Is Quest Medical Group, Inc., the only legal manufacturer and distributor of The Blankenship System (Quest TBS)?
Yes. Quest Medical Group, Inc. is the developer and only manufacturer and distributor of The Blankenship System (TBS) FCE System. The Blankenship System, The Blankenship FCE System, The Blankenship System FCE and all computer software, and affiliated systems and materials to include AcuLift™ are owned exclusively by Quest Medical Group, Inc. No person, company or entity outside of Quest Medical Group, Inc., has the rights to the Blankenship or TBS name in regards to FCE equipment, software, seminars, certification courses, etc., except as granted in writing by Quest Medical Group, Inc. Any misperceptions in the market place by persons or entities holding themselves out as Blankenship representatives outside of Quest Medical Group, Inc., employees in regards to the above should be reported to Quest Medical Group, Inc.
What Is the FCE?
A Functional Capacity Evaluation (FCE) is an all-encompassing term to describe the physical assessment of an individual's ability to perform work- related activity. It can also be known as a Functional Capacity Assessment (FCA), Physical Capacity Assessment or Evaluation (PCA or PCE), or Work Capacity Assessment or Evaluation (WCA or WCE). A well-designed FCE should be comprehensive in terms of encompassing the physical demands of work as defined by the U.S. Department of Labor in the Dictionary of Occupational Titles (DOT.), have standardized instructions and operational definitions, be practical regarding space and length of time for administration, be objective in minimizing examiner bias, and, most importantly, be reliable and valid. An FCE must also be administered with care for the patient's safety and wellbeing, with due diligence to minimize the chance for injury during the course of the evaluation.
What Are the Purposes and Applications of the FCE?
The FCE may be used to determine:
- Goals for rehabilitation or readiness for discharge
- Pre- and Post Offer Screening and Testing
- Return to work status (including full duty, modified/transitional duty)
- Case settlement
- Disability status
- Ability to meet job demands as part of a hiring process(for pre-employment/post-offer testing)
What Are the Components of an FCE?
An FCE usually consists of the following:
Medical record review
Physical ability testing
Physical testing may include graded strength activities such as lifting, carrying, pushing and pulling; position tolerance activities such as standing, sitting, and stooping; and mobility activities such as walking, crawling, and climbing. An FCE may also include information about an individual's dexterity, coordination, balance, endurance, and other job specific testing. The FCE report includes an overall level of work, a summary of physical abilities that is usually couched in the language used by the DOT, information about consistency of effort, job match information, and recommendations, if requested.
FCEs are done on a one-to-one basis and may take place for 2 hours or more comprehensive testing may occur over two consecutive days.
Who Is Qualified to Perform an FCE?
The physical and occupational therapy practitioners have the unique combination of skills and abilities necessary to assess the physiological, psychophysical, and biomechanical function of the individual engaged in occupation. Occupational therapy practitioners also have the observational skills, training, and experience to perform complex task analysis and assessment of environmental factors affecting work performance. Orthopaedic Surgeons, chiropractors, exercise physiologists, athletic trainers, and those in other disciplines may also perform FCEs.
Advanced certification in FCE is available and recommended by Quest Medical Group.
Who Pays for the FCE?
QMGI recommends that most FCE providers contract directly with entities requesting the FCEs. Typical payments for the 2-hour FCE range between $450.00 to $750.00 depending on geography. FCEs that involve more in-depth testing and measuring involve larger payments and are often contracted through self-insured businesses and industries or are part of Comprehensive Executive Fitness and Wellness packages. Entities that may pay for FCEs include the following:
Worker's compensation insurance plans
Individual insurance plans
State and/or local agencies
Managed care plans
Rates can and do change based on geography. Precertification of the service and verification of the state fee schedule is advised.
Who Can Refer/Recommend the FCE?
FCEs are typically recommended or referred by the following:
Employers/human resource personnel/risk managers
I have questions about various features of the TBS Software. Where can I find more information?
Please see the section “TBS Help Index”
When I start TBS software, I get the message “The system cannot find the file specified”. Why is this?
The software does not detect a “com” port to interface with the System Interface or other gauge.
Make sure that in the “Settings” area of the software, the correct “Gauge Type” and “Gauge Port” are selected. If using a “USB to Serial” adapter, make sure the adapter is connected to the computer BEFORE you start the TBS software. It is not sufficient to connect the adapter AFTER you have started the software, even if you hit the “OK” button to proceed after you receive the message.
Refer to the section(s) “Changing Com Ports” and “Setup with USB to Serial Cable”
I cannot access my patient. What do I do?
The most common solution is to "Unlock” the patient file. In the “Patient” section of the software there is an “Unlock Patient(s)” setting. If the patient is not listed there, navigate (in Windows Explorer) to the location on your computer where patent files are stored, typically, C:\Program Files (x86)\Quest Medical Group, Inc\TBS\.
In the “TBS” folder locate and delete any files ending it the suffix “.LCK” (make sure that you ONLY delete files with the .LCK extension)
Also, refer to the section “Instructions For Windows Vista, 7, &8 – Compatibility”
I can’t print the “Narrative” and/or the “Cover Letter”. What’s wrong?
Make sure that the proper word processor is selected in the “Browse” window of the “Reports” dialog. Refer to the section “Word Processor Selection”