Independent Medical Evaluations

 

Independent Medical Evaluations

Health Bound provides independent medical evaluations for people injured in motor vehicle accidents or work related injuries, to ensure an independent and objective opinion on their health is completed and presented to the requested party in order to obtain income replacement, medication costs, and rehabilitation classes can be covered.  We will contact you within 48 hours to notify you of an appointment time, and reports are completed within 10 days of the assessment.

Medico-Legal Services

Health Bound Health Network works closely with our evaluators to deliver the most accurate and detailed reports possible for our clients.  We have a several assessments available to assist with medico-legal casework.

  • Independent Medical Evaluations
  • Future Cost of Care Evaluations
  • Catastrophic Impairment Evaluations
  • Vocational Services
  • Expert Technical Medical Support

Our clients expect expert medico-legal services that feature:

  • Highly qualified evaluators in a broad spectrum of medical fields
  • Evaluators with extensive experience in medico-legal casework and reporting

Contact Health Bound today to find out more about our medico-legal services.

Medical Evaluations

In-Home Assessment

An In-Home Assessment is an assessment done by Occupational Therapists and a Registered Nurse. The purpose of an In-Home Assessments is to confirm the mechanism of the injury as reported by the person served within functional and clinical findings. In -Home assessments use scientific principals and measurements to make subjective observation and analyze the requirement of performing of activities of daily living.

Assessment of Attendant Care Needs

An Assessment of Attendant Care Needs is a detailed assessment of the person’s served personal care needs.  Its goal is to determine the quantity and the complexity of assistance that the person’s served will require with personal care in order to be able to function effectively in his/her own environment.  The emphasis of this assessment is on determining the routine tasks that the person’s served would perform daily for his/her personal care, such as dressing, undressing, grooming, feeding, mobility, or basic supervisory care tasks related to personal hygiene tasks, or even more complex tasks involving skin care, administering the medication and exercise.  This will all then be reflected on the person’s served Form 1, which will include calculating the Attendant Care Costs and/or Assessment Reports, which will outline both the quantitative and qualitative needs of the extra-assistance required.

Neurological Assessment

A Neurological Assessment examines cases of brain and spinal cord injuries, headache and migraine, back and neck pain, sleep, tremor, peripheral or nerve disorder. The assessor is a specialist in conditions affecting the brain, the spinal cord and the peripheral nervous system. They will evaluate head injury, dizziness and headache problems as well as range of conditions affecting the nervous system including the peripheral nervous system. This would include pain conditions associated with nerve damage. Many neurologists also offer EMG diagnostic services.

Ophthalmology Assessment

An Ophthalmology Assessment is provided by a specialist in disorders of the eyes. They assess conditions that have affected the visual system including trauma related conditions.

Rheumatology Assessment

A Rheumatology Assessment is useful in the evaluation of the person’s served who presents with a painful disorder that affects the locomotor system. Included in this specialty is the examination of joints, muscles, connective tissue, soft tissue surrounding joint and bones and autoimmune disorders. Examples of some of the disorders particular to Rheumatology are: arthritis, Lupus (or other autoimmune diseases), musculoskeletal pain disorders such as fibromyalgia and osteoporosis.

Chronic Pain Assessment

A Chronic Pain Assessment is used to evaluate the person’s served levels of psychological and psychosocial signs of a chronic pain condition, functional limitation and disability in order to determine their consistency of rehabilitation and give further rehabilitation recommendations. If treated early it can be reversed, but if delayed it will become permanent and as pernicious and destructive to the claimant's well being as any incurable disease.

Physiatry Assessment

A Physiatry Assessment is used to establish the correct diagnosis, extent of the injury, prognosis for recovery. The major concern of the field is the ability of the person to function optimally within the limitations placed upon them by a disease process for which there is no known cure. The emphasis is not on the full restoration to the premorbid level of function, but rather the optimization of the quality of life for those who may not be able to achieve full restoration. A team approach to chronic conditions is emphasized, using interdisciplinary team meetings to coordinate care of the person’s served. In the course of this assessment recommendation/program for treatment of such injuries will be provided. The assessor is a specialist in Physical Medicine and Rehabilitation - focusing on neurological and musculoskeletal problems both from a diagnostic and long term management approach. Many also engage in Chronic Pain Assessments and treatments.

Orthopedic Assessment

The purpose of Orthopedic assessment is to examine the person’s served acute, traumatic and overuse injuries and other disorders of the musculoskeletal system. Orthopedic surgeons address most musculoskeletal ailments including trauma deformities, such as fractures and dislocations, disturbances in joints, inflammation of muscles or connective tissues, strains, ruptured discs, curvatures, foot and neck disorders and musculo-skeletal conditions. The assessor is a surgical specialist dealing with conditions involving bones, muscles, joints and spine. They can and do assess a wide range of musculoskeletal conditions as well as provide surgical treatment.

Dental/Temporomandibular Joint (TMJ) Assessment

A TMJ (Temporo-Mandibular Joint) Assessment is to refer to a group of symptoms that define TMJ arthralgia, both : intracapsular and extracapsular. Intracapsular arthralgia issues include fixed or locked jaw, degenerative joint changes, subluxation and/or a displaced disc creating clicking.  Extracapsular issues include dysfunction of both  pterygoids, masseters, and temporalis musculature The Doctor performs a physical examination of the TMJ. The dental assessment is also a clinical examination and diagnosis of hard and soft tissues, full mouth X-ray, pain checking diagram, pulp vitality testing. 

Job Site Assessment

A Work Site Assessment is to verify the physical demands of the person’s served pre-injury employment position. These demands can then be compared with the person’s current physical capacity, taking the pathology and resulting in to consideration. The information gathered in this assessment can be used to identify duties, tasks, environments and equipment that present barriers to a client's return to normal work activities. As part of the work site assessment, ergonomic risk factors and the need for assisted devices are assessed. The results are then used to formulate recommendations to aid in the restoration and accommodation of essential job activities and to provide a benchmark for rehabilitative functional goals.

Functional Abilities Evaluation

A Functional Ability Evaluation Assessment is used to determine any limitations and strength deficiencies that exist among the person’s served physical abilities. These objective and subjective findings provide insight and important information, which will enable to preparation of an appropriate rehabilitation program and to determine the person’s current level of functioning. An ARCON based assessment that utilizes scientific principals and measurements to analyze the abilities of a specific individual relevant to their pre-injury functional status. Results are then used aid in direction of clinical treatments, return to the person to activities of daily living as well as to work and work conditioning programs. Furthermore the data is used to identify tasks, environment and equipment that prevent barriers to recovery and restoration of functional capacity. The test procedures vary from client depending of their functional requirements and type of injury.

Psycho-Vocational Assessment, Psycho-Educational Assessment

A Psycho-Vocational Assessment or a Psycho-Educational Assessment, done by a psychologist, addresses vocational options that could be considered in the context of a person's mental health difficulties. They should only be considered when there is clear evidence that the mental health condition is the significant barrier to work capability but the potential is thought to be there for alternate types of work. In other circumstances a Vocational assessment should be considered. (See Vocational assessments).

Vocational Evaluation Assessment

A Vocational Evaluation Assessment is performed by a health care professional who has undertaken extensive training a certification in vocational evaluation and assessments. These assessments should be considered in order to determine if there is a capacity for employment or training in an alternative line of work given a certain set of physical limitations. These assessments generally also include a transferable skills analysis which reviews the person’s prior training and experience and determines what of that could be translated into alternative vocational areas (if any).

Complimentary to a Vocational Evaluation Assessment, a Labour Market survey can be conducted, whereby a particular geographic region is researched to determine what types of jobs are available consistent with the recommended types of jobs from the vocational assessment.

Neuro-Psychological Assessment

A Neuro-Psychological Assessment is conducted by a psychologist who has undergone further specialty training with respect to central neurological conditions such as brain injury and dementia. They are specifically trained to evaluate (and treat) conditions which involve memory and concentration problems. These types of difficulties can be caused by many factors and often the assessments do not demonstrate specific injuries as the reason for the problem. Unless there is a very clear history of brain trauma, they should only be considered after a Psychology Assessment has been done or there has been a recommendation by a medical specialist for this specific assessment. The assessments generally take a full day (or more) to complete in terms of the time spent with the person’s served.

Psychological Assessment

A Psychological Assessment examines a person's mental health status which involves objective metric evaluation. Various psychological tests will be utilized in the course of this assessment in order to evaluate the person’s current mental status. The findings generated in the course of this assessment will be described in the report prepared after the completion of the evaluation. The diagnosis will then assist with treatment planning.

Driving Assessment

A Driving Assessment is done to evaluate the person’s served ability to drive after the motor vehicle accident. The assessment consists of two parts; first, a psychologist interviews the person followed by a licensed driver instructor who will assesses the person's ability to operate a motorized vehicle.  A Driving Assessment will also assist in determining if the person served has the potential to improve from further driving instruction.

Sleep Health Assessment

A Sleep Health Assessment is used to help diagnose and evaluate abnormalities of a sleep and/or wakefulness such as sleep apnea and narcolepsy, as well as to evaluate parasomnias (abnormal behaviours or movements during sleep) such as sleep walking, talking in one's sleep, nightmares, and seizures.

Catastrophic Impairment Assessment

A Catastrophic Impairment Assessment is conducted for coordination, advice and compilation of assessments to determine if the person’s served meets catastrophic impairment threshold. Also, the assessment includes a whole body impairment percentage determination where applicable.

Future Care Cost Evaluation (by OT)

A Future Care Cost Evaluation is a prepared report which reviews the available medical information and costs out the recommended treatment/rehabilitation requirements on a one time and annualized basis.

EMG/NCS Diagnostic Test

An electromyogram (EMG) is a test that is used to record the electrical activity of muscles. EMGs can be used to detect abnormal electrical activity of muscle that can occur in many diseases and conditions, including muscular dystrophy, inflammation of muscles, pinched nerves, peripheral nerve damage (damage to nerves in the arms and legs), amyotrophic lateral sclerosis (ALS), myasthenia gravis, disc herniation, and others. An EMG is often performed when the person’s served have unexplained muscle weakness. The EMG helps to distinguish between muscle conditions in which the problem begins in the muscle and muscle weakness due to nerve disorders. The EMG can also be used to detect true weakness, as opposed to weakness from reduced use because of pain or lack of motivation. EMGs can also be used to isolate the level of nerve irritation or injury.

MRI Screening

Magnetic Resonance Imaging provides detailed and clear image of the examined organs and changes of structures within the body. The purpose of conduction of Magnetic Resonance Imaging procedure is to further explore neurological and musculoskeletal injuries sustained as a result of an injury. Magnetic resonance Imaging will determine the nature of those concerns as well as any barriers to the person’s recovery.

MRI's can be procured as a third party assessment. They should not be requested except on the recommendation of a health care professional. A physician is required to complete the requisition for the hospital or facility to do the test.

CT Scan

A CT scan — also called computerized tomography or just CT — combines a series of X-ray views taken from many different angles to produce cross-sectional images of the bones and soft tissues inside the body. CT scan images provide much more information than do plain X-rays. A CT scan is particularly well suited to quickly examine people who may have internal injuries from car accidents or other types of trauma. A CT scan can also visualize the brain and — with the help of injected contrast material — check for blockages or other problems in blood vessels.

X-Ray

An X-ray is a quick, painless test that produces images of the structures inside the body — particularly your bones. For some types of X-ray tests, contrast medium — such as iodine or barium — is introduced into the person’s served body to provide greater detail on the X-ray images.

Bone Scan

A Bone Scan is a nuclear imaging test that helps diagnose and track several types of bone disease. A Bone Scan is used to try and determine unexplained skeletal pain suggesting bone loss, bone infection or a bone injury undetectable on a standard X-ray.

Expert File Review

An Expert File Review assists in evaluating cases. In most cases, the focus of an Expert File Review is to assess causation, impairment, and appropriateness of care. Dependant on the case, file reviews can be a valuable cost saving service in lieu of an independent medical examination.

 
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