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Independent Medical Assessment Centre

Division of
Services
Independent Medical Assessment Centre specializes in delivering accurate and impartial reports, most reflective of the injured person’s post-accident physical and/or psychological condition. This is why only Toronto's most eminent professionals have been included in our Roster of Catastrophic Impairment Assessors. When you refer your clients to IMACentre, you recive a solid opinion that is most accurate, prudent and well-researched.

Paper Review/File Analyses

  • Medical File Review to determine whether a Catastrophic Impairment Assessment is appropriate at a given point of time.

  • To provide an independent opinion concerning the client's injury characteristics to assist in determining his eligibility for catastrophic designation.

CAT Impairment Assessment

Multi-desciplinary assessment to determine if the client has sustained an impairment or combination of impairments that results in 55 per cent or more impairment of the whole person in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993

Mental/Behavoural

Customized Mental/Behavioural Assessment to provide a considered opinion, as to whether the client has sustained a catastrophic impairment according to criteria 6 and/or 8 (class 4 - marked impairment, or class 5 - extreme impairment due to mental or behavioural disorder).

Physical/Functional

Customized Physical/Functional Assessment to determine if the client sustained an impairment or combination of Physical impairments that, in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993, results in 55 per cent or more impairment of the whole person.
About CAT

What type of impairment is considered Catastrophic, and what do we do to determine it?

Instroduction
Bill 59 includes a definition of catastrophic impairment. Clients with injuries meeting this definition may have access to a higher level of benefits for medical and rehabilitation goods and services, attendant care, and case management.

As per Statutory Accident Benefits Schedule (SABS): “An insured person who sustains an impairment as a result of an accident may apply to the insurer for a determination of whether the impairment is a catastrophic impairment.”

How do we determine if an impairment is Catastriphic:
Our Catastrophic Impairment Assessment Team will conduct a multi-desciplinary assessment to determine if your client had sustained an impairment, or combination of impairments, that results in 55 percent or more impairment of the whole person in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993.
What is considered a Catastrophic Impairment? According to SABS Subsection 2 (1):
“In this Regulation, “catastrophic impairment” means,
  • (a) paraplegia or quadriplegia,
  • (b) amputation or other impairment causing the total and permanent loss of use of both arms,
  • (c) amputation or other impairment causing the total and permanent loss of use of both an arm and a leg,
  • (d) total loss of vision in both eyes,
  • (e) brain impairment that, in respect of an accident, results in,
  • (i) a score of 9 or less on the Glasgow Coma Scale, as published in Jennett, B. and Teasdale, G., Management of Head Injuries, Contemporary Neurology Series, Volume 20, F.A. Davis Company, Philadelphia, 1981, according to a test administered within a reasonable period of time after the accident by a person trained for that purpose, or
  • (ii) a score of 2 (vegetative) or 3 (severe disability) on the Glasgow Outcome Scale, as published in Jennett, B. and Bond, M., Assessment of Outcome After Severe Brain Damage, Lancet i:480, 1975, according to a test administered more than six months after the accident by a person trained for that purpose,
  • (f) subject to subsections (2) and (3), any impairment or combination of impairments that, in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993, results in 55 percent or more impairment of the whole person, or
  • (g) subject to subsections (2) and (3), any impairment that, in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993, results in a class 4 impairment (marked impairment) or class 5 impairment (extreme impairment) due to mental or behavioural disorder;”

  • Also, according to SABS Subsection 2 (2):
    “Clauses (f) and (g) of the definition of “catastrophic impairment” in subsection (1) do not apply in respect of an insured person who sustains an impairment as a result of an accident unless,
  • (a) the insured person’s health practitioner states in writing that the insured person’s condition has stabilized and is not likely to improve with treatment; or
  • (b) three years have elapsed since the accident.”

  • And SABS Subsection 2 (3):
    “For the purpose of clauses (f) and (g) of the definition of “catastrophic impairment” in subsection (1), an impairment that is sustained by an insured person but is not listed in the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993 shall be deemed to be the impairment that is listed in that document and that is most analogous to the impairment sustained by the insured person.”
    Why IMACentre's CAT Team?
    All member of our Catastrophic Impairment Assessment Team have a minimum of five years of current, continuing, and relevant practice and possess the following attributes and qualifications:

  • A member in good standing and holds a current certificate of registration with The College of Physicians and Surgeons of Ontario.
  • The necessary skills, knowledge, and ability to offer an opinion, considering the issue under consideration, the claimant’s individual circumstances, age, impairment and disability for each claimant assessed.

  • Our Roster of Catastrophic Impairment Assessors includes:
  • Case Managers
  • Occupational Therapists
  • Psychologists
  • Neuropsychologists
  • Psychiatrists
  • Physiatrists
  • Orthopaedic Surgeons
  • Neurologists
  • Plastic Surgeons
  • Neuro-Ophthalmologists
  • Otolaryngologists
  • Audiologists
  • Respirologists
  • Speech-language Pathologists

  • Curriculum Vitae of our assessors are available upon request.

    People say:

    We are proud to be the Preferred Assessment Service Provider of our clients across Ontario, and are committed to providing the highest level of professionalism and customer service to our new and existing clients.

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    (416) 840-4123
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    (416) 840-9757
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