2010 BC Guide in Determining Fitness to Drive
2010 BC Guide in Determining Fitness to Drive 2010 BC Guide in Determining Fitness to Drive
3. DETERMINATIONFrom2. AssessmentAn adjudicator or case manager reviews the DMER and anyother assessment results, driving record, other information onfile and medical condition guidelines and determines whetherdriver is fit to driveIs the driver fit to drive?NoYesIs a reassessmentInterval required?The adjudicator orcase manager sendsthe driver a lettercommunicating thedeterminationYesNoThe adjudicator or case managerschedules a reassessmentAre conditions orrestrictions required?YesNoEnd of process4. RECONSIDERATIONNoDoes the driver ask for areview of the decision?YesAn adjudicator or case manager reconsiders the decisionand may request additional assessments. At theconclusion of the reconsideration, the adjudicator or casemanager sends the individual a letter either confirming theoriginal determination or substituting a new determinationEnd of process10
2.3 Roles and responsibilitiesOSMV works in partnership with ICBC and other agencies, such as theBCMA, to implement and administer the Driver Fitness Program. Thefollowing paragraphs highlight the roles and responsibilities of the keyparticipants in the Driver Fitness Program.Office of the Superintendent of Motor VehiclesOn a day-to-day basis, driver fitness determinations are made by OSMVcase managers and adjudicators. Case managers and adjudicators alsoseek advice from OSMV Medical Consultant and the Assistant Director ofHearings and Fair Practices, where necessary. The roles of various OSMVstaff within the Driver Fitness Program are described in the paragraphsbelow.Intake agents perform an initial review of DMERs and other assessmentresults that are sent to OSMV. They identify those individuals who clearlymeet the medical condition guidelines outlined in Part 3 of this Manualwithout the need for further assessment or a driver fitness determination.They identify and forward cases that require an exercise of discretion toadjudicators and case managers.The procedures that guide the work of intake agents are documented inthe:Intake Agent Triage Sort ProceduresIntake Agent Guidelines for Assessing Fitness to Drive, andIntake Agent Procedures Manual.Adjudicators are responsible for making decisions on medicallyuncomplicated cases; they may exercise discretion in decision-making.Case managers are registered nurses responsible for making decisions onmedically complicated cases; they may exercise discretion in decisionmaking.The Medical Consultant is a physician who provides medical advice andopinion on an individual’s fitness to drive to both adjudicators and casemanagers.The Assistant Director of Hearings and Fair Practices provides advice toadjudicators and case managers on complicated cases, in particular, caseswhere unique restrictions or conditions may be required and cases underreconsideration.11
- Page 1 and 2: Ministry of Public Safety and Solic
- Page 3 and 4: AcknowledgmentsResearcherBonnie M.
- Page 5 and 6: Table of Contents (click on any ite
- Page 7 and 8: 11.7 Private and commercial drivers
- Page 9 and 10: 17.7 Private and commercial drivers
- Page 11 and 12: 20.8 Private and commercial drivers
- Page 13 and 14: BACKGROUND ........................
- Page 15 and 16: PART 1:BACKGROUND1
- Page 17 and 18: Appendix 2: Excerpts from the MVA t
- Page 19 and 20: Chapter 2: The Driver Fitness Progr
- Page 21 and 22: for the exercise of discretion by O
- Page 23: 1. SCREENINGA driver disclosesa med
- Page 27 and 28: Medical practitionersMedical practi
- Page 29 and 30: Chapter 3:Driver Fitness Program Pr
- Page 31 and 32: Because of these limitations, OSMV
- Page 33 and 34: Example: the temporary storage of i
- Page 35 and 36: Motor functions (including sensorim
- Page 37 and 38: an individual with poor contrast se
- Page 39 and 40: 3.5 Best informationDriver fitness
- Page 41 and 42: Chapter 4: Introduction to the Poli
- Page 43 and 44: 3. DETERMINATIONFrom2. AssessmentAn
- Page 45 and 46: Once identified, a DMER is mailed t
- Page 47 and 48: 5.3 Screening aging driversDefiniti
- Page 49 and 50: 5.5 Transient impairmentsDefinition
- Page 51 and 52: Chapter 6: Assessment Policies and
- Page 53 and 54: 6.2 Assessments will only be reques
- Page 55 and 56: 6.4 Requesting specialist assessmen
- Page 57 and 58: Policy6.5.1 If a case manager or ad
- Page 59 and 60: Persistent and episodic impairments
- Page 61 and 62: further assessment. Drivers who sco
- Page 63 and 64: 6.9.4 A case manager or adjudicator
- Page 65 and 66: ASSESSMENT PROCEDURESCase manager o
- Page 67 and 68: A driver fitness determination is a
- Page 69 and 70: Policy rationaleBecause individuals
- Page 71 and 72: 7.5.3 Generally, an individual whos
- Page 73 and 74: 7.6.2 In particular, the case manag
2.3 Roles and responsibilitiesOSMV works <strong>in</strong> partnership with IC<strong>BC</strong> and other agencies, such as the<strong>BC</strong>MA, <strong>to</strong> implement and adm<strong>in</strong>ister the <strong>Drive</strong>r <strong>Fitness</strong> Program. Thefollow<strong>in</strong>g paragraphs highlight the roles and responsibilities of the keyparticipants <strong>in</strong> the <strong>Drive</strong>r <strong>Fitness</strong> Program.Office of the Super<strong>in</strong>tendent of Mo<strong>to</strong>r VehiclesOn a day-<strong>to</strong>-day basis, driver fitness determ<strong>in</strong>ations are made by OSMVcase managers and adjudica<strong>to</strong>rs. Case managers and adjudica<strong>to</strong>rs alsoseek advice from OSMV Medical Consultant and the Assistant Direc<strong>to</strong>r ofHear<strong>in</strong>gs and Fair Practices, where necessary. The roles of various OSMVstaff with<strong>in</strong> the <strong>Drive</strong>r <strong>Fitness</strong> Program are described <strong>in</strong> the paragraphsbelow.Intake agents perform an <strong>in</strong>itial review of DMERs and other assessmentresults that are sent <strong>to</strong> OSMV. They identify those <strong>in</strong>dividuals who clearlymeet the medical condition guidel<strong>in</strong>es outl<strong>in</strong>ed <strong>in</strong> Part 3 of this Manualwithout the need for further assessment or a driver fitness determ<strong>in</strong>ation.They identify and forward cases that require an exercise of discretion <strong>to</strong>adjudica<strong>to</strong>rs and case managers.The procedures that guide the work of <strong>in</strong>take agents are documented <strong>in</strong>the:Intake Agent Triage Sort ProceduresIntake Agent <strong>Guide</strong>l<strong>in</strong>es for Assess<strong>in</strong>g <strong>Fitness</strong> <strong>to</strong> <strong>Drive</strong>, andIntake Agent Procedures Manual.Adjudica<strong>to</strong>rs are responsible for mak<strong>in</strong>g decisions on medicallyuncomplicated cases; they may exercise discretion <strong>in</strong> decision-mak<strong>in</strong>g.Case managers are registered nurses responsible for mak<strong>in</strong>g decisions onmedically complicated cases; they may exercise discretion <strong>in</strong> decisionmak<strong>in</strong>g.The Medical Consultant is a physician who provides medical advice andop<strong>in</strong>ion on an <strong>in</strong>dividual’s fitness <strong>to</strong> drive <strong>to</strong> both adjudica<strong>to</strong>rs and casemanagers.The Assistant Direc<strong>to</strong>r of Hear<strong>in</strong>gs and Fair Practices provides advice <strong>to</strong>adjudica<strong>to</strong>rs and case managers on complicated cases, <strong>in</strong> particular, caseswhere unique restrictions or conditions may be required and cases underreconsideration.11