The Integrator Blog
Home
Share |
about
Contact Me, Experience, Mission, Sabbatical in Central America, plus
Editorial Advisory Board
Columnists
Michael Levin
Taylor Walsh
background resources in PDF
Insurance, Integrative Clinics, Industry Summit Reports, News Files '99-'04
some organization links
Professions, Academia, Research, Policy
some CAM/IM publication links
Electronic, Peer-Reviewed, Blogs, More
Bradly Jacobs, MD, MPH, Revolution Health Blog
supported conference
Institute for Health & Productivity Management - Integrative/Complementary Healthcare
Integrative Medicine Journal Offers a Tool for Natural Product Quality Assurance PDF Print E-mail
Written by John Weeks   

Integrative Medicine Journal Offers Practitioners a Tool for Natural Product Quality Assurance

Summary: The ability of complementary and integrative health care professionals to guarantee that they are using products which meet label statements and are not contaminated is a challenge which most practitioners meet with fingers crossed - trust in product lines built on trust in the individuals involved. The August-September issue of the journal, Integrative Medicine, through it's "Quality Assurance Advocate" Rick Liva, ND, RPH, includes a four-page self-audit questionnaire for product suppliers. Integrative Medicine urges their 20,000 practitioners-readers to ask all of their favored suppliers to participate in filling out the form. The form is available by clicking here.
ImageThe title of the Integrative Medicine article, part of a two-year long series on product quality, is "You Only Find What You Seek." Those who prescribe natural products who read through the full acticle, which includes an attached 4-page Manufacturer Certification and Quality Assurance Self-Audit, will probably realize that they haven't been asking all the questions required to guarantee the quality of their products.

The author is Rick Liva, RPh, ND. Liva has written a column entitled "The Quality Assurance Advocate" for
Integrative Medicine for the last two years. The column has meticulously described the many ways that a product delivered to patients may not be what the practitioner expects. Typically, these descriptions are coupled with information on the testing processes needed to guarantee quality.
Image
Rick Liva, RPh, ND, a passion for quality assurance


The
Manufacturer Certification and Quality Assurance Self-Audit may be viewed as the end product of this work - taking information and moving to action. The sections of the document include:

  • Corporate and personnel information
  • cGMPs (Good Manufacturing Practices proposed by the FDA for dietary supplements) & Quality Procedures
  • Raw Materials
  • Finished Products.

In total, the document includes 63 questions, many of which have sub-questions, for over 100 total fields to be completed.
Integrative Medicine has made the Self-Audit, and supporting materials, available by clicking here.

Image
IM's Boulder-based publisher
In an introductory editorial in the issue,
Integrative Medicine editor-in-chief, Joseph Pizzorno, ND, makes it clear that the journal doesn't view the quality assurance initiative as an academic exercise. States Pizzorno: "If all of IMCJ's 20,000 readers adopted this standard and sent out this form to their manufacturers, we could change the industry overnight. Please join us in this process and tell us what happened so we can compile a list of responsible manufacturers."

Comment: When I first got involved in the integrated health field, in 1983, Pizzorno, then president of a then little college of naturopathic medicine, now known as Bastyr University, shared with me a plan he had for using his young institution as a bully-pulpit on quality. His passion for the topic grew out of the uncertainty on quality he had experienced as a practitioner.

Twenty-something years later, following quality initiatives from the National Nutritional Foods Association, the US Pharmacopoeia, and others, all the quality issues a product must meet are yet poorly tackled. The work of Liva, who is a practitioner, a 20+ year clinician with a large Middletown, Connecticut, practice, and a manufacturer (Vital Nutrients), is commendable. I worked with Liva seven years ago on a more elementary version of this survey which I published in my former, hard-copy Integrator.

The Self-Audit, as a campaign, has two limits. One is that the word among some is that Liva has gone overboard on his passion for quality assurance. If the standard suggested by this questionnaire simply too high? Second, to truly make a difference, Integrative Medicine must truly make this publication into a campaign. They must have clear plans to compile and report findings, or at least make them available. Perhaps other journals in the field would support this direction. Without clear accountability - which may include an independent audit of the self-audits - Pizzorno's desire to "change the industry overnight" is not likely.

But if Liva's document is put in the hands of tens of thousands of practitioners, who start walking conference exhibit halls primed with these questions, purchasing practices may well change, one by one.

Note: The photo of Joseph Pizzorno, ND that appeared here from September 9, 2006, to November 4, 2006 is copyright by Peter Barry Chowka."


< Prev   Next >
Search
Advertisement
Advertisement
Sponsors
Integrative Practitioner
The Westreich Foundation
voluntary contributions
Support the work!
Archive
All Integrator Round-ups
Integrator Top 10 Lists 2006-2015
Issues #140-#142 Oct-Dec 2015
Issues #137-#139 July-Sept 2015
Issues #134-#136 April-June 2015
Issues #131-#133 Jan-March 2015
Issues #127-#130 Sept-Dec 2014
Issues #123-#126 May-Aug 2014
Issues#119-#122 Jan-April 2014
Issues #116-#118 - Oct-Dec 2013
Issues #113-#115 July-Sept 2013
Issues #110-#112 April-June 2013
Issues #108-#109 Jan-March 2013
Issue #105-#107 Oct-Dec 2012
Issues #102-#104 - July-Sept 2012
Issues #99-#101 - April-June 2012
Issues #96-#98-Jan-March 2012
Issues #94-#95 Nov-Dec 2011
Issues #92-#93 Sept-Oct 2011
Issues #90 and #91 - July-Aug 2011
Issues #88 and #89 - May-June 2011
Issues #86 and #87 - March-April 2011
Issues #84 and #85 - Jan-Feb 2011
Issues #82 and #83 - Nov-Dec 2010
Issues #80 & #81 - Sept Oct 2010
Issues #78 & #79 - July August 2010
Issues #76 & #77 - May June 2010
Issues #74 & #75 - March-April 2010
Issues #73 & #73 - Jan-Feb 2010
Issues #69, #70 & #71 - Nov-Dec 2009
Issues #67 and #68 - Sept-Oct 2009
Issues #65 and #66 - July-August 2009
Issues #63-#64 - May-June 2009
Issues #60-#62 - March-April 2009
Issues #57-#59 - Jan-Feb 2009
Issues #55-#56 - Nov-Dec 2008
Issues #51-#54 - Sept-Oct 2008
Issues #47-#50 - July-August 2008
Issues #46 & -#47 - May-June 2008
Issues #43-#45 Mar-April 2008
Issues #41 & #42 - Feb 2008
Issues #39 & #40 - Dec-Jan '08
Issues #37 & #38 - Nov 2007
Issues #35 & #36 - Oct 2007
Issues #33 & #34 - Sept 2007
Issues #30-#32 - July-Aug 2007
Issues #28 & #29 - June 2007
Issues #26 and #27 - May 2007
Issue #25 - April 2007
Issues # 23 & #24 - March 2007
Issues #21 and #22 - Feb 2007
Issues #19 and & 20 - Jan 2007
Issues #17 and #18 - Dec 2006
Issues #15 and #16 - Nov 2006
Issues #13 and #14 - Oct 2006
Issues #11 and #12- Sept 2006
Issues #9 and #10 - Aug 2006
Issues #7 and #8 - July 2006
Issues #5 and #6 - June 2006
Issues #3 and #4 - May 2006
Issues #1 and #2 - April 2006
All Articles by Subject: 2006
All Articles by Subject: Jan-June 2007
IAYT-Sponsored Series on the Future of Yoga Therapy