How the CORESCORE began

A branding and communication guru once shared with me the three most important strategies that shift a client’s perspective and then “velcros” them to your message…. for a lifetime!  He should know.  The brands that he worked on were so successful that the average American household had 7 of “his” products in use at all times. The strategy that I think will have the biggest impact on your practice is what he called “The Real Reason To Believe” (RRTB).

It begins  with this notion that what you present, how you present it and the why behind all the assessments and reports you deliver will be the difference-makers in your practice. For it to work, it requires that you, the chiropractor, have complete certainty in using assessments that are designed to measure the full impact of a vertebral subluxation and then presenting the results in such a way that the RRTB is blatantly obvious.

When we were developing the INSiGHT technologies that scan the nervous system for unhealthy and changing patterns, we got very good at ensuring the precision, validity, reliability and accuracy of the data that was being produced.  The engineers and I would high five our accomplishments and “nerd out” on how amazing the tech would work in a chiropractor’s office.  As a very busy chiropractor I knew that this was only half the solution. As Apple figured out a long time ago, the sleekest most progressive technologies need to deliver that incredible data in such a way that the user not only feels confident but is totally engaged in the process of sharing the images and data being produced.  When technology combines with incredibly easy to understand visuals and reports, the world shifts on its axis!

These are the foundational “stories” behind the CORESCORE.  When we initially created the INSiGHT scanning tech, the results were presented in a series of scan images that showed the results of stress on patients’ spines and nervous systems.  We used colorized bars and tracking lines that could then be interpreted by the doctor.  These scan images revolutionized the delivery of the chiropractic message.  For the first time, a chiropractor and their patients could see the impact that unmanaged stress was having on the performance of the nervous system.  The invisible had become visible.  This shifted the client’s focus from spinal care outcomes to performance and wellness outcomes.  INSiGHT scans moved the message from “feeling to function” without dismissing how a patient was experiencing their symptoms. 

The challenge in all of this became figuring out how to ensure  that the interpretation and report was thoroughly understood by the patient.  There’s a lot of data being reported in the colorful scan images, and as chiropractors, we are trained as clinical experts in assessing the impact of vertebral subluxations on all ages.  The INSiGHT scans needed to be fast and accurate with incredible inter-examiner reliability and easy to train and use.  We knew that we needed to scan the entire function of the Autonomic Nervous System, globally and regionally and then understand the impact that gravity and postural compensations were having on the Motor Nervous System. 

The CORESCORE solution

Our engineers and data scientists worked to develop algorithms from the data of the neuroPULSE (Heart Rate Variability,) neuroCORE(surface EMG ) and neuroTHERMAL (Thermography), and came up with a way to combine them to create a single neural efficiency index, known as the CORESCORE, which reflects the overall processing efficiency of that person’s central nervous system.  This equips you with everything you need to implement the  “Real Reason to Believe” strategy using objective data from the best instrumentation available!

No longer were care plans trapped in delivering relief and spinal rehabilitation! Instead of guessing at outcomes, the CORESCORE can be used to set goals and track changes, while the patient becomes adjusted and revitalized under chiropractic care. You can now show the patient how compensated their neural performance had become as they tolerated the limitations that vertebral subluxations had imposed on them!

We don’t guess, we test using the CORESCORE 

CLA clients using the CORESCORE adopted the tagline, “We don’t guess, we test” because certainty pays off for everyone!  Testing and re-testing are the hallmarks of a dedicated approach that values life enhancing care, not limited to symptom management or spinal rehab. 

We knew we had nailed it as the results started to come in from the early adopters.  Waves of patients began getting scanned and scored in offices around the world.  CLA’s passion and purpose isn’t limited to practicing chiropractors, our vision was to be the force that made the world stand up and embrace the RRTB of an entire profession.   Although we had thousands of offices in many countries using the INSiGHT, we needed a central data collection strategy so we could evaluate and work with research teams to analyze and publish using big data. In research circles this is referred to as a PBRN, Practice Based Research Network and we could create one using cloud-based technology.  The CORESCORE is a result of a combination of three data sets being generated by three instruments. 

We then set out to design a cloud server that could ensure privacy and security while managing a wealth of data. We knew that we had created the basis for a CLA PBRN!  Initially, hundreds of thousands and now millions of scan data sets are collected annually in our database forming the basis for the largest tranche of chiropractic wellness, centered data ever available.  Our PBRN is being discussed and organized for use by the profession’s most capable research teams. With big data like this we can track trends, ask bigger questions, and use Artificial Intelligence and Machine Learning strategies to get to the real answers as to how chiropractic care makes such a difference in babies and adults alike.  

By focusing on the efficiency of the nervous system through the lens of the vertebral subluxation, we can begin an era of research based on performance and vital function rather than pain management and rehabilitation. The CORESCORE represents the blending of the Science, Art and Philosophy of the profession, delivered in a single number score.  This evidence informed approach which highlights the intersection between best practices, best available evidence and patient experience sets the stage for the advancement of chiropractic’s acceptance.

My follow up blogs to this will be on how to integrate the CORESCORE into any sized practice and how to set up care plans that are neuroplastic by design and based on objective, neurofunctional data. Oh, and if you are interested, there is a reason why it’s called the CORESCORE.  CORE is an acronym for Chiropractic Optimizes Reorganizational Energy. It’s what we do with every adjustment!   

Dr. David

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Dr. David Fletcher is actively involved in all aspects of innovation teaching and research connected to the INSiGHT™ scanning technologies. He is widely recognized for his ability to share his expertise in compelling and easy to understand ways.

Dr David is a renowned chiropractor who practiced for many years with his associates in a scan-centric thriving principled family-based practice in Toronto. He is a sought-after teacher mentor and keynote speaker who takes every opportunity to share the wisdom and the power of chiropractic as it is meant to be.
Dr. David Fletcher
DC FRCCSS(C) – Founder & CEO CLA Inc.

Your Guide to Transformational Reporting

Read more about how the CORESCORE is an integrated neural efficiency index that is calculated when the INSiGHT technologies are combined in an exam to create a profile. Learn about how this single number index, gives the chiropractor and the patient something to compare to over time.

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