Saskatchewan’s Joint Chiropractic Professional Review Committee functions to ensure that clinically necessary services are provided to patients. The committee which has both government (payer) and professional representation is created by the Medical Care Insurance Act in Saskatchewan. Examples of committee concerns include frequent visits by individual patients, high number of patients treated per day, poor record keeping, high service per discrete patient value. The article concludes with some suggestions for how to determine if a practitioner’s pattern of practice is unusual and how to respond if contacted by the committee. The strengths of this form of review process include: the committee has a majority of chiropractors, patterns of practice are compared to that of peers, evaluation of patterns of practice uses random sampling of files to be analysed, and guidelines for practice are set by peers using a consensus process.
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