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Veterans Choice Program: Six-Month Extension Clears Congress for President’s Signature

Doctors of chiropractic treating veterans through the U.S. Department of Veterans Affairs' Veterans Choice Program (VCP) received good news on Aug. 1, with Senate approval of the “VA Choice and Quality Employment Act of 2017.” The bill passed without objection on the heels of House action last week, which approved the measure overwhelmingly, 414-0. The legislation directs $2.1 billion to the VCP to keep it operating through January 2018, preventing a disruption of care for veterans in the program as Congress continues to work on a broader overhaul.

Author: Jack Dusik
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Women in Chiropractic: Viewers Questions Answered

*Member-Exclusive Content* ACA’s first Facebook Live discussion, “Women in Chiropractic,” has been viewed by more than 5,000 people to date. The discussion explored the opportunities and challenges that women encounter in the chiropractic profession and celebrated the unique approach and perspectives that they bring to patient care. Viewers were invited to submit questions during the broadcast, and following are answers from moderator Christine Goertz, DC, and featured guests Sarah Potthoff, DC, and Keita Vanterpool, DC.

To read more, log into MyACA

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Enhancing a Biopsychosocial Approach

Part of the Evidence in Action series by Palmer College of Chiropractic

The concept of caring for the whole patient is not new. As early as the 5th century BC, Hippocrates described the importance of attending to the person behind the disease rather than the disease itself. He described psychological, social and physical elements that variously combine and contribute to a person’s health. Assessing and addressing all three components (biological, psychological and social conditions) contributing to health is called a biopsychosocial approach.

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House Advances Pro-Chiropractic Bill to Boost Ranks of Certified Medical Examiners

The U.S. House of Representatives on June 26 overwhelmingly approved the “Veterans Expanded Trucking Opportunities Act of 2017” (H.R. 2547), sponsored by Reps. Rob Woodall (R-Ga.) and Julia Brownley (D-Calif.). The bipartisan bill aims to ease the transition of military personnel seeking commercial driver's licenses by increasing the number of health professionals―including chiropractors―serving at U.S. Department of Veterans Affairs (VA) medical facilities who are eligible to conduct physicals for truck drivers.

Author: Jack Dusik
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Publication Bias and Outcome Switching: Threats to Evidence Assessment

Publication bias is a growing problem in evidence-based practice. In the hierarchy of evidence, systematic reviews and meta-analyses lie at the top of the evidence pyramid because they are regarded as the most rigorous form of evidence for possible clinical decision-making. But publication bias can color the results of those reviews and meta-analyses in ways not easily seen nor understood. 

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Selling Your Practice: Valuation and Practical Advice

Selling a practice can be a stressful event. Most DCs are so focused on healing patients they don’t have the time for, or the interest in, learning about business valuation. How do you sell a practice? Is it time-consuming? Expensive? Are lawyers required? How do you find the right buyer? How do you determine a fair price? For some chiropractors, this process may seem so daunting it is simply easier and less stressful to put off the decision. The good news is that selling a practice is not as arduous as it may seem. 

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Pros and Cons of MACRA: It’s a Business Decision

ACA and Best Practices Academy team up to provide education on value-based reimbursement.

Having had the opportunity to speak across the nation regarding the new Medicare quality payment program, I soon realized how emotionally charged our colleagues are about the concept of “one more thing.” One more thing…added to the list of all the other things we have to deal with or at least should deal with; but that, frankly, our profession isn’t dealing with. What am I talking about? Regulations that affect the healthcare industry, and we are in the crosshairs because we are health care professionals, defined as “physicians” in many states (including Medicare) and our practices are affected by it. This cold, hard fact rings true for many practices that have experienced post-payment audits and recoupments, HIPAA violations with fines and public reporting. 

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Interpreting “Quality” and “Strength” in a Practice Guideline

Part of the Evidence in Action series by Palmer College of Chiropractic

The American College of Physicians (ACP) recently released a clinical practice guideline for noninvasive treatments for low back pain. The goal of this guideline is to inform care decisions by systematically evaluating and summarizing available scientific evidence for treating acute, subacute and chronic low back pain. Many treatments used by doctors of chiropractic, such as spinal manipulation, superficial heat, acupuncture, motor control exercise and low level laser are included as recommended first-line treatments.

 

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“Soy Doctor Bryan”

For those of you who don’t speak Spanish, I will translate; Hello!  My name is Bryan Kent, I am a volunteer doctor for World Spine Care in the Dominican Republic!  Over the past week, I have had the humbling experience of treating spine pain, among other chief complaints, for the people of the Dominican Republic.  

Author: Bryan Kent
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Taking an Evidence-Based Approach to Patient Care

By now you are no doubt familiar with the concept of evidence-based clinical practice (EBCP). But what does that really mean for the doctor of chiropractic? How does one actually implement the “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of an individual patient” when that individual patient is on the adjusting table? It is not that easy, for a number of reasons. 
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