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CCP Healthcare Delivery

CCP Healthcare DeliveryDanielle RegoniTransforming healthcare deliveryFebruary 22, 2017Dr. Brown-Bulloch

CCP Overview2 locations: Forest City & Tryon, NC5 chiropractic physicians, 17 full-time chiropractic assistantsTreat at least 700 patients per weekWide variety of services (in addition to chiropractic adjustments)Therapeutic laser treatments (3 types)Massage therapyLimited physical therapyAcupunctureSpinal decompressionWeight loss support

Mission, Vision, & ValuesCarolina Chiropractic Plus is dedication to helping patients achieve wellness. Our offices use a combination of the latest technology in chiropractic, a strong rehabilitation presence, and an underlying tone of wellness to provide a unique and valuable patient experience.Vision:Assist all patients in achieving overall health and wellness, including adequate diet and exerciseProvide quality and innovative chiropractic services to people of all agesProvide natural, drugless, nonsurgical health treatmentsTreat each person as an individual, with individual healthcare needsValues: communication, collaboration, compassion, leadership, innovation, stewardship

Organizational Delivery SystemFor-profit organization with 2 officesLines of service:Chiropractic physicians: administer adjustments, consult with patients, acupuncture, sport medicine therapyFront desk receptionists: patient intake, billing, schedulingChiropractic Assistants: administer therapy (except for massage therapy)Case management: detailed examination of patients during their 1st office visit, serve as a liaison between patients and doctorsMarketing: schedule and attend marketing events, call prospective patients

HIS AnalysisEHR system FutureHealth designed specifically for chiropracticPatient notes are highly detailed and include: treatment(s) received, specific area of treatment on the body, progress towards health objectives, patient opinion on reaching health goalsPatients must be re-evaluated periodically: range of motion and orthopedic tests must be completed and annotatedComplete lack of interoperability, sometimes leads to redundant paperwork

EHR System Capabilities

Meaningful Use StatusChiropractic office are currently not being held to the same standards as many other healthcare organizationsTherefore, very little effort has been made to establish meaningful useCurrently CCP remains in Stage I

Quality & Safety SystemsEach patient receives an individualized treatment plan, therefore quality and safety is ensure through adherence to strict procedure and guidelines that exist for each type of therapy and treatment service within the officeDetailed logs are kept for each treatment serviceSafety procedures exist for an emergency stop for every type of service if the patient experiences any pain or discomfortChiropractic physicians are responsible for overseeing the actions of all other members of the team

Management of Adverse EventsTo prevent adverse events that can sometimes happen with manual chiropractic adjustments, the doctors only use an electronic adjustment system called the ProAdjusterIf a patient has an adverse reaction to a therapeutic treatment, the patients treatment plan is immediately revised

Action Plan for Improvement

Biblical PerspectiveThe current era of health care reform can cause much concern and uncertainty as healthcare organizations undergo massive changes in operations. However, as Christians, we are reminded to have faith as Gods plan unfolds.Philippians 4:6-7: Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which passes all understanding, will guard your hearts and your minds in Christ Jesus. 2 Corinthians 4:16-18: Therefore we do not lose heart. Though outwardly we are wasting away, yet inwardly we are being renewed day by day. For our light and momentary troubles are achieving for us an eternal glory that far outweighs them all. So we fix our eyes not on what is seen, but on what is unseen, since what is seen is temporary, but what is unseen in eternal.

ConclusionThe healthcare industry as a whole has undergone significant changes in the past several years, primarily as a result of the implications of the Patient Protection and Affordable Care Act [PPACA] enacted in 2009. However, the chiropractic industry has largely remained unchanged. The ACA did not specifically provide any implications for chiropractors; it can be assumed that this is due the general view of chiropractic care as a medical alternative. As a result, the systems in place at Carolina Chiropractic Plus have also remained largely unchanged over the past several years.

ReferencesCenters for Medicare and Medicaid Services [CMS]. (2010). Medicare & Medicaid EHR incentive program: Meaningful use stage 1 requirements overview. [PDF file]. Retrieved from Sultz, H. A. & Young, K. M. (2014). Health care USA: Understanding its organization and delivery (8th ed.). MA: Jones & Bartlett Learning.Verdon, D. R. (2016). EHRs: Long-term vision, short-term change. Healthcare Financial Management, 70(2), 26.