RE: [OregonDCs] Cutting ER costs

[Guest guest]

Dr. Bebee and colleagues,

What if Oregon went to a universal health care

system and every Oregonian got a minimum of 12 chiropractic visits per

year. With everything after that on their own dime? What if no

required occurrence e.g., a specific accident or injury that in fact those

visits could be used as “wellness” visits/care..what if anything we

performed that was under our scope of practice would be covered? Blood chem.

Screens, resting ECGs, spirometry, bone mineral density testing, etc.,

etc. Would this be something the profession would welcome, what would be

the downside? There are 3 + million Oregonians and if they all had

chiropractic coverage what would be the downside?

Vern Saboe

From:

[mailto: ] On Behalf

Of Sears

Sent: Wednesday, February 07, 2007

8:20 AM

Oregon DCs

Subject: [OregonDCs] Cutting ER

costs

I see from the Big O today that Washington State is looking at

universal care as well, noting that half of that state's 2.3 million ER visits

were not true (life threatening) emergencies. They are proposing shifting some

of this work to local clinics and cheaper options. Here's some data from 2004

on top five reasons for visiting ER nationwide. I'd be curious to see what it

is in Oregon

and what percentages and savings could be garnered by chiropractic

interventions....

Top Five Primary

Reason for Emergency Room Visits 2004

RFV Code Description

Number of Visits

1050.1 Chest Pain 5,550,355

1545.1 Abdominal pain, cramps, spasms

5,356,156

1010.0 Fever 4,166,723

1210.0 Headache 2,895,088

1905.1 Back pain, ache soreness,

discomfort 2,837,523

http://www.aaos.org/Research/stats/Top%20ER%20Visits.pdf

Sears, DC

NW PDX

[Guest guest]

With merely 12 visits I would be worried that more insurance companies would deem that is all that is necessary for yearly coverage.

Some is better than none?

my two cents.

Dean D.C.

Portland, Oregon

[OregonDCs] Cutting ER costs

I see from the Big O today that Washington State is looking at universal care as well, noting that half of that state's 2.3 million ER visits were not true (life threatening) emergencies. They are proposing shifting some of this work to local clinics and cheaper options. Here's some data from 2004 on top five reasons for visiting ER nationwide. I'd be curious to see what it is in Oregon and what percentages and savings could be garnered by chiropractic interventions....

Top Five Primary Reason for Emergency Room Visits 2004

RFV Code Description Number of Visits

1050.1 Chest Pain 5,550,355

1545.1 Abdominal pain, cramps, spasms 5,356,156

1010.0 Fever 4,166,723

1210.0 Headache 2,895,088

1905.1 Back pain, ache soreness, discomfort 2,837,523

http://www.aaos.org/Research/stats/Top%20ER%20Visits.pdf

Sears, DC

NW PDX

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[Guest guest]

This would be a great foot up for docs working on wellness protocols with patients, perhaps more so in urban than rural areas.  I'd want to keep my case management in hand for PI cases although.  Is something like this reachable? Sears, DCNW PDX On Feb 7, 2007, at 9:50 AM, vsaboe wrote:Dr. Bebee and colleagues,What if Oregon went to a universal health care system and every Oregonian got a minimum of 12 chiropractic visits per year.  With everything after that on their own dime?  What if no required occurrence e.g., a specific accident or injury that in fact those visits could be used as “wellness” visits/care..what if anything we performed that was under our scope of practice would be covered?  Blood chem. Screens, resting ECGs, spirometry, bone mineral density testing, etc., etc.  Would this be something the profession would welcome, what would be the downside?   There are 3 + million Oregonians and if they all had chiropractic coverage what would be the downside? Vern Saboe  From: [mailto: ] On Behalf Of SearsSent: Wednesday, February 07, 2007 8:20 AMOregon DCsSubject: [OregonDCs] Cutting ER costs  I see from the Big O today that Washington State is looking at universal care as well, noting that half of that state's 2.3 million ER visits were not true (life threatening) emergencies. They are proposing shifting some of this work to local clinics and cheaper options. Here's some data from 2004 on top five reasons for visiting ER nationwide. I'd be curious to see what it is in Oregon and what percentages and savings could be garnered by chiropractic interventions.... Top Five Primary Reason for Emergency Room Visits 2004RFV Code Description Number of Visits1050.1 Chest Pain 5,550,3551545.1 Abdominal pain, cramps, spasms 5,356,1561010.0 Fever 4,166,7231210.0 Headache 2,895,0881905.1 Back pain, ache soreness, discomfort 2,837,523http://www.aaos.org/Research/stats/Top%20ER%20Visits.pdf  Sears, DCNW PDX   

[Guest guest]

I could go along with that but would like to reach for 18 - 24/year.

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: "vsaboe" <vsaboe@...>"' Sears'" <dm.bones@...>,"'Oregon DCs'" <Oregondcs >Subject: RE: [OregonDCs] Cutting ER costsDate: Wed, 7 Feb 2007 09:50:44 -0800

Dr. Bebee and colleagues,

What if Oregon went to a universal health care system and every Oregonian got a minimum of 12 chiropractic visits per year. With everything after that on their own dime? What if no required occurrence e.g., a specific accident or injury that in fact those visits could be used as “wellness” visits/care..what if anything we performed that was under our scope of practice would be covered? Blood chem. Screens, resting ECGs, spirometry, bone mineral density testing, etc., etc. Would this be something the profession would welcome, what would be the downside? There are 3 + million Oregonians and if they all had chiropractic coverage what would be the downside?

Vern Saboe

From: [mailto: ] On Behalf Of SearsSent: Wednesday, February 07, 2007 8:20 AMOregon DCsSubject: [OregonDCs] Cutting ER costs

I see from the Big O today that Washington State is looking at universal care as well, noting that half of that state's 2.3 million ER visits were not true (life threatening) emergencies. They are proposing shifting some of this work to local clinics and cheaper options. Here's some data from 2004 on top five reasons for visiting ER nationwide. I'd be curious to see what it is in Oregon and what percentages and savings could be garnered by chiropractic interventions....

Top Five Primary Reason for Emergency Room Visits 2004

RFV Code Description Number of Visits

1050.1 Chest Pain 5,550,355

1545.1 Abdominal pain, cramps, spasms 5,356,156

1010.0 Fever 4,166,723

1210.0 Headache 2,895,088

1905.1 Back pain, ache soreness, discomfort 2,837,523

http://www.aaos.org/Research/stats/Top%20ER%20Visits.pdf

Sears, DC

NW PDX

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