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Mar 21

Meeting Dr Don Murphy #4 – why your tertiary chiropractic / physiotherapy training is not enough

By admin | Disruptive Innovation , Primary Spine Provider , Spine Care , Spine Related Disorders , Value-Based Healthcare

Following on from Part 3, we continue with Dr Murphy at his practice, discussing the inadequacy of tertiary chiropractic & physiotherapy training to function as a Primary Spine Provider.

Keep training, learning, growing as a PSP – sign up at www.spinecloud.org/membership

Meeting Dr Don Murphy #4 – why your tertiary chiropractic / physiotherapy training is not enough

Meeting Dr Don Murphy #4 – why your tertiary chiropractic / physiotherapy training is not enough. Keep training, learning, growing as a PSP – sign up at www.spinecloud.org/membership

Posted by Spine Cloud International on Thursday, March 8, 2018

Mar 19

Meeting Dr Don Murphy #3 – Diagnostic acumen, communication & manual skills – functioning as a Primary Spine Provider

By admin | Disruptive Innovation , Primary Spine Provider , Spine Care , Spine Related Disorders , Value-Based Healthcare

Following on from Part 2, we continue meeting Dr Don Murphy in #3 – Diagnostic acumen, communication & manual skills – functioning as a Primary Spine Provider. Sign up to take our PSP course online (first month free): http://www.spinecloud.org/membership – Also review the original PSP publication – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154851/

Meeting Dr Don Murphy #3 – The most important skill as a Primary Spine Provider

Meeting Dr Don Murphy #3! Diagnostic acumen, communication & manual skills – functioning as a Primary Spine Provider. Sign up to take our PSP course online (first month free): http://www.spinecloud.org/membership – Also review the original PSP publication – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154851/

Posted by Spine Cloud International on Wednesday, March 7, 2018

Mar 06

Meeting Dr Don Murphy #2 – Physical therapy as part of an integrated spine program

By admin | Clinical Pathways , Cultural Authority , Disruptive Innovation , Low Back Pain , Primary Spine Provider , Spine Care , Spine Pathway , Spine Related Disorders , Value-Based Healthcare , Videos

Following on from part 1 introduction to Dr Don Murphy’s Rhode Island Spine Centre, here is #2 where Dr Murphy takes us through to the larger room used for more extensive exercises and discusses the role of physical therapists in an integrated spine pathway. Sign up to take our PSP course online which covers these topics fully:

Meeting Dr Don Murphy #2 – Physical therapy as part of an integrated spine program

Following on from yesterday's intro video to Dr Don Murphy's Rhode Island Spine Centre, here is #2 where Dr Murphy takes us through to the larger room used for more extensive exercises and discusses the role of physical therapists in an integrated spine pathway. Sign up to take our PSP course online which covers these topics fully: https://www.spinecloud.org/courses/Some key questions that are answered here:What hi-tech equipment is used in the facility?What is the most important aspect (i.e.” the one thing”) of any PSP & pathway facility & services?Is there any animosity between Chiros and Physios in the program?How do they work together in this program? What is the baseline authority?

Posted by Spine Cloud International on Tuesday, March 6, 2018

Some key questions that are answered here:

  • What hi-tech equipment is used in the facility?
  • What is the most important aspect (i.e.” the one thing”) of any PSP & pathway facility & services?
  • Is there any animosity between Chiros and Physios in the program?
  • How do they work together in this program? What is the baseline authority?
Mar 05

Meeting Dr Don Murphy #1 – A private practice as part of an integrated spine program

By admin | Clinical Pathways , Cultural Authority , Disruptive Innovation , Low Back Pain , Primary Spine Provider , Spine Care , Spine Pathway , Spine Related Disorders , Value-Based Healthcare

In January, I met with Dr Don Murphy at his practice (Rhode Island Spine Centre) in Rhode Island.  His practice began as a chiropractic practice, grew in size and reputation, and at Care New England‘s invitation,  was embedded into a fully integrated, interdisciplinary spine care pathway/program, with Dr Murphy as Director of the Program.  He took me on a tour of his facilities, and I asked him a bunch of questions – see video below.  We expect to have Dr Murphy on upcoming webinars and mentorship sessions. Sign up for exclusive access!  Dr David Peyton, DC, South Africa.

Meeting Dr Don Murphy #1 – A private practice as part of an integrated spine program

In January, I met with Dr Don Murphy at his practice (Rhode Island Spine Centre) in Rhode Island. Rhode Island Spine Centre began as a chiropractic practice, grew in size and reputation, and at Care New England's invitation, was embedded into a fully integrated, interdisciplinary spine care pathway/program, with Dr Murphy as Director of the Program. He took me on a tour of his facilities, and I asked him a bunch of questions – see video below. We expect to have Dr Murphy on upcoming webinars and mentorship sessions. Sign up for exclusive access! https://www.spinecloud.org/membership –Dr David Peyton, DC, South Africa.

Posted by Spine Cloud International on Monday, March 5, 2018

  • What are the fundamentals of this approach?
  • Why have an integrated pathway- i.e. what is it that patients really want?
  • How does the patient flow work at this facility?
  • Who manages the patients?
  • What modalities does the primary spine practitioner use?
  • How much space is needed?

 

Nov 30

Spine & Health Info Platter (30 Nov ’17)

By admin | Artificial Intelligence , Big Data in Healthcare , Clinical Pathways , Spine Pathway , Value-Based Healthcare

This week’s health & spine platter covers a review of AI for healthcare professionals, AI in medical invoicing / coding analysis to improve healthcare quality delivery, climate change and health & the future of clinical pathways. Sign up for our newsletter on the left. Enjoy:

Artificial intelligence is coming and is here – Are you ready?

Artificial intelligence (AI) has an unimaginable potential. A local Dutch company is harnessing the power of AI and big data to – through analysis of invoices – tell if a doctor, clinic or hospital are guilty of making mistakes repetitively in treating a certain type of condition. Utilized ethically, these should help the providers improve and avoid unnecessary hospitalizations of patients.
This article takes a peek into the future and postulates how AI and big data will specifically impact the healthcare profession within the next couple of years. It also provides insight in preparations needed to avoid the pitfalls of the utilization of AI.

For a longer discussion on how AI will Impact, click here.

AI and machine learning demystified

Eddie Obeng reminds us that if our rate of learning is inferior to the rate of change – then we spend our time responding rationally to a world which we understand and recognize, but which no longer exists! The rate of adoption of AI in healthcare can easily become intimidating and simply overwhelming. For medical professionals, acquiring a basic knowledge about how AI and machine learning works will soon become indispensable. This slidepack presents a treatise of AI and machine learning for lay people (ok, for people who are not data scientists ☺)

Is there a link between climate change and patient health

Today, doctors are already reporting visible effects of climate change in their patients. The effects we see today are just the beginning. The breadth of climate’s impacts on health is immense.
Can you provide your thoughts on how climate change could manifest in your profession and in your clients?

The Future of Clinical Pathways

Utilization of clinical pathways, in which an individual’s treatment follows a defined protocol, can help ensure patients receive the best possible care based on the most recent scientific data. However, clinical pathways can institutionalize a “cookie cutter” approach instead of personalized medicine, as well as limit treatment options in order to cut costs. So, which of these will be the future for clinical pathways?

Nov 20

Spine & Health Info Platter (20 Nov ’17)

By admin | Artificial Intelligence , Big Data in Healthcare , Blockchain , Internet of Things , Low Back Pain , Spine Publications , Wearable Tech

This week’s health & spine platter covers space travel & spine health, the role of blockchain, big data in healthcare & the Internet of Things (IoT) in clinical trials.   Sign up for our newsletter on the left. Enjoy:

Blockchain in Health Care: Decoding the Hype (Massachusetts Medical Society)

The excitement around using blockchain technology in health care is growing. Proponents point to blockchain’s potential to liberate data from entrenched silos, empowering patients to securely “own” their data. Critics argue that it is all hype — a technological hammer looking for a nail — and that the complexities of health information prevent practical use of blockchain technology. So, is it all hype?

What does space travel have to do with spine health? (NASA)

So space travel has always been fascinating for physicists, astronauts (of course), physiologists, biologists and many other scientific disciplines (ask anyone about the shape of the candle flame is space and you are bound to have even the most timid persons talking). But what interest do primary spine providers have with space travel? Well, observations on NASA crewmembers reveal lumbar spine paraspinal muscle atrophy after long-duration spaceflight. This observation will surely play a critical role in the promotion of spine health and prevent spinal injury during space missions… and ultimately here on earth.

Internet of (Medical) Things in clinical trails – what are the issues?

We’ve seen the Internet of Things applications in healthcare. Connected devices increase access to providers, improve the quality of care thanks to more accurate patient information, and allow patients to take more control over their overall health. Yet, in clinical trials, we see limited application of IoT. What are the issues?

Big data – whose data is it anyway? (Massachusetts Medical Society)

Traditionally, doctors collected and protected patients’ health information. As health care has become more complex and information has been shared between doctors and other health care workers, among institutions, and sometimes between countries, the legal and ethical framework securing that information has also grown increasingly complex. Add into that mix patient privacy and things become even more interesting. Who then should have ownership of the patient’s data – the patient themselves, the doctor, the government?

Big data in healthcare – the pain and the gain (Procedia Computer Science)

Limitless opportunities are offered for big data to drive health research, knowledge discovery, clinical care, and personal health management. However, there are a number of obstacles and challenges that impede its true potential in the healthcare field, including privacy and data security issues. Medical records have proven to be vulnerable to cyber attacks, and these are set to increase as data sharing increases. The healthcare industry will have to think long and hard about how to protect patient data. This paper discusses some existing approaches and techniques for achieving security and privacy in which healthcare organizations are likely to find highly beneficial.

 

Nov 16

SCEP #1 – Spine From Mount Everest to The Trenches – Dr Scott Haldeman

By admin | Low Back Pain , Primary Spine Provider , Spine Care , Spine Care Expert Panel Podcast

Spine Cloud International PodcastHere’s our Spine Care Expert Panel Podcast Episode #1 with Dr Haldeman talking about the global significance of helping your neighbor with back pain. See your role as a spine care provider from Mount Everest to the trenches!

Download audio or read transcript: https://www.spinecloud.org/podcast/spine-care-expert-panel/scep-1-spine-from-everest-trenches-scott-haldeman/

Nov 15

Lower Back Pain – Whiteboard Lesson with Dr Mike Evans

By admin | Low Back Pain , Videos

Low back pain affects up to 90% of the population, there are some yellow and red flags to keep in mind

Dr. Mike Evans is founder of the Health Design Lab at the Li Ka Shing Knowledge Institute, an Associate Professor of Family Medicine and Public Health at the University of Toronto, and a staff physician at St. Michael’s Hospital.

Written and Narrated by Dr. Mike Evans
Executive Producer, Dr. Mike Evans
Illustrations by Liisa Sorsa
Produced, Directed, and Photographed by Nick De Pencier
Editor, David Schmidt
Story/Graphic Facilitator, Disa Kauk
Production Assistant, Chris Niesing
Director of Operations, Mike Heinrich

©2014 Michael Evans and Reframe Health Films Inc.

Nov 14

Chiropractors as Primary Spine Care Providers: precedents and essential measures

By admin | Primary Spine Provider

This article originally appeared in J Can Chiropr Assoc. 2013 Dec; 57(4): 285–291.  The authors are W. Mark Erwin, DC, Ph.D., A. Pauliina Korpela, BSc, and Robert C. Jones, DC APC.  

Dr. Mark Erwin, DC, PhD, Assistant Professor Division of Orthopaedic Surgery,
Spine Programme, University of Toronto, Toronto Western Hospital

Chiropractors have the potential to address a substantial portion of spinal disorders; however the utilization rate of chiropractic services has remained low and largely unchanged for decades. Other health care professions such as podiatry/chiropody, physiotherapy and naturopathy have successfully gained public and professional trust, increases in scope of practice and distinct niche positions within mainstream health care. Due to the overwhelming burden of spine care upon the health care system, the establishment of a ‘primary spine care provider’ may be a worthwhile niche position to create for society’s needs. Chiropractors could fulfill this role, but not without first reviewing and improving its approach to the management of spinal disorders. Such changes have already been achieved by the chiropractic profession in Switzerland, Denmark, and New Mexico, whose examples may serve as important templates for renewal here in Canada.

Click here to continue reading the full text.

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