What is MDCLCP?
MD Certified Life Care Planner (MDCLCP), like its name implies, is an entity dedicated to authoring Life Care Plans by certified physician life care planners, Dr. Hector Miranda-Grajales and Dr. Valerie Rundle Gonzalez. Dr. Miranda-Grajales is triple boarded in Physical Medicine & Rehabilitation, Interventional Pain Management, and Brain Injury Medicine. He is fluent in Spanish/English. He is also a certified Independent Medical Examiner (certified through the American Board of Independent Medical Examiners) and a certified life care planner (CLCP), having completed his Life Care Plan certification with the University of Florida, College of Public Health and Health Professions, Department of Behavioral Science and Community Health. Dr. Rundle Gonzales is a board certified Neurologist and Certified Life Care Planner. She completed her residency and life care planning training at the University of Florida. She completed a Movement Disorders fellowship at the University of Florida as well, where she learned how to manage patients treated with deep brain stimulation. Dr. Miranda-Grajales is the medical director of Medical Injury Rehabilitation Specialists in West Lake Hills (Austin), Texas.
What is a Life Care Plan?
Most commonly and in layman terms, a Life Care Plan is a tool used to determine the future cost of care for persons who suffered bodily injury. The most accepted definition of a Life Care Plan, however, is: A Life Care Plan is a dynamic document based on published standards of practice, comprehensive assessment, data analysis and research, which provides an organized, concise plan for current and future needs with associated costs, for individuals who have experienced catastrophic injury or have chronic health care needs. This is the combined definition of the University of Florida and Intelicus annual life care planning conference and the International Academy of Life Care Planners presented at the Forensic Section meeting, International Association of Rehabilitation Professionals annual conference, Colorado Springs, CO, and agreed upon April 3, 1998.
What is the certifying body for the discipline of Life Care Planning?
The Life Care Planner’s certification is granted through the International Commission on Health Care Certification (ICHCC). The certified Life Care Planner must go through an accredited post-graduate degree training in Life Care Planning before being granted the Life Care Planning certification.
Why is it important for the life care planner to be certified?
Maintaining the Life Care Planner certification assures the professional is familiar with the reliable methodology used to create a Life Care Plan. If the life care planner is not certified, regardless if he/she’s a physician, his/her testimony runs the risk of being successfully challenged via Daubert or Kumho. Life Care Planning is a tool that requires specialized training and board certification before it is applied properly. The trier of fact can disqualify the non-certified Life Care Planner’s testimony based on the lack of the specialized knowledge that certification in this discipline brings. In Paoli Railroad Yard PCB Litigation (35 F.3d 717, 3rd Cir., 1994), the following standards on the expert witness testimony were required by the trier of fact:
1. …The existence and maintenance of standards controlling the technique’s operation, and whether the methodology has been generally accepted in the scientific community.
*The non-certified Life Care Planner doesn’t maintain the standards controlling the “techniques operation” of creating a Life Care Plan; it would also be very difficult for the non-certified Life Care Planner to know what methodology has been generally accepted by the certified Life Care Planning scientific community.
2. …The qualifications of the expert witness testifying based on the methodology.
3. …The relationship of the technique to methods which have been established to be reliable; the qualifications of the expert witness testifying based on the methodology…
4. The Supreme Court recently evaluated the meaning of this requirement in Daubert and held that Rule 702 does not incorporate the common law Frye rule in which expert testimony is admissible only insofar as it is based on a technique generally accepted in the scientific community. Instead, the Supreme Court agreed with this Court’s basic holding in Downing that an expert’s testimony is admissible so long as the process or technique the expert used in formulating the opinion is reliable.
What’s the advantage of having a physician certified life care planner?
Aside from creating the Life Care Plan report, the physician can also perform the following: Independent Medical Exam, opine on causality within a reasonable degree of medical probability, determine impairment rating using the AMA guides, determine future cost of care, etc.
Other services provided at MDCLCP:
Medical cost projections, home evaluation, medical assessment, Independent Medical Exam, expert witness work, medical record review, EMG and nerve conduction study analysis, CT scan and MRI assessments, MMI determination, make treatment recommendations, render an opinion regarding liability issues, render an opinion of the presence or absence of a permanent injury, future need of pain management techniques, such as: spinal cord stimulator implant, pain pump, lumbar or cervical facet blocks, lumbar or cervical epidural steroid injections, radiofrequency ablations, stellate ganglion blocks, trigger point injections, joint injections, etc.
For a free initial consultation for life care planners or attorneys (defense/plaintiff), please fill the information below:
Schedule your next physician life care plan:
4201 Bee Caves Rd
West Lake Hills, TX
We also offer PM&R (Dr. Miranda-Grajales) and Neurology (Dr. Rundle-Gonzalez) evaluation/treatment, for more information call 512-960-4717.