Guest guest Posted May 23, 2007 Report Share Posted May 23, 2007 Hello, I manage a very busy critical access outpatient community based rehab practice and employed by the hospital as well as my rehab staff. Senior Leadership has approached me to have a chiropractor in my rehab department. I have asked several questions regarding space, how would this person be employed (private practice or through the hospital or our clinic that is connected but is under different management), revenue, support staff and equipment usage. If anyone has any input regarding regulations, conflicts of interest, opinions and resources that would be great. Terri L Green Rehab Services Manager Hudson Hospital 405 Stageline Road Hudson, WI 54016 Fax: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 24, 2007 Report Share Posted May 24, 2007 Terri, What services would the chiro provide that your PT staff cannot already perform? I do not know your practice act in WI, but it has been my experience that I have seen patients after failed chiropractic care and then they get better with physical therapy, including mobilization/manipulation as needed in their treatment plan. I think I would assess my internal talents and resources and determing if your facility truly needs a chiropractor on staff. Just my 2 cents... Gwilliam, PT, CWS Bowie Memorial Hosptial Bowie, Texas > > Hello, > > > > I manage a very busy critical access outpatient community based rehab > practice and employed by the hospital as well as my rehab staff. Senior > Leadership has approached me to have a chiropractor in my rehab > department. I have asked several questions regarding space, how would > this person be employed (private practice or through the hospital or our > clinic that is connected but is under different management), revenue, > support staff and equipment usage. If anyone has any input regarding > regulations, conflicts of interest, opinions and resources that would be > great. > > > > Terri L Green > > Rehab Services Manager > > Hudson Hospital > > 405 Stageline Road > > Hudson, WI 54016 > > > > Fax: > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 25, 2007 Report Share Posted May 25, 2007 Terri, I have a feeling your question is going to generate a lot of responses. Please do not go through with the Senior Leadership Idea. I view this situation as a wonderful opportunity to educate your administration on the difference between Chiro and PT/Rehab. Chiropractic is not rehabilitation. It is an alternative treatment based on correlative results, much like other holistic therapies. While PT is not always " evidenced-based " , it is science/research-based. If your hospital wants to open an alternative care center with acupuncture, aromatherapy, and chiropractic, then I would support that. However, I would not include chiro in my rehabilitation department under my watch. This is just another way that the chiropractic field is trying to push their way into hospitals. They also are trying to force the legislative hand on manipulation under anesthesia, primary care physician status in the VA hospitals, chiropractic education in actual universities like Florida State, etc. This all boils down to the marketing and public relations differences between PT and Chiro. When it comes to the public, if you repeat something ad nauseam they will begin to view it as fact. We have allowed chiropractic and HUMER PT clinics define what PT is and isn't. There are a lot of talented Chiropractors in the world, the public (and your hospital administration) need to realize that they are in the alternative realm of treatment, not in the conventional medical model. Gray, MPT, OCS, CSCS Director - Rehabilitation Services Board Certified Orthopedic Specialist Hanford Community Medical Center Central Valley General Hospital (Tel) (Fax) >>> " jgwilliam2000 " 05/24/2007 11:16 >>> Terri, What services would the chiro provide that your PT staff cannot already perform? I do not know your practice act in WI, but it has been my experience that I have seen patients after failed chiropractic care and then they get better with physical therapy, including mobilization/manipulation as needed in their treatment plan. I think I would assess my internal talents and resources and determing if your facility truly needs a chiropractor on staff. Just my 2 cents... Gwilliam, PT, CWS Bowie Memorial Hosptial Bowie, Texas > > Hello, > > > > I manage a very busy critical access outpatient community based rehab > practice and employed by the hospital as well as my rehab staff. Senior > Leadership has approached me to have a chiropractor in my rehab > department. I have asked several questions regarding space, how would > this person be employed (private practice or through the hospital or our > clinic that is connected but is under different management), revenue, > support staff and equipment usage. If anyone has any input regarding > regulations, conflicts of interest, opinions and resources that would be > great. > > > > Terri L Green > > Rehab Services Manager > > Hudson Hospital > > 405 Stageline Road > > Hudson, WI 54016 > > > > Fax: > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2007 Report Share Posted May 31, 2007 Terri, I think you have gotten good feedback to this already. I would only add this. Sometimes " Senior Leadership " makes decisions regardless of the feedback received, no matter how persuasive the arguement to the contrary. In the eevent that happens I would encourage you to try to be on the interview panel that interviews the Chiro. and really gauge his/her buy in to the rehab scenario. I have worked closely with chiropractors and some are very good at including appropriate PT into the patient's plan of care and some ar not. If in the end you have to accept this scenario then keep the communication lines upon and hopefully you can have direct influence on who ultimately is hired. Best of Luck, Jeff Weil, PT > > > > > > Hello, > > > > > > > > > > > > I manage a very busy critical access outpatient community based > > rehab > > > practice and employed by the hospital as well as my rehab staff. > > Senior > > > Leadership has approached me to have a chiropractor in my rehab > > > department. I have asked several questions regarding space, how > > would > > > this person be employed (private practice or through the hospital > > or our > > > clinic that is connected but is under different management), > > revenue, > > > support staff and equipment usage. If anyone has any input > > regarding > > > regulations, conflicts of interest, opinions and resources that > > would be > > > great. > > > > > > > > > > > > Terri L Green > > > > > > Rehab Services Manager > > > > > > Hudson Hospital > > > > > > 405 Stageline Road > > > > > > Hudson, WI 54016 > > > > > > > > > > > > Fax: > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.