Printed from https://fyi.org.nz/request/23362-policies-guidelines-and-other-docs-for-treatment-injury-clinical-specialists on December 22, 2024 14:27

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Policies, guidelines and other docs for Treatment Injury Clinical Specialists

AS Van Wey (Account suspended) made this Official Information request to Accident Compensation Corporation

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From: AS Van Wey (Account suspended)

Dear Accident Compensation Corporation,

In ACC's response on 25 May 2020 (GOV-004700), ACC stated:

"When ACC receives an ECA’s advice in relation to a Treatment Injury claim, it is assessed by a Treatment Injury Cover Specialist (TICS), who is a registered health professional. The TICS considers the advice and whether it answers the questions posed to the ECA in the letter of agreement. They will also consider the quality of the report at this time. Feedback is provided to the ECA if required."

In ACCs "Seek External Clinical Advice v9.0" document, the tasks are assigned to two roles: Specialist Cover Assessor and the Recovery Administrator.

Thus, are you saying that the "Specialist Cover Assessor" is the same as a "Treatment Injury Cover Specialist" and that all Specialist Cover Assessors are registered by the Medical Council of NZ as physicians.

If not, please provide me the policies, guidelines, rules and other documents regarding the review of client medical records and the review of external clinical advisor (ECA) reports by the TICS, to ensure that the reports meet the High Court Rules and the MCNZ standard titled, Conducting medical assessments for third parties.

Please provide me with the job description and requirements for the roles of Specialist Cover Assessor and Treatment Injury Cover Specialist.

Thank you for your time. I am appreciative that ACC helps the public better understand ACCs processes.

If I may offer a suggestion, it would be invaluable if ACC were to make all policies, guidelines, forms, and decisions tools publicly available, rather than only available through ACCs intranet. This should only require a change of settings in ACCs systems from private to public. This would certainly allow your team to work on the requests that require information gathering, such to answer statistical type questions. This seems to me a better use of your valuable time. Just some food for thought.

Kind regards,

AS Van Wey

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From: Government Services
Accident Compensation Corporation

Kia ora

 

Thank you for contacting ACC; this is an automatic reply to confirm we
have received your email.

 

We will try to respond your query as quickly as possible. However,
depending on the nature of your request you may not receive a response for
up to 20 working days. You can check the [1]Ombudsman OIA response
calculator to find when your request for official information will be due

 

In cases where ACC’s response provides information that is identified to
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ACC’s website. If ACC publishes the response to your OIA request, all
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The information you have requested may involve documents which contains
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Our [2]website provides up to date news and information about our work.
You can also follow us on [3]Facebook and [4]Twitter. Further information
about how to contact us is also available [5]here.

 

Ngâ mihi,

Government Engagement Team

 

Government Engagement, ACC

' 0800 101 996
* Box 242, Wellington 6011

[6]www.acc.co.nz

 

 

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From: Government Services
Accident Compensation Corporation

Attachment GOV 026138 Response.pdf
196K Download View as HTML

Attachment GOV 026138 Specialist Cover Assessor.pdf
468K Download View as HTML

Kia ora AS Van Wey,

Please find attached our response to your official information request
dated 04 July 2023. If you have any questions about the response you can
contact us at this [1]address, for all other matters please use our
contact form at: [2]https://www.acc.co.nz/contact/ alternatively give us a
call on 0800 101 996.

If you are having trouble viewing the PDF, please ensure you have the
latest version of Adobe Acrobat Reader. To download this freeware please
click [3]here. 

 

Ngâ mihi

Sara Freitag (she/her)
Acting Manager | OIA Services

' 027 973 7330
* PO Box 242, Wellington 6011

ACC cares about the environment – please don’t print this email unless it
is really necessary. Thank you.

 
 

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information. If you believe you have received this email in error, please
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From: AS Van Wey (Account suspended)

Dear Government Services,

I am writing to follow up on the response I received (GOV-026138) and which is also posted on ACC's website.

You have stated "Specialist Cover Assessors must be registered health professionals (not necessarily physicians) and are bound by the competency and conduct standards set by their relevant professional body. For example, nurses are bound by the Nursing Council of New Zealand."

Please verify my understanding is correct. It is my understanding that ACC is stating that in order for a Specialist Cover Assessor (SCA) to be employed by ACC and to maintain employment with ACC, the SCA must maintain their registration with one of the recognized health professions set out in section 7 of the Accident Compensation (Definitions) Regulations 2019. That to qualify for a role as a SCA, it is not sufficient to have just studied in a particular health profession, but that the SCA must have practiced in their registered health profession and maintain competency and registration while being employed at ACC.

Since Team Leaders of SCAs must reviews and assess the quality of work by SCAs, it would follow that all Team Leaders for SCA's (levels 1 and 2), must also maintain their registration as health professional.

If I have misunderstood, please clarify. Please list the job titles, for each department (including the name of the department), of all employees that must maintain a current registration as a health professional, as described under section 7 of the Accident Compensation (Definitions) Regulations 2019, in order to be employed at ACC.

Please provide all documents of conditions of employment for persons ACC require to be registered health professionals. Please provide documents as to how ACC deals with employees who fail to maintain their registration as health professionals. Please provide me with the documents which outline how ACC verifies registration, the frequency of verification of registration, and assessment of good standing as a registered health professionals.

Please also provide documentation of ACC employment agreements, pertaining to acting in accordance with ACC's policies and the law.

I ask for clarification, pursuant to not just the OIA (ss 21-24), but also the Code.

Thank you for your help and all the effort you and your team put in to provide the public with accurate answers to our questions.

Kind regards,
AS Van Wey

Link to this

From: Government Services
Accident Compensation Corporation

Kia ora

 

Thank you for contacting ACC; this is an automatic reply to confirm we
have received your email.

 

We will try to respond your query as quickly as possible. However,
depending on the nature of your request you may not receive a response for
up to 20 working days. You can check the [1]Ombudsman OIA response
calculator to find when your request for official information will be due

 

In cases where ACC’s response provides information that is identified to
be of general public interest, the response may also be published on the
ACC’s website. If ACC publishes the response to your OIA request, all
personal information, including your name and contact details, will be
removed.

 

The information you have requested may involve documents which contains
the names of our staff. Please let us know whether you require these
names. We may need to consult our staff before deciding whether we can
release this information, and this may take a bit more time. If we do not
hear from you, we will assume that you do not require staff names.

 

Our [2]website provides up to date news and information about our work.
You can also follow us on [3]Facebook and [4]Twitter. Further information
about how to contact us is also available [5]here.

 

Ngâ mihi,

Government Engagement Team

 

Government Engagement, ACC

' 0800 101 996
* Box 242, Wellington 6011

[6]www.acc.co.nz

 

 

Disclaimer:

"This message and any attachments may contain confidential and privileged
information. If you believe you have received this email in error, please
advise us immediately by return email or telephone and then delete this
email together with all attachments. If you are not the intended
recipient, you are not authorised to use or copy this message or any
attachments or disclose the contents to any other person."

References

Visible links
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2. http://www.acc.co.nz/
3. http://www.facebook.com/ACCNewZealand/
4. https://twitter.com/accnz
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Link to this

From: Government Services
Accident Compensation Corporation

Attachment GOV 028256 Response.pdf
233K Download View as HTML

Attachment GOV 028256 Appendix.pdf
17.8M Download View as HTML

Kia ora Amy

Please find attached our response to your official information request
dated 08 October 2023. If you have any questions about the response you
can contact us at this [1]address, for all other matters please use our
contact form at: [2]https://www.acc.co.nz/contact/ alternatively give us a
call on 0800 101 996.

If you are having trouble viewing the PDF, please ensure you have the
latest version of Adobe Acrobat Reader. To download this freeware please
click [3]here. 

 

Ngā mihi

Sara Freitag (she/her)
Acting Manager | OIA Services

' 027 973 7330
* PO Box 242, Wellington 6011

ACC cares about the environment – please don’t print this email unless it
is really necessary. Thank you.

 
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