Injury Recovery and Early Intervention Framework
The Injury Recovery and Early Intervention Framework (Framework) has been developed with the primary purpose of enabling and supporting the recovery of people injured through motor vehicle trauma, who are eligible to make Compulsory Third Party (CTP) Insurance claims commencing with the lodgement of the Injury Claim Form.
The Framework supports the CTP Insurance Regulator’s objective of enhancing outcomes for injured claimants through reasonable and necessary evidence based medical and allied health interventions.
The Framework aims to clarify each party’s role and responsibilities in supporting injured claimants in their recovery. The Framework also provides guidance to injured claimants on how to interact with the CTP system, and to minimise any concerns about accessing treatment and payment for reasonable and necessary interventions.
Allied Health Management Plans
Allied Health Management Plans will assist SA CTP Approved Insurers to determine whether to fund a service. Interventions should be aimed at functional recovery with achievable and measurable goals, consistent with available research evidence and clinical guidelines, and encouraging the injured claimant’s self-management. As a general rule and to be confident of payment, pre-approval should be obtained from the Approved Insurer for payment of services. Providers may charge for completion of the Management Plan in accordance with ReturntoWorkSA fee schedule. Find out more from the CTP Insurance Regulator’s Injury Recovery & Early Intervention Framework.
Useful Clinical Guidelines
SIRA’s Whiplash guidelines for the management of acute whiplash-associated disorders for health professionals, 3rd Edition
Developed by the State Insurance Regulatory Authority (SIRA) in NSW, the Whiplash Guidelines provide useful clinical information for the management of whiplash-associated disorders (WAD), which is the most frequently reported injury in CTP Schemes. Guided by a working group consisting of industry-leading research experts such as Professor Michele Sterling at RECOVER Injury Research Centre and Dr Trudy Rebbeck at University of Sydney, the Whiplash Guidelines provide recently published evidence based recommendations for the management of acute WAD.
Originally developed by Transport Accident Commission (TAC) and WorkSafe Victoria, the Clinical Framework outlines a set of guiding principles for the delivery of health services that are based on the best contemporary research. The Clinical Framework has been widely endorsed by Australian CTP and workers’ compensation jurisdictions, as well as peak health associations.
Standardised Outcome Measure Tools
International Centre for Allied Health Evidence (iCAHE) Outcome Calculator Manuals
A Clinical Outcome Measure is an assessment tool that can be used to objectively describe the functional change of a person’s health status at the beginning, during, and at the end of treatment. The Outcome Measures can provide credible and reliable justification for the given treatment. For the list of standardised outcome measures, please see the CTP Insurance Regulator’s Injury Recovery and Early Intervention Framework.
International Centre for Allied Health Evidence (iCAHE) at University of South Australia, directed by Associate Professor Steven Milanese, provides Outcome Calculator User Manuals that may provide useful information regarding different types of Clinical Outcome Measures (note: Information provided with permission).
Whiplash Navigator has been developed as a joint project from experts at the University of Queensland and the University of Sydney. You can register either as a patient or a clinician.
For patients, the Whiplash Navigator provides helpful resources and information such as facts about whiplash, advice on recovering from a whiplash injury, and instructions on how to do the recommended exercises at home.
For clinicians, the Whiplash Navigator provides standard examination and recommended steps for the assessment of a whiplash injury, relevant outcome measures, prognostic tools and treatment/management strategies (note: Information provided with permission).