CHP Now Accepting Applications for New Network Providers in Greater Oregon Area

The CHP Group is excited to announce that, due to new business partnerships in Oregon, we are currently focused on accepting credentialing applications for network providers in all Coastal, Southern, Central, and Eastern Oregon areas including the cities/towns of Roseburg, Grants Pass, Ashland, Coos Bay/North Bend, Klamath Falls, Bend, Redmond, Madras, La Pine, Pendleton, Prineville, John Day, The Dalles, Hermiston, Baker City, Joseph, Lincoln City, Florence, Seaside, Tillamook, Astoria, and more!

If you are a chiropractor, massage therapist, licensed acupuncturist or naturopathic physician practicing in one of these areas, please use our online form to request an application or e-mail us at providers@chpgroup.com.

We look forward to hearing from you soon!


2015 Learning Opportunities for Providers and Staff

CHP is hosting a variety of free workshops and continuing education events in 2015 including: two conferences that will include courses on ethics, ICD-10, CPT® coding, HIPAA compliance, security, and clinical record keeping; two Basic Gua Sha for Massage Providers seminars; and multiple small workshops on HIPAA and ICD-10. For more information on each event, please use the links below to view the registration pages:

Provider & Staff Continuing Education Conference – May 21 and October 1

Basic Gua Sha for Massage Providers – June 13 and July 25

HIPAA Compliance Basics – June 4 and September 3

Preparation for ICD-10 – June 4 and September 3

Advanced Gua Sha for Massage Providers – June 14 and July 26 (Registration for this seminar is by invitation and limited to massage providers who have completed the Basic Gua Sha seminar)

We look forward to seeing you at one of our upcoming events!


New Continuing Education for Providers and Office Staff Coming Soon!

We are busy preparing a new slate of continuing education programs and workshops for providers and office staff in 2015! Keep a close watch on your mailbox and inbox in March for a list of upcoming classes.

Questions or suggestions about continuing education? Contact us at 503-203-8333 or use our easy, online message form.


New Partnerships with Health Republic, Oregon’s Health CO-OP, and Columbia United Providers

The CHP Group is proud to announce new partnerships with Health Republic Insurance, Oregon’s Health CO-OP and Columbia United Providers. These new partnerships will provide access to high-quality, cost-effective complementary and alternative medicine for members of these forward-thinking health plans.

Providers: Are you interested in joining The CHP Group network in order to serve these new members? Click here to request a network application.

Members: Are you looking for a provider in your area? Click here to use our provider search function.

Questions about these new partnerships? Contact us at 503-203-8333 or use our easy, online message form.

 


Join Us for Spect-acupuncture!

Join us on Wednesday, February 18, 2015 for breakfast and free producer continuing education sponsored by The CHP Group! Spect-acupuncture – our latest CE course on complementary and alternative medicine – will illustrate the potential that acupuncture has to improve member and population health as well as to reduce claims cost!

RSVP online at https://spect-acupuncture.eventbrite.com

Date: Wednesday, February 18, 2015
Time: Doors open and breakfast begins at 7:30 am; program from 8:00 am to 10:00 am
Where: Oregon Medical Education Foundation Conference Center at 11740 SW 68th Pkwy, Portland, OR 97223
Continuing Education: Applying for one hour of general Oregon Producer CE credit

Questions about Spect-acupuncture? Call us at 503-203-8333 or e-mail us at sales@chpgroup.com.

 


Clinical Pathway Focus: Pediatrics

CAM Use in Children

Pediatric complementary and alternative medicine (CAM) has become of increasing interest as data shows increasing numbers of children seeing CAM providers and using CAM at home. The 2007 National Health Information Survey (NHIS) asked selected adult respondents about CAM use for children in their households. Responses indicate that 12% of children in the U.S. use some form of CAM. This increases the need for discussion about the safety and appropriateness of CAM approaches to pediatric health. This pathway provides a brief overview of the current evidence concerning management, safety, and use of CAM in pediatric healthcare.

Among the top 10 therapies reported are natural products and homeopathics, chiropractic (and osteopathic) manipulations and massage. Conditions most frequently reported for CAM treatment include asthma, cancer, cerebral palsy, cystic fibrosis, gastrointestinal conditions (inflammatory bowel disease), back and neck pain, other musculoskeletal pain, colds, and mental health conditions (anxiety, depression, insomnia, ADHD, autism). Most pediatric patients who use CAM also receive conventional care.

Evidence-based CAM

A 2002 review identified more than 1400 random controlled trials (RCTs) and 47 systematic reviews of pediatric CAM. Formal evaluation of these determined that the quality of RCTs of CAM is “as good as that of RCTs of conventional medicine, and the quality of systematic reviews of CAM exceeds that of systematic reviews of conventional medicine.” As most literature highlights, there is a paucity of controlled clinical data regarding side effects of CAM in the pediatric population. Despite limitations of CAM evidence, healthcare providers need to be aware of the current evidence that does exist with regard to CAM therapies and not to assume such evidence is lacking or is of inferior quality. That being said, there are very few published reports of serious adverse effects of CAM use in children and lawsuits alleging CAM as harmful are rare.

Patient Preference and Autonomy

Confidence in and use of CAM is increasing by families for their children. Many use CAM because they are attracted to the CAM philosophies and health beliefs, dissatisfied with the process or results of conventional treatments, or concerned about their adverse effects. Many families reported that CAM was “more congruent with their own values, beliefs, and philosophical orientations towards health and life.” The fear of known side-effects of conventional medications is another reason why some families seek CAM. When patients choose to use CAM, general trends suggest that between 50-80% report clinical benefits and side effects were perceived to be few.

Pediatric Patient Management

With all therapies, especially pharmacological treatments, prescribing and dosing should be performed by a professional with professional training and expertise in the field. All clinicians should ensure that they have the appropriate skills to treat the patient “while complying with regulatory and institutional policies, and are legally authorized to provide treatment in the jurisdiction in which they practice.” All providers must recognize their limits and refer appropriately. Whether a treatment is conventional or CAM, healthcare providers must weigh the risks and benefits of all available treatment options, inform their patients of these, and respect their patients’ values, beliefs, and preferences.

The Pediatrics Clinical Pathway complete with references, patient and clinician resources are at available www.chpgroup.com behind the secure provider log-in.


Patient Safety: Best Practices in Acupuncture

Source material for this article originally published in the Pacific College publication, Oriental Medicine (OM) Newspaper.

All health professions have different risks. The cases that have come to light of harm caused by acupuncture worldwide cover a range from infection control breaches to injury from needles. The percentage of harm caused in relation to the volume of treatments given is small in comparison to other medical practices, but taking steps to avoid harm should be a part of every treatment given.

Malpractice

In malpractice cases there are two ways to become liable: “omissions” (failing to do something we are supposed to do) and “commissions” (doing something to a patient that results in injury).

So, being human, we need to realize that unintentional harm can result even when we have the best of intentions. Setting standards of care to protect our patients, such as needle counting and monitoring the patient during treatment, can become safeguards that should be fully integrated into our practice.

Keeping Patients Safe

In David Kailin’s excellent book Acupuncture Risk Management, he suggests a list (see highlights below) of reminders for patient safety. It is a useful reminder of the excellent training we received in school and a review of the Clean Needle Technique.

Best Practices: Acupuncture Needles

  • Never give needles to patient for self-treatment or as samples.
  • Whenever practical, position the patients in a reclined, supine or prone position.
  • When needling a seated patient, be in constant attendance, elicit verbal feedback, and maintain visual assessment.
  • Keep records of needle disposal through a licensed, regulated medical waste disposal company
  • Wash hands before needle insertion, between each patient contact, after removing gloves, and immediately after any blood or OPIM (other potentially infectious material) exposure.
  • Keep a bottle of bleach in the clinic to be available for clean-ups of any needle spills.
  • Glove both hands for minor bloodletting procedures.
  • Record needle count after insertion and on needle removal.
  • Do not needle patients through their clothing.
  • For points over the lungs, consider the horizontal and oblique needle placements to decrease vertical depth of penetration.
  • Never use imbedded needles.
  • Err on the side of caution.

Acupuncture is safe, but we must still pay attention

As with other CAM therapies, acupuncture has an enviable safety profile, particularly when compared to standard interventions in conventional medicine. Nonetheless, acupuncture needles, moxa, and heat lamps are not entirely risk free. Necessary regulation that requires adequate professional training and licensure can minimize risk across the profession. But it remains for each acupuncturist to attend constantly to those aspects of practice that can assure that patients receive the full benefit of our medicine as safely as possible.