1. John C. Nab, DC, FICC Everything Old is New Again

3. “I want to talk to a DC about general health and wellness issues.” Only 9% of respondents’ agreed. “I want to talk to a DC about general health and wellness issues.” Only 9% of respondents’ agreed.

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8.   $3 trillion annual industry  Experiencing simultaneous upheavals  Significant disruption  Change in way services are delivered  Change in way it is financed US Healthcare Sector

10.   142 million downloads in 2016  65% of consumer healthcare transactions by in 2018 Juniper Research & IDC Health Insights Health & Medical Apps

11.   Flexing muscle as both payor and regulator  Demanding reimbursement based on: quality outcomes evidence-based value  Managing utilization  managing population health Federal Government

12.   Improving patient experience (including quality and satisfaction)  Improving health of populations  Reducing per capita cost of healthcare Triple Aim

14. Compared the “Triple Aim” measures between two avenues of treatment for spine, hip, and shoulder pain. Compared the “Triple Aim” measures between two avenues of treatment for spine, hip, and shoulder pain.

15. One avenue of treatment was patients who initially visited an MD and the second avenue of treatment was patients who initially visited a DC. One avenue of treatment was patients who initially visited an MD and the second avenue of treatment was patients who initially visited a DC.

16. Retrospective study: -Self-administered questionnaires -Insurance claims data from over 700 patients with spinal, hip, patients with spinal, hip, or shoulder pain. or shoulder pain. Retrospective study: -Self-administered questionnaires -Insurance claims data from over 700 patients with spinal, hip, patients with spinal, hip, or shoulder pain. or shoulder pain.

17. Results: The group who visited the DC first did better on all 3 “Triple Aim” measures. Results: The group who visited the DC first did better on all 3 “Triple Aim” measures.

18. Results: -Significantly more satisfied with care 51% very satisfied vs. 33% -Significantly lower costs of care $506 vs. $922 per patient -Greater reduction of pain not clinically significant Results: -Significantly more satisfied with care 51% very satisfied vs. 33% -Significantly lower costs of care $506 vs. $922 per patient -Greater reduction of pain not clinically significant

19. Results: The patients in the DC group also spent half as many days off work due to pain. Results: The patients in the DC group also spent half as many days off work due to pain.

21.  2 overarching goals  Increasing quality of life - including years of healthy life  Eliminating health disparities Healthy People 2010

22.  28 focus areas 467 measurable outcomes  Life expectancy increased  Health disparities are worse - Smoking and obesity Healthy People 2010

24.  4 overarching goals  Quality of life  Healthy development  Healthy behaviors across the life span  Focus on social and physical environments that promote health Healthy People 2020

25.  42 focus areas 600 objectives 1,200 measures  Fortunately, they’ve pulled out 26 leading health indicators that are organized into 12 topic areas. Healthy People 2020

26.  How do you move the health metrics of a population? ?? Question ??

27.  With a blueprint! Answer

28. Dr. Alma Arnold

29.  Chiropractic Education Nutrition Physical Fitness Mindfulness Blueprint for Wellness

30.  Population Health

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34.  Chiropractic Education Nutrition Physical Fitness Mindfulness Blueprint for Wellness

35.  Technology Teaching Touch 3 T s of Health Transformation

36. John C. Nab, DC, FICC Everything Old is New Again