It is not uncommon for patients to seek chiropractic care as a non-pharmacologic option to manage chronic pain. However, these patients can present unique challenges. Chronic pain often involves multiple mechanisms such as neuropathic, inflammatory, musculoskeletal, or central sensitization. Imaging and lab tests do not always correlate with reported pain levels. Chronic pain patients may be frustrated, depressed, anxious, and/or catastrophizing. They may have unrealistic expectations that their pain can be eliminated, when a more reasonable expectation may be to improve function, coping, and quality of life.

In today’s rapidly evolving healthcare landscape, many physicians are seeking ways to grow their practices without compromising the quality of care. Scaling a medical practice involves more than simply seeing more patients - it requires strategic expansion of operations, staffing, technology, and patient engagement systems. When done correctly, it can increase profitability, improve efficiency, and enhance patient satisfaction. Below are steps you can take to scale your practice.

When it comes to today's healthcare environment, cyber security breaches are an ongoing concern for providers and their practices. From phishing emails to ransomware attacks, healthcare organizations are frequent targets due to the high value of patient data and the complexity of medical systems.

Nearly everyone texts to communicate. It’s quick, easy, and convenient. However, texting with patients carries professional, legal, and ethical risks, including:

1. Privacy and HIPAA compliance. Standard texting is not secure. Messages can be intercepted, viewed on shared devices, or accidentally sent to the wrong number. Therefore, any patient’s personal health information sent via text risks a HIPAA violation and possible fines.

Professional boundaries are the ethical, legal, and relational limits that define the interactions between healthcare professionals and their patients. They protect the therapeutic relationship by ensuring that it remains focused on the patient’s health, safety, and well-being. Maintaining these boundaries is crucial for fostering trust, preserving professional integrity, and avoiding conflicts of interest.

Patients recording, either audio or video, their encounters with healthcare providers has become increasingly common. While healthcare providers may be alarmed when a patient asks to record their visit, it is not necessarily a bad thing. Recording patient encounters has both risks and benefits.

Staff turnover places a significant strain on an office's finances and resources. It increases expenses related to recruiting, hiring, and training new employees, along with the cost of covering temporary staffing needs. Productivity often declines as attention is diverted to focus on the hiring and onboarding process. Additionally, turnover can negatively impact staff morale, especially when the remaining employees must take on extra responsibilities to compensate for vacant roles.

Managing office staffing and handling time-off requests effectively is key to maintaining smooth operations, avoiding staff burnout, and ensuring good patient care. 

Having difficult conversations with patients and their family is one of the most challenging yet important responsibilities in healthcare. These conversations can involve topics like delivering bad news, discussing prognosis, setting boundaries, addressing non-compliance, or managing unrealistic expectations.

Here are some steps you can implement to optimize difficult conversations you need to have with your patient.

While most healthcare providers are compassionate and want to provide optimal care to their patients, implicit biases exist. Healthcare providers may not be aware of implicit biases, which may be subtle and unintentional, that can influence clinical interactions, lead to a lack of trust between the patient and the healthcare provider, and result in healthcare disparities.