Re: Fw: Benefits of Best Practice Initiative

[Guest guest]

#7: Patients will seek you out if you become BP certified.

This is the first I have heard BP certification. Who will be the

governing body and what will the process be?

, DC, DABCO

>

> Blank with unsubscribeF.Y.I., relative to the Best Practice

Initiative....

>

> Vern Saboe

> Benefits of Best Practice Initiative

>

>

> If you have difficulty viewing this message please, click here.

Council on Chiropractic Guidelines & Practice Parameters

>

> September 6, 2006

>

>

>

> Benefits of CCGPP's Best Practice Initiative

> Respectfully submitted by Dr. J. Farabaugh, Secretary-

CCGPP

>

> Have you ever been sued for malpractice? I have. The suit

was spawned after an ignorant statement from an ER physician. He

eagerly told my patient that a DC should not have been treating a

herniated disc. Once the seed of malpractice was planted, the

patient found the possibility of a large cash award too irresistible

and filed suit. The case was dropped. but the issue illustrated the

need for our profession to educate other medical professionals and

the public at large about the literature and evidence-based benefits

of chiropractic management of herniated discs. By the way, the

patient consulted the ER only because he had no insurance and found

that trading services with my office (he cleaned my carpets) was

unrealistic. He consulted the ER since they were obligated to treat

him regardless of coverage.

>

> I considered suing the ER physician, but decided to educate

him instead. I also attempted to understand him. In his 1997 North

American Spine Society Presidential address, Dr. Saul

stated: " ...physicians often prescribe treatment for their patients

based upon their most recent success or failure. We skim our

journals for articles that appeal to us and sort out information

that does not support our frame of reference. Even learned people

will tend to gather and synthesize information preferentially as it

supports and relates to their own opinions and objectives. " " Sort

out the information " .......I wonder how many of us are guilty of

that level of creative rationalization? Bottom line: despite the

uncanny ability for us humans to selectively consider evidence,

including literature, we must educate the masses.

>

> Recognition of this tendency has let our group, CCGPP, to

develop a useable means of sifting through the literature, and it is

important to understand the how Best Practice will benefit you and

your practice.

>

> Please consider the short list of BP benefits:

>

> 1. Education of medical providers: This document can be used

to educate medical professionals of all types (MDs, DOs, PTs,

optometrists, podiatrists, dentists, athletic trainers, nurses,

surgeons, personal trainers, massage therapists) in your

geographical area about the benefits of DC treatment, especially

spinal manipulation and active care, which received the highest

rating for the most common conditions treated by DCs. Those who

educate win!!

>

> 2. Stimulate Referrals: When the medical field has

confidence in the literature, and they have a relationship developed

through various forms of communication (email, letters, research

summaries, DVDs, websites, etc.) they will readily refer in an

effort to help their own patients. This document provides you the

resources and confidence you need to begin a consistent program of

communication.

>

> 3. Education of third party payors, benefit managers, and

employers to potentially expanded benefits: We have a better chance

to preserve or enhance benefits related to the services provided by

DCs given the high rating related to the core of a chiropractic

practice: manipulation and active care. This document provides us

the tools/information we need to educate decision-makers in order to

influence benefits in a positive manner.

>

> 4. Fight bad consultants. This document can and will be

used to illuminate the illogical profit-driven opinions of income-

dependant, predictably negative consultants. This document clearly

supports chiropractic management for chronic pain, a hot button area

of consistent denial by bad consultants who seem oblivious to the

literature supporting chiropractic treatment of the chronic pain

patient. If you want to shoot back, you need ammunition!

>

> 5. Allows greater discretion for physician decision-making.

Probably the greatest benefit of this document is the shift away

from consultant denials based on traditional guidelines and

literature only, and support for the reality that medically

necessary care is based upon the combination of: (a) literature,

( clinical experience and a consideration of risk

factors/stratification that affects the natural history of a

condition, and © patient preferences. Gone forever should be the

consultant denial language of " there is no literature " . Why?

Support for care depends more upon the documentation and response to

care, versus the literature alone. Literature provides a foundation

for care, but should not tyrannize care. This document honors that

fact that each patient is unique.

>

> 6. More good news: This document clearly identifies the

fact that the average chiropractic practice is on an equal, if not

superior, scientific foundation compared to most other forms of

medical treatment.

>

> 7. Patient information: Patients today are Internet savvy,

intelligent, and have an emerging knowledge of " Best Practice " .

This document and process, along with the other information

technologies including interactive websites, DVDs, patient focused

publications, etc., will be utilized by those looking for an

evidence-based, best practice DC. Patients will seek you out if you

become BP certified.

>

> What if we do nothing? If we do nothing in the area of

evidence-based practice we risk being tyrannized by those who will

do it for us, without chiropractic input. It's been happening for

years. We've all felt the negative effects of ODG, ACOEM, Milliman

and on, and other guidelines that consultants and third party

payors have used inappropriately to limit your care. We need to

move in a different direction. The Best Practice movement is a

concept long overdue. Either we gather and rate the evidence or it

will be handed to us on someone else's financially motivated

platter. The future is bright for chiropractic IF we accept that

times are a chang'in. Remember, " Life is Change. Growth is

Optional. " Let's grow together!

>

>

> ABOUT THE AUTHOR: Dr. Farabaugh has been in practice since

1982. He has served as President of the Ohio State Chiropractic

Association and now serves as Treatment Guideline Chairman (2001-

2004). In 1994 he was appointed by Governor Voinovich to serve on

the Healthcare Quality Advisory Council to help design managed care

programs for the BWC, specifically QHP. In 2003 Dr. Farabaugh was

appointed to serve on the Council for Chiropractic Guidelines and

Practice Parameters (CCGPP) as the District 2 representative for the

Congress of Chiropractic State Associations. He now serves as

Secretary. He is certified in Low Speed Rear Impact Crash

Reconstruction and Soft Tissue Traumatology, and holds a

subspecialty as a Certified Chiropractic Sports Physician. He

currently practices in Columbus Ohio, 2879 East Dublin-Granville

Rd., Columbus, OH 43231. Phone number: 614-898-0787. Email

address: chironf@...

>

>

>

> Click here to unsubscribe

>

>

>

> PO Box 2054, Lexington, SC 29071

>

[Guest guest]

The New Zealand Commission

The Wilke case

The AHPER study

Etc etc etc.

More training, more certification, more qualifications are not going to change bigotry.

Consider this: Everyone assumes that a licensed MD is qualified to diagnose anything and manage just about everything.

DC’s are similarly qualified but the PERCEPTION is that we are not.

We need to change minds one at a time.

Give public lectures, speeches, workshops and change people one at a time in groups!

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Vern Saboe <vsaboe@...>

Date: Thu, 7 Sep 2006 05:58:34 -0700

<Oregondcs >

Subject: Fw: Benefits of Best Practice Initiative

F.Y.I., relative to the Best Practice Initiative....

Vern Saboe

Benefits of Best Practice Initiative

If you have difficulty viewing this message please, click here <http://www.magnetmail1.net/ls.cfm?r=39277244 & amp;sid=1390872 & amp;m=217898 & amp;u=CCSA & amp;s=http://www.magnetmail.net/actions/email_web_version.cfm?recipient_id=39277244 & amp;message_id=217898 & amp;user_id=CCSA> .

Council on Chiropractic Guidelines & Practice Parameters September 6, 2006 Benefits of CCGPP's Best Practice Initiative

Respectfully submitted by Dr. J. Farabaugh, Secretary-CCGPP Have you ever been sued for malpractice? I have. The suit was spawned after an ignorant statement from an ER physician. He eagerly told my patient that a DC should not have been treating a herniated disc. Once the seed of malpractice was planted, the patient found the possibility of a large cash award too irresistible and filed suit. The case was dropped. but the issue illustrated the need for our profession to educate other medical professionals and the public at large about the literature and evidence-based benefits of chiropractic management of herniated discs. By the way, the patient consulted the ER only because he had no insurance and found that trading services with my office (he cleaned my carpets) was unrealistic. He consulted the ER since they were obligated to treat him regardless of coverage. I considered suing the ER physician, but decided to educate him instead. I also attempted to understand him. In his 1997 North American Spine Society Presidential address, Dr. Saul stated: " ...physicians often prescribe treatment for their patients based upon their most recent success or failure. We skim our journals for articles that appeal to us and sort out information that does not support our frame of reference. Even learned people will tend to gather and synthesize information preferentially as it supports and relates to their own opinions and objectives. " " Sort out the information " .......I wonder how many of us are guilty of that level of creative rationalization? Bottom line: despite the uncanny ability for us humans to selectively consider evidence, including literature, we must educate the masses. Recognition of this tendency has let our group, CCGPP, to develop a useable means of sifting through the literature, and it is important to understand the how Best Practice will benefit you and your practice. Please consider the short list of BP benefits: 1. Education of medical providers: This document can be used to educate medical professionals of all types (MDs, DOs, PTs, optometrists, podiatrists, dentists, athletic trainers, nurses, surgeons, personal trainers, massage therapists) in your geographical area about the benefits of DC treatment, especially spinal manipulation and active care, which received the highest rating for the most common conditions treated by DCs. Those who educate win!! 2. Stimulate Referrals: When the medical field has confidence in the literature, and they have a relationship developed through various forms of communication (email, letters, research summaries, DVDs, websites, etc.) they will readily refer in an effort to help their own patients. This document provides you the resources and confidence you need to begin a consistent program of communication. 3. Education of third party payors, benefit managers, and employers to potentially expanded benefits: We have a better chance to preserve or enhance benefits related to the services provided by DCs given the high rating related to the core of a chiropractic practice: manipulation and active care. This document provides us the tools/information we need to educate decision-makers in order to influence benefits in a positive manner. 4. Fight bad consultants. This document can and will be used to illuminate the illogical profit-driven opinions of income-dependant, predictably negative consultants. This document clearly supports chiropractic management for chronic pain, a hot button area of consistent denial by bad consultants who seem oblivious to the literature supporting chiropractic treatment of the chronic pain patient. If you want to shoot back, you need ammunition! 5. Allows greater discretion for physician decision-making. Probably the greatest benefit of this document is the shift away from consultant denials based on traditional guidelines and literature only, and support for the reality that medically necessary care is based upon the combination of: (a) literature, ( clinical experience and a consideration of risk factors/stratification that affects the natural history of a condition, and © patient preferences. Gone forever should be the consultant denial language of " there is no literature " . Why? Support for care depends more upon the documentation and response to care, versus the literature alone. Literature provides a foundation for care, but should not tyrannize care. This document honors that fact that each patient is unique. 6. More good news: This document clearly identifies the fact that the average chiropractic practice is on an equal, if not superior, scientific foundation compared to most other forms of medical treatment. 7. Patient information: Patients today are Internet savvy, intelligent, and have an emerging knowledge of " Best Practice " . This document and process, along with the other information technologies including interactive websites, DVDs, patient focused publications, etc., will be utilized by those looking for an evidence-based, best practice DC. Patients will seek you out if you become BP certified. What if we do nothing? If we do nothing in the area of evidence-based practice we risk being tyrannized by those who will do it for us, without chiropractic input. It's been happening for years. We've all felt the negative effects of ODG, ACOEM, Milliman and on, and other guidelines that consultants and third party payors have used inappropriately to limit your care. We need to move in a different direction. The Best Practice movement is a concept long overdue. Either we gather and rate the evidence or it will be handed to us on someone else's financially motivated platter. The future is bright for chiropractic IF we accept that times are a chang'in. Remember, " Life is Change. Growth is Optional. " Let's grow together!

ABOUT THE AUTHOR: Dr. Farabaugh has been in practice since 1982. He has served as President of the Ohio State Chiropractic Association and now serves as Treatment Guideline Chairman (2001-2004). In 1994 he was appointed by Governor Voinovich to serve on the Healthcare Quality Advisory Council to help design managed care programs for the BWC, specifically QHP. In 2003 Dr. Farabaugh was appointed to serve on the Council for Chiropractic Guidelines and Practice Parameters (CCGPP) as the District 2 representative for the Congress of Chiropractic State Associations. He now serves as Secretary. He is certified in Low Speed Rear Impact Crash Reconstruction and Soft Tissue Traumatology, and holds a subspecialty as a Certified Chiropractic Sports Physician. He currently practices in Columbus Ohio, 2879 East Dublin-Granville Rd., Columbus, OH 43231. Phone number: 614-898-0787. Email address: chironf@... <mailtchironf@...> .

Click here <http://www.magnetmail.net/Actions/unsubscribe.cfm?message_id=217898 & amp;user_id=CCSA & amp;recipient_id=39277244 & amp;email=vsaboe@... & amp;group_id=106614> to unsubscribe

PO Box 2054, Lexington, SC 29071

[Guest guest]

Good question.....

Vern

Benefits of Best Practice Initiative

>>

>>

>> If you have difficulty viewing this message please, click here.

> Council on Chiropractic Guidelines & Practice Parameters

>>

>> September 6, 2006

>>

>>

>>

>> Benefits of CCGPP's Best Practice Initiative

>> Respectfully submitted by Dr. J. Farabaugh, Secretary-

> CCGPP

>>

>> Have you ever been sued for malpractice? I have. The suit

> was spawned after an ignorant statement from an ER physician. He

> eagerly told my patient that a DC should not have been treating a

> herniated disc. Once the seed of malpractice was planted, the

> patient found the possibility of a large cash award too irresistible

> and filed suit. The case was dropped. but the issue illustrated the

> need for our profession to educate other medical professionals and

> the public at large about the literature and evidence-based benefits

> of chiropractic management of herniated discs. By the way, the

> patient consulted the ER only because he had no insurance and found

> that trading services with my office (he cleaned my carpets) was

> unrealistic. He consulted the ER since they were obligated to treat

> him regardless of coverage.

>>

>> I considered suing the ER physician, but decided to educate

> him instead. I also attempted to understand him. In his 1997 North

> American Spine Society Presidential address, Dr. Saul

> stated: " ...physicians often prescribe treatment for their patients

> based upon their most recent success or failure. We skim our

> journals for articles that appeal to us and sort out information

> that does not support our frame of reference. Even learned people

> will tend to gather and synthesize information preferentially as it

> supports and relates to their own opinions and objectives. " " Sort

> out the information " .......I wonder how many of us are guilty of

> that level of creative rationalization? Bottom line: despite the

> uncanny ability for us humans to selectively consider evidence,

> including literature, we must educate the masses.

>>

>> Recognition of this tendency has let our group, CCGPP, to

> develop a useable means of sifting through the literature, and it is

> important to understand the how Best Practice will benefit you and

> your practice.

>>

>> Please consider the short list of BP benefits:

>>

>> 1. Education of medical providers: This document can be used

> to educate medical professionals of all types (MDs, DOs, PTs,

> optometrists, podiatrists, dentists, athletic trainers, nurses,

> surgeons, personal trainers, massage therapists) in your

> geographical area about the benefits of DC treatment, especially

> spinal manipulation and active care, which received the highest

> rating for the most common conditions treated by DCs. Those who

> educate win!!

>>

>> 2. Stimulate Referrals: When the medical field has

> confidence in the literature, and they have a relationship developed

> through various forms of communication (email, letters, research

> summaries, DVDs, websites, etc.) they will readily refer in an

> effort to help their own patients. This document provides you the

> resources and confidence you need to begin a consistent program of

> communication.

>>

>> 3. Education of third party payors, benefit managers, and

> employers to potentially expanded benefits: We have a better chance

> to preserve or enhance benefits related to the services provided by

> DCs given the high rating related to the core of a chiropractic

> practice: manipulation and active care. This document provides us

> the tools/information we need to educate decision-makers in order to

> influence benefits in a positive manner.

>>

>> 4. Fight bad consultants. This document can and will be

> used to illuminate the illogical profit-driven opinions of income-

> dependant, predictably negative consultants. This document clearly

> supports chiropractic management for chronic pain, a hot button area

> of consistent denial by bad consultants who seem oblivious to the

> literature supporting chiropractic treatment of the chronic pain

> patient. If you want to shoot back, you need ammunition!

>>

>> 5. Allows greater discretion for physician decision-making.

> Probably the greatest benefit of this document is the shift away

> from consultant denials based on traditional guidelines and

> literature only, and support for the reality that medically

> necessary care is based upon the combination of: (a) literature,

> ( clinical experience and a consideration of risk

> factors/stratification that affects the natural history of a

> condition, and © patient preferences. Gone forever should be the

> consultant denial language of " there is no literature " . Why?

> Support for care depends more upon the documentation and response to

> care, versus the literature alone. Literature provides a foundation

> for care, but should not tyrannize care. This document honors that

> fact that each patient is unique.

>>

>> 6. More good news: This document clearly identifies the

> fact that the average chiropractic practice is on an equal, if not

> superior, scientific foundation compared to most other forms of

> medical treatment.

>>

>> 7. Patient information: Patients today are Internet savvy,

> intelligent, and have an emerging knowledge of " Best Practice " .

> This document and process, along with the other information

> technologies including interactive websites, DVDs, patient focused

> publications, etc., will be utilized by those looking for an

> evidence-based, best practice DC. Patients will seek you out if you

> become BP certified.

>>

>> What if we do nothing? If we do nothing in the area of

> evidence-based practice we risk being tyrannized by those who will

> do it for us, without chiropractic input. It's been happening for

> years. We've all felt the negative effects of ODG, ACOEM, Milliman

> and on, and other guidelines that consultants and third party

> payors have used inappropriately to limit your care. We need to

> move in a different direction. The Best Practice movement is a

> concept long overdue. Either we gather and rate the evidence or it

> will be handed to us on someone else's financially motivated

> platter. The future is bright for chiropractic IF we accept that

> times are a chang'in. Remember, " Life is Change. Growth is

> Optional. " Let's grow together!

>>

>>

>> ABOUT THE AUTHOR: Dr. Farabaugh has been in practice since

> 1982. He has served as President of the Ohio State Chiropractic

> Association and now serves as Treatment Guideline Chairman (2001-

> 2004). In 1994 he was appointed by Governor Voinovich to serve on

> the Healthcare Quality Advisory Council to help design managed care

> programs for the BWC, specifically QHP. In 2003 Dr. Farabaugh was

> appointed to serve on the Council for Chiropractic Guidelines and

> Practice Parameters (CCGPP) as the District 2 representative for the

> Congress of Chiropractic State Associations. He now serves as

> Secretary. He is certified in Low Speed Rear Impact Crash

> Reconstruction and Soft Tissue Traumatology, and holds a

> subspecialty as a Certified Chiropractic Sports Physician. He

> currently practices in Columbus Ohio, 2879 East Dublin-Granville

> Rd., Columbus, OH 43231. Phone number: 614-898-0787. Email

> address: chironf@...

>>

>>

>>

>> Click here to unsubscribe

>>

>>

>>

>> PO Box 2054, Lexington, SC 29071

>>

>

>

>

>

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

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> 2. Always sign your e-mails with your first and last name.

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> his or her consent, unless all personal identifiers have been removed.

>

[Guest guest]

"Give public lectures, speeches, workshops and change people one at a time in groups!"

Could we be lecturing too much?? I was outside my office on last thursday (art festval on alberta st. here in portland) last month just hanging out really, selling biofreeze, fresh sage etc. etc. NO lecturing or spinal screening stuff for me. A woman wanted a sample of biofreeze complaining of neck pain. I told her she should have it checked out. She stated "oh, i have a great chiropractor, but i just don't feel like hearing his lecture. When it gets bad enough, i'll go in and suffer his lecture." I grinned, sipped my beer and was thankful i wasn't out there trying to educate people.

I firmly believe that in many ways we denigrate ourselves by "over educating." I believe it comes off as somewhat more of a sales pitch than anything and hence a turn off. "Yep, theres that chiropractor trying to rustle up patients again."

IMHO we may accomplish much more in this realm if WE are not the ones doing the talking. If someone other than ourselves is touting the benefits etc. of chiro care i think it has more credibility in the public's eye.

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

Benefits of Best Practice InitiativeIf you have difficulty viewing this message please, click here <http://www.magnetmail1.net/ls.cfm?r=39277244 & amp;sid=1390872 & amp;m=217898 & amp;u=CCSA & amp;s=http://www.magnetmail.net/actions/email_web_version.cfm?recipient_id=39277244 & amp;message_id=217898 & amp;user_id=CCSA> . Council on Chiropractic Guidelines & Practice Parameters September 6, 2006 Benefits of CCGPP's Best Practice Initiative Respectfully submitted by Dr. J. Farabaugh, Secretary-CCGPP Have you ever been sued for malpractice? I have. The suit was spawned after an ignorant statement from an ER physician. He eagerly told my patient that a DC should not have been treating a herniated disc. Once the seed of malpractice was planted, the patient found the possibility of a large cash award too irresistible and filed suit. The case was dropped. but the issue illustrated the need for our profession to educate other medical professionals and the public at large about the literature and evidence-based benefits of chiropractic management of herniated discs. By the way, the patient consulted the ER only because he had no insurance and found that trading services with my office (he cleaned my carpets) was unrealistic. He consulted the ER since they were obligated to treat him regardless of coverage. I considered suing the ER physician, but decided to educate him instead. I also attempted to understand him. In his 1997 North American Spine Society Presidential address, Dr. Saul stated: "...physicians often prescribe treatment for their patients based upon their most recent success or failure. We skim our journals for articles that appeal to us and sort out information that does not support our frame of reference. Even learned people will tend to gather and synthesize information preferentially as it supports and relates to their own opinions and objectives." "Sort out the information".......I wonder how many of us are guilty of that level of creative rationalization? Bottom line: despite the uncanny ability for us humans to selectively consider evidence, including literature, we must educate the masses. Recognition of this tendency has let our group, CCGPP, to develop a useable means of sifting through the literature, and it is important to understand the how Best Practice will benefit you and your practice. Please consider the short list of BP benefits: 1. Education of medical providers: This document can be used to educate medical professionals of all types (MDs, DOs, PTs, optometrists, podiatrists, dentists, athletic trainers, nurses, surgeons, personal trainers, massage therapists) in your geographical area about the benefits of DC treatment, especially spinal manipulation and active care, which received the highest rating for the most common conditions treated by DCs. Those who educate win!! 2. Stimulate Referrals: When the medical field has confidence in the literature, and they have a relationship developed through various forms of communication (email, letters, research summaries, DVDs, websites, etc.) they will readily refer in an effort to help their own patients. This document provides you the resources and confidence you need to begin a consistent program of communication. 3. Education of third party payors, benefit managers, and employers to potentially expanded benefits: We have a better chance to preserve or enhance benefits related to the services provided by DCs given the high rating related to the core of a chiropractic practice: manipulation and active care. This document provides us the tools/information we need to educate decision-makers in order to influence benefits in a positive manner. 4. Fight bad consultants. This document can and will be used to illuminate the illogical profit-driven opinions of income-dependant, predictably negative consultants. This document clearly supports chiropractic management for chronic pain, a hot button area of consistent denial by bad consultants who seem oblivious to the literature supporting chiropractic treatment of the chronic pain patient. If you want to shoot back, you need ammunition! 5. Allows greater discretion for physician decision-making. Probably the greatest benefit of this document is the shift away from consultant denials based on traditional guidelines and literature only, and support for the reality that medically necessary care is based upon the combination of: (a) literature, ( clinical experience and a consideration of risk factors/stratification that affects the natural history of a condition, and © patient preferences. Gone forever should be the consultant denial language of "there is no literature". Why? Support for care depends more upon the documentation and response to care, versus the literature alone. Literature provides a foundation for care, but should not tyrannize care. This document honors that fact that each patient is unique. 6. More good news: This document clearly identifies the fact that the average chiropractic practice is on an equal, if not superior, scientific foundation compared to most other forms of medical treatment. 7. Patient information: Patients today are Internet savvy, intelligent, and have an emerging knowledge of "Best Practice". This document and process, along with the other information technologies including interactive websites, DVDs, patient focused publications, etc., will be utilized by those looking for an evidence-based, best practice DC. Patients will seek you out if you become BP certified. What if we do nothing? If we do nothing in the area of evidence-based practice we risk being tyrannized by those who will do it for us, without chiropractic input. It's been happening for years. We've all felt the negative effects of ODG, ACOEM, Milliman and on, and other guidelines that consultants and third party payors have used inappropriately to limit your care. We need to move in a different direction. The Best Practice movement is a concept long overdue. Either we gather and rate the evidence or it will be handed to us on someone else's financially motivated platter. The future is bright for chiropractic IF we accept that times are a chang'in. Remember, "Life is Change. Growth is Optional." Let's grow together! ABOUT THE AUTHOR: Dr. Farabaugh has been in practice since 1982. He has served as President of the Ohio State Chiropractic Association and now serves as Treatment Guideline Chairman (2001-2004). In 1994 he was appointed by Governor Voinovich to serve on the Healthcare Quality Advisory Council to help design managed care programs for the BWC, specifically QHP. In 2003 Dr. Farabaugh was appointed to serve on the Council for Chiropractic Guidelines and Practice Parameters (CCGPP) as the District 2 representative for the Congress of Chiropractic State Associations. He now serves as Secretary. He is certified in Low Speed Rear Impact Crash Reconstruction and Soft Tissue Traumatology, and holds a subspecialty as a Certified Chiropractic Sports Physician. He currently practices in Columbus Ohio, 2879 East Dublin-Granville Rd., Columbus, OH 43231. Phone number: 614-898-0787. Email address: chironf@... <mailtchironf@...> . Click here <http://www.magnetmail.net/Actions/unsubscribe.cfm?message_id=217898 & amp;user_id=CCSA & amp;recipient_id=39277244 & amp;email=vsaboe@... & amp;group_id=106614> to unsubscribe

PO Box 2054, Lexington, SC 29071

[Guest guest]

ph,

Re: “I grinned, sipped my beer and was thankful i wasn't out there trying to educate people.”

I’m sure I couldn’t adequately respond.

Res ipsa loquitur

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: deadmed <deadmed@...>

Date: Thu, 7 Sep 2006 10:57:06 -0700

Vern Saboe <vsaboe@...>, <Oregondcs >, Abrahamson <drscott@...>

Subject: Re: Fw: Benefits of Best Practice Initiative

" Give public lectures, speeches, workshops and change people one at a time in groups! "

Could we be lecturing too much?? I was outside my office on last thursday (art festval on alberta st. here in portland) last month just hanging out really, selling biofreeze, fresh sage etc. etc. NO lecturing or spinal screening stuff for me. A woman wanted a sample of biofreeze complaining of neck pain. I told her she should have it checked out. She stated " oh, i have a great chiropractor, but i just don't feel like hearing his lecture. When it gets bad enough, i'll go in and suffer his lecture. " I grinned, sipped my beer and was thankful i wasn't out there trying to educate people.

I firmly believe that in many ways we denigrate ourselves by " over educating. " I believe it comes off as somewhat more of a sales pitch than anything and hence a turn off. " Yep, theres that chiropractor trying to rustle up patients again. "

IMHO we may accomplish much more in this realm if WE are not the ones doing the talking. If someone other than ourselves is touting the benefits etc. of chiro care i think it has more credibility in the public's eye.

Dr. ph Medlin D.C.

Spine Tree Chiropractic

1627 NE Alberta St. #6

Portland, OR 97211

Ph: 503-788-6800

c: 503-889-6204

Benefits of Best Practice Initiative

If you have difficulty viewing this message please, click here <http://www.magnetmail1.net/ls.cfm?r=39277244 & amp;sid=1390872 & amp;m=217898 & amp;u=CCSA & amp;s=http://www.magnetmail.net/actions/email_web_version.cfm?recipient_id=39277244 & amp;message_id=217898 & amp;user_id=CCSA> .

Council on Chiropractic Guidelines & Practice Parameters September 6, 2006 Benefits of CCGPP's Best Practice Initiative

Respectfully submitted by Dr. J. Farabaugh, Secretary-CCGPP Have you ever been sued for malpractice? I have. The suit was spawned after an ignorant statement from an ER physician. He eagerly told my patient that a DC should not have been treating a herniated disc. Once the seed of malpractice was planted, the patient found the possibility of a large cash award too irresistible and filed suit. The case was dropped. but the issue illustrated the need for our profession to educate other medical professionals and the public at large about the literature and evidence-based benefits of chiropractic management of herniated discs. By the way, the patient consulted the ER only because he had no insurance and found that trading services with my office (he cleaned my carpets) was unrealistic. He consulted the ER since they were obligated to treat him regardless of coverage. I considered suing the ER physician, but decided to educate him instead. I also attempted to understand him. In his 1997 North American Spine Society Presidential address, Dr. Saul stated: " ...physicians often prescribe treatment for their patients based upon their most recent success or failure. We skim our journals for articles that appeal to us and sort out information that does not support our frame of reference. Even learned people will tend to gather and synthesize information preferentially as it supports and relates to their own opinions and objectives. " " Sort out the information " .......I wonder how many of us are guilty of that level of creative rationalization? Bottom line: despite the uncanny ability for us humans to selectively consider evidence, including literature, we must educate the masses. Recognition of this tendency has let our group, CCGPP, to develop a useable means of sifting through the literature, and it is important to understand the how Best Practice will benefit you and your practice. Please consider the short list of BP benefits: 1. Education of medical providers: This document can be used to educate medical professionals of all types (MDs, DOs, PTs, optometrists, podiatrists, dentists, athletic trainers, nurses, surgeons, personal trainers, massage therapists) in your geographical area about the benefits of DC treatment, especially spinal manipulation and active care, which received the highest rating for the most common conditions treated by DCs. Those who educate win!! 2. Stimulate Referrals: When the medical field has confidence in the literature, and they have a relationship developed through various forms of communication (email, letters, research summaries, DVDs, websites, etc.) they will readily refer in an effort to help their own patients. This document provides you the resources and confidence you need to begin a consistent program of communication. 3. Education of third party payors, benefit managers, and employers to potentially expanded benefits: We have a better chance to preserve or enhance benefits related to the services provided by DCs given the high rating related to the core of a chiropractic practice: manipulation and active care. This document provides us the tools/information we need to educate decision-makers in order to influence benefits in a positive manner. 4. Fight bad consultants. This document can and will be used to illuminate the illogical profit-driven opinions of income-dependant, predictably negative consultants. This document clearly supports chiropractic management for chronic pain, a hot button area of consistent denial by bad consultants who seem oblivious to the literature supporting chiropractic treatment of the chronic pain patient. If you want to shoot back, you need ammunition! 5. Allows greater discretion for physician decision-making. Probably the greatest benefit of this document is the shift away from consultant denials based on traditional guidelines and literature only, and support for the reality that medically necessary care is based upon the combination of: (a) literature, ( clinical experience and a consideration of risk factors/stratification that affects the natural history of a condition, and © patient preferences. Gone forever should be the consultant denial language of " there is no literature " . Why? Support for care depends more upon the documentation and response to care, versus the literature alone. Literature provides a foundation for care, but should not tyrannize care. This document honors that fact that each patient is unique. 6. More good news: This document clearly identifies the fact that the average chiropractic practice is on an equal, if not superior, scientific foundation compared to most other forms of medical treatment. 7. Patient information: Patients today are Internet savvy, intelligent, and have an emerging knowledge of " Best Practice " . This document and process, along with the other information technologies including interactive websites, DVDs, patient focused publications, etc., will be utilized by those looking for an evidence-based, best practice DC. Patients will seek you out if you become BP certified. What if we do nothing? If we do nothing in the area of evidence-based practice we risk being tyrannized by those who will do it for us, without chiropractic input. It's been happening for years. We've all felt the negative effects of ODG, ACOEM, Milliman and on, and other guidelines that consultants and third party payors have used inappropriately to limit your care. We need to move in a different direction. The Best Practice movement is a concept long overdue. Either we gather and rate the evidence or it will be handed to us on someone else's financially motivated platter. The future is bright for chiropractic IF we accept that times are a chang'in. Remember, " Life is Change. Growth is Optional. " Let's grow together!

ABOUT THE AUTHOR: Dr. Farabaugh has been in practice since 1982. He has served as President of the Ohio State Chiropractic Association and now serves as Treatment Guideline Chairman (2001-2004). In 1994 he was appointed by Governor Voinovich to serve on the Healthcare Quality Advisory Council to help design managed care programs for the BWC, specifically QHP. In 2003 Dr. Farabaugh was appointed to serve on the Council for Chiropractic Guidelines and Practice Parameters (CCGPP) as the District 2 representative for the Congress of Chiropractic State Associations. He now serves as Secretary. He is certified in Low Speed Rear Impact Crash Reconstruction and Soft Tissue Traumatology, and holds a subspecialty as a Certified Chiropractic Sports Physician. He currently practices in Columbus Ohio, 2879 East Dublin-Granville Rd., Columbus, OH 43231. Phone number: 614-898-0787. Email address: chironf@... <mailtchironf@...> .

Click here <http://www.magnetmail.net/Actions/unsubscribe.cfm?message_id=217898 & amp;user_id=CCSA & amp;recipient_id=39277244 & amp;email=vsaboe@... & amp;group_id=106614> to unsubscribe

PO Box 2054, Lexington, SC 29071

[Guest guest]

Brother Joe: There is no such thing as " over-educating " ...it is

impossible to be over-educated....That goes for both doctors and

patients. Education is like love, you can't have too much of it....

if you think you can get too much of it then it is NOT education that

you are talking about.

With all due respect, to a fellow licensed DC I believe, you have got

a lot to learn about how to present yourself as a chiropractor. Please

consider the following:

-Next time there is a fair up there on Alberta:

1- Call me!!! I m serious....esp if it is on a Thursday. I live in

Portland and I love those hippies up there. I will come up there and

stand shoulder-to shoulder with you comrade and show you how I

educate/screen etc....I sucked at this for the first 5 years out of

chiro college and rarely did anything because I had all sorts of mixed

emotions and feeling re. it. (as I believe you do). But I got myself

educated and I gradually changed and now I believe that guerilla-type

marketing/education may be the last/best hope for chiropractors who

want to practice full-scope/traditional model (outside of PPOs and MCOs).

I gradually built up my speaking abilities and last year I was the

keynote speaker at a womens health fair and spoke to over one hundred

people. last year I also was the keynote speaker at one our of our

chamber events and spoke to 50 captive people (in the local hospital

no less). The goal in both cases was real education re. " true health "

(see my website!!) and chiropractic. And the natural consequence of

REAL education re. chiropractic is that people will start coming in

for you expertise and help in greater numbers (if you and your staff

are ready for them).

2- Strongly consider connecting with B. (from list-serve) and

Pitcairn (Mississippi Chiropractic) ...get the three of you in a

double-booth and plan ahead and get frickin serious. No hangin out, no

selling bio-freeze, no drinking beer!( maybe afterwards to celebrate a

job well done)...for instance you can team up with them on Alberta and

then they can reciprocate over on Mississippi and/or Fremont fairs)

when you work as a team you learn from each other.

3-Know your audience..in your case bio-deisel-driving/bike-riding

types.....so get a big banner that says: " Sustainable Health Care "

4-With a banner like that, folks will be forced to visit and when they

do come in ask them questions such as the following:

a- are you satisfied with your current level of health?

b- what is health?

c- what is required in order to be healthy?

d- what is an ecosystem

e- what is required for ecosystem to be healthy and sustainable

f- are you an ecosystem

g- what is the purpose of your bike helmet

h- what is the purpose of your spine?

what is a subluxation?

what is a chiropractic adjustment?

etc etc....Get it?

There is no better feeling than that of knowing you made a connection

with someone and you actually improved their level of education.

Call , call ...plan your next outreach. Call me.

Lastly, consider going to see Chestnut speak re. how traditional

chiropractic is perhaps the only viable form of sustainable healthcare

out there today...this is a message that granola-crunching Albertans

need to here.

Cheers.

>

> Re: Fw: Benefits of Best Practice Initiative " Give public

lectures, speeches, workshops and change people one at a time in groups! "

>

> Could we be lecturing too much?? I was outside my office on last

thursday (art festval on alberta st. here in portland) last month just

hanging out really, selling biofreeze, fresh sage etc. etc. NO

lecturing or spinal screening stuff for me. A woman wanted a sample of

biofreeze complaining of neck pain. I told her she should have it

checked out. She stated " oh, i have a great chiropractor, but i just

don't feel like hearing his lecture. When it gets bad enough, i'll go

in and suffer his lecture. " I grinned, sipped my beer and was thankful

i wasn't out there trying to educate people.

>

> I firmly believe that in many ways we denigrate ourselves by " over

educating. " I believe it comes off as somewhat more of a sales pitch

than anything and hence a turn off. " Yep, theres that chiropractor

trying to rustle up patients again. "

>

> IMHO we may accomplish much more in this realm if WE are not the

ones doing the talking. If someone other than ourselves is touting

the benefits etc. of chiro care i think it has more credibility in the

public's eye.

>

>

>

> Dr. ph Medlin D.C.

> Spine Tree Chiropractic

> 1627 NE Alberta St. #6

> Portland, OR 97211

> Ph: 503-788-6800

> c: 503-889-6204

[Guest guest]

Hey ,

I love your enthusiam .... we practice with that level here as well.

The issue here, to me, isn't about more education or even marketing. It is about requiring another certification that will, supposedly, make us all acceptable. THAT is the part I find repugnant ... I am acceptable with the education I have. I have a more defiinitive education about NMS that any allopathic doctor ... Another piece of paper on my wall isn't going to mean diddle squat to the public and I seriously doubt it will make any kind of difference to any allopathic community. It is just more pap.

Yes, the Best Practices document(s) are important ... but more certification? I don't think so.

just my 2 cents.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: "spbkchiro97132" <spbkchiro@...> Subject: Re: Fw: Benefits of Best Practice InitiativeDate: Fri, 08 Sep 2006 15:04:31 -0000Brother Joe: There is no such thing as "over-educating"...it isimpossible to be over-educated....That goes for both doctors andpatients. Education is like love, you can't have too much of it....if you think you can get too much of it then it is NOT education thatyou are talking about.With all due respect, to a fellow licensed DC I believe, you have gota lot to learn about how to present yourself as a chiropractor. Pleaseconsider the following:-Next time there is a fair up there on Alberta:1- Call me!!! I m serious....esp if it is on a Thursday. I live inPortland and I love those hippies up there. I will come up there andstand shoulder-to shoulder with you comrade and show you how Ieducate/screen etc....I sucked at this for the first 5 years out ofchiro college and rarely did anything because I had all sorts of mixedemotions and feeling re. it. (as I believe you do). But I got myselfeducated and I gradually changed and now I believe that guerilla-typemarketing/education may be the last/best hope for chiropractors whowant to practice full-scope/traditional model (outside of PPOs and MCOs).I gradually built up my speaking abilities and last year I was thekeynote speaker at a womens health fair and spoke to over one hundredpeople. last year I also was the keynote speaker at one our of ourchamber events and spoke to 50 captive people (in the local hospitalno less). The goal in both cases was real education re. "true health"(see my website!!) and chiropractic. And the natural consequence ofREAL education re. chiropractic is that people will start coming infor you expertise and help in greater numbers (if you and your staffare ready for them).2- Strongly consider connecting with B. (from list-serve) and Pitcairn (Mississippi Chiropractic) ...get the three of you in adouble-booth and plan ahead and get frickin serious. No hangin out, noselling bio-freeze, no drinking beer!( maybe afterwards to celebrate ajob well done)...for instance you can team up with them on Alberta andthen they can reciprocate over on Mississippi and/or Fremont fairs)when you work as a team you learn from each other.3-Know your audience..in your case bio-deisel-driving/bike-ridingtypes.....so get a big banner that says: "Sustainable Health Care"4-With a banner like that, folks will be forced to visit and when theydo come in ask them questions such as the following:a- are you satisfied with your current level of health?b- what is health?c- what is required in order to be healthy?d- what is an ecosysteme- what is required for ecosystem to be healthy and sustainablef- are you an ecosystemg- what is the purpose of your bike helmeth- what is the purpose of your spine?what is a subluxation?what is a chiropractic adjustment?etc etc....Get it?There is no better feeling than that of knowing you made a connectionwith someone and you actually improved their level of education.Call , call ...plan your next outreach. Call me.Lastly, consider going to see Chestnut speak re. how traditionalchiropractic is perhaps the only viable form of sustainable healthcareout there today...this is a message that granola-crunching Albertansneed to here.Cheers. >> Re: Fw: Benefits of Best Practice Initiative"Give publiclectures, speeches, workshops and change people one at a time in groups!">> Could we be lecturing too much?? I was outside my office on lastthursday (art festval on alberta st. here in portland) last month justhanging out really, selling biofreeze, fresh sage etc. etc. NOlecturing or spinal screening stuff for me. A woman wanted a sample ofbiofreeze complaining of neck pain. I told her she should have itchecked out. She stated "oh, i have a great chiropractor, but i justdon't feel like hearing his lecture. When it gets bad enough, i'll goin and suffer his lecture." I grinned, sipped my beer and was thankfuli wasn't out there trying to educate people.>> I firmly believe that in many ways we denigrate ourselves by "overeducating." I believe it comes off as somewhat more of a sales pitchthan anything and hence a turn off. "Yep, theres that chiropractortrying to rustle up patients again.">> IMHO we may accomplish much more in this realm if WE are not theones doing the talking. If someone other than ourselves is toutingthe benefits etc. of chiro care i think it has more credibility in thepublic's eye.>>>> Dr. ph Medlin D.C.> Spine Tree Chiropractic> 1627 NE Alberta St. #6> Portland, OR 97211> Ph: 503-788-6800> c: 503-889-6204OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

I absolutely agree with you .... how do you propose we go about it?

My avenue is talks around town with the office stuff being specific to the patient, focusing on what tht person can do away from the office to lower their need to be in my office. That been working pretty well for me as far as pt compliance / schedule attendance.

My talks around town deal more with nutritional self-care threaded with a healthy amount of need for a functioning nervous system, needing, of course, structural correction.

But community, regional, state-wide, national marketing .... that's what we need, consistently for about 10 years...well, at least 5. One of the big things in our current favor is that those most affected by the boycott are becoming more silent as they decrease in numbers....or they are getting old enough to need our care. Had one in last week that still thought we were all quacks but couldn't stand the back pain any more. We had a friendly talk and she walked out out of pain. A good marketing campaign now could go a long way towards breaking / diluting that cultural myth about DCs. Bthe the 'what kind' and 'how much' seems to keep getting in our way.

Which is why the legislative work is so critical .... that's as close to a state-wide campaign as we can come while we continue to figure on the what and how part. Attend any and all of the current fundraisers being held for the chiropractic-friendly Senators and Representatives we have developed. If you can't attend, send a check ..... all is needed and appreciated. We're back to the part where It Takes All of Us to Keep All of US in Practice.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: "deadmed" <deadmed@...>"Vern Saboe" <vsaboe@...>,<Oregondcs >," Abrahamson" <drscott@...>Subject: Re: Fw: Benefits of Best Practice InitiativeDate: Thu, 7 Sep 2006 10:57:06 -0700

"Give public lectures, speeches, workshops and change people one at a time in groups!"

Could we be lecturing too much?? I was outside my office on last thursday (art festval on alberta st. here in portland) last month just hanging out really, selling biofreeze, fresh sage etc. etc. NO lecturing or spinal screening stuff for me. A woman wanted a sample of biofreeze complaining of neck pain. I told her she should have it checked out. She stated "oh, i have a great chiropractor, but i just don't feel like hearing his lecture. When it gets bad enough, i'll go in and suffer his lecture." I grinned, sipped my beer and was thankful i wasn't out there trying to educate people.

I firmly believe that in many ways we denigrate ourselves by "over educating." I believe it comes off as somewhat more of a sales pitch than anything and hence a turn off. "Yep, theres that chiropractor trying to rustle up patients again."

IMHO we may accomplish much more in this realm if WE are not the ones doing the talking. If someone other than ourselves is touting the benefits etc. of chiro care i think it has more credibility in the public's eye.

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

Benefits of Best Practice InitiativeIf you have difficulty viewing this message please, click here <http://www.magnetmail1.net/ls.cfm?r=39277244 & amp;sid=1390872 & amp;m=217898 & amp;u=CCSA & amp;s=http://www.magnetmail.net/actions/email_web_version.cfm?recipient_id=39277244 & amp;message_id=217898 & amp;user_id=CCSA> . Council on Chiropractic Guidelines & Practice Parameters September 6, 2006 Benefits of CCGPP's Best Practice Initiative Respectfully submitted by Dr. J. Farabaugh, Secretary-CCGPP Have you ever been sued for malpractice? I have. The suit was spawned after an ignorant statement from an ER physician. He eagerly told my patient that a DC should not have been treating a herniated disc. Once the seed of malpractice was planted, the patient found the possibility of a large cash award too irresistible and filed suit. The case was dropped. but the issue illustrated the need for our profession to educate other medical professionals and the public at large about the literature and evidence-based benefits of chiropractic management of herniated discs. By the way, the patient consulted the ER only because he had no insurance and found that trading services with my office (he cleaned my carpets) was unrealistic. He consulted the ER since they were obligated to treat him regardless of coverage. I considered suing the ER physician, but decided to educate him instead. I also attempted to understand him. In his 1997 North American Spine Society Presidential address, Dr. Saul stated: "...physicians often prescribe treatment for their patients based upon their most recent success or failure. We skim our journals for articles that appeal to us and sort out information that does not support our frame of reference. Even learned people will tend to gather and synthesize information preferentially as it supports and relates to their own opinions and objectives." "Sort out the information".......I wonder how many of us are guilty of that level of creative rationalization? Bottom line: despite the uncanny ability for us humans to selectively consider evidence, including literature, we must educate the masses. Recognition of this tendency has let our group, CCGPP, to develop a useable means of sifting through the literature, and it is important to understand the how Best Practice will benefit you and your practice. Please consider the short list of BP benefits: 1. Education of medical providers: This document can be used to educate medical professionals of all types (MDs, DOs, PTs, optometrists, podiatrists, dentists, athletic trainers, nurses, surgeons, personal trainers, massage therapists) in your geographical area about the benefits of DC treatment, especially spinal manipulation and active care, which received the highest rating for the most common conditions treated by DCs. Those who educate win!! 2. Stimulate Referrals: When the medical field has confidence in the literature, and they have a relationship developed through various forms of communication (email, letters, research summaries, DVDs, websites, etc.) they will readily refer in an effort to help their own patients. This document provides you the resources and confidence you need to begin a consistent program of communication. 3. Education of third party payors, benefit managers, and employers to potentially expanded benefits: We have a better chance to preserve or enhance benefits related to the services provided by DCs given the high rating related to the core of a chiropractic practice: manipulation and active care. This document provides us the tools/information we need to educate decision-makers in order to influence benefits in a positive manner. 4. Fight bad consultants. This document can and will be used to illuminate the illogical profit-driven opinions of income-dependant, predictably negative consultants. This document clearly supports chiropractic management for chronic pain, a hot button area of consistent denial by bad consultants who seem oblivious to the literature supporting chiropractic treatment of the chronic pain patient. If you want to shoot back, you need ammunition! 5. Allows greater discretion for physician decision-making. Probably the greatest benefit of this document is the shift away from consultant denials based on traditional guidelines and literature only, and support for the reality that medically necessary care is based upon the combination of: (a) literature, ( clinical experience and a consideration of risk factors/stratification that affects the natural history of a condition, and © patient preferences. Gone forever should be the consultant denial language of "there is no literature". Why? Support for care depends more upon the documentation and response to care, versus the literature alone. Literature provides a foundation for care, but should not tyrannize care. This document honors that fact that each patient is unique. 6. More good news: This document clearly identifies the fact that the average chiropractic practice is on an equal, if not superior, scientific foundation compared to most other forms of medical treatment. 7. Patient information: Patients today are Internet savvy, intelligent, and have an emerging knowledge of "Best Practice". This document and process, along with the other information technologies including interactive websites, DVDs, patient focused publications, etc., will be utilized by those looking for an evidence-based, best practice DC. Patients will seek you out if you become BP certified. What if we do nothing? If we do nothing in the area of evidence-based practice we risk being tyrannized by those who will do it for us, without chiropractic input. It's been happening for years. We've all felt the negative effects of ODG, ACOEM, Milliman and on, and other guidelines that consultants and third party payors have used inappropriately to limit your care. We need to move in a different direction. The Best Practice movement is a concept long overdue. Either we gather and rate the evidence or it will be handed to us on someone else's financially motivated platter. The future is bright for chiropractic IF we accept that times are a chang'in. Remember, "Life is Change. Growth is Optional." Let's grow together! ABOUT THE AUTHOR: Dr. Farabaugh has been in practice since 1982. He has served as President of the Ohio State Chiropractic Association and now serves as Treatment Guideline Chairman (2001-2004). In 1994 he was appointed by Governor Voinovich to serve on the Healthcare Quality Advisory Council to help design managed care programs for the BWC, specifically QHP. In 2003 Dr. Farabaugh was appointed to serve on the Council for Chiropractic Guidelines and Practice Parameters (CCGPP) as the District 2 representative for the Congress of Chiropractic State Associations. He now serves as Secretary. He is certified in Low Speed Rear Impact Crash Reconstruction and Soft Tissue Traumatology, and holds a subspecialty as a Certified Chiropractic Sports Physician. He currently practices in Columbus Ohio, 2879 East Dublin-Granville Rd., Columbus, OH 43231. Phone number: 614-898-0787. Email address: chironf@... <mailtchironf@...> . Click here <http://www.magnetmail.net/Actions/unsubscribe.cfm?message_id=217898 & amp;user_id=CCSA & amp;recipient_id=39277244 & amp;email=vsaboe@... & amp;group_id=106614> to unsubscribe

PO Box 2054, Lexington, SC 29071

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[Guest guest]

LOL!! I appreciate your enthusiasm and advice. Thank you.

And , yes, Last thursday is more of a party and hence the beer

drinking. This wasn't a health fair. Not to mention I have many DC friends

in New Orleans/San Francisco etc.who frequently " educate " and find

patient's at local pubs .. It's good to be seen as a human being at times

and not as the perpetual charlatan, salesman and educator. It's in just

that relaxed atmosphere that many people will let down there guard and find

you not to be the alien in which your DC title would indicate, but rather a

human being that just so happens to be a chiropractor. Not necessarily Res

ipsa loquitur in this case friend, in fact you should try it. Just don't go

in there with your banner and bunting.

Which BTW, brings me to the point of my initial response. I'm just not sure

that the venue is right. It certainly doesn't feel right to be out there

touting health and chiropractic education to this audience. I mean

educating at a venue such as a " womens health fair " for instance is at least

relevent somehow. You have an audience that is receptive and expecting such

educational tactics. The last thursday crowd for one thing attracts many

people from out of the area who want to drink, browse local raw artists,

spend very little, drink and eat. Reaching these folks seems futile and

out of place frankly.

We have all seen them pandering for patients with spinal screenings at

street fairs, malls etc., and i would certainly be lying if i claimed no

sense of shame at witnessing such a display. I mean there has to be a more

esteemed way. Surely there are chiropractors who take no part in these

tactics and are successful as 99% of all dentists and MD's who don't.

Lastly, I want to clarify that I was not out there presenting myself as the

chiropractor per se. This wasn't meant as an outreach attempt. I was simply

hanging out. I of course answered any inquiries as to my practice etc., but

most of those questions honestly were as to the price of the fresh bundled

sage or homemade jewelry that was for sale, not as to What Chiropractic is.

True one cannot have enough education, but only too much of the same. My

initial response stated are we educating " Too Much " , because of what a

chiropractic patient told me regarding her DC. The same spiel that she was

sick of hearing. The public doesnt seem to look upon these tactics as

favorable either. I mean are we becoming a fixed entity beside the fried

doghnut hole stand at the state fair? With all due respect, I absolutely

didn't sign up for that and am saddened to think that this is what may be

required in order to present myself properly as a licensed D.C. .

I mean you cant teach people what they don't want to know. You can't answer

questions that arent posed.

Is there another way?????????

Dr. ph Medlin D.C.

Spine Tree Chiropractic

1627 NE Alberta St. #6

Portland, OR 97211

Ph: 503-788-6800

c: 503-889-6204

Re: Fw: Benefits of Best Practice Initiative

> Brother Joe: There is no such thing as " over-educating " ...it is

> impossible to be over-educated....That goes for both doctors and

> patients. Education is like love, you can't have too much of it....

> if you think you can get too much of it then it is NOT education that

> you are talking about.

>

> With all due respect, to a fellow licensed DC I believe, you have got

> a lot to learn about how to present yourself as a chiropractor. Please

> consider the following:

>

> -Next time there is a fair up there on Alberta:

>

> 1- Call me!!! I m serious....esp if it is on a Thursday. I live in

> Portland and I love those hippies up there. I will come up there and

> stand shoulder-to shoulder with you comrade and show you how I

> educate/screen etc....I sucked at this for the first 5 years out of

> chiro college and rarely did anything because I had all sorts of mixed

> emotions and feeling re. it. (as I believe you do). But I got myself

> educated and I gradually changed and now I believe that guerilla-type

> marketing/education may be the last/best hope for chiropractors who

> want to practice full-scope/traditional model (outside of PPOs and MCOs).

>

> I gradually built up my speaking abilities and last year I was the

> keynote speaker at a womens health fair and spoke to over one hundred

> people. last year I also was the keynote speaker at one our of our

> chamber events and spoke to 50 captive people (in the local hospital

> no less). The goal in both cases was real education re. " true health "

> (see my website!!) and chiropractic. And the natural consequence of

> REAL education re. chiropractic is that people will start coming in

> for you expertise and help in greater numbers (if you and your staff

> are ready for them).

>

>

> 2- Strongly consider connecting with B. (from list-serve) and

> Pitcairn (Mississippi Chiropractic) ...get the three of you in a

> double-booth and plan ahead and get frickin serious. No hangin out, no

> selling bio-freeze, no drinking beer!( maybe afterwards to celebrate a

> job well done)...for instance you can team up with them on Alberta and

> then they can reciprocate over on Mississippi and/or Fremont fairs)

> when you work as a team you learn from each other.

>

> 3-Know your audience..in your case bio-deisel-driving/bike-riding

> types.....so get a big banner that says: " Sustainable Health Care "

>

> 4-With a banner like that, folks will be forced to visit and when they

> do come in ask them questions such as the following:

> a- are you satisfied with your current level of health?

> b- what is health?

> c- what is required in order to be healthy?

> d- what is an ecosystem

> e- what is required for ecosystem to be healthy and sustainable

> f- are you an ecosystem

> g- what is the purpose of your bike helmet

> h- what is the purpose of your spine?

> what is a subluxation?

> what is a chiropractic adjustment?

>

> etc etc....Get it?

>

> There is no better feeling than that of knowing you made a connection

> with someone and you actually improved their level of education.

>

> Call , call ...plan your next outreach. Call me.

>

> Lastly, consider going to see Chestnut speak re. how traditional

> chiropractic is perhaps the only viable form of sustainable healthcare

> out there today...this is a message that granola-crunching Albertans

> need to here.

>

> Cheers.

>

>

>

>

>

>

>>

>> Re: Fw: Benefits of Best Practice Initiative " Give public

> lectures, speeches, workshops and change people one at a time in groups! "

>>

>> Could we be lecturing too much?? I was outside my office on last

> thursday (art festval on alberta st. here in portland) last month just

> hanging out really, selling biofreeze, fresh sage etc. etc. NO

> lecturing or spinal screening stuff for me. A woman wanted a sample of

> biofreeze complaining of neck pain. I told her she should have it

> checked out. She stated " oh, i have a great chiropractor, but i just

> don't feel like hearing his lecture. When it gets bad enough, i'll go

> in and suffer his lecture. " I grinned, sipped my beer and was thankful

> i wasn't out there trying to educate people.

>>

>> I firmly believe that in many ways we denigrate ourselves by " over

> educating. " I believe it comes off as somewhat more of a sales pitch

> than anything and hence a turn off. " Yep, theres that chiropractor

> trying to rustle up patients again. "

>>

>> IMHO we may accomplish much more in this realm if WE are not the

> ones doing the talking. If someone other than ourselves is touting

> the benefits etc. of chiro care i think it has more credibility in the

> public's eye.

>>

>>

>>

>> Dr. ph Medlin D.C.

>> Spine Tree Chiropractic

>> 1627 NE Alberta St. #6

>> Portland, OR 97211

>> Ph: 503-788-6800

>> c: 503-889-6204

>

>

>

>

>

>

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