resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
May, 2004, Vol. 04, Issue 05
By Steve Capellini, LMT
Author's note: The Spa Letters column features news, personality profiles, trends and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
Well, the opening of your new day spa is just two months out now, and you're going crazy trying to get everything together.Don't worry; that crazed feeling you have is natural. It wouldn't be a true spa opening if you didn't feel like you were juggling at least a hundred balls in the air at once.
I must admit - you really "take the bull by the horns" when you need to get things accomplished. The job descriptions you've created for The Spa House are exactly what you needed to keep things on track as the business gets up and running. Without a clear understanding of what's expected, employees have a tendency to make their own rules, regardless of your best, albeit unstated, intentions.
Job descriptions are usually most effective in spas when they are included in a manual that you hand out to each employee. That means each employee benefits from reading the job description of every other employee, as well as his or her own. It is most important for you to include a job description for yourself and your partner/co-owner Barbara, as well as the people who will work for you. That way, you'll be perfectly clear about your role regarding authority, boundaries, and responsibilities.
There are just a couple little things I would change with the job description you created for Jeanie, your lead therapist.
When writing job descriptions, it's important to remember that employees will often take them literally. So, it's important to include a level of detail that cannot be argued with or interpreted in different ways. For example, in Jeanie's description you say: "The lead therapist shall be responsible for the conduct, demeanor and appearance of the other therapists and estheticians." This can be taken several ways. Does that mean Jeanie can then reprimand the other therapists on these issues? Does she have the authority to send them home if one of the guidelines is broken? Does she have to come to you or Barbara first before making any disciplinary decisions? Is there some kind of logbook into which she can record infractions?
Each job description needs to list specific actions that employees can perform to satisfy their duties. For that, you will need to spend a little more time fleshing out the details. Then, when you have finished, you can insert all of the descriptions into the manual, which will include a list of general guidelines that all employees can refer to.
One other item in the job description that I thought could use some clarification was this: "The lead therapist shall be available to fill in for other therapists if they are sick or otherwise unable to perform their normal functions." First of all, this seems a little onerous to me, as it should really be your own responsibility, ultimately, to make sure the customers are happy and that somebody is available to perform their treatments. Passing this off to your lead therapist gives her a little too much power. This might make her resentful of the imposition on her time, and that resentment might lead to an abuse of the power you've given her.
I would suggest you strike this part of the description entirely and instead say: "The lead therapist shall be responsible for creating and monitoring the weekly work schedule for the massage therapists or estheticians, according to the guidelines written in this manual. He or she will report illnesses, requests for time off scheduling conflicts and potential uncovered shifts to the owner/director in a written report on the first day of the pay period every two weeks."
I think you get the idea. So, it's back to the drawing board on those. Sorry to load you with more work! But guess what? There is yet another form you'll need before opening The Spa House. It's called the "client intake" form.
It's very important that you safeguard yourself against potential lawsuits. Regardless of how professional your staff is and how closely you monitor every aspect of your spa's operations, problems can still occur. Remember when you were working in the medical day spa and that client complained that she'd been injured by one of the mechanical massage techniques you performed? It turned out to not be your fault, but it sure felt good to have that liability insurance provided by the professional massage association you're a member of, didn't it?
To that end, it's important to include in your guidelines that each and every one of your therapists and estheticians carries his or her own liability insurance, usually via an association. And it's a must for all clients to fill out an intake form before anyone on your staff touches them. The intake form should give you an idea of each client's general health and any specific problems that you may have to look out for when your therapists and estheticians apply products and procedures to them. Thus, it must be customized to complement your particular offerings.
For example, I've been working with Biotone lately, and have developed an intake form that addresses the specific concerns related to treatments performed with their line of spa products. (View this form at www.royaltreatment.com/Intake_Form.htm.)
In other news, I was happy to hear that the hotel down the street has approached you asking to form a strategic alliance. It has customers in need of a spa; you have a spa (or will have in two months) in need of customers. It seems like a marriage made in Heaven. But how will it work?
I recently counseled another friend opening a spa, on the same issue, and I recommended that she get a written agreement from the hotel stating exactly how they would promote her spa. (Will they have brochures or table tents in the rooms, for instance?) In return, she agreed to offer each guest coming from the hotel a 10-percent discount. The guest receives the benefit, and you receive the business. It's "win-win-win." This, I believe, is a more effective strategy than charging full price and then giving the hotel a percentage of your income.
Keep on charging forward, Lou. You'll have your spa up and running sooner than you think!
Until next time,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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