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Short Course in the Evaluation of Permanent Medical Impairment Rating (Based on AMA-6th Edition) - Contact Tuition Interests: Disability / Accident / Functionality / Medical evaluation / Capacity assessment / Occupational Health AMA Guides Sixth Edition SCWCEA Annual Meeting 2018 1 10/16/18 Chris Brigham, MD cbrigham@cbrigham.com AMA Guides to Evaluation of Permanent Impairment –Sixth Edition Current Standard vs. Older Editions Christopher R. Brigham, MD Senior Contributing Editor, AMA Guides, Sixth Edition Editor,AMAGuides Newsletter Issues to Discuss • Concept of ODG Impairment Check revolutionizes how we manage impairment ratings and creates a new industry-standard paradigm,” – Christopher R. Brigham, MD, President of Brigham and Associates, Inc., and Senior Contributing Editor of the “AMA Guides to the Evaluation of Permanent Impairment” Sixth Edition, and Editor of the “Guides Newsletter” ‘Regional’ Impairment • AMA Guides is not jurisdictionally specific for evaluating Permanent Disability • The California Schedule for Rating gives additional instructions for rating Permanent Disabilities. • Section 1 of the rating schedule is Introduction and Instructions. From page 1-4: The combined impairment rating according to the Combined Values Chart is 26%, and the potential impairment award is $65,000.00 (26% X $2,500.00 = $65,000.00). c. Determine the percentage of the combined impairment rating that each separate impairment represents (apportionment) using these steps: Subscribers to online training on the AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, provided at www.6thedition.com, will receive Certification of Training, at no additional cost, upon completion of the following steps: 1. Complete the learning experiences provided at www.6thedition.com, with total time being a minimum of 7 hours.

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10% of a hand or 15% of a whole person) that is used in part to adjudicate claims. The letter includes reference to the requirement that the impairment evaluation is to be performed in accordance with the 5th Edition of the AMA’s Guides, and that the rating physician must cite the appropriate page numbers and tables applied from the AMA’s Guides. The letter explains that the physician must submit supporting documentation The sixth edition of the Guides to the Evaluation of Permanent Impairment, published by the American Medical Association (AMA), defines impairment as "a significant deviation, loss, or loss of use of any body structure or body function in an individual with a health condition, disorder, or disease." In the late 70's, Dr. Stanley Kaplan became one of the leading authorities on the use of the AMA's Guides to the Evaluation of Permanent Impairment. He went on to teach the subject up until 2013 and ultimately earned his name in the 6th Edition of the Guides as a contributing reviewer.

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Editor of the “AMA Guides to the Evaluation of Permanent Impairment” Sixth Edition, and&nb 12 Feb 2014 Other states provide that impairment ratings shall be based on the "current" edition of the AMA Guides. [Note 6] See, e.g., 820 Ill. Comp. Stat. 21 Nov 2014 In order for an IRE to be valid, the IRE physician must use the American Medical Association (AMA) Guides, 6th Edition.

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Physicians and others are trying to learn it and then apply it in a fair and equitable manner.

2009-07-01 Fifth Edition Impairment (WPI %) Sixth Edition Impairment (WPI %) Example Region Class Diagnosis © 2008 Brigham and Associates, Inc. All rights reserved 24 Table 15-23 Entrapment / Compression Neuropathy Impairment (6th ed, 449) UE 0 1 2 3 4 5 6 7 8 9 N/A Impairment Normal (21-40) 0 N/A Mild (41-60) 1 Moderate (61-80) 2 Normal (21-40) 0 the 6th edition The Average Impairment Rating for the other cases (IR less than 15%) increased by 1.3 from the 4th to the 5th edition but decreased by 1.7 from the 5th to the 6th edition Impairment Rating inconsistencies among the reviewers were exacerbated under the 6th Edition Key results consistent with AMA results from similar study Sixth (6th) Edition.
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• “Impairment evaluations of the spine impairment rating (Chapter 17),. of Permanent Medical Impairment Rating (Based on Ama-6th Edition) more than 7.5% of the South African population is living with a permanent disability.