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Welcome to the Council on Chiropractic Orthopedics (CCO) information website.
The CCO board has worked together to bring you this informative Chiropractic Orthopedic website. Hopefully you will find information that will keep you on top of the many challenges facing our specialty.
August 9, 2017
I’m pleased to report that a new Diplomate class is beginning in October. This is perfect timing for you to contact a friend or colleague that has expressed interest in beginning the program. I have enclosed the Illinois Chiropractic Society’s announcement. Maybe your state association would like to host classes?
The Illinois Chiropractic Society is proud to announce that we are offering the 50 hours of in-person education required to obtain a Diplomate of the Academy of Chiropractic Orthopedists (DACO). In partnership with the University of Bridgeport, doctors in Illinois and around the country will have access to both the education and the respected certification on which more and more organizations and patients are relying on physician selection.
Our DACO in-person educational program is designed to provide the onsite education (50 hours), and the remaining 250 hours are available online through University of Bridgeport. The 300 hours of education fulfill the DACO requirements set forth by the Academy of Chiropractic Orthopedists, and the courses are also approved for those who are only maintaining their DACO credentials.
This advanced clinical training program is designed to position chiropractic physicians with DACO credentials to become members of a primary care team, join a specialty care clinic, teach at medical schools, and become a tier one referral selection by hospital groups.
The current health care marketplace is searching for solutions to an assortment of major problems. Integration into coordinated care organizations by chiropractic specialists with the ability to evaluate and manage painful neuromusculoskeletal conditions is becoming increasingly valuable. The integration of chiropractic specialists into coordinated care organizations also addresses significant problems facing the chiropractic profession, including shrinking third party reimbursement for chiropractic services, reduced access to chiropractic services and rising health care student loan debts.
Coordinated care organizations that are looking for health care professionals with advanced certification include:
1. Accountable Care Organizations,
2. Corporate healthcare organizations,
3. Community health centers,
4. Federally Qualified Health Centers,
5. Patient-Centered Medical Homes,
6. Hospitals, and
7. Specialty care organizations.
You can find out more about the five-weekend courses by visiting www.ilchiro.org/ortho. Here is a brief listing of the courses, instructors, and locations:
October 7 & 8 (as a part of Chicago National Convention & Expo)
Tim Bertelsman, DC, DACO
Orthopedic Diplomate Session 1: Evidence-based Best Practices for Lower Back Pain
November 4 & 5
K. Jeffrey Miller, DC, FACO
Advanced Orthopedic and Neurological Examination of Patients with Chronic Pain
February 10 & 11
K. Jeffrey Miller, DC, FACO
Practical Assessment of the Chiropractic Patient: Efficiency in Orthopedic and
March 10 & 11
Brandon Steele, DC, DACO
Mastering the Assessment and Management of Shoulder and Upper Extremity Problems
April 28 & 29
James J. Lehman, DC, FACO and Todd Cielo, DC
Whiplash Associated Disorders: The Pathway from Acute to Chronic Pain
Holiday Inn Chicago-West Itasca
860 W Irving Park Rd
Itasca, IL 60143
To register and find out more information, please visit www.ilchiro.org/ortho.
To find out more about the online courses through the University of Bridgeport, please visit www.cdi.edu.au/bridgeport/nmsm.php.
The above courses will be approved for continuing medical education in the following states:
I will soon be sending information on the American College of Chiropractic’s annual symposium. It is to be held in Carlsbad, CA in April, 2018.
The Academy of Chiropractic Orthopedics to announce the next two dates for the Part 1 online Diplomate examination. The dates are May 19, 2017 and July 20, 2017. Part 2 will be scheduled fall of 2017. Please direct questions to www.dcorthoacademy.org
HHS issues rules to advance electronic health records with added simplicity and flexibility
Public comment period offers forum to gather additional feedback and inform future policies
The Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) today released final rules that simplify requirements and add new flexibilities for providers to make electronic health information available when and where it matters most and for health care providers and consumers to be able to readily, safely, and securely exchange that information. The final rule for 2015 Edition Health IT Certification Criteria (2015 Edition) and final rule with comment period for the Medicare and Medicaid Electronic Health Records (EHRs) Incentive Programs will help continue to move the health care industry away from a paper-based system, where a doctor’s handwriting needed to be interpreted and patient files could be misplaced.
“We have a shared goal of electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people. We eliminated unnecessary requirements, simplified and increased flexibility for those that remain, and focused on interoperability, information exchange, and patient engagement. By 2018, these rules move us beyond the staged approach of ‘meaningful use’ and focus on broader delivery system reform,” said Dr. Patrick Conway, M.D., M.Sc., CMS deputy administrator for innovation and quality and chief medical officer. “Most importantly we are seeking additional public comments and plan for active engagement of stakeholders so we take time to get broad input on how to improve these programs over time.”
HHS heard from physicians and other providers about the challenges they face making this technology work well for their individual practices and for their patients. In recognition of these concerns, the regulations announced today make significant changes in current requirements. They will ease the reporting burden for providers, support interoperability, and improve patient outcomes. Providers can choose the measures of progress that are most meaningful to their practice and have more time to implement changes to program requirements. Providers are encouraged to apply for hardship exceptions if they need to switch or have other technology difficulties with their EHR vendor. Additionally, the new rules give developers more time to create user-friendly technologies that give individuals easier access to their information so they can be engaged and empowered in their care.
As part of today’s regulations, CMS announced a 60-day public comment period to gather additional feedback about the EHR Incentive Programs going forward, in particular with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which established the Merit-based Incentive Payment System and consolidates certain aspects of a number of quality measurement and federal incentive programs into one more efficient framework. We will use this feedback to inform future policy developments for the EHR Incentive Programs, as well as consider it during rulemaking to implement MACRA, which we expect to release in the spring of 2016.
In addition to the final rule for the EHR Incentive Programs, ONC is also announcing the final rule for the2015 Edition Health IT Certification Criteria. This rule focuses on increasing interoperability – a secure but seamless flow of electronic health information – and improving transparency and competition in the health IT marketplace.
“This rule is a key step forward in our work with the private sector to realize the shared goal of making actionable electronic health information available when and where it matters most to transform care and improve health for the individual, community and larger population. It will bring us closer to a world in which health care providers and consumers can readily, safely and securely exchange electronic health information,” said Karen B. DeSalvo, M.D., M.P.H., M.Sc., national coordinator for health IT.
In the current 114th Congress, three separate pieces of ACA- backed legislation have been introduced in the U.S. House of Representatives that would expand patient access to the services provided by doctors of chiropractic in several federal health care delivery systems. It is very important that doctors of chiropractic, chiropractic assistants, and chiropractic students immediately contact their elected officials in Washington and urge that they cosponsor each of these measures. Current cosponsors can be found here.
· HR 542, the National Health Service Corps Improvement Act, introduced by Rep. Gregg Harper (R-MS), would include doctors of chiropractic as providers eligible to participate in the National Health Service Corps (NHSC) loan repayment program, one the largest federal loan relief programs. DCs can have up to $50,000 to repay their student loans in exchange for a two year commitment to work at an approved NHSC site in a high-need, underserved area. ACTION NEEDED: Contact your House of Representatives member here and urge that they cosponsor this bill!
· HR 802, the Chiropractic Health Parity for Military Beneficiaries Act, introduced by Rep. Mike Rogers (R-AL), would require the Secretary of Defense to develop a plan to allow any beneficiary covered under TRICARE to select and have direct access to a chiropractic physician. Currently, only active duty members are afforded the chiropractic benefit. ACTION NEEDED: Contact your House of Representatives member here and urge that they cosponsor this bill!
· HR 1170, the Chiropractic Care to All Veterans Act, introduced by Rep. Alan Grayson (D-FL), would require the VA to have a chiropractic physician on staff at all major VA medical facilities by 2017. It would also amend the current statute, the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001, ensuring that services provided by doctors of chiropractic are included in the U.S. Code of Federal Regulations and therefore, cannot be denied. ACTION NEEDED: Contact your House of Representatives member here and urge that they cosponsor this bill!
Election results of new officers:
- President Gary Carver, DC, FACO
- Vice President Larry Swank, DC, FACO
- Secretary/Treasurer Dale Huntington, DC, FACO
Terms start June 30, 2017 and end July 1, 2019.