Services

Insurance Industry

Ontario wide, Power & Associates provides a full range of Independent Medical Examination IME and rehabilitative assessment and treatment services including diagnostic testing. All of our files receive rigorous clinical oversight. Our reports are defensible and provided in a cost effective, efficient and timely manner. We maintain a diverse and continuously expanding roster of independent medical examiners which includes Registered Occupational Therapists, Physiotherapists, Chiropractors and all Medical Specialties (listed below). All of our clinicians are highly experienced, particularly in independent/medical examinations, and each maintains currency in their respective field and is a registered member in good standing in their respective professional body. If you would like to arrange an educational session by any of our specialists on a topic of your choice to be provided at your location or ours please contact us as we would be more than happy to arrange this for you. Power & Associates maintains comprehensive Commercial and E&O Liability Insurance additional to the Professional Liability Insurance maintained by its examiners and associates. CVs for all clinicians are available on request. Whether your requirements are simple or complex, require one specific assessment or multiple assessments, are geographically remote or urban centered; Power & Associates is ready to be of assistance to you.

Independent Medical Examinations IMEs

Independent Examinations can be offered as “Stand-alone” assessments by expert examiners who will address your specific assessment question(s) – or – as comprehensive Multidisciplinary Examinations by multiple experts who will provide you with the background, analysis and consensus opinion you require.  Examination services include but are not limited to the following:

Medical Files Reviews

Conducted at your office or ours; Medical File Reviews can be performed by the medical or health care professional of your choice from our roster or highly qualified and experienced specialists, general medicine practitioners and allied health care professionals. All reviews include a statement of purpose, all relevant background, a thorough analysis of all available documentation, a synthesis of all information, conclusions, and direct answers to any specific referral source question(s) you may have. Depending on your specific questions the Medical File Review can:

  • Provide you with an objective and defensible determination as to the reasonableness and/or necessity of a disputed treatment plan and/or assessment.
  • Provide you with any opinion respecting causation, diagnosis & prognosis
  • Provide an opinion respecting the effectiveness of treatment funded to date
  • Provide you with recommendations for additional assessments or treatment
  • Provide you with an opinion regarding the reasonable costs of treatment
  • Answer any specific question you may have

Surveillance Reviews

Like a Medical File Review, a Surveillance Review, conducted at your office or ours, is an examination and analysis of file materials including video and photographic evidence by the medical or health care professional of your choice from our roster or highly qualified and experienced specialists, general medicine practitioners and allied health care professionals. A written report is then prepared with a statement of purpose, relevant background, a thorough analysis of all available information including actual video footage, a synthesis of all information, conclusions, and direct answers to any question(s) you may have. Depending on your specific questions the Surveillance Review can:

  • Provide you with an opinion respecting the functional abilities of the surveillance subject
  • Comment on specific behaviour and function
  • Correlate surveillance materials with assessment data to comment on consistency
  • Estimate the ability of the surveillance subject to perform specific tasks such as self-care, housework, employment tasks or activities of daily living
  • Address any specific question you may have

The following IME services in any location:

  • MIG Determination IME
  • Medically Supervised Catastrophic Assessments & Determinations IME
  • In-Home & Attendant Care Needs Assessments
  • Hospital Discharge Planning & Coordination (including pre-claim assessment)
  • Orthopaedic IME
  • Neurology, Neuropsychological & Neuropsychiatry IMEs
  • Job Site Assessments & Physical Demands Analyses (JSA & PDA)
  • Physiatry IME
  • Ergonomic Assessments
  • Psychiatry & Psychological IME
  • Functional Abilities Evaluation (FAE) & Interpretation
  • Medical File Review IME by GPs or Specialists
  • Pre-Claim & Pre-Discharge Assessments
  • Rheumatology IME
  • Vocational Assessment & Transferable Skills Analyses
  • Pre-Employment Screening
  • Dental, TMJ & Endodontic Examinations
  • Oral Surgery IME
  • Labour Market Surveys
  • Audiology & Speech-Language Pathology IME
  • Urology and all Internal Medicine IMEs
  • Cardiology IME
  • ENT IME
  • Social Work Assessment & Treatment
  • Occupational Therapy Assessment & Treatment
  • Attendant Care & In-Home Assessments
  • Physiotherapy Assessment & Treatment
  • Chiropractic Services
  • Diagnostic IME Services: X-Ray, CT, MRI, Ultrasound, etc.
Other: Make a request as we can accommodate most service types!

Treatment Services

Our treatment service offerings include any form of medical or rehabilitative speciality mentioned above, as well as the following:
  • LTD/STD and MVA Case Management
  • Return to Work Programs (OT & Kin)
  • Ergonomic accommodation
  • Job Searches & Programming
  • Return to Activities of Daily Living Programs
  • Pain Management Programs

Other Service Sectors:

  • Auto Insurance: Motor Vehicle Accidents (MVA/AB)
  • Life/Disability (STD/LTD) Insurance
  • Medical-Legal
  • WSIB
  • Vocational Rehabilitation
  • Employers
  • Public Sector: Federal, Provincial and Municipal Agencies
  • Private Individuals

Employer & Government

Ontario wide Power & Associates is ready to work in partnership with you to develop and implement vocational evaluation & rehabilitation solutions tailored specifically to your needs.  Contact us for a no obligation consultation to see how we can be of value to you.  Our services currently include but are not limited to;

Vocational Assessment
A skilled vocational evaluator will extensively review all medical and functional documentation relating to the injured worker and conduct an analysis of the worker’s education, training, and work experiences (see Transferable Skills Analysis).  A comprehensive battery of testing including aptitude and psychometric tests is then administered to objectively measure the worker’s aptitudes, abilities, individual work traits, problem solving, learning skills, and interests. A complete analysis with identification of factors that support or impede the injured worker’s ability to transition to alternate work is presented along with recommendations for maximizing vocational potential in a thorough report which is generated for each individual worker and serves as the basis for subsequent vocational planning

Transferable Skills Analysis (TSA)

This is an analysis of a worker’s residual traits based primarily on his/her academic background, level of training, and work experiences with identification of any skills or expertise that would support transition to alternate work with consideration to any residual impairments or restrictions. This analysis is typically conducted in conjunction with a vocational assessment in order to establish a vocational plan which will assist the worker reintegrate into the current labour market. A detailed and objective report is then prepared to clearly outline findings, analysis and recommendations.
Labor Market Survey (LMS)
Once potential employment options have been identified an intensive Labour Market Survey is employed to verify the existence of real-time job opportunities within the worker’s local labour market. Information is also presented regarding salaries, education and training requirements as well as any relevant industry specific data. A detailed and objective report is then prepared to clearly outline findings, opportunities and recommendations for job acquisition.
Educational Research
If it is determined that a worker may benefit from retraining to support a work transition; educational research can be undertaken to identify institutions, associations, or organizations that offer retraining or educational options. Information is obtained regarding tuition costs, pre-requisite/entry requirements, duration of courses or programs, etc.  A detailed and objective report is then prepared to clearly outline findings, opportunities
and recommendations specific to the individual worker.
Psychovocational Assessment
Further to the vocational assessment and transferable skills analysis a psychological assessment can be included to determine whether a worker is psychologically fit to work or undertake retraining. This assessment examines the psycho-emotional and cognitive capacities of the individual worker in order to make recommendations respecting his or her employability either in general or in reference to a specific job or vocational direction. A detailed and objective report is then prepared to clearly outline findings, analysis and recommendations specific to the individual worker.

Return to Work Coordination

Return to work coordination services are offered to assist the employer client or individual worker in the negotiation and implementation of a timely and safe re-entry to the workforce.  This on-site and one-on-one service is performed by one of our occupational therapists.
Job Seeking Skills
This service is provided to assist the worker with the development and rapid implementation of an organized and systematic approach to job searching and thereafter the ability to independently implement same. This service is very useful for workers who do not have a clearly defined job goal or have little skill or experience as job seekers in the current job market.  The worker is educated on local employment resources, government funded services and is linked to local employment networking programs.
Job Site Assessment & Physical Demands Analysis
A Job Site Assessment with Physical Demands Analysis is used to identify the essential tasks and related physical demands of a specific job.  Typically this assessment involves observing a specific worker undertaking the essential tasks of the job in question at the actual work-site (this may be the worker of interest or may be another worker). The findings of the analysis are then presented in a detailed and objective report which can then be used by the referral source (client, representative, insurer, employer, etc.) to identify whether or not a specific worker is capable of performing the essential tasks of the job in question
Ergonomic Assessment
This is an assessment to provide practitioners with a good understanding of the job, its physical requirements, and the environment in which it is performed. The analysis will determine potential hazards that may cause injury or re-injury. Ergonomic modification of the job site or method by which the job is performed can be done to reduce the potential of injury, or re-injury in the case of an injured worker who is returning to work. The practice of ergonomics works toward fitting the job to the person-not the person to the work-to optimize and enhance performance  The ergonomic assessment is extremely useful in identifying the biomechanical demands of a particular work environment and to identify the interplay of human factors with the physical and mechanical components of that workplace. The ergonomic assessment is typically conducted in respect of a specific job and specific worker and in this case it can make specific recommendations to optimize that individual worker’s performance, while protecting his/her health and safety and minimizing the chance of any re-injury on the job.
Functional Abilities Evaluation (FAE):
Also known as the FCE (Functional Capacity Evaluation); the FAE is an intensive short-term assessment of one to two days which objectively evaluates the physical and functional abilities of a worker (or injured client) in order to determine his/her maximal functional abilities and to document the effect that any residual impairments may have on that worker’s functional ability.  A detailed and objective report is then prepared by an experienced and FAE certified Kinesiologist, Occupational or Physical therapist to clearly outline findings specific to the worker including his/her postural tolerances, mobility, ranges of motion, muscle power, endurance, coordination, strength, work tolerance with reference to industrial standards, degree of effort/validity or effort, etc.  The results of the FAE are extremely useful in determining whether or not an individual worker is capable of performing a particular job when compared by the evaluator with the Job Site Assessment/Physical Demands Analysis specific to the employee of interest.  If indicated the results can then be considered by the vocational evaluator or rehabilitation specialists to consider appropriate work options or alternatives.

Medical & Legal

After an accident or injury, just as with legal rights and protections, the health, wellbeing, and rehabilitation of your clients is of paramount importance.  Ontario wide, Power & Associates is in your corner with all the right medical and rehab experts you will need to ensure nothing is overlooked and that your client gets the very best chance at a full recovery.  We provide a full range of Independent Medical Examination IME Services including diagnostic testing in addition to rehabilitative assessment and treatment services.  All of your files will receive rigorous clinical oversight.  The reports we will prepare for you and your clients are fair, objective, defensible in court, and timely.  Recruiting only the best, we maintain a diverse and continuously expanding roster of independent medical examiners including Registered Occupational Therapists, Physiotherapists, Chiropractors and all Medical Specialties (listed below). All of our clinicians are highly experienced, particularily in the performance of independent medical examinations, and all maintain currency in their respective field and are registered members in good standing in their respective professional bodies.  If you would like to arrange an educational session by any of our specialists on a topic of your choice to be provided at your location or ours please contact us as we would be more than happy to arrange this for you.  Power & Associates maintains comprehensive Commercial and E&O Liability Insurance additional to the Professional Liability Insurance maintained by its examiners and associates. CVs for all clinicians are available on request. Whether your requirements are simple or complex, require one specific assessment or multiple assessments, are geographically remote or urban centered; Power & Associates is ready to be of invaluable assistance to you and your client.

Independent Examinations

IMEs can be offered as “Stand-alone” assessments by expert examiners who will address your specific assessment question(s) – or – as comprehensive Multidisciplinary Examinations by multiple experts who will provide you with the background, analysis and consensus opinion you require. Examination services include but are not limited to the following:

IME Medical Files Reviews

Conducted at your office or ours; Medical File Reviews can be performed by the medical or health care professional of your choice from our roster or highly qualified and experienced specialists, general medicine practitioners and allied health care professionals. All reviews include a statement of purpose, all relevant background, a thorough analysis of all available documentation, a synthesis of all information, conclusions, and direct answers to any specific referral source question(s) you may have. Depending on your specific questions the Medical File Review can:

Provide you with an objective and defensible determination as to the reasonableness and/or necessity of a disputed treatment plan and/or assessment.
Provide you with any opinion respecting causation, diagnosis & prognosis
Provide an opinion respecting the effectiveness of treatment funded to date
Provide you with recommendations for additional assessments or treatment
Provide you with an opinion regarding the reasonable costs of treatment
Answer any specific question you may have

Surveillance Reviews

Like a IME Medical File Review, a Surveillance Review, conducted at your office or ours, is an examination and analysis of file materials including video and photographic evidence by the medical or health care professional of your choice from our roster or highly qualified and experienced specialists, general medicine practitioners and allied health care professionals. A written report is then prepared with a statement of purpose, relevant background, a thorough analysis of all available information including actual video footage, a synthesis of all information, conclusions, and direct answers to any question(s) you may have. Depending on your specific questions the Surveillance Review can:

Provide you with an opinion respecting the functional abilities of the surveillance subject
Comment on specific behaviour and function
Correlate surveillance materials with assessment data to comment on consistency
Estimate the ability of the surveillance subject to perform specific tasks such as self-care, housework, employment tasks or activities of daily living
Address any specific question you may have

The following services in any location:

MIG Determination IME
Medically Supervised Catastrophic Assessments & Determination IME
In-Home & Attendant Care Needs Assessments
Hospital Discharge Planning & Coordination (including pre-claim assessment)
Orthopaedic IME
Neurology, Neuropsychological & Neuropsychiatry IMEs
Job Site Assessments & Physical Demands Analyses (JSA & PDA)
Physiatry IME
Ergonomic Assessments
Psychiatry & Psychological IMEs
Functional Abilities Evaluation (FAE) & Interpretation
Medical File Review IME by GPs or Specialists
Pre-Claim & Pre-Discharge Assessments
Rheumatology IME
Vocational Assessment & Transferable Skills Analyses
Pre-Employment Screening
Dental, TMJ & Endodontic IME
Oral Surgery IME
Labour Market Surveys
Audiology & Speech-Language Pathology IMEs
Urology and all Internal Medicine IMEs
Cardiology IME
ENT IME
Social Work Assessment & Treatment
Occupational Therapy Assessment & Treatment
Attendant Care & In-Home Assessments
Physiotherapy Assessment & Treatment
Chiropractic Services
Diagnostic IME Services: X-Ray, CT, MRI, Ultrasound, etc.
Other: Make a request as we can accommodate most service types!

Treatment Services

Our treatment service offerings include any form of medical or rehabilitative speciality mentioned above, as well as the following:
LTD/STD and MVA Case Management
Return to Work Programs (OT & Kin)
Ergonomic accommodation
Job Searches & Programming
Return to Activities of Daily Living Programs
Pain Management Programs