The American Chiropractic Association’s (ACA) 2021 George B. McClelland Researcher of the Year Award was presented to Kenneth A. Weber, II, DC, PhD, of Palo Alto, Calif. As a postdoctoral researcher and instructor in the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University’s School of Medicine, Dr. Weber’s work is not only interesting, but significant in improving patient outcomes. Inspired by many professors and colleagues throughout his career, he has developed a passion for mentoring others who aspire to careers in research.
While the majority of musculoskeletal cases respond quickly and favorably to conservative care, some conditions are less cooperative. When a patient is not meeting outcome goals, evidence-based chiropractors must be willing to abandon their familiar recipe, and “do something different.” In a value-based healthcare model, there’s a vast difference between merely treating someone vs. delivering best practices. The essential step for improving clinical outcomes is to provide the most effective care for every patient on every visit—including those cases that challenge us.
The emphasis of data-directed outcomes is altering how insurance companies make payment decisions. Doctors can adopt proactive, instead of reactive, approaches to assessment and documentation that demonstrate the patient improvements needed to show medical necessity. Functional outcomes are metrics that will represent patient improvement. Mat DiMond, DC, a presenter at Engage 2020, ACA's upcoming annual meeting, discusses this topic in a Q&A with ACA Blogs.
Person-centeredness is an approach to health care focused on the person, placing high importance on things such as being respectful and responsive to individual preferences, needs and values. Practitioners who adopt this approach to care report that it can transform the doctor-patient encounter and even re-energize providers. The path to patient-centeredness, however, is not always a natural one for doctors, many of whom report that they must continually work to adopt and refine this style of patient care. Learn what you can do to begin moving toward a more patient-centered approach in your practice.
ACA’s annual meeting, the National Chiropractic Leadership Conference, brings you cutting-edge, evidence-based education sessions featuring some of the chiropractic profession’s most respected thought leaders and content experts. Many sessions also offer continuing education credits. Here we pose questions to presenter N. Ray Tuck, Jr., DC (pictured), who runs a multi-clinic system in Virginia, along with his co-presenters Lee Matthis, DC and A.J. LaBarbera, DC. Their presentation is, “Measuring Success in a Patient-Centered Chiropractic Office.”
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) officially ushered in the value-based model of reimbursement, beginning a change to the payment landscape of American health care. But what does this mean to providers? What does it mean overall for you as a chiropractic physician? First of all, we shouldn’t be afraid of the deck being “reshuffled.” Anytime there is a change in a system – especially a system that has delayed or avoided change – it becomes ripe for an innovative, landmark transformation.
Long before many of us can remember, there were only two people sitting in the chiropractic treatment room – the patient and the doctor. Gradually, the state licensing boards starting showing up. They were joined by the insurance industry. Then health policy makers like Medicare and Medicaid. Followed by more members of the insurance industry. Then scientists made an appearance, talking about evidence-based clinical practice. Now this already very crowded room may become even more crowded if we open the door to the ever-loudly-knocking performance measurers. We have had time to get at least somewhat used to the state and national boards, insurers, policy makers and even the scientists, to some extent. But what is performance measurement and how might it be beneficial to the practice of chiropractic?
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.