- Members Only Areas
- Council Events
- CCO News
- About CCO
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.
The Academy Board is pleased to announce the elevation of five doctors to Diplomates of the Academy of Chiropractic Orthopedists. This examination cycle launched the Academy's new Part I online test and new expanded Part II OSCE examination. We have received several favorable comments about both.
Part I examination dates are being finalized for 2016. The months in which the examination will be available online include January, March, May, and July. Part II is being planned for early fall 2016 at Northwestern Health Sciences in Bloomington, Minnesota. The date has not been set. Please monitor the website to see if there's any change in location or dates.
A new chiropractic orthopedic Diplomate class will take place on November 8 and 9, 2015 in Las Vegas, Nevada. Please contact the University of Bridgeport's postgraduate division for further information.
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.
AMERICAN CHIROPRACTIC ASSOCIATION ISSUES STATEMENT ON ICD-10 CODING OF SUBLUXATION
The Oct. 1, 2015 implementation date for ICD-10 is quickly approaching. In preparation, the American Chiropractic Association (ACA) has issued a statement to assist doctors of chiropractic with understanding the requirements for proper coding of primary and qualifying/secondary diagnoses.
It is important to note that ACA is opposed to any exclusions of diagnosis codes or restricted access to reporting conditions that fall within a doctor of chiropractic's scope of practice and meet the guidelines for reporting and documenting.
Please click here to review ACA's statement. Updates will be provided as additional information becomes available.
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!
Social Media Review
A recent article in the Federation of State Medical Boards, Journal of Medical Regulations* discussed the pitfalls of social media such as websites, blogging, Facebook texting and tweeting. In a 2010 survey of executive Directors at State medical boards in the US, 92% indicated that violations of online professionalism were reported in their jurisdiction. For instance, a physician's blogging about patients can lead to people recognizing themselves i.e. a HIPPA violation. A website or Facebook page must have your credentials and honest information which is not over-inflated. The information provided should follow the rules of the licensing / regulatory organization for the state in which you practice. According to the article, violations included inappropriate contact with patients [69%] and misrepresentation of credentials or clinical outcomes [60%]. In response to the violations 71% of the regulatory boards held formal disciplinary proceedings and 40% issued informal warnings. Other disciplinary proceedings included license limitation [44%], suspension [29%], or revocation [21%]. (read more)
Election results of new officers:
- President Dale Huntington, D.C., F.A.C.O.
- Vice President, Daniel Staight, D.C., D.A.B.C.O.,
- Secretary, Larry Swank, D.C., F.A.C.O.
- Treasurer Gary L. Carver, D.C.,F.A.C.O.
- Immediate Past President Linda Zange, D.C., D.A.B.C.O.
Terms start June 30, 2015 and end July 1, 2017.