Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based...
Transcript of Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based...
![Page 1: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/1.jpg)
Evidence-BasedPrac/ceand
Pa/ent-CenteredCareDr.JamesJ.Lehman
AssociateProfessorofClinicalSciencesUniversityofBridgeportCollegeofChiroprac/c
![Page 2: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/2.jpg)
Whatdoesevidence-basedprac/cemeantoyou?
![Page 3: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/3.jpg)
Areyouanevidence-basedprac//oner?
![Page 4: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/4.jpg)
![Page 5: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/5.jpg)
ACAEvidence-BasedPrac/cear/cle
![Page 6: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/6.jpg)
Discussion
![Page 7: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/7.jpg)
Whatispa/ent-centeredcare?
![Page 8: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/8.jpg)
![Page 9: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/9.jpg)
Pa/entcenteredcarerequiresmedicaldoctorsandchiropractorstoworkside-by-side.
![Page 10: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/10.jpg)
MyMessage
• Integra/onofevidence-basedchiroprac/cservicesintothehealthcaresystemenhancespa/entsafetyandqualityofcare.
![Page 11: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/11.jpg)
![Page 12: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/12.jpg)
![Page 13: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/13.jpg)
![Page 14: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/14.jpg)
• TheAffordableCareActpermitschiropractorstofunc7onasmembersoftheprimarycareteam.Thelanguageinthebillensuresthatdoctorsofchiroprac7ccanbeincludedonthesepa7ent-centeredandholis7cteams.Thenon-discrimina7onprovisionli=ssomeoftheburdenimposedbyunfairlimita7onsofcertaininsurancecompanies.
![Page 15: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/15.jpg)
![Page 16: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/16.jpg)
![Page 17: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/17.jpg)
PainCareinAmericaMustChange
• Mostpeopleinpain,includingthosewithchronicsymptoms,gotoprimarycareproviderstogetrelief.Butcurrentsystemsofcaredonotadequatelytrainorsupportinternists,familyphysiciansandpediatricians,theotherhealthcareproviderswhoprovideprimarycareinmee7ngthechallengeoftrea7ngpainasachronicillness.Primarycareproviderso=enreceiveliDletrainingintheassessmentandtreatmentofcomplexchronicpaincondi7ons.
![Page 18: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/18.jpg)
![Page 19: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/19.jpg)
![Page 20: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/20.jpg)
![Page 21: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/21.jpg)
![Page 22: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/22.jpg)
CurrentStatusofChiroprac/cPhysiciansinHealthCareSystem
1. Misunderstood2. Overtrained(Limitedscope)3. Undertrained(Chiroprac/cspecialist)4. Underpaid5. Underu/lized
![Page 23: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/23.jpg)
Pa/entcenteredcarerequiresmedicaldoctorsandchiropractorstoworkside-by-side.
![Page 24: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/24.jpg)
KeystoIntegra/on
• Competentandcaring• Evidencebased• Holis/candkind• Pa/entcentered• Willingtointroduceyourself
![Page 25: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/25.jpg)
NewPainManagementModel
• Healthcareteam• Primarycarproviders– MD– DO– NP– PA
• Chiroprac/cfacultymembers,residentsandstudents
• Behavioralhealth
![Page 26: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/26.jpg)
Chiroprac/cServicesatCHCIMeridenpilotevalua/on
IanitaZlatevaDarenAnderson
ProjectSTEP-ingOut
“Integration of Chiropractic Services and Training into a Community Health Center”
![Page 27: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/27.jpg)
RISK
STEP1
STEP2
STEP3
PCMHPrimaryCarePodsRou/nescreeningforpresence&intensityofpainComprehensivepainassessmentandfollowupManagementofcommonpainfulcondi/ons
StructuredfollowupassessmentNurseCarecoordina/on
Complexity
TreatmentRefractory
Comorbidi8es
RISK
OnsiteCo-managementOn-sitebehavioralhealthco-management
PainmanagementgroupsessionsStressreduc/onChiroprac/c
ProjectECHOconsulta/on
Ter/aryInterdisciplinaryPainCentersAdvanced diagnostics & interventions CARF accredited pain rehabilitation
Integrated chronic pain and SUD treatment
TheSteppedCareModelforPainManagementatCHC
![Page 28: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/28.jpg)
0%
0%
0%
14%
7%
0%
7%
3%
16%
3%
0%
0%
0%
14%
9%
0%
6%
4%
20%
3%
0%
0%
0%
13%
12%
0%
6%
7%
25%
4%
Addic/onMedicine
Chiropractor
Acupuncturist
PhysicalTherapy
PainManagement
Physiotherapy
PhysicalMedandRehab
NeurologicalSurgery
OrthopedicSurgery
Rheumatology PainReferralsbycohort
ChronicOpioidCohort(n=1019)
OpioidCohort(n=3663)
PainCohort(n=6746)
![Page 29: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/29.jpg)
Action plan
Lackofpaintraining/lowknowledgescores
Lackofpainspecialtysupport
Lowbehavioralhealthco-
management
LowuseofCAM
Poordocumenta/on
ofpainassessment
andtreatment
lowratesofpain
reassessment
Lowratesofopioid
agreement/u-toxmonitoring
NewCHCPolicy• Utoxq6month• Opioidagreementqyr• Documentedf/uq3mo• PainfollowupHPIfolder• Paindashboard
ProjectECHOOnlinepainCME
Chiroprac/cand(?)
acupuncturesvcatCHC
Behavioralhealthpainreferrals
![Page 30: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/30.jpg)
![Page 31: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/31.jpg)
CHCMeridenChiroprac/cPDSA
• UniversityofBridgeportContractual• Dr.JimLehman+3students• 4hrsessionsWed.andSat.• InternalreferralinECW• ECWHPIfolders• Collabora/vemanagementforpain/musculoskeletalproblems
• PreliminaryResults1/04-4/18/2012– NumberofUniquePa8entsSeen–45– NumberofPa8entVisits–152
![Page 32: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/32.jpg)
<35
years
23.91%
36-50 years
50.0%
>50 years
26.09%
Age Range Distribution
Asian 2.2%
Black or African
American 6.5%
Caucasian 39.1%
Hispanic 52.2%
Race
Medicaid 21.7%
Medicaid Managed Care Fee
for Service 34.8%
Medicare 2.2%
Uninsured 13.0%
Unknown 28.3%
Last Medical Financial Class
Who are the Chiropractic Patients?
male
41.3
% female
58.7%
Gender
![Page 33: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/33.jpg)
CHCMeridenChiroprac/cPDSA
![Page 34: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/34.jpg)
CHCMeridenChiroprac/cPDSA
![Page 35: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/35.jpg)
CHCMeridenChiroprac/cPDSA
![Page 36: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/36.jpg)
CHCMeridenChiroprac/cPa/ents
Period:Jan.4-April18Average/4hrsession TOTALS–N(%)
Booked 8.90 267
ShowTotal 5.07 152(57%)
Show-Ini8al 1.50 45(30%)
Show-Established 3.53 107(70%)
CancelTotal 1.97 59(22%)
Cancel-Ini8al 1.10 32(54%)
Cancel-Established 0.90 27(46%)
NOshow 1.90 56(21%)
NOShow-Ini8al 0.90 24(43%)
NOShow-Established 1.07 32(57%)
![Page 37: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/37.jpg)
CHCMeridenChiroprac/cPDSA:Results
![Page 38: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/38.jpg)
92.1%
50.0%
21.1% 18.4% 18.4%
13.2% 7.9%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Back Neck Leg Arm Hand/ Wrist Other Foot/ Ankle
Perc
enta
ge
of
Pat
ients
CHCI Chiropractic Services General Area of Treatment
![Page 39: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/39.jpg)
34.1%
22.7%
15.9%
9.1%
4.5% 4.5% 4.5%0%
5%
10%
15%
20%
25%
30%
35%
40%
724.50 724.20 338.40 V82.9 723.10 723.90 728.85
Perc
enta
ge
of
Pat
ients
CHCIChiroprac8cServices
ReferralICD-9Codes
724.50 Backpain(chronic)724.20 LOWBACKPAIN338.40 Chronicpainsyndrome
V82.9 SCREENFORCONDITIONNOS
723.10 CERVICALGIA
723.90 NECKDISORDER/SYMPTNOS
728.85 MUSCLESPASM
![Page 40: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/40.jpg)
![Page 41: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/41.jpg)
CHCMeridenChiroprac/cPDSA:Study
• Painfunc/onalassessmenttool:veryuseful,assessedimpactofpainonavarietyoffactors
• Ptsa/sfac/onwithchiroprac/cassessmenttool:highlysa/sfied
![Page 42: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/42.jpg)
2.5
2.5
2.5
2.5
5.3
5.3
2.6
13.2
2.5
7.5
7.5
7.5
7.9
10.5
13.2
7.9
12.5
10.0
22.5
15.0
13.2
21.1
13.2
13.2
35.0
45.0
37.5
40.0
50.0
36.8
39.5
39.5
42.5
30.0
25.0
30.0
23.7
26.3
31.6
26.3
0.0 20.0 40.0 60.0 80.0 100.0 120.0
day to day activities
work around the home
ability participate in
social activities
your enjoyment of life
things you usually do for
fun
enjoyment of social activities
your household chores
your family life
How much did pain interfere with:
Percent of Patients
Pain functional assessment tool - Chiropractor Patients - time 1
Not at all A little bit Somewhat Quite a bit Very much
![Page 43: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/43.jpg)
2.7
2.7
2.7
2.7
5.4
14.6
14.6
2.7
13.5
5.4
5.4
10.8
10.8
20.6
20.6
18.9
83.8
91.9
91.9
86.5
83.8
64.7
64.7
78.4
0 20 40 60 80 100 120
spent enough time with me
thoroughly explains the
treatment(s) I receive
treats me respectfully
listens to my concerns
answered all my questions
advises me on ways to avoid
future problems
gives me detailed instructions
regarding my home program
Overall, I am completely
satisfied with the services I receive
Percent of Patients
My chiropractor:
Pt satisfaction with chiropractic services assessment tool: highly satisfied
Disagree Agree Strongly Agree
![Page 44: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/44.jpg)
Howmuchdidpaininterferewith:
Time1(Pre-Treatment)Mean(N=40)
Time2(Post-Treatment)Mean(N=8)
yourdaytodayac8vi8es 4.20 2.87
workaroundthehome 4.00 2.37
yourabilitytopar8cipateinsocialac8vi8es
3.80 2.75
yourenjoymentoflife 3.90 2.75
thethingsyouusuallydoforfun
3.77 3.00
yourenjoymentofsocialac8vi8es
3.67 2.87
yourhouseholdchores 3.87 3.00
yourfamilylife 3.6 2.75
PainFunc8onalAssessmentTool
Note:PainInterferenceScale.Scoresonpaininterferenceitemsrangefrom1(notatall)to5(verymuch).
![Page 45: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/45.jpg)
Pa/ents’CommentsfromtheSurveys• Dr.Lehmanandhisstaffof4thyr.internswereabsolutelygreat.Iwasveryimpressedandwouldrecommendthemtoanyone.
• Youareawesome.Ifeelgreat:-)• Iwouldrecommendyourservicestoanybody.Thankyouvery,verymuch!
• Allareashavebeenaddressed,Iamimproving100%.• IwanttoappreciatethetreatmentsIreceivedwithmychiropractorwhenIcameinthefirst/meIwasinalotofpainandIwasn'tabletofunc/onatallandtodayI'mfeelingwonderful.ThankstoyouallandIwishandpraythattheseservicesstaywithus.GoodLuck!
![Page 46: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/46.jpg)
CommunityHealthCarePilotStudyStudentComments
• Thankyouforallowingmetopar7cipate…• Theone-on-onetrainingwasfantas7c…• Seeingpa7entswithseriouspainrespondtochiroprac7ccarewasveryvaluable…
• Excellentclinicaltraining…• Ilearnedmorein6weeksthantheprioryear…
![Page 47: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/47.jpg)
CommunityHealthCenter,Inc.
SiteofthefirstUBCC/CHCchiroprac/cservice
![Page 48: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/48.jpg)
CommunityHealthCenter,Inc.Middletown
![Page 49: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/49.jpg)
CommunityHealthCenterInc.NewsiteswithChiroprac/cServices
• Bristol• Danbury• Norwalk• Meriden• Middletown• NewBritain• NewLondon• Stamford• Waterbury
![Page 50: Evidence-Based Prac/ce and Paent-Centered Careaskdrlehman.com/ub-ortho/ebp1.pdf · Evidence-Based Prac/ce and Paent-Centered Care ... paent safety and ... Asian 2.2% Black or African](https://reader031.fdocuments.us/reader031/viewer/2022030503/5ab046bf7f8b9a25088e87db/html5/thumbnails/50.jpg)
Thankyou
Ques/ons?