Chiropractic Register
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Generally Speaking
 
   
February has been one of the busiest months yet in my tenure as TCA Executive Director. Putting on two conferences in the same month, in the middle of a legislative session, has been uniquely challenging.  Around 600 DCs, staff, students, faculty and patients swarmed the Capitol for chiropractic on Feb. 9. It was, by all accounts, the largest turnout for a TCA Legislative Day in decades, perhaps ever. The inaugural TCLC on Feb. 10-11 was a resounding success, with 110 DCs, chiropractic assistants and staff on hand. It’s been a very long time since there has been such positive energy swirling around, and TCA has added close to 200 new members over the past five months. But the majority of the licensed DCs in Texas are not TCA members ... yet. Check out our YouTube video for a few highlights from TCA Legislative Day!
 
The Texas Chiropractic Association has partnered with TCA Friend of Chiropractic Sponsor ChiroHealthUSA to present Risky Business: Texas. This FREE webinar at 1:15 p.m. CST Wednesday, March 8, will review how risk management is no longer limited to just malpractice claims. It also includes your financial policy. Learn to identify the five most dangerous things we face in chiropractic and how to avoid them. All attendees will receive a free sample 1-page financial policy that can be customized for their practice and a link to receive a free risk assessment score for their practice.  
 
 
   
America’s medical doctors have finally admitted it: their pharmaceutical tools for treating one of  the most common ailments doesn't work. A new guideline from the American College of Physicians (ACP) suggests doctors recommend a number of alternative symptom relievers other than pharmacology to their patients with back pain.
 
TCA is excited to sponsor Upper & Lower Extremity, Hand & Foot Adjusting Symposium with Dr. Robert Fenell, in Dallas on Saturday, March 11, 2017. This workshop has been approved for 8 CE Hours in Texas.  This symposium is also available this Saturday, Feb. 25th, in Austin! 
 
The TCA and the F4CP are working together to promote the chiropractic profession. Here are the chiropractic marketing activities that F4CP reported for February 2017.
 
TEXAS
The role of the Texas Board of Chiropractic Examiners (TBCE) is to enforce the chiropractic statute and rules and to protect the public. One area where potential violations and risk of misleading the public occurs is in website and other advertising.
 
The US Department of Health and Human Services has fined Children’s Medical Center of Dallas $3.2 million for HIPAA violations for unsecured electronic protected health information. A lack of risk management not only costs individuals the security of their data, but it can also cost covered entities a sizable fine.
 
 
   
The Keeler Plaque is the Texas Chiropractic Association’s award designating the Chiropractor of the year. You have the opportunity to nominate a TCA member for consideration to receive the Keeler Plaque. Nominations for the 2017 Keeler Plaque are due by May 17.
 
After several years of legal wrangling over the right of telemedicine companies to provide services in Texas, a compromise bill by State Senator Charles Schwertner, MD, chair of the Texas Senate’s Committee on Health and Human Services, would define what constitutes a "telemedicine" visit and would direct several boards to develop rules to regulate them.
 
This award recognizes doctors who have made outstanding contributions to the profession and their community. It is for those who are under 40 years of age, or fewer than 10 years in chiropractic practice at the time of the award’s receipt. Deadline for nominations for the 2017 Young Chiropractor of the Year is May 17.
 
Naylor Association Solutions
National
 
   
The US senate voted unanimously to confirm David Shulkin, MD, as secretary of the US Department of Veterans Affairs (VA). Shulkin is one of the few top officials from the Obama administration that Trump has chosen to keep. He has permitted advanced practice registered nurses to treat patients within the VA without physician supervision.
 
After rancorous debate, the senate has confirmed Rep. Tom Price, MD, (R- Ga.), as Secretary of the Department of Health and Human Services (HHS).
 
Just hours after calling off its billion-dollar merger with Aetna, Humana announced it will no longer sell health coverage on the Affordable Care Act insurance exchanges starting in 2018. Aetna also pulled out of exchange plans in 11 states for 2017. These exits mean that hundreds of thousands will be forced to find a new insurer.
 
Chiropractic News
The ACA is working to transform the association into a more nimble, streamlined and relevant organization. Key components of the proposed governance concept include revamping its organizational structure, their purposes and other streamlining methods.
 
 
   
The chiropractic profession has long advocated for a more conservative approach to treating low back pain. New guidelines by the American College of Physicians recognizes the value and effectiveness of non-drug approaches, such as spinal manipulation, for acute and chronic low back pain.
 
ACA has developed an important training series—a 90-minute, on-demand program offered in four 20-30 minute modules—to provide essential information and teach DCs proper documentation skills.
 
Clinical & Research
This study looked at the use of musculoskeletal diagnostic ultrasound imaging at chiropractic educational programs around the world and found that current use of this technology is low, but demonstrates a positive attitude to and possible growth in its use.
 
 
   
The Nordic-style diet — which includes cabbages, rye bread, fruit such as apples and pears, root vegetables, oatmeal, and fish — may be protective against some types of stroke.
 
A recent Cochrane review determined that when compared to no exercise, yoga produced some functional benefits after 3-4 months, and that it increased risk of adverse events by 5 percent, primarily increased back pain.
 
According to a systematic review, commonly used non-steroidal anti-inflammatory drugs used to treat back pain provide little benefit and may make things worse. Only 16 percent of patients treated with NSAIDs, achieve any significant reduction in pain.
 
Business Development
The "post-visit" patient call must be something more than task work.Here are some tips to consider.
 
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