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What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
May, 2011, Vol. 11, Issue 05
Equipment Amortization 101
By Angie Patrick
At some point in our lives, we have all had an expectation that was proven to be unrealistic in the normal course of life. This might be expectations we have from family, from friends, from our car, maybe our relationships, even down to the products we buy.I think it is only human; we all want what we want, when we want it, and how we want it. It is the society we live in and it is an incredibly common happening.
While I am no expert in on human behavior or interpersonal skills, I am an expert on products. And I have had the good fortune to be in this business for over a decade and have pretty vast experience with various manufacturers, products and suppliers. I have seen things happen to therapists and spas in the course of business that could be easily avoided with a little information. Below is some insider information intended to help make buying products and equipment a bit easier, whether it be from a supplier or direct from a manufacturer.
Tips on Buying Goods
Buying goods should be a task in which you have full confidence. I believe buying Professional Grade Products can help you make certain your products can withstand the rigors of professional repeated usage. Manufacturers and suppliers want nothing more than to please a client. (It is our prime directive!) But sometimes meeting those expectations are not so easy.
A product warranty is a miraculous thing. Most Professional Grade Products offer a limited or lifetime warranty to protect the buyer against manufacturer defects or shortcomings. These are especially handy when something breaks down within the warranty timeframe, and you can get a replacement or repair in a timely fashion. Often, the warranty is offered as a safety net for the buyer, given the buyer follows and complies with all usage directions and procedures.
And while manufacturers should have no problem whatsoever in caring for items in the marketplace still under warranty, there is always a segment of customers who have overinflated expectations about product performance. The purpose in sharing the following scenarios with you is not to say there are any issues with particular products, rather to point out some common unrealistic expectations of product performance.
Customer: "I am very disappointed with my sheets (XYZ product), I am seeing them begin to pill and fade, and I want my money back."
Me: "Oh I am so sorry to hear you are dissatisfied, let me pull your order up in my system so we can get your issue handled."
After a few moments of searching for the XYZ product in the order history, the manufacturer notices they purchased the item in January 2009.
Me: "I am looking in the account, and I see this was purchased in January 2009."
Customer: "That's right! I cannot believe how these things are showing wear, I am very disappointed with the quality. What can you do for me here?"
Me: "Well, how many times a week are these used?"
Customer: "4-5 times a week, we launder them often."
Me: "And just to confirm your usage of these items since 2009 is that correct?"
After some quick calculations, I came to the following conclusions:
107 weeks in usage
I shared this with the customer, and suddenly they saw things in a whole new light. Even cars depreciate after two and a half years. And they are not laundered every day! Suddenly, someone who was very disappointed with the product in the beginning was impressed with the same item, once they considered how much use it had provided. They purchased more sheets happily. They began to see the product replacement after due course of usage as a cost of doing business rather than a failure of manufacturing or supply.
Expecting items to last forever with daily and repeated usage is unrealistic. Just as people age, so do products. One way to see if you have actually received substantial benefit from your investment is to amortize the cost of your product across the number of clients seen since you purchased it.
Another thing to consider is timing. Consider this, you have bought an inflatable Christmas decoration from the Big Box Store down the street and have used it for the past two seasons. Now, in season three, it no longer inflates. But the likelihood of getting a replacement is really remote since it is three years since your purchase, and it might not occur to many to even try. It is accepted that things wear out, or can deteriorate with poor storage and lack of usage.
A customer is opening up a new location, and has ordered various equipment from various manufacturers. The items arrived, but are not inspected before they are signed - stating they are in good condition. They are put into a room to store until the location opens, which may well be two or three months later. These items may need to be moved within a facility a couple of times before the facility is ready to open.
Nearer the opening date, the items are finally opened and it is found the item may be damaged due to shipping, the wrong color, or even non-functional. Obviously, this is a problem. However, because it was not inspected upon receipt, months have now gone by, and the opportunities to file any claims with the shipping company have long passed. Additionally, if the product is just simply the wrong color, or not what you expected, you will likely now have to pay the shipping back to the manufacturer and possibly pay a restocking fee. This is the best argument I can provide for taking the time to inspect your equipment upon arrival and ensure it is in working order. Once you have stored it for months, moved it from room to room, it is very hard to prove an item was improperly working from the start. Many manufacturers are now cracking down on this type of return.
A business owner/manager/director should be responsible to make sure the items arrive in-tact. If something looks amiss, the packaging is damaged, do not sign the paperwork that says everything is fine without notating on the delivery slip that there are problems with the packaging. Notating it can help the manufacturer file a claim and get your issue resolved far faster with this information, but you have to let the manufacturer know upon delivery. If too much time passes, it will be harder to get your issue resolved. Also, if you are buying equipment that must be assembled, a smart rule of thumb is to do it in the first 30 days following purchase. The reason for this is to be proactive and report any issues with your equipment in a timely fashion to the manufacturer or supplier you have utilized, and gain resolution proactively rather than a delayed report months down the line.
Making sure your business runs efficiently is in large part dependent on the products you utilize. Taking a moment to consider the information in this article can help you make sure your next expansion goes well with your equipment and product needs. They may also help you determine if there is a basis for complaining about performance or whether it may just be time to replace your goods. As with most suppliers and manufacturers, the whole reason we exist is to serve our customers.
I hope the scenarios I shared can provide you a behind-the-scenes glance of what may be entailed in a return and how you can help yourself (and the manufacturer) by notating and documenting issues, while considering the age and longevity of usage. No doubt your supplier will work hard to provide you the best service possible, and that is made far easier by utilizing these tips along the way!
Click here for more information about Angie Patrick.
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