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  • Informatics, the Electronic Health Record, and the Chiropractic Profession

    Contains 5 Component(s), Includes Credits Recorded On: 11/07/2019

    In this presentation by Dr. Brian C. Coleman, DC, we seek to describe the importance of biomedical informatics as applied to the chiropractic profession, namely through the use of the electronic health record (EHR). We introduce the field of biomedical informatics, and subfields of clinical informatics and public health informatics, as they relate to the chiropractic profession. We discuss the types of data collected in the EHR, uses of these data in informatics applications, and the current state of the chiropractic profession with respect to EHR data. We identify the use and significance of informatics and EHR data as a vehicle for improving the chiropractic profession in three fields (academic training, clinical practice, and research) through health information exchange, data-driven quality improvement, and increased opportunity for interfacing and integration with other healthcare professionals.

    In this presentation by Dr. Brian C. Coleman, DC, we seek to describe the importance of biomedical informatics as applied to the chiropractic profession, namely through the use of the electronic health record (EHR).  We introduce the field of biomedical informatics, and subfields of clinical informatics and public health informatics, as they relate to the chiropractic profession.  We discuss the types of data collected in the EHR, uses of these data in informatics applications, and the current state of the chiropractic profession with respect to EHR data.  We identify the use and significance of informatics and EHR data as a vehicle for improving the chiropractic profession in three fields (academic training, clinical practice, and research) through health information exchange, data-driven quality improvement, and increased opportunity for interfacing and integration with other healthcare professionals.

    Learning Objectives:

    After completing this course, the learner should be able to:
    1. Identify introductory concepts of informatics and the electronic health record as related to clinical care and public health.
    2. Explain the current state of large-scale data in the chiropractic profession.
    3. Identify opportunities for improvement in data-driven decision making and application to clinical care and research at multiple stakeholder levels.

    Brian C. Coleman, DC

    US Department of Veterans Affairs- Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center

    Dr. Brian Coleman, DC is a post-doctoral research fellow in medical informatics at the VA Connecticut Healthcare System and the Center for Medical Informatics at the Yale School of Medicine.  During his fellowship, Brian has also been able to provide chiropractic care to our nation’s Veterans at VA Connecticut.  He holds an adjunct faculty appointment at Sacred Heart University in the College of Health Professions, teaching students in the Masters of Healthcare Informatics program in courses including electronic health records, emerging technologies, population health, and contemporary topics in informatics.  Brian earned his doctor of chiropractic degree from the University of Bridgeport in 2017.  Before that, he attended the University of Connecticut, where he earned his undergraduate degree in biomedical engineering.  His areas of research interest include digital health technologies, clinical informatics, machine learning, and health services research.

  • Building a Bulletproof Shoulder & Neck Rehab Program Into Your Practice

    Contains 5 Component(s), Includes Credits Recorded On: 10/17/2019

    Join Dr. Daniel Bockmann for a course which provides detailed instruction on how to introduce a simple, effective, evidence-informed shoulder and neck rehab program into any doctor's practice, with little to no equipment needed. This rehab protocol is easily adaptable for all patients with shoulder or neck conditions, irrespective of age, activity level or general health status. Dr. Bockmann will begin with a brief discussion of the primary causes of mechanical problems in the neck and shoulder complex, how they arise, and how they are best assessed. The course defines simple treatment tactics, employing the 5 most effective clinical tools for shoulder and neck conditions: spinal manipulation, stretches, massage/myofascial release, exercise and lifestyle modification. He will discuss how both technique problems (whether in life or sport), and systemic problems (disease, deficiency, dehydration, lack of sleep, etc.) can overlay a mechanical problem, and slow healing or prevent recovery, and much more!

    Join Dr. Daniel Bockmann for a course which provides detailed instruction on how to introduce a simple, effective, evidence-informed shoulder and neck rehab program into any doctor's practice, with little to no equipment needed. This rehab protocol is easily adaptable for all patients with shoulder or neck conditions, irrespective of age, activity level or general health status.  Because the treatment rationale is straight-forward, and patients see results quickly, patient compliance is high.  Dr. Bockmann will begin with a brief discussion of the primary causes of mechanical problems in the neck and shoulder complex, how they arise, and how they are best assessed.  The course defines simple treatment tactics, employing the 5 most effective clinical tools for shoulder and neck conditions: spinal manipulation, stretches, massage/myofascial release, exercise and lifestyle modification.  He will discuss how both technique problems (whether in life or sport), and systemic problems (disease, deficiency, dehydration, lack of sleep, etc.) can overlay a mechanical problem, and slow healing or prevent recovery. Dr. Bockmann will cover each step of the rehab protocol, including exercise progressions, stretching guidelines, massage/MFR duration & frequency, sleep/workstation/driving posture cues, and lifestyle contributors.  The course also enables the provider to craft a return-to-work/return-to-play schedule for the patient, that achieves a quick resumption of activity with minimal risk of re-injury.  Finally, Dr. Bockmann will outline key prevention and maintenance strategies that help prevent recurrences of neck or shoulder injuries, once the patient is released from care.


    Learning Objectives:

    After viewing this webinar, registrants should be able to:

    1) Apply simple treatment tactics, using 5 clinical tools: spinal manipulation, stretching, massage/myofascial release, exercise & lifestyle modification.

    2) Create and explain a return-to-work/return-to-play program for each patient that is safe, speedy and easy to understand.

    3) Educate patients in preventative and life-performance maintenance, to increase patient compliance and reduce injury recurrence.

    Daniel P. Bockmann

    DC

    Austin Spine and Sport


    Bio

    Dr. Bockmann has been in private practice for 19 years, and owns a sports medicine and rehab clinic in Austin, TX, where he provides pre-and post-surgical rehab for spine and extremity conditions. He holds both a Doctor of Chiropractic (DC) degree, and a Bachelor of Science (BS) in Human Biology. Dr. Bockmann is a member of the American Chiropractic Association Sports Council (ACASC), American Chiropractic Association (ACA), and the Texas Chiropractic Association (TCA). He has qualified as a Certified Strength & Conditioning Specialist (CSCS), through the National Strength and Conditioning Association (NSCA).

  • The Pre-participation Physical and Sports Concussion Management

    Contains 5 Component(s), Includes Credits Recorded On: 10/15/2019

    Join Dr. Carlo Guadagno DC, CCSP, ICCSP, FICC for an in-depth look at how chiropractic can play a role in pre-participation physical exams and concussion management. The primary objective of this course is to familiarize registrants to with the basic aspects of conducting a pre-participation sports physical and develop a working knowledge, application, and investigation of this concentration within chiropractic medicine. This course will also cover the management of sports concussion within the chiropractic office setting; ethical and medico-legal issues, sports nutrition, and a focus on a series of evaluations, diagnoses, and treatments that are common within sports medicine.

    Join Dr. Carlo Guadagno DC, CCSP, ICCSP, FICC for an in-depth look at how chiropractic can play a role in pre-participation physical exams and concussion management. The primary objective of this course is to familiarize registrants to with the basic aspects of conducting a pre-participation sports physical and develop a working knowledge, application, and investigation of this concentration within chiropractic medicine. This course will also cover the management of sports concussion within the chiropractic office setting; ethical and medico-legal issues, sports nutrition, and a focus on a series of evaluations, diagnoses, and treatments that are common within sports medicine.

    Learning Objectives:

    Upon completion of this course, the successful student will be able to: 

    - Evaluate and diagnose common injuries seen in sports and other activities. 

    - Identify patient-centered management strategies to treat and manage common sports injuries. 

    - Prepare clinicians to perform an appropriate pre-participation physical. 

    - Apply a practical understanding of professional, ethical, and medico-legal activities encountered in a sports medicine practice.

    Carlo Guadagno DC, CCSP, ICCSP, FICC

    Assistant Professor of Clinical Sciences

    National University of the Health Sciences

    Bio

    Dr. Guadagno is an Assistant Professor of Clinical Sciences at National University of the Health Sciences. He maintains a private practice at Pinellas Park Whole Health Center. While practicing in Miami, he was a member of the Sports Medicine Team at FIU (Florida International University) which included traveling with the Golden Panthers Football team and providing sideline care. In Florida he serves as the American Chiropractic Association Delegate for the State. He is also past President for the Council on Sports Injuries, Rehabilitation and Physical Fitness of the Florida Chiropractic Association (FCA). In 2016 he was named Sports Chiropractor of the year for the ACA Sports Injuries Council. He has complete five United States Olympic Training Center Medical Staff Rotations. He was one of only three American DC’s who served the athletes at the Olympic Village Polyclinic in the 2016 Olympic Games in Rio.


  • Realistic Active Care Plans for Chronic LBP: Leveraging Design Thinking and Behavioral Economics

    Contains 5 Component(s), Includes Credits Recorded On: 10/10/2019

    Design thinking has been leveraged to create some of the most successful consumer products. Behavioral economics is being applied to leverage natural human behavior for creating healthier habits and better choices. The impact of design thinking and behavioral economics has been an emerging field of study specifically around the field of public health. This course by Dr. Isaac Borowiec, DC applies these cutting-edge behavioral sciences to the chiropractic practice so you can create active care plans that are sticky and work for each individual patient. In this lecture, we apply these concepts specifically to chronic lower back pain.

    Design thinking has been leveraged to create some of the most successful consumer products. Behavioral economics is being applied to leverage natural human behavior for creating healthier habits and better choices. The impact of design thinking and behavioral economics has been an emerging field of study specifically around the field of public health. This course by Dr. Isaac Borowiec, DC applies these cutting-edge behavioral sciences to the chiropractic practice so you can create active care plans that are sticky and work for each individual patient. In this lecture, we apply these concepts specifically to chronic lower back pain. 

    Learning Objectives:

    After viewing this course, registrants will be able to:

    1. Explain and understand the basics of design thinking and its applications to clinical care.
    2. Discuss and understand the basics of behavioral economics and its application to designing “sticky” or practical active care treatment plans.

    Isaac I Borowiec

    DC, DACBSP

    Dr. Borowiec studied Kinesiology at San Diego State University where he focused on rehabilitative sciences. After graduating from Palmer Chiropractic college, he continued on as an adjunct professor of anatomy and clinical instruction. Dr. Borowiec is named on a pending patent for the first non-flat ergonomic standing desk mat Topo. He currently practices full time in Manhattan for One Medical group at an integrated on-site corporate clinic. Dr. Borowiec recently graduated with a joint MBA and MS in general management and healthcare leadership from Cornell’s Johnson School of Business and the Weill Cornell Graduate School of Medical Sciences. During business school, Dr. Borowiec studied applied economics, design thinking, and healthcare policy; here he began the application of these disciplines to chiropractic practice. 

  • Fall Prevention: Improving Strength, Balance and Flexibility in Older Adults

    Contains 5 Component(s), Includes Credits Recorded On: 10/08/2019

    Older adults are the fastest growing population in the United States. Falls are a major public health concern in older adults, and the leading cause of injury-related death in this age group. Chiropractors are well-suited by their training and expertise to assess fall risk in older adults and implement evidence-based fall prevention strategies. In this session, Dr. Lisa Killinger, DC, will examine the issue of fall prevention in older adults. She will explore why older patients fall and review evidence-based assessment tools related to fall risk. Strategies to improve several of the key causes of falls will be shared. Simple steps will be discussed to improve the balance, strength and flexibility of older adult patients, while not ignoring the role posture plays in falls as well.

    Older adults are the fastest growing population in the United States. Falls are a major public health concern in older adults, and the leading cause of injury-related death in this age group. Chiropractors are well-suited by their training and expertise to assess fall risk in older adults and implement evidence-based fall prevention strategies. In this session, Dr. Lisa Killinger, DC, will examine the issue of fall prevention in older adults. She will explore why older patients fall and review evidence-based assessment tools related to fall risk. Strategies to improve several of the key causes of falls will be shared. Simple steps will be discussed to improve the balance, strength and flexibility of older adult patients, while not ignoring the role posture plays in falls as well.


    Learning Objectives:

    After viewing this webinar, registrants will be able to:

    1. Identify the role of balance, strength and flexibility in fall prevention in older adults. 
    2. Recognize standard evidence based assessment methods for fall risk and balance deficits.
    3. List and explain simple strategies in clinical practice to decrease fall risk in older adults.

    Lisa Killinger, DC

    Professor of Diagnosis, Palmer College of Chiropractic

    Lisa Killinger, D.C., is a 1983 Palmer College Graduation and a professor of Diagnosis at Palmer College of Chiropractic. Dr. Killinger teaches Geriatrics, Pediatrics, Men’s & Women’s Health, and chiropractic technique courses for students, educators and health professionals.  She is a frequent invited speaker at international scientific conferences. She has published 9 book chapters on geriatrics and over 75 publications in the scientific literature, and has received dozens of awards for her teaching, research and civic engagement over the past two decades. 

    Dr. Killinger has directed or co-directed eight US governmental program development grants on the topic of geriatric education and interdisciplinary care. She also served as a site coordinator for the Health Resources and Services Administration funded Iowa Geriatric Education Center for over 10 years. She is currently the sole chiropractor serving as an advisor to the US Government on the topic of Developing Interdisciplinary Community Based Linkages. 

  • Medicare Coding and Documentation Toolkit, Part 3: The Middle of Care

    Contains 4 Component(s), Includes Credits

    As the patient progresses through treatment, it’s critical that you systematically document their progress in the context of the treatment plan and functional goals. This course prepares you to appropriately code for chiropractic services under Medicare, including proper application of the AT modifier on adjustment and use of macros. In addition, you will learn about the vital components of clinical documentation for the Medicare patient at the midpoint of care, including how to thoroughly record subjective and objective assessments, updates to the treatment plan, techniques or passive therapies applied during visits, and changes to treatment frequency along with an explanation as to the rationale for the change. Finally, presenters Jennifer Rathmann, DC, and Lee Matthis, DC will prepare you to handle and methodically document the necessary conversations with your patient about progress, self-management techniques, potential new treatments or frequency, and in certain instances, referral to another provider. Medicare Coding and Documentation Toolkit Part 3: The Middle of Care is the third course in a four-part series . It is recommended, though not required, that you take Part 1 and Part 2 prior to taking this course.

    As the patient progresses through treatment, it’s critical that you systematically document their progress in the context of the treatment plan and functional goals. This course prepares you to appropriately code for chiropractic services under Medicare, including proper application of the AT modifier on adjustment and use of macros.  In addition, you will learn about the vital components of clinical documentation for the Medicare patient at the midpoint of care, including how to thoroughly record subjective and objective assessments, updates to the treatment plan, techniques or passive therapies applied during visits, and changes to treatment frequency along with an explanation as to the rationale for the change.  Finally, presenters Jennifer Rathmann, DC, and Lee Matthis, DC will prepare you to handle and methodically document the necessary conversations with your patient about progress, self-management techniques, potential new treatments or frequency, and in certain instances, referral to another provider.  

    Medicare Coding and Documentation Toolkit Part 3: The Middle of Care is the third course in a four-part series.  It is recommended, though not required, that you take Part 1 and Part 2 prior to taking this course.

    You may register for each course individually or save 10% by registering for the bundle.  

    Learn more about each course in the series below:  
    Part 1 – An Episode of Care
    Part 2 – The Beginning of Care
    Part 4 – The End of Care 

    Lee R Matthis, DC

    Tuck Chiropractic Clinic

    Bio

    Lee R Matthis, DC

    Tuck Chiropractic Clinic

    Bio

    Dr. Jennifer Rathmann

    Doctor of Chiropractic

    Tuck Clinic

    Bio

    Dr. Jennifer Rathmann

    Doctor of Chiropractic

    Tuck Clinic

    Bio

  • Medicare Coding and Documentation Toolkit, Part 4: The End of Care

    Contains 4 Component(s), Includes Credits

    In Part IV of this series, Dr. Rathmann and Dr. Matthis will examine how chiropractors can repeat, revise, and apply the same steps from Parts II and III to the end of caring for a patient. Building a system to code future visits as “elective” instead of episodic, and properly transitioning to GA modifiers will be discussed. How to properly prepare final clinical documentation will be identified, including final outcomes assessments, VAS/PEG assessments, self-management suggestions, and the signed/dated/scanned ABN form if continuing maintenance care is chosen by the patient. How to manage end of care conversations with patients will be explained, including the release from care, referrals if the patient has not met their functional goals or can be helped by another practitioner, self-management techniques and maintenance care discussions, and explaining the ABN form and Medicare coverage of “elective” chiropractic visits if the patient does elect maintenance care.

    As progress towards established goals plateaus, you may encounter the point of care where it is time to transition your Medicare patient from episodic care to elective care – also known as maintenance care.  After completing this course, you will understand how to correctly code chiropractic care using GA modifiers to reflect elective care versus “episodic” care caused by an episode or crisis.  Presenters Jennifer Rathmann, DC, and Lee Matthis, DC will offer you the tools to easily recognize the “end of care,” appropriately finalize the patient’s progress in the record, and build a system that ensures you properly code the patient’s care as “elective” for visits beyond the episode of care.   

    You will also gain insights into how to engage your patients in conversations about elective care, which is not covered by Medicare, as well as the importance of notifying the provider if a new injury or flare-up occurs, which would prompt a new episode.  Finally, the presenters will explain how to use the Advanced Beneficiary Notice (ABN) to provide chiropractic care to Medicare patients after the end of episodic care and how to establish an alert system to update these important forms annually with elective patient populations.  

    Medicare Coding and Documentation Toolkit Part 4: The End of Care is the fourth course in a four-part series.  It is recommended, though not required, that you take Part 1, Part 2, and Part 3 prior to taking this course.

    You may register for each course individually or save 10% by registering for the bundle.  

    Learn more about each course in the series below:   
    Part 1 – An Episode of Care
    Part 2 – The Beginning of Care
    Part 3 – The Middle of Care 

    Lee R Matthis, DC

    Tuck Chiropractic Clinic

    Bio

    Dr. Jennifer Rathmann

    Doctor of Chiropractic

    Tuck Clinic

    Bio

  • Medicare Coding and Documentation Toolkit: 4-Part Series Bundle

    Contains 10 Component(s), Includes Credits

    Minimize your losses, penalties or denials for Medicare reimbursement by taking this new multi-part course series, presented by Jennifer Rathmann, DC, and Lee Matthis, DC. Enhance your knowledge and skills in documenting and coding for chiropractic services under the Medicare program. Through this program, you will learn how to navigate the various points in the timeline of care under the current limited coverage permitted for chiropractic care. Avoid coding and documentation errors, which may have negative consequences on chiropractic practices such as improper or denied reimbursement or penalties. Save time and money by utilizing these practitioner-recommended self-audit techniques, which will minimize the occurrence of time-consuming external audits. You may register for each course individually or save 10% by registering for the bundle .

    Minimize your losses, penalties or denials for Medicare reimbursement by taking this new multi-part course series, presented by Jennifer Rathmann, DC, and Lee Matthis, DC.  Enhance your knowledge and skills in documenting and coding for chiropractic services under the Medicare program.  Through this 4-part course series, you will learn how to navigate the various points in the timeline of care under the current limited coverage permitted for chiropractic care.  Avoid coding and documentation errors, which may have negative consequences on chiropractic practices such as improper or denied reimbursement or penalties.  Save time and money by utilizing these practitioner-recommended self-audit techniques, which will minimize the occurrence of time-consuming external audits. 

    You may register for each course individually or save 10% by registering for this bundle

    Learn more about each course in the series:

    Part 1 – An Episode of Care 
    Part 2 – The Beginning of Care
    Part 3 – The Middle of Care 
    Part 4 – The End of Care 

  • Chiropractic Adjusting in Elder Patients: Lowering Risk of Adverse Events

    Contains 5 Component(s), Includes Credits

    Older adults are the fastest growing population in most developed nations. Precious few educational resources exist to train chiropractors in the safe, effective care of older adults. Normal aging creates several important risks related to chiropractic adjusting. In this webinar by Dr. Lisa Killinger, DC, strategies will be demonstrated and discussed to enhance the safety and comfort of adjusting aging patients. Recent literature on chiropractic techniques will be woven into the discussion as a “least invasive to most invasive” approach to clinical chiropractic procedures will be offered. Finally, methods to lowering our risk of adverse events will be explored.

    Older adults are the fastest growing population in most developed nations. Precious few educational resources exist to train chiropractors in the safe, effective care of older adults. Normal aging creates several important risks related to chiropractic adjusting. In this webinar by Dr. Lisa Killinger, DC, strategies will be demonstrated and discussed to enhance the safety and comfort of adjusting aging patients. Recent literature on chiropractic techniques will be woven into the discussion as a “least invasive to most invasive” approach to clinical chiropractic procedures will be offered. Finally, methods to lowering our risk of adverse events will be explored.


    Learning Objectives

    After viewing this webinar, registrants will be able to:

    1. List safety concerns related to chiropractic adjusting in older adults
    2. Appraise and explain the relationship between normal-age related changes and risk in chiropractic adjusting.
    3. Discuss strategies to lower risk of adverse events in the chiropractic care of older adults

    Lisa Killinger, DC

    Professor of Diagnosis, Palmer College of Chiropractic

    Lisa Killinger, D.C., is a 1983 Palmer College Graduation and a professor of Diagnosis at Palmer College of Chiropractic. Dr. Killinger teaches Geriatrics, Pediatrics, Men’s & Women’s Health, and chiropractic technique courses for students, educators and health professionals.  She is a frequent invited speaker at international scientific conferences. She has published 9 book chapters on geriatrics and over 75 publications in the scientific literature, and has received dozens of awards for her teaching, research and civic engagement over the past two decades. 

    Dr. Killinger has directed or co-directed eight US governmental program development grants on the topic of geriatric education and interdisciplinary care. She also served as a site coordinator for the Health Resources and Services Administration funded Iowa Geriatric Education Center for over 10 years. She is currently the sole chiropractor serving as an advisor to the US Government on the topic of Developing Interdisciplinary Community Based Linkages. 

  • Anatomy of an Insurance Contract

    Contains 2 Component(s)

    Join Dr. Marcus Nynas as he walks you through the basics of understanding insurance contracts. Common items such as length of term versus an automatic renewal along with the pluses and minuses of each will be discussed. In addition, the terms for payment of a clean claim and the potential for this have important implications for the proposals of medical cost transparency legislation will be examined. Dr. Nynas will illustrate how to find the payment schedules, medical policies, appeals procedures, and other vital information contained in the contract. He will also share where to find in the contract how to discontinue participating in the plan. This webinar is not for CE credit.

    Join Dr. Marcus Nynas as he walks you through the basics of understanding insurance contracts.  Common items such as length of term versus an automatic renewal along with the pluses and minuses of each will be discussed.  In addition,  the terms for payment of a clean claim and the potential for this have important implications for the proposals of medical cost transparency legislation will be examined. Dr. Nynas will illustrate how to find the payment schedules, medical policies, appeals procedures, and other vital information contained in the contract.  He will also share where to find in the contract how to discontinue participating in the plan. 

    This webinar is not for CE credit.


    Learning Objectives:

    After attending this webinar, the participant will be able to: 
    1.       Understand basic principles of insurance contract              
    2.       Find fee schedules in the contract              
    3.       Find medical policy decisions 
    4.       Identify common issues and how to respond to them

    Marcus Nynas, DC, FICC, GTS, SFMA Level 1

    Chair, Montana Chiropractic Association’s Insurance Committee