Chiropractic Health Care
Section Newsletter
Spring 2006

From the Section Chair

The CHC section of APHA continues to move aggressively in our primary goal of membership recruitment with some measurable success thus far.  We are reaching out to all segments of the chiropractic community in an effort to heighten the profession's sensitivity to the national issues of public health.  Several members have made speaking engagements to the various colleges to promote awareness of chiropractic's role in the broad agenda of public health.  Our cry has been centered around the fact that the vertebral subluxation complex at any level of spinal involvement carries a measurable epidemiologic component that when assessed over a large segment of the population significantly impacts the nation's public health.

On an international note, I recently visited a European chiropractic conference where our section's past chair, Dr. Lisa Killinger, gave an enlightening presentation on the aging patient population and how the individual chiropractor must adjust his or her practice emphasis in making a meaningful impact to this growing segment of the American population.  This presentation was given at the annual conference of the European Chiropractic Union in Stockholm, Sweden.  I was truly enlightened by her professional abstract.

--Andrew Isaacs, DC

Healthy Kids: A National Public Health Week Event

 

Palmer College of Chiropractic held a fun and interactive National Public Health Week event on this year’s theme: "Designing Healthy Communities, Raising Healthy Kids." This afternoon of healthy food, booths and activities was conducted collaboratively with a local hospital program through the Trinity Regional Health System called the Trinity Enrichment Center. It included a Healthy Kids Health Fair, which was open to all persons in the Iowa and Illinois Quad-Cities community.

The health fair took place on the Palmer College campus and included various participating organizations focusing on family health, including the local health department and the University of Iowa College of Dentistry’s Pediatric Dental Association. The main purpose of the event was to provide education and information for parents and their children on a variety of health issues, and to raise awareness about health related services available to children and families in the Quad-Cities community.

The four-hour health fair began at noon with a yoga class for kids. Throughout the afternoon seminars on parenting, chiropractic, and injury prevention were offered, including a talk by Lisa Killinger, DC, APHA-CHC past Section chair.

Participants at the fair also enjoyed several interactive activities and were able to take home gifts and educational materials from several organizations. The Scott County Health Department offered a hand washing station with a black light to help kids see the germs that improper washing leaves behind, and Palmer College students and faculty offered a backpack safety station, spinal screenings and posture stations. Students from the Pediatric Dental Association offered free toothbrushes and toothpaste, and even put on a puppet show to educate children on proper dental care. Toys-R-Us sponsored a children’s bicycle give-away and had their mascot, Geoffrey, on hand for photos. One of the more exceptional activities of the day was the participation of Maximum Salon offering $5 haircuts with 100 percent of the proceeds being donated to the National Down Syndrome Society. Several people also participated in the “Locks of Love” program, donating their hair to make wigs for patients who need them.

A local NBC affiliate, KWQC-TV, promoted the event in advance by hosting organizer and new APHA-CHC member Julie Johnson on a local talk show. The Palmer NPHW events were also featured on the evening news, providing the Quad Cities community information about the importance of National Public Health Week.

The organizers of this year’s event at Palmer College of Chiropractic plan to continue with the effort on a yearly basis and feel that the promotion of public health issues is vital to our nation’s health.

Palmer College Increases the Chiropractic Health Care Section by 10 Percent

CHC Governing Council Representative Lisa Killinger, CHC Student Liaison Andrea Haan and CHC Membership Chair Lori Byrd teamed up in April to address students at Palmer College of Chiropractic about APHA.  The presentations targeted fourth, fifth, and seventh trimester students.

Killinger gave a short, 10-minute presentation which included a brief history of the chiropractic health care section of APHA. She discussed the mission of APHA and how it relates to daily activities of a chiropractor. They all stressed the importance of students getting involved and having an impact now.

The representatives challenged students in each class to return at least 10 membership forms. If the challenge was met, one name would be drawn for a free one-year student membership.  Two of the classes met the challenge. We received a total of 21 memberships. Many more students took membership application forms and student assembly brochures to read and give to friends.

We are extremely pleased with the success of this first membership drive effort and plan to conduct additional presentations in the future. 

ACA Offers New Health Promotion and Wellness Program

The American Chiropractic Association announces the launch of a new health promotion and wellness program. This 100-hour educational program offers the most up-to-date and scientifically sound material presented by the profession's most highly credentialed team of presenters.

The program, set for fall 2006 in Denver, will include four, 12-hour modules of study over four different weekends -- with an additional 52 hours of coursework outside the classroom. CEUs will be hosted by the National University of Health Sciences, and doctors who successfully finish the course will be awarded a certificate of completion in health and wellness promotion. The program includes handouts and a toolkit of resources for integrating health promotion and wellness into everyday practice.

"For more than 100 years, doctors of chiropractic have been the leaders in endorsing a preventive approach to health care," said ACA President Richard Brassard, DC. "This first-of-its-kind seminar will reinforce that approach and provide doctors with the tools they need to successfully educate their patients and their community about the importance of good nutrition, ergonomics, exercise and stress management -- and a host of other wellness concepts."

Program Dates and Presenters

The program -- led by the profession's foremost chiropractic college instructors -- will be held at the Embassy Suites Hotel in Denver on the following dates:

Sept. 23-24: Health Promotion and Wellness in Chiropractic Practice -- Instructors: Cheryl Hawk, DC, PhD, CHES, & Will Evans, DC, PhD, CHES.

Oct. 14-15: Nutrition and Wellness -- Instructors: Jim Gerber, MS, DC, DACBO, DACBN & Lisa Killinger, DC.

Nov. 4-5: Performance Enhancement -- Instructors: Steven Conway, DC, DACBOH, ESQ. & Rob Monokian, DC, DACBSP.

Dec. 9-10: Physical and Mental Fitness -- Instructors: Ron Kirk, MS, DC & Meridel Gatterman, MA, DC, MEd.

Some of the important topics being discussed in this program include:

Use of Health Promotion and Prevention in Chiropractic Practice;

Health Education and Health Promotion in Everyday Practice-The Basics

Building a Toolkit to Help Patients Change their Behavior;

Nutrition and Disease Prevention: Keeping Patients Well;

Prevention/Wellness Programs for Industrial Injuries;

Trends Toward Wellness Care: Putting Healthy People 2010 into Practice;

Introduction to Straighten Up America: An Applied Wellness Science Initiative;

Exercise and Stress Management Concepts;

Mental Health as a Leading Health Indicator;

Ethical and Appropriate Coding/Billing for the Chiropractic Office.

History of CHC section completed

          The Chiropractic Health Care Section of APHA celebrated its 10th anniversary in 2005. Though the Section began in 1995, the story of its beginning goes back even further. In 1987, Herbert Vear, DC, documented the early years of chiropractic within APHA with the paper “The anatomy of a policy reversal: The A.P.H.A and chiropractic, 1969 to 1983,” which was published in Chiropractic History. Now, the story of the CHC Section since that time has been completed.

            Jonathon Egan, DC, MPH, Rand Baird, DC, MPH, and Lisa Killinger, DC, all CHC members, have just completed the article “Chiropractic and the American Public Health Association, 1984-2005: Pariah, to participant, to parity.” The article was written to commemorate the tenth anniversary of the CHC Section. Egan will present the article at the Association for Chiropractic History conference in Chicago on June 24, 2006. The article has also been accepted for publication in Chiropractic History. There it will complete the story told by Vear in the same journal two decades ago.

            The article is significant for a few reasons. First, it is suspected that few sections have really attempted to chronicle and publish their own history. Second, it details how engagement with other health care professionals in a consistent and professional manner leads to acceptance and collaboration. Among highlights of the article are behind the scenes looks at the meeting where  Section status was granted in 1995, some of the people involved with World Health Organization acceptance of World Federation of Chiropractic in 1996, CHC Section leadership over the years, and the growth, struggles, and successes of the Section.

CHC members who want to know more about the fascinating history of the Section are referred to the next issue of Chiropractic History. It was a 16-year struggle to become an official section within APHA. It’s been over a decade since then. Here’s to another successful 10 years!

Health Services Research Award

The HSR Impact Award recognizes health services research that has made a positive impact on health policy and/or practice that has been successfully translated into health policy, management, or clinical practice.

Submit your nominations today!

• Lead researcher receives $2,000.

• Winning research is published and disseminated as part of the AcademyHealth "HSR Impact" series.

• Award is presented at the 2007 National Health Policy Conference, on Feb. 12-13.

Selection Criteria:

• Quality of research;

• Effectiveness of research dissemination and translation approach;

• Impact of the research.

Nominations must be received by Friday, July 28, 2006.

For more information on the HSR Impact Award, please visit http://www.academyhealth.org/awards/hsrimpactsnominations.htm or contact Jennifer Muldoon at (202) 292-6700.

Gulf Coast Disaster Leadership Awards

NOMINATIONS SOUGHT FOR A SPECIAL ROUND OF GULF COAST-RELATED ROBERT WOOD JOHNSON COMMUNITY HEALTH LEADERSHIP AWARDS ($120,000)

Deadline: June 30, 2006

The Robert Wood Johnson Community Health Leadership Program will be honoring five individuals this fall who have demonstrated leadership in responding to the challenges faced by the Gulf Coast as a result of the storms of 2005.

If you know someone who has found creative ways, despite overwhelming odds, to bring health services to their communities, they may be eligible for this award.

Candidates:
• must be serving or have served individuals affected by the Gulf Coast Disaster, including those displaced from the region.
• must be working at least 3/4-time at the grassroots level.
• may not have received significant national recognition.
• must be in "mid-career," with at least five and no more than 15 years of community health experience.

Nominations are open and can be made by consumers, community health leaders, health professionals and government officials who have been personally inspired by the nominees.

The nomination form and supporting materials must be received by June 30, 2006. For more information or to submit a nomination, visit the CHLP Web site at www.communityhealthleaders.org or call the program office at (617) 426-9772.

Mailing Address:
Robert Wood Johnson Community Health Leadership Program
89 South Street, Suite 405, Boston, MA 02111

Konarski-Hart elected president of Arkansas State Board of Health

APHA member Karen Konarski-Hart, DC, has been reappointed to the Arkansas State Board of Health by Arkansas Gov. Mike Huckabee and this year will serve as the organization’s elected president. Konarski-Hart is the first chiropractic physician to hold the office and the first president to hold the office under the newly formed Arkansas Department of Health and Human Services. Konarski-Hart is in private practice in Little Rock, Ark.

Register to Vote with Absentee Ballot

This year's election day (Nov. 7, 2006) will happen during the APHA Annual Meeting in Boston. Make your voice heard in the ballot box by registering to vote and requesting an absentee ballot before your state deadline! Click here for more information: https://ssl.capwiz.com/apha/e4/?

The CHC Officers for 2006

Chair: Andrew Isaacs, DC

Chair-elect: Elaine Morschhauser, DC

Past-chair: John Hyland, DC, MPH

Secretary: Michael Haneline, DC, MPH

Section Council:
Ashley Cleveland, DC, MA
Karen Konarski-Hart, DC
Mitchell Haas, DC, MA
John Pammer, Jr., DC, DACBR
Joseph Brimhall, DC Maria Hondras, DC, MPH

Governing Council:
Kurt Hegetschweiler, DC
Lisa Killinger, DC

Committee Chairs:
Awards: Sharon Jaeger, DC, DACBR
Membership: Lori Byrd Spencer
Nominations: John Hyland, DC, MPH, DACBR, DABCO
Program: John Stites, DC, MPH
Publicity: John Pammer, Jr., DC, DACBR
Resolutions: Gerald Stevens, DC
Newsletter Editor: Alisa Fairweather, MPH
Action Board Rep: Christine Goertz, DC, PhD

APHA is the oldest, largest, and most influential public health association in the United States and in the world. All doctors of chiropractic are urged to join this important multidisciplinary organization (www.apha.org), and members wishing to volunteer to participate more actively can volunteer by contacting any of the APHA Chiropractic Health Care Section officers listed above.

Chiropractic Helping to Improve Public Health in Buffalo, N.Y.

Re-published with permission by Dynamic Chiropractic (www.ChiroWeb.com)

A long-standing principle of public health and an important concern of APHA is the provision of health care services to under-served, needy populations, including so-called "inner-city" target areas. Participation in public health programs, particularly when they are multidisciplinary in nature, is an ideal way for chiropractors and the chiropractic profession to provide a valued and much-needed public service while at the same time demonstrating a true commitment to the public health agenda. Community outreach in neighborhood clinics can benefit people who would otherwise never lack the resources to obtain and experience such quality health care.

The Lighthouse Free Chiropractic Clinic, sponsored by the New York Chiropractic College, has been going strong for more than one year, helping the overall wellness of the poor, ethnic minority residents of the East Side of Buffalo, N.Y. The chiropractic clinic is part of a multidisciplinary facility called the Resurrection Health Center, started by Pastor Charles Beigner of the Resurrection Lutheran Church.

The facility handles a variety of health needs for this population. It houses the Lighthouse Medical Clinic, sponsored by the University of Buffalo, where medical students administer free care to the poor. The University of Buffalo Dental School provides screenings to improve the dental health of this patient population. Additionally, mental health needs are addressed here by Samaritan Pastoral Counseling.

The Lighthouse Free Chiropractic Clinic is helping to address the neuromusculoskeletal and public health needs of the poor, ethnic minority population in this area. In its first year of existence, the clinic provided 1,023 adjustments to the needy. Interns from NYCC delivered that care under the supervision of an experienced, licensed clinician (this author), and received credits toward licensure eligibility. Additionally, numerous evidence-based pamphlets and bits of advice were given on topics such as nutrition, cancer screenings, STDs, postural improvement, etc. Providing overall wellness care to this long-neglected population has brought with it a wide variety of challenges and a great deal of very demanding work.

Initially, the goal was to build up the clinic, which was done in a myriad of ways. The Resurrection Lutheran Church promoted our chiropractic services in church newsletters and in sermons from the church pulpit. We conducted numerous direct mail campaigns, spoke at various community organizations, and received referrals from local hospitals and doctors, and the internal referrals gradually increased. A referral base from a local medical doctor, Myron Glick, MD, grew considerably after we were the practitioners who first diagnosed an ACL tear, which was later confirmed on MRI.

As the patient base continues to grow, the interns are being exposed to a wide variety of cases, some of which would likely never be seen in a typical chiropractic office. The cases we have worked on are very diverse and often very acute in nature. One never knows what type of case will walk in the door on a given day in this clinic! We have had patients with C1-C2 instability, cervical fusion, Behcet's disease and Ehlers-Danlos syndrome. We also have handled numerous cases of common neuromusculoskeletal complaints, multiple disc herniations, facet syndrome, fibromyalgia, DJD and lumbar sprain/strains.

Patient management can be an unexpected and unusual challenge. With some cases, it has been difficult to get an accurate or forthright, candid history, which can make diagnosis more difficult. We have had some patients who spoke little English – mostly Arabic and Spanish – making history-taking even more of a challenge. Some patients have mental and social problems as well. Trusting our orthopedic and neurologic testing and chiropractic palpation skills with diagnostic imaging as appropriate has often been the key. Additionally, we have even identified a few malingerers who were apparently attempting to get an exaggerated disability rating or a high no-fault legal payout. Identifying such cases also is a community service, and sharpens our clinical acumen and reputation.

Perhaps most importantly, the patients themselves are very appreciative of the services provided at the Lighthouse Free Clinic, and often have expressed their hope to see chiropractic care continue far into the future in this setting. Doctors of chiropractic can learn more about public health concepts, programs and projects, as well as identify opportunities for themselves to participate in their own neighboring communities, by joining and participating in the APHA, the largest, most influential public health association in the world. Information about the APHA and its Chiropractic Health Care Section can be found at www.apha.org, or by contacting Lori Byrd-Spencer at BYRD_L@palmer.edu.

Gerald Stevens, DC, MS, MPH Fellow