resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
February, 2003, Vol. 03, Issue 02
Inside the Medical Spa Association: An Interview With Executive DirectorHannelore R. Leavy
By Editorial Staff
The Day Spa Association (DSA) recently announced the creation of a sister organization, the Medical Spa Association (MSA). Spa Today interviewed Hannelore R. Leavy, executive director of both associations, to learn more about the future of the MSA and its role in the burgeoning spa industry.
Spa Today (ST): How would you define "Medical Spa," as opposed to simply "Spa," and what does the Medical Spa Association hope to accomplish specifically in merging the two concepts?
Hannelore R.Leavy (HRL): The two concepts are separate, but nevertheless related. Many treatments applied in a medical spa are also done in a day spa, and do not require the presence of a physician/healthcare provider. Business concerns are similar as well, although a medical spa will require a different marketing approach and networking venue. These and many other components of a medical spa do not apply to a regular day spa; as such, the formation of the MSA was essential to provide the medical spa industry with an official body that addresses those needs, and a voice to represent that segment of the industry.
The Medical Spa Association defines a medical spa as a facility whose medical program is run under the strict supervision of a licensed health care professional. Services are provided that integrate both traditional and nontraditional medicine and spa treatments.
The Medical Spa Association and its founding members have identified four very different types of medical spas:
Beauty/Skin: a facility owned by an individual or corporate entity with an office/treatment area of a licensed health care professional located on the premises. Included in the services are medically based consultations and treatments provided by the licensed health care professional or a medically trained aesthetician and therapists.
Therapeutic: a facility owned by an individual or corporate entity with an office/treatment area of a licensed health care professional located on the premises. The offered services include therapeutic modalities that focus on specific medical issues, such as cardiovascular disease and bariatrics.
Medical Centers/Hospital-Based: facilities that offer an advanced level of diagnostic services, employing conventional and complementary therapies delivered in a specially designed healing environment. Services include both Eastern and Western techniques of evaluation and treatment, integrated with a variety of spa services.
Wellness Centers: owned by physicians or entrepreneurs - and encompassing many of the same services as the medical/hospital facilities if physician-owned. If privately owned, facilities will have a licensed health care professional as the medical director.
ST: How did this project get started? What was the "birthing point," i.e., why the need for a Medical Spa Association in affiliation with the Day Spa Association? And why the need to distinguish/qualify "medical spa" from "spa"?
HRL: The original concept of a day spa was intended as an extension of a destination spa, i.e., with emphasis on health, rejuvenation, relaxation and lifestyle changes - in other words, continuing the healthy lifestyle one started on while at a spa vacation, combined with serious skin care. However, in the past six or seven years, the day spa concept has become that of an extended full-service salon and/or skin-care salon, with the emphasis more on beauty and pampering than on therapy, prevention, health, etc.
Adapting to this trend, more serious spas that do want to get away from this "pampering" image are now partnering with the medical community. I realized that there is a need for a separate body to help them in this quest. That is one of the reasons the Day Spa Association, as early as 1994, set guidelines, Essences of a Day Spa, to educate people on the different types of day spas available to them. We did implement an accreditation program according to these guidelines, and we are planning something similar within the medical spa industry. The spa industry also has to realize that the medical community (particularly plastic surgeons, cosmetic surgeons, cosmetic dentists, chiropractors, and homeopathic and CAM practitioners) are starting to get quite interested in the spa concept, although many physicians are merely interested in tapping into this lucrative market: non-HMO-related treatments patients/clients are willing to pay cash for, require little paperwork and produce satisfied consumers. (Dealing with the healthy, vibrant and "forever" young-staying public is also a much more pleasant prospect, rather than dealing with the "sick.") The medical spas are part of this trend. Marketing trends that started with the Baby Boomers, including the evolution of the day spas and anti-aging treatments, have crossed over to the medical community. The DSA certification program administered by the Academy of Anti-Aging Research is a perfect example. The academy, run by Drs. Maria Sulindro and Michael Lam, has opened enrollment to nonmedical spa professionals, with certification courses now available through the DSA.
ST: Your advisory board is quite a distinguished panel, as is your medical advisory board. Comment on the selection process.
HRL: To be eligible for either board, members must be committed to helping us shape these organizations, and be willing to apply and share their expertise within the medical or spa industry to help us achieve this. We are holding weekly teleconferences to establish the guidelines, code of ethics, benefits, programs, and more. Members must agree to be guided by our strict code of ethics:
We are in the process of forming committees to address many different areas the MSA is planning to concentrate on, including helping to educate the esthetic industry on how to detect melanoma, in conjunction with the Melanoma Research Foundation, which will be available to members and nonmembers alike.
ST: What would you say is the ultimate "goal" of the Medical Spa Association?
HRL: To bring the spa industry to the medical profession, i.e., the education of health care providers to include spa modalities in the treatment of their patients. And to help spa professionals understand how to work with the medical community.
ST: Who do you plan on networking with in the future? (other spa associations, medical associations, medical facilities/hospitals/institutions, etc.?)
HRL: You are absolutely right - we need to widen the horizon of the spa industry to reach out to other associations, institutional organizations and other business entities and professions to introduce the spa and medical spa concept. This includes assisted-living facilities, nursing homes, pain clinics, the fitness industry and others. This is one way to grow the spa industry beyond where it is now, along with the education of the consumer, which is dear to me, and both the DSA and the MSA can play a role. It is sad that the spa industry has not yet been able to unite to come up with concepts to make more consumers aware of and introduce/educate them to the benefits of spa treatments (for example, an awareness campaign such as the one carried out by the American Dairy Association). Consumers need to be made aware of how important it is to check the training and licenses of spa therapists, the same as they would check the licensure and certification of their doctors. Complicated licensing requirements, which, as in the massage industry, vary from state to state, and county to county, make this a near-impossible task. We do get quite a number of complaints (and many compliments) about spas, which mainly come in via our questionnaire on our Web site (www.spaassociation.com). These comments are passed on to spas, members and nonmembers alike. I'd like to be able to carry this concept over to the MSA. Protection of the consumer is an important part of a trade organization, and there needs to be a national body that monitors the industry and acts as a sounding board and clearinghouse. This is the primary mission of the MSA.
ST: At this point, is the Medical Spa Association considered a separate entity from the Day Spa Association (in terms of funding, scope of operations, etc.) working with DSA, or is the former an offshoot of the latter?
HRL: The MSA is a separately funded organization. Because of the aforementioned reasons (see my responses to questions 1 and 2), the close relationship between day spas and a medical spas, and because I founded and run both organizations, it is appropriate to use the word "in affiliation with." Many of our day spa members, as well as our allied members (companies who supply the industry with products and services - including your publication), are choosing to upgrade their DSA memberships to become members of the MSA. The Day Spa Directory 2003 will incorporate the Medical Spa Directory, but I am certain that as the MSA grows in membership and obtains sponsors, these directories will be separated.
For more information on the Day Spa Association or the Medical Spa Association, go to www.dayspaassociation.com or call 201-865-2065.
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