Office of Judges Report to Performance Council

OFFICE OF JUDGES’ REPORT

March, 2011 & YTD Statistics

April 26, 2011

I.  Statistical Analysis

2010 Mar. 2011

A. Protests Acknowledged: 5052 493 1262

Fund Involved:

FUND / 2010 / % of protests / Mar.
2011 / % of protests / 2011 / % of protests
Old Fund / 1045 / 20.68% / 86 / 17.45% / 259 / 20.52%
Priv.Carrier / 2885 / 57.11% / 311 / 63.08% / 762 / 60.38%
Self-Insured / 1122 / 22.21% / 96 / 19.47% / 241 / 19.10%
Subtotal / 5052 / 493 / 1262
Temporary / 997 / 126 / 302
Total / 6049 / 619 / 1564

2010 Mar. 2011

B. Issues Resolved: 5327 437 1290

C. Pending Caseload Report

PENDING END OF Mar. 2011 / 3593
PENDING 1 MONTH BEFORE / 3552
PENDING 2 MONTHS BEFORE / 3630
PENDING 3 MONTHS BEFORE / 3654
PENDING 6 MONTHS BEFORE / 3579
PENDING 12 MONTHS BEFORE / 3839

D. Acknowledgment Timeliness: 2010 Mar. YTD

1.  Protest Ackn. >30 days 6.1% 4.3% 5.0%

2.  Protest Ackn. 24-30 days 1.7% 3.7% 4.7%

3.  Protest Ackn. 11-23 days 23.2% 31.4% 32.2%

4.  Protest Ackn. <11 days 68.9% 60.6% 58.2%

Mar.’11 2011

E. Protests Resolved:

1.  Protests decided: 325 897

2.  Withdrawals: 60 224

3. “No Evidence” Dismissals: 44 136

F. Final Decision Timeliness 2010 Mar. ‘11 2011

1.  <30 days: 45.4% 50.3% 52.5%

2.  30-60 days: 34.2% 43.9% 40.2%

3.  60-90 days: 18.4% 5.8% 6.7%

4.  +90 days: 2.0% 0.0% 0.7%

G. Time Standard Compliance 2010 Mar. 2011

88.2% 89.9% 89.6%

Friday, April 01, 2011

Time Standard Compliance

Report Dates: From 3/1/2011 thru 3/31/2011

Time Standard / Total Closed / Timely / Late /
Count / Percent / Count / Percent /
COMPENSABILITY / 26 / 22 / 84.6% / 4 / 15.4%
TTD / 20 / 19 / 95% / 1 / 5%
REOPENING / 11 / 9 / 81.8% / 2 / 18.2%
TRMT/EQUIP CL / 49 / 44 / 89.8% / 5 / 10.2%
SPECIAL CATEGORY / 1 / 1 / 100% / 0 / 0%
PPD / 40 / 39 / 97.5% / 1 / 2.5%
BENEFIT RATE / 1 / 1 / 100% / 0 / 0%
IEB DETERMINATION / 2 / 1 / 50% / 1 / 50%
OPBD / 6 / 5 / 83.3% / 1 / 16.7%
REHABILITATION / 1 / 1 / 100% / 0 / 0%
DEP BEN FATAL / 1 / 0 / 0% / 1 / 100%
PTD ONSET DATE / 1 / 1 / 100% / 0 / 0%
Total / 159 / 143 / 89.9% / 16 / 10.1%

Final Decision Compliance

Report Dates: From 3/1/2011 thru 3/31/2011

Description / Issues Resolved / Days to Decision /
< 30 Days / 30 - 60 / 61 - 90 / > 90 /
Count / % / Count / % / Count / % / Count / % /
FAILURE TO ACT 30 DAY / 3 / 1 / 33.3% / 1 / 33.3% / 1 / 33.3% / 0 / 0.0%
OP NON-MED / 1 / 0 / 0.0% / 1 / 100.0% / 0 / 0.0% / 0 / 0.0%
PTD ENTITLEMENT / 1 / 0 / 0.0% / 1 / 100.0% / 0 / 0.0% / 0 / 0.0%
TTD / 37 / 14 / 37.8% / 22 / 59.5% / 1 / 2.7% / 0 / 0.0%
PTD ONSET DATE / 1 / 1 / 100.0% / 0 / 0.0% / 0 / 0.0% / 0 / 0.0%
REHABILITATION / 1 / 0 / 0.0% / 1 / 100.0% / 0 / 0.0% / 0 / 0.0%
DEP BEN FATAL / 6 / 2 / 33.3% / 4 / 66.7% / 0 / 0.0% / 0 / 0.0%
PPD / 61 / 35 / 57.4% / 22 / 36.1% / 4 / 6.6% / 0 / 0.0%
SPECIAL CATEGORY / 1 / 1 / 100.0% / 0 / 0.0% / 0 / 0.0% / 0 / 0.0%
TRMT/EQUIP CL / 111 / 59 / 53.2% / 47 / 42.3% / 5 / 4.5% / 0 / 0.0%
COMPENSABILITY / 58 / 24 / 41.4% / 30 / 51.7% / 4 / 6.9% / 0 / 0.0%
FAILURE TO ACT 15 DAY / 6 / 3 / 50.0% / 1 / 16.7% / 2 / 33.3% / 0 / 0.0%
IEB DETERMINATION / 3 / 1 / 33.3% / 2 / 66.7% / 0 / 0.0% / 0 / 0.0%
OPBD / 17 / 12 / 70.6% / 4 / 23.5% / 1 / 5.9% / 0 / 0.0%
REOPENING / 23 / 13 / 56.5% / 9 / 39.1% / 1 / 4.3% / 0 / 0.0%
Totals / 330 / 166 / 50.3% / 145 / 43.9% / 19 / 5.8% / 0 / 0.0%

Tuesday, March 01, 2011

Friday, April 01, 2011

Motion Resolution Compliance

Report Dates: From 3/1/2011 thru 3/31/2011

Time Standard / Total Motions / Timely * / Late ** /
Count / Percent / Count / Percent /
BENEFIT OVERPAYMENT / 3 / 3 / 100% / 0 / 0%
FAILURE TO ACT 15 DAY / 1 / 1 / 100% / 0 / 0%
OP NON-MED / 1 / 1 / 100% / 0 / 0%
TTD / 117 / 111 / 94.9% / 6 / 5.1%
DEP BEN FATAL / 18 / 18 / 100% / 0 / 0%
PTD ONSET DATE / 2 / 2 / 100% / 0 / 0%
PPD / 195 / 193 / 99% / 2 / 1%
REOPENING / 56 / 55 / 98.2% / 1 / 1.8%
BENEFIT RATE / 1 / 1 / 100% / 0 / 0%
PTD ENTITLEMENT / 6 / 6 / 100% / 0 / 0%
REHABILITATION / 1 / 1 / 100% / 0 / 0%
IEB DETERMINATION / 11 / 11 / 100% / 0 / 0%
OPBD / 55 / 53 / 96.4% / 2 / 3.6%
COMPENSABILITY / 232 / 228 / 98.3% / 4 / 1.7%
TRMT/EQUIP CL / 265 / 261 / 98.5% / 4 / 1.5%
Total / 964 / 945 / 98% / 19 / 2%

* Action Date < Motion Date
** Action Date > Motion Date

1

Acknowledgement Goal

Report Dates: From 3/1/2011 thru 3/31/2011

Description / Protests Acknowledged / Days to Acknowledge Protests /
> 30 / 30-24 / 23-11 / < 11 /
Count / Percent / Count / Percent / Count / Percent / Count / Percent /
APPLICATION THRESHOLD / Total: 1 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 1 / 100.0%
CZA - CL SI APP.THRESHOLD / 1 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 1 / 100.0%
BENEFIT OVERPAYMENT / Total: 2 / 0 / 0.0% / 0 / 0.0% / 1 / 50.0% / 1 / 50.0%
CBO - CL BEN. OVERPAYMENT / 2 / 0 / 0.0% / 0 / 0.0% / 1 / 50.0% / 1 / 50.0%
COMPENSABILITY / Total: 87 / 6 / 6.9% / 7 / 8.0% / 38 / 43.7% / 36 / 41.4%
CCS - CL SEC.CONDITION / 14 / 1 / 7.1% / 0 / 0.0% / 5 / 35.7% / 8 / 57.1%
CHC - CL COMPENSABILITY / 5 / 1 / 20.0% / 0 / 0.0% / 2 / 40.0% / 2 / 40.0%
CIS - CL SI SEC.CONDITION / 5 / 0 / 0.0% / 0 / 0.0% / 1 / 20.0% / 4 / 80.0%
CPI - CL SI REJECT CLAIM / 9 / 1 / 11.1% / 0 / 0.0% / 4 / 44.4% / 4 / 44.4%
CPJ - CL REJECT CLAIM / 50 / 3 / 6.0% / 6 / 12.0% / 23 / 46.0% / 18 / 36.0%
CQR - CL SI REJ OCCDISEASE / 1 / 0 / 0.0% / 0 / 0.0% / 1 / 100.0% / 0 / 0.0%
CRZ - CL REJ OCC DISEASE / 2 / 0 / 0.0% / 0 / 0.0% / 2 / 100.0% / 0 / 0.0%
E8C - EM OIC COMPENSABLE / 1 / 0 / 0.0% / 1 / 100.0% / 0 / 0.0% / 0 / 0.0%
DEP BEN FATAL / Total: 8 / 0 / 0.0% / 2 / 25.0% / 3 / 37.5% / 3 / 37.5%
CDF - CL DENY/GRNT DTH BEN / 3 / 0 / 0.0% / 0 / 0.0% / 1 / 33.3% / 2 / 66.7%
CIF - CL SI DY/GNT DTH BEN / 5 / 0 / 0.0% / 2 / 40.0% / 2 / 40.0% / 1 / 20.0%
FAILURE TO ACT 30 DAY / Total: 1 / 0 / 0.0% / 1 / 100.0% / 0 / 0.0% / 0 / 0.0%
C7B - CL FTA RO PPD / 1 / 0 / 0.0% / 1 / 100.0% / 0 / 0.0% / 0 / 0.0%
IEB DETERMINATION / Total: 4 / 0 / 0.0% / 0 / 0.0% / 1 / 25.0% / 3 / 75.0%
CEB - CL IEB DETERMINATION / 4 / 0 / 0.0% / 0 / 0.0% / 1 / 25.0% / 3 / 75.0%
OP NON-MED / Total: 2 / 0 / 0.0% / 0 / 0.0% / 1 / 50.0% / 1 / 50.0%
CNR - CL NON-MED ORDER / 2 / 0 / 0.0% / 0 / 0.0% / 1 / 50.0% / 1 / 50.0%
OPBD / Total: 21 / 1 / 4.8% / 0 / 0.0% / 15 / 71.4% / 5 / 23.8%
CAO - CL ADD BOARD FINDING / 2 / 0 / 0.0% / 0 / 0.0% / 1 / 50.0% / 1 / 50.0%
CBF - CL % BOARD FINDING / 6 / 0 / 0.0% / 0 / 0.0% / 4 / 66.7% / 2 / 33.3%
CSF - CL% SI BOARD FINDING / 3 / 1 / 33.3% / 0 / 0.0% / 1 / 33.3% / 1 / 33.3%
EAO - EM ADD BOARD FINDING / 3 / 0 / 0.0% / 0 / 0.0% / 3 / 100.0% / 0 / 0.0%
EBF - EM % BOARD FINDING / 6 / 0 / 0.0% / 0 / 0.0% / 6 / 100.0% / 0 / 0.0%
ESF - EM% SI BOARD FINDING / 1 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 1 / 100.0%
PPD / Total: 130 / 9 / 6.9% / 3 / 2.3% / 41 / 31.5% / 77 / 59.2%
CAA - CL ADDL % AWARD D/G / 12 / 1 / 8.3% / 2 / 16.7% / 3 / 25.0% / 6 / 50.0%
CAD - CL % AWARD DENY/GRNT / 92 / 7 / 7.6% / 1 / 1.1% / 33 / 35.9% / 51 / 55.4%
CIE - CL SI ADD% AWARD D/G / 8 / 0 / 0.0% / 0 / 0.0% / 2 / 25.0% / 6 / 75.0%
CIG - CL SI %AWARD DNY/GNT / 18 / 1 / 5.6% / 0 / 0.0% / 3 / 16.7% / 14 / 77.8%
PTD ENTITLEMENT / Total: 1 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 1 / 100.0%
CKC - CL DENY/GRANT PTD / 1 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 1 / 100.0%
PTD ONSET DATE / Total: 1 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 1 / 100.0%
CIO - CL SI ONSET DT ISSUE / 1 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 1 / 100.0%
REHABILITATION / Total: 3 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 3 / 100.0%
CPV - CL DY/GRNT REHAB PLN / 1 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 1 / 100.0%
CTP - CL GRNT/DNY TP REHAB / 2 / 0 / 0.0% / 0 / 0.0% / 0 / 0.0% / 2 / 100.0%
REOPENING / Total: 16 / 0 / 0.0% / 2 / 12.5% / 1 / 6.3% / 13 / 81.3%
CIY - CL SI DY/GNT R/O TTD / 2 / 0 / 0.0% / 0 / 0.0% / 1 / 50.0% / 1 / 50.0%
CJV - CL DNY/GRNT R/O PPD / 7 / 0 / 0.0% / 1 / 14.3% / 0 / 0.0% / 6 / 85.7%
CRD - CL DENY/GRNT R/O TTD / 7 / 0 / 0.0% / 1 / 14.3% / 0 / 0.0% / 6 / 85.7%
SPECIAL CATEGORY / Total: 1 / 0 / 0.0% / 0 / 0.0% / 1 / 100.0% / 0 / 0.0%
E2D - EM OIC SPL CATEGORY / 1 / 0 / 0.0% / 0 / 0.0% / 1 / 100.0% / 0 / 0.0%
TRMT/EQUIP CL / Total: 148 / 4 / 2.7% / 0 / 0.0% / 28 / 18.9% / 116 / 78.4%
CBX - CL TRMT DENY / 106 / 1 / 0.9% / 0 / 0.0% / 22 / 20.8% / 83 / 78.3%
CKN - CL D/G PROV CHNG / 1 / 0 / 0.0% / 0 / 0.0% / 1 / 100.0% / 0 / 0.0%
CSX - CL SI TRMT DENY / 34 / 2 / 5.9% / 0 / 0.0% / 4 / 11.8% / 28 / 82.4%
CYY - CL TRMT GRANT / 6 / 1 / 16.7% / 0 / 0.0% / 0 / 0.0% / 5 / 83.3%
E8E - EM OIC TRMT GRANT / 1 / 0 / 0.0% / 0 / 0.0% / 1 / 100.0% / 0 / 0.0%
TTD / Total: 67 / 1 / 1.5% / 3 / 4.5% / 25 / 37.3% / 38 / 56.7%
CCC - CL CLOSING THE CLAIM / 50 / 1 / 2.0% / 1 / 2.0% / 16 / 32.0% / 32 / 64.0%
CIC - CL SI CLSING THE CLM / 7 / 0 / 0.0% / 1 / 14.3% / 2 / 28.6% / 4 / 57.1%
CIJ - CL SI TTD / 1 / 0 / 0.0% / 0 / 0.0% / 1 / 100.0% / 0 / 0.0%
CJS - CL TTD / 3 / 0 / 0.0% / 0 / 0.0% / 1 / 33.3% / 2 / 66.7%
CPX - CL INITIAL TTD / 5 / 0 / 0.0% / 1 / 20.0% / 4 / 80.0% / 0 / 0.0%
E8J - EM OIC TTD / 1 / 0 / 0.0% / 0 / 0.0% / 1 / 100.0% / 0 / 0.0%
Totals: Claims 422 / 493 / 21 / 4.3% / 18 / 3.7% / 155 / 31.4% / 299 / 60.6%

Friday, April 01, 2011

Resolution of Issues

Report Dates: Decision Date from 3/1/2011 thru 3/31/2011

Time Standard Categories / Decisions Issued / Reversed / Affirmed / Affirmed by Rule / Dismissed / Modified / Moot / Other / Remanded
Count / % / Count / % / Count / % / Count / % / Count / % / Count / % / Count / % / Count / %
BENEFIT RATE / 1 / 0 / 0 / 0 / 0 / 1 / 100 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
OPBD / 25 / 2 / 8 / 15 / 60 / 1 / 4 / 7 / 28 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
PPD / 100 / 15 / 15 / 45 / 45 / 17 / 17 / 22 / 22 / 1 / 1 / 0 / 0 / 0 / 0 / 0 / 0
DEP BEN FATAL / 7 / 1 / 14.3 / 5 / 71.4 / 0 / 0 / 1 / 14.3 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
OP NON-MED / 1 / 0 / 0 / 1 / 100 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
REHABILITATION / 1 / 0 / 0 / 1 / 100 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
COMPENSABILITY / 73 / 25 / 34.2 / 29 / 39.7 / 5 / 6.8 / 10 / 13.7 / 3 / 4.1 / 1 / 1.4 / 0 / 0 / 0 / 0
SPECIAL CATEGORY / 1 / 0 / 0 / 1 / 100 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
PTD ENTITLEMENT / 1 / 0 / 0 / 1 / 100 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0