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Centers of Excellence

Fulcrum has developed the ChiroCare Centers of Excellence (CCoE) Program within its ChiroCare chiropractic network. The Program is designed to recognize clinics that use standardized clinical protocols and an integrated, collaborative approach in achieving positive outcomes and improved quality of life for patients.

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Program Overview

The Program seeks to identify existing ChiroCare clinics that have well-defined and documented procedures and the supporting infrastructure to ensure that patients are managed with consistent effectiveness. Through an application and documentation review process, ChiroCare evaluates the clinics against the CCoE criteria. Clinics that meet these criteria will achieve the ChiroCare Center of Excellence designation.

To provide patients with a consistent, high-quality experience, ChiroCare expects the entire clinic to demonstrate the best practice approaches of a Center of Excellence. Thus, this Program assesses the clinic as a whole, including all chiropractors practicing within the clinic.

While we believe our whole network provides quality care, there are some providers that have elevated patient-centered standards regarding quality and outcomes.  The CCoE program highlights ChiroCare clinics who achieve and maintain the highest standards of patient-centered care through record keeping, documented outcome measures, and collaboration with other health care providers to achieve the Triple Aim in health care.

What is the value of a CCoE designation?

  • Be identified as a CCoE clinic on the Find a Provider tool located on Fulcrum's Provider Directory.
  • Position your clinic to be recognized for increased Pay for Performance incentives
  • Be recognized as a CCoE clinic among other health care practitioners as having a defined patient-centered clinical protocols using outcome measures and an integrated treatment approach.

 Attributes of Excellence

  1. Comprehensive Patient Intake and History
  2. Assessment and Outcome Tools
  3. Cognitive Behavioral Therapy
  4. Shared Decision Making
  5. Conservative Imaging
  6. Treatment Care Plans
    1. Diagnosis
    2. Re-evaluation
    3. Individualized Treatment Plans
    4. Regular assessments to determine progress
    5. Treatment care plans are modified based on outcome assessments 
  7. Coordination of Care Between Practitioners or Facilities
  8. Management of the Care Plan
  9. Active Care Instruction
  10. Patient Education on homecare and prevention
  11. Wellness Instruction
  12. Patient-Centered Approach to Care Plans and Care Management
  13. Demonstration of Collaboration with Other Practitioners