The Association for Reorganizational Healing Practice (ARHPTM) Network Spinal Analysis (NSA) Care Standards of Responsible Practice
This Standards of Responsible Practice document for Network Spinal Analysis (NSA) Care practice is based upon the fundamental principles of the ARHP Canon of Responsible Relationships, and the practice of NSA Care as a Reorganizationally Informed practice. NSA Care practitioners shall guide their practice in accordance with the ARHP Canon of Responsible Relationships.
The Association for Reorganizational Healing Practice NSA Care Standards of Responsible Practice encompasses a practitioner’s obligation and responsible relationships to his/her practice members, the public, and each other. The NSA Care practitioner is to abide by country, state, provincial, and local statutes for the profession(s) under which license he/she is practicing.
Duties, Obligations and Responsibilities of
The Practitioner to Their Practice Members
The overriding objective of these principles is for the practitioner to render the greatest possible service and care to humankind consistent with a Reorganizationally Informed practice of Network Spinal Analysis Care.
Principle I A
Availability and Accessibility
The practitioner shall make himself/herself available and shall be accessible to practice members in need of his/her professional services, and when not, reasonably provide coverage or alternate arrangements with another care practitioner.
Section I B
The NSA Care practitioner is obliged to develop and keep the trust and confidence of the practice member. The following guidelines for confidentiality are to be expected:
- The practitioner shall not discuss specific identifying practice member information with another practice member, realtives or friends of the practice member, any other person or third parties without express consent of the practice member.
- Specific identifying practice member information shall not, under any circumstances, be reviewed, discussed, or otherwise disclosed to any representative of the news media or any commercial organization without express written consent of the practice member.
- When caring for high profile individuals, special care and respect is to given to the above considering the “newsworthiness” of any such material, including photos with the individual, of their possessions or home, or of information gained during or as a result of such service.
All practice member records shall be confidential, secured, current, authenticated, legible, and complete. The clinical record is the property of the practitioner and is maintained for the benefit of the practice member. The practitioner is responsible for safeguarding the records and their content against loss, defacement, tampering, and use by unauthorized individuals.
Written consent of the practice member, or his legally qualified representative, is required for the release of clinical and personal information to persons not otherwise authorized to receive the information.
Section I C
Representation of Network Spinal Analysis™ Care as a Reorganizationally Informed Practice
A NSA Care practitioner shall attend to his/her practice member as often as necessary, according to his/her professional judgment, to ensure the well being of the practice member and continued progress, consistent with Reorganizational Outcomes.
A NSA Care practitioner shall neither exaggerate nor minimize the gravity of a practice member’s condition, circumstance, state of resources or experiences, offer any false fear, or make any therapeutic or restorative claims that can not be derived from specific case studies, clinical research or personal experience. It is suggested that the NSA Care practitioner distinguish personal belief from other sources of knowledge or experience in regard to anticipated results.
The NSA Care practitioner shall make clear the distinctions between restorative therapeutics and reorganizational healing in concept and application and inform and encourage active participation of the practice member in developing a map of progress.
The NSA Care practitioner shall not discourage a practice member from seeking additional professional assistance or opinions on disease, symptoms, subluxations, or psychological conditions. If, in the course of care, a practice member expresses what may be described as psychological awareness, the practitioner shall consider referring the practice member for appropriate psychological counseling. The NSA Care practitioner shall not enter into the realm of psychological counseling, nor offer any other professional advice on matters outside his or her scope of practice. The practitioner shall not professionally enter the realm of any profession he or she is not certified or licensed in.
It is the practitioner’s duty to acquaint a close friend or relative of a practice member who is incapable of caring for himself/herself about the practice member’s care and expected outcomes.
Once committed to serving a practice member, a practitioner shall not terminate his/her professional services without appropriate notice, allowing the practice member reasonable time to obtain alternative professional services and giving the discharged practice member any relevant papers and documents.
Section I D
Practice Members’ Bill of Rights
Within the Office Setting
A practice member shall expect and receive from a practitioner entrusted with the responsibility of delivering NSA Care, consideration of their basic rights as human beings to independence and interdependence of expression, decisions, actions, expression of concern, and respect for their personal dignity, and level of growth at all times.
The practice member shall be asked for reasonable information to assist the practitioner to understand the needs of the practice member relative to the practice of NSA Care as a Reorganizationally Informed practice and any professional license he/she is practicing with.
The practice member shall be provided with, and affix a signature to, a written notice of the objective of care (informed consent) before beginning NSA care. The practice member shall be given a copy of this notice.
The following practice member’s rights are an integral part of the Association of Reorganizational Healing Practice NSA Care Standard of Responsible Practice, and reflects the principles as outlined in the ARHP Canon of Responsible Relationships.
The practice member has the right to impartial access to professional care without regard to race, sex, cultural, national, or ethnic origins, economic, educational, religious or political affiliation, and without having to disclose the source of payment for his/her care.
- The practice member shall be advised of the right to be interviewed, assessed and cared for privately, as well as in surroundings that permit community.
- The practice member shall be advised of the right to have a person of his/her same sex present during certain physical examinations by a practitioner of the opposite sex. While the practitioner may require the practice member to bare their spine, the practice member has the right to remain in such state of dress only as long as is required to accomplish the spinal examination or care, if in the best interest of care for that practice member as determined by the practitioner. Consideration will be made if required based on religious beliefs and values.
- The practice member has the right to expect information from his/her practitioner concerning their NSA care, Reorganizational outcomes, applications, healing, growth, transformation, progress, the planned course of care, in terms the practice member is able to understand. When it is inadvisable to give such information to the practice member, the information will be made available to an authorized representative of the practice member.
- The practice member has the right to expect confidential handling of all communication and records pertaining to his/her care, and to have his/her record seen only by individuals directly involved in his/her care or monitoring the quality of care unless personal identifiers are removed from the record(s). Any other release of information shall be provided only upon the practice member’s written authorization or the authorization of his/her authorized representative.
- A practice member shall be advised if other practitioners, or other health care personnel propose to engage in or otherwise perform human research affecting his/her care. The practice member has the privilege and right to refuse to participate in any research project.
- The practice member has the right to receive an itemized, detailed and thorough explanation of all charges, regardless of the source of payment.
- The practice member shall be advised of his/her rights and shall be instructed as to policies that apply to his/her conduct as a practice member.
- The practice member has the right to expect reasonable safety in the office environment.
- The practice member, at his/her own request and expense, has the right to consult with another practitioner or health care practitioner.
Section I E
Consultation and Referral
When concerned about the safety, well being, or progress of a practice member, consultation(s) with other healing or health care providers are advisable and recommended. Having requested the opinion, the NSA Care practitioner shall make available any relevant information and indicate clearly whether he/she wishes the colleague to continue care of the practice member, this includes both Reorganizational modalities and Restorative therapeutics.
The NSA Care practitioner shall be ready to act upon a practice member’s expressed desire for a consultation with another practitioner or provider regardless of the provider’s feeling about the need for consultation.
The NSA Care practitioner shall, when his/her opinion has been requested by a colleague, report in detail his/her findings and recommendations to the colleague and may outline his/her opinion to the practice member. He/she shall continue with the care of the practice member only at the specific request of the attending practitioner or health care provider, and with the consent of the practice member.
Section I F
The health, welfare, growth, development and dignity of the practice member shall always be of paramount importance. Expectation of payment, amount or type of financial exchange, or lack thereof, shall not affect the quality of service rendered the practice member.
The NSA Care practitioner is entitled to receive proper and reasonable financial exchange for his/her professional services commensurate with the value of the services rendered other members of the profession based on usual and customary practices, experience, time, reputation, and the practice member’s resources and resourcefulness to pay.
The NSA Care practitioner shall support activities designed to enable access to NSA care on behalf of individuals unable to pay reasonable professional fees, or find alternative means of financial or barter exchange.
Section I G
The NSA Care practitioner shall render responsible care to individuals regardless of race, sex, cultural, national or ethnic origins, or political persuasions, provided there is agreement to the objective of and the method(s) or applications and outcomes assessments of care.
Section I H
A NSA Care practitioner shall conduct his/her practice with courtesy, honesty, gratitude and a high degree of professional competence in the care of the practice member. The practitioner shall use the finest application of NSA care available, with regard and respect for the practice member’s right to personal dignity, growth, and transformation, in a non-therapeutic fashion. The aim of each Level of Care shall be discussed with the practice member and outcome assessments shall be performed to assess efficacy of care, and help in planning present and future care.
Section I I
A NSA Care practitioner shall not offer or guarantee a cure (promise of restoration) to any practice member or prospective practice member either verbally or in writing.
The NSA Care practice member shall be proactively involved in his/her plan of care, interactions, and outcomes. The practitioner may give a practice member a reasonable estimate regarding the length of time and the number of visits that may be required to favorably impact upon the Reorganizational outcomes desired. The NSA Care practitioner shall avoid protracted care without outside consultation or referral, in the absence of clinical improvement.
Section I J
Standards of Responsible Relationships
The NSA Care practitioner shall participate in or assist in practices of respectful propriety, compassion, empathy, dignity and empowerment with his/her practice members, colleagues, family, or business associates.
The NSA Care practitioner shall conduct his/her practice in surroundings that will support, advance, and nurture the quality of practice member care. He/she should maintain the highest standards of professional conduct at all times in accordance with his/her professional practice, certification and licensing.
The NSA Care practitioner shall only initiate or otherwise, knowingly participate in behaviors, plans and experiences which support enriched relationships and Reorganizational outcomes and enhance or support the respect and dignity of the individual and the practice.
The NSA Care practitioner shall make every effort to avoid dual relationships with practice members that could impair professional judgment. Examples of such relationships may include, but are not limited to: social, financial, business, or close personal relationships with the clients. When a dual relationship cannot be avoided, the NSA Care practitioner shall take appropriate professional precautions such as informed consent, consultation, supervision and documentation to ensure that judgment is not impaired and no exploitation occurs.
A NSA Care practitioner shall only bill for the service rendered or for the plan or program of care initiated with agreement and consent. The service rendered must be consistent with the practice objective of the NSA Care practitioner and the scope of the practitioner.
Duties, Obligations and Responsibilities of the Practitioner to the Public
Section II A
Participation in Community Affairs
A NSA Care practitioner shall participate responsibly in the public affairs of his/her state and/or local community to improve law, administrative procedures and public policies pertaining to NSA, Reorganizational Healing practice, his/her profession, and healing.
Section II B
A NSA Care practitioner may advertise. All advertising shall be accurate, truthful, and in good taste. Advertisements shall not be misleading or deceptive, and shall accurately represent the practitioner’s professional status and area of special competence.
Advertising shall be respectful of the values of the ARHP, mission, and Reorganizationally Informed practice. Additionally, advertising shall not imply cure or promised restoration of a condition.
A NSA Care practitioner shall conform to all applicable state laws, regulations and judicial decisions governing professional advertising.
Release Of Confidential Practice Member Records
The practitioner shall promptly comply with a practice member’s written authorization to provide records, or copies of records, to any individual designated by the practice member and shall not release a practice member’s records without written authorization of the practice member or their representative or proper legal process.
Section III A
Release of Records
All information contained in the professional, clinical, health and personal record is confidential. A properly completed and signed authorization is required for the release of any practice member information, including but not restricted to release for or to:
- Another health care or Reorganizational Healing provider.
- Medical care evaluation.
- Insurance purposes.
- Research and education according to conditions specified below
In keeping with the tenet of informed consent, a properly completed and signed authorization to release practice member information shall, as a minimum, include the following:
- Name of institution, office, or practitioner releasing the information.
- Name of the individual or institution to receive the information.
- Practice member’s full name, address and date of birth.
- Purpose or need for information.
- Extent or nature of information to be released, with inclusive dates of clinical attention (An authorization specifying “any and all information...” shall not be honored).
- Date consent is signed (date of signature is to be prior the date of information to be released), and signature of practice member or legal representative.
- In the case of care given a minor, parental or legal guardian written authorization is required for any release of information
Information released to authorized individuals or agencies shall be strictly limited to information required to fulfill the purpose stated on the written authorization. An authorization requesting “any and all information...” or other such broadly inclusive statements shall not be honored. Release of information not essential to the stated purpose of the request is specifically prohibited.
The signed authorization shall be retained in the records with notation of the specific information released, date of release and the signature of the individual who released the information.
Records shall be available for use within the facility for direct practice member care by all authorized personnel as specified by the office director or NSA Care practitioner in charge.
Direct access to practice member records for routine administrative functions, including billing, shall be permitted, after the employees are instructed in policies on confidentiality and any applicable state or national requirements. It is recommended that a non-disclosure and confidentiality agreement is given and signed by all those employed in the professional arena or office environment.
Clinical records shall be made available for research to individuals who have obtained approval for their research projects from an institutional review board or appropriate clinical staff committee, administrator or other designated authority. Research projects involving the use of clinical records shall be conducted according to institutional policies on the use of clinical records for research. Any research project involving contact with the practice member by the researcher must have written permission of the practice member’s attending clinician.
The names, addresses, date of admission or discharge of practice members shall not be released to the news media or commercial organization without the express written consent of the practice member or authorized agent.
Requests for practice member information received by telephone will require proper identification and verification to assure the requesting party is entitled to receive such information. A record of the request and information released shall be kept.
A practice member shall have access to his/her records within any legal constraints, such as those governing minors. Any practice member or his representative shall have access to his own records for review, upon written request with reasonable notice. A copy of the requested information will be provided after completion of a written request by the practice member and payment of a reasonable fee.
If the practitioner denies a practice member’s request to see or copy, in whole or in part, his/her health record based on the above, the practitioner shall provide a summary of the record to the practice member. If the practitioner chooses to prepare a summary of the record rather than allow access to the entire record, the summary shall be available in a time agreed upon by the practice member and practitioner (generally within 30 days). The summary of the record shall include only information appearing in the original records.
Section III B
Correction of Records
In the event the practice member wishes to correct data in the records, the correction shall be entered as an amendment, without change to the original entry, and shall be clearly identified as an additional document appended to the original health record at the direction of the practice member. This document shall be regarded as an integral part of the professional record. Upon request of the practice member, the provider shall furnish copies of the amendment to any person to whom the disputed information has been properly released.
When clinical information is requested subsequent to the amendment, the information sent shall include the amendment.
The provider will make these policies known to practice members upon request.
Following authorized release of practice member information, the signed authorization shall be retained in the records with notation of the specific information released, the date of release, and the signature of the individual who released the information.
Duties, Obligations and, Responsibilities of the Practitioner to the Profession
Section IV A
A NSA Care practitioner shall maintain the integrity, competency and high standards of his/her profession by continuously striving to improve his/her skills and competency; keeping abreast of current developments contained in the health, healing, personal growth, development, evolution, reorganizational healing theory and practice and scientific literature, and participating in appropriate educational programs relevant to the Network Spinal Analysis Care and Reorganzational Healing, health and wellness outcomes, medical sociology, physiology, anatomy, and other related fields. The NSA Care practitioner shall be striving to improve his or her own personal NSA and Reorganizational Healing strategies and personal advancement growth, development, evolution utilizing Reorganizational Healing and Reorganizationally Informed principles, practices and applications.
The NSA Care practitioner shall consider him/herself a leader and a representative both personally and professionally of the field of NSA Care relative to the members level of membership and live and serve as an example of integrity, passion, discipline, dignity, respect, in all communities in which he or she participates. He/she shall endeavor to promote the public’s confidence in NSA and Reorganizational Healing and his/her specific profession.
A NSA Care practitioner shall support and advance respect and honoring of his/her colleagues and discipline.
A NSA practitioner shall promote and maintain cordial relationships with other members of his/her profession and other professions for the exchange of information advantageous to the public’s health, reorganization, wellness, spinal and neural integrity, advancing emerging properties for healing, and a greater understanding and experience of well–being, as well as betterment and advancement of the human condition.
Section IV B
A NSA Care practitioner shall, when aligning himself/herself in practice with other practitioners, insist they maintain the standards in this NSA Care Standards of Practice, the ARHP Cannon of Responsible Relationships and the provisions of the zone of membership and certification through the ARHP, respective of the jurisdiction’s act for the profession he/she may practice. A NSA Care practitioner shall enter into a contract with an organization only if it allows him/her to maintain his/her professional, personal, and professional integrity and is in alignment with other agreements associated with membership in ARHP.
The NSA Care practitioner is encouraged to participate in outreach programs to those less fortunate and often marginalized individuals with less resources and or resourcefulness. Formal outlets for such outreach programs are available through the ARHP and the Global Gateway Foundation. The outreach can be both part of the organized association or foundation programs and personal outreach following guidelines of the ARHP.
The NSA Care practitioner shall strive to publish in scientific journals, and shall support any relevant journals or publications and research.
Section IV C
Research and Study
A NSA Care practitioner shall maintain the highest standards of accuracy in the dissemination of information and ideas. The practitioner shall continue to advance his/her education in NSA Care and Reorganizational Healing associated fields and if practicing in conjunction with another degree or license, advance not only the body of knowledge for the practitioner and the well being of those he/she serves, but also to promote the advancement and reorganizational outcomes of those professions. The practitioner shall remain current and advance and deepen his/her knowledge of Reorganizational Healing and Reorganizationally Informed applications or methods specific for his/her training and degree.
A NSA Care practitioner shall recognize a responsibility to the profession and the public. When interpreting scientific knowledge for the public, the practitioner shall do so in a humane, vitalistic, holistic and honoring fashion.