NCLC 2018 Session Overview - March 3
Educational Program  Session Summary 
Saturday, March 3 
Track 1  Perspectives for a Successful and Ethical Practice


10:30am - 11:30am 
Behavioral Change, Health Coaching and Chiropractic Care: Sustaining Long-Term Results
 (1 CEU)*
Joel Kreisberg, DC 

As chronic lifestyle issues become more prevalent, doctors of chiropractic can sustain more lasting results by adding health coaching skills. Health coaching enables patients to better articulate their personal health and wellness goals. As a client-centered process, health coaching assumes a working partnership between patient and physician that advances healthy lifestyle behavior change. This session introduces coaching core competencies for busy chiropractors.


 11:30am - 12:30pm 
Coding, Billing and Compliance (1 CEU)*
Kevin Sharp, DC

Quality coding, documentation and compliance provides a detailed review of what is needed in each step of the patient process, including the critical numbers that express medical necessity (i.e., ICD-10, CPT (over, under and bad coding) and number of visits and how to not be a slave to your documentation).


2:00pm - 3:00pm 
How to Build a Compliant and Profitable Practice 
Kevin Sharp, DC

Running a compliant and profitable practice are not two oppositional concepts. In fact, it's important to understand how to produce quality documentation, provide quality care and operate that practice in a way that rewards this effort. This presentation is designed to challenge doctors of chiropractic to make business decisions that drive quality outcomes in patient management and the profitability of the office. If the success of your office is determined by your check book balance each month, then you need to reconsider your approach to running your office.


3:00pm - 4:00pm 
Using Patients Reports of Outcomes and Experiences to Improve Outcomes 
Jonathan R. Field, DC, MS, MSC, PhD

Patients reports of outcomes and experiences (PROMs & PREMs) with care can be used to help improve health outcomes, communication between patient and chiropractor and to transparently promote the use of chiropractic services.This session will present the evidence behind the use of PROM/PREM for the care of individual patients as well as for enhancing development of clinical services.



4:30pm - 5:30pm 
Redefining LBP Best Practices Through Real World Outcome Data 
(1 CEU)*
Tim Bertlesman, DC, CCSP, FACO
Brandon Cory Steele, DC, FACO

The value-based health care model defines success in one word: OUTCOMES.  This presentation exposes the importance of merging functional movement testing with orthopedic tests to get the best clinical outcomes. These tests help to identify commonly overlooked functional diagnoses that contribute to many, if not all, of our structural diagnoses. This presentation will review the evaluation and management of the most widespread functional deficits with practical skills for improving clinical outcomes tomorrow.

Track 2  Best Practices in Spine Care (Sponsored by Spine IQ)





10:30am - 12:30pm 
Am I Choosing Wisely? How to Implement Choosing Wisely in Your Practice
(2 CEU)*
Moderator: Christine Goertz, DC, PhD 
Christine Goertz, DC, PhD 
John Ventura, DC
Kendall Payne, DC
Lee Matthis, DC 

The Choosing Wisely® campaign was developed by the American Board of Internal Medicine Foundation to facilitate informed and collaborative discussions between doctors and patients about the necessity, efficacy and risks and benefits of common tests and procedures. The Choosing Wisely initiative looks to doctors and the societies representing them to underpin these efforts by identifying a “Top Five” list of evidence-based recommendations that draw attention to potentially unnecessary tests or therapies.

ACA’s Choosing Wisely list was developed after several months of careful consideration and thorough review, using the most current evidence about management and treatment options. This panel will discuss the background of Choosing Wisely and the development of the ACA Choosing Wisely statements. Additionally, attendees will hear how the panelists are implementing the recommendations into their practices.






2:00pm - 4:00pm 
Models of Integrated Practice Panel 
(2 CEU)*
Moderator: Stephen Perle, DC 
Lauren E. Austin-McClellan, DC, MS
Anthony Lisi, DC 
Leo J. Bronston, DC
James J. Lehman, DC

This panel provides attendees with an overview of the key medical, surgical and behavioral specialties most likely relevant to chiropractic practice and will leave attendees with a deeper understanding of the similarities and differences in the training and typical practices of these medical providers. This will enhance a chiropractor’s ability to collaborate and increase participation in team-based care. Integrated care offers a solution to increasing health care costs by improving access to patients and increasing capacity of mental health care providers. The presenter will discuss the relevance of practice transformation with an overview of existing collaborative care models. 

Lauren McClellan Austin, DC & Anthony Lisi, DC – An Overview of the Medical Specialties Most Relevant to Chiropractic Practice

James Lehman, DC – Federally Qualified Health Centers and New Chiropractic Employment Opportunities

Leo Bronston, DC – Behavioral Health Integration


 4:30pm - 5:30pm 
Spinal Stenosis, Post-Surgical, Cervical, Upper Thoracic, Lumbar (1 CEU) *
James M. Cox, DC

Protocols for application of Cox Technic Flexion Distraction and Decompression (CTFDD) are defined via biomechanical and clinical research and guided via published algorithms of decision-making for radicular and non-radicular pain. In this workshop, these protocols (i.e., cervical, thoracic and lumbar spine) and their modifications will be discussed. The two main protocols are implemented according to patient presentation, tolerance testing, the 50% Rule, and patient improvement measured subjectively and objectively.