presentation for final paper

1. CCP Healthcare Delivery
DANIELLE REGONI
TRANSFORMING HEALTHCARE DELIVERY
FEBRUARY 22, 2017
DR. BROWN-BULLOCH

2. CCP Overview
 2 locations: Forest City & Tryon, NC
 5 chiropractic physicians, 17 full-time chiropractic assistants
 Treat at least 700 patients per week
 Wide variety of services (in addition to chiropractic adjustments)
 Therapeutic laser treatments (3 types)
 Massage therapy
 Limited physical therapy
 Acupuncture
 Spinal decompression
 Weight loss support

3. Mission, Vision, & Values
 “Carolina 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 exercise
 Provide quality and innovative chiropractic services to people of all ages
 Provide natural, drugless, nonsurgical health treatments
 Treat each person as an individual, with individual healthcare needs
 Values: communication, collaboration, compassion, leadership, innovation,
stewardship

4. Organizational Delivery System
 For-profit organization with 2 offices
 Lines of service:
 Chiropractic physicians: administer adjustments, consult with patients,
acupuncture, sport medicine therapy
 Front desk receptionists: patient intake, billing, scheduling
 Chiropractic 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 doctors
 Marketing: schedule and attend marketing events, call prospective patients

5. HIS Analysis
 EHR system “FutureHealth” designed specifically for chiropractic
 Patient 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 goals
 Patients must be re-evaluated periodically: range of motion and
orthopedic tests must be completed and annotated
 Complete lack of interoperability, sometimes leads to redundant
paperwork

6. EHR System Capabilities

7. Meaningful Use Status
 Chiropractic office are currently not being held to the same standards as
many other healthcare organizations
 Therefore, very little effort has been made to establish “meaningful use”
 Currently CCP remains in Stage I

8. Quality & Safety Systems
 Each 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 office
 Detailed logs are kept for each treatment service
 Safety procedures exist for an “emergency stop” for every type of service if
the patient experiences any pain or discomfort
 Chiropractic physicians are responsible for overseeing the actions of all
other members of the team

9. Management of Adverse Events
 To prevent adverse events that can sometimes happen with manual
chiropractic adjustments, the doctors only use an electronic adjustment
system called the ProAdjuster
 If a patient has an adverse reaction to a therapeutic treatment, the
patient’s treatment plan is immediately revised

10. Action Plan for Improvement

11. Biblical Perspective
 The 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 God’s
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.

12. Conclusion
 The 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.

13. References
 Centers for Medicare and Medicaid Services [CMS]. (2010). Medicare &
Medicaid EHR incentive program: Meaningful use stage 1 requirements
overview. [PDF file]. Retrieved from https://www.cms.gov/.
 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.