnea, and other common sleep disorders. A team of sleep specialists will use the latest technology to monitor you while you sleep. You will be given a private room, where a technician will attach a variety of monitoring devices to your body once you are ready for bed. Sleep specialists, who are on premises studying several patients at any given time, will observe your sleep patterns using these devices, which monitor brain waves, heart rate, rapid eye movements, and more. While sleeping with a bunch of wires attached to you might seem difficult, most patients find they fall asleep very easily.
- Orthopedic Assessment
Caring Health Assessment will conduct a comprehensive medical evaluation and full report detailing the evaluee's subjective complaints, and the physician's objective findings. Our physicians spend considerable time interviewing and examining the client to determine if there is any measurable impairment.
This is a comprehensive medical evaluation and full report, detailing the evaluee's subjective complaints, and the physician's objective findings. Our doctors specialize and focus on vision; blurry vision, double vision, detached retina.
The primary activity of neuropsychologists is assessment of brain functioning through structured and systematic behavioral observation. Neuropsychological tests are designed to examine a variety of cognitive abilities, including speed of information processing, attention, memory, language, and executive functions, which are necessary for goal-directed behavior. By testing a range of cognitive abilities and examining patterns of performance in different cognitive areas, neuropsychologists can make inferences about underlying brain function. Neuropsychological testing is an important component of the assessment and treatment of traumatic brain injury, dementia, neurological conditions, and psychiatric disorders. Neuropsychological testing is also an important tool for examining the effects of toxic substances and medical conditions on brain functioning.
Our neurologist will conduct a thorough assessment of the integrity of the nervous system and the impact of any neurological condition on the ability to function. Our neurologist may use a variety of tools including a physical assessment of the nervous system and EMG nerve conduction testing. EEG's, brain scans, and MRI's may be recommended to provide objective confirmation of subjective complaints.
While knowing the physical demands of a given occupation is an important first step, each individual has a unique medical and functioning status that affects his/her ability to meet those demands. This is where the Job Site Analysis can help.
Physiatry - Physical medicine and rehabilitation (Physiatrist Assessment)
Physiatry is thorough evaluation and diagnosis of musculoskeletal injuries and pain syndromes including soft tissue, fibromyalgia and chronic fatigue syndrome. Our Physiatrists spend considerable time interviewing and examining the client to determine if there is any measurable impairment. The report includes recommendations for helping to return the claimant to function as soon as possible.
An examination is set up with the insured, with a regulated health professional to determine entitlement to attendant care, assistive devices and home modifications. These examinations are available to an insured who is being discharged from a hospital or other facility and before an application for benefits is submitted.
Psychological or Phychiatric Assessment / Counseling
A psychiatrist will provide a detailed and comprehensive evaluation with information on the psychiatric condition of an individual. These evaluations are often used to determine whether or not an injury or illness was responsible for the onset of any determined psychiatric problems.
TMJ (Temporo-Mandibular) Assessment
TMJ refers to a group of medical and dental conditions that affect the temporomandibular joint, the muscles that move the jaw, and other tissues in the area where the lower jaw connects to the skull. The temporomandibular joint is one of the most complex and active joints in the body. TMJ diseases are often painful and can seriously impair the functions and sensations of the face, jaw, mouth, ears, neck, and shoulders.
Vocational / Psycho-Vocational Assessment
Vocational assessment is the process of determining an individuals interests, abilities and aptitudes and skills to identify vocational strengths, needs and career potential. Vocational assessment may use a variety of standardized techniques (e.g., tests) or nonstandardized approaches (e.g., interviews, observing people). Vocational assessment is part of the vocational guidance process and usually results in recommendations for training or employment.