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Acupuncture needling....officially known as dry needling as precedence in CA

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Thanks for sending this,

but can you summarize the information?

It's difficult to decipher.

 

On Thu, Dec 24, 2009 at 8:31 AM, <acudoc11 wrote:

 

>

>

>

>

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> NGAOM.org: National Standard Needling Therapy, © Dec 2009 Priebe

> The California Medical Treatment Utilization Schedule (MTUS) is the

> national standard for Chinese “Needling Therapy” known as acupuncture or

> dry

> needling in the Occidental west.

>

> Effective August 18, 2009, the California Acupuncture Medical Treatment

> Guidelines, Labor Code Section 9792.24.1 heretofore supersedes the American

>

> College of Occupational and Environmental Medicine, (ACOEM) Practice

> Guidelines, 2nd Edition national standard. This precedence change is based

> on the

> combined cumulative efforts by the Council of Acupuncture and Oriental

> Medicine Associations (CAOMA) and in conjunction with a six year effort by

> the

> National Guild of Acupuncture and Oriental Medicine (NGAOM.org).

> The Acupuncture Medical Treatment Guidelines are the newly established

> national standard, notably:

> Presumptively correct on the issue of extent and scope of medical

> treatment and diagnostic services. ‘Scientifically and evidenced-based,

> peer-reviewed (§ 9792.26.-Medical Evidence Evaluation Advisory Committee)

> medical

> treatment guidelines are nationally recognized by the medical community.

> These laws govern set precedence, and they have been adopted by

> institutional entities, including HMO; PPO; POS and other insurance plans

> in the

> State of California.

> The Council of Acupuncture and Oriental Medicine Associations (CAOMA), and

> the National Guild under consultative advisement by the RAND Corporation,

> and by the Medical Unit of the California Division of Worker’s Compensation

>

> researched and developed those treatment guidelines accepted by the

> National Guidelines Clearinghouse to meet the criteria for inclusion in the

>

> Medical Treatment Utilization Schedule (MTUS).

> Historically, Acupuncture and acupuncturists were excluded with the

> passage of 2004, SB-899 Worker’s Compensation reform; due to a lack of

> science

> and evidence-based research at that time. In an effort to reconcile this

> perceived evidentiary chasm in medicine, CAOMA and the Guild members

> supported

> a medical practitioner and colleague that has been appointed by the

> Administrative Director, and also recommended by its Medical Director for

> two

> consecutive terms to the prestigious California Medical Evidence Evaluation

>

> Advisory Committee. These prestigious professional accolades and the

> subsequent medical appointment have been instrumental to the development of

> the

> MTUS, and its precedent setting implementation.

> The MTUS duly specifies in its Acupuncture Medical Treatment Guidelines

> that its practice must be evidence-based, and in full compliance with the

> Division of Workers’ Compensation Qualified Medical Evaluator Regulations

> LC

> 3209.3.

> The work efforts of Ji-Sheng Han, M.D., Director of the Neuroscience

> Research Institute at Peking University, and an established member of the

> prestigious Chinese Academy of Sciences is meritorious of recognition by

> California Labor Code Section 9792.24.1. Professor Han has been actively

> engaged in

> the in the research of basic mechanisms of acupuncture since 1965.

> Professor Han is an early principle participant in a research project

> assigned by

> the late Zhou En-Lai, notably the Premier of the People’s Republic of

> China, see Han JS. Acupuncture and endorphins. Neurosci Lett. (2004) May 6;

> 361

> (1-3): 258-61.

> Recognition of the authentic root of Chinese medical history meritoriously

> provides a scientific explanation on the effect of: needle insertion; by

> the muscles; vascular and nervous structures notably their regulatory

> centers in the brain and spine cord (CNS); as well as, provide a repeatable

>

> outcome protocol based on the Chinese discovery on blood circulation;

> recognition of longitudinal distribution and segmental dominance of vessels

> and

> nerves. Recognition is warranted on many other major physiologic

> discoveries.

> Primary Care as required by Section 4926 is related to the fundamental

> status, and responsibilities of the practitioner, in relationship to the

> public. Under B & P Code 4926 the California Legislature established the

> following

> mandate:

> Framework for the practice of the Art and Science of oriental medicine

> through Acupuncture…‘regulated as a primary care profession.

> Primary Care as required by Section 4926 is related to the fundamental

> status, and responsibilities of the practitioner, in relationship to the

> public as required by LC 3209.3 and Section 9767.1 Medical Provider

> Networks.

> The definition of acupuncture and its utility can be found in the CA B & P

> Code 4927 (d)

> To prevent or modify the perception of pain or normalize physiological

> functions, including pain control, for the treatment of certain diseases or

>

> dysfunctions of the body and § 9792.24.1., to hasten functional discovery.

> The MTUS § 9792.25. Presumption of Correctness, Burden of Proof and

> Strength of Evidence, note:

> Is presumptively correct on the issue of extent and scope of medical

> treatment and diagnostic services…‘scientifically and evidence-based,

> peer-reviewed.”

> § 9792.26. Medical Evidence Evaluation Advisory Committee, note:

> Medical treatment guidelines that are nationally recognized by the medical

> community…For all conditions or injuries not addressed by the MTUS,

> authorized treatment and diagnostic services shall be in accordance with

> other

> scientifically and evidence-based medical treatment guidelines that are

> nationally recognized by the medical community.

> The Guild has collaborated in conjunction with those professional efforts

> conducted by Ted Priebe, L.Ac, OMD, and Donald Kendall, L.Ac., OMD., PhD.,

> to develop and to obtain receipt of the first scientific evidence-based

> course curriculum accreditation program from the Medical Unit, on the

> evaluation and treatment of neuropathic pain with the Needling Therapy

> Education

> Provider DWC 1210.

> This new precedence has set the new standard for specialty education for

> the evaluation and treatment of pain for L.Ac.

> The only Accredited, Approved Acupuncture Pain Management Program, and

> Provider of Continuing Education for QUALIFIED MEDICAL EVALUATOR (QMEs)

> through the Division of Worker’s Compensation, Medical Unit. PENDING

> recognition

> in compliance with the DIVISION OF WORKERS’ COMPENSATION QUALIFIED MEDICAL

> EVALUATOR REGULATIONS LC 3209.3 Licensed Acupuncturists TITLE 8, under §

> 13, and also, Physician’s Specialty and TITLE 8, and under § 12.

> Recognition

> of Specialty Boards [note: this Specialty had been blocked by the previous

> CAB].

> NGAOM.org: National Standard Needling Therapy, © Dec 2009 Priebe

>

>

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