The MITPP originated in FSCO's Report on the Five Year Review of Automobile Insurance which recommended that examining the feasibility of expanding the PAF Guidelines to provide a more extensive continuum of care and to include the treatment and assessment of other soft tissue injuries (Recommendation #23). Following an open competitive Request for Proposal process, a two-year contract was awarded to team of researchers led by Dr. Pierre Côté from the University of Ontario Institute of Technology and the Canadian Memorial Chiropractic College in the spring of 2012.
The project team will be delivering a report to the Superintendent later this year that provides:
- Recommendations regarding a treatment protocol for minor injuries and
- Recommendations regarding a clinical predictive rules to screen for patients who may be a risk of developing chronic pain.
- The project team has developed a methodology for developing a new tasks including a process for identifying relevant studies for consideration.
- The project team has updated the research carried out by the World Health Organization's Neck Pain Task Force (NPTF) study which was released in February 2008.
- The project team has also now finished reviewing research on the treatment of neck pain.
- The project team will need to complete the review of research on the treatment of other minor injuries, not related to neck pain (for example, headaches, low back pain, injuries to extremities, temporomandibular disorders, minor brain traumatic brain injuries).
- Make recommendations regarding a treatment protocol for minor injuries.
- Make recommendations regarding a clinical predictive rules to screen for patients who may be a risk of developing chronic pain.
The day was filled by research associates presenting on topics related to the treatment of neck pain. Unfortunately, I cannot report on any of the findings. The information is being embargoed until it is published as a series of papers in a scientific journal later this year. A similar approach was taken by the NPTF which published its finding in a special supplement of Spine Journal on April 28, 2008.
The final report of the MITPP will be considered by the government later this year. Implementation will not only require the release of a new Minor Injury Guideline by FSCO but will likely require regulation changes and an extensive education campaign directed at health care providers, insurance adjusters and the public.