Medical Review of Drivers
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Transcript of Medical Review of Drivers
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Medical Review of Drivers
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Medical Review
To ensure the safety of motorists on Virginia's highways, drivers must meet certain requirements including vision, medical and mental standards.
Overall medical review requirements are based on the Code of Virginia as well as guidance from DMV’s Medical Advisory Board.
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Medical Advisory Board
The seven members are
• appointed by the Governor
• licensed physicians
• currently practicing in Virginia
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DMV’s Goal
To allow people to drive as long as they can drive safely.
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Reviewing Drivers
DMV is concerned about drivers with impairments in:
• Level of consciousness
• Vision
• Judgment
• Motor skills
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Reviewing Drivers
Each case evaluated on its own merits.
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Reviewing Drivers
DMV identifies drivers for review by
• Driver’s license applications
• Reports of impaired drivers
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Driver’s License Application
Medical questions on the DMV application include:
• Vision conditions• Physical and/or mental condition that requires
medication• Seizure, blackout or loss of consciousness• Condition that requires the use of special
equipment to drive
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Reports of Impaired Drivers
DMV receives reports from:
• Law enforcement
• Physicians
• Courts
• DMV representatives
• Relatives
• Concerned citizens
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Reports of Impaired Drivers
Statutes that encourage reporting of impaired drivers:
• Virginia Code § 46.2-322
• Virginia Code § 54.1-2966.1
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Reports of Impaired Drivers
HIPAA Regulations section 164.512 (j)Standard: for uses and disclosures to avert a
serious threat to health or safety. It states… permitted disclosures, that a covered entity may, consistent with applicable law and standards of ethical conduct, use or disclose protected health information, if the covered entity, in good faith, believes the use or disclosure:
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Reports of Impaired Drivers
HIPAA Regulations section 164.512 (j)• Is necessary to prevent or lessen a serious
and imminent threat to the health or safety of a person or the public, and
• Is to a person or persons reasonably able to prevent or lessen the threat, including the target of threat
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Reports of Impaired Drivers
DMV accepts reports by• Email
[email protected]• Mail a letter or DMV report form (MED3) to:
DMV Medical Review Services
Post Office Box 27412
Richmond, Virginia 23269-0001• Fax a letter or DMV report to (804) 367-1604
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Reports of Impaired Drivers
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Reports of Impaired Drivers
Information needed• Identifying information about the driver• Reason why reporting person is concerned• Relationship to the driver• Signature of person making the report (for
letters and DMV report forms)• Contact information for the reporting person
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Medical Review
DMV takes the following actions after receiving a report
Step 1: Review report on impaired driver
Step 2: Follow up with the person reporting a driver, if necessary
Step 3: Determine the type of review to be conducted, if warranted
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Medical Review
Types of Reviews
• Medical report
• Vision report
• Knowledge test
• Road test
• Driver evaluation
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Medical Review
Step 4: Notify driver of requirements
• Driver is given 30 days to comply with initial requirements
• Driver is given an additional 15 days to pass tests, if required, after medical/vision reports
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Medical Review
Step 5: Evaluate all information provided and test results
Step 6: Determine if additional information or tests are needed
Step 7: Review case with Medical Advisory Board, if necessary
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Medical Review
Step 8: Determine next action(s)
• No further requirement/action needed
• Impose appropriate driver’s license restriction
• Require periodic medical/vision reports
• Suspend driving privilege
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Medical Review
A driver may contest the action taken by DMV and request an administrative hearing.
The hearing must be requested in writing.
The hearing will be scheduled and conducted by the DMV Hearings Office.
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ResourcesVirginia GrandDriver
• An initiative of the Virginia Department for the Aging and DMV
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Resources
Virginia GrandDriver Goal
Everyone stays on the road as safely as possible for as long as possible.
How?
By providing resources that will help drivers compensate for naturally occurring aging-related changes in driving skills.
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Resources
Virginia GrandDriver
Visit www.granddriver.net
• Staying safe tips
• Resource links
• Alternative transportation
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Assessment Tools
Driving Assessment
• Objective screening
• In-car and simulator performance options
• Maintains doctor/patient relationship
• Generally requires a physician referral
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Assessment Tools
Driving Assessments measure a person’s ability to:
• Steer• Control speed• Change lanes• Negotiate intersections• Avoid road hazards• Obey the law
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Assessment Tools
Psychological Assessments
• Trail Making Test, Part A & B
• Mini Mental State
• Clock Drawing Test
• Reaction Time Studies
• Screening for Geriatric Depression
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Assessment Tools
Results are confidential between patient and doctor.
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Assessment Providers
• Center for Excellence in Aging and Geriatric Health (Williamsburg)
• Woodrow Wilson Rehab (Fishersville)• Glennan Center for Geriatrics and
Gerontology (Norfolk)• Hampton VA Medical Center• Driver Rehab of Hampton Roads• Hunter Holmes McGuire VA Medical
(Richmond)• Chippenham Johnston Willis (Richmond)• National Rehab Hospital (D.C.)
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Assessment Providers (cont)
• HealthSouth Rehab Hospital of Virginia (Richmond)
• Virginia Driving Safety Laboratory (Charlottesville)
• INOVA Mt. Vernon Hospital (Alexandria)• Therapy Center (Norfolk)• Driver Side Rehab (Vinton)• Deborah Bender (Winchester)• Deena Jones (Waynesboro)