We would like to personally welcome you the elite ChiroUp team
Contents
1. Cervical Condition Available Exercises Selected Exercises Thoracic Outlet Syndrome Cervical Spondylesis DJO DOD C101 C102 C201 C201 Cervical Hyperextension Hyperfle Diaphragm Foam Roller Cervical Acute Cervical Torticollis Breathing Spine Retractions Cervicogenic Headache Cervical Segmental Joint Restrictior 4 If desired you may incorporate pertinent ADL advice by highlighting an Available topic then clicking the arrow to move it to Selected Advice on Daily Living Available Selected Backpacks gt tin Mechanics Exercise Aerobic Caffeine Exercise Resistance 5 Select Print Email or Print amp Email to choose a delivery method for your patient s condition report Print Chart Copy Hint Check Print Exercise Chart Copy if you would like a printed summary of your patient s exercises to use for teaching or to store in their chart 6 Selecting Print or Print and Email will first bring up a print preview You will need to select print or Control P from your web browser menu to send these documents to your printer Welcome WP Empower My Staff to Create Reports Now you know how to create condition reports and exercise plans While you may choose to create reports yourself most of this process can be delegated to a staff member saving you time 1 Print regional menus and keep these in each treatment room The front of eac2. day or half day to visit physician offices and request to set up a lunch You can do this yourself or task a friendly outgoing staff member see script to schedule a professional lunch The M D s receptionist will be quite familiar with this type of lunch as drug reps visit with the same type of request every day Most offices have a schedule or book for you to choose a date Use the professional lunch prep checklist to track the specific details of each M D you visit such as the date amp time number of attendees and any food preferences religious abstinences or allergies Block your schedule to allow adequate time for set up lunch and clean up It is not unusual for the M D to be running an hour behind so plan for ample time For a noon lunch plan on being gone from 11 15 a m until 2 p m Confirm the lunch and details with a call to the office one day in advance Pick up lunch yourself with some cushion time added in the schedule restaurants are sometimes Hint Subscribers have the right to use or customize any of the associated samples ChiroUp also offers a team of experienced professional consultants to help with any aspect of your next marketing project from customization through printing To receive a free quote for customization simply email design chiroup com 3 Subscribers may quickly create a personalized 12 month marketing plan by navigating to the Manage amp Grow My Practice tab and sel
3. to the Sharpen My Clinical Skills tab and select either Clinical evaluation or Treatment techniques Select a region to bring up a list of any procedure associated with that region Click on an individually named procedure to bring up a written description along with a brief video demonstration of that procedure Clinical Evaluation Breathing Evaluatio Region Cervical B Tests Ankle Clonus Test Axillary Nerve Test Babinski Sign Brachial Plexus Compression Test Breathing Evaluation Cervical Directional Preference Testing m Cervical Distraction penn Cervical Flexion Rotation Test Cervical Foraminal Compression Cervical ROM Costoclavicular Test Deep Neck Flexor Endurance Test Dix Hallpike Maneuver Assessment of breathing dysfunction begins with unannounced observation Clinicians should look for classic signs of dysfunction including elevation of the upper rib cage Head fixed Body turned Test diminished or asymmetrical lateral expansion of the lower rib cage nasal flaring labored Hoffman s Sign breathing frequent yawning mouth breathing and or initiation of breathing from the chest ID Migraine rather than the abdomen paradoxical breathing The latter may be assessed with the Lhermitte s Sign patient lying supine knees bent having the patient place one hand over their umbilicus the Lower Extremity Neurologic Evaluation other hand on their sternum Initiation of a deep breath s
4. The following implementation guide will help you begin employing View this email in your browser ChiroUp s tools today Welcome WP We would like to personally welcome you the elite ChiroUp team Your new resource can help you build the practice of your dreams while helping our profession continually evolve The following implementation guide will help you begin employing ChiroUp s tools today This guide serves as a brief overview of the most useful features A more detailed tutorial of any process is available in our Quickstart Tutorial video library and don t forget above all ChiroUp is a service company Feel free to contact us by email or call 844 GO CHIRO with any questions anytime Tim amp Brandon CHIROWR Resources for Exceptional Practices What would you like to do Login to ChiroUp Create a Condition Report for My Patient Create an Exercise Plan Empower My Staff to Create Reports Assess My Clinical Outcomes Learn More About Any Condition Update My Clinic Information or Logo Promote My Practice Watch a Tutorial Video Welcome WP Log in to ChiroUp 1 Go to www chiroup com Hint At present ChiroUp performs best when using Google Chrome Mozilla Firefox or Safari Mac users ChiroUp features and page layout may display inconsistently on unsupported browsers 2 Click on the Login button in the upper right corner Resources for Exceptional Pr
5. actices Home Practice Resources AboutUs Pricing Risk Free Trial ContactUs P CHIROWR m i Hint Create a shortcut icon on your desktop to expedite your log in Click Here for details 4 Welcome P Create A Condition Report For My Patient V 1 Navigate to the Prescribe Exercises amp Reports tab and select Condition Report Add Condition Report from the dropdown Add Condition Report Find Condition Reo 2 Select your name from the list of Providers If your name does not appear correctly in the dropdown click here to learn how to resolve this issue Next enter your patient s name and email address Condition Report Doctor Select One Patient First Name Email Address Patient Last Name print Date 12 11 2014 Hint While email addresses are not needed for printing reports they are required for obtaining outcome assessments and web ratings from your most satisfied patients 3 Select the anatomical region of your patient s problem choose their diagnosis and click Add Condition If the patient has multiple diagnoses you may add those in the same fashion Primary Region Cervical r 031 Cervical Sprain Strain 7 Name Hint Your Primary diagnosis should be the most important diagnosis as this is the only diagnosis that will be tracked in your Outcome Assessment 4 Exercises will automatically popula
6. eb browser menu to send these documents to your printer y A Q j y Welcome P Create an Exercise Plan for My Patient Q 1 Navigate to the Prescribe Exercises amp Reports tab and select Prescribe Exercises Add Exercise Plan from the dropdown CHIROWR m OUTCOME TRACKER ihn EE LL NOT POPULATE THIS GRAPH UNTIL YOU HAVE BEEN A MEMBER FOR 90 180 DAYS BASED UPON USE PATENT SANSFACTION Eirenis x re Find Exercise Plan Condition Menu p Q Exercise Menu x ay VIEW PROFLE PROMOTER DETRACTOR Exercise Vid MIREL x p ise Vi Do LICELIHOOO TO REFER ed EEES 3000 FAR Poot 2 Select your name from the list of Providers If your name does not appear correctly in the dropdown click here to learn how to resolve this issue Next enter your patient s name and email address Condition Report Doctor Select One Patient First Name Patient Last Name print Email Address Date 12 11 2014 3 First select the desired anatomical region This brings up a menu of all available exercises for that region Build your exercise plan by clicking exercises from the available menu to move them to the selected section on the right You may incorporate entire exercise protocols for a given diagnosis by selecting a condition from the far left menu You may deselect individual exercises by clicking the icon in the selected section Region
7. ecting My marketing plan The first step in creating a custom plan is to select the marketing campaigns that you wish to incorporate by checking the adjacent box Step 1 Create a custom plan by selecting the marketing campaigns you wish to incorporate Marketing Campaigns Internal New Patient Experience New Patient RO Tracking Online Reviews Patient Education Classes Patient Newsletter Patient Reactivation M Product and Service Promotion Referral Enhancement amp Recognition Social Media O VIP Recognition External Exterior Signage Speaking Engagements amp Booths Web Site amp SEO Yellow Pages Professional Ancillary Professional Networking Attorney Marketing Medical Physician Marketing Step 2 Save download or print your custom plan The campaigns that you have selected along with their associated action steps will auto populate in the associated spreadsheet Once you are finished be sure to save your plan Your plan may be downloaded and printed by clicking the download button in the bottom right hand corner WNF awe 1 LVAD This will produce an Excel spreadsheet that may be further modified or printed Watch a Tutorial Video V 1 ChiroUp subscribers have access to video demonstrates for hundreds of different clinical evaluations and treatment techniques To review a video demonstration for a clinical test or treatment navigate
8. ement of the most common musculoskeletal conditions To review a condition summary navigate to the Sharpen My Clinical Skills drop down and select Condition reference Clinical Evaluations a Ea z Condition Reference Fs C Treatment Techniques A moore 8 UKEUIHOGO To YOUR amp IMPROVE ME My Clinical Profile 2 You may search for a specific diagnosis by entering it into the search field or you may narrow the list of available options by region Condition Protocols Search Condtions 1 ntal Joint R 002 Cervicogenic Headache 003 Cervicogenic Vertigo 021 te Cervical T llis 031 Cervical Sprain Strain 032 Cervical Hyperextension Hyperflexion Injury 051 Cervical Disc Lesion 1 ndylosis DJD DDD 062 Cervical Spine Stenosis 081 Thoracic Outlet Syndrome 3 Selecting a condition will bring up its corresponding summary Summaries are derived through extensive and ongoing literature searches which detail the condition s etiology predisposing factors and best practice evidence for the assessment imaging and treatment of that condition along with the supporting references Dizziness and vertigo account for over 8 million primary care visits in the US each year Dizziness is the leading presenting complaint for seniors over age 75 1 2 Disequilibrium may arise from one or multiple anatomical structures Central origins include the brain stem cerebellum or other
9. ercises Region Cervical B Exercise Exercise Name Number C101 Diaphragm Breathing C102 Foam Roller Spine C201 Cervical Retractions C203 Deep Neck Flexion C205 Chin Depression C206 Cervical Plus Sign C208 Radial Nerve Floss C209 Median Nerve Floss C210 Ulnar Nerve Floss C211 CatCamel C212 Thoracic Rotation C401 Cervical Rotation Stretch C402 Scalene Stretch C403 Levator Stretch C404 T ius Stretch C405 Suboccipital Stretch C406 SCM Stretch C407 Ext Rot Doorway Stretch Assess My Clinical Outcomes Q ChiroUp Outcome Tracker provides you with valuable feedback regarding patient outcomes and overall satisfaction Here s how it works 30 days after you prescribe a condition report your patient is automatically emailed a short 4 question survey about their experience Their responses are compiled on your clinical profile report You will be able to compare your outcomes for any given diagnosis with the ChiroUp provider average to determine your strengths and needs More importantly the ChiroUp team will be able to identify star performers for each diagnosis and with their permission share their recipes for success As a bonus patients who report Excellent outcomes will automatically be given the opportunity to post their comments about your care to an online review site like Google Important note You may opt out of outcome tracker at any time by following the instruct
10. h menu lists possible diagnoses while the back has icons of individual exercises for that region i e cervical shoulder etc Here is a link to each of the regional menu s Hint ChiroUp s exercises change with the current evidence and we are still adding new conditions so make sure you periodically reprint the latest version of these forms 2 When a patient presents pull out the appropriate regional form and circle the desired diagnosis front or individual exercises back Cervical Thoracic 001 Cervical Segmental Joint Restriction 081 Thoracic Outlet Syndrome 002 Cervicogenic Headache 111 Thoracic Segmental Joint 3 Cervicogenic Vertigo 021 Acute Cervical Torticollis 031 Cervical Sprain Strain 032 Cervical Hyperextensi ry Disc Lesion 051 e Disc Lesion 990 Upper Crossed Syndrome meet rn gg DJD DDD lar Dyskinesis 263 pone eee 1a Paradoxical Breathing Lumbar Spondylolysis Lower Crossed Syndrome 72 Lumbar Spondylolisthesis Type i isthmic Foot Hyperpronation Lumbar Spondylolisthesis Type III Degenerative Piriformis Syndrome Meraigia Paresthetica Elbow Lateral Epicondylopathy Medial E Pronator Teres Syndrome Paradoxical Breathing Shoulder ene Tunnel E a nr m Eg Lower Crossed Syndrome 081 Thoracic Outlet Syndrome al Tu rome 331 A C Joint Sprain ee na porch ar art roximal Ider Anterior Impingement Syndrome Rotator Cuff Strain Tendino
11. hould start in the abdomen with minimal chest elevation 2 To review a video demonstration of any available ChiroUp exercise navigate to the Prescribe Exercises amp Reports tab and select exercise videos from the drop down menu This brings up a comprehensive list of all available exercises The list may be narrowed by selecting a specific region Video demonstrations of each exercise may be obtained by clicking on the corresponding link and selecting play Exercises Region Cervical B masne Exercise Name C101 Diaphragm Breathing C102 Foam Roller Spine C201 Cervical Retractions C203 Deep Neck Flexion C205 Chin Depression C206 Cervical Plus Sign C208 Radial Nerve Floss C209 Median Nerve Floss C210 Ulnar Nerve Floss C211 CatCamel C212 Thoracic Rotation C213 YTWL Scapular Depression C401 Cervical Rotation Stretch C402 Scalene Stretch C403 Levator Stretch C404 Trapezius Stretch C405 Suboccipital Stretch C406 SCM Stretch C407 Ext Rot Doorway Stretch 3 To learn more about any of the ChiroUp features watch our Quickstart Tutorial Video and don t forget you may contact us by email or call 844 GO CHIRO with any questions anytime
12. ing an individual campaign generates a concise summary describing how to implement that strategy Any letters or samples associated with a given campaign may be selected from the grey box on the left Medical Marketing Program Working closely with medical physicians in your area will not only increase your number of new patients through referrals but will further your reputation as the authority on chiropractic care Building these kinds of relationships with physicians will take time and energy but the outcome will be worth the effort One of the best ways to establish a relationship is through face to face meetings Scheduling lunches with M D s in your area is a great way to build a lasting partnership co treating patients to get them back to their normal life First you will need a list of all the primary care physicians in your area This information can be collected from phone directories and hospital websites and compiled on a spreadsheet by a staff member see MD tracking spreadsheet Have a staff member compile this data This spreadsheet is the foundation for reaching out to M D s as well as tracking meetings and referrals You may choose to segregate the MD s by referral pattem highlighting those who refer frequently as green those who refer infrequently 1 2 per year as yellow and cold relationships as red You may choose to send a MD lunch request letter but these will often go unanswered To follow up take a
13. ions in this video tutorial 1 Your clinical Outcome Tracker Dashboard is available on your homepage Your personal clinical outcome data will not populate your dashboard until patients complete their outcome studies 30 days after you begin prescribing reports You may click on the dashboard to learn more about these outcome metrics The Patient Satisfaction Graph is derived from question 3 on the patient outcome survey How would you rate your The Likelihood to Refer Statistic is calculated from responses to Question 4 on the patient outcome survey How likely is it that you would recommend us to a friend or colleague The View Profile Icon will produce a spreadsheet contain ing cumulative outcome data for each subscriber in your office subdivided by diagnosis m 90 80 n i E a 20 10 0 EXCELLENT lt lt The Improvement Meter utilizes data from question 1 on the patient outcome survey How much better do you feel as compared to initially The needle of the meter repre The Promoter Detractor Score is derived from patient responses to Question 4 On a ten point scale with 10 being extremely likely How likely is it that you would The Exercise Views Statistic represents the of your sents the average improvement your patients report 30 days after initiating care The average range for all ChiroUp providers is shown for comparison recommend us to a friend or colleague Patien
14. ns To add delete or modify the name of a provider navigate to the doctor information section at the bottom of the page Doctor Information First Name Last Name Personal Email Dr Joe Sample Dr Jane Sample To add a provider practicing within the same physical location enter their first name last name and personal email then click add doctor Finally make sure that you click on update user information To update or modify the name of an existing provider select that provider s name from the drop down list modify their name as needed click update doctor and finally be sure to update user information To remove a provider select their name from the drop down click on remove doctor and finally update user information Hint Make sure that each provider within your clinic has an associated personal email address to consistently receive emails blogs webinars and other important updates Q j y Welcome P Promote My Practice Q 1 ChiroUp subscribers have access to dozens of strategies to build and market a patient focused practice Marketing strategies are organized into campaigns each targeting a specific group Campaigns may be accessed by navigating to the Manage and Grow My Practice tab and selecting Marketing campaigns from the drop down Resources for Exceptional Practices YOUR IMPROVEMENT AT 30 DAYS 2 Select
15. pathy Knee 361 Adhesive Capsulitis 701 Fibular Head Joint Dysfunction Upper Crossed Syndrome 731 Knee Ligamentous Sprain 1 991 Scapular Dyskinesis 732 Patellar Quadriceps 483 992 Paradoxical Breathing Tendonopathy 531 Iliotibial Band Syndrome 561 Hip Pes Anserine Bursitis 581 plana meen i Related Popliteal Cyst 990 Sacroiliac Joint niii Meniscus Injury Patellofemoral Pain Syndrome in 62 Chond P Trochanteric Pain Syndrome 763 Knee Osteoarthritis Tibiofemoral Femoroacetabular impingement FAI Osgood Schiatter Disease 661 Hip Osteoarthritis 852 Medial Tibial Stress Syndrome Meraigia Paresthetica rossed Paradoxical Breathing Lower Crossed Syndrome Foot Hyperpronation Medial Tibial Stress Syndrome 3 Hand this menu to a staff member to create the report at Chiroup com deliver and bill Total time for you 5 seconds Hint Select Print Chart Copy when creating plans so that your staff may reference a printed summary of your patient s exercises to use for teaching M Print Chart Copy Bonus Hint Your staff may learn and review exercises by navigating to the Prescribe Exercises amp Reports tab and selecting Exercise videos This brings up a comprehensive list of all available exercises The list may be narrowed by selecting a specific region Video demonstrations of each exercise may be obtained by clicking on the corresponding link and selecting play Ex
16. ption may be affected by conditions that alter mechanoreceptive input including degeneration inflammation joint dysfunction disc lesion muscle hypertonicity or trauma 9 14 19 21 Dizziness frequently accompanies whiplash injury 22 24 Research suggests that between 25 and 80 of patients who suffer a whiplash injury will experience late onset dizziness vertigo or disequilibrium 22 25 27 28 There is generally a temporal relationship between cervical spine injury and the onset of vertigo although symptoms may be delayed from days to months 21 29 Stress and anxiety are thought to be compounding factors for dizziness as these conditions may increase muscle tone and sympathetic firing rates 30 31 Cervicogenic vertigo is suggested by a history of dizziness associated with cervical movement and concurrent neck pain 32 33 Patients may complain of light headedness floating unsteadiness or general imbalance but rarely true spinning vertigo 27 A sensation of spinning i e true rotary vertigo suggests a non cervicogenic origin possibly Benign Paroxysmal Positional Vertigo BPPV 21 Cervicogenic symptoms are generally episodic provoked by movement and eased by maintaining a stable position Clinical Pearis Continuous symptoms suggest a more central origin Occipital headaches may accompany cervicogenic Up to 80 of patients who vertigo but clinicians should be alert for the presence of a severe or differen
17. rmation click on the my account icon within the top green header Scroll to the Credit Card Information in the center of the page and update as needed Scroll to the bottom of the page and click update user information Card Holder First Name Card Holder Last Name Credit Card Number Expiration Date 3 Subscribers have the ability to import a clinic logo onto information prescribed to patients including the stretchdemo com website In order to personalize your site you will need to upload your clinic logo into ChiroUp First navigate to the My Account icon within the green bar at the top of the member home page Scroll down to the section entitled Clinic Logo and select Choose File Select the location of your clinic logo file and click Choose Finally select Update user information Please note that if you navigate back to the My Account page you may still see no file selected Clinic Logo no file selected Note Your logo must be in a jog format and not larger than 25MB preferably smaller for faster upload amp display when your patients log into the StretchDemo com website to view their prescribed exercise videos 4 ChiroUp subscriptions include one provider at one physical location For a limited time primary subscribers may add other providers who are practicing at the same physical location without cost Separate clinical locations require separate primary subscriptio
18. supratentorial structures or the vasculature supplying those tissues Peripheral origins include the vestibular visual and spinal proprioceptive systems 3 The cervical spine plays a critical role in the maintenance of balance 4 7 In fact Guyton states that the cervical spine is the most essential contributor toward equilibrium 7 The term cervicogenic vertigo first described in 1955 by Ryan and Cope describes dizziness or disequilibrium originating from abnormal proprioceptive activity in the cervical spine 9 10 Although the exact mechanism of cervicogenic vertigo is debatable most researchers ascribe to an altered mechanoreceptive theory The upper cervical C0 3 facet joints are highly innervated supplying up to 50 of all cervical proprioceptive input 11 The cervical spine muscles are extensively supplied with muscle spindles providing additional contributions 12 Abnormal stimulation of the articular capsule and or muscular spindle mechanical receptors from joint dysfunction or muscle hyperactivity provides conflicting input with visual and vestibular afferents This sensory mismatch between visual vestibular and cervical mechanoreceptive input confuses the brain into a temporary state of dizziness 11 13 18 Other hypothetical models for cerviogenic vertigo include vascular compression and vasomotor changes seconda to irritation of the cervical sympathetic chain 16 17 Cervical spine proprioce
19. t headache suggesting a 4 You will love the grey box summary for each condition which includes integrated video links for each pertinent orthopedic test treatment technique and exercise Video demonstrates may be obtained by clicking on the appropriate link and selecting play Cervicogenic Vertigo Evaluation Cervical ROM Cranial Nerve Evaluation Deep Neck Flexor Endurance Test Manipulation Mobilization Thoracic Phase exercises Levator Stretch Suboccipital Stretch Brugger with Band Phase Il exercises Brandt Daroff Exercises Clinical Pearis Up to 80 of patients who suffer a whiplash injury will experience late onset dizziness vertigo or disequilibrium Asensation of spinning i e true rotary vertigo suggests a non cervicogenic origin possibly Benign Paroxysmal Positional Vertigo BPPV Update My Clinic Information or Logo Q 1 To update or modify your username or password click on the my account icon within the top green header Scroll to the User ID or Password text box and enter your new information new passwords must be entered in both the password and verify password boxes Scroll to the bottom of the page and click update user information You may be required to re log in to continue using the program Personal Information User ID sample Password Verify Password 2 To update or modify your payment info
20. te based upon best practice evidence for your chosen diagnosis You may deselect an exercise by clicking on it turns red Exercises may be added by checking Add exercises in the subsequent section Exercises Phase C201 c401 C403 Cervical Retractions Cervical Rotation Stretch Lavator Stretch Phase Il c203 Flexion 5 Enter your treatment plan and goals by checking the corresponding box and modifying the default numbers if desired A personalized message may be added if you choose OSelf Care Only Length o Daily for days M 3 timesperweekfor 2 weeks oal Treatment should resultin 25 improvement Message a A Hint Self care only is used for simple conditions that do not currently require in office treatment Leaving a box unchecked will simply omit its corresponding text from the patient s report 6 Select Print Email or Print amp Email to choose a delivery method for your patient s condition report Print Grey Box Print Exercise Chart Copy Hint Check the Print Grey Box if you would like to print a brief clinical synopsis of your patients diagnosis Check Print Exercise Chart Copy if you would like a printed summary of your patient s exercises to use for teaching or to store in their chart 7 Selecting Print or Print and Email will first bring up a print preview You will need to select print or Control P from your w
21. ts who rate you in the 9 10 range are considered Promoters while those responding in the 0 6 range are Detractors Studies demonstrate that the net of Promoters minus Detractors provides a score that is highly predictive for your businesses future growth rate Reichheld FF The One Number You Need to Grow Harvard Business Review Dec 2003 2 After you begin collecting data you can assess your performance by navigating to the Sharpen My Clinical Skills tab and selecting My Clinical Profile 3 First chose your name from the Select a Provider field My CLINICAL PROFILE Select a provider Provider Date Dr Joe Sample 12 10 2014 4 This allows you to view your statistics and compare them to the ChiroUp averages for any given diagnosis Your Avg Your Avg ChiroUp Avg ChiroUp Avg Treated Replied o Improvement of Visits Improvement of Visits AIC Joint Sprain 0 0 0 0 Acute Cervical Torticollis 30 7 5 30 7 5 Cervical Disc Lesion 4 5 Carpal Tunnel Syndrome 4 0 0 0 0 20 100 5 67 5 5 2 Cervical Hyperextension Hyperfiexion Injury Cervical Segmental Joint Restriction 45 47 6 4 100 8 8 Important Note Your personal statistics will never be shared with anyone outside of your clinic subscription without your express permission Learn More About Any Condition W 1 ChiroUp has researched and written evidenced based protocols for the assessment and manag
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