resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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?
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?'
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.
January, 2016, Vol. 16, Issue 01
Integration: Team-Based Care and Collaborative Practice are the Future of Healthcare
By Martha Brown Menard, PhD, LMT
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.Interest in interprofessionalism dropped off for several years and was then renewed after a series of reports from the Institute of Medicine1,2 raised concerns about the quality of health care delivered in the United States, including reductions in patient safety and increases in medical errors, and noted a connection to the need for health professionals to work better together.
The lack of teamwork, collaboration and communication was leading to increased health care costs and poorer health outcomes. Leaders in quality improvement recognized the importance of team-based and collaborative care models – starting with students and continuing into professional settings – to meet the Triple Aim:3 improved patient or consumer experience, lower costs, and better health outcomes, in all settings and professions. The NCIPE and its supporters believe that high-functioning teams can improve the experience, outcomes and costs of health care.
Traditionally, IPE has referred to interprofessional education. The most commonly accepted definition, adapted from the Centre for the Advancement of Interprofessional Education in the United Kingdom and the World Health Organization, states that it "occurs when two or more professions (students, residents and health workers) learn with, about, and from each other to enable effective collaboration and improve health outcomes." According to the NCIPE website, "While called by different names, we call it interprofessional practice and education, or the "new" IPE. We use the phrase "interprofessional practice and education" (IPE) as a way to create a shared space between interprofessional education, interprofessional practice and collaborative practice. The 'new IPE' does not replace the principles related to these concepts – rather, it embraces them."
The "new" IPE is not about education for education's sake. It's about improving health, creating support systems and trying different models of practice. It intentionally supports people – including health professionals, health workers, students, patients, families and communities – to learn together every day to enhance collaboration and improve health outcomes while reducing costs. This is an exciting vision that holds opportunities for the massage therapy profession, and one that is relevant to all of us as health care consumers.
Implications for Education and Practice
The increasing focus on interprofessionalism as part of health care means that there may be more opportunities for massage therapists to work as members of health care teams in clinical settings. Exactly what form this may take remains unclear, however. While massage therapists are regulated providers in the majority of states within the US (44, at last count, and the District of Columbia), relatively few currently work in integrative health care settings such as a chiropractor's office or in hospitals — approximately 12% to 25%, according to 2014 industry estimates.4,5 One factor in this disparity is the relative lack of academically-based entry-level education massage therapists typically receive, and the perception of other health care professionals that there is a high degree of variability in the quality of massage education nationally.6 Those responsible for hiring decisions at health care facilities and within human resources departments may not know what specific qualifications and criteria potential massage therapy team members should meet, or how to credential them to work in that setting.
Another issue is that many massage therapists typically work as individual practitioners, rather than as members of a team. Medical settings in particular tend to be hierarchical in nature, and some massage therapists may have little experience in how to work with others in such a structured environment. As newer members of the team, massage therapists will be expected to "speak the language" and be familiar with practices such as charting and medical records, standard procedures for infection control and universal precautions, and applying research evidence to practice. It will also be important for massage therapists in these settings to be able to explain what they do and their clinical decision-making process to co-workers using language that other health care professionals can understand. Massage education will increasingly need to incorporate topics such as these into the curriculum so that graduating students who choose this career path can be prepared to work as effective and respected team members in health care settings.
So, what can current practitioners who are interested in working more interprofessionally with conventional health care providers do? The NCIPE has created the Nexus: A means of connecting health professions education, specifically interprofessional education, and transforming health care practice – creating a true partnership and shared responsibility, conversation, language and learning. In the Nexus, clinical practices in transforming health systems that partner with health professions education programs think and act differently, serving as learning organizations that support continuous professional development while educating the next generation of health professionals.
The Nexus provides a wealth of online resources, which can be accessed at: https://nexusipe.org/. These include a directory of members, educational resources, IPE events, and updates on ongoing research projects. Massage therapists can register as a user on the site at no charge, and can download papers, participate in discussion groups and attend webinars. There are also several free, e-learning modules on topics such as "Interprofessional Communication" and "What is Interprofessional Education." The NCIPE is a wonderful resource for educators and therapists interested in interprofessional education and practice.
An additional resource is the Academic Consortium for Complementary and Alternative Health Care. ACCAHC also provides many free resources for integrative health practitioners, such as a desk reference on the integrative health professions, a webinar series, resources for evidence-informed practice and credentialing of practitioners, and a newsletter with current events in integrative health. Sign up for the ACCAHC newsletter, the Collaborator, at their website: www.accahc.org.
Perhaps most important, however, is for practitioners to network with other health care providers, both conventional and integrative, within their own communities. Attending events at local hospitals and introducing yourself can be a great way to increase referrals as well. Look for continuing education opportunities for health care providers at area universities, and consider attending these, especially if there is a lunch or social time scheduled as part of the event. You may be able to attend at a reduced cost if you are not registering for CEUs, or if these are not offered for massage therapists. And if you are interested in attending a national event, think about the International Congress on Integrative Medicine and Health, focusing on research, education, clinical practice and policy, to be held in Las Vegas, NV, May 17-20, 2016. Visit the conference website for more information: www.icimh.org/.
Martha Brown Menard, PhD, LMT, is the director of the Crocker Institute and a licensed massage therapist in Kiawah Island, SC. She is the author of Making Sense of Research (available here). Martha is also the co-executive director of ACCAHC.
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