Primary Spine Care 14 Online

Case Management and Documentation 

15 CE Credits

*Please note: This course is not approved in state of CA.

Instructors:

Mark Studin DC, FASBE(C), DAAPM

Don Capoferri DC

Course Description

This program is about how to use documentation and clinical acumen to create an accurate diagnosis, prognosis, and treatment plan for complicated cases in clinical chiropractic. It is based on the evidence and the literature with a focus on collaborative care with medical specialists when clinically indicated. Also, the program teaches a Doctor of Chiropractic how to be a primary spine care provider or the first option for spinal referral with treatment and triage equally handled in clinical practice. Connective tissue-ligament pathology and spinal disc pathology will be reviewed extensively to help determine a definitive diagnosis.

Module 1

Mark Studin DC, FASBE(C), DAAMLP, DAAPM

Don Capoferri DC

2023 Trends in Documentation

Evidence-Based demonstrative documentation is typically the arbiter for creating successful patient-centered collaborative care. This "reputation building" focus has already helped develop relationships with MD PCPs, MD Specialists, ERs, and Urgent Care Centers.  This demonstratively removed the Non-Specific Back Pain "Dogma" that too many have held because technology and the evidence have not supported what chiropractic has known for over a century. We now have those tools and once learned, chiropractic utilization "skyrockets because of the evidence.

Module 2

Patricia Roche DO, Radiology, Neuroradiology

Mark Studin DC

MRI Spine Case Review

Clinical case review of MRI's including sagittal, axial, T1, T2, STIR, and proton density sequences. The vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses will be identified. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl's nodes.

Module 3

Mark Studin DC

Dan Rosner ESQ

Demonstrative Documentation Reporting

Creating documentation that is demonstrable in design to show pathology visually. How to prepare demonstrable records that are legally defensible and accurate in the description of the pathology.

Module 4

Mark Studin  DC

Don Capoferri DC

Age-Dating Herniated Disc and Master-Class in Ligament Physiology

Age-dating herniated discs and trauma is a critical skill for an expert in spine. It combines the clinical skills of interpreting X-ray, MRI, and other imaging modalities with a clinician's understanding of joint pathology. This level of expertise is critical when collaborated with other physicians or working in the medical-legal environment as an expert. Age-dating pathology is also central to creating a prognosis on your patient's recovery and must be evidence-based in rationale. Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair and how they all relate to clinical practice.  Ligament pathology correlating to the mechanisms of path-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in a chiropractic spinal adjustment and defining the chiropractic spinal adjustment mechanisms. 

Module 5

Mark Studin DC

Don Capoferri DC

Updated Trends in Spinal Biomechanics

Diagnosis and management of ligament (connective tissue) pathology in chronic and acute patients. Evidence-based physiology of the morphology, mechanisms, and sequella to trauma inclusive of compensatory actions of the human spine.

Module 6

Mark Studin DC

Don Capoferri DC

Case Presentation

Clinical grand rounds of a case including disc, ligament, and spinal pathology. The creation of the diagnosis, prognosis and treatment plan. The changing of treatment plans and diagnosis based upon follow-up examinations.

Module 7

Mark Studin DC

Don Capoferri DC

Disproving Non-Specific Back Pain

Case Management documentation incorporating Spinal Biomechanics, MRI, and clinical findings when collaborating with medical specialists and lawyers. Using Case Management as the foundation for both consistent referrals and long-term forensic consulting relationships. Disproving, based upon the evidence, the Dogma of “non-specific back pain.”

Module 8

Magdy Shady MD, Neurosurgeon

Neurosurgical Collaboration

Case collaboration on a patient with significant extrusion-type herniation with cord compression and myelomalacia as sequelae. Discussing where the chiropractor fits into the team approach as the primary spine care provider. 

Module 9

Mark Studin DC

Don Capoferri DC

Future Clinical Trends in Chiropractic and Documentation

Discussing the Future trends in chiropractic and clinical record keeping is an integral part of good professional practice and delivering quality healthcare. But as healthcare changes with new technology and reimbursement models, so should clinical documentation. It can be helpful to go back to the basics. In this step-by-step guide to taking perfect clinical notes, we will cover:

• Why write clinical notes
• The importance of context
• What to include in a clinical note
• Tips for better clinical documentation
• Basic legal considerations
• Open clinical notes
• How to keep documentation efficient

Module 10: Final Exam

Primary Spine Care 14:

Case Management and Documentation Enduring Material

·  Contact mechanism – Cara 631-804-2845 or Christina email:Christina@academyofchiropractic.com

·  Hardware and software required for the learner to participate.

This course is supported by PC's (Please do not use Iphones or Ipads to take the course as they are not supported by the system and will not track your results correctly)

Minimum 20mbs download speed

Mobile device are not ideal as tracking is automated and often not mobilized

• Estimated amount of time: 15 Hours
• Launch date: May 7, 2023  Termination date: May 7, 2026

Course Description

Learners will be trained in how to use documentation and clinical acumen to create an accurate diagnosis, prognosis, and treatment plan for complicated cases in clinical chiropractic. This educational program is evidence based with a focus on collaborative care with medical specialists when clinically indicated. The program teaches learners how to serve as the primary spine care provider or the first option for spinal referral with treatment and triage equally handled in clinical practice. Connective tissue-ligament pathology and spinal disc pathology will be reviewed extensively to help determine a definitive diagnosis.

Disclosure to Learners

Financial Relationships of Planners, Presenters and Others: The following planners, presenters and others have either indicated financial relationships with ineligible companies or that no financial relationships exist. An ineligible companyis any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Policies and guidelines for identifying and mitigating relevant financial relationships of planners, presenters, and others involved in accredited continuing education are in compliance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education

The following planners/presenters/others do not have any relevant financial relationships with ineligible companies:

Activity Director, Presenter:

Mark Studin DC, FASBE(C), DAAMLP, DAAPM

Presenters:

Paul Birinyi, MD

Don Capoferri DC

Patricia Roche DO

Dan Rosner ESQ

Commercial support for this activity:None

ACCREDITATION

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University at Buffalo Jacobs School of Medicine and Biomedical Sciences and CMCS Management, Inc.

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences is accredited by the ACCME to provide continuing medical education for physicians.

CERTIFICATION

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences designates this enduring material activity for a maximum of 15.0 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Glossary:

*An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. For specific examples of ineligible companies visit accme.org/standards.

**Examples of financial relationships include employee, researcher, consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and ownership interest. Individual stocks and stock options should be disclosed; diversified mutual funds do not need to be disclosed. Research funding from ineligible companies should be disclosed by the principal or named investigator even if that individual’s institution receives the research grant and manages the funds.