California Division of Workers Compensation.PPTVIP

California Division of Workers Compensation fEBRUARY 18, 2003 WCIS Advisory Committee Division of Workers Compensation Goals for WCIS Help DWC Manage WC system Facilitate Evaluation of Benefits Delivery Assist in Measuring Benefit Adequacy Provide Statistical Data for Research Components of WCIS First Reports—FROI Subsequent Reports—SROI Medical/Bill Payment Reports Legacy Databases: DEU, WCAB, UEF EDD Linkage Status Report: 2006 Beyond Data Collection Uses to Date System Reconfiguration Plans for WCIS Unresolved Issues Data Collection – First Report of Injury 2/2005 2/2006 Trading Partners Relationships Initiated 271 280 Submitting Data 216 219 Claims 3.9 m 4.7 m Data Collection – Subsequent Reports 2/2005 2/2006 TPs Submitting Data 80 81 Claims 520 k 867 k Data Uses to Date DWC DOSH DLSR CHSWC EDD BSA DHS LAW ENFORCEMENT LEGISLATURE RESEARCHERS WCIRB Current Programmed Reports Injuries by Part of Body, Nature, Cause Workers’ Demographic and Work Characteristics Claims by Industry and Region; Benefit Category; Insurer Type Timeliness of Benefits Delivery Cost of Injuries Tables/Reports on WCIS Webpage (2/6) Tables (by Year of Injury, 2000-2005): Nature of Injury Part of Body Cause of Injury Age and Gender Type of Insurer Age Gender by Insurer Type WCIS Redesign Enhancement CA ~ 1/8 of USA Medical Data Collection DEU, WCAB and UEF Databases EDD Database Linkage Current Compliance Issues Alternatives to Update SROI Information As per Implementation Guide Submit UR and IP Compliance Activities: 2003-06 Set Deadline for Compliance Require TP Data Submission Plan Establishing Penalties (FROI/SROI/AN/FN) Other Innovations Add SIC/NAICS Industry Codes 15 Days for SROI Data Submission Permissible Uses of UR? Other Suggestions? (Adv Cmte Mtg--May) IAIABC Medical Data Collection IAIABC Med Implementation Guide (7/2) CA Medical IG (2/6) Timelines for Regulation A