Program of Care for Upper Extremity Injuries The Program of Care for Upper Extremity Injuries is an evidence-based health care delivery plan that describes treatments shown to be effective for workers diagnosed with a rotator cuff pathology or lateral epicondylitis or carpal tunnel syndrome. It was developed in collaboration with health professionals, worker and employer representatives and the WSIB. Rotator Cuff Pathology includes the following work-related injuries to the shoulder: Minor tears of the rotator cuff tendons caused by vascular, traumatic or degenerative factors or a combination thereof; Rotator cuff tendinitis Impingement syndrome Bursititis of the shoulder Lateral Epicondylitis is defined as an inflammation of the common origin of the extensor muscles of the wrist and hand. Carpal Tunnel Syndrome is the neuropathy caused by compression of the median nerve within the wrist canal. Clinical features include numbness and tingling in the thumb, index and middle fingers and, in advanced cases, muscle wasting and weakness. What is the program’s focus? For all three injuries the Program of Care consists of: Assessment for treatment planning Delivery of evidence-based interventions Identification and monitoring of red and yellow flags throughout the POC Timely reporting/communication with the WSIB, employers, workers and treating health professionals Outcome measurement using the QuickDASH© Common forms including the Initial Assessment Form and Care and Outcomes Summary Form These materials provide more details: Reference Guide (581k, pdf) Quick Reference Guide (162k, pdf) Fee Schedule (178k, pdf) Initial Assessment Report (267k, pdf) Care and Outcomes Summary (353k, pdf) QuickDASH© Outcome Measure (75k, pdf) QuickDASH© Instructions (87k, pdf) 3-Step Clinical Screening Guide (238k, pdf) Participation Requirements To participate in this Program of Care, health professionals must meet the following criteria: Be registered with the WSIB and its payment processor, Emergis Inc. Fulfill orientation requirements Fulfill all Program of Care reporting requirements Submit invoices online Bill according to the fee schedule (178k, pdf) Refer the patient to a regulated health professional who participates in the Program of Care, if you decide you do not want to participate for whatever reason Program of Care Provider Directory Find a health professional who can deliver Upper Extremity Injuries Program of Care or report changes to your listing in this directory. © IWH & AAOS & COMSS 2003