Touch for Health Education Newsletter
Documenting Outcomes Cost and Efficacy
August 20, 2004

Outcomes Costs and Efficacy
-- Profiling doctors and offices is here
-- Equivalent care and saved substantial costs
-- Pharmaceuticals and Surgical Interventions As First-line Treatment,
    Not Best Care for Patients
-- AMI Model Leads to Better Patient Outcomes, Lower Costs, High Satisfaction Rates

A New Managed Care Study Finds Improved Patient Outcomes and Significant Cost Savings With Chiropractors as Gatekeepers. There are many chiropractors, medical doctors, osteopaths and the assistants to these doctors who have studied Touch for Health Kinesiology (TFHK) and utilize these protocols daily with their patients. More TFH charts are seen in DC and Medical offices than ever before. Outcome studies are showing that the conventional drug/surgical model of disease care as the primary, first method to be used has a lot of disadvantages.

In this issue I will be quoting from two articles in Dynamic Chiropractic September 1, 2004, Volume 22, Issue 18, which appeared on the web 8/5/04. I urge all of the offices that are utilizing TFHK to utilize the etouch program so that we can accurately report the outcomes of utilizing TFHK as complementary to the other chiropractic care. Our research base will be running within the next 12 months so let's get started now. You can order this research and clinical tool for $59.95 plus S. Go to our site and click on etouch.

Profiling doctors and offices is here
The new word in managed care is "Tiering" a grading of your outcomes and then paying you accordingly. "In the state of Washington, health plans have started tiered networks for primary care physicians. This tiering is based on clinical outcomes, most notably efficacy . In this brave new world, all doctors are going to be profiled for not only their costs, but also their clinical outcomes. Their skill, art and science will be monitored through patient outcomes. Tiering based on clinical outcomes appears to be here to stay, at least for the near future."

This quote is from an article by the top people in chiropractic, Reiner Kremer, DC, DABCI, FAACP Chairman, American Academy of Chiropractic Physicians Franktown, Colorado, James Winterstein, DC, DABCR, FAACP (Hon) President, National University of Health Sciences Lombard, Illinois Reed Phillips, DC, PhD President, Southern California University of Health Sciences Whittier, California I know that medical and chiropractic offices that utilize assistants that use TFHK get great results, we need to help these offices to record their outcome on our research data base.

Equivalent care and saved substantial costs
A new research paper published in the Journal of Manipulative and Physiological Therapeutics (JMPT ) has found that a managed care network consisting of doctors of chiropractic as primary care providers (PCPs) provided equivalent care and saved substantial costs compared to patient management

utilizing medical doctors and osteopaths.
TFHK can be utilized in a health care facility. It's use can contribute substantially to patient satisfaction, lower costs and greater efficiency. This has been my opinion and I believe the research is now proving it to be accurate. We must however, do more research to back up what we also have found to be true. I hear almost everyday about people helping people, family, friends, clients/patients who have not been satisified with previous care.

Pharmaceuticals and Surgical Interventions As First-line Treatment, Not Best Care for Patients
"Reliance on the conventional medical model, in which pharmaceuticals and surgical interventions represent first-line treatment, may not provide the best therapeutic index to our patients," noted the study's authors. They added that a chiropractic gatekeeper model of managed care "seems to demonstrate the potential superiority of an integrated health system in which chiropractic and CAM therapies play a significant primary care role."
In this study the chiropractors participating in the Independent Practice Association (IPA) had a higher number of initial patient visits, which were designed purposely to correct structural abnormalities in patients, and provide information on lifestyle and diet modifications to prevent more serious diseases from occurring in the future. In many instances, Alternative Medicine Inc.(AMI) a part of the HMO, enrollees saw their chiropractors an average of twice per month, sometimes more. "This is in contrast to conventional medical Independent Practice physicians, wherein the majority of members who have patients who are encountered on a 'crisis-only' basis," the authors noted. This chiropractic approach is similar to what we advocate and I hope it will become the new standard for disease and health care. That would be prevention which looks at the whole person as we can with Touch for Health protocols.

AMI Model Leads to Better Patient Outcomes, Lower Costs, High Satisfaction Rates
Analysis of coding data by the chiropractic primary care physicians, combined with data on referrals to specialists and pharmaceutical usage, revealed that when making a patient diagnosis, "agreement was found between the conventional medical specialist and the chiropractic PCP 93.1% of the time." This analysis showed that properly credentialed chiropractors could diagnose conditions almost as well as medical doctors, including a range of conditions they might not normally be seen in the conventional chiropractic setting.

The authors also compared patient outcomes from 1999- 2002 of patients enrolled in the AMI network versus those in the traditional HMO setting. There were demonstrably fewer hospital admissions among patients seeing a chiropractic PCP and fewer outpatient surgeries, and the cost associated with pharmaceutical usage among chiropractic PCP patients was approximately half that seen in traditional HMO patients. These findings demonstrated the chiropractic network's "apparent superior clinical outcomes" compared to conventional managed care statistics over the same time period. One of the most dramatic differences between patients in the chiropractic network and those in other HMOs was in terms of hospital stays. In 2000, chiropractic patients spent 115 days in the hospital for every 1,000 "member months" they were enrolled in the network. For patients of medical/osteopathic PCPs, the number of hospital days per 1,000 member months ranged from 171 days to 344 days.

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