September TBCE President's message
Written by Dr. Mark Bronson   
Monday, September 18, 2017 05:13 PM

By: Mark R. Bronson, D.C., F.A.C.O.

First, I want to thank those of you who read these newsletters and use the information to guide your business and practice decisions. The articles are written in the interest of preventing complaints against our licensees by focusing on common problem areas and anticipating questions or misconceptions. Not only are readers more likely to avoid Board actions, they are more likely to embrace high standards and provide honest, ethical and professional care. Earning a reputation as an honorable and skilled professional ultimately results in a successful practice.

I have mentioned in previous messages that the standards of practice are dynamic. Changes come with developments from within the profession as well as outside. Our patients are infinitely more aware of accepted healthcare standards due to access to published information and social media, and as a result, are more apt to post candid reviews. Those who embrace high standards tend to utilize such feedback by making positive changes to their practice and procedures.

Evidence-based practice (EBP) concepts were introduced twenty-five years ago and have become a solid standard in healthcare as well as in other legitimate industries. EBP is the conscientious use of current best evidence in making decisions about patient care. It is the integration of the best research evidence with clinical expertise and patient values which, when applied by practitioners, will ultimately lead to improved patient outcome.

The curricula of all accredited chiropractic schools are molded around EBP as the core foundation. This is the new national standard to which Doctors of Chiropractic are held, thus, it is imperative that every licensed D.C. embrace this concept and design their clinical practices and administration policies accordingly.

My August 2017 letter to the profession last month, addressed that with elimination of facility registration, doctors employed by non-DC facility owners should fully understand their responsibilities regarding the maintenance of patient records, billing and sanitary conditions of the facility. Likewise, the doctor is responsible for making evidence-based clinical recommendations for diagnostic testing, treatment plans, and the need for any durable medical equipment or nutritional supplements.

Lastly, I urge doctors and staff members to communicate with patients compassionately and respectfully. Address their concerns about any discomfort they may experience during treatment. Research and evidence show that a properly managed communication and explanation to the patient about an outcome can actually help reinforce the trusting relationship you have with your patient. It will also reduce the risk of potential claims or litigation.

(Ref:Whitmer/Vance, NCMIC, Patient Interactions,9/01/2016; https://www.ncmic.com/learning-center/articles/risk-management/patient-interactions/should-you-apologize/).


 Source:  September 2017 Texas Chiropractic Board Report