How can we use telemedicine and/or telehealth in the development of claims to better serve individuals with a disability? For example, is telemedicine useful for consultative examinations? Are there particular types of examinations or evaluations (such as psychological exams) that lend themselves to the use of telemedicine better than others? What has been the reaction of patients/claimants to the use of telemedicine, ...more »
Currently, SSA’s listings identify cancer types by site of origin. For example, SSA evaluates a malignancy originating in the brain under its listing for cancer of the central nervous system, and it evaluates a malignancy that originates in the breast under its breast cancer listing, and so on. Should SSA also have a listing, or listings, that account for the “basket” treatment approach (does not rely on a cancer’s site ...more »
How else might we use telemedicine and/or telehealth to improve the administration of our programs, and what factors should we consider?
For example, what is the state of the relevant technology? How are other programs using telemedicine and telehealth to serve similar populations? Does telehealth offer enhanced opportunities for training and continuing medical education?
Who should we consult to help us gauge a person’s capacity to focus on job-related tasks?
What does previous research tell us about employer expectations around productivity? For example, what are employer tolerances for employees being “off task”? Do employers typically make reasonable accommodations in relation to off-task behavior?
How can telehealth help expedite the timely assessment of disability claims at all levels of adjudication? For example, how should we consider evidence of record obtained through a telemedicine interaction? Can telehealth be used to increase the medical and psychological capacity to review claims? Does telehealth offer the potential to increase or enhance the medical expertise during the appeals process or during a ...more »
Will the use of basket therapies mean certain SSA listings criteria will become less relevant? For example, basket clinical trials have had remarkable success. The drugs and drug combinations they test have shown remarkable success managing cancers that doctors consider inoperable or unresectable. Are current SSA listings requiring a cancer to be inoperable or unresectable still relevant if drugs that target the cancer’s ...more »
Many SSA listings criteria allow a finding of disabled if the cancer is persistent or progressive after initial anticancer treatment. Should basket treatment be considered the initial anticancer therapy if it is not effective, but traditional anticancer treatment (for example, surgery or radiation therapy) tried later is effective?
Career ACCESS pilot programs will be created by changes in federal policy aimed at significantly increasing the employment rate of people with disabilities by expecting young adults with disabilities ages 18 through 30 to work. CareerACCESS will provide required support and services recognizing that disability benefits are offsets to the high costs of disability rather than subsidies for the inability to work.
What lesser-known symptoms of PTSD might be helpful for adjudicators to know about, and what professional sources support this information? a. Chronic sleep deprivation Chronic partial sleep deprivation is a known symptom of trauma or stressor related disorders. In our experience adjudicators often misunderstand its effects perhaps due to not fully understanding the impact it can have on function. When we mention chronic ...more »
Some of the (lesser known?) symptoms might include irritability, social anxiety (not wanting to go out in public, avoiding crowded places), self-medicating with alcohol / drugs, emotional withdrawal from friends/family, depression, etc. The symptoms of PTSD are quite similar to those of depression, and also nearly identical to those of POST-CONCUSSION SYNDROME / MILD TRAUMATIC BRAIN INJURY. For example, many of our returning ...more »
At what level do impairment-related limitations in attention, concentration, and persistence cause off-task behavior to the extent a person could not do any job on the national economy? What research supports this threshold?