Natural Health & Workers Compensation
اسلاید 1: www.mnhlrp.orgMinnesota Natural Health Legal Reform Projectwww.tabaye.ir
اسلاید 2: Minnesota Natural Health Legal Reform ProjectNatural Health & Workers CompensationSafe, Effective, and Less Costly
اسلاید 3: History of Work Comp and Natural Health in MNIn the 2008 Worker’s Compensation Bill, a provision was included which prohibits the payment of services rendered to injured workers by unlicensed healthcare providers in Minnesota. This provision is found in Minnesota Statute 176.135, subd 1b. www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 4: History of Work Comp and Natural Health in MNThis change in 2008 has been presented by the Minnesota Department of Labor and Industry (DLI) as a “reform. No evidence has been shown that there was any abuse of the system. In short, this reform is a solution looking for a problem. www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 5: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectWhat is Natural Health?Natural health encompasses the use of a variety of modalities that, when used properly, enhances the body’s innate healing abilities. Frequently natural health products cannot be patented because they are found in nature.Natural Health does not aim to “cure disease”. It aims to heal the person.
اسلاید 6: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectWhat is Natural Health?Natural health modalities tend to be more traditional.Traditional medicine refers to health practices, approaches, knowledge and beliefs incorporating plant, animal and mineral based medicines, spiritual therapies, manual techniques and exercises, applied singularly or in combination to treat, diagnose and prevent illnesses or maintain well-being. --World Health Organization.
اسلاید 7: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectWhat is Medicine?Any substance or substances used in treating disease or illness.The art or science of restoring or preserving health or physical condition, as by means of drugs, surgical operations or appliances, or manipulations. --Random House Dictionary 2010
اسلاید 8: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectWhat is Medicine?The word “medicine” comes from the Latin word “medicinus” which means “of a doctor”. The Medicine Show was a “traveling show meant to attract a crowd so that patent medicine could be sold to them.” American English, 1938 --Online Etymology Dictionary
اسلاید 9: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectNatural Health….Treats people, not disease.It is not a disease management system.Is usually not patented or patentable.Is not usually offered by MD’s.Is the preferred phrase, rather than Alternative Medicine.
اسلاید 10: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectHistory of MN Natural HealthThe Minnesota Natural Health Legal Reform Project (MNHLRP) was founded in 1997 in response to an unprecedented number of actions against natural health practitioners. There were no claims of harm, so this was not done to protect the public.In 2000, MN passed the Health Care Freedom of Access Bill—Statute 146A.
اسلاید 11: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectHistoryCurrent regulation on licensed practitioners makes it nearly impossible for them to hire or refer to Statute 146A practitioners.They can, but in doing so, they risk an investigation by the medical board.
اسلاید 12: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectHistoryHow does all this affect injured workers?MNHLRP and WCACMinnesota Statute 176.135, subd 1b prohibits work comp insurance payment of 146A practitioners who help injured workers. This was passed in 2008.There is an exception for those who are employed by a licensed practitioner.
اسلاید 13: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectHistoryBecause of the nature of the WCAC, MNHLRP could not get it removed from the Work Comp Bill in 2008.The legislature repealed the provision in 2009 and 2010. The Governor vetoed it in 2009 and threatened a veto of the omnibus bill to which it was attached in 2010.
اسلاید 14: MN Statute 214Subd. 2.Criteria for regulation. The legislature declares that no regulation shall be imposed upon any occupation unless required for the safety and well being of the citizens of the state. In evaluating whether an occupation shall be regulated, the following factors shall be considered:www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 15: MN Statute 214(1) whether the unregulated practice of an occupation may harm or endanger the health, safety and welfare of citizens of the state and whether the potential for harm is recognizable and not remote….(3) whether the citizens of this state are or may be effectively protected by other meanswww.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 16: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectIs It Safe?The FDA has refused to do studies on the safety of Natural Health modalities.Other countries have, however.A study in Australia showed the risks of various human activities relative to 1 in a million odds of crashing on a single flight of a Boeing 747.
اسلاید 17: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectIs It Safe?A person is less likely to die from administration of Natural Health modalities than from a lightning strike.It actually showed up as negative risk.Work place accidents had the third highest society and personal risk.Preventable Adverse Drugs was second highest and Preventable medical injuries was the highest risk.
اسلاید 18: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectIs It Safe?A Canadian study showed the relative risk of dying in Canada from various causes compared to being killed on a Boeing 747 flight.The only thing less risky than Natural Health Modalities was being struck by a meteorite. Natural Health had a rating of Negative Risk.
اسلاید 19: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectIs It Safe?Very High Level of Risk includes Preventable Medical Injuries, Preventable Adverse Drug Reactions, and Smoking.High Level of Risk includes Adverse Drug Reactions, Motorcycle accidents, farm work.Moderate Level of Risk includes Workplace accidents, homicide, accidental falls.
اسلاید 20: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectIs It Safe?Low Level of Risk includes School Bus Accidents, Fire, Forces of Nature, Tuberculosis.Ultra Low to Very Low Level of Risk includes Railway/Pedestrian accidents, Commercial Airliners, Electrocution.
اسلاید 21: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectWho Wants Natural Health?I cant think of any major city where these kinds of services are not offered now. In some states or geographic areas it may be more difficult to find, but its not absent. There are small and single practices everywhere, as well as major institutions like Cleveland Clinic or the Mayo Clinic. The demand has been almost entirely consumer driven. Kenneth R. Pelletier, PhD, MD, Clinical Professor of Medicine at the University of Maryland School of Medicine (UMMC) and the University of Arizona School of Medicine
اسلاید 22: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectWho Wants Natural Health?Natural Health is the fastest growing segment of the health care industry with over 83 million Americans spending over $34 billion annually. A majority of it is out of pocket.The number of visits to Natural Health providers exceeded those to primary physicians by over 200 million in 2002.
اسلاید 23: Who Wants Natural Health?38% of the public has used some natural health modality.Nearly double that rate—76%--of doctors and nurses have used a natural health therapy, according to a study conducted by the Penny George Institute for Health and Healing with the Allina Health System.This holds true even when removing vitamins and supplements from the responses.www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 24: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectNatural Health ModalitiesWhen you think of Natural Health, it can encompass any number of modalities.Most are so safe that licensing is not required. Some are practiced by licensed professionals, but most licensed professionals risk running afoul of the medical board if they do practice them.
اسلاید 25: Qualifications to PracticeStatute 146A requires practitioners to give their clients a Bill of Rights.This document includes a disclosure notice containing background on their training.Most people should and do ask about qualifications before “hiring” a practitioner. www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 26: Qualifications to PracticeBuyer Beware applies to licensed practitioners as well.Licensing doesn’t guarantee high quality, it guarantees minimal quality.DLI discussed a pilot project utilizing more effective MD’s.It is up to the insurance companies to mandate qualifications, not the state.www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 27: Scope of PracticeSome have expressed concern that there is no scope of practice for unlicensed practitioners. Statute 146A is a safe harbor law, which requires that the practitioners stay within the harbor of safe practices. They are not allowed to engage in any unsafe practices, such as drugs and surgery.146A practitioners have been and continue to be covered by Fraud Laws.www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 28: What About Fraud?Research on incidences of insurance fraud show that having a license and a standard of care has not stopped anyone from engaging in fraudulent practices. Most often involves double or triple billing insurance companies, giving unnecessary treatment, not giving treatment claimed.No information was uncovered about unlicensed natural health practitioners engaging in such fraudulent practices.www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 29: No Benefit to 146A PractitionersThere was no evidence that anyone had even used a 146A practitioner.Most practitioners can’t afford to wait until they receive payment from an insurance company.If someone submitted a claim, it would likely be on a reimbursement basis and the practitioner would be unaware of it.www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 30: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectHomeopathyA form of Natural Health care that uses minute substances from plant, animal and mineral kingdoms to stimulate the body to heal itself. The substances are prepared in a special way called potentizing which makes them safe and effective. Works on the principal of Like Cures Like. Has been around for over 200 years.
اسلاید 31: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectNaturopathyA system or method of treating disease that employs no surgery or synthetic drugs but uses special diets, herbs, vitamins, massage, etc., to assist the natural healing processes. It could include homeopathy, supplements, acupuncture, nutrition, etc.
اسلاید 32: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectNaturopathySome naturopaths have gone to a four year school. In Minnesota they are referred to as Registered Doctors of Naturopathic Medicine. (RDNM) Others have gotten their training from a variety of sources over the years and are considered Traditional Naturopaths.
اسلاید 33: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectMassage TherapyTherapeutic massage involves the manipulation of the soft tissue structures of the body to prevent and alleviate pain, discomfort, muscle spasm, and stress; and, to promote health and wellness. Massage therapy improves functioning of the circulatory, lymphatic, muscular, skeletal, and nervous systems and may improve the rate at which the body recovers from injury and illness.
اسلاید 34: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectRolfingAlso known as Structural Integration.Rolfing assists the structure of the body by reorganizing the fascia.It recognizes that the body is a system of seamless networks of tissues rather than a collection of separate parts.
اسلاید 35: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectRolfingResearch has demonstrated that Rolfing creates a more efficient use of the muscles, allows the body to conserve energy, and creates more economical and refined patterns of movement.Research also shows that Rolfing significantly reduces chronic stress and changes in the body structure. Research also showed that Rolfing enhances neurological functioning.
اسلاید 36: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectAromatherapyHumans have the capacity to distinguish 10,000 different smells.In dealing with patients who have lost the sense of smell, doctors have found that a life without fragrance can lead to high incidence of psychiatric problems such as anxiety and depression.
اسلاید 37: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectAromatherapyThe nose is the portal for the chemicals that are found naturally in many substances to be introduced into the body.Other forms of medicine also use the olfactory method of delivering the medicine. Some essential oils can also work by being absorbed through the skin.
اسلاید 38: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectAromatherapyA fragrance company in Japan conducted studies to determine the effects of smell on people. They have pumped different fragrances in an area where a number of keyboard entry operators were stationed and monitored the number of mistakes made as a function of the smell in the air.
اسلاید 39: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectAromatherapyWhen exposed to lavender oil fragrance (a relaxant), the keyboard typing errors dropped 20 percent. When exposed to jasmine (an uplifting fragrance), the errors dropped 33 percent When exposed to lemon fragrance (a sharp, refreshing stimulant), the errors fell by a whopping 54 percent!
اسلاید 40: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectThe Ultimate Wellness CenterEstablished by Becker Furniture World owner Doug Huseby.Wellness clinicsInjury ClinicsIn Wellness clinic or Mobile
اسلاید 41: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectInjury ClinicsOver the course of Five years, Ultimate Wellness has developed protocols for helping to heal injuries, particularly back injuries.They include modalities that are used by professional sports teams to get their elite athletes back on the field.Spinal Decompression, Microcurrent Therapy, Cold Laser Therapy, Muscle Stimulation and UltraSound.
اسلاید 42: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectWork Comp Case #1Kyle came into UWC for an injury that occurred while working. She slipped on a patch of ice and came to the clinic with constant pain in the left hip and low back area. He received 1 treatment of advanced nerve/muscle therapy and reported that had far less tension and felt completely better.
اسلاید 43: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectCase #1Initial Case: Days Lost: 5 Medical Costs: $3,500.00Final Claim Resolution: Days Lost: 1 Medical Costs $175.00
اسلاید 44: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectCase #2Henry came to the UWC after slipping on stairs while carrying some boxes at work. He hurt his mid and low back. The pain was 10 of 10, was constant and nothing provided any relief. After treatment, his back pain was only present 30% of the time and was a 3 of 10.
اسلاید 45: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectCase #2At that point Henry went back to work functioning fully but still had some aches and pains. Within a month and a half, he reported no pain, and that he felt better than he had pre-injury.
اسلاید 46: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectCase #2Initial Case: Lost days: TTO 21 days, TPO 30 days Medical: $12,000.Final Claim Resolution: Lost days: TTO 4 days, TPO 13 days Medical: $865.
اسلاید 47: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectStarkey Labs15 years ago, Starkey had 1.3 million dollars annually in Work Comp Claims, mostly CTS. They brought Rolfers to the company to work on the 17 people who had been diagnosed with Carpal Tunnel Syndrome (CTS).
اسلاید 48: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectStarkey LabsSince implementing the on-site Rolfing program, Starkey has gone from $150,000/mo in Work Comp Claims to $58,000/year in Work Comp Claims.Starkey pays $80,000/year for the two part time, on-site Rolfers.Their work comp expenses are ½ the national benchmark for light electronic assembly.$345,000/year is considered good nationally.
اسلاید 49: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectStarkey LabsStarkey’s MOD rate is 55. Most companies can’t get lower than 70.VP of Human Resources, Larry Miller, estimates that they have saved $10 - $20 million dollars since introduction of the program.Today Rolfing is part of the culture at Starkey. There was never a corporate edict. Any employee can get Rolfed.
اسلاید 50: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectStarkey LabsUnexpected Benefits of the Rolfing ProgramTheir cost per hire is 50% of the national average. They have a higher retention rate and it is easier to recruit employees.There is no antagonism between employers and employees as it regards work related injuries.
اسلاید 51: Starkey LabsIn 2010, DLI established the Governor’s Award for innovation in Work Comp.Starkey Labs won this award.How can the state reward such innovation and then tell its workers that unless they work for a company willing to pay for it, such as Starkey, this award winning therapy is not an option for them?www.mnhlrp.orgMinnesota Natural Health Legal Reform Project
اسلاید 52: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectResearchIn 2008, a study was done in Northern Ireland on the effectiveness of CAM modalities and Muscular Skeletal disorders. 337 patients took a MYMOP before and after treatment.Over all there was a statistically significant improvement in over all health.
اسلاید 53: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectResearchIn addition, there was a statistically significant improvement in symptoms, activity, and well being for Acupuncture, Chiropractic/Osteopathy and Homeopathy, with Homeopathy showing the most improvement.Those who indicated their symptoms were as bad as they can be dropped from 31% pre-treatment to 5% post-treatment.
اسلاید 54: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectResearchPrimary practitioners viewed their patient outcomes as better using homeopathy and chiropractic/osteopathy than they did for acupuncture.81% of patients said their physical health had improved as a result of the treatment.64% of patients presenting with musculoskeletal conditions reported less pain.
اسلاید 55: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectHomeopathy and InjuriesA study in the Journal of Head Trauma Rehabilitation (Dec 1999), examined the effectiveness of homeopathy and Mild Traumatic Brain Injuries (MTBI). Homeopathy was the only treatment that produced significant improvement.Problems with the study: As a practitioner, I would have had much more follow-up than the study. Earlier intervention would have better results.
اسلاید 56: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectHomeopathy and InjuriesThe Clinical Journal of Pain published a study (May 2009) which showed marked and sustained improvement of Chronic low back pain from using Homeopathy.
اسلاید 57: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectOther Benefits of HomeopathyIt is not addictive. It has no side effects of sleepiness, nausea, etc., that are common with pain killers.It does not slow down the healing process as drugs, especially narcotics, are known to do.It is VERY inexpensive.
اسلاید 58: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectABC CodesMany of the statistics that are found in Western Medicine are sourced from the CPT codes which do not reflect any Natural Health Modalities. The CPT codes are owned by the AMA. It earns the AMA an estimated $140 million annually.
اسلاید 59: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectABC CodesIf there are no codes for Natural Health in the most widely used coding system in the country, no statistics on effectiveness can be garnered from them.If there are no codes for Natural Health, practitioners cannot get paid from Insurance or Work Comp.
اسلاید 60: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectABC CodesWere developed with a grant from the Federal Government.The inspiration for ABC Codes came from an insurance industry professional, Melinna Giannini, who went from doctor to doctor trying to get well. Hundreds of thousands of dollars were spent.She went to a naturopath and was better in one session.
اسلاید 61: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectABC CodesABC Codes are more complete and accurate on most modalities.Many plans allow only a limited number of chiropractic visits because they don’t have codes for all the treatment options available, thus they don’t have the information on effectiveness, etc.It captures impartial data not influenced by special interest groups.
اسلاید 62: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectABC CodesIt helps determine the causes of, and finds solutions to health disparities.CPT Codes have 30 minutes increments. ABC Codes have 15 minute increments.Alaska Medicaid would have experienced a $2,032,856 cost increase had they only been able to bill in 30 minute increments.
اسلاید 63: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectABC CodesImplementing ABC Codes in Minnesota could reduce costs and gather more information about the effectiveness of Natural Health Modalities as it relates to getting injured workers back to work.
اسلاید 64: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectWork Comp CostsIn 2003, JAMA estimated that the productivity losses in the US due to employees working in pain was over $61.2 Billion per year.According to the US Bureau of Labor, most Work Comp injuries are Muscular/Skeletal in nature.Work Comp injuries account for 25% of medical costs in the US.
اسلاید 65: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectPreventing InjuriesThe least expensive injury to treat is one that doesn’t occur.How does an employer know that an employee is pre-disposed to an injury?What can be done to help prevent injuries in those that are injury prone, or those that may be exhibiting a prodrome phase that is unidentifiable?
اسلاید 66: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectBibliography (Available at www.mnhlrp.org)Evaluation of a CAM Pilot Project in Northern Ireland (2008) Department of Health, Social Services and Public Safety. The Cure to the Sorry State of American Health, Peter McCarthy, CTS and Radhia Gleis, CCN, MEd, January 1, 2009.http://health.usnews.com/health-news/managing-your-healthcare/treatment/articles/2011/08/26/many-health-care-workers-have-turned-to-alternative-medicine
اسلاید 67: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectBibliographywww.holisticonline.comwww.rolf.org Joseph J. Sweere, DC, Professor Northwestern Health Sciences UniversityLarry Miller, VP Human Resources, Starkey LabsDoug Huseby, Owner, Ultimate Wellness Center
اسلاید 68: www.mnhlrp.orgMinnesota Natural Health Legal Reform ProjectContactsKathryn Z. Berg, MA, PCH, CCH Classical Homeopath Vice-President, MNHLRP kzberg@lotushomeopathy.com 651-748-1556 o; 651-336-3334 cGregory V. Schmidt, MFA President, MNHLRP gregoryvschmidt@gmail.com 612-386-4908
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