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The Role of Chiropractic in Value Based Payment Systems

By:  Wyn Staheli, Director of Research
Published:  July 29th, 2019

A recent email announcement by Best Practices Academy demonstrates what we’ve all known for years, chiropractic care can play a valuable role in overall patient health. Chiropractors can effectively participate in these new value based payment systems. The following are excerpts from that announcement (emphasis added):

Best Practices Academy™ is proud to announce that First Chiropractic Centers, PC of Yankton, South Dakota has achieved the Patient-Centered Medical Home Recognition for all six of its practice locations by The Compliance Team and also attained DMEPOS accreditation in their two largest locations. First Chiropractic Centers, PC is the inaugural PCMH for Chiropractors program recipient. The Compliance Team is a nationally recognized healthcare accreditation organization.

“First Chiropractic Centers, PC has been a great client to work with over the years. This PCMH and DMEPOS achievement will cast a vision for other chiropractic clinicians to see the opportunity of engaging patients and coordinating care with the patients and their other healthcare providers”, says Dr. Scott Munsterman, CEO of the Best Practices Academy; “We appreciate the dedication and commitment to excellence of all of the staff and clinicians of First Chiropractic Centers, PC..”

In addition to becoming the first chiropractic led PCMH recognized sites in the nation, First Chiropractic Centers, PC recently received the 2019 Pinnacle Practice Award, given only to the top 5% out of 750 to 800 entities that demonstrate exceptional leadership in enhancing health care quality in the Transforming Clinical Practice initiative (TCPi) through Compass PTN (Practice Transformation Network). The Transforming Clinical Practice initiative is designed to help clinicians achieve large-scale health transformation. First Chiropractic Center has successfully adapted and developed their comprehensive quality improvement strategies to meet these transformation goals. First Chiropractic Center has merged person and family engagement (PFE) into their practice which encourages the patient and their family to partner with the medical staff in their care. First Chiropractic Center has also incorporated additional quality metrics and utilization metrics for national comparison and evaluation. Not only is First Chiropractic Center a recognized and awarded Pinnacle practice but the story they tell is scalable and worth emulating.

Value is important in the health care system. Insurance payers and states are increasingly rewarding practitioners who provide improved patient care and cost savings. The patient-centered medical home (PCMH) model of care—one in which care is centrally coordinated and tracked by one primary care provider—has become the standard by which primary care can achieve better patient care and lower costs. 

About Best Practices Academy 

Best Practices Academy, based in Brookings, South Dakota, is a recognized clinical improvement organization, providing focused leadership to equip the clinical practice for compliance and improve clinical outcomes. https://bestpracticesacademy.com/

About The Compliance Team

The Compliance Team (TCT) is a nationally recognized healthcare accreditation organization (AO) that provides industry-leading, Exemplary Provider® branded accreditation services to thousands of providers across all fifty states, Puerto Rico and the US Virgin Islands. Formed in 1994, the firm is the first certified woman-owned (WBENC) AO to hold “deeming” authority for Durable Medical Equipment (DME), Rural Health Clinics (RHC), and MACRA-QPP-MIPS recognition for Patient-Centered Medical Home (PCMH) accreditation from the Centers for Medicare and Medicaid Services (CMS).

For more information:

qpp.cms.gov/mips/improvement-activities/ 

thecomplianceteam.org/

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