Coronavirus (COVID-19) Information


IMPORTANT: The council realizes there are many sources of information about what to do in your office, what you can and can't or should or should not do.  We are centralizing all of the thought leaders information so you can remain informed.  The council feels strongly that chiropractors are considered to be essential health care workers and we can handle all cases that are clinically warranted especially when all DOH and CDC protocols are followed.

The information on this page does not necessarily mean the council endorses or does not endorse the information on this page.  The articles, statements, and links are gathered here for your reference and information.  We want you to be informed please feel free to contact the Council with any questions and concerns.  Stay healthy well and Strong together.

Governor Cuomo’s “NY Forward Reopening” Plan: 
https://www.governor.ny.gov/sites/governor.ny.gov/files/atoms/files/NYForwardReopeningGuide.pdf

Regional Monitoring Dashboard:
https://forward.ny.gov/regional-monitoring-dashboard


Guidance for Essential/Non-Essential Business’

Recently NYS issued an update for guidance for essential and non-essential business’.  For essential health care operations chiropractic was

included for emergency chiropractic services. The Council Executive Board has sought the advice of our attorneys and malpractice carriers

who have all studied the language of the governor’s office clarification.  For the protection of our members, our patients and the profession,

the definition of emergency care has been described as care of an “urgent and necessary” nature.   Here is the lens through which to view

that process of triage and the related language:

  • Your patient management and triage at this point, where these orders have been enacted, should be ensuring there is no interruption in care plans in cases where doing so would lead the patient to suffer from permanent disability, a deterioration in their condition or place them at undue risk for their current and future health. Your triage and clinical decision making should not delay patient care that would put their immediate health and wellbeing at risk and contribute to the worsening of their condition.
  • Supportive care should be provided when if not rendered, could lead to a deterioration of a patient's health status and cause undo harm. 

You will notice that there is no mention of WELLNESS. See supportive care.

If one wants to get into an argument with the public health authorities about that right now you are welcome to. Our advice would be to:

1. Follow the orders

2. Document everything like you have never documented in your entire career to support your clinical rationale.

In summary, as previously directed, all care should be medically necessary during this crisis.  Necessary chiropractic care for 

workers functioning in essential business capacities may also be considered essential.  Tele-Health services can be used

to determine what care is essential and an emergency, remember to document your rationale. Please continue to use your

best clinical judgment and decision making on what care is urgent and represents an emergency chiropractic service. 

In closing we repeat, “remember to document your rationale. Please continue to use your best clinical judgment

and decision making on what care is urgent and represents an emergency chiropractic service.”  The Council is

here to assist in any way we can please, feel free to email any additional questions you have or to share any insight

and information if your practice has had similar experience.  Banding together makes us all stronger.

 

Information on the CARES Act: Download the Guide Below

Click here to download guide

UPDATE: Identification of Essential Critical Infrastructure Workers During COVID-19 Response (15 Page PDF Guidebook, Download Below):
https://www.cisa.gov/sites/default/files/publications/CISA_Guidance_on_the_Essential_Critical_Infrastructure_Workforce_Version_2.0_Updated.pdf 

Council Update

The Council strives to bring you the latest information that can help our profession as well as help you in your daily practice!

The New York Chiropractic Council is fully aware of the seriousness of the pandemic of COVID-19. Governor Cuomo has declared a state of emergency and has issued numerous statements on guidance for determining whether business enterprises are subject to reduction of their workforce or to stay open.

The Council has been diligently working on this and Cuomo’s Executive Order 202.6 states that essential healthcare operations, including walk-in-care health facilities, doctors and dentist’s offices as well as other healthcare services can remain open.

The Council’s opinion of this is Doctor of Chiropractic offices can remain open at the doctor’s discretion. Again, at this time, it is the decision of the doctor if they choose to remain open or not. You must consider remaining open based on your professional assessment of the needs and risks of continuing your practice. We ask that you follow all the Department of Health recommendations. https://www.health.ny.gov/.

It is the position of the Council, that the services of a Doctor of Chiropractic are essential and life sustaining especially in this time of extreme stress and we are an integral part of healthcare. Chiropractors will serve to keep other essential workers like police and other emergency workers) on the job at a time when they are needed most. We will continue to monitor the crisis and keep you informed of any changes.

Together we will stand strong and do our part during this crisis.

LINKS AND FURTHER INFORMATION:

Identification of Essential Critical Infrastructure Workers During COVID-19 Response:
https://www.cisa.gov/sites/default/files/publications/CISA_Guidance_on_the_Essential_Critical_Infrastructure_Workforce_Version_2.0_Updated.pdf 

This a centralized link to the ICA that includes statements on essential services, immune function and chiropractic, resources from state, federal and global sources: 
 
http://www.chiropractic.org/covid/?fbclid=IwAR1WQbxtidrvS1M3GytgLdS_5-SVkV8y_yxuLtV9ZAiu88AZMbiFryPdQi8

Chirofutures statements: Governors orders, Clinical decision making, Message from the chirofutures founders:
https://conta.cc/39ceKTZ

New York Chiropractic statement on Chiropractic being essential and life sustaining:
https://www.nycouncil.com/Public/Statement-Reaffirming-Chiropractic-as-an-Essential-Healthcare-Service.aspx

New York Chiropractic Council's Facebook Page:
https://www.facebook.com/NewYorkChiropracticCouncil

Federation of Chiropractic Licensing Boards message regarding COVID -19 and being essential:
https://www.fclb.org/home/aboutus/fclbpresidentsmessage.aspx  

Axioms evidence based statement of inspiration and truth:
http://www.axiomseminar.com/axiom-press-release.html?fbclid=IwAR2BZ27lQJv96PalQ9PSZT5s5IhruXrw4r1wJYa7kEBeoPcMxW5-QNUgyzY

Small business administration and loans:
https://www.sba.gov/page/coronavirus-covid-19-small-business-guidance-loan-resources

Telechiropractic and Workers comp  beginning March 16th 2020:
http://www.wcb.ny.gov/content/main/wclaws/Covid-19/text.pdf

 Families First Coronavirus Response Act:
https://www.dol.gov/agencies/whd/pandemic/ffcra-employee-paid-leave