Peer Review

Since 1978, The Central Seattle Panel of Consultants has acquired extensive experience with a broad range of injuries and their outcomes.

It is clear that questions about medical conditions require precise answers. Such questions include developing an understanding of treatment or surgical plans, projected duration of disability, efficacy of light duty assignments and a myriad of other, often complex, medical issues.

Frequently, barriers to communication and understanding develop between attending physicians, patients and adjusters. Concrete results are often elusive when attending physicians deal with non-medical or allied health personnel.

We have designed a new service devoted solely to addressing these challenges. It is our firm belief that medical questions are best addressed when an attending physician speaks directly with a peer. Therefore, we have selected a group of board-certified, actively practicing medical specialists, each with extensive experience of injuries in their practices, to provide Peer Review and/or Utilization Review. Their primary focus will be to review the workers' current records, and, when appropriate, speak directly with the attending physicians to assess the current condition and formulate a course of care and a plan to return to work.

Our primary mission is to work with the attending physician to develop clear and precise understandings regarding diagnosis, prognosis, treatment plans, rehabilitation timetables and return to work goals.

We believe a physician to physician approach, respecting the special relationship an attending physician has with their patient and the medical expertise necessary to address complex injury issues, is the most efficient and logical course of action. We believe a small investment in time and energy, early in a claim, will put the patient, the attending physician and the adjuster 'on the same page' regarding the entire spectrum of the injury process. The net result will be a greater overall understanding among all parties, resulting in fewer miscommunications and time consuming conflicts.

Richard E. Marks, M.D.
Medical Director

PEER REVIEW REFERRAL FORM:

Date:

Name of Adjuster:

Phone:

Name of Worker:

Claim #:

Date of Accident/Manifestation:

Description of Accident (off SIF2 or PIR):

Nature of Injury (RSI, CTS, etc.):

Body Part:

Location of Accident:

Reason for Review (please outline what the reviewing doctor is to discuss with the attending physician)

    Is surgery pending: Yes   No

    Is time-loss due/expected: Yes   No

    Is this a reopening: Yes   No

Attending Physician Has Been Notified by Referral?
Yes   No

Reviewing Doctor to call Attending Physician?
Yes   No

Name of attending physician:

Phone of attending physician:

Name of attending physician's contact:

Please call referral following review:
Yes   No

Please fax referral a summary of the review:
Yes   No

Please email referral a summary of the review:
Yes   No

Please send referral a hard copy of the review:
Yes   No

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