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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
February, 2014, Vol. 14, Issue 02
WIBB Exclusive: Steps to Make 2014 Your Best Year Ever
By Stephanie Beck
This is a good time of year to be planning to cultivate new growth. It doesn't matter whether you are just starting a practice or if you have been a massage therapist for a while, to get the best results, you will need to have a clearly developed plan.
I realize that answer is not sexy or complicated; it isn't a magic pill or a button to push. It just requires a little bit of time and thought. Sounds too simple right? Sometimes I come across people who ask, how is that going to help me? I'm a sole practitioner or I work for someone else, why do I need a plan? Think about this, when you start a massage, you have an end result in mind, right? You were taught a series of steps or procedures you use every time someone is on your table, correct? Depending on your training, you may start with the client in supine or prone position and either the head or feet but each time you begin a massage you always follow a series of steps (a plan), sound about right?
You were trained to follow this series of action steps and you are now able to perform a massage without having to really think about what comes next, but being able to concentrate on achieving the best results right?
So, take on that same mindset when you are approaching your practice. Develop that plan so you do not have to think about what to do next. What do you want your end result to be? Do you want to expand to a 20 room massage clinic? Do you want three more massage clinics in your area? Do you want to build the practice up to a sustainable income and be able to sell it? Do you want to maintain your current status and income and be able to continue working the same amount of hours for the next 10 years? What is your desired result?
When we first start working with our clients, we have to invest some time understanding what it is they want to achieve both short term and long term and what the final results should be. This is an important step not to be missed even if you have been in practice for any amount of time. Spend a few minutes to really think about what you want to achieve.
Avoid being a practitioner who starts "doing" lots of projects without thinking it through. Ultimately, what happens is they get so busy "doing" things they might see some initial growth, but inevitably it stagnates and pretty soon they find themselves working harder and harder and going nowhere. Sound familiar?
Maybe you can relate to feeling like you are stretched too thin and it isn't that the projects aren't great ideas; it's just that you are only one person trying to do it all. Or maybe you have others around you working and you are all working hard but you are so busy working "in" your practice instead of "on" your practice that you aren't getting the results you really want. Can you see how that might happen? Trust me, we have all been there!
So, before getting to a breaking point or worse yet, burnt out and ready to quit, give yourself permission to STOP. Now, take a breath. Then, retrain yourself to concentrate on what it is you enjoy doing most? This is so stinking simple, if you are like me, I try to over think it or complicate it too much of the time. Just ask yourself this question: "What do I enjoy doing more than anything else in the world?" And that answer, no matter what it is, is what you should be doing.
Now, I would assume for the majority reading this, the answer might be something similar to helping clients feel better. To which I ask, that's great and how do you do that? For some, one way to make the client feel better is giving a hot stone massage, for others it might be some cranial sacral or deep tissue sculpting; for me that could mean setting up a Facebook ads campaign, writing a series of auto-responders, redesigning a website or sharing my thoughts in a new book.
Here is the BIG take away, you need to figure out what is it in life that brings you the most joy when you perform it. And that, my friend, is what you should be doing daily above anything else!
Once you figure out what brings you the most joy, now determine what the plan is so all you have to do is do that one thing that makes you the happiest. To help you organize this into a format here are some steps.
Start by compiling a list of where your practice is today: Be specific, how many clients you have, where you work, how many hours a week, what is your cost per treatment, what does it cost to get a new client? What is the initial value of a client and what is the life time value of a client? (If you don't have clients yet or don't have all the answers, then list what you need to have to support your expenses.)
List where you want to be and when you want it to happen; be specific about it. How many clients do you want to have? How many hours to you want to work? Where do you want to work? In a perfect day, what would happen? When do you want all of this to take place? Include all variables of your practice: personal, professional and financial.
Imagine it is one year from today. List out what must have happened personally, professionally and financially to have made this the BEST year ever and describe what happened and how it made you feel.
Ask yourself what is the main challenge keeping you from achieving that goal (the best year ever)? More than likely there is more than 1 challenge, not to worry, keep making a list until you have all the challenges listed.
Review the list of challenges and identify the possible solutions for each of the challenges. If you don't know a specific solution to the challenge then list a solution that might help you achieve that solution. For example, you may need a website but you don't know how to build a website or even who to go to find a person to build one, so who are you going to ask or what are you going to do to potentially find the solution. (Ask friends? Look online for reviews? Ask your instructor? The goal is to list the best solution or a way in which you can get a solution to the challenge so everything has an answer or a way to start finding a solution, make sense?)
Separate the solutions into categories identifying them as "things you can do," "things you should be doing" and "things for someone else to do." Here's a hint. Those items in the "things you should be doing" category are the things you enjoy doing the most! Therefore, this should be a very limited category. So if you don't enjoy doing them, they belong in one of the other categories. Also, consider there may be things you "can" do yourself, however, spend some time really contemplating the items in this category. Evaluate if that is the BEST use of your time management or money and how quickly you want to achieve your goal. The best result for the "can" do list might be to move it to the list for someone else to do.
Prioritize your solutions to help you make next year the BEST year ever! In other words, which items do you need to do first in order to achieve your goal?
When you complete this exercise, you should have an action plan, with a list of challenges and prioritized solutions so you know where to begin and what action you need to take next. Now that you have the action plan we can start working on the individual components.
So, here is the challenge. Submit your list challenges for things you can do or items someone else should be doing in the comments below. I will help you with each of these on a monthly basis. I will provide solutions or recommendations based on my expertise, insight and support. I look forward to working with you to help make 2014 the BEST year ever!
Click here for more information about Stephanie Beck.
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