Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain: Results of a Pragmatic Randomized Comparative Effectiveness Study
Title Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain: Results of a Pragmatic Randomized Comparative Effectiveness Study A ChiroSecure Research Update Abstract To assess changes in pain levels and physical functioning in response to standard medical care (SMC) versus SMC plus chiropractic manipulative therapy (CMT) for the treatment of low back pain (LBP) among 18 to 35-year-old active-duty military personnel. Discussion LBP is common, costly, and a significant cause of long-term sick leave and work loss. Many different interventions are available, but there exists no consensus on the best approach. One intervention often used is manipulative therapy. Current evidence from randomized controlled trials demonstrates that manipulative therapy may be as effective as other conservative treatments of LBP, but its appropriate role in the healthcare delivery system has not been established. Prospective, 2-arm randomized controlled trial pilot study comparing SMC plus CMT with only SMC. The primary outcome measures were changes in back-related pain on the numerical rating scale and physical functioning at 4 weeks on the Roland-Morris Disability Questionnaire and back pain functional scale (BPFS). Mean Roland-Morris Disability Questionnaire scores decreased in both groups during the course of the study, but adjusted mean scores were significantly better in the SMC plus CMT group than in the SMC group at both week 2 ( P < 0.001) and week 4 ( P = 0.004). Mean numerical rating scale pain scores were also significantly better in the group that received CMT. Adjusted mean back pain functional scale scores were significantly higher (improved) in the SMC plus CMT group than in the SMC group at both week 2 ( P < 0.001) and week 4 ( P = 0.004). The results of this trial suggest that CMT in conjunction with SMC offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP. Reference Goertz, Christine M., DC, PhD*; Long, Cynthia R., PhD*; Hondras, Maria A., DC, MPH*; Petri, Richard, MD†; Delgado, Roxana, MS‡; Lawrence, Dana J., DC, MMedEd, MA§; Owens, Edward F., MS, DC¶; Meeker, William C., DC, MPH. Spine: April 15, 2013 – Volume 38 – Issue 8 – p 627-634. https://journals.lww.com/spinejournal/Abstract/2013/04150
Genesis Chiropractic Software Marks More Than a Decade of Integration with Cash Practice Software & Training
Genesis Chiropractic Software, the leading provider of technology solutions and chiropractic billing service systems, today marked more than a decade of integration with Cash Practice Software & Training, a solution that increases chiropractors’ cash collections and patient retention. For the past decade chiropractors nationwide have implemented this best-in-class integration that provides real-time synchronization of patients and payments. “For more than a decade, the synergy between Genesis and Cash Practice has provided chiropractors with unparalleled opportunity,” said Brian Capra, DC and President of Genesis Chiropractic Software. “Our best-in-class integration has been proven to save time, increase productivity and patient retention as well as cash collections and substantially increase profits.” Additional benefits for chiropractors include: Saving more than 40 payroll hours per month Both solutions are web-based Single sign-on Auto-posting of payments Delivers more than payment processing with easy access to Care Plans, Wellness Reports and Payment Processing – including gift cards and online payment forms Drip-Education email marketing system & auto-debit system Cash Practice Academy Increased convenience Unique features Cash Practice offers chiropractors include: Payments can be processed within the client record, whether it’s a recurring payment or one-time. A sales receipt can be emailed to the client. If a payment is declined – staff will know instantly with a pop-up on screen. The system will then email a patient directly giving them a button to click on, allowing them to pay online. In the Point of Sale Section, staff have the ability to process a payment. For example, if a nutritional supplement is sold, it will auto-populate with a patient’s information and allow staff to automatically email the patient a receipt as well as pre-fills, Drip-Education campaigns – including educational information, patient reminders and more. “Genesis initially reached out to us for payment processing because Cash Practice offers its clients so much more value than the competition,” said Miles Bodzine, DC and Owner of Cash Practice. About Genesis Chiropractic Software Genesis Chiropractic Software from Billing Precision, LLC was designed by chiropractic business owners with both patient experience and practice profitability in mind. It provides a complete chiropractic practice management system in the cloud that supports every role in a busy chiropractic practice, from the owner and practitioners to the front desk and back office. It automates the vast majority of standard tasks, including patient relationship management, revenue cycle management, compliance and office management. Its exclusive workflow functionality continuously improves productivity, control and predictability, fostering teamwork and time savings, which leads to greater profitability and practice growth. About Cash Practice Software & Training Cash Practice® Systems provides software and training for running a successful cash-based practice. Their suite of cloud-based programs are designed to reduce a doctor’s dependence on insurance and increase their cash collections whether they still accept insurance or not. The four systems include The Wellness Score® for creating report cards for health, the Cash Plan Calculator® for creating compliant payment plans, the Auto-Debit System® for recurring credit card payments and the Drip-Education® Email Marketing System for email marketing. For more information visit https://www.cashpractice.com/ or call 877-343-8950 ext.101.
Maximixed Living Case Study
Working smarter not harder isn’t just a cliche! With this practice honing their skills, helping patients becomes easier when you have one more team member that’s got your back. As a Genesis coach, I have the opportunity to work with ML practices moving from good to great. With Invision Family Chiropractic, I get to be a member of their team. Here is a picture of their visits per month growth that they achieved: WHILE their new patients average per month did this:How is this possible? New patients per month went down and visits per month went UP?! Retaining patients is a skill that requires three things: Excellent communication Amazing results No missed opportunities Not missing opportunities is where Genesis shines! Working with this practice we customized their reminders, alerts, and tracking to make sure they didn’t miss an opportunity to connect with their patients. NO MORE MEMORY MANAGEMENT. We helped automate their reminders and scheduling through SKED, configured their alerts for patients with special circumstances like balances, no future appointments, and more. Now their per patient visit retention looks like: This practice went from averaging 19 visits for patients that committed to care to over 30 visits! I am honored to be a part of the success of Invision Family Chiropractic and was able to share it. I look forward to continued success!
Three Parts of every business – People, Process, and Technology
Hey, everyone. Dr Brian Capra here from Genesis Chiropractic Software. I’ve been getting some questions as I’ve gone through these videos. We’re talking about insurance companies, how they’ve been legally allowed to collude against us, rig the system. I’ve talked about how they use people and process and technology. We went into a little bit of a depth about those things. And as I’m going along here I’m getting some questions about what is people, process and technology? And sometimes, I just kind of flow through some content and forget to stop and go over some of the finer points. So, people, process, technology. Today, I’m going to be talking about people, all right? People in an insurance company are obvious. You have your people that answered the call, you have your auditors, you have your high-level management, your CEOs, et Cetera. And every business is, no matter what business, no matter what size the business is, is always made up three people … Of three things, and that’s people, and process, and technology. So, what we’re going to do is go dive a little bit into people. The number … If I were to do a countdown to number one of the types of people typically in your practice, number one is your customer. Or, any businesses is a customer. In our business, that is our patients. Our patients are our customers. They’re obviously very important. Our whole business exists to give them an amazing experience. Customers, patients in our case, who have great experiences stay longer, get better results in our business. They tend to convert to lifetime patients, and then they refer other people, and in some cases, if your business has such an amazing experience, they’re actually willing to pay you even more than they would a similar type of business that exists down the street. Think of Apple, et Cetera, right? So, the experience has a lot to do with the customer. The customer is number three. The second type of person in your business is obviously your team members. Now in chiropractic, many times, the business owner, you, is also a staff member. You have a job to do. So, the different types of people or roles in your practice, the front desk CA, the check-in and the checkout. You have your billing person, they may do your follow up. They may do insurance benefit verifications. You have somebody at those financials and care plans. Usually, you want to have somebody that does at least some of the marketing, or manages the marketing or the marketing calendar, et Cetera. So, you have your marketing. Usually, you have some type of sales role, and you may have three people in your office, and these roles, one person may have more than one role. But you have sales, whether or not we get that or want to admit that, there is a conversion process. When a patient comes in that has never heard chiropractic before and you’re going to teach them what their problem is, how it’s affecting their life, and what they need to do about it, and have them pay for that. That’s a sales process. So sales is a key component of your business, and somebody on your team, somebody on your staff, has to be responsible for that thing. Okay? Now, we have customers or patients. Staff, which may include you, a practice owner, it may include an office manager, and all the roles we talked about. And the last, and I will say most important, is you. You are the visionary. You’re the business owner and the business manager, really. So, sometimes you get an employee that can manage the business. That’s when doctors really start to be able to run their practice like a real business where the business actually becomes really self-managing, self-sustaining, and you are an owner of a business that that can be transferred to another. Steven Franton likes to say “It’s transferable.” You can sell it and the value of that business wouldn’t change the next day cause it’s literally run by your team, your staff, right? That whole thing is actually run by an entire team. But as the business owner building a great team, the number one reason is to free you up, free your mind up, your thoughts, because you’re a visionary. As an entrepreneur, the number one thing that we do is think, and dream, and think of better ways to do things. So, when you’re adjusting … And this is not to shun this. This is okay if you do this. This is one of your passions. But if you’re adjusting, you’re not thinking about how to scale the business. You’re not thinking how to replicate the business and do it in multiple locations. You’re not thinking of the details of how you can measure different processes in your office and whether or not those processes are successful. So, the reason the middleman exist, the middle woman exists, whatever it may be, is to free you up to be the visionary, to develop better processes. And we’re going talk about process and technology. When you are free, you’re able to dream again, you’re able to experience life, you’re able to take vacations, spend time with your family. You need to be free to be a better parent, be a better partner in your relationship, to have your own peace of mind, and to actually, most importantly, contribute to our community and our world. So, we really need you to understand this, people, so that you can free up. We’re going to talk about process and technology too, and how that ultimately leads to freeing you up to be able to serve even better, be able to serve patients even better, to really expand out. And this profession, we have nowhere near enough chiropractors to serve the amount of people that need what we have to offer. So, I hope
