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News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
May, 2012, Vol. 12, Issue 05
Practice Building: Systems for Success
By David Kent, LMT, NCTMB
As healthcare providers, we understand the concept of "cause and effect" as it applies to the systems of the human body. When one system is compromised, others are affected. For example, when the muscular system is stressed due to trauma, poor posture, overuse or improper biomechanics, it affects the skeletal system in numerous ways; from limiting joint range of motion to increasing joint pressure and creating dysfunctional movements that can permanently damage joints.For the body to be in a healthy state of homeostasis, all of systems must be balanced and working in harmony. This same concept applies to each interdependent system that combines to form the unified whole we call our practice. When one or more systems of our practice are out of balance, stressed or "dis-eased," the affects over time are cumulative and could even be fatal. It is of vital importance that you make the transitions and integrate the systems needed to build a successful, sustainable and profitable practice.
First, you must know where you are going. Effective long- and short-term goals are created with a system of asking quality questions and providing honest answers. This process will help you design your dream practice and identify the systems necessary for it to be healthy. See my previous articles on this topic: "The Power of the List," (MT Jan. 2008), "Massage Your Balance Act" (MT, June 2008), "Practice Building: Taking Your Massage Practice to the Next Level" (MT, November 2009), "The SMARTER Approach to Achieving Your Goals" (MT, February 2010), "Creating Your Path to Success" (MT, September 2011), and "Survival Tips for Massage Therapists" (MT October 2011). Once your goals are clearly defined, the management of time and money are next.
Allocating and utilizing time efficiently, inside and outside of the treatment room, is critical to the success of your practice. Begin everyday by taking time to assess, organize and plan the top three or four items on your goal list that are most important for you to accomplish throughout the day. See my previous articles, "The Power of a Minute" (MT, June 2007), "The 80/20 Rule: Maximizing the Return on Your Investment" (MT, March 2008). Asking patients the right questions and listening to the patient's response will save time and establish clear treatment goals. (Read "Questions With Direction" MT, September 2008).
Muscular, skeletal, trigger point and other wall charts are great visually aids or systems that save time during patient education. Portable flip charts provide a quick professional presentation in any environment and are easily moved from one location to another. (Read "Charting Your Progress: Visuals for Success" MT February 2008, and "The Initial Treatment: Generating Thousands to Your Practice" MT, July 2010.) Are you utilizing the technology available like an iPhone, smart phone, tablet or iPad, to save time and work most efficiently? These mobile devices let you make calls, schedule appointments, take pictures, read e-mail, do research online, get directions, watch videos, take payments and more.
Are you looking for a more efficient, time saving system for depositing money? Did you know there are services that let you take credit cards on mobile devices by attaching a free credit card reader? Your patients swipe their credit card and their money, less a processing fee, is deposited into your bank account. We all know the saying "a picture is worth a thousand words." Doctors have a system using X-rays and MRIs to quickly assess and educate. You can implement a system of taking posture photos using the built-in camera and screen of a mobile device. Showing patients a picture of their posture, leaves a lasting impression of your ability to quickly identify the musculoskeletal cause of their pain while providing visual evidence of your objective findings. (Read "Practice Building with Postural Analysis" MT, January 2012, and "Practice Building: Getting Inside Your Patient's Head" MT, January 2011).
Massage therapists can use postural analysis photos as a system to assess, educate and document a patient's musculoskeletal health. Accountants and bookkeepers have systems that provide a "picture" of the financial health of your practice. Posture photos make it easy for you to show patients their high shoulder or forward head posture and how they contribute to their pain. Reports are the "pictures" that make it easy to see the expenses creating financial pain. When people have muscular pain, it is logical for them to schedule a treatment with a massage therapist. The therapist will assess and educate their patients about different "systems" for maintaining muscular health that include: regular stretching, exercise, eating nourish foods, rest and massage therapy treatments. Similarly, if you are experiencing financial pain or want to avoid it in the future now is the time to schedule an appointment with an accountant or certified bookkeeping trainer. They have the education and experience to evaluate your practice and recommend the systems needed to develop and maintain financial health.
Other systems of generating additional income without spending extra hours in the treatment room is selling topical analgesics, pillows and essential oils. Many clients use topical analgesics between treatments. There are several types on the market. One company offers free samples attached to a flyer with your name and contact information printed on it. This is also beneficial in promoting your business. Integrate the use of topical analgesics into your treatment routine and give your clients a few sample packs to use at home. Free samples often lead to future sales. If your clients want to buy a topical analgesic, it's better for you to make a few extra dollars selling it than sending them to the drugstore or the Walmart down the road.
Throughout your career, if items like your massage table or massage chair are not properly maintained they will wear out quickly and need to be replaced, costing you time and money. Are you practicing what you are preaching to your patients? Your overall health is the most important component of all the systems that combine for your success. If you are not maintaining optimum health, other systems in your practice are affected and suffer. You only get one body and need to take care of it. (Read "Preparing For The Game" MT January 2009.)
These tips are based on decades of experience as both a therapist and clinic owner. Failure to anticipate and or react to competition, technology, or other changes in the marketplace will cause you to fail. Everyday focus on improving the systems needed to build your successful, sustainable and profitable practice.
Click here for previous articles by David Kent, LMT, NCTMB.
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