Your Collective Clinical Minds!

[Guest guest]

Dear Colleagues,

I would like your collective thoughtful clinical recommendations regarding

the post below. I have some very specific ideas to answer these two basic

questions but wish to not bias your thoughtful responses.

The deal is this, here in Oregon our Workers' Compensation Division has

asked for my participation on what could be a very strategic " Standing

Advisory Committee " that will consider " medical issues affecting the

workers' compensation system. "

As you can see from the post below the first couple of issues this advisory

committee will address are very near and dear to what we do everyday as

chiropractic physicians, these issues are:

" Defining quality medical care " and " improving outcomes related to back

injuries. "

Know your all busy we all are of course but I would very much appreciate

your thoughtful responses....what would you bring to this advisory committee

table, what comes to mind in addressing these two questions/issues.....

Thanks so much for your time and consideration,

Have a wonderful weekend,

Vern Saboe, DC., DACAN, FICC, DABFP, FACO

Executive Board Member

Lobbyist

Chiropractic Association of Oregon

Invitation to participate on medical issues advisory committee

Vern Saboe, DC

Dr. Saboe:

The Workers' Compensation Division requests your participation on a standing

advisory committee that will consider medical issues affecting the workers'

compensation system. We anticipate our first meeting in January and monthly

meetings throughout 2008 (and possibly longer). We have not scheduled the

meetings yet, but we expect each to be 3 ½ hours, probably 8:30 to Noon.

The role of this standing committee is several-fold. For certain issues

discussed, the committee will be a rulemaking advisory committee, though we

will focus on high-level policy issues; separate advisory committees will be

formed as needed to address routine rulemaking. The standing committee may

recommend system changes that can only be accomplished through legislative

action, and this advice may give rise to legislative concepts. In addition,

the committee may recommend actions that can be achieved within the

framework of existing statutes and rules. The division will refer the

committee's advice to the Medical Advisory Committee (created under ORS

656.794) and Management-Labor Advisory Committee (created under ORS 656.790)

as appropriate to the roles of these committees.

Our first topic of discussion will be defining " quality " medical care.

Future discussions will include improving outcomes related to back injuries.

For each meeting, the division will prepare as much data as possible, as

well as options for discussion. However, we expect that committee members

will bring additional options to the table.

We recognize that committee participation represents a substantial time

investment. We will do everything we can to make that investment worthwhile.

Please RSVP if you would like to participate. I look forward to hearing from

you!

Sincerely,

Fred Bruyns, policy analyst/rules coordinator

Oregon Workers' Compensation Division

Policy & Communications Section

(503) 947-7717 fax (503) 947-7581

fred.h.bruyns@...

[Guest guest]

Hey Vern,

what an opportunity ... and you are exactly the perfect person for the that position. You will be able tohone a definition of 'quality' health care, be in a position to talk about how to challenge a person's need for surgery, may even be able to drop some seed t houghts about emergency room needs .... sounds like a gigantic opportunity for you/us.

Let me know what you need in the way of back-up support.

Sunny

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

Eugene, Oregon, 97401

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

aca-members@...; Oregondcs From: vsaboe@...Date: Fri, 16 Nov 2007 07:03:17 -0800Subject: "Your Collective Clinical Minds!"

Dear Colleagues,I would like your collective thoughtful clinical recommendations regarding the post below. I have some very specific ideas to answer these two basic questions but wish to not bias your thoughtful responses.The deal is this, here in Oregon our Workers' Compensation Division has asked for my participation on what could be a very strategic "Standing Advisory Committee" that will consider "medical issues affecting the workers' compensation system."As you can see from the post below the first couple of issues this advisory committee will address are very near and dear to what we do everyday as chiropractic physicians, these issues are:"Defining quality medical care" and "improving outcomes related to back injuries."Know your all busy we all are of course but I would very much appreciate your thoughtful responses....what would you bring to this advisory committee table, what comes to mind in addressing these two questions/issues.....Thanks so much for your time and consideration,Have a wonderful weekend,Vern Saboe, DC., DACAN, FICC, DABFP, FACOExecutive Board MemberLobbyistChiropractic Association of Oregon Invitation to participate on medical issues advisory committeeVern Saboe, DCDr. Saboe:The Workers' Compensation Division requests your participation on a standingadvisory committee that will consider medical issues affecting the workers'compensation system. We anticipate our first meeting in January and monthlymeetings throughout 2008 (and possibly longer). We have not scheduled themeetings yet, but we expect each to be 3 ½ hours, probably 8:30 to Noon.The role of this standing committee is several-fold. For certain issuesdiscussed, the committee will be a rulemaking advisory committee, though wewill focus on high-level policy issues; separate advisory committees will beformed as needed to address routine rulemaking. The standing committee mayrecommend system changes that can only be accomplished through legislativeaction, and this advice may give rise to legislative concepts. In addition,the committee may recommend actions that can be achieved within theframework of existing statutes and rules. The division will refer thecommittee's advice to the Medical Advisory Committee (created under ORS656.794) and Management-Labor Advisory Committee (created under ORS 656.790)as appropriate to the roles of these committees.Our first topic of discussion will be defining "quality" medical care.Future discussions will include improving outcomes related to back injuries.For each meeting, the division will prepare as much data as possible, aswell as options for discussion. However, we expect that committee memberswill bring additional options to the table.We recognize that committee participation represents a substantial timeinvestment. We will do everything we can to make that investment worthwhile.Please RSVP if you would like to participate. I look forward to hearing fromyou!Sincerely,Fred Bruyns, policy analyst/rules coordinatorOregon Workers' Compensation DivisionPolicy & Communications Section(503) 947-7717 fax (503) 947-7581fred.h.bruynsstate (DOT) or.us Hey Peek-a-boo FREE Tricks Treats for You! Get 'em!

[Guest guest]

Uncle Vern,RE: "Improving outcomes related to back injuries," the APS and ACP clinical practice guidelines (Sharron shared with us) for LBP are consistent with chiropractic goals.  I particularly like the part (below) about "patients who do not improve with self-care options... should consider non-pharmacological therapy with proven benefits for LBP...."  In addition to SMT, active care recommendations are listed.In regard to active care, Life and COCSA have initiated the "Straighten Up, America" protocol.http://www.cleveland.edu/straighten_up/Straighten_Up_America.pdfWhile I applaud their effort at putting together a simple, accessible and effective daily active care regimen, this is at best a first step, rudimentary, failing to address problems of NS centralization, and is potentially harmful in practice.  ly, it's embarrassing having this represent the profession.  A chiropractic active care regimen for the public is as important to the profession and the public as dental 'Brush your Teeth' educational efforts.  The profession and the public need an evidence-based active care regimen that reduces back pain without harm, can be done by nearly everyone, that is specific in detail and alignment, that reduces acute and chronic pain, and that is progressive in teaching self-care understanding for spinal health.  Telling a person "to breath calmly, deeply and slowly from your stomach region," for example, is not enough.  The consciousness required to release chronically held compensatory muscular tension around postural dysfunctions is an "inside-out" phenomena.  It's just not helpful to reproduce external forms, and without the 'internal' training can be downright dangerous for the public.Active spinal health care is an extremely important part of the public's need, and a valuable part of chiropractic's mandate.  We have been remiss in not bringing more of our talented skills to bear on producing the very best active care regimen possible.  If we fail to capture the public's attention in this regard, the need will be filled by those less suited to the mission.American Pain Society and American College of Physicians Release Clinical Practice Guideline for Low Back PainFor patients who do not improve with self-care options, clinicians should consider the addition of non-pharmacologic therapy with proven benefits for low back pain. They are spinal manipulation for acute low back pain; and for chronic or sub-acute low-back pain options include: intensive interdisciplinary rehabilitation, exercise therapy, acupuncture, massage therapy, spinal manipulation, yoga, cognitive-behavioral therapy, or progressive relaxation.http://www.ampainsoc.org/press/2007/100207.htm Sears, DCNW PDX On Nov 16, 2007, at 7:03 AM, Vern Saboe wrote:Dear Colleagues,I would like your collective thoughtful clinical recommendations regarding the post below. I have some very specific ideas to answer these two basic questions but wish to not bias your thoughtful responses.The deal is this, here in Oregon our Workers' Compensation Division has asked for my participation on what could be a very strategic "Standing Advisory Committee" that will consider "medical issues affecting the workers' compensation system."As you can see from the post below the first couple of issues this advisory committee will address are very near and dear to what we do everyday as chiropractic physicians, these issues are:"Defining quality medical care" and "improving outcomes related to back injuries."Know your all busy we all are of course but I would very much appreciate your thoughtful responses....what would you bring to this advisory committee table, what comes to mind in addressing these two questions/issues.....Thanks so much for your time and consideration,Have a wonderful weekend,Vern Saboe, DC., DACAN, FICC, DABFP, FACOExecutive Board MemberLobbyistChiropractic Association of Oregon Invitation to participate on medical issues advisory committeeVern Saboe, DCDr. Saboe:The Workers' Compensation Division requests your participation on a standingadvisory committee that will consider medical issues affecting the workers'compensation system. We anticipate our first meeting in January and monthlymeetings throughout 2008 (and possibly longer). We have not scheduled themeetings yet, but we expect each to be 3 ½ hours, probably 8:30 to Noon.The role of this standing committee is several-fold. For certain issuesdiscussed, the committee will be a rulemaking advisory committee, though wewill focus on high-level policy issues; separate advisory committees will beformed as needed to address routine rulemaking. The standing committee mayrecommend system changes that can only be accomplished through legislativeaction, and this advice may give rise to legislative concepts. In addition,the committee may recommend actions that can be achieved within theframework of existing statutes and rules. The division will refer thecommittee's advice to the Medical Advisory Committee (created under ORS656.794) and Management-Labor Advisory Committee (created under ORS 656.790)as appropriate to the roles of these committees.Our first topic of discussion will be defining "quality" medical care.Future discussions will include improving outcomes related to back injuries.For each meeting, the division will prepare as much data as possible, aswell as options for discussion. However, we expect that committee memberswill bring additional options to the table.We recognize that committee participation represents a substantial timeinvestment. We will do everything we can to make that investment worthwhile.Please RSVP if you would like to participate. I look forward to hearing fromyou!Sincerely,Fred Bruyns, policy analyst/rules coordinatorOregon Workers' Compensation DivisionPolicy & Communications Section(503) 947-7717 fax (503) 947-7581fred.h.bruynsstate (DOT) or.us

[Guest guest]

Excellent post thank you…..

Vern

From:

[mailto: ] On Behalf Of Sears

Sent: Saturday, November 17, 2007

9:59 AM

Vern Saboe

Cc: aca chiro list;

Oregondcs

Subject: Re:

" Your Collective Clinical Minds! "

Uncle Vern,

RE: " Improving

outcomes related to back injuries, " the APS and ACP clinical practice

guidelines (Sharron shared with us) for LBP are consistent with chiropractic

goals. I particularly like the part (below) about " patients who do

not improve with self-care options... should consider non-pharmacological

therapy with proven benefits for LBP.... " In addition to SMT, active

care recommendations are listed.

In regard to active

care, Life and COCSA have initiated the " Straighten Up, America "

protocol.

http://www.cleveland.edu/straighten_up/Straighten_Up_America.pdf

While I applaud

their effort at putting together a simple, accessible and effective daily

active care regimen, this is at best a first step, rudimentary, failing to

address problems of NS centralization, and is potentially harmful in

practice. ly, it's embarrassing having this represent the

profession. A chiropractic active care regimen for the public is as important

to the profession and the public as dental 'Brush your Teeth' educational

efforts. The profession and the public need an evidence-based active care

regimen that reduces back pain without harm, can be done by nearly everyone,

that is specific in detail and alignment, that reduces acute and chronic pain,

and that is progressive in teaching self-care understanding for spinal

health. Telling a person " to breath calmly, deeply and slowly from

your stomach region, " for example, is not enough. The consciousness

required to release chronically held compensatory muscular tension around

postural dysfunctions is an " inside-out " phenomena. It's just

not helpful to reproduce external forms, and without the 'internal' training

can be downright dangerous for the public.

Active spinal health

care is an extremely important part of the public's need, and a valuable part

of chiropractic's mandate. We have been remiss in not bringing more

of our talented skills to bear on producing the very best active care regimen possible.

If we fail to capture the public's attention in this regard, the need will be

filled by those less suited to the mission.

American Pain Society and American College

of Physicians Release Clinical Practice Guideline for Low Back Pain

For patients who do

not improve with self-care options, clinicians should consider the addition of

non-pharmacologic therapy with proven benefits for low back pain. They are

spinal manipulation for acute low back pain; and for chronic or sub-acute

low-back pain options include: intensive interdisciplinary rehabilitation,

exercise therapy, acupuncture, massage therapy, spinal manipulation, yoga,

cognitive-behavioral therapy, or progressive relaxation.

http://www.ampainsoc.org/press/2007/100207.htm

Sears, DC

NW PDX

On Nov 16, 2007, at 7:03 AM, Vern Saboe wrote:

Dear Colleagues,

I would like your collective thoughtful clinical

recommendations regarding

the post below. I have some very specific ideas to

answer these two basic

questions but wish to not bias your thoughtful

responses.

The deal is this, here in Oregon our Workers'

Compensation Division has

asked for my participation on what could be a very

strategic " Standing

Advisory Committee " that will consider

" medical issues affecting the

workers' compensation system. "

As you can see from the post below the first

couple of issues this advisory

committee will address are very near and dear to

what we do everyday as

chiropractic physicians, these issues are:

" Defining quality medical care " and

" improving outcomes related to back

injuries. "

Know your all busy we all are of course but I

would very much appreciate

your thoughtful responses....what would you bring to this advisory committee

table, what comes to mind in addressing these two

questions/issues.....

Thanks so much for your time and consideration,

Have a wonderful weekend,

Vern Saboe, DC., DACAN, FICC, DABFP, FACO

Executive Board Member

Lobbyist

Chiropractic Association of Oregon

Invitation to participate on medical

issues advisory committee

Vern

Saboe, DC

Dr. Saboe:

The Workers' Compensation Division requests your

participation on a standing

advisory committee that will consider medical

issues affecting the workers'

compensation system. We anticipate our first

meeting in January and monthly

meetings throughout 2008 (and possibly longer). We

have not scheduled the

meetings yet, but we expect each to be 3 ½ hours,

probably 8:30 to Noon.

The role of this standing committee is

several-fold. For certain issues

discussed, the committee will be a rulemaking

advisory committee, though we

will focus on high-level policy issues; separate

advisory committees will be

formed as needed to address routine rulemaking.

The standing committee may

recommend system changes that can only be

accomplished through legislative

action, and this advice may give rise to

legislative concepts. In addition,

the committee may recommend actions that can be

achieved within the

framework of existing statutes and rules. The

division will refer the

committee's advice to the Medical Advisory

Committee (created under ORS

656.794) and Management-Labor Advisory Committee

(created under ORS 656.790)

as appropriate to the roles of these committees.

Our first topic of discussion will be defining

" quality " medical care.

Future discussions will include improving outcomes

related to back injuries.

For each meeting, the division will prepare as

much data as possible, as

well as options for discussion. However, we expect

that committee members

will bring additional options to the table.

We recognize that committee participation

represents a substantial time

investment. We will do everything we can to make

that investment worthwhile.

Please RSVP if you would like to participate. I

look forward to hearing from

you!

Sincerely,

Fred Bruyns, policy analyst/rules coordinator

Oregon Workers' Compensation Division

Policy & Communications Section

(503) 947-7717 fax (503) 947-7581

fred.h.bruynsstate (DOT) or.us