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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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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).
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.
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.
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.
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.
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.
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?
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
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.
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.
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?'
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.
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.
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.
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.
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.
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.
September, 2011, Vol. 11, Issue 09
Embracing the Future of Integrated Care
By Whitney Lowe, LMT
There is no shortage of complaints about the health care system, whether in this country or abroad. Unfortunately, we don't get as much press attention for those things that actually are innovative and working well.There is a movement afoot where practitioners are looking at ways to offer the most optimum means of treatment in a patient-centered healthcare approach. This method of integrated care is an exciting departure from what we have seen previously as the dominant model in our health care system.
While there are many situations in clinics where health professionals in different fields work together, as a general rule, our professions work and exist in separate silos. Each of our professions has a unique culture, literature, attitude, and perception. We tend to view the other professions through the lens of bias created by our own profession.
Yet, for any patient or client to derive the best care, in many situations the skills of different professionals are needed. For this to work we must get out of our silos and learn more about each other as healthcare professionals. I have had the great fortune to work with two different organizations that are doing this in very inspiring and unique ways and there is much that we can learn from them in providing the most effective patient- or client-centered care.
Several years ago, I began working with the Academic Consortium for Complementary and Alternative Health Care (ACCAHC). This is one of the most passionate and interesting groups I have ever worked with. I first met many of these individuals prior to ACCAHC's formation at the National Education Dialogue (NED) held at Georgetown University in 2005. The purpose of NED was to bring together physicians and deans of academic medical centers with leaders in the alternative health care professions, to talk about educating future practitioners so we could learn more about what we do in each other's professions. It was simply amazing to sit at the table with physicians and mainstream medical academics who were eagerly interested in learning about what we do in massage therapy and alternative healthcare.
ACCAHC grew out of the NED and is an organization of representatives from alternative health care professions. The primary focus of ACCAHC is to encourage a patient-centered healthcare model that includes integration of all healthcare modalities to find the most effective and appropriate care for each individual. In order for this to occur effectively, the practitioners, educators, and researchers from each of these professions must first learn a great deal about what others in different fields do. While I thought I had a pretty good understanding of the other alternative healthcare professions, it became very clear early on that there was so much I didn't know about how care was delivered in these other fields.
One of the major projects currently underway for ACCAHC is a focus on interprofessional education (learning about what other professions do). When you think about referring a client to someone else for care, it is really essential that you have a thorough grasp of the treatment approaches used for that individual. We must understand how massage interfaces with those other treatments. Similarly, when a client is referred to us from some other practitioner, we need to understand the approaches that have been used previously and why they may or may not have been effective. Interprofessional education is at the core of this understanding and the initiatives of ACCAHC are highly valuable in bringing massage therapy forward.
Unfortunately, not all of the organizations in the massage therapy profession have recognized the crucial importance of ACCAHC's work. We have had good representation from educators, clinicians, and researchers, but in order to move forward as a viable profession within this organization we must also have a strong and proactive participation from our accreditation and certification bodies.
The second group that illustrates a great model of integrated care is one that I've very recently become involved with. It is called TRIARQ and is headquartered in New York. TRIARQ was started by a number of physicians and physical therapists who recognized that they were both working with the same patients, but in many instances not benefiting from a thorough and comprehensive understanding of the treatment approaches they were each using. As the TRIARQ website states:
"Healthcare for patients with musculoskeletal injuries is fragmented among physicians, physical therapists, occupational therapists and patients. Historically, there has been limited communication or coordination of care amongst these groups. We are seeing fundamental changes in the philosophy of patient care including stress on continuity, quality, scientific-based treatment and performance of healthcare professionals. The success of treatment, measured by patient satisfaction, needs to improve."
Because musculoskeletal injuries make up a huge segment of healthcare expenditures, it is essential that we encourage greater collaboration between those professionals who treat musculoskeletal injuries. TRIARQ has recently opened up their membership to massage therapists and actively encourage the participation of massage professionals in this interprofessional dialogue. After speaking at a recent symposium with them in New York, I was once again thoroughly impressed by the degree of respect and mutual collaboration amongst all the individuals representing their own unique perspectives. It is this type of integrated healthcare that will provide clients and patients the most effective opportunities to enhance their health and well-being.
I would encourage all massage therapists to seek out not only these organizations, but any opportunities to enhance your own understanding and awareness of what people in other healthcare fields do so you can best understand how to integrate those practices with your own. We are at a place in our health care system where we must get out of our individual silos and find ways to deliver optimal integrated care. The more we learn about each other the better we will be in our own approaches.
Click here for more information about Whitney Lowe, LMT.
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