News & Information
Message from TBCE President, August 2017
Written by TBCE   
Wednesday, August 23, 2017 05:00 PM

As we transition away from facility registration, it is imperative for D.C.’s employed by facility owners to fully understand their responsibilities as a licensee. Prior to the recent passage of SB 304, there was some uncertainty as to the shared responsibilities between a licensed D.C. and a registered facility owner regarding a variety of matters including the maintenance of patient records, billing and the sanitary conditions of the facility where patients are served. As of September 1, 2017, the TBCE must hold each licensed D.C. responsible for the entire package of delivery of healthcare services. If a complaint is filed against a licensee by a patient, payer, or other concerned party, the Board will investigate the incident and hold the licensed D.C. wholly responsible for any acts of commission or omission resulting in a rule violation.

Celebration Is Over … Time to Get Back to Work for Chiropractic!
Written by Max Vige, DC   
Wednesday, August 23, 2017 10:20 AM

 President’s Message

Summer is nearly over, vacations are done, the kids are back in school and the Texas Chiropractic Association is back to work for you, our members, and the entire Texas chiropractic community. Not that we took much of a break after an exhausting but, ultimately successful, 2017 Legislative Session that resulted in four pro-chiropractic bills being signed into law.  

TCA fought hard for the passage of SB 304, which extended the Texas Board of Chiropractic Examiners (TBCE) for 12 more years. By now, you know your right to diagnose is clearly established in the Texas Chiropractic Act. But, as of September 1, 2017, you no longer have to pay TBCE an annual facility registration. This is in addition to the $200 savings off your fees that TCA fought for and won during the 2015 Legislative Session. Meanwhile, SB 679 opened doors for doctors of chiropractic interested in expanding the range of services in their practice; signing of the “professional associations bill” allows you to form business entities with medical doctors, doctors of osteopathy and podiatrists. Whether this is important to you or not, it puts chiropractors on a more even playing field. 

Practice Characteristics Between Swiss Male and Female Chiropractors
Written by Editor   
Tuesday, August 22, 2017 09:58 AM

Because of the start of a new chiropractic program in the faculty of medicine at the University of Zürich in 2008, a job analysis survey of chiropractic practice in Switzerland was performed in 2009 to identify specific characteristics of Swiss chiropractic practice to ensure a comprehensive education of future chiropractors in Switzerland. Additionally, the authors wanted to compare and contrast differences between chiropractic practice in Switzerland and other countries. 

Now, as the first 3 cohorts of students have finished their studies at the University of Zürich, and with the majority of students currently studying chiropractic medicine at the University of Zürich being women, overall, 75% of the chiropractic medicine students are women and 25% men. This is the exact opposite proportion of the percent sex distribution identified for practicing chiropractors in Switzerland in the 2009 job analysis. Although the size of the chiropractor student cohorts at the University of Zürich are small (20 students per year maximum intake) and with the Swiss government increasing restrictions on foreign graduates practicing in the country, over time the proportion of women chiropractors in Switzerland will significantly increase as the older practitioners retire. This change makes it important to analyze the specific differences between the 2 sexes in terms of the way they practice.

Recurrences of Low Back Pain During the First 12 Months After Chiropractic Treatment
Written by Editor   
Tuesday, August 22, 2017 09:53 AM

The purpose of this study was to investigate recurrence rate and prognostic factors in a large population of patients with low back pain (LBP) up to 1 year after chiropractic care using standardized definitions.

Providers Slow to Adopt Value-based Pay
Written by Editor   
Tuesday, August 22, 2017 09:45 AM

About one-quarter of 700 health executives polled in a new survey said they had no value-based reimbursement initiatives planned for 2017.

Health systems are transitioning from a model that emphasizes volume to value, albeit slowly. Smaller organizations were far more reticent to pursue value-based reimbursement initiatives, some of which include the Medicare shared savings program and variations of accountable care organizations, than larger organizations. Around two-thirds of the organizations that reported between $100 million and $1 billion in annual revenue were not pursuing value-based initiatives in 2017, while the vast majority of larger firms that have the resources needed to integrate these models into clinical operations had some form of value-based models in place.

The industry is beginning to grasp the concept that quality is a driver to reducing costs and that the cost-cutting measures of yesterday were short-term band-aid approaches that did not achieve a sustainable balance of cost and quality.  Providers are pursuing measures to help reduce medical errors and increase reliability. 

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