Office of the Medical Advisor
Texas Labor Code (TLC) sections 413.0511 and 413.0512 require the Division of Workers' Compensation (DWC) to review the quality of health care provided in the workers' compensation system and take appropriate action as needed. In addition to reviewing health care providers that deliver services, TLC also requires the DWC to review actions of peer review doctors, designated doctors, utilization review agents, and independent review organizations.
The Medical Advisor advises the DWC regarding the adoption of rules and policies. The Medical Advisor reviews complaints on quality of care received through the Complaint Resolution and Customer Services section and serves as chair of the Medical Quality Review Panel (MQRP). The panel reviews the actions of doctors, other health care providers, insurance carriers, utilization review agents, and independent review organizations in the workers' compensation system.
- Mary Landrum, Director - 512-804-4814
- Kathy Ellis, R.N. - 512-804-4847
- Teresa Barajas, R.N. - 512-804-4851
The DWC is seeking qualified individuals to provide professional services as a member of the MQRP. To apply please refer to Texas Administrative Code section 180.64 MQRP Application Process.
- Medical Quality Review Process Document Effective May 1, 2014 | memo
- Medical Quality Review Procedure effective January 1, 2011
- Medical Quality Review CY 2016 Annual Audit Plan | memo
- Medical Quality Review CY 2015 Annual Audit Plan | memo
- Medical Quality Review CY 2014 Annual Audit Plan | memo
- Medical Quality Review CY 2013 Annual Audit Plan | memo
- Medical Quality Review CY 2012 Annual Audit Plan | memo
- Medical Quality Review Annual Audit Plan effective January 1, 2011
- December 2011 Utilization Review Agent Plan-Based Audit | memo
- September 2011 Treating Doctors - Lumbar Spinal Fusions Plan-Based Audit | memo (PDF)
- May 2011 Designated Doctor Plan-Based Audit (April 2010 Designated Doctor Review, Follow-Up Audit) | memo (PDF)
- February 2011 IRO Plan-Based Audit | memo (PDF)
- Medical Quality Review Selection Criteria CY 2010
- Designated Doctor Resources
- Disciplinary Orders Against Health Care Providers
- DWC and ICD-10
- Providing Health Care to Injured Employees
David G. Davis, M.D. became the DWC Medical Advisor in August, 2013. He has served as a member of the DWC Medical Quality Review Panel (MQRP) as a case reviewer, participated in informal settlement conferences, attended and chaired quarterly arbiter meetings, provided MQRP training and assisted in the development of plan-based audits. Dr. Davis has also reviewed designated doctor applications for certification, assisted with designated doctor training and testing, as well as previously directly participated as a designated doctor. Dr. Davis has more than 35 years of experience in orthopedic surgery, retiring from his clinical Austin-based practice in 2012, returning to Texas from orthopedic practice in California in 1992. He attended medical school at the University of Texas Health Science Center at San Antonio and received his orthopedic surgery residency training at Loma Linda University Hospital, Rancho los Amigos Hospital, and affiliated hospitals in southern California. Dr. Davis is a fellow of the American Academy of Orthopaedic Surgeons.
Patrick M. Palmer, M.D. was appointed the DWC Associate Medical Advisor in September, 2015. For DWC, he previously served as a member of the Medical Quality Review Panel as a case reviewer and completed training as an arbiter, reviewed designated doctor applications for certification, and served as chair for the Quality Assurance Committee. Dr. Palmer completed 35 years in the private practice of orthopedic surgery, and retired from the teaching faculty at University of Texas Health Science Center at San Antonio (UTHSCSA) in 2015. He attended medical school at the UTHSCSA, received his orthopedic surgery residency training at the University of California at San Francisco and completed a pediatric orthopedic fellowship at the A. I. DuPont Institute in Delaware. Dr. Palmer also retired from the United States Air Force Reserves in 2008 with the rank of Colonel. He served as a member of the Board of Councilors for the American Academy of Orthopaedic Surgeons (AAOS), the AAOS Medical Liability Committee and he is a past president of the Texas Orthopaedic Association.
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Last updated: 04/29/2016