Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
October, 2005, Vol. 05, Issue 10
The Labors of Legislation
Pennsylvania, New Jersey Bills Raise Different Issues
By Editorial Staff
Pennsylvania and New Jersey are two of several states in which massage therapists are seeing legislation introduced regarding licensure and certification.As we go to press, New Jersey Assembly Bill A4034 has been approved in committee, while Pennsylvania's House Bill 1643 has been sent to the House Committee on Professional Licensure.
New Jersey - A4034
New Jersey State Assemblymen Peter Barnes and Patrick Diegnan (both D-Middlesex) and Assemblyman Gordon Johnson (D-Englewood), proposed the bill, which would require certification for anyone performing "massage, bodywork or somatic therapy services." It is believed that this bill will be amended on the floor of the Assembly and then voted on as early as November 2005, when the New Jersey legislature returns from its recess. If the bill is not voted on by both houses by the end of the year, it will be reintroduced in 2006.
The bill stems from a title act approved by the New Jersey legislature in 1999 for massage, bodywork and somatic therapists. The act provided for optional certification, meaning no one was prohibited from practicing; it was just an issue of whether someone wanted to use a specific professional title affiliated with massage and bodywork, such as "Certified Massage Therapist." The act does prohibit state-certified therapists from providing treatment: "Massage, bodywork and somatic therapies do not include the diagnosis or treatment of illness, disease, impairment or disability."
As with most cases of licensure/regulation, there are potential concerns with A4034. In its current form, the bill would make existing voluntary state certification mandatory. Thus, the limited scope of practice in the title act would become the scope of practice for therapists.
Specifically, in the current draft of the New Jersey bill, anyone practicing bodywork who is not state certified is considered to be guilty of prostitution. The following text is taken directly from A4034: "Proof that any premises, place or resort which holds itself out as rendering massage, bodywork or somatic therapy services employs or utilizes a person who is not certified to render these services as required by section 1 of P.L. c. shall give rise to a permissive inference that the premises, place or resort was conducted or maintained as a house of prostitution."
According to the legislative update on the AMTA-NJ chapter's Web site, members are informed that "it is important for AMTA-NJ Chapter Members to remember the State Certification Law is a Title Protection Law, and therefore Professionals choosing to use any of the Titles identified in the Law are obliged to become State Certified. Consequently, for Practitioners in our profession who offer services which are not becoming State Certified this could potentially create a challenge should the State Examining Committee interpret that they fall under the NJ Title Act for Massage Therapy, Bodywork or Somatic Therapies. It is the hope of the leadership of the AMTA that our members and all Professionals in the State will want to become State Certified and be proud to hold their title as defined by our law."
New Jersey has been accepting applications for state certification since November 2004, and as of August 2005, only 60 therapists have been officially state certified, and 170 applications are pending. The current timeline for completing the certification process is at least three months.
Rena Margulis, NCTMB, Dipl. ABT (NCCAOM), a practitioner in Haddenfield, N.J., notes several potential problems with the latest version of A4034. (Under the current title act, the New Jersey Massage, Bodywork and Somatic Therapy Examining Committee, which is within the N.J. Division of Consumer Affairs, is responsible for certifying massage therapists who wish to utilize titles affiliated with massage and bodywork in a professional capacity.)
According to Margulis, A4034 "allows state-licensed, state-certified or state-registered professionals to perform massage and bodywork if it is within their scope of practice. But no one else. In an obvious error, there is no exception for students performing massage in a clinic or for anyone else receiving training in touch, even medical students. There is no exception for out-of-state continuing education instructors or for bodywork offered without reimbursement. Under A4034, anyone who performs bodywork without state certification faces the 'permissive inference' that he or she is operating a 'house of prostitution.'"
Margulis urges massage therapists in other states to watch this debate carefully, as there are fears other legislative bodies could make similar decisions in other states - making a title act a practice act with very little warning. "Compare the differences between the New Jersey statue and the New Jersey regulations. In many cases, what legislators did not prohibit, the regulations did. Many New Jersey therapists who backed the title act several years ago are now very, very, sorry they did," Margulis said.
For more information about A4034, visit www.njleg.state.nj.us.
Pennsylvania - HB 1643
Meanwhile, in neighboring Pennsylvania, House Bill 1643 finally has been sent to committee and is awaiting a vote by both houses as of press time. Currently, 66 state representatives have signed on in support of this bill and the Pennsylvania chapter of the American Massage Therapy Association (AMTA-PA) has distributed 14,000 cards across the state, requesting that HB 1643 be moved from committee to the House for a vote.
However, as with the New Jersey legislation, this bill has its critics - albeit in this case (as far as we can tell), from outside the massage profession. In its most recent legislative update, the AMTA-PA said physical therapists in Pennsylvania have publicly stated they are against the bill. The attorney for the Pennsylvania Physical Therapists Association, F. Stephenson Matthew, was quoted in the Eastern Pennsylvania Business Journal as saying, "The group believes massage therapists are not qualified to treat disabilities or impairments, that licensure is neither necessary nor appropriate and that it has concerns with the grandfathering of existing massage therapists." However, after repeated requests, the PPTA leadership has yet to contact the Pennsylvania Chapter to discuss their issues with the bill.
Despite this criticism, in the same legislative update, Pennsylvania Chapter President, Nancy Porambo, MS, NCTMB, offered her support of the bill: "[The bill] sets parameters from which we can build higher standards for the future of the profession of massage therapy, a position every profession seeking licensure had to take in the beginning of their growth."
She also said: "We are proud to state that many of our schools have redesigned their massage therapy programs to become an associate degree program. Many other programs across the state are above the proposed 600 hour minimum and our standards in the bill are currently higher than the national average of 500 hours."
To track the status of HB 1643, visit the AMTA Pennsylvania Chapter Web site at www.amtapa.org/gov/updates.php.
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