Attendant Care, Protected Accounts and more for 2023

Happy New Year 

The Ontario Rehab Alliance team are hitting the ground running! 
A little update on our current advocacy measures and upcoming events.

Attendant Care Discussion Group

Attendant Care providers are experiencing escalating frustrations with the accident benefits scheme and insurer claims handling. Most recently we’ve heard of an escalation of requests for minute-by-minute billing, among other issues.

ORA is arranging a member-only creative problem solving discussion group.

At the meeting we will check-in with attendees to determine the priority issues, compare notes of successes and challenges and brainstorm an action plan. Actions might include such things as developing additional resources and templates, holding a virtual event to examine the big picture and sector-wide impact, and a refreshed advocacy strategy, etc..

Not a member yet? Membership is open year round. Visit our site to learn more.

Protected Accounts Discussion Group

In September, we hosted the MVA Rehab Conditions & Protected Accounts event, with guest speaker, Gord Harris of Harris Law.

Many of those in attendance felt that it would be beneficial to continue the discussion around protected accounts, including resource sharing and trouble-shooting any current concerns.

We are looking to pick back up on this member-only discussion come February.

Not a member yet? Membership is open year round. Visit our site to learn more.

We Would Love Your Input

We want to hear from you, our Ontario rehab community – members and non-members, colleagues, peers, associations, organizations, etc.

What kind of virtual event would you be interested in attending?
What are the topics that interest you most that would likely also interest your rehab provider colleagues?
What issues are you facing as a rehab service provider in the auto industry that you would like more support with?

In terms of our own ideas, ORA is already considering the following events for 2023:

  • Social Media Event – The Basics tied with ‘What To Do vs. What Not to Do as a Health Service Provider’
  • Ask A Lawyer Event – We are bringing this back by popular demand
  • Practicing Cultural Humility in Client Care
We would love to hear your ideas, thoughts, concerns and issues.
Anyone in the Ontario rehab community is welcome to share their thoughts.Share Your ORA Event Ideas Here

Fueling ORA’s 2023 activities with their generous contributions





 

All accounts are linked here as well as other useful ORA links.

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Our wish list for the holidays & 2023

 

 

NEW COMMUNITY EVENT POSTINGS   

Check out the ORA Events Showroom
Showcasing Rehab Sector Events on the Horizon



Fueling ORA’s 2022 activities with their generous contributions





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Rehab Community Events You May Be Interested In

 

NEW COMMUNITY EVENT POSTINGS   

Check out the ORA Events Showroom – Showcasing Rehab Sector Events on the Horizon

Join the Brain Injury Association of Peel Halton region as we draw a $1,000 prize every minute, for 12 minutes!

All purchases will include an exclusive Zoom link invitation and each ticket will qualify for 12 chances at winning a $1,000 cash prize!

We hope you can join us on Zoom with your camera on. However, you do not need to be online to win! Encourage family, friends, and co-workers to buy tickets and enter the draw. Spots are limited so get your tickets today for a chance to WIN! 

Click here to learn more about registration

Join the University Health Network for an opportunity to learn about innovation, interventions and rehabilitation across the spectrum of brain injury.  This event will bring together the clinical, research and legal communities to network, learn and share research, clinical practice and personal experience in Brain Injury.  Learning objectives include:

  • Learn about the clinical primary brain tumors in adults: epidemiology, classification, clinical presentation, treatment, outcome and goals of rehabilitation
  • Hear about the evolution of treatment, current approaches to intervention and rehab to improve patient outcomes.
  • Find out how incorporating meaningful, functional tasks in therapy optimizes recovery in an individual who suffers from a stroke or ABI.
  • Gain an understanding into the legal and ethical considerations of Long-Term Disability claims and Neurological illness.
  • Learn about neurobiological, psychological and social aspects of sexuality after brain injury

Click here to learn more about registration

Fueling ORA’s 2022 activities with their generous contributions





 

All accounts are linked here as well as other useful ORA links.

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FSRA Fee Rules and Travel Time Rules

 

 

Time is of the Essence

ORA Provider Travel Time Advocacy

Dear colleagues,

It’s all hands on deck if we are to turn this provider travel time denial ship around so we’re hoping you’ll get involved.

We’ve been invited to meet with the Ministry of Finance soon in response to the letter we sent and will report back once that’s taken place.

It’s vital that we reach out to MPPs so that we are approaching government from multiple angles. Politicians care about their constituents/voters. This is where you come in. Contact your MPP and ask for a meeting. We have developed some Travel Time Talking Points which you can revise as needed to best suit you/your practice and that you can use in an email, phone message or meeting.

Please help get political eyes on this issue by meeting with your MPP.

We have also had an initial response from our letter to FSRA which involves the now familiar usual side-step around what seems to be their responsibility. We will keep pushing.

And in further news on the death by a thousand cuts front we’ve learned that that scorched earth policy on Attendant Care levels and rates is expanding to other insurers. Bad faith like bad news continues to travel fast.

FSRA Fee Rule Consultation

FSRA is having a consultation on its regulatory fees proposal that will close the end of February. Hugely surprising (I saved the best news for last) is that they are not proposing an increase to HSP fees. Nevertheless, we will respond. We can’t wait to talk to FSRA about fees.  Share your thoughts with them online here

Follow Us on Social Media

In hopes of expanding our reach as an advocacy measure, we are working to increase our presence on social media. If you are not currently following us, please take some time to follow us on your chosen platforms.

Sincerely,
Laurie Davis, Executive Director

[email protected]
GTA:       647-317-7244
Toll free: 866-475-2844

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Winter is Coming! News from the Front

 

 

Winter is Coming: News from the Front
   

Dear members/colleagues,

It has been an eventful advocacy and issues-arising time in our sector. Having promised to keep you posted on developments, I’ve prepared this one-stop-shop update on all the various fires we’re fighting and some smoke we see on the horizon.  I’ll start with the most recent….

Auditor General’s Report on FSRA’s Regulation of Auto Insurance  – Released November 30

The above link will take you to the full report. The general themes in the report line up with David Marshall’s report(s) and hint at auto insurance changes likely waiting in the wings. There’s a lot here of interest to us. On an initial read the following recommendations to FSRA jump out. Underline and italics are mine.

More MIG?

  • Implement up-to-date programs of care for injuries such as sprains, strains and whiplash to standardize treatment provided after an accident and the costs of such treatment, beyond just those of minor injuries; An expansion of the MIG approach to more serious injuries? Yikes.
DAC Comeback?
  • Assess the cost of a centralized medical assessment process requiring both insurers and consumers to use the process to reduce medical assessments and disputes related to those assessments; Are the Designated Assessment Centres (DECs) coming back from the dead?
Auto Bodies to Get the Regulatory Gaze?
  • Develop an accreditation regime for automobile repair shops; This is long overdue. At least there would be a better balance of regulatory oversight between the attention paid to those who fix car bodies and those that fix human bodies.
More Marshall
  •  Act on previous reform recommendations that can most reduce costs and premiums, strengthen industry oversight and increase consumer protection. This recommendation refers to Appendix 9 wherein we see Mr. Marshall frequently referenced
Those Pesky HSPs
  • Return to on-site inspections of HSPs as soon as operationally possible;
    • Require HSPs to provide evidence (such as through attestation) that they have corrected all issues identified during an inspection and conduct follow-up examinations or desk reviews to confirm this on a risk basis.
    • I note the convergence of this recommendation with FSRA’s recent HSP Supervision Plan which suggests a focus on those:
      • that conduct IEs examinations to assist an insurer’s determination of an insured person is or continues to be entitled to a benefit
      • that have never been examined by FSRA
      • that have a sanctioned practitioner listed on their HCAI roster
LAT Facts & Fairness
  • Expand information-sharing with the LAT to request information about automobile accident disputes, including which companies were involved and how long cases took to resolve
    • follow up the market conduct of insurance companies that have a disproportionately high number of LAT disputes relative to their market size, or a high volume of specific types of disputes, and identify necessary action items for the companies to take to reduce the occurrence of such cases going forward and study the reasons for the most frequent types of disputes. Be still my beating heart! Winter may be coming but spring could be around the corner.

Sincerely,
Laurie Davis, Executive Director

[email protected]
GTA:       647-317-7244
Toll free: 866-475-2844

 

All accounts are linked here as well as other useful ORA links.

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Community providers of brain injury rehab, we need you!

 

 

TBI Report Card
Community Providers Survey

Dear Ontario Rehab Alliance members and other providers of brain injury rehabilitation in the auto insurance sector,

We are reaching out to you on behalf of the Provincial TBI Report Card Working Group and the Neurotrauma Care Pathways Project to request your input into this new and important survey.

Some background: The Provincial TBI Report Card was first released in 2020 by the Ontario Neurotrauma Foundation to draw attention to levels of brain injury care across the province. Previously there had been no data gathered on performance indicators across the continuum of care across the province. It became apparent that once a person leaves acute care and inpatient rehabilitation, it is very challenging to see the extent of care provided in the community.

As part of the Neurotrauma Care Pathways Project, we have been pushing the Ministry of Health to understand the need for community-based data and to fund infrastructure to support data collection. We need your assistance to demonstrate that data collection in the community is vital and possible.

We are asking community providers of brain injury rehabilitation to complete this survey to act as companion to the Provincial TBI Report Card for publicly funded services. This community-based data will be summarized by the Provincial TBI Report Card Working Group and will be presented with the 2023 Report Card. The Report Card is publicly available on the website brain injury guidelines website (https://braininjuryguidelines.org/onf/) and will be submitted as a deliverable to the Ministry of Health as part of the Neurotrauma Care Pathways Project.

We expect that this online survey will take about 30 minutes to complete. It has been developed in close consultation with the Ontario Rehab Alliance and will be disseminated across the province’s community-based providers. We are asking that only one survey be completed per organization or organizational division.

We have extended the deadline to December 1, 2022.  Kindly click below to complete the survey.

If you have any questions about the survey, feel free to contact Judy Gargaro ([email protected]).

Thanks in advance for your assistance and please feel free to forward the survey to your peers, colleagues and within your own associations.

Complete the Survey

Sincerely,
Laurie Davis, Executive Director

[email protected]
GTA:       647-317-7244
Toll free: 866-475-2844

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Travel Time Town Hall Following Great ExSPECTations Presentation

 

 



 

Dear Colleagues,

Join us on November 17 to explore how emerging diagnostic tools like the SPECT scan are changing brain injury claims and legal outcomes, with guest speakers Anna Szczurko and Chris Collins from Siskinds.

Following the presentation, we will have a travel time town hall as we know this is a pressing matter for so many in the rehab community.

Date: November 17, 2022
Time: 1:00 PM

Non-Members: $50
Members: $25

Interested in becoming a member? Learn more here!

Can’t make it live at 1pm? Need to join late or leave early? 
Register anyway.  We will be sending the recording out to all registered attendees.

Talk soon,

Laurie Davis, Executive Director
[email protected]

Register Now

Fueling ORA’s 2022 activities with their generous contributions







 

A welcoming, exploratory and informative discussion amongst peers using each of the NY Times 1619 podcast episodes as a springboard to discussion.

Next week, Nov 17 at 7PM, the group will be focused on Episode 2 – The Economy That Slavery Built.

New discussion members are welcome to join in weekly.  Sign up today!



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Have you heard what’s coming up?

 

 

November News & Events

 

Most of you have likely heard that there have been two recent LAT decisions supporting insurers’ denials of travel time. Two things for us to keep in mind as providers, though they are both very much in the ‘cold comfort’ category are…

 

Starting November 10th, and every Thursday at 7 PM finishing on December 8th, members of the Black Network will facilitate weekly discussions of each week’s assigned podcast episode.

 

Anna Szczurko and Chris Collins from Siskinds join us on November 17 to explore how emerging diagnostic tools like the SPECT scan are changing brain injury claims and legal outcomes.

Rehab Events Calendar

*New Event*

 

The Foundations of Brain Injury for Health Care Providers is the affordable self-paced course designed specifically for health care and service professionals to enhance their knowledge of brain injury, enabling improved, customized and informed care.

Sincerely,
Laurie Davis, Executive Director

[email protected]
GTA:       647-317-7244
Toll free: 866-475-2844

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LAT attacks on travel time leave providers spinning their wheels

 

 

Travel Time
   

Dear colleagues,

Most of you have likely heard that there have been two recent LAT decisions supporting insurers’ denials of travel time. Two things for us to keep in mind as providers, though they are both very much in the ‘cold comfort’ category are:

  • LAT decisions are case-specific. They do not make case law that influences other cases. Though such decisions may inspire further insurer denials of travel time they don’t make the success of each denial a certainty.
  • There is nothing in the SABS to prevent insurers for paying for travel time, or mileage for that matter. Some adjusters may pay for one or the other – and in very rare cases, both, when offered a compelling reason to do so. For instance, if it has been clearly established why the client requires in-home services and that there is no appropriate therapist/provider in closer proximity to the client, and the provider makes clear they are unable to absorb the cost of unpaid travel time then to deny travel is to deny service and might be seen as bad faith.

We are putting our heads together here at ORA Headquarters to develop further strategy. Stay tuned for developments and send your thoughts our way in the meantime.

Sincerely,
Laurie Davis, Executive Director

[email protected]
GTA:       647-317-7244
Toll free: 866-475-2844

ORA Events Showroom
Showcasing Rehab Sector Events on the Horizon

 

BIAPH is pleased to invite you once again to our annual Holiday Party! Join us to celebrate our amazing Acquired Brain Injury (ABI) community! Invite your friends, family, and colleagues, to join the party and to show your support. We are celebrating the many years of support, community and family we have built within our organization. All proceeds from this event are directed towards BIAPH’s Support Programs, which provide assistance to our brain injured survivors, their caregivers and families.





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Half Way Through

 

 

Dear colleagues,

What a busy month – and only half way through! With all that’s been going on I thought I’d circle back and follow up on some previous emails to ensure you are up to date on events and announcements. 

It was lovely to see those of you who were at the PIA & OBIA Back-to-School conference last Thursday. It was terrific to be able to see one another in person.  I was delighted to be asked to present on the perennially-fascinating topic of Getting Paid along with Colleen MacDonald from Oatley Vigmond and Nick Gurevich from FunctionAbility.

What else is new? 

Rehab Sector Health-Check Survey
Closing on September 20th 

If you run a rehab practice in the MVA sector and haven’t yet completed the survey please take a few minutes to share your experience and voice your concerns around important issues, such as Protected Accounts, Revenues, Rates, Retention, and Recruitment. 

Rehab Road Conditions & Protected Accounts Live Virtual Discussion
September 29th Event at 1pm 

Join us for a live discussion of our survey results, along with Gordon Harris of Harris Law who will be presenting on Protected Accounts. 

NEW – The ORA Events Calendar 

Do you have an upcoming event? We encourage you to promote your events on our Rehab Sector Calendar. 

You can access all of the above via our website – https://www.ontariorehaballiance.com/events/

If you have any questions, require support, or interested in membership, please contact us at [email protected]

Sincerely,

Laurie Davis, Executive Director
[email protected]
GTA:       647-317-7244

Toll free: 866-475-2844

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