Getting Invited to Consult

Supplemental Document includes “PCP Proposal of Integrated Services”

This consultation is about using the new healthcare law to generate interest in bringing chiropractic care to primary care physician groups across the country.  There are many reasons that the PCP will be interested, however they are not interested in doing this with EVERYONE.  You have to approach them properly,  professionally and with an assertive attitude.  What I am going to tell you is real not made up, there is no debating these concepts as they have become a truism after the November election.  The new healthcare system is unfolding and it is EASY to be part of it, IF you know what you are talking about.  The process for building MD relationships are as follows, in ORDER…There is no time constraint on any of these, but this is the order that has been proven to be the most efficient and least likely to alienate you from the MD.

Bimonthly Research Binder – 2 visits per month to the practice.  Meet the staff and office manager, build rapport.

Patient Reporting – sending reports on ALL your patients to their primary care MDs, this includes release notes.  Call the primary care MD if there are any significant findings. 

Continuing Medical Education Presentations – these are scheduled over lunch.  This is part of the program and I personally use it regularly to build relationships with the MD community.  INSTANT CREDABILITY. 

When finally getting a meeting with the MD, remember the “order” in which you arrive at that point is not important.  The important thing is that you are sitting across from the MD discussing this process.  Below are a few talking points that correlate with the “PCP Proposal of Integrated Services”.

The top 3 patient categories are Cardoivascular, Diabetes and Neuromusculoskeletal.

Coordination of care is actually a mandate by the Federal Govt under the new healthcare law.

Example – DCs are part of medical home under new law, non-discrimination clause

Research shows patients fare better with coordinate care.

Current barriers to coordination include:

Busy schedules – not able to review charts

Keeping track of patient referrals – whether they are getting the care they need

Getting patients to the referral esp if they are unfamiliar with the area

Healthcare Economics

More patients for less money

Ethical and patient centered ways to increase practice revenue without adding additional risk.

Monthly rental agreement proposal you MUST

“Fair Market Value” payment per month

1-2 half day shifts – 1 to start

Consultation and coordination of musculoskeletal care

Separate TIN, separate insurance

If the pt requires treatment, they will be referred to my private office since that is where all my equipment is.

The final step is providing the MD with a proposal (THIS IS NOT AN AGREEMENT/CONTRACT FOR OFFICE SPACE, that has to be produced by a healthcare attorney in your State) such as the one below, to provide an outline.  This is typical when the practices are larger or there is an executive team in place.  The smaller one MD practices generally don’t need this, but you should use it as additional talking points.  This is also provided as an additional link. 

Integration of Rehabilitative Services

into __________ Family Practice

William J. Owens, Jr. DC, DAAMLP

PURPOSE:

The purpose of providing rehabilitative neuromusculoskeletal care within _________ Family Practice is to provide an integrated and collaborative approach to the most common reason a patient visits their physician next to cardiovascular and diabetic care.  Since neuromusculoskeletal care requires a significant utilization of practice resources, the ability to triage this patient population to a provider that understands the diagnostic and therapeutic needs of the traumatically injured population will increase outcomes and overall patient satisfaction with ________ Family Practice. 

Monitoring and focusing on removing factors that impede access to care will be significantly reduced by serving the community surrounding ____________- Family Practice, allowing patients to access the care they require.  Communication and coordination of care will allow increased face to face time with the patient resulting in an overall increase in patient satisfaction.  

TARGET POPULATION:

This approach will target the most complex and labor intensive portion of the neuromusculoskeletal patient population and will focus on the traumatically injured spine patient.  These patients are covered under No-Fault and Workers’ Compensation policies, being able to navigate the administrative and treatment guidelines associated with this population is critical to complete patient care and is of particular focus.

PATIENT PROTECTION AND AFFORDABLE CARE ACT:

Section 3502 of the Patient Protection and Affordable Care Act states “Section 3502 of the Patient Protection and Affordable Care Act (ACA) establishes a federal grant program to assist with the development of community health teams that provide support to patient-centered medical homes (PCMH). Community health teams work with primary care practices as part of a PCMH, helping to coordinate care and provide access to a range of health services.  Health teams must include an interdisciplinary, inter-professional team of health care providers that agree to provide services to eligible individuals with chronic conditions. The teams may include a variety of medical, behavioral, and alternative medicine practitioners. A provider who contracts with a care team shall: (1) provide a care plan for each patient; (2) provide access to participants’ health records; and (3) meet regularly with the care team to ensure integration of care.”

Integration of rehabilitative services into _______ Family Practice will provide services that are consistent with the Federal and State vision of collaborative healthcare.

BENEFITS TO ______ FAMILY PRACTICE:

______ Family Practice benefits from bringing rehabilitative services in house for a myriad of reasons including, a monthly rental agreement guaranteeing consistent cash flow without increased expense, increased focus on patient outcomes, increased collaboration on a difficult patient population, increased patient satisfaction and the ability to focus on core primary care preventative services by the effective triage of neuromusculoskeletal conditions. 

CREDENTIALS [add yours or simply just your CV if you are not there yet]

I have attached my CV for your review, however; I have also included some of the more pertinent entries below. 

1. 1.Coordinator – Chiropractic Elective – State University of New York at Buffalo School of Medicine and Biomedical Sciences – Family Practice Residency Program, Buffalo NY, 2011-
2. 2.Clinical Supervisor, State University of New York at Buffalo, School of Exercise Sciences and Nutrition Science Department, 2007-Present
3. 3.Deans Advisory Committee, University of Bridgeport Chiropractic College, Bridgeport CT, 2011-present
4. 4.Director, Medical Continuing Education Program, Academy of Chiropractic, Buffalo NY, 2010-Present
5. 5.Certified Professional Medical Coder – American Academy of Professional Coders, Member, 2011-Present