DCs Discuss Plan of
Action for the Next 25 Years
A Chiropractic Strategic Planning Conference, held from February 1719 at the
National University of Health Science, Lombard, Ill, brought DCs together to discuss the
barriers and opportunities for greater integration and interprofessional cooperation in
chiropractic care.It is nice to have a
forum for our physicians to discuss the hurdles chiropractic care has to overcome,
independent of formal professional association politics, says John J. Triano, DC,
PhD, who served as head of the conferences steering committee. Chiropractic
care has come a long way in past years, and this gives us a way to mold the profession to
reach higher goals and better serve our patients in the future.
During the meeting, the DCs discussed the issue of integrity,
trust, and inappropriate treatment and billing practices that often place the DCs
economic interests before the patients best interests.
Attendees also voiced their concerns about the absence of
fair and equitable public funding and support for chiropractic education and research in
public and private institutions.
I feel that the ultimate goal of improved quality care
within the North American health care system can only be reached when all members of the
profession, along with stakeholders, strive for and demand equitable public support for
education and research within the chiropractic care sector, says Triano. |
Study Finds Kids Follow Parents in Using CAM
Researchers at Metropolitan State University in Minneapolis who analyzed 2002 claims data
from private health insurers in Washington found that more than 6% of children who were
listed under their parents insurance claims visited a complementary or alternative
medicine (CAM) professional during that year.
Although use of chiropractic and massage was almost always for musculoskeletal
complaints, acupuncture and naturopathic medicine filled a broader role, note the
studys authors.
According to the study results, boys were less likely than girls to use CAM therapies,
while children with cancer and low back pain were likely to try the treatments. In
addition, the researchers noted that parental use of CAM was the leading factor associated
with childrens use of the treatment.
NBCE Offers Computerized Exams for Licensed DCs
The National Board of Chiropractic Examiners (NBCE) has begun computerization of
its optional Ethics and Boundaries (E&B) Examination for chiropractic practitioners.
E&B assesses knowledge of ethics and boundaries issues potentially encountered in a
chiropractic practice.
The examination, which will be administered six times per year at more than 300 Pearson
Professional Centers throughout the United States, is the second exam made available for
post licensure purposes. The first exam, the Special Purposes Examination for Chiropractic
(SPEC), assesses the practitioners clinical competency. Formerly, these two exams
were available only in pencil-and-paper format twice per year at 14 chiropractic college
test sites.
The E&B and SPEC examinations are not intended for DCs who are entering practice
for the first time. Instead, they are used by state licensing agencies to assess licensed
or previously licensed DCs and protect the public. Before granting practice privileges,
state boards may require DCs to demonstrate knowledge of where to set the boundaries
pertaining to appropriate relationships and interaction in the DCs office setting.
For more information, or sample tests, visit www.nbce.org.
Hearing Improved With Chiropractic
A case series published in the January 2006 issue of Chiropractic &
Osteopathy documents the study subjects improvements in hearing after a chiropractic
adjustment.
In this case study, 15 people with various degrees of hearing loss were tested for
certain frequencies to establish their degree of hearing loss. The subjects were then
given a single chiropractic adjustment and were subsequently retested for changes in their
hearing.
According to the results, most of the participants experienced significant hearing
improvement at various levels after one adjustment. Using a standardized testing process
known as the Ventry & Weinstein criteria, six subjects had hearing restored at 40 dB
(decibel or unit of loudness), seven subjects improved, and two had no change.
ACA Teams Up With PCPFS
The American Chiropractic Association (ACA), along with the ACA Council on Sports
Injuries and Physical Fitness, has been named as a 50th Anniversary Partner to Get
America Moving by the Presidents Council on Physical Fitness and Sports
(PCPFS). Through this partnership, the organizations will promote physical activity,
fitness, and sports throughout 2006.Doctors of chiropractic believe that
prevention is the key to health and wellness, says Richard G. Brassard, DC, ACA
president. Encourage your patients to improve their health and quality of life by
incorporating more physical activity in their daily routine.
The ACA has developed more than 50 different patient-education pages to help DCs talk
with their patients about simple ways to improve their health. The Patient
Page fact sheets, which can be downloaded and printed for distribution in the DC
practice, used at health fairs, or reformatted as news releases for local media, provide
tips on how to improve health naturally and prevent problems before they start.
For more information, visit www.acatoday.com/publications/tips..
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CCGPP Best Practices Document Delayed
Release of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP)
Low Back Best Practices draft document, which was anticipated in February
2006, has been delayed due to the need for additional editing prior to its release. CCGPP
is charged with developing and updating the document for use by DCs; their patients;
students; faculty members; government agencies, including the Federation of Chiropractic
Licensing Boards; and third-party payors.
We are determined to produce the most accurate, timely, and useful document
possible, says Wayne M. Whalen, DC, council chair. Accordingly, we felt it was
preferable to delay the release to accommodate several last minute edits and
inclusions.
The Low Back draft, the culmination of more than 3 years of collaborative work,
includes a review of thousands of scientific articles. The article will be rated for
quality and utility according to internationally recognized standards, and their results
will be combined with expert consensus conclusions where literature evidence is lacking.
The CCGPP Commission teams expect the document to provide a reliable, readily accessible
and scientifically defensible tool for clinicians, patients, government regulators and
others to make informed decisions about chiropractic low back care.
The draft of the chapter, which as of press time was expected to be available for
stakeholder review by the end of March, is the first of seven condition-based chapters
planned. Subsequent chapters on neck conditions, soft tissue, and thoracic spine, among
others, are expected to be released sequentially about every other month.
As each draft chapter is released, it will be posted on the CCGPP Web site
(www.ccgpp.org), and stakeholder input is requested. The Best Practices document will
focus on the conditions most commonly encountered by practicing DCs. Subsequent chapters
are expected to address less-common entities, and to update previous releases.
For further information, visit www.ccgpp.org.
Copay Equality Law Takes Effect
Legislation passed in North Carolina in 2005 that decreased the rates of
insurance copayments for chiropractic patients came into effect March 1. The provisions
will save patients up to 60% per visit and will also make chiropractic care more available
to the general publicespecially to those who live on fixed incomes.
Although it might take a little time before you see a change, this is a huge win
for chiropractic, says Tom Schoenvogel, executive director of the North Carolina
Chiropractic Association. North Carolina is the first state in the country to have
legislation in place regarding copay equality.
Under this new law, insurance companies will treat chiropractic patients equally the
same as patients who visit primary care medical doctors. Thus, chiropractic insurance
copayments will emulate the copayments a patient pays for typical medical care visits.
Chiropractic patients, however, should be aware of the stipulations to the new law. If
a patients plan is renewed in February 2006, for instance, the patient might not see
a change in his or her co-payment until February, 2007.
Most plans will fall under the copayment law, but it is not certain how quickly all of
these changes will take place. Chiropractors should encourage patients to verify their
benefits with their particular insurance carriers.