Monday, September 26, 2016

Publication Models Changing as Time Goes On


In my career I have been both an editor for chiropractic science journals and author who has published in them. And since we are now in the world of evidence-based practice, access to journal articles in rather important. But one of the challenges our graduates will face once they leave here is the loss of access to journal articles our site licenses provide them. This needs to be unraveled a bit.
First, the cost to institutions to provide those journals is staggering. Without going into details, I can attest that Palmer has to pay significant funds in order to provide our students access to a host of journals such as you can find on our journals holding list. Of course, once a student graduates he or she can access open access publications at no cost, but that can be limiting, since the top chiropractic journals are not open access (at least not for the first year after an article is published).
New models need to be developed. The traditional journal model is subscription driven. That is, users access information only after paying a fee to do so. Given the amount of information available and the number of journals in existence, it is not financially feasible for newly graduated chiropractors to subscribe to every journal that may be of help to them. One model that has been develop is that of open access, where the author of the article pays a fee to have his or her paper published. The quality controls are present in the best open access publications. Of course, for those of us in chiropractic, coming up with $1500 for publication may not be possible. However, the idea is that in many cases, tax dollars have paid for the research and the public (who provided the tax dollars) should not have to pay again to access information they already paid for.

But the challenge here has led to the existence of predatory journals. These are journals that takes you money, publish your paper and provide no quality control whatsoever. Buyer beware!
And there is the question of timeliness. How many times have we watched and waited to see if our paper was accepted by a journal? I once spent 19 months waiting for a decision on one of my papers. That is unconscionable. eLIFE is an open access journal that promises a turnaround time for decision of just a few days.

I can foresee a time where we change the model altogether. Set up a website, invite publications, allow for transparent review, allow readers to see all communications prior to publication, allow publication and then allow commentary. Remove the journal publisher.
It will be interesting to see how this changes over time.

Tuesday, September 20, 2016

The Classroom of the Future

I’ve been engaged over the last day in a process looking at how we might consider remodeling our classrooms, or to use a more appropriate term, our learning environments. We’ve brought together students, faculty, administrators and IT specialists in an attempt to discuss what we might do and what is is possible we can do.

Let me ask this question: if you could have the classroom of your dreams, what would you want in it? Would it have an interactive whiteboard, or perhaps a screen that runs the entire wall and can be moved via touching it? Would it link classroom computers to the AV system? Would it allow you to generate your own video clips for upload? Would it do away with the Crestron units in the classroom in lieu of something else more responsive?

How does an institution go about planning change? It engages is people int eh process, seeks their input and then deals with the reality of finances, infrastructure, changing personnel, and so on. One needs to think long-term with such planning.

Palmer College as it is today will not be the Palmer College we see in 10 years. The world is changing, and we need to be responsive to how people learn, what students expect and what best practices tell us about teaching healthcare. It will be an interesting journey.

Monday, September 12, 2016

DC2017 Call for Papers Coming to a Close


I’d like to use this week’s blog entry to remind you to consider submitting something to the upcoming DC2017 program. This is the program that will be held in March15-18 of 2017 in Washington, DC. The program is a combination of the traditional ACC-RAC program, with WFC and NCLC- that is, Association of Chiropractic Colleges-Research Agenda Conference, World Federation of Chiropractic and the National Chiropractic Legislative Conference. This is shaping up to be a huge conference, with more than 1000 people expected to attend.
There are still 3 days before the submission system will close. If you would like to submit, go to the submission site: https://www.openconf.org/DC2017/openconf.php

On that site, you can make a submission (or amend one you have already made, as well as upload files), you can log in as a review, or sign up to act as one. If you are interested in reviewing, please contact me and I will give you the keycode you need to log in and register.
I do hope you will consider submitting something. Thanks so much!

Tuesday, September 6, 2016

Issues in Higher Education

Sometimes it is good to stop and reflect upon the issues that confront higher education in general. We here at Palmer sometimes escape the issues that larger general educational institutions must address, but nonetheless there are so many issues that may arise. The American Association of University Professors list the following as some of the more important issues of the day (https://www.aaup.org/issues-higher-education).

  • Academic Freedom
  • Institutional Governance
  • Contingent Faculty Positions
  • Compensation
  • Copyright
  • Distance Education
  • Accreditation
  • Sexual Harassment and Assault
  • Academic Research
  • Civility
  • Conflict of Interest
  • Collective bargaining
  • Hiring and Promotion
  • Diversity
  • Professional Ethics
  • Workload
  • Grading
  • Sexual Identity and Gender Identity
  • Evaluation

 

 

Monday, August 15, 2016

DC2017 Deadline Extended to September 15


Conference Theme:  The theme for the 2017 combined conference is “Impact Spinal Health;” however, submissions may be in any of the categories listed below.

Categories:  The call for scientific submissions invites original research that promotes the dissemination and discussion of new information in the following research categories:

       Basic Science (e.g. experimental trials, quantitative basic science research, etc.)

       Education (e.g. classroom research, quantitative/qualitative education/administration research, etc.)

       Clinical (e.g. clinical trials, quantitative/qualitative clinical research, cohort studies, etc.)

       Case Studies/Reports (e.g. clinical case reports or case series)

       Public Health (e.g. population health studies, preventive care, etc.)

       Integration (e.g. research on integration of chiropractic services into hospital settings, etc.)

       Conference Theme - “Impact Spinal Health” (e.g. public policy, research, clinical practice, chiropractic profession, college administration, healthcare, etc.)

Important Information:  Please note the following:

1.      Presentation of accepted work (platform or poster) is expected.  Authors must register and attend the conference to present.  An author who does not register and present an accepted work (platform of poster) may be disqualified from submitting/presenting at the next meeting of any of the sponsoring organizations.

2.      It is the author's' responsibility to find funding to register and attend the conference.  It is strongly recommended that funding is secured or confirmed in advance of abstract submission.  Once a submission is accepted, registration for the conference is required or the invitation to present will be revoked.  Only authors listed on the submission may present at the conference. 

3.      If accepted, a 195-word maximum abstract will be printed in the conference proceedings in the Journal of Chiropractic Education.  This will allow you to publish your completed paper in any journal you wish.

4.      Due to time and space limitations, a maximum of 2 poster presentations /presenter may be accepted while for platform presentations, a maximum of 3 presentations /presenter  may be accepted.

5.      If the submission does not meet the submission requirements (e.g. not a completed research study, missing items, etc.), it will not be accepted for review.  The WFC Congress, ACC-RAC, NCLC peer review chair will not contact authors if any submission does not meet the requirements.  Notification will be sent out as a rejection notice.  Concept submissions and incomplete works will be rejected.

6.      The corresponding author will be the contact person responsible for submission of all required materials and all correspondence.  Please do not send communications through a third party, staff member, or co-author.

7.      The peer review board may request additional information for any item that is submitted.  This may be for internal quality control purposes or to check on materials if a concern is raised.

8.      If the peer review board confirms that there is an inappropriate submission, it will be disqualified.  Examples of inappropriate submissions include, but are not limited to, submissions that have been previously submitted at WFC Congress, ACC-RAC, NCLC, incomplete submissions, previously published works, concept submissions without complete data and analysis, duplicate submissions, lack of  ethics/subject approval where necessary, non-authors listed as authors, plagiarized work, etc.

9.      Only submissions made to the Open Conference website for the WFC Congress, ACC-RAC, NCLC peer review committee chair will be considered.  No faxed, mailed, or hand delivered submissions will be considered.


Evaluation:  All submissions will be evaluated by the peer review committee based upon the following criteria:

       Originality and/or innovation

       Quality of the project as written and interpreted

       Significance

       Clarity

Instructions:   To be considered, please submit all of the following items no later than September 15, 2016. Please submit all of the above to the following website: www.OpenConf.org/DC2017.  Submissions that do not meet the requirements will not be accepted.  The submission consists of three parts.

Part 1: Abstract
       Word Count - 195 word limi
       Title
       Authors
       Affiliations
       Content - Please include subheadings in the abstract. 
       For research studies, use the subheadings Objective, Methods, Results, and Conclusion. 
       For case reports, use the subheadings Objective, Clinical Features, Intervention and Outcome, and Conclusion. 
       For literature reviews, use the subheadings Objective, Data Sources and Selection, Results and Conclusion.
       Please do not include references, pictures, tables, or figures in the abstract.
       Blinding – Please blind author information, institutional affiliations, and/or references that would identify the authors in the abstract.

Part 2: Signature Form
       Required Signatures - Primary author must collect and submit signed authorship forms for all authors. Signatures can be provided on one single page or on multiple pages if necessary.
       Commitment - The presenting author must register and attend the conference.  Funding should be confirmed in advance of submission.  Submission is a commitment from authors to present accepted submissions at the conference. 

 Part 3: Ethics Materials
       Human Subjects Research - Studies involving human subjects (surveys, observational, and any research studies) must be approved by proper ethics boards/committees.  Questions should be directed to your institution’s board/committee.  Submit a copy of the signed approval, expedited review, or exemption letter from the ethics board/committee. For studies not involving human subjects (e.g. literature review), this document is not required. 
       Animal Research- Studies involving animals (basic science) must be approved by proper Institutional Animal Care and Use Committees (IACUC) or country-specific committees of equal stature. Questions should be directed to your institution’s committee.  Submit a copy of the signed approval, expedited review, or exemption letter from the IACUC or equivalent.
       Case Studies - Case studies (case reports) require consent of the participant(s) to publish the case as well as complete participant anonymity within the submission., Submit a copy of the signed consent and/or, your institution’s IRB/REB/Ethics review.  For case studies, submit a patient consent to publish form from your institution, a journal, or other consent form.

Process:  Once all items are submitted, the submission will be evaluated after the submission deadline by a blinded, peer-review committee, and these results will be sent to the WFC Congress, ACC-RAC, NCLC planning committee for review and final decision.  If accepted, abstract presenters must register and attend the conference whether or not their work is accepted as a platform or poster.   

Notification:  Contact authors will be notified of peer review results by Mid-November 2016.  For accepted submissions, the presenting author is required to register and present the work at the conference no later than December 15, 2016. 

If you have questions or concerns about this process, please contact:

Dana J. Lawrence, DC, MMedEd, MA

WFC Congress, ACC-RAC, NCLC Peer Review Chair

dana.lawrence@palmer.edu

(563) 884-5302

Monday, August 8, 2016

Davenport Homecoming Thursday


August 11-13, 2016
Thursday, Aug. 11

8-10 a.m.
Homecoming Hypertrophy
Dan Weinert, D.C., Ph.D.

Understanding Functional Assessment of the Shoulder: Simple steps to fix people faster.
Casey Crisp, D.C., M.S., ACP

Therapeutic Neuroscience of Pain, Part I- The Sensitized Nervous System
Chris Roecker, D.C., DACO, DACBSP®, Shawn Neff, D.C., Casey Okamoto, D.C.

Imaging of Upper and Lower Extremity Sports Injuries*
Tracey Littrell, D.C., DACBR, DACO, CCSP®

10:30-11:30 a.m.
Palmer Momentum
Dennis Marchiori, D.C., Ph.D.

1:30-3:30 p.m.

Integration of DCs in Multidisciplinary Healthcare Systems – It’s All About the Data (and a couple of other things…)
Christine Goertz, D.C., Ph.D., Anthony Hamm, D.C., Anthony Lisi, D.C., Stacie Salsbury, Ph.D., R.N., Robert Vining, D.C.

Ethical Considerations for the Chiropractor
Mary Frost, D.C., M.B.A.

Understanding Functional Assessment of the Hip and Knee: Simple Steps to Fix People Faster
Casey Crisp, D.C., M.S., ACP

Diet-Related Epigenetic Changes in Health & Disease
Lia Nightingale, Ph.D.

Radiography in the Chiropractic Office *
Ian McLean, D.C., DACBR

4:30-6:30 p.m.

Cervical Spine Sports Injuries and Concussion Assessment
Tracey Littrell, D.C., DACBR, DACO, CCSP®

Radiation Uses We Don’t Take Into Consideration Everyday*
Jody Bell, R.T.

Curves Are Out there, Through Case Studies
Ron Boesch, D.C.

Interprofessional Opportunities in the VA: Clerkship, Residency, and Profession
Nathan Hinkeldey, D.C., Mr. Zach Jipp, Shawn Neff, D.C., Casey Okamoto, D.C., Alec Schielke, D.C.

 

Thursday, Aug. 11

8-10 a.m.

Homecoming Hypertrophy
Dan Weinert, D.C., Ph.D.
How does mechanical force turn into a biochemical signal?  What factors influence how exercise result in muscle growth?  This session highlights the importance of muscle and examines factors involved in muscle growth. The discussion will include how force converts to a biochemical signal (mechanotransduction) and subsequently results in muscle protein synthesis. The role of key molecules, dietary strategies, exercise and the impact of age on muscle protein synthesis will be explained.  Participants should leave with a better understanding of how to implement exercise strategies and modify their diet to optimize muscle growth.

Understanding Functional Assessment of the Shoulder: Simple steps to fix people faster.
Casey Crisp, D.C., M.S., ACP
This is an introduction to the examination of the shoulder anatomy, range of motion, and functional assessment. We will review the most common shoulder issues.  The goal is to create an immediately implementable means of defining the quality and quantity of shoulder movement in your patients. The assessment skills gained will help providers efficiently identify the cause of shoulder pain and develop effective home care plans. The information presented will be for the upper cervical specialist to the chiropractors specializing in sports medicine. 

Therapeutic Neuroscience of Pain, Part I- The Sensitized Nervous System
Chris Roecker, D.C., DACO, DACBSP®, Shawn Neff, D.C., Casey Okamoto, D.C.
Chronic pain is often disabling to the patient and frustrating to the clinician; however, emerging concepts in neuroscience allow us to better understand how the nervous system perceives and modulates pain. This presentation will provide a review of the mechanisms involved with chronic pain, including central and peripheral sensitization, and an emphasis will be placed on how these concepts impact patient care.

 Imaging of Upper and Lower Extremity Sports Injuries*
Tracey Littrell, D.C., DACBR, DACO, CCSP®
*This session has be applied for D.C.s, C.T.s and R.T.s
This course will detail the most common injuries athletes encounter in the upper and lower extremities, such as epicondylitis, stress fractures, rotator cuff tears, meniscal tears, hip pointers, and avulsion fractures, and the appropriate imaging choices to properly evaluate those injuries . In addition to mechanisms of the injuries, proper plain film view selection and technique will be discussed, with special attention to supplementary views, such as lateral scapula, eversion and inversion stress, and ulnar deviation views. Plain film and magnetic resonance imaging findings will be detailed. 

10:30-11:30 a.m.

Palmer Momentum
Dennis Marchiori, D.C., Ph.D.
Palmer College, “The Trusted Leader in Chiropractic Education,” is on an upward curve in a challenging era. Through the hard work of our faculty and staff and the dedicated support of our alumni and friends, we are in excellent position and getting better every year. We are achieving success in our classrooms, clinics, research center, and throughout our community. Now, as Palmer College nears its 120th year, we are challenging our community for even greater support of an ambitious plan to update our historical Davenport Campus and continue the upward trajectory of our program and accomplishments. Join Dr. Dennis Marchiori for this opening session. He will share the measurables of institutional performance, key strategic initiatives, and select plans for facilities improvements that together define Palmer’s value proposition and leadership into the future. 

1:30-3:30 p.m.

Integration of DCs in Multidisciplinary Healthcare Systems – It’s All About the Data (and a couple of other things…)
Christine Goertz, D.C., Ph.D., Anthony Hamm, D.C., Anthony Lisi, D.C., Stacie Salsbury, Ph.D., R.N., Robert Vining, D.C.
Traditionally, doctors of chiropractic have worked in private clinics where opportunities to engage in interprofessional practice were limited. In recent years, more chiropractors are working alongside medical physicians, physical therapists, nurses, and other healthcare professionals. The goals of this presentation are to:


Ethical Considerations for the Chiropractor
Mary Frost, D.C., M.B.A.
Please join Dr. Mary Frost for this session on ethics in chiropractic practice. Topics in this session will include professional boundaries, interactions with staff and fraud and abuse. 

Understanding Functional Assessment of the Hip and Knee: Simple Steps to Fix People Faster
Casey Crisp, D.C., M.S., ACP
This is an introduction to the examination of the hip and knee anatomy, range of motion, and functional assessment. We will review the most common hip and knee issues.  The goal is to create an immediately implementable means of defining the quality and quantity of hip movement in your patients. The assessment skills gained will help providers efficiently identify the cause of hip and knee pain and develop effective home care plans. The information presented will be for anyone who see patients with hip and knee complaints no matter what technique you use. 

Diet-Related Epigenetic Changes in Health & Disease
Lia Nightingale, Ph.D.
Our genetic material has not changed significantly in many generations, but what has changed is the way we express the genes we have been given. The environment in which we live is able to control expression of our genes, which is known as epigenetics. What causes these epigenetic changes and how do they occur? Does timing of availability of critical nutrients required for epigenetic expression during development impact future disease risk? Can these changes be reversed? This seminar will aim to provide the clinician with further insight into this fascinating field of research, with a focus on the impact of nutrition on gene expression in health and diseased states.

Radiography in the Chiropractic Office *
Ian McLean, D.C., DACBR
*This session has be applied for D.C.s, C.T.s and R.T.s
This two-hour presentation will emphasize skills and knowledge for obtaining outstanding images for chiropractic practice.

4:30-6:30 p.m.

Cervical Spine Sports Injuries and Concussion Assessment
Tracey Littrell, D.C., DACBR, DACO, CCSP®
This lecture will detail the pathophysiology of sports-related cervical-spine injuries and concussions, including demographics and risk factors, and the most common clinical presentations of cervical-spine injury and concussion sufferers. Acute assessment and management of patients with cervical-spine injuries and concussions will be covered, with emphasis given to pre-participation examinations and post-concussion evaluations for athletes.

Radiation Uses We Don’t Take Into Consideration Everyday*
Jody Bell, R.T.
*This session has be applied for D.C.s, C.T.s and R.T.s
This presentation will define radiation, and review radiation biology.  It will discuss radiation protection guidelines.  Participants will be educated on some additional uses of radiation and the exposure/protection concerns associated with them.

Curves Are Out there, Through Case Studies
Ron Boesch, D.C.
The class will be reviewing scoliosis from presentation to diagnosis. This will be done through case studies. There will be discussion of anatomy and etiology.

Interprofessional Opportunities in the VA: Clerkship, Residency, and Profession
Nathan Hinkeldey, D.C., Mr. Zach Jipp, Shawn Neff, D.C., Casey Okamoto, D.C., Alec Schielke, D.C.
Attendees will learn about the VA chiropractic program, gain knowledge about practicing in the interdisciplinary setting, gain knowledge of veteran centered competencies, and learn how they can be involved in care of veterans.

Friday, Aug. 12

8:30-9:30 a.m.

Gaining Momentum – Gallup-Palmer Report Year-Two Findings
Cynthia English, M.P.P.
Results from the Gallup-Palmer College Year 2 study of Americans will be released at this year’s homecoming. The research looks at perceptions among U.S. adults about the effectiveness and safety of different treatment options for neck and back pain, as well as explores the barriers that prevent some adults from trying chiropractic services. Insights about chiropractic patient experiences will also be reported. This data is vital for the chiropractic industry to gain momentum in attracting new patients, as well as to continue to engage existing ones.

9:45-10:45 a.m.

How to Care Without Caring Too Much
Mr. William Esteb
The purpose of this course is to identify the many facets of the social contract between chiropractor and patient and provide direction for implementing sustainable chiropractic-appropriate boundaries that enhance patient follow-through and optimum clinical outcomes.

11 a.m.-Noon

Integrative Medicine: The Science of Connection
Mimi Guarneri, M.D., FACC, ABIHM
In this session, Dr. Guarneri will review the science of the mind body connection to help us understand the role of emotions and disease outcome. Dr. Guarneri will discuss the benefits of creating a multidisciplinary healing team.

1:30-3:30 p.m.

The Secrets of Scapula Dynamics in Shoulder Conditions, Injuries and Syndromes
Mitch Mally, D.C.
Sponsored by Foot Levelers, Inc.
In this fast pace, high energy, content rich presentation, Dr. Mally reveals his authentic biomechanics and treatment protocols for the scapula in patients with recalcitrant shoulder, cervical and thoracic spinal conditions.

Chiropractic Technologists: 50 Years Later
Judy Bhatti, D.C., M.S., Alana Callender, Ed.D, Mary Frost, D.C., M.B.A., Stacie Martel, D.C., M.S., LaKeisha Holloway, M.B.A.
It’s been 50 years since Palmer’s C.T. program began. Please join experts in this field for information on how far we’ve come and where we are headed. We will discuss office management, personal wellness, marketing and social media, as well as, a physiotherapy refresher. This will be interactive and there will be time left for additional discussion.
*no CE available 

Bone and Health Support
Joseph Biernat, D.C.
Sponsored by Standard Process Inc.
Dr. Biernat will present on the use of whole food nutrition related conditions and procedures to utilize in practice. Conditions commonly seen in chiropractic practice will be explained in detail. The rationale and implementation of specific nutritional supplementation and lifestyle changes for the management of health will be provided.  The opportunity for questions and case discussion is included.

Functional Taping for Musculo Skeletal Injuries, Part I: Overview and Upper Extremity Applications
Greg Doerr, D.C.
Sponsored by Performance Health, Inc.
Functional Taping for Musculoskeletal Injuries is a course designed to demonstrate several different taping techniques to be used on number of musculoskeletal injuries of the spine, as well as the upper extremities, and lower extremities. In this hands on presentation injuries to be treated with taping procedures will include disc herniation, postural disorders, tendinopathy of upper and lower extremities, ligament sprains of the upper and lower extremity, edema reduction, and joint laxities and a host of other common injures seen in the busy office. All procedures will be applicable to the athlete, geriatric and general patient population with proper coding when applicable, as well as the newest research and physiology on taping procedures. Evaluation techniques will also be demonstrated to ensure the taping techniques will be effective and allow those attending to demonstrate proper documentation on the medical necessity of taping for 3rd party payers. 

Therapeutic Neuroscience of Pain, Part II- A Top Down Approach to Clinical Care
Nate Hinkeldey, D.C.
Physicians, therapists, trainers, and patients are still struggling with the fact that pain perception is produced by brain activity. The cultural beliefs related to pain still tends to focus on pain as a reliable source of information about what is happening in the body. This is a false assumption and the leading cause of ongoing pain for most people. This presentation will cover the basic of chronic pain and explore how many of our current practices and patient education material may be perpetuating the chronic pain epidemic.

4:30-6:30 p.m.

Neurosurgeon Reveals Leg length Inequality as the Primary Cause for Knee, Hip and LBP
Mitch Mally, D.C.
Sponsored by Foot Levelers, Inc.
In this cursory review of the research on Leg Length Inequality, orthotics and heel lifts, Dr. Mally shares the functional facts and fictional fantasies of structural versus functional short leg and the protocols for correcting same.

Military and VA Chiropractic: My 20-Year Goal
Lance Armstrong, D.C.
Dr. Lance Armstrong will present his take on Palmer College and his relationship to it after 20 years of practice. He will focus on the need for students to focus on their career after graduation, and how much they will appreciate their Palmer education once they do enter practice. Partly, this is built upon his own experience after graduation; his first two years were critical in his later success. And he will look at his involvement in the pursuit of military and VA chiropractic integration, and his involvement in several service-related programs, such as offering homeless veteran care, Patrick Air Force Base Red Cross work, and the Lake Nona VA Clinic. It was a Palmer education that made this all possible.

Will Your Chiropractic Practice Survive the Future of Healthcare?
Jason Yusavage, D.C., DICCP
Are you a student getting ready to graduate or a recent graduate about to open a practice? This session will give you some valuable information without any gimmicks from a company who wants thousands of dollars from you. In this session, Dr. Yusavage will review different chiropractic office models including the pros and cons of a cash vs insurance practice. He will discuss future concerns in chiropractic in relationship to healthcare and how to survive.

Functional Taping for Musculo Skeletal Injuries, Part II: Lower Extremity Applications
Greg Doerr, D.C., CCSP®
Sponsored by Performance Health, Inc.
Functional Taping for Musculoskeletal Injuries is a course designed to demonstrate several different taping techniques to be used on number of musculoskeletal injuries of the spine, as well as the upper extremities, and lower extremities. In this hands on presentation injuries to be treated with taping procedures will include disc herniation, postural disorders, tendinopathy of upper and lower extremities, ligament sprains of the upper and lower extremity, edema reduction, and joint laxities and a host of other common injures seen in the busy office. All procedures will be applicable to the athlete, geriatric and general patient population with proper coding when applicable, as well as the newest research and physiology on taping procedures. Evaluation techniques will also be demonstrated to ensure the taping techniques will be effective and allow those attending to demonstrate proper documentation on the medical necessity of taping for 3rd party payers. 

Medicare Compliance and HIPAA
Mario Fucinari, D.C., CCSP®
The Medicare Value-Based modifier, and Quality Resource Utilization Report (QRUR) will go into effect January 1, 2017.  Learn how to optimally position yourself for the new profile and reimbursement models.  Meanwhile, the Office of Civil Rights has announced that it is beginning phase 2 of HIPAA audits this fall.  Dr. Fucinari, member of the Medicare Carrier Advisory Committee and national speaker, will detail the new Federal requirements for chiropractic services.  This class will focus on the upcoming changes in procedures in Medicare and the methods to efficiently meet those requirements.  This class is ideal for doctors, staff and billers.

Saturday, Aug. 13

 8-10 a.m.

Science Meets Philosophy: The Power of a Chiropractic Adjustment!
Dan Sullivan, D.C.
This talk will cover some of the most up to date science and evidence proving the powerful influence of a Chiropractic adjustment. Also covered in this talk will be how the Philosophy of Chiropractic is as relevant today as it has ever been, and it's backed up by some of the greatest scientific literature of our time.

10:30 a.m.-12:30 p.m.

The Rise of Corporate Chiropractic and Primary Care Integration
Daniel Lord, D.C., CCSP®
A new model of chiropractic practice is booming in northern California and spreading to other regions across the US. Its patient centered, integrated with primary care and gives us inroads to being a leader in the healthcare system of the future. This presentation will look at the research being done and the data that supports our inclusion into the corporate health model. We will cover patient care pathways, clinical operations, and best practices for successful outcomes in corporate settings. Also, we will look at the different models of corporate health centers and how chiropractors can position themselves for these opportunities.         

Common Pediatric Conditions Seen in the Chiropractic Office and What to do When You See Them
Jason Yusavage, D.C., DICCP
Dr. Yusavage will review common pediatric conditions such as scoliosis, ear infections, headaches, back and neck pain. He will review the examination of these common conditions and treatment options for the common conditions. Adjusting technique for pediatric patients will also be discussed and demonstrated.

Whose Story Is It, Anyway?
Michelle Barber, D.C., M.S.W. and Virginia Barber, D.C.
Drawing on insights gained from the fields of Narrative Medicine, Medical Ethics, and Biopsychosocial and Patient-Centered Care Models, we will utilize this session to explore the power of incorporating patients’ life stories, including their unique underlying value system, into our care and treatment of each individual. Stories are the backbone of who we are; having our stories heard and understood can make us feel validated, engaged, respected, and truly involved in our care. Patients’ “stories”, or the narratives of their unique illness, provide context, insight, subtle and not-so-subtle hints about themselves and their needs and priorities. Effective clinical practice requires narrative competence, or the ability to acknowledge, absorb, interpret, and act on these stories and thereby engage with the plights of others. This competence, in turn, allows us to provide true patient-centered care. Learning to truly hear patients’ stories and developing clinical empathy gives us the ability to balance treatment options between the belief systems and life of the patient and the clinical possibilities that we as doctors advocate.

Documentation and Billing Requirements
Mario Fucinari, D.C., CCSP®
Medicare has recently released a YouTube video and three memos outlining their new requirements for documentation. Meanwhile, Blue Cross sent out a notice to all of their subscribers notifying them that their doctors have been tiered and it will affect the reimbursement coverage if they choose a lower tiered doctor. What are the documentation requirements? How can you improve your tiering?  Learn the updated Medicare requirements for documentation and coding and what he red flags are that trigger a reduction in reimbursement and an ultimate recoupment. Dr. Mario Fucinari is a Certified Professional Compliance Officer (CPCO), a Certified Medical Compliance Specialist (MCS-P) and a member of the Medicare Carrier Advisory Committee.  This class will focus on the changes in policies and procedures in Medicare and the methods to efficiently meet those requirements.  This class is ideal for doctors, staff and billers.                                

2-4 p.m.

Clinicians Using Research: Foundations of Evidence Based Clinical Practice (EBCP)
John Stites, D.C., DACBR
Modern healthcare requires adopting the basic principles of evidence based clinical practice (EBCP). Although the skills required to practice EBCP are currently being taught in many of our institutions, these skills were not part of the curriculum when the majority of today’s chiropractic practitioners were trained.  The purpose of this session is to provide the doctor with the background and the tools to start to incorporate EBCP into their daily practice. This session will go through developing clinical questions and search strategies, identifying sound resources and understanding the hierarchy of evidence. Different clinical questions are answered by different study designs and these will be reviewed. Essential skills such as how to effectively read a research paper will be discussed.  We will spend some time going through critical appraisal and assessing validity focused on studies of therapy. Interpreting results can be challenging and this will be addressed.  During the course of the session we will explore concepts of relative and absolute risk reduction, numbers needed to treat, sensitivity, specificity and likelihood ratios. At the conclusion of the session strategies to stay current in the literature will be examined. 

Change Your Lens, Change Your Life
Michelle Barber, D.C., M.S.W.
“It’s the lens through which your brain views the world that shapes your reality.  And if we can change the lens, not only can we change your happiness, we can change every single educational and business outcome at the same time.” – Shawn Achor

In this session we will look at how we view success and happiness and how we can capitalize on a powerful mindset that builds our personal momentum.  Drawing on research from the fields of positive psychology and the psychology of wellness, we will address the ways that we hold ourselves back, the risk of burnout, and the attitudes/behaviors/habits that keep us from finding true happiness and wellness.  We will then look at principles and actions that we can utilize to improve our performance and make the most of our potential.  These principles can be applied in both our personal and professional relationships and will also be great tools to share with patients!

Chiropractic Imaging Practicum: The Annual Roentgen Roulette
Ian McLean, D.C., DACBR
After the participants view a series of diagnostic imaging "unknowns" their answers are submitted to the instructor before the beginning of the lecture.  The presentation will be a comprehensive review of the unknown cases designed to give the chiropractor practical information usable in clinical practice. Plain film and specialized imaging studies critical to the practicing chiropractor will be presented.  The diagnostic imaging studies will be correlated with the patients' clinical presentation.

ICD-10: The Next Step
Mario Fucinari, D.C., CCSP®
The ICD-10 implementation is not over.  Now that we have made it through the first step of ICD-10, it has been announced that there will be over 5,000 code changes beginning October 1, 2016.  How will ICD-10 be used to measure your office profile by carriers such as Blue Cross and Medicare?  ICD-10 specificity will be used to determine your standing in the new Value-based modifiers, Merit Incentive Payment System and provider tiering.  We will examine how to effectively diagnose your patients, look for the red flags in coding, and better utilize the coding guidelines and ways to check your progress in proper coding. This class is ideal for doctors, staff and billers. 

4:30-5:30 p.m.

Training Room Survival Tips: Lessons Learned from 11 Years in the NFL
Kyle Prusso, D.C., CCSP®
In this session Dr. Prusso will discuss the ins and outs of working in an integrated sports medicine team. He will outline how the medical staff is structured, the use of multiple disciplines and integration and where chiropractic fits in the continuum of care. Finally, Dr. Prusso will review what to do if an opportunity arises for you to work in the sports world.