Dr. Jenna Macfarlane Answers Four OCA Townhall Questions
1. What do you think is currently the most important opportunity (or highest priority) for the chiropractic profession in Ontario and why?
I think one of the most important opportunities right now is greater integration within Ontario’s healthcare system, especially in spine and MSK triage, chronic pain, and preventative care. With fewer family physicians and an aging population, chiropractors are well-positioned to help fill those access gaps and keep people moving.
Through my work with the MOHLTC MSK program, private practice, and interventional spine settings, I’ve seen firsthand how collaboration improves outcomes and reduces system strain. One area that deserves particular focus is falls prevention in the elderly. Falls are one of the largest cost drivers in healthcare, leading to fractures, hospitalizations, and long-term care admissions. Chiropractors play a key role in improving balance, proprioception, mobility, and confidence in older adults. With the right funding and partnerships, this could be an enormous area of savings for the government—and improved quality of life for patients.
We also need a public-awareness shift—a message that you see a chiropractor for your spine just like you see a dentist for your teeth. That level of understanding and normalization would transform engagement with preventative spinal and mobility care across all age groups.
2. What do you think is the most important role OCA Board can play during the next three years?
The OCA Board’s most important role is to strategically position the profession for sustainability, relevance, and inclusion within Ontario’s healthcare system. That means advocating for publicly funded care pathways, demonstrating the cost-effectiveness of chiropractic care through data, and helping members prepare for integration within team-based settings.
The Board also plays a key role in bridging communication between members, policymakers, and patients. By amplifying the collective voice of chiropractors, we can ensure our profession is recognized as a trusted partner in improving access, outcomes, and cost-efficiency within the healthcare system.
3. What key difference do you want the Board to make during your tenure on the OCA Board of Directors (for 2026-2029)?
I’d like to see the OCA make measurable progress toward formal integration of chiropractic services in publicly funded and community-based models, whether that’s through MSK triage programs, chronic pain networks, or falls prevention initiatives. I would also like to see progress with increased scope of practice for diagnostics.
Another priority for me is building mentorship and leadership within the profession. Many early- and mid-career chiropractors are looking for direction and ways to grow. The OCA can play a powerful role in creating that sense of connection, transparency, and shared purpose—helping chiropractors see a clear path for both personal and professional fulfillment.
Ultimately, I want to help leave the profession more unified, visible, and confident in its role across the continuum of care.
4. In what way can data, such as Aspire data, and the incorporation of tools like Artificial Intelligence be used to advance the profession, support research and enhance advocacy?
Data is how we move from belief to evidence. Using Aspire and AI, we can clearly demonstrate the value of chiropractic care in improving outcomes, reducing pain and disability, and even preventing costly events like falls and surgeries.
From my experience with ISAEC/MSK data collection, I’ve seen how outcome tracking changes the conversation—it gives us credibility with policymakers and medical partners. AI can help analyze those trends more efficiently, highlight best practices, and even personalize care recommendations.
When used responsibly, these tools strengthen advocacy and research by showing the measurable impact of what chiropractors do every day—helping Ontarians stay active, independent, and engaged in their communities.