Wednesday, December 31, 2008

PostureRay Update: Better science, better patient care, better results!

By Denise Perron, D.C. and Joseph Ferrantelli, D.C.

Our last series of articles have informed the readers on the science, the validity and the efficiency of using the PostureRay® software in your offices to analyze and generate x-ray reports for objective documentation, subluxation assessment, and patient education. This time, we would like to update you on some of the latest features for improving patient care and reducing valuable time assessing films.

UPPER CERVICAL STABILITY ASSESSMENT
Since our last article, we have added more objective findings in the report to aid the clinician in diagnosing upper cervical subluxations on the lateral cervical, flexion and extension views. This becomes increasingly important in post traumatic events as the upper cervical spine, for the most part, is never fully assessed for spinal stability. Doctors commonly use the unreliable “eye ball” method for measuring subluxation. But as any astute clinician understands, if you can not find the problem and establish its relationship to normal, how will you treat it?
Typically, when a patient fails to respond, the doctor panics, and goes back and FINALLY measures for subluxations -which should have been performed initially. Why do many chiropractors simply skip such a crucial step in patient care? Simply TIME! Doctors usually will avoid anything that is too time consuming! Let's face it, time is money, doctors know that treating patients is where the profitability for the office is. The more patients you can treat, with outstanding service, the more satisfied patients you have, the more they will refer more patients to the office. Unfortunately, if the wrong treatment is rendered, it is reflected by a patient's unresponsiveness to treatment, leading to discontinuation of care. Consequently, patient retention goes down, and they leave the office without resolution to their problems (subluxated) — negatively affecting the ability of the doctor to sustain a profitable practice. PostureRay® solves this dilemma by allowing the doctor to quickly measure the upper cervical spine radiographs in approximately less than 15-30 seconds! In this short amount of time, measurements such as ADI, Clivus-Dens Interspace, Power's Ratio (Index), Basilar Impression, C0/C1/C2 stability can be assessed objectively. Let us ask you this, when was the last time you calculated C0/C1/C2 stability from flexion to extension let alone Power's Ratio?
With this updated technology, existing PostureRay® users all have given us similar stories — they find themselves going back to those “tough cases” and digitizing them, soon realizing they missed something that would have altered their application of adjustments, treatment, or exercise regiments! Sometimes ignorance is bliss, but more often, ignorance leads to poor patient outcome.
ADDITIONAL PATIENT REPORTING
In addition to the new upper cervical assessment, this latest version of PostureRay® now offers a “Patient Centered Post Report of Findings Report” demonstrating the efficacy of your spinal rehab program. With this new report, a short, concise, and motivating summary of why post xrays are obtained along with large x-ray images and segmental and global changes.
Finally, the Posture-Ray® report is a document that patients understand, that insurance companies appreciate and that Doctors can validate the need for chiropractic care with. Based on radiographic, scientific evidence, the doctors can explain and substantiate their care plans to their patients. The report explains in detail the x-ray analysis as well as demonstrates the results in a table format that is easy for doctors and patients to follow which is to be used in conjunction with the PostureRay® digital view box.
Because you are a serious Chiropractor, concerned about making sure that patients get the best care possible, you must consider the PostureRay® for your office. The time you will save will be better spent serving and helping more patients restore and maintain their health through chiropractic. For more information or examples of the PostureRay® reports, please email PostureCo at sales@postureco.com.

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