Texas Chiropractic eSource
The Texas Chiropractic eSource is your connection to Texas Chiropractic news, updates and events.
Five Things Clinicians and Patients Should Question
Written by Edito   
Tuesday, August 15, 2017 05:33 PM

The ACA has released a list of “Five Things Clinicians and Patients Should Question” in chiropractic as part of the Choosing Wisely® campaign, led by the ABIM Foundation and Consumer Reports®. The list identifies five targeted, evidence-based recommendations that can support doctors of chiropractic and patients in making wise choices about their care.

Does Health Insurance Save Lives?
Written by Editor   
Monday, August 14, 2017 07:27 AM

Is health insurance really a "life-saver" as the political debate seems to claim? Is there an alternative to consider besides relying upon the "life-saver"?

Multiple groups are synthesizing decades worth of data to answer that question.  A report appearing in the New England Journal of Medicine concluded, “arguing that health insurance doesn’t improve health is simply inconsistent with the evidence.”  Some are claiming that plans to change the current nationalized insurance system will have catastrophic effects, claiming “there will be deaths.”  

But this is a more difficult question than it may appear at first glance. First – who do you compare the uninsured to? What's the control group? If you compare uninsured people to those who get insurance due to disability or through Medicare, you might be stacking the deck against being insured – since that comparison group is a bit sicker than average. In contrast, if you compare uninsured people to people with employer-sponsored insurance, you might make being uninsured look worse than it really is due to the so-called "healthy worker effect." Accounting for these imperfect comparisons requires statistical adjustment, which can often be quite difficult.

SSNRI is Coming? What's That?
Written by Editor   
Sunday, August 13, 2017 12:59 PM

SSNRI is the Social Security Number Removal Initiative (SSNRI). The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, requires CMS to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019. A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards for Medicare transactions like billing, eligibility status, and claim status. 

Opioids: a National Epidemic; it's Worse Than We Thought
Written by Editor   
Friday, August 11, 2017 12:17 PM

Earlier in August, the president’s Commission on Combating Drug Addiction and the Opioid Crisis urged President Trump to declare the opioid crisis a national emergency in order to expedite emergency funding and resources to places hardest hit by the crisis. 

On August 8, Health and Human Services Secretary Tom Price, MD, stated “We believe that, at this point, that the resources that we need, or the focus that we need to bring to bear to the opioid crisis at this point can be addressed without the declaration of an emergency.”  Such emergencies are used in response to “specific area” and a “time-limited problem,” Price reported.

On August 10, President Trump declared the opioid crisis a national emergency. “The opioid crisis is an emergency, and I'm saying officially right now it is an emergency. It's a national emergency. We’re going to spend a lot of time, a lot of effort and a lot of money on the opioid crisis. …We're going to draw it up and we're going to make it a national emergency. It is a serious problem, the likes of which we have never had."

Executive Director’s Message: Don’t Miss TCA’s Education Events in September
Written by Jeff Jenkins   
Wednesday, August 09, 2017 03:18 PM

Summer is almost over and it’s back to school for students. That also applies to doctors of chiropractic in search of coveted continuing education hours to maintain their Texas license or simply wanting to enhance their knowledge. 

Next month, TCA is putting on two events you don’t want to miss!

HHS MD Secretary Claims Opioid Abuse Not a National Emergency
Written by Editor   
Tuesday, August 08, 2017 09:07 PM

The US Department of Health and Human Services (HHS) Secretary Tom Price, MD said the Trump administration could effectively battle opioid abuse without declaring it an official national emergency, a step recommended by a White House commission on the epidemic.

TBCE TEN: Guidelines for DC’s Considering Employment
Written by Editor   
Tuesday, August 08, 2017 01:08 PM

The TBCE is implementing changes pursuant to recently passed legislation that will impact DC’s working within non-DC owned facilities. As of September 1, 2017, the TBCE will no longer register facilities. This means that facility owners will not be required to renew/register a facility, report ownership interests and otherwise keep their information current with the agency. The TBCE, however, maintains the authority and responsibility to regulate all aspects of chiropractic services within a facility, including billing for services and the maintenance of patient records. With this in mind, the TBCE offers the following ten guidelines for DC’s who are considering potential employment within a facility and entering into related business agreements.

Chiropractors Offer Evidence-Based Care for Back Pain
Written by Editor   
Tuesday, August 08, 2017 07:04 AM

The American Chiropractic Association (ACA) and chiropractors nationwide will observe National Chiropractic Health Month (NCHM) this October by sharing information on back pain prevention and the value of a conservative approach to treatment with the theme “Back to Basics.” For more than 30 years, ACA’s annual public information campaigns have aimed to help the public reach optimal levels of health and wellness via natural health promotion and injury prevention strategies, and by highlighting chiropractic's safe, non-drug approach to pain relief.

House Passes Restrictions on Some Malpractice Awards
Written by Editor   
Monday, August 07, 2017 08:09 AM

Non-economic damages in medical malpractice cases would be limited to $250,000 nationwide under a bill passed by the House.  H.R. 1215, known as the Protecting Access to Care Act, passed by a vote of 218-210. It would cap non-economic damages in medical liability cases at $250,000 in states that have not set a limit. (In those that already have their own caps, theirs would prevail.)  

The act, which would apply only to cases involving services covered wholly or partly by federal insurance programs such as Medicare, Medicaid, and the Federal Employee Health Benefits Program, would also:

Veterans Choice Program: Six-Month Extension Clears Congress for President’s Signature
Written by Editor   
Thursday, August 03, 2017 08:21 AM

Doctors of chiropractic treating veterans through the U.S. Department of Veterans Affairs' Veterans Choice Program (VCP) received good news on Aug. 1, with Senate approval of the “VA Choice and Quality Employment Act of 2017.” 

The bill passed without objection on the heels of House action last week, which approved the measure overwhelmingly, 414-0. 

Lawmakers originally designed the program to end August 2017, or whenever funding ran out. But, recognizing the popularity and high usage of the program, lawmakers agreed in April to extend the authorization period, which they said was necessary to access an estimated $200 million that remains in the fund after August. 

ACA to Discuss Important Chiropractic Issues at State Legislative Conference
Written by Editor   
Thursday, August 03, 2017 08:17 AM

ACA will join more than 1,000 policymakers from across the country next week at the National Conference of State Legislatures’ annual legislative summit in Boston. This forum serves as an excellent opportunity for ACA to discuss important issues both on the state and national levels with legislators and staff.

NCSL's mission is to:

  • Improve the quality and effectiveness of state legislatures.
  • Promote policy innovation and communication among state legislatures.
  • Ensure state legislatures a strong, cohesive voice in the federal system.
Patients, Trust and the Internet
Written by Editor   
Thursday, August 03, 2017 08:06 AM

The internet is having an impact upon the level of trust a patient has in a doctor’s diagnosis.  A study presented at the 2017 Pediatric Academic Societies suggests that doctor/patient trust and the drive to a second opinion might be more fragile than previously thought.  It can impact the trust that has been established with a physician and even change the care pathway.

F4CP Supports Opioid Commission Recommendation: Declare Opioid Epidemic National Emergency
Written by Editor   
Tuesday, August 01, 2017 04:27 PM

The Foundation for Chiropractic Progress, the leading voice of the chiropractic profession, strongly endorses recommendations from the White House panel examining the nation's ongoing Opioid crisis to declare the epidemic as a national public health emergency. 

“The chiropractic profession has long recognized the dangers of prescription opioid use and abuse, and has tirelessly advocated for drug-free strategies for patient care," says Sherry McAllister, DC, executive vice president, F4CP.

Canadian Medical Association's Guideline for Opioid Therapy and Chronic Noncancer Pain
Written by Editor   
Tuesday, August 01, 2017 07:30 AM

The harms associated with opioid therapy are substantial. Although the evidence supports dose limits for patients beginning opioid therapy, those currently receiving high-dose opioid therapy constitute a distinct population, and tapering efforts should be individualized and should consider patients’ values and preferences.

This guideline recommends:

  • Optimization of nonopioid pharmacotherapy and nonpharmacologic therapy, rather than a trial of opioids, for patients with chronic noncancer pain.

  • Patients with chronic noncancer pain may be offered a trial of opioids only after they have been optimized on nonopioid therapy, including nondrug measures.

Relative Energy Deficiency in Sport (RED-S)
Written by Editor   
Monday, July 31, 2017 07:11 AM

In 1992, the American College of Sports Medicine (ACSM) encouraged and supported scientific inquiry into and public awareness of a condition that became known as the Female Athlete Triad.  The hallmark components of the triad include eating disorders, functional hypothalamic amenorrhea and osteoporosis. A person diagnosed with the triad may present with one, two or three component conditions. In high school athletes, the prevalence can be as high as 60% for a single diagnosis, 27% for two, and 16% for all three elements. Despite a high prevalence of component conditions physicians lack a widespread knowledge about the triad diagnosis and clinical management options.

The term “Female Athlete Triad” is misleading because the condition can occur in males, females, athletes and non-athletes. Also, the “triad” can present as a single condition or two to three co-existing conditions. In 2015, the International Olympic Committee (IOC) introduced a revised term for the condition called Relative Energy Deficiency in Sport (RED-S). RED-S includes a broader scope of related conditions and removes the female emphasis. Disorders arising from RED-S can include: abnormal metabolic rate, menstrual dysfunction, bone disorders such as low mineral density and stress fracture, depressed immunity status, abnormal protein synthesis, cardiovascular dysfunction and compromised psychological health. RED-S can be thought of as a constellation of conditions arising from nutrient deficiency relative to physical activity demands.

Congress to Soon Head Home, Kicking Off Constituent Outreach Sessions
Written by Editor   
Sunday, July 30, 2017 07:27 AM

The August congressional recess provides opportunity for DCs to meet and talk to their federal legislators.  Members of both the U.S. House of Representatives and the Senate will soon head home to their states and districts. The start of the traditional summer recess comes after, what both parties will tell you, was a less than productive session, leaving several issues unresolved. Nonetheless, in August, members will hold town hall forums, listening sessions, and other public events geared toward gauging constituent views and interests.

Doctors of chiropractic are especially encouraged to seek out their federal legislators at these public town hall meetings because they are a great way to begin establishing a relationship, or strengthening an existing one, with your lawmaker's office. Town hall meetings are free and open to the public. Typically, the legislator will make some remarks about what is happening on Capitol Hill and specifically about what he or she has accomplished or working on. In addition, there is usually time set aside for questions and answers.

If you’ve never attended a town hall meeting before, or even if you’re a seasoned pro, it might feel a bit intimidating. Here are five tips to help you navigate the political town halls:

Include Doctors of Chiropractic in the National Health Service Corps
Written by Editor   
Saturday, July 29, 2017 10:13 AM

Representative Gregg Harper (R-MS) introduced H.R.1378, National Health Service Corps Improvement Act, legislation that seeks to amend the Public Health Service Act to specifically provide for the participation of Doctors of Chiropractic in the National Health Service Corps (NHSC) scholarship and loan repayment programs.  

This legislation will achieve a long-desired goal of the chiropractic profession – to be able to serve in the NHSC – remedying an unfair and arbitrary exclusion in federal law, whose correction is long overdue.  Doctors of Chiropractic should have an opportunity to participate in this program on a fair and competitive basis, along with other health provider types that have been designated as being eligible to be included in the existing NHSC scholarship and loan repayment programs.  

Take the Clinical Compass Chiropractic Guideline for Low Back Pain Challenge
Written by Christine Goertz, DC, PhD   
Wednesday, July 26, 2017 11:29 AM

I have talked about the unprecedented opportunity the chiropractic profession has to make a critical difference in areas of great public health impact, such as low back pain. I strongly believe that if we do the right thing right now, the chiropractic profession is uniquely positioned to significantly impact the quality of spine care delivery, increasing access to chiropractic care for millions of patients who desperately need conservative treatment for spine-related conditions. The flipside is that if we don't take right action now, chiropractic risks becoming a marginalized profession that's on the outside looking in as other health care providers take ownership of musculoskeletal conditions and spinal manipulation.

So what is right action?  Recently, I asked this question of several of my colleagues who influence policy at the highest levels of research and/or health care delivery in the United States. One of those people was Francis Collins, MD, PhD, director of the National Institutes of Health. Dr. Collins responded by saying:

TBCE, Fingerprinting and Criminal Background Checks
Written by Editor   
Friday, July 21, 2017 01:57 PM

Some are confused about the issue of criminal background checks and the use of fingerprinting by the TBCE.  This requirement is now law and it is something that the state government is generally moving towards.  Rather than have agencies sit in judgement regarding “moral turpitude” and other character issues, the state is working to rely upon criminal history to objectively identify the qualification of an individual for various governmental privileges.  TBCE is now no exception.

The TBCE has, and will, provide specific instructions to its licensees when your renewal is due.  What follows is a simple description.  You are urged to read the original TBCE documents to ensure that YOU renew YOUR license correctly.  

Here is a link to TBCE’s New Requirement for License Renewal.  The TBCE has also provided  specific instructions for the fingerprinting process.  Do not rely only upon the following brief explanation, read the documents for yourself and correctly renew your license.

Here is a brief summary of TBCE’s documents:

September 2017 Drug-Free Pain Management Awareness Month
Written by Editor   
Tuesday, July 11, 2017 07:24 AM

The F4CP nationwide annual campaign is critical in raising public awareness of chiropractic care as the preferred first-line approach to avoid use of opioids -- and enhancing your local practice.  It's our opportunity to let people know that  chiropractic care is an important response to prescription opioid use and abuse that leads to addiction and catastrophic outcomes.

TCA Member Issues 100 x $100 Challenge to Benefit CDI
Thursday, June 29, 2017 02:02 PM

Congratulations, Texas chiropractors! Because of your generous contributions over the past year, the 85th Texas Legislative Session was TCA’s most productive in decades. Your donations to the Chiropractic Development Initiative (CDI) allowed TCA to allocate additional resources to our advocacy efforts in Austin, resulting in four chiropractic bills that were signed into law – most notably SB 304 (which affirmed your right to diagnose).

Unfortunately, the fight is far from over. In order to appeal the decision in the TMA vs. TBCE lawsuit (which threatens your right to treat nerves and the subluxation complex), it will take $100,000 in legal fees per year, every year. Dr. James Fowler, a member of the CDI Committee, is challenging all DCs to participate in the 100 x $100 Challenge! Donate $100 a month over the next three years or make a one-time donation of $2,500.

The goal is to sign up 100 more doctors in the program. Check out Dr. Fowler’s video message on the TCA YouTube Channel for more details. To make a donation or get on monthly autodraft, please visitwww.chirotexas.org/CDI or call the TCA office at (512) 477-9292.

TCA Launches Inaugural Texas Sports Chiropractic Conference This Fall at TCC
Tuesday, June 27, 2017 09:38 AM

Sports have always been huge in Texas and doctors of chiropractic have become more involved in the training and care of athletes at all levels – high school, collegiate, professional and amateur.

TCA, in conjunction with Southeast Sports Seminars, will host the 2017 Texas Sports Chiropractic Conference (TSCC), September 29-October 1 at Texas Chiropractic College in Pasadena.

Earn all 16 CE hours toward your Texas license and increase your knowledge of sports chiropractic.

Foot Levelers Extremities Seminar Benefiting the Fight for Chiropractic in Texas
Wednesday, May 24, 2017 09:34 AM

Support the ongoing battle for chiropractic in Texas and earn valuable continuing education hours at an upcoming seminar sponsored by TCA Gold Sponsor Foot Levelers.

Don’t miss the Foot Levelers Extremities Seminar Benefiting the Fight for Chiropractic in Texas coming up Sept. 16-17 at the Wyndham San Antonio Riverwalk Hotel. All money raised at the seminar will go TCA’s Chiropractic Development Initiative (CDI), which funds TCA’s advocacy, legal and public relations initiatives on behalf of the chiropractic profession in Texas.