resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
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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