Software AMA Guides 6th
edition for Impairment rating
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According to AMA, the sixth edition
was designed to provide rating percentages that consider (1) clinical and functional history,
(2) examinations,
and (3) clinical studies
to help physicians determine a grade within an assigned impairment class. The
reason for this new approach was to determine an impairment rating that is both
transparent and reproducible.
Changes incorporated into the
sixth edition include the following:
Ratings that are largely diagnosis-based
and diagnoses that are evidence-based when possible
Standardized assessment of Activities
of Daily Living (ADL) limitations associated with physical impairments
Functional assessment tools to validate impairment rating scales
Measures of functional loss in the impairment rating
Improvement in overall intrarater and interrater reliability and internal
consistency
Five ICF impairment classes
from Class 0 (normal) to Class 4 (very severe)
The sixth edition of the AMA
Guides, published in December 2007, introduced new approaches to rating
impairment, including one based on a modification of the conceptual framework
of the International Classification of Functioning, Disability, and Health
(ICF). The ICF method is used as a common basis for description of human
function and impairments
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