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January 2005, Vol. 15, No. 1
Table of Contents
ACA's New CCGPP Guidelines • An Opinion of Shortcomings CBP® • ASHN: Chiropractic Enemy • CBP® fosters international Research Collaboration • CBP® Research Corner • Contraction/Expansion Mentally • COX Inhibitors and the FDA • Counter Point • Do You Practice CBP®? • Don's Opinion • European Spine Accepts CBP® Clinical Control Trial • Regarding the Use of Body Weighting • SAC Reaffirms Life University's Accreditation • Spine Accepts CBP® Research • The Diminishing Return Triangle • Traction Details • Validity of PosturePrint™
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Don's Opinion
ACA's New CCGPP Guidelines: Oh Mercy II
by Donald D. Harrison, PhD, DC, MSE
Originator of CBP® Technique
Don Harrison received his B.S. (Mathematics) from the University of Washington in 1968, his M.S. (Mathematics) from the University of Texas at El Paso in 1971, a Secondary Teaching Certificate in education from Western Washington State University in 1973, and his DC degree from Western States Chiropractic College in 1979. He received his M.S.E. (Mechanical Engineering) in 1997 and his Ph.D. (Mathematics) in 1998, both from the University of Alabama in Huntsville. He has taught mathematics in junior high, high school, two community colleges in Washington and Oregon, and at Washington State University. He had private practices in Sunnyvale, California and Evanston, Wyoming from 1979-1993.
He originated CBP® Technique in 1980 and is the author of two CBP® text books, a CBP® x-ray workbook, and more than 60 articles in peer-reviewed indexed journals.
For the past few years, an ACA designed committee has been writing new guidelines, that they claim are not guidelines but “Best Practices” protocols. Whatever the name, when given to 3rd party payers, these “protocols” become guidelines to restrict chiropractic care. The Council on Chiropractic Guidelines and Practice Protocols (ccgpp) has a web site at http://www.ccgpp.org. On their web site they claim, “CCGPP was formed in 1995....to create an equitable chiropractic practice document” and “CCGPP was delegated to examine all existing guidelines, parameters, protocols and best practices in the United States and other nations in the construction of this document.”
They claim their “Best Practices” are not “guidelines”. However, on their web site at www.ccgpp.org/concerns.htm, they state, “CCGPP is taking steps to assist in its full utilization ... in placing such documents in the hands of payers and policy makers.” Wow, we can’t wait to be IME-ed by that !
Additionally, at the May 2004 FCLB meeting in Denver (I am the ICA Representative), I heard Dr. Lewis state that these guidelines will be helpful for State Boards to determine “overutilization.” Did I miss something here or is “overutilization” an Insurance Carrier term? Why would a State Board use such a term, unless the majority of Board members were IMEs, with financial conflicts of interest. I start to see the picture now. Besides giving this CCGPP document to Insurance companies, the ACA is going to tell State Chiropractic Boards, via this CCGPP document, how all of us should practice, and if we do not practice the CCGPP particular way, we will be brought up on charges of “overutilization!”
I, personally, can question CCGPP’s statement, “delegated to examine all existing guidelines, parameters, protocols and best practices in the United States and other nations.” CBP® Nonprofit has 80 published/in-press Index Medicus research articles, but the CCGPP committee members had ZERO of these on their consideration list until I sent copies of these to Drs. Lewis and Triano in August 2004. I believe their statement should read, “delegated to SELECTIVELY examine all existing...”
Since CBP® NP has 6 published Clinical Control Trials, how did they miss all 6?? I can only think of one possible answer: they have a preconceived agenda of short term frequency and duration (to restrict chiropractic care) and do not want to consider any data that represents necessity for long term care.
Also, Dr. Triano refused to send my normal spinal model papers to CCGPP Committee members, stating in a letter to Dr. Lewis that these papers were “Theoretical Foundation” papers. However, my spinal models are of two types, theoretical models AND averages of normal subjects. If one uses averages for normal blood pressure, why not averages for normal spinal position?? It is obvious that the committee chairman (Triano) is selectively screening papers BEFORE any such might be given to CCGPP members.
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