We Ultimately See Chiropractic As The Logical First Resource For Health.

your publication for education, inspiration and professional advancement.

Spring 2014

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We All HAve A Job To Do

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We Ultimately See Chiropractic As The Logical First Resource For Health.

In this issue:President’s Message:New OCA President, Dr. Seitz shares his history and goals for this association.

A Systems View of Chiropractic: Dr. Thomas Milus gives a detailed view of how all players within this profession must work in conjunction with each other.

OBCE Report:OBCE President, Dr. Cote provides progress and goals that our association can assist with.

This is the official publication of the Oregon Chiropractic Association. Advertisements, Commentaries and Letters to the Editor can be emailed to Daniel Miller, DC: DanM@NorthwoodHealthCenter.com. Opinions in published articles do not necessarily reflect those of the OCA Board or its members. The editor and OCA Board reserve the right to reject any submission. If there are any topics that would benefit our profession, please email the editor above.

Legislative Report:Dr. Saboe reviews the progress and obstacles of health care inclusion within the new insurance plans.

OCA Member Benefits, Webinars and Upcoming Events:Director Jan Ferrante updates the benefits offered to OCA members and more events coming this summer.

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Members, make sure you look to your bimonthly newsletters for additional information and updates that your business and profession needs.

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2014 OregOn ChirOpraCtiC assOCiatiOnBOard Of direCtOrs

PresidentBrian Seitz, D.C.Hillsboro

SecretaryJoyce McClure, D.C.Portland

Dan Beeson, D.C.Portland

Andrea Herrst, D.C.Portland

Allen Knecht, D.C.Portland

William Schnieder, D.C.Portland

Vice-PresidentLaura LaJoie, D.C.Wilsonville

TreasurerWilliam Henderson, D.C.Portland

Gregory Blanchfill, D.C.Yoncalla

Michael Hickel, D.C.Happy Valley

Aaron Radspinner, D.C.Beaverton

John Paul Whitmire, D.C.Salem

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As your current OCA President, I was informed one of my duties was to write a piece for our Journal. Great! What the heck am I supposed to write about? It was suggested I offer a little personal history, like what inspired me to become involved with Chiropractic “politics”. Problem is that is a pretty boring story: I graduated from Western States Chiropractic College in 1988 and stumbled into practice. I went to a few Oregon Chiropractic Physician Association functions initially as a wide-eyed new graduate. Then it happened, Senate Bill 1197...Mahonia Hall...SAIF...Stan Long. It crippled Chiropractic in our state. I personally felt the OCPA had not only fumbled the ball but believed they were guilty with having no game plan. I crawled back to my office and tried to ignore the subsequent parade of professional organizations.

Flash forward. A few years ago I was asked, encouraged and cajoled into getting off my butt and join the OCA. The merger of the 2 state organizations had encouraged me, I was in. Later, I was asked to make myself available for the OCA board.

After being elected to the board I realized we were all just Chiropractors; similar struggles, similar concerns. We didn’t all practice the same but there was more commonality than difference. After I was elected Vice President I had the opportunity to represent the OCA at the annual COCSA (Congress of Chiropractic State Organizations-www.cocsa.org) convention. And guess what? More good Chiropractors, working toward a better Chiropractic

tomorrow. It was inspiring.

This year I was elected President of this association. Did I aspire to this? Absolutely not--I have no personal political agenda! But being President of this organization is an honor, a privilege and a great challenge. At no other time in Chiropractic history do we have a better chance of reaching “the tipping point”. Why? Because we are the greatest true health care profession on earth! You know it, I know it and our patients know it. We just need more “true believers” as patients.

I recently found a study that suggests that when a population has 9% “true believers”---whatever the belief is, it will spread like wildfire--it will become the norm (http://news.rpi.edu/luwakkey/2902). Presently in the west, approximately 9.3% of the population utilizes Chiropractic--not all true believers of course, but we are getting close to the tipping point! (http://www.cdc.gov/nchs/data/databriefs/db146.pdf )

We can make this happen! How? One way is through social media, and right now one of our peers, Dr. Dana Sibilla is creating a product that will help tremendously (http://www.goodchiropractic.org/). But a very important aspect is increasing our state and national membership; we need numbers! We need increased professional involvement. It is critical that we as Chiropractors all get on the same page. I don’t mean we all have to practice the same, but we have to support each other; we can’t continue to denigrate our peers, we need to support

I’m In, Who’s With Me.

Brian Seitz, D.C.OCA President

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our diversity. We cannot continue to argue amongst ourselves over trivial matters. Practice how you want, within scope, in a patient centered practice, and let your Chiropractic brothers and sisters do the same.

On an organizational level, one of my goals as President is to increase communication and cooperation between the stakeholders; the OCA, the OBCE and UWS. The biggest threat to our profession is not the Goliaths of Medicine and Big Pharma but our historic lack of internal cooperation and communication and it just doesn’t need to be this way. We need to get out of the way of progress.

So please follow my lead--crawl out of your cave and get involved! To paraphrase “ask not what Chiropractic can do for you, ask what can you do for Chiropractic!” Invest in Chiropractic!

A good start is to join the OCA if you are not already a member. If you are a member get more involved. Make yourself available to

It’s

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serve on the board. If you are in a far corner of the State that is OK! We are striving to make distance communication work so that the whole State is represented.

To move forward we need members, we need money and we need you! Let’s make it happen! Let’s reach “critical mass!” NOW is the time!

Brian Seitz, DC

President, Oregon Chiropractic Association

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A Systems View

of ChiropracticThomas Milus, D.C., Ph.D., D.A.B.C.O.

A 55-year-old patient who has been with you for years has questions. What am I to do about these meds that my doctor is prescribing for my lack of sleep? And what about these pills for my cholesterol? And what do you think should be done about the back stiffness, is all this just part of “getting old”?

As chiropractors we take a look at the whole person, the body system involved with being human. This systems perspective is part of what makes us unique. Yet this very skillful approach to our patients is often lacking in our approach to our profession. This article provides a foundation for taking such an approach. It argues that to move ahead we must develop a dialogue that engages not only the active but also those who are ambivalent to action. To do this we must not take something complex and pretend it is simple. Rather, we must think about its complexity, develop a robust understanding, and then devise the simplest path to change.

The following is a systems view of the chiropractic profession. The underlying assumption is that a fuller understanding of the system, its players, and their interrelationships will enhance appreciation for what we have. Hopefully, that will motivate each of us to a greater, or more balanced, participation.

The main players in the system are the professional organizations (local, state, and national organizations), the colleges, alumni (individual practitioners), and students (the new blood). The system will consider the individual players, their relationships to one another, and the scenarios created by various combinations of those relationships.

The chiropractic profession is not unlike most others in that Joseph Juran’s observation holds true: The Vital Few (~20%) do 80% of the work, while the Trivial Many (~80%) do little, but benefit from that work. That is not to say that they are unimportant. They are, in fact, very important. Juran later referred to them as the “Useful Many,” because they actually contain a lot of potential energy for the system.

The Useful Many offer a lot of explanations, or excuses, for their ambivalence about participating in politics, mentoring, or alma mater support. They range from ‘disagreement with the politics,’ ‘too busy,’ ‘don’t like the direction the college is taking,’ to ‘just don’t care.’ Regardless of the rationale, the result is the same: the Useful Many don’t see how the system suffers, since they garner many of the same benefits as the Vital Few who pay the price and do the work. The Useful Many don’t seem to realize how much better things could be with their involvement.

An assumption behind this article is that a better understanding of the professional system can be an effective motivator for more of the Useful Many to join the Vital Few. It is not difficult to imagine what could be done if that 80% became engaged. It would be a 400% increase in participation!

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There are many reasons that one ends up as one of the Useful Many. Although it is easy to see “them” as the Useful Many and “us” as the Vital Few, we are all members of the Useful Many in one way or another or at some time or another. The challenge is not to judge “them,” but to engage them. They are generally busy doing things, just not the things we measure in our concept of “work.” We must keep in mind that those ethical and competent practitioners within the Useful Many still provide greatly to the profession even though they are not directly involved with the three other players.

To see the light comes as a result of the recognition that life is actually better when one is fully engaged. But seeing the light is “postdictable”; that is, it makes sense only AFTER it has been seen. The Vital Few see it. For the Useful Many who have yet to see it, it is not “predictable.” Most cannot effectively imagine it prior to it happening, which is why they remain in the Useful Many group. It is the intention of this article to help the Vital Few become something new: the Vital Many.

What follows is a very brief overview of the system through the lens of the tool called a Pyradigm©. It has four main components, which are placed at the corners of a 3-D tetrahedron (a pyramid with four triangular sides). The four corners are connected by six edges, which will be termed “competencies.” Each of the four faces of the pyramid is called a scenario. We call this model a Pyradigm©, which is the combination of a pyramid and a paradigm.

Before we look at the Pyradigm, however, let us consider how we came to be a profession.

A PROFESSION

Professions form around services that are of value to society. It really doesn’t matter what the service is. Wikipedia defines a profession as “a vocation founded upon specialized educational training, the purpose of which is to supply objective counsel and service to others, for a direct and definite compensation, wholly apart from expectation of other business gain.”1 Chiropractic has followed this standard process for becoming a profession.

I have argued in an earlier article that D.D. Palmer posited a critical social theory. He identified a false consciousness within society, the crisis that resulted, a theory to educate the public, and a transformative process to address the crisis.2

The false consciousness was that drugs and surgery were the only reasonable answers to pain and illness. The crisis that resulted was that the healthcare system was increasingly developed to be reliant on the answers of drugs and surgery as patients continued to suffer. The chiropractic education involved imparting knowledge of the subluxation and the value in its correction. It included information about changes in lifestyle to reduce traumas, toxins, and thoughts considered to be the causative factors of subluxations which, then, would lead to the reduction of subluxations. The transformative process revolved around the delivery of the chiropractic adjustment and the public education about a different way to regain and maintain health.

D.D. Palmer took the first step for chiropractic to become a profession when he made chiropractic his full-time work. The second step in professional development was the establishment of the Palmer School of Chiropractic. As more chiropractors entered the field, there was an increased need for camaraderie and support, and an identified benefit of shared experiences, which led to the third step in becoming a profession, the creation of local associations. Attempts at unity on a larger scale, across multiple local domains, led to the creation of national organizations like the Universal Chiropractors Association (1906), the American Chiropractic Association (1920), and International Chiropractors Association (1938).

As the influence of chiropractic spread, an increased pressure was applied by medicine to contain, or eliminate, chiropractic.3 Subsequent arrests and charges of ‘the practice of medicine without a license’, created the need for a national organization as well as licensure of chiropractic as a separate and distinct healing art. The

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purpose of the Universal Chiropractors Association, founded by Palmer College of Chiropractic in 1906, was to counteract the efforts of organized medicine against chiropractic.

The last step in chiropractic becoming a profession was licensure of its members. That required codification of its principles, methods, and scope of practice as well as ethical practice standards. Kansas was the first state to license chiropractic in 1913. Louisiana was the last in 1974. Nearly eighty years of struggle had led from the initial proposition of chiropractic in 1895 to full national licensure in 1974.

Although licensure is the final step, it is not the end of the process. There is an ongoing need to oversee and continue educating the ongoing professionalization of practitioners– the ethics and behaviors considered acceptable in practice that provide the foundation for public trust, and building cultural authority. The colleges can only do so much in “professionalizing” students. The rest is up to those in the field and the professional organizations.

Now that we have a profession, let us look at the system in which it operates.

The CORNERSTONES

The system has four main players, or Cornerstones. Although there is an order based on when each came about, there is really no order of importance since the absence of any one of them will result in the eventual demise of the system.

THE COLLEGE

The college has a responsibility to nurture its students, support its alumni, and contribute to the establishment and advancement of the standards of the profession. The chiropractic college exists to educate and train chiropractors and move the profession forward. It provides standardization of knowledge and skills for the profession.

Without competent colleges all the other components would eventually suffer. New blood would have no valid place to learn and doctors in the field (alumni) would be joined by new members with unreliable knowledge and training. The professional bodies (local, state, and national organizations) would have a more difficult, if not impossible, job of getting support for legislation that establishes, protects, or expands the scope of practice for a group of practitioners whose knowledge and skillsets have no consistent, reliable standard.

The college also has needs. In order to accomplish its part in the system, the college needs a constant influx of the best possible students which necessitates recruitment, and often includes a request for referrals from alumni. Without an adequate systems view, practitioners often see the college as a burden, one that constantly asks for support. Their focus is on themselves as “doctors” rather than as “alumni.”

From the systems perspective, alumni should be some of the strongest sources of referral since they are the ones who can most powerfully demonstrate the value of what the college has to offer. To borrow a line from the movie, Jerry McGuire, the college is saying to the alum, “Help me help you.”

The college needs funding for the process of education. Much of that comes from tuition, but total tuition dependence creates variability and vulnerabilities. Endowments, scholarships, grants, etc. all add to long-term stability and success. When the college is strong, with a good reputation, its diploma hanging on the doctor’s wall adds to the doctor’s reputation. Some doctors still cite their colleges in their advertisements and on their websites as sources of pride and to bolster their reputations.

ALUMNI (PRACTITIONERS)

Graduate Doctors of Chiropractic will be referred to as Alumni in this article. We generally refer to each other “doctors,” “field doctors,” or “practitioners,” and I will use them from time to time to avoid monotony. I am, however, emphasizing the educational aspect of the system, so I have elected to use the term “alumni” when education is involved. All of the graphics will use the term “Alumni.”

Individual chiropractors participate in the system by acting as agents for the profession in their service to the public and their support of the professional organizations. They also support the college and mentor students who will eventually join the profession. Those who are licensed may have also paid some of their professional/legal dues as well. If they have foresight, and are truly professional, they recognize the importance of this relationship.

Chiropractors in the field have paid their educational dues. They paid their tuition dollars, passed examinations, and met clinical experience requirements for graduation. Although they have finished their educational relationship with the college, without their continued service and support, it will definitely suffer,

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and perhaps fail. When a college closes, the value of its diploma suffers. Graduates are left to explain why they should be considered competent if their college was not competent enough to survive.

Practicing doctors with a systems view see the need for ‘new blood,’ which means that they must be concerned with education. They recognize that the new doctors will develop their own values, attitudes, and beliefs about chiropractic. Without mentoring, new students can graduate without sharing or understanding the values of those they will join in the field. The culture of the profession becomes, or remains, weak without the old guard demonstrating “how things are done around here” to the new ones.

Chiropractic is still very entrepreneurial compared to other healthcare disciplines. A new doctor must not only know how to take care of patients; he/she must also know how to build and sustain a business. The lack of proper mentoring can lead to ill-advised choices and financial and/or legal problems. In addition to sharing the same, or similar, values, field doctors must be there to mentor students if they expect new doctors to succeed.

Doctors with a systems perspective recognize that without politics they run the risk of losing their position within the social system, and the culture. Consequently, without their participation, all the other components will eventually suffer, and possibly fail. Without consciously acting as an agent for the profession, one-on-one in the office, in the community, and in the associations, the larger issues that appear on the political agenda might go unsupported by the voters. Simply put, each time a chiropractor treats a patient he or she acts as an agent for the profession’s advancement on the local, state, and national levels. Cultural authority, a term given to winning public trust, is built one encounter at a time. It is much easier to get legislative support for chiropractic issues when the politician knows that constituents support them.

It is not enough, however, to be a good agent in the field. Someone must carry the message to those who can make things happen. Someone must act as the agent for the mass of individual chiropractors who are busy in their offices. That someone is the local, state, and national organization. That takes money, time, and effort.

PROFESSIONAL ORGANIZATIONS

Professional/Political organizations (from here on referred to as “Profession”) represent the collective group of chiropractors. They are generally the face of the chiropractic profession. They are generally the forces that set the legal standards for the profession and can work with the colleges to inculcate those standards into the new members. Professional organizations act as agents for the individual chiropractor on a local, state, and federal level to push for legislation that supports or promotes chiropractic. Their work maintains a profession that offers students an opportunity to do something meaningful and productive with their lives.

The Profession acts as an agent for the individual chiropractor on the larger stage. It exists to serve the doctor most directly because it carves out and defends a scope of practice. It establishes a standard of practice (ethics), which must be met, and maintained, in order to become a member of the Profession. The colleges must pay attention to that as they prepare each generation.

The Profession also creates an opportunity for young people, and other community members, to do something meaningful with their lives. This not only serves the profession, but the community as well. Viable communities create children who grow up with a need to do something. As young adults become successful, their communities succeed. Being a chiropractor is a viable option if, and only if, there is a Profession to join.

STUDENTS

Students exist because they want to join a profession that serves. They need to be nurtured as they move through the educational process not only to become chiropractors, but also professionals. They need knowledge of the facts about anatomy, physiology, and diagnosis and treatment as well as the facts to attain success as a chiropractor that serves the public’s best interest.

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Students nurture the college with money, enthusiasm, ideas, and the promise of renewal. They demonstrate the value of new knowledge and inquiry to alumni in the field as well as bring new attitudes and skills to those who have been in the field for a while

By their numbers and their youthful exuberance, students offer the profession the opportunity to stay alive. They bring new enthusiasm for the profession. They bring the opportunity of sustainability to the profession by their willingness to join and participate in the political process.

We now have the four players. They will become the cornerstones of our model (See diagram). Now let us look at how the four players relate to one another. These relationships are reflexive in that the energy flows back and forth between them.

The COMPETENCIES

In the beginning, we use the term “relationship.” A relationship describes something that exists between things. Inquiry into the relationship generally yields an increasingly deeper understanding of the system, which eventually leads to what is termed a “competency.” In this model we use the term “competency” to describe the potential created by the interaction of any two cornerstones.

The COLLEGE – PROFESSION Competency = STANDARDS

A standard is a benchmark to ensure that goods and services maintain a specified level of quality.4 It serves as a basis of comparison. It establishes the norm. The colleges and political organizations are intimately connected through standards. Creating, modifying, or eliminating any one of them can be very laborious and expensive.

In chiropractic, the colleges adhere to standards established by the Council on Chiropractic Education (CCE) as well as regional accrediting bodies. They also must prepare students to meet the legislated standards of the various states in which graduates hope to practice. Those standards enumerate the requirements; establish limitations of practice; and set out a code of ethics.

The longer a standard is in place the more difficult it can be to alter it. Although it may seem simple enough to change the language of a standard, there is often a large cultural dynamic that resists change. Individual doctors, their patients, businesses, political bodies, and others each have unique relationships with the standard. Consequently, any alteration of that standard has the potential of affecting each group differently, and in a variety of ways.

A standard not only sets the bar, it serves to hold things together. Adherence to a standard creates solidarity through uniformity, reliability, and effectiveness. When a solid, positive reputation is established, the path is safer and easier to tread for both the doctor and the patient.

The COLLEGE – STUDENT Competency = NURTURING

The College nurtures students on their path to become chiropractors. It teaches to the standards of the profession. Its job is to support students as they endure the stress and pressure to become a chiropractor. There is a lot more to educational nurturing than to simply provide lectures and laboratories. Nurturing is a process to promote development; it nourishes. Students grow by adding new knowledge.

Students, on the other hand, nurture the college in many ways e.g. tuition, enthusiasm, creativity, and renewal. Their tuition dollars provide critical funds for the day-to-day operation of the facility. Their enthusiasm provides energy, which helps propel them through the challenges and rejuvenate the college. Students bring a fresh sense of what doctoring means, a current perspective on what doctoring means to the general public, and a belief that the future can be even better.

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The COLLEGE – ALUMNI Competency = SERVICE/SUPPORT

The relationship moves from one of nurturing, when a student, to one of service and support, as an alumnus.

After graduation, the college needs to move into a service role in relation to its former students. The graduate is out there in the world and can use support from many directions. The time for nurturing has past. Any deficits left by that stage cannot be filled by more nurturing. They must now occur through service or support. The alum’s success is the college’s success. When the graduate can point to the college as a source of ongoing support during his or her career, prospective students should be positively influenced in their choice of that college.

Alums can now move into a service role with the college as well. It is in their best long-term interest that the college continues to thrive. As it does, new, competent graduates join the profession, hopefully expanding the profession’s reach and reputation. As the college’s reputation grows, so does the value of the diploma on the alum’s wall as well as his/her reputation in the community. Ongoing success allows the college to provide more support services for students and alums. The college’s success is the alum’s success. It says a lot about the value of the relationship when people outside the system see alumni connected with their colleges.

The ALUMNI - PROFESSION Competency = AGENCY

Practitioners (Alumni) are the local representatives of the profession. It is through that agency that alums influence the community members to support chiropractic at the ballot box and through grassroots lobbying. Without this support, community leaders and political legislators are not much motivated to move in favor of chiropractic issues.

The Profession, on the other hand, represents the individual doctors on local, state, regional, and national issues, which reduces the individual doctor’s risk of losing political power, licensure, scope of practice, etc. Political organizations intervene on behalf of all the individual members of the profession. They are vital organs within a very dynamic system, which means that they are constantly processing new information and challenges. They create efficiencies. They influence. They intercede. They create force. They do work that the individual doctor not only cannot do, but also cannot afford to do.

The ALUMNI - STUDENT Competency = MENTORING

Alums can establish a mentor relationship with students (Field Training quarter) where they show students how things work in the real world. The students have learned the skills and applied them in the college clinic. Now they can see how it feels to be out from under the umbrella of the college. The alumni mentor acts as advisor, coach, and counselor.

The field doctor hones in on a practice style and routine that he/she believes helps accomplish the goals of practice. Techniques are modified and refined with each day in practice. That focus, however, generally means that elements outside that routine are unnoticed, or ignored. Looking up to survey the field for innovations is often a luxury that the field doctor does not see as affordable.

Students, on the other hand, have time and energy to look around for the newest and the best. They have the time and energy to look around for the newest and best. They share that with each other and support one another in pursuit of learning. In some ways, students can be the teachers or tutors relative to the newest information. They act as messengers between the college and the alum. The result is a vibrant connection with innovation, which they take with them to the alumni who mentor them.

The PROFESSION - STUDENT Competency = OPPORTUNITY

The profession offers the student an opportunity to do something meaningful in life. The student must meet 14

the standard (via education at the college) and be prepared to meet the challenge (provided in part by the mentor). The profession must work constantly to maintain and/or expand the value of its space in the public sector in order to maintain its attractiveness to enough new members to sustain its viability. It must also put energy into the nurturing process in an attempt to prepare students to become active, contributing members. Ideally, that membership should begin the first day they become students.

The student offers the profession the opportunity to stay alive. Students bring new blood, enthusiasm for the struggle of maintaining social status and building cultural authority, energy for maintaining the profession, and youthful exuberance and hope for a brighter future untainted by the skepticism and cynicism that can accumulate over time in the field.

SCENARIOS

Scenarios are the faces of the Pyradigm©, constructed by any three of the cornerstones and their three related competencies. The results experienced in each scenario are contingent upon whether or not the fourth cornerstone is included behind the scenes. Adding the fourth element brings three additional competencies with it, essentially doubling the number of competencies. The fourth cornerstone transforms a 2-dimensional triangle into a 3-dimensional tetrahedron (a four-sided pyramid). Consequently, if the fourth cornerstone is missing, or very weak, the pyramid is reduced to a triangle, which cannot stand on a single edge.

The four scenarios, with and without support of the fourth cornerstones, are considered below.

The PROMISE SCENARIO

This face of the Pyradigm© contains the College, the Alum, and the Profession up front. The focus is on their relationships. Students are in the background. The Promise comes from the inclusion of Students. With them the Profession has a future, the College has new life, and Alums have new blood to join them. Without Students there is no future.

It is not difficult to imagine what things would be like in five to ten years if the chiropractic colleges were to close today because no students enrolled.

The SECURITY SCENARIO

This face focuses upon the College, the Student, and the Alum with the Profession in the background. The work of the Profession creates security for the other three players. Without it, it would be very difficult to establish laws and a scope of practice. Without it, there would be little promise for those interested in becoming chiropractors. There would be no one to act as agent for doctors in the field. There would be no standards for the Colleges to follow.

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Skip Kilpatrick (800) 458-7606 Diane Southwick (425) 238-1395 Julie Shively (800) 292-6699 Nutri West Pacific Erchonia Standard Process

Tom Necela, DC, (253)370-6156

EPIC Imaging (503) 253-1105

Thank you to all of our 2014 Affiliate Members who continue to support the Oregon Chiropractic Association and our members.

Diamond Affiliates:_____________*****_ Gatti, Gatti, Maier, Sayer,

Thayer, Smith & Associates (800) 289-3443 Pdx: (503) 224-1524 Salem: (503)363-3443 Eugene: (503) 343-6587 Law Offices of Aaron DeShaw, Esq. Foot Levelers (503) 227-1233 (800) 553-4860 PlatinumAffiliates:________________________________________________****

Portland (503)774-7700 Gresham(503)661-6500 Tigard(503)639-9700

NCMIC – (800) 769-2000

Scott Supperstein, Attorney Biotics Research NW, Inc. (503) 227-6464 Vincent Samatowic (800) 856-9987 Gold Affiliates: __________________________________________***

Silver Affiliates:_______________________________________________________________________**

(2

Skip Kilpatrick (800) 458-7606 Diane Southwick (425) 238-1395 Julie Shively (800) 292-6699 Nutri West Pacific Erchonia Standard Process

Tom Necela, DC, (253)370-6156

EPIC Imaging (503) 253-1105

Tamara Jackson (888) 247-3522

Thank you to all of our 2013 Affiliate Members who continue to support the Oregon Chiropractic Association and our members.

16

Bronze Affiliates:__________________________________________________*

*Aspen Medical Products – Patrick Brownd (949) 681-0200

*Aspen Spine & Neurosurgery – Warren Roberts, MD (503)-691-9380

*Bowen Inc. – Jim Bowen (406) 370-9900

* Michael Sculley (770)213-4723

*Medical Arts Press (800-328-2179) http://www.medicalartspress.com/medical-exam-room-supplies/cbu/23.html

Neuromechanical Innovations -- Tanya Fernandez (480)785-8448

Pay DC – David Klein (888) 306-1256

* Solutionreach – Tiffany Fawson (801)331-7114

Affiliates: The Oregon Chiropractic Association (OCA) recognizes and encourages the building of Affiliate corporate relationships that can bring added value to both those companies and to our DC members. We have five different levels of Affiliate memberships that offer different advantages to your company. Those five levels include: Diamond, Platinum, Gold, Silver, and Bronze. Memberships. Your involvement with our membership gives you and your company insight into chiropractic care issues not available through other associations. Your insight into our Chiropractic profession will come from seeing first hand, the dedication and the diversity of our members across the state. Affiliate memberships in the OCA are a demonstration of your organization’s commitment to the Chiropractic profession in Oregon and we appreciate your support.

Eligibility: Membership in the OCA as an Affiliate member is available to companies and individuals with commercial products and services that support the philosophy and principles of chiropractic care as demonstrated by the OCA and its DC members. Specific ventures must comply with the Oregon Chiropractic Scope of Practice as defined in statute. Further, it is the policy of the OCA to make Affiliate memberships available on a non-exclusive basis. Membership will be made available to companies with competing products and services as well as independent representatives of the same product or service. Affiliation in the OCA is not to be construed or promoted as an endorsement of the member company’s policies, practices, products or services. Any reference to the OCA must include the disclaimer: “The OCA has not investigated the products and services offered by all of its Affiliate members. Therefore the OCA does not specifically endorse these companies but rather gives them a way to communicate and reach out to our Chiropractic profession individually.”

THANK YOU “AFFILIATE MEMBERS”.

17

Bronze Affiliates:__________________________________________________*

*Aspen Medical Products – Patrick Brownd (949) 681-0200

*Aspen Spine & Neurosurgery – Warren Roberts, MD (503)-691-93

*Bowen Inc. – Jim Bowen (406) 370-9900

* Michael Sculley (770)213-4723

*Health Breakthroughs – David Wheeler, DC (503)526-9130

Neuromechanical Innovations -- Tanya Fernandez (480)785-8448

Pay DC – David Klein (888) 306-1256

* Solutionreach – Tiffany Fawson (801)331-7114

Affiliates: The Oregon Chiropractic Association (OCA) recognizes and encourages the building of Affiliate corporate relationships that can bring added value to both those companies and to our DC members. We have five different levels of Affiliate memberships that offer different advantages to your company. Those five levels include: Diamond, Platinum, Gold, Silver, and Bronze.As an Affiliate member, your involvement with our membership gives you and your company insight into chiropractic care issues not available through other associations. Your insight into our Chiropractic profession will come from seeing first hand, the dedication and the diversity of our members across the state. Affiliate memberships in the OCA are a demonstration of your organization’s commitment to the Chiropractic profession in Oregon and we appreciate your support.

Eligibility: Membership in the OCA as an Affiliate member is available to companies and individuals with commercial products and services that support the philosophy and principles of chiropractic care as demonstrated by the OCA and its DC members. Specific ventures must comply with the Oregon Chiropractic Scope of Practice as defined in statute. Further, it is the policy of the OCA to make Affiliate memberships available on a non-exclusive basis. Membership will be made available to companies with competing products and services as well as independent representatives of the same product or service. Affiliation in the OCA is not to be construed or promoted as an endorsement of the member company’s policies, practices, products or services. Any reference to the OCA must include the disclaimer: “The OCA has not investigated the products and services offered by all of its Affiliate members. Therefore the OCA does not specifically endorse these companies but rather gives them a way to communicate and reach out to our Chiropractic profession individually.”

THANK YOU “AFFILIATE MEMBERS”.

The EXPERTISE SCENARIO

In this frame, the importance of individual practitioner becomes the focus. The doctor is behind the scenes, but critical to the effective function of the other three. The Profession can push for legislation, etc. The Colleges can teach content and prepare Students for the standards of practice; the Students bring their enthusiasm and dreams as they study hard. It is the Alumni practitioners, however, who develop the expertise to do the job as they work with their patients each day.

Practitioners are the one who know how to take what the colleges teach and apply it in real time in all its many necessary variations. They are the ones who demonstrate how well the scope of practice fits their work. They show the new members how things are done. As they practice in the field, it is the Alumni that add purpose to the work of the other three players. They bring value. They define the value of the profession. They help students see how to be valuable. They inform the world of what they are experiencing as they try to bring value to the world they serve. All professions exist based on the sustainability of their value proposition.

The STANDARDS SCENARIO

The College is at the core behind this scene. It doesn’t create the standards, but advances them. The Professional organizations might have carved a space in the healthcare marketplace, created a legal scope of practice, and established a set of ethical standards. The College, however, is the place where the training occurs, which prepares future Doctors of Chiropractic to take their places within the profession. Hopeful Students have dreams of a future. The College is the place where those dreams begin to come true. Chiropractors in the field need ‘new blood’ to join them, or replace them when they retire. It is the charge of the College to provide that well-trained new doctor.

The Final Product

All the pieces are in place. We have a dynamic system of elements, relationships/competencies, and scenarios. Since all the cornerstones connect directly with one another, altering any one of them immediately affects the others. Any alterations in the competencies between them will eventually affect all the others as well as the scenarios.

The usefulness of the model is in its 3-D, tangible, and multi-colored construction. It

18

A Systems View of Chiropractic - Continued From Pg. 15

enhances your ability to hold a number of abstract elements in your consciousness very easily. Any number of people can be involved in a dialogue about the model at a distance. Each can be looking at a model as they hold it, or rotate it, in their hands. Its tangibility is very good to facilitate conversation and stimulate thought.

The experience of the model is multi-leveled. At the first level, the model appears to be rational; it makes sense. At the second level, during the consideration of the cornerstones and their connecting competencies, a shift in thinking begins to occur. Similarities between the cornerstones often emerge. At the third level, the model is experienced as the dynamic system that it is - things are constantly changing. One can freeze the system in order to consider things, but the reality is that it is a non-linear system in which changes are happening everywhere all the time.

Closing Remarks

Chiropractic has come a long way since 1895. Not many ideas become realities that are sustained for over 119 years. This profession has not only been sustained, it has grown to be the second largest healing art in America. That growth has largely taken place as a direct result of the individual chiropractors participating at various levels.

Today there are millions of dollars in National Institute of Health (NIH) funding that support chiropractic research. There number of Department of Defense and Veterans Administration positions where chiropractors treat active military and veterans is increasing. The Managing Director of Sports Medicine for the United States Olympic Committee is a chiropractor; the list goes on.

The point is that we must take every opportunity to build for future students, ensure the security of our patients, and our profession, advance our science and practices, and increase the value of our work for the public and our practitioners. We must increase awareness, effectiveness, and influence of chiropractic if we expect to sustain what we have. We cannot simply tread water. The constant competition for pieces of the healthcare pie, cultural authority, and a place in the world requires that we grow.

Please take some time to consider how you can participate with all the cornerstones in this system.

About the Author

Thomas Milus, D.C., Ph.D., D.A.B.C.O. received his undergraduate degree in psychology from Northern Illinois University in 1973. He graduated magna cum laude from Palmer College of Chiropractic in 1982. Dr. Milus completed the coursework for a master’s degree in behavioral medicine at the University of the Pacific in 1989. He received his diplomate in orthopedics in 1991 and his Ph.D. in organizational systems from Saybrook University in 2001.

Dr. Milus has been at Palmer College’s West Campus since 1985. During his time at Palmer he has functioned as clinic administrator, clinical professor, dean of faculty, director of organizational development, and assistant to the president. He currently teaches courses, works as full time clinical professor in the outpatient clinic, and does limited organizational consulting and coaching.

References

1. https://en.wikipedia.org/wiki/Profession

2. Milus, T. The State of Innate. Topics In Clinical Chiropractic (TICC), Vol. 2, Issue 2, p. 46, 1995.

3. Wilk. C. A. (1995) Medicine, Monopolies, and Malice. Avery: Vonore, TN.

4. Bolman, Lee G.; Deal, Terrence E. (2013-07-16). Reframing Organizations: Artistry, Choice, and Leadership – Jossey-Bass Business & Management Series. (Kindle Locations 1470-1471). Wiley. Kindle Edition.

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"I support the inclusion of chiropractic physicians within our evolving health care system. We need all our provider community including chiropractic physicians to practice at the top of their licensure and scope so we can help improve access to primary care and improve the health of Oregonians."- Governor John Kitzhaber, MD

The Oregon Chiropractic Association Invites You to Its Fund Raiser

When: June 26, 2014 5:30 – 7:30 PM

Where: Home of Dr. Dan & Darla Beeson 711 Kenola Ct, Lake Oswego Ore, 97034 Cost: Minimum Donation of $100

Dear colleagues,

No Governor in the history of Oregon has done so much for our patients and this profession the last three and a half years. None. Governor Kitzhaber has done everything we have asked of him and we need him in that Governor’s seat for another four years. Please join me and many of your colleagues mark your calendars we absolutely must “fill the room” for Governor Kitzhaber and show are support and appreciation….Questions? Call me, Vern Saboe Cell 541-231-4528

21

Doctors, all,

Before I begin, let me say thank you to the OCA for the opportunity to address its members.

What exciting times in the health care world!

It’s all over the news, the affordable care act, and the Medicare crack down on billing fraud, the looming shortage of primary care providers and so on. The OCA is doing an excellent job at keeping up with the challenges these times bring to us and also to keep Chiropractic involved and included in all of those changes. As the OBCE president, I appreciate the collaboration the OCA Board has extended over the last few years; we should all be proud and thankful to the past and present board members of the OCA.

On our side, the OBCE is currently working to improve our administrative rules, first in the area of record keeping and the CA scope of practice. Our intent is to clarify the requirements for the minimal clinical levels to facilitate maintaining clear and safe records with ease. Also, we are working our way towards an expanded scope for the C.A.’s that would give chiropractors the choice of utilizing better trained and skilled personnel in order to increase productivity in our clinics. We are at the same time closing loopholes to insure that Chiropractic business control remains in the hands of health care licensees. On all of those changes, we truly value and need your input, it allows for very important insight that seven people cannot always have.

OBCE Report Daniel Côté, D.C.President, Oregon Board of Chiropractic Examiners

We are very happy to announce that we successfully launched online DC license renewals. It was a more difficult process than anticipated but the OBCE staff handled it very well. Next, I just returned from the annual Federation of Chiropractic Licensing Boards and the National Board of Chiropractic Examiners meetings where I networked with Board members from most states and multiple countries. The Chiropractic profession is expending and increasing its recognition rapidly. It was a very educational and encouraging meeting where we shared regulatory information and were educated on the latest advancement in research and programs.

I am pleased to report that the Board has seen positive changes in the quality of charting and record keeping following the mandated C.E.s from last year. We are happy to say that this reduces our work load and allows us to focus on bringing positive changes to the ORS, in improving public protection and clarifying the scope of the Chiropractor in the health care system.

We need help! Yes, please note that we have several vacancies on board committees: Administrative Rules Advisory Committee, ETSDP (devices & procedures) and Peer Review need new members. Mainly, the Governor’s office is actively looking to fill two positions of the Board, one public seat and one Chiropractic seat are currently open and you have until the middle of August to apply. Ultimately it is the Governor’s choice but I can tell you that one needs to be willing to work, have

22

the public protection as the primary concern and have no political agendas. We will try to retain the application for next year as another Chiropractic member will term out. If you have an interest in participating, just go to the OBCE web page and follow the link.

Just a little reminder, clinical justification is the key to proper and lasting Chiropractic coverage. Whether it’s an MVA, a worker compensation case or cash patient, if you can objectively support your level of care and plan of treatment, you will minimize any problems in your future.

Lastly, our Executive Director, Dave McTeague, is retiring after almost eighteen years of dedicated service to the profession. He will leave big shoes to fill. Dave’s knowledge and fervor towards Chiropractic goes far beyond the job description, so if you get a chance, thank him. It’s a difficult job and he has made it look easy. We are still in the recruiting and hiring process and hope to have a new director by the end of June.

I think that’s enough of me, Have a great spring and a warm summer,

Daniel Côté DC President OBCE

23

We chiropractic physicians will not be viewed as a singular service. We are a profession with a broad scope of practice. The OCA will not allow insurers and policy makers to paint our profession into a corner.

The State of Oregon mandatory “Essential Health Benefits Package/Benchmark Plan” represent ten categories of health care services which must be provided by insurers within the Oregon Health Insurance Exchange. Health services which are within a chiropractic physician’s scope of practice to provide include: • Primary care to treat illness and injury • Pre and postnatal care• Newborn child services • Preventative pediatric care, and pediatric

services• Rehabilitative and rehabilitative services and

devices• Laboratory services,• Preventative and wellness services

The University of Western States has designed a post-doctorate program: “Primary Care and Wellness Refresher” which is a review of these interventions bringing colleagues up to speed so they can provide those health services in their practices. One of the goals of the program is to provide the knowledge needed for those colleagues who choose to practice at the top of their licensure and scope and act in the capacity of primary care providers.

Governor John Kitzhaber, MD, was quoted on

April 22, 2014 stating, “I support the inclusion of chiropractic physicians within our evolving health care system. We need all our provider community including chiropractic physicians to practice at the top of their licensure and scope so we can help improve access to primary care and improve the health of Oregonians.” Please mark your calendars to attend an event for the Governor on Thursday, June 26th, 5:30 PM – 7:30 PM at the home of Dr. Dan and Darla Beeson in Lake Oswego to show your support.

Regence/CareCore has asked me to be one of two clinicians to serve on a multi-state “Regence/CareCore Physical Medicine Advisory Committee.” The goal of this committee is to review the new pre-authorization process and make recommendations to improve the system. During our first teleconference meeting the current system was deemed by the majority as not beneficial due to the design and the high number of complaints. I have been given the name of two individuals with whom we can directly work with regarding specific complaints. It is essential you colleagues email me with any and all problems you are experiencing. As I read through CareCore’s 331 pages of chiropractic treatment guidelines, I am finding numerous issues that need to be amended. I will speak further on this matter during the next committee meeting.

Providence Health Plans came to the OCA in hopes our organization could help resolve problems with the Public Employee’s Benefit Board (PEBB) chiropractic benefits. Providence’s Chief Medical Officer provided the OCA with graphs revealing

LegisLative RepoRt

veRn saboe, D.C.oCa Lobbyist

Vern Saboe, D.C.oCa LobbyiSt

rather obvious over-utilization by a few colleagues and it was decided to implement a claims review process. Following implementation of the claims review process there has been an immediate 10% reduction in chiropractic PEBB costs which Providence was very pleased with and wishes to build upon. The OCA’s goal is to prevent the Providence PEBB benefit from falling under a system similar to the CareCore pre-authorization program or worse.

We are already working proposed legislation for the 2015 session and will be proposing three bills involving Workers’ Compensation. One bill would better inform injured workers that they have the right to treat with the health care provider of their choice. Another would provide for a consistent 18 visits or 60 days of treatment for chiropractic physicians who are on the managed care organizations (MCOs) panels and can serve as the attending physician for the life of the claim. Lastly we are asking for a cost and outcomes comparison study comparing chiropractic management to standard medical care of injured workers with common musculoskeletal injuries.

We are also introducing legislation that will define what constitutes an adequate number of providers within a coordinated care organization’s (CC0s) provider network including chiropractic physicians. CCOs cannot be allowed to have token numbers of chiropractic colleagues within their provider networks as a means of circumventing the non-discrimination provisions.

In closing, the OCA asks that you stay the course and do not allow frustration to take precedence over the hopes and ambitions of the profession, we have the law on our side. Proper interpretation, implementation, and enforcement of health care laws can be a slow process. Stay informed, stay involved, and if you have questions please do not hesitate to contact me.

Chiropractic Primary Care and Wellness Refresher

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Module One: US-PSTF screenings Module Two: Patient Assessment Face-to-face meeting: August 8-10, 2014 Module Three: Treatment Procedures Face-to-face meeting: September 20-21, 2014 Module Four: Primary Care Collaborations Face-to-face meeting: October 3-4, 2014 Module Five: Capstone course

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26

OCA FOCUS IS ON GROWING OUR MEMBERSHIP THROUGH IMPROVED MEMBER BENEFITS, COMMUNICATIONS, WEBINARS AND SPECIAL EVENTSJan Ferrante, OCA Executive Director

The OCA Board held their annual Workshop in March. At that workshop, the main focus was on growing our membership and how to increase public awareness and to grow our “Market share” in the health care industry of Oregon. The March/April Member Newsletter outlined some of the main points that the Board will be concentrating on this year. As our members know, the bimonthly Member Only Newsletters that are produced in the OCA office offer information and valuable tools. Some of the 2013-14 Newsletters have included the Workers Comp Fee Schedule, Medicare updates, billing and coding Q&A, information on accessing other valuable tools like “Find A Code”, BCBS Regence template letters, Evidence Based Outcomes info and the brand new “Clinical Pearls”. We are excited to have this new feature in the newsletter and we have already been receiving feedback on the successes of doctors that have put them to the test in their own clinics. In addition, members are kept abreast of upcoming events, special webinars, discounts on seminars and much more. We are also including more information regarding our individual OCA

members to recognize their accomplishments as well as to encourage networking within the profession.

In the May/June issue of Member Newsletter, we are “Celebrating the Women of Chiropractic in Oregon”. We would like all OCA members to make a photo available to the office so that we can put it on our website and include you in these types of features in the future. The upcoming newsletter will also have information on the “GMO Labeling” campaign that is being headed by “Oregon GMO Right to Know”. Their statewide ballot measure would be on the November ballot if they can gather the needed 87,000 signatures by July 3, 2014. The OCA Board of Directors has voted to support this very important campaign. If this measure is on the ballot and passed by the voters in November, then food manufacturers, retailers and suppliers would be required to label raw and packaged food produced entirely or partially by genetic engineering. We will be contacting offices to get OUR profession to help gather signatures once the official petitions become available. WATCH FOR DETAILS – THIS IS TIME SENSITIVE.

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The OCA “TEAMWORK MAKES THE DREAMWORK” will once again be moving forward with the renewal of the “Member Benefit Program” in June 2014. This revised and improved benefit program has several new additions to the package of benefits from last year. Members will be receiving their membership cards and packets in the mail around the first of June. The benefits include:

1) Online HR Library

2) Discounts on Business Insurance and Workers Comp Policies

3) Supplemental Health Care Policies

4) Discounts on Short and Long Term Care Policies

5) Savings on Long Term Disability Policies

6) Discount Health Card with Access to “Telemedicine” on call

7) Supplemental Retirement Plans

8) Discounted Auto and Home Insurance Policies

9) Savings on Pet Health Insurance Policies

10) Online Shopping Mall – Discounts and Rewards Purchase Program

11) Savings on Data Breach/Cyber Liability Coverage

12) Special rates on Merchant Services and Small Business loans

13) Special Savings on Payroll Services

The OCA continues to have an extensive “CE Library” of materials for viewing. We also offer the Member Lending Library that includes videos and CD’s available for members to borrow that are “not for CE” but very useful. We now have the YEAR 1 DC required CE hours on video as well: 4 CE= OTC Meds & 2 CE= Evidence Based Outcomes are available now through the OCA office on DVD.

The OCA offers weekly “Webinars” at “no charge” to our members that are currently being presented on Tuesdays by ChiroHealthUSA. These webinars started in April and will continue throughout the year. The current schedule can be found in the Member Only section of the OCA Website. The OCA communications through our Social Media have picked up many new followers. The OCA Facebook page and our OCA Website can be valuable resources of information. We are monitoring the types of information that seems to get the best responses so that we can improve those communications with materials of high interest.

Our Legislative efforts for the 2015 Session are already in the works. The Legislative Committee will be working on preparing some legislation with the help of our Lobbyist Dr. Vern Saboe. The Chiropractic Day at the Capitol is already scheduled and Dr. Saboe will be getting more details out to the field soon.

At our event on April 26th we had the honor of US Rep. Suzanne Bonamici from Washington DC accept my personal invitation to come and speak to the attendees that day. The First Congressional District that she represents includes Washington, Yamhill, Columbia and Clatsop counties as well as parts of Multnomah County. She spoke about her own personal experience with Chiropractic over the years and how it was a Chiropractor who helped in her recovery from a motor vehicle accident many years ago. Dr. Saboe, presented her with a check from ChiroPAC for $1000 and other docs in attendance made additional donations to her campaign. She is up for re-election in November. If you were not at the event but are interested in making a donation you can do so by going to her website or sending a check made

28

payable to: “Bonamici for Congress” Office address: 12725 SW Millikan Way, Suite 220, Beaverton, OR 97005 The OCA has several more seminars planned for 2014. The next event will be on Saturday June 7th with Jerry Teplitz. DON’T MISS THIS EVENT……… Jerry has his Masters Degree and Doctorate Degree in “Wholistic Health Sciences”. He is a nationally known speaker, consultant, author and TV talk show host. I had the opportunity to hear him at the annual COCSA convention and was extremely excited to bring his valuable workshops to Oregon. He will be presenting two, three hour segments that include: 3 hours= Working Together: Effective Ways to Build Successful Teams 3 hours= Increasing Your Professional Power to New Levels of Excellence

The OCA has also aligned itself for events around the state with our Diamond Affiliate, Gatti, Gatti, Maier, Sayer, Thayer, Smith and Associates. These upcoming seminars include Legislative updates, Workers Comp updates, MTBI, a Mock Trial and information on Trial Do’s

Jan Ferrante

oCa DireCtor

and Don’ts. In June we will be traveling to Bend, in August, we will be back in Portland at UWS/ Hampton Hall, and in September we will be in Eugene.

The OCA office staff continues to serve our members. We hope that those of you who are not members will consider joining us.

“WE ARE HERE TO SERVE THE CHIROPRACTIC PROFESSION IN OREGON AND TO BE YOUR VOICE IN SALEM”. “ALONE WE CAN DO SO LITTLE; TOGETHER WE CAN DO SO MUCH.” -Helen Keller

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29

Platinum Members 2014:

Michael Arnot, DC Dan Beeson, DC Larry Berntsen, DC

GregoryBlanchfill,DC JudithBoothby,DC ScotBowles,DC

CharlesCaughlin,DC LeeCowan,DC SteveDeshaw,DC

JeffDevine,DC TimothyDriscoll,DC DavidDuemling,DC

MareechiDuvvuri,DC ShaneEspinoza,DC DonaldFerrante,DC

MattFreedman,DC ThaddeusGala,DC PatrickGeorge,DC

ColinGrice,DC RonGrice,DC EdHacmac,DC

DanielHalko,DC LawrenceHanberg,DC JeffreyHartwell,DC

BillHenderson,DC EricHubbs,DC AnthonyIllo,DC

DanielKehr,DC JasonKehr,DC JordiKellogg,MD

KarenKelsall,DC AllenKnecht,DC RussellJKort,DC

JasonLindekugel,DC DennisLynch,DC GarrethMacDonald,DC ParkerMah,DC MikeMcCall,DC DanielMcCleery,DC

JoyceMcClure,DC LyndonMcGill,DC DanielJ.Miller,DC DavidMilroy,DC,ND SamMoursalian,DC AlbertNoble,DC PaulOkamoto,DC PeterOvervold,DC ViktorPalchikovshiy,DC

ChristopherPierce,DC HumaPierce,DC JenniferPitcairn,DC BradRethwill,DC StephenRoss,DC BrianRueben,DC

AnthonySaboe,DC LaverneSaboeJr,DC DanaSibilla,DC

AnnetteSimard,DC CharlesSimpson,DC PaulSlater,DC

LauraSwingen,DC MichaelUnderhill,DC AnnWilson,DC

THANKYOUTOALLOFTHEABOVEMEMBERSTHATHAVECHOSEN TOBEOURPLATINUMMEMBERSASOFMAY2014!!!

Welcome to Lifequal...

The LifeQual Center is a team of natural health practitioners seeking to provide the highest level of integrated and compassionate care. We bring together a diversity of healing traditions from natural medicine, psychology, mindful-ness and movement practice. Our mission: to help everyone in our community achieve the highest quality of life.

We are seeking a few health and wellness professonals to join us.

If you’d like to tour the space, or if you have questions, please call or email Vijay at vijay@lifequalcenter.com or 503-531-9355.

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You are invited to attend our networking receptions every 1st Thursday, 5-7pm. They feature art exhibits, food and wine, and special guests.

As the first full-service outpatient imaging facility in Portland to establish a chiropractic

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E P I C I M A G I N G . C O M

For a chiropractic speci�c report, schedule your next study at EPIC ImagingO N T H E L E A D I N G E D G E

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