Selection of workers' compensation treatment guidelines: California experience

J Occup Environ Med. 2008 Nov;50(11):1282-92. doi: 10.1097/JOM.0b013e3181841fb4.

Abstract

Objective: Workers' compensation systems increasingly use mandatory treatment guidelines to guide clinicians and for utilization management. This article describes the steps for selecting such guidelines.

Methods: On the basis of experience with the RAND/University of California, Los Angeles project to help California select guidelines, we identified the necessary choices and processes for guideline selection and evaluation.

Results: Major steps in guideline selection include: 1) define purpose; 2) assign decision-making authority; 3) decide whether to use existing guidelines or develop new ones; 4) choose whether to use one or multiple existing guidelines; 5) specify clinical topics that guidelines should address; 6) identify and screen guidelines; 7) evaluate guidelines; 8) consider implications of results; 9) select guideline(s); 10) disseminate selection; and 11) assess long-term effectiveness.

Conclusions: Given the many choices required, selecting mandatory workers' compensation guidelines should involve careful planning and a transparent, well-defined process.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • California
  • Cooperative Behavior
  • Decision Making
  • Guidelines as Topic*
  • Health Care Reform / methods*
  • Humans
  • Interinstitutional Relations
  • Occupational Medicine / methods
  • Occupational Medicine / standards*
  • Organizational Innovation
  • Program Development
  • Program Evaluation
  • Societies, Medical
  • Workers' Compensation / organization & administration*