Ride the wave of health care change

Ride the wave of health care change

The Primary Spine Practitioner (PSP) has the necessary knowledge base and skill set to evaluate and manage the majority of patients with spine related conditions based upon best available evidence, and in a patient centered model of care.

The future of health care will demand 3 primary goals be achieved: better care (improved clinical outcomes), better cost (these improved results will have to be achieved at a more reasonable cost to the system), better experience (these improved results at a lower cost will have to maintain high patient satisfaction). While a tall order to fill, we believe spine care, filled with inefficiencies (overuse, misuse, underuse), provides the opportunity to achieve these goals. What is needed is a health care provider who can apply best available evidence consistently and confidently in a model which places the patient at the center.

Spine care presents some very unique challenges to the practitioner: the lack of a clearly defined pathoanatomical lesion in the majority of cases, the influence of psychosocial factors in the origin and perpetuation of spine related disorders, the lack of training in general practitioners regarding spine conditions.

While there exist numerous guidelines for the management of spine related disorders, we also know that dispersion and implementation of this best available evidence is sorely lacking.

In addition, for those systems that have developed ‘spine centers’, our experience has been that these centers have been very provider-centric: the system decides what type of providers they have available or can procur, and then attempt to design a best practice model of spine care around the practitioners, only adding the patients after the model is established.

The PSP works in a model in which the patient is placed in the center of the room, a pathway for the effective and efficient evaluation and management of the patient is determined based upon best available evidence, the skill set necessary to deliver this care is determined, and only then is the provider best suited to carry out this mission added.

Why a PSP Network?

The PSP requires a specific skill set to carry out the mission of evaluating and managing common spine related disorders with better outcomes, lower cost and high patient satisfaction:

a. Broad education in anatomy, physiology, pathology, diagnosis
b. Strong background in musculoskeletal disorders
c. Ability to order and interpret imaging (MRI, X-Ray, CT) and laboratory information
d. Ability to apply a variety of manual techniques to spine conditions (mobilization, manipulation, traction, McKenzie, soft tissue techniques, postural correction, rehabilitative exercise)
e. Keen understanding of psychosocial aspects of spine related conditions
f. Ability to empower the patient to become independent of practitioners
g. Knowledge of all treatment options available to the patient
h. Ability to engage in shared decision making with the patient
i. Ability to communicate with other health care providers
j. Ability to engage the patient in motivational interviewing
k. Ability to engage the patient in lifestyle modification for spine related co-morbidities such as quit smoking, lose weight, begin exercising, practice stress management

While several health provider groups have the foundation to become a PSP, some additional training will be necessary, and a formal PSP Network provides the forum to receive this training in a consistent fashion

PSPN provides a forum for PSPs to interact and share their experiences about what works most effectively and efficiently

PSPN provides a forum to learn of job opportunities


One Response to “About”

  1. spkdc October 28, 2013 at 9:26 am #

    The Primary Spine Practitioner (PSP) is, in my humble opinion, the evolution of the chiropractic profession. Over the last 100+ years every field of medicine has striven to make itself better in order to provide individuals seeking treatment the most evidence based care possible within their specialty. The days of the vertebral subluxation complex are over, the chiropractic profession needs to move beyond its 1895 mindset and embrace the concepts developed by the pioneers at Spine Care Partners.

    My sincere thanks to Dr. Donald Murphy for his tireless effort in the advancement of our profession via his research and presentation of the facts to those who find chiropractic medicine harmful to the public. Also to doctors, Brian Justice and John Ventura for their community based diligence promoting our profession’s evolutionary change.

    I would encourage every chiropractor to embrace this change and move beyond his or her own professional idiosyncrasies because you are in business for only one reason, your patients, and that is what being a PSP is all about!

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