BLOG – Page 143 – Chiropractic Resource Organization

A Remberance of War on Veteran’s Day

By Frank M. Painter|November 11, 2013|Memorial, Uncategorized|

A Remberance of War on Veteran’s Day

SOURCE: Poetry of the Viet Nam War

By Pete “the Greek” Agriostathes & Paul Cameron

We Regret to Inform You

Dear parents of the deceased
We regret to inform you of this release
Your son was mortally wounded in combat
His valor in finest tradition and all that

Dear wife and children of this brave man
We regret to inform you of this telegram
Your husband and father killed by sniper fire
He was aiding the wounded until he expired

Dear America, home of our war dead,
We regret to inform you about all this bloodshed
For their gallantry under hostile action are sent
These silver stars and medals from the President

Dear combat comrades of these dear fallen men
We regret to inform you that your memories never end
The sights and sounds of their death keep pounding away
Their names carved on a wall as you kneel down to pray

– Paul Cameron –
1st Inf. Div.

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Keep Your Records Clean With SOAP

By Frank M. Painter|November 7, 2013|Documentation|

Keep Your Records Clean With SOAP

The Chiro.Org Blog

SOURCE: ACA News ~ November 2013

By Gina Shaw

If you are asked what a SOAP note is used for, what would be your answer? A SOAP note is used:

1. To defend yourself against a malpractice suit;2. To justify your charges in a third-party payer audit;

3. To track your patients’ progress; or

4. By medical doctors only.

The correct answer? 1, 2 and 3.

There are many systems used by health care professionals to track patients’ progress, but SOAP is probably the most common format for maintaining progress notes. Using SOAP to keep clear, complete, concise, accurate, patient- and encounter- specific records is not just for medical doctors. It’s one of the best ways for the doctor of chiropractic to monitor patients’ progress, as well as to maintain complete records that can be used as a defense in third-party audits or malpractice suits.

Unfortunately, says Susan McClelland of McClelland Consulting, one of the nation’s top experts on chiropractic record keeping, “a lot of providers are not documenting the necessary information, especially for Medicare. Medicare has very specific requirements about what you must have in your notes, and those requirements really don’t differ a lot from what today’s standard of care demands.”

There are more articles like this @:

The new SOAP Notes Page and our

Documentation Section

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HIPAA GETS AN UPDATE: What You Need to Know Now

By Frank M. Painter|November 1, 2013|HIPAA, Uncategorized|

HIPAA GETS AN UPDATE: What You Need to Know Now

The Chiro.Org Blog

SOURCE: ACA News ~ November 2013

By Julie Lenhardt, Sr. Director, Insurance Advocacy

POP QUIZ: Do you know why Sept. 23, 2013, was significant for covered entities?

It’s because Sept. 23 was the date by which covered entities must be compliant with the new portions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) that were added when the omnibus rule was finalized in January. What do you need to do in order to be compliant? ACA will help you answer that question and will provide you with the resources you need to be compliant.

The following steps are recommended, at a minimum. These suggestions do not take into consideration state provisions that may be more stringent than the federal regulations. Certainly, guidance should always be sought from your attorney, and your malpractice carrier may also offer some assistance as well.

(Note: If you are not sure you are a covered entity, you may check the Centers for Medicare and Medicaid Services website)

STEP 1: Update your clinic’s
Notice of Privacy Practices (NPP) –
The Omnibus Rule made several changes to how and when providers must get patient authorization to release Protected Health Information (PHI). The changes need to be reflected in a covered entity’s NPP.

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Dose-response and Efficacy of Spinal Manipulation for Care of Chronic Low Back Pain: A Randomized Controlled Trial

By Frank M. Painter|October 29, 2013|Chiropractic Care, Low Back Pain|

Dose-response and Efficacy of Spinal Manipulation for Care of Chronic Low Back Pain: A Randomized Controlled Trial

The Chiro.Org Blog

SOURCE: Spine J. 2014 (Jul 1); 14 (7): 1106–1116

Mitchell Haas, DC, Darcy Vavrek, ND, David Peterson, DC,
Nayak Polissar, PhD, Moni B. Neradilek, MS

Center for Outcomes Studies,
University of Western States,
2700 NE 132nd Ave., Portland, OR 97230, USA.
haasmitch@comcast.net

BACKGROUND CONTEXT: There have been no full-scale trials of the optimal number of visits for the care of any condition with spinal manipulation.

PURPOSE: To identify the dose-response relationship between visits to a chiropractor for spinal manipulation and chronic low back pain (cLBP) outcomes and to determine the efficacy of manipulation by comparison with a light massage control.

STUDY DESIGN/SETTING: Practice-based randomized controlled trial.

PATIENT SAMPLE: Four hundred participants with cLBP.

OUTCOME MEASURES: The primary cLBP outcomes were the 100-point modified Von Korff pain intensity and functional disability scales evaluated at the 12- and 24-week primary end points. Secondary outcomes included days with pain and functional disability, pain unpleasantness, global perceived improvement, medication use, and general health status.

METHODS: One hundred participants with cLBP were randomized to each of four dose levels of care: 0, 6, 12, or 18 sessions of spinal manipulation from a chiropractor. Participants were treated three times per week for 6 weeks. At sessions when manipulation was not assigned, they received a focused light massage control. Covariate-adjusted linear dose effects and comparisons with the no-manipulation control group were evaluated at 6, 12, 18, 24, 39, and 52 weeks.

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The Effect of Application Site of Spinal Manipulative Therapy (SMT) on Spinal Stiffness

By Frank M. Painter|October 28, 2013|Chiropractic Research, Spinal Manipulation|

The Effect of Application Site of Spinal Manipulative Therapy (SMT) on Spinal Stiffness

The Chiro.Org Blog

SOURCE: Spine J. 2013 Oct 16 [Epub ahead of print]

Tiffany L. Edgecombe, PhD, Greg N. Kawchuk, DC, PhD, Cynthia R. Long, PhD, Joel G. Pickar, DC, PhD

Department of Physical Therapy, University of Alberta, 8205 114 St, Corbett Hall, Edmonton, AB, Canada T6G 2G4

BACKGROUND CONTEXT: Like other factors that can influence treatment efficacy (eg, dosage, frequency, time of day), the site of treatment application is known to affect various physical interventions such as topical anesthetics and cardiopulmonary resuscitation. Like these examples, spinal manipulative therapy (SMT) is a physical intervention that may exhibit maximal benefit when directed to a specific site. Whereas numerous studies of SMT efficacy have produced mixed results, few studies have taken into account the site of SMT application.

PURPOSE: To determine if the site of SMT application modulates the effect of SMT in an anesthetized feline model.

STUDY DESIGN: Spinal manipulative therapy applied to specific anatomic locations randomized in a Latin square design with a no-SMT control.

OUTCOME MEASURES: Physiologic measures (spinal stiffness).

METHODS: Simulated SMT was delivered by a validated mechanical apparatus to the intact lumbar spine of eight anesthetized felines at four unique sites: L6 spinous process, left L6 lamina, left L6 mammillary process, and L7 spinous process. To measure spinal stiffness, a separate indentation load was applied mechanically to the L6 spinous process before and after each SMT application. Spinal stiffness was calculated from the resulting force-displacement curve as the average stiffness (k) and terminal instantaneous stiffness (TIS).

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Stroke Numbers Are Up Worldwide

By Frank M. Painter|October 24, 2013|Clinical Decision-making, Stroke|

Stroke Numbers Are Up Worldwide

The Chiro.Org Blog

SOURCE: MedPage Today ~ Oct 23, 2013

By Todd Neale, Senior Staff Writer

Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco

The overall burden of stroke in terms of absolute numbers of people affected around the world is growing, especially in younger age groups and in low-to-middle-income countries, a global study showed.

In 2010, there were 16.9 million people who had a first stroke, 33 million stroke survivors, and 5.9 million people who died from a stroke — increases of 68%, 84%, and 26% respectively since 1990, according to Valery Feigin, MD, of the Auckland University of Technology in New Zealand, and colleagues.

Major Points:

Despite declining rates of nonfatal and fatal stroke, the overall burden of stroke in terms of absolute numbers of people affected around the world is growing, especially in low-to-middle-income countries, a study found.

Note that another analysis showed that hemorrhagic — and not ischemic — stroke accounted for the majority of the worldwide burden of deaths and disability-adjusted life years lost due to stroke.

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