Back Pain Recognition Program: An Opportunity to Improve Quality Assurance; Integrate Best Practices; and Deliver High-Quality, Patient-Centered Care

Chiropractic in North America: Toward a Strategic Plan for Professional Renewal—Outcomes from the 2006 Chiropractic Strategic Planning Conference

“…57, 58 Criterion and processes to minimize ethical conflicts in continuing education are already widely accepted in health care 56,58 but need to be more fully embraced by the chiropractic profession. Incentives to encourage daily practice patterns that acknowledge best practices in spine care have been created and are being piloted 16 including the work of the National Council on Quality Assurance. Other professions have implemented discipline-wide strategies to extend their clinical domain within set time frames, [59][60][61] which demonstrates that this can be done.…”

“…Self-reflection on how well practice behaviors align with stakeholder values 14,15 is not often addressed. Attempts to implement best practices and develop new opportunities 5,16 have been met with suspicion and inertia. The early claims of costeffectiveness in care giving are being replaced with evidence that the value of core clinical benefits may be offset by the strategies of implementation by practitioners.…”