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Welcome to the Council on Chiropractic Orthopedics (CCO) information website.
The CCO board has worked together to bring you this informative chiropractic Orthopedic website. Hopefully you will find information that will keep you on top of the many challenges facing our specialty.
Legislation to Further Integrate Chiropractic Services Introduced in Congress
Arlington,Va.--The American Chiropractic Association (ACA) today announced that its work with key congressional supporters has resulted in several important pieces of pro-chiropractic legislation being introduced in the 113th U.S. Congress. These bills, if enacted into law, would increase patient access to the services provided by chiropractic physicians.
The first legislative initiative, the "Chiropractic Care Available to All Veterans Act", was introduced in the Senate (as S. 422) by Sen. Richard Blumenthal (D-Conn.). Its House companion bill, H.R. 921, was introduced by Rep. Mike Michaud (D-Maine), a ranking member of the House Committee on Veterans Affairs. The bills would require the U.S. Department of Veterans Affairs (VA) to have a chiropractic physician on staff at all major medical facilities by 2016.
The second ACA supported bill is H.R. 741, the "Chiropractic Health Parity for Military Beneficiaries Act," introduced by Reps. Mike Rogers (R-Ala.) and Dave Loebsack (D-Iowa). This legislation would extend chiropractic services to military retirees, dependents and survivors as part of TRICARE. H.R. 741 defines "chiropractic services" as diagnosis (including X-ray tests), evaluation and management, and therapeutic services for the treatment of neuromusculoskeletal health conditions. The legislation specifically notes that chiropractic services may only be provided by a doctor of chiropractic (DC).
Another recently introduced bill--the "Chiropractic Membership in the Public Health Service Commissioned Corps Act of 2013" (H.R. 171), introduced by Rep. Gene Green (D-Texas)--would benefit the public and the chiropractic profession by requiring the inclusion of DCs in the U.S. Public Health Service (USPHS) Commissioned Corps. USPHS is an elite team of more than 6,000 well-trained, highly qualified public health professionals dedicated to delivering the nation's public health promotion and disease prevention programs and advancing public health science.
The final ACA supported bill is H.R. 702, the "Access to Frontline Health Care Act," which would establish a new program to help chiropractic physicians and other select health care providers repay their student loans if, in exchange, they establish and maintain practices in medically underserved areas. ACA has worked closely with Rep. Bruce Braley (D-Iowa), the sponsor of the bill, to ensure that chiropractic physicians are specified as qualifying for the program.
"Those who have made sacrifices for our country--especially veterans, active-duty military and their family members--deserve access to the best health care available, which includes chiropractic services," said ACA President Keith Overland, DC. "I am urging every chiropractic physician, chiropractic student and chiropractic supporter to contact their congressional representatives and urge them to cosponsor these bills and to help military families in need."
Social Media Review
A recent article in the Federation of State Medical Boards, Journal of Medical Regulations* discussed the pitfalls of social media such as websites, blogging, Facebook texting and tweeting. In a 2010 survey of executive Directors at State medical boards in the US, 92% indicated that violations of online professionalism were reported in their jurisdiction. For instance, a physician's blogging about patients can lead to people recognizing themselves i.e. a HIPPA violation. A website or Facebook page must have your credentials and honest information which is not over-inflated. The information provided should follow the rules of the licensing / regulatory organization for the state in which you practice. According to the article, violations included inappropriate contact with patients [69%] and misrepresentation of credentials or clinical outcomes [60%]. In response to the violations 71% of the regulatory boards held formal disciplinary proceedings and 40% issued informal warnings. Other disciplinary proceedings included license limitation [44%], suspension [29%], or revocation [21%]. (read more)
JOURNAL BASED CONTINUING EDUCATION
CE hours may be obtained each year, when you send for the JMPT quiz.
1 QUIZ = 1 HOUR CE = 60 MINUTES
The quiz program for the journal through the CCO: You request the quiz or quizzes by email from Dr. Carver email@example.com or Dr. Zange firstname.lastname@example.org. We send you the quiz as an email attachment. You answer the questions and return the same to the CCO with a self-addressed stamped envelop for verification and a check [$10.00 per credit hour for CCO members and $20.00 per credit hour for non-CCO DCs].
ALL QUIZZES MUST BE COMPLETED WITHIN ONE YEAR OF PUBLICATION.
All this and you did not have to leave your office.
This program is a form of low-cost continuing medical education, giving continuing education credit for DCs in states which allow credits from ACA and its subsidiaries i.e. CCO, not all states allow this type of educational activity. It is Journal-based CME, reading journal articles and being tested on the materials which is verification of participation, for which one unit of credit is given for each journal’s quiz.
British Medical Journal Debates Spinal Manipulation; ACA President Comments to ABC News
Last month, the British Medical Journal (BMJ) released two articles debating spinal manipulation. The case against spinal manipulation was led by Neil O'Connell, a lecturer at the center for research in rehabilitation at Brunel University in Uxbridge; and the case for spinal manipulation was led by David Cassidy, DC, a professor in the department of epidemiology at the Dalla Lana School of Public Health at the University of Toronto. Dr. Cassidy is one of the foremost authorities on the safety of spinal manipulation and is also the lead author of a ground-breaking 2008 study published in Spine. Dr. Cassidy's research concluded that there is no greater risk of vertebrobasilar artery stroke following chiropractic cervical manipulation than there is following visits to a primary care medical physician. The study--the most comprehensive to date on this issue--analyzed nine years' worth of data amounting to 110-million person years. It suggests that in very rare cases there are patients with a stroke in progress who seek chiropractic or medical care for neck pain, which is an early symptom. The stroke may follow the chiropractic or medical intervention but is not caused by it.
The BMJ articles also attracted interest from the mainstream press. ACA President Keith Overland, DC had the opportunity to contribute to an ABC News story about the debate. Dr. Overland put the risks associated with spinal manipulation in context by stating that, "There's still a lot of residual bias against the profession ... Yes, there's risk of every medical procedure, but we need to move away from health in a bottle."
For patients who may have questions regarding the topic, ACA offers its members key points to share on the Cassidy study and also a link to a monograph by NCMIC that summarizes research on the topic and helps put the issue into perspective.
Supreme Court Upholds Health Care Law; ACA Continues Push to Increase Access to Millions of Patients
The U.S. Supreme Court, in a controversial 5 to 4 decision, declared the Patient Protection and Affordable Care Act (PPACA) to be constitutional, including the much disputed "individual mandate" provision which requires individuals to purchase health insurance coverage. In a special video report, American Chiropractic Association (ACA) Senior Vice President for Government Relations John Falardeau and ACA political consultant Rick Miller discuss the ruling and how it affects patient access to the services of doctors of chiropractic.
The long-awaited court decision removes legal obstacles to the full implementation of the law on a timeline very close to what was planned when PPACA was signed into law in March 2010. Read ACA's full news release to the chiropractic profession here.
A critically important result of the court's decision is the preservation of Section 2706, which establishes a "provider non-discrimination provision" applicable to all Employee Retirement Income Security Act (ERISA) health care plans, including self-insured, multi-state plans that are not subject to provider-friendly state laws. ACA worked hard to ensure the inclusion of this provision in the legislation. Follow health care reform at www.acatoday.org/hcr.
In other news, ACA sent a release to the consumer press today to underscore the profession's commitment to fighting for patients' rights to choose the provider and treatment that suits them best.
Election results of new officers:
- Drs. Linda Zange, President
- Dale Huntington, Vice President
- Daniel Staight, Treasurer
- Gary Carver, Secretary
Terms will start October 1, 2012 ending October 1, 2014.