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News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
August, 2002, Vol. 02, Issue 08
Exploring New Paths: Starting Your Own Business
By Perry Isenberg
So, you want to start your own business and be your own boss? There are quite a few considerations to keep in mind as you branch out on your own. Location; expenses/overhead; insurance; payroll; taxes; business licenses; depreciation on equipment; cost of supplies; etc., all influence how much money you need to start.The major reason smaller businesses fail is an insufficient amount of money (start-up capital). You need a budget, which should include your salary. An accountant can help you handle things smoothly.
Where you set up your new practice depends, among other things, on how much money you have to rent a decent office. Maybe you want a small office in your home, or just want to see clients in their homes (sort of a mobile therapist). You need to research how close your existing clients will be to the office, and if there are any high-traffic areas that may complicate their visits. No one wants to drive 20 miles to the therapist's office; decide how far you think your clients are willing to travel, since they are going to be the staple of your business in the beginning. Also check the zoning laws, and don't forget the business licenses and insurance! Find out how much insurance you need to carry; this varies depending on the state in which you are starting your business. You will need a fair amount of equipment, including massage tables; linens and towels; a washer and dryer; phones and phone lines; computers; desks and chairs; etc. Depending on how big you want to be, you may also need waiting-room furniture and decorations, office supplies, a copier, fax machine... the list goes on and on. Shop around for these items, so you get the best deals and spend the least money (without sacrificing quality). The plan is to research, budget, implement and market.
OK, so you've determined your approximate office costs... are you going to have any staff? With employees come payroll, federal and state tax, unemployment tax and workers' compensation obligations. Are you going to offer any benefits for long-term employees? Think about it first! If you have a few bad months financially, you'll still have to pay these benefits! Good therapists are hard to find, and you get what you pay for. You also need to be careful about the people you hire. You should do a background screening, and definitely check references. If you accept insurance from clients, you will need to have staff that knows insurance coding, medical billing, etc. Paperwork takes up too much time. It is worth hiring someone with this expertise (maybe part-time at first) to help free up your time to see more clients. Also, are you going to sell any products? Retail sales are vital for the financial health of the practice, and to expand client services. This may generate extra income for you... but don't forget the bookkeeping!
How do you get the money to start your practice? Some of the start-up money may be yours, a family member may help, or perhaps a friend has a little extra cash... of start-ups take the Small Business Administration (SBA) loan route. If you choose this option, you will need a good business plan in writing (a three-year projection is usually required) to be considered for one of these loans. The Small Business Administration has a fabulous website that can answer many of your questions, including how to apply, who to contact, what the business plan entails, and why you need one. You can visit the SBA website at www.sba.gov. There are numerous small business seminars you can attend (some at local community colleges). Usually a seminar is only two days long, and it's worth the time invested. A good seminar will provide such information as where you can apply for loans, and how to design your business and marketing plan.
Having your own practice has its upside and downside, but if you plan, research and prepare yourself to work hard for yourself, you will be successful.
Until next time, be healthy, be good, and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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