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HEALTHBEAT SHOW NOTES .... Episode #61 - Recorded September 8, 2006

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and informational Podcast.

In this week’s news:  We’ll Look At –  

• Medical Physicians Hide Medical Errors from Patients

• HMOs Raise Rates

• Appeals court rules for FDA in Ephedra ban

• Logan College secures CCE reaccredidation

• Fortune magazine, Tout Chiropractic

• SBA introduces podcasts for business owners

• CCGP Low Back Practice Document under fire

• And Finally, Chiropractic Corner discusses Golf Injury preventions with Dr. Douglas Menzies

For HealthBeat, This is Dr. Todd Eglow.

Welcome to HealthBeat Podcast #61, recorded September 8, 2006.  HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

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Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy.  However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing.  We thank everyone for their continued support.

And Now for some news ….

Medical Physicians Hide Medical Errors from Patients

A study published in the August 14th issue of the Archives of Internal Medicine found that a gap exists between patients' desire to be told about medical errors and present practice. Little is known about how physicians approach disclosure. The objective of the present study was to describe how physicians disclose errors to patients.

The authors of the study mailed the survey of 2637 medical and surgical physicians in the United States (Missouri and Washington) and Canada (national sample). Participants received 1 of 4 scenarios depicting serious errors that varied by specialty (medical and surgical scenarios) and by how obvious the error would be to the patient if not disclosed (more apparent vs less apparent). Five questions measured what respondents would disclose using scripted statements.

The study concluded that physicians vary widely in how they would disclose errors to patients. Disclosure standards and training are necessary to meet public expectations and promote professional responsibility following errors.

For more information, surf to our Show Notes for a link to this study - http://archinte.ama-assn.org/cgi/content/abstract/166/15/1585

HMOs Raise Rates

According to the NY Post, many of the city's 12 HMOs raised their rates from August 2005 to August 2006, for point-of-service coverage, which lets patients see doctors in or out of their HMO plans.

Even with a relatively small 4 percent premium increase this year, United Healthcare of New York is the most costly in the city, charging its customers $1,125 per month for individual coverage and $3,375 monthly for family coverage.

A representative of the New York Health Plan Association, which represents HMOs, also said a major reason for the skyrocketing rates is that the benefits and co-payments for those purchasing coverage individually are set by a state law dating to 1996.

http://pqasb.pqarchiver.com/nypost/access/1110843901.html?dids=1110843901:1110843901&FMT=ABS&FMTS=ABS:FT&date=Aug+28%2C+2006&author=KENNETH+LOVETT+Post+Correspondent&pub=New+York+Post&edition=&startpage=007&desc=HMO+WOE%24+-+RATES+SKYROCKET

Appeals court rules for FDA in Ephedra ban

A three-judge panel of the 10th Circuit U.S. Court of Appeals ruled in favor of the U.S. Food and Drug Administration (FDA) in a case that had challenged the agency’s 2004 prohibition of any level of ephedrine in dietary supplements.

A legal challenge to FDA’s final rule on ephedrine in dietary supplements was brought by Nutraceutical Corporation and its brand, Solaray, in May 2004. Nutraceutical challenged both FDA’s use of a risk/benefit analysis in making an “unreasonable risk” determination, and the regulation’s ban on even low-dose ephedrine products.

Surf to our Show Notes for a link to this ruling - http://www.ck10.uscourts.gov/opinions/05/05-4151.pdf

http://www.chiroeco.com/news/2006/August/FDA.php

Logan College secures CCE Reaccredidation

Logan College of Chiropractic was notified on August 7, 2006, that the Commission on Accreditation of the Council on Chiropractic Education (CCE) has reaffirmed its accreditation of the Doctor of Chiropractic program. Reaffirmation marks the beginning of the next eight-year accreditation cycle for Logan with the next comprehensive site visit scheduled for spring 2014. It received eight years of reaccredidation with no concerns.

Surf to Logan College’s Web Site at www.logan.edu for more information.

Fortune magazine, Tout Chiropractic

Chiropractic is making the news. But unlike in the past, when “chiropractic” and “news” used in the same sentence meant bad press, this time the exposure is positive — and big.

An article in the September 4, 2006, issue of Fortune magazine speaks highly of chiropractic as one of the nonsurgical alternatives to alleviating back pain. The article, “The Battle Over Your Aching Back,” written by Matthew Boyle, explores alternative methods to managing back pain, instead of resorting to surgery.

Chiropractic is one of chief methods touted in the article for getting rid of back pain.

Concurrent with the publication of the Fortune article, an article about the Foundation for Chiropractic Progress’ (F4CP) Sarah Harding advertisement appeared in syndication and appeared online. In it, the writer interviewed F4CP spokesperson and board advisor Louis Sportelli, DC.

Surf to our Show Notes for a link to the Forbes article - http://money.cnn.com/magazines/fortune/fortune_archive/2006/09/04/8384724/index.htm

http://www.chiroeco.com/news/2006/August/Fortune.php

SBA introduces podcasts for business owners

The U.S. Small Business Administration (SBA) offers podcasts for small business owners on a range of topics to help you on the road to starting a new business.

The SBA podcasts provide an introduction to various small business topics, and will deliver business information and advice for new and established entrepreneurs on all aspects of starting, expanding, and financing a small business, as well as business protection.

For more information, surf to http://www.sba.gov/podcast

CCGP Low Back Practice Document under fire

As reported in previous HealthBeat episodes, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) has created and released a Best Practice document for Low Back conditions.

As stated on the http://www.CCGPP.org web site, “A Guideline contains numbers/suggested treatment time frames that are often mistakenly applied as arbitrary limits. Best Practices is a process/document that reviews the evidence and provides interpretation consistent with the chiropractic perspective of patient care (Triano). The Best Practices document is also designed as an ongoing dynamic process and initiative rather than a one-time publication and will be consistently updated. The Best Practice initiative contains three elements: Research, Clinical Judgment, and Patient Values.”

However, the Association of New Jersey Chiropractors (ANJC) released a comment on this Best Practice document in late August, 2006.  The ANJC email compared the CCGPP Low Back document to the Mercy Conference Guidelines  released in the 1990’s.

The ANJC further stated that it is particularly supportive of efforts to publicly survey all state organizations as to the position they have taken on the CCGPP document.  Such surveys, according to the ANJC, are the best barometer to measure the profession’s position on this important issue.  The ANJC notes that without such measures, the profession would essentially be “flying blind” as to the reaction of the profession to the Low Back document.

For more information and to view the ANJC’s comment document, surf to our Show Notes - http://ccgpp.org/mission.htm

http://www.anjc.info/PDF/CCGPPCOMMENTS71006.pdf

Chiropractic Corner –In this edition of HealthBeat’s Chiropractic Corner, we provide an interview with Dr. Douglas Menzies.

In addition to practicing in the US Virgin Islands, Dr. Menzies also specializes in Golf related issues.  In this interview, we discuss proper golf postures and prevention of injuries.

As always, please surf to our Podcast Show Notes at ChiropractiRadio.com for a full listing of web references mentioned in today’s show.

And remember - COT’s HealthBeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

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Finally, I leave you with the following quote:

"The difference between 'involvement' and 'commitment' is like an eggs-and-ham breakfast; the chicken was 'involved,' the pig was 'committed.'"
– Unknown

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

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