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Issues #84-#85 - Jan-Feb 2011 PDF Print E-mail
Written by John Weeks   

Issues #84 & #85 - January-February 2011

Issue #85 - March 8, 2011

March 8, 2011

Integrative Medicine and Integrated Health Care Round-up #41: March 2011

\Nutrition Business Journal estimates size of integrative practitioner market by discipline ... Patients of general practitioners who use CAM cost less and live longer than those of conventional doctors in Netherlands study ... Clinicians note: NCCAM's 3rd strategic plan begins to honor "real world" mandate ... CAHCIM changes name of 2012 research conference ... Palmer-Rand-Samueli group receives $7.4 million for study of chiropractic in the military readiness ... Sebelius in strong endorsement of chiropractors ... New York Times articles describes how Colorado medical society and mail-order NDs combine to oppose naturopathic licensing ... Hospitals and Health Networks column proposes value of integrative health care in Accountable Care Organizations (ACOs) ... ESPN viewers give thumbs up to yoga for professional sports teams ... Consortium of Academic Health Centers for Integrative Medicine sets up integrative mental health group ... Medical dean and past dean at U Minnesota offer articulate defense of integrative medicine program at the Center for Spirituality and Healing ...  Samueli Institute launches nurse training at VA medical centers ... Urban Zen continues promoting new "integrative practitioner" training ... Seattle's Swedish Hospital educates to foster MD-ND relationships in chronic disease management ... Data on total number of Board Certified Holistic Nurses ... Bravewell to host 5th leadership award dinner in November 2011 ... AAAOM takes steps to right its course ... MD and DO groups push back against IOM-Robert Wood Johnson Foundation report promoting independent practice by nurses ... Homeopathic accreditation agency changes name to Accreditation Commission for Homeopathic Education in North America  ... Herbal organization appoints integrative media leader Frank Lampe to communications post ... Data on growth of the National Acupuncture Detoxification Association ... More

February 16, 2011

Jaded by Past NIH NCCAM Priorities? For Clinicians, New Strategic Plan Worth 2nd Look

Strategic Objective #3 of the 2011-2015 plan from the NIH National Center for Complementary and Alternative Medicine reads: "Increase understanding of 'real world' patterns and outcomes of CAM use and its integration into health care and health promotion." Outcomes, integration and especially a health-focus are directions that many clinicians wish the agency had taken from the start. This new plan, which declares the critical importance of clinician input, is worth both a review, and a renewed commitment to closer participation in NCCAM's work. Note the fascinating decision, since the draft was issued in August, to increase from 1 to 36 the number of times the word "disciplines" is included as a unit of participation or inquiry. This is a huge addition to the products and modalities focus in NCCAM's first years. More
February 10, 2011

True North: Clinical & Cost Outcomes in Pilot on Treatment of Depressed Individuals in an Integrative Center

Integrative centers boast a good deal of promise. Benefits based on published outcomes are harder to find. Maine's True North integrative center offers a rare examination and sharing of outcomes with this retrospective examination of 80 of the center's patients who had been diagnosed with depression. Most saw only a functional medicine practitioner (MD or ARNP), some saw only a "CAM" practitioner while others saw a combination, with an average 1.8 practitioner types per patient. The center's executive director Tom Dahlborg shared patient self-report outcomes and ACP satisfaction outcomes plus cost and visit data with the Integrator. He then responded with additional details to follow up queries. All are reported here. Take a look. There are some surprises. This sharing continues True North's long-standing pattern of leadership in advancing the integrative center mode. More

February 9, 2011

Columnist Taylor Walsh Examines Worksite Wellness/Integrative Practice Cross-over Via RWJF Report

The publication by the Robert Wood Johnson Foundation of "Workplace Clinics, A Sign of Growing Employer Interest in Wellness" provided Integrator contributor Taylor Walsh with an opportunity to check in on where this employer movement is crossing over into integrative practices, and to suggest places where the integrative practice movement might connect. Walsh, a Washington, DC-based consultant, entrepreneur and writer, points to a number of potential seams of gold. Anyone capitalized to go mining? More 

Issue #84 - February 2, 201

February 2, 2011

Integrative Medicine and Integrated Health Care Round-up #40: February 2011

The Institute for Functional Medicine begins state of Florida-backed $1.2-million pilot with Tallahassee residency program ... Holistic Primary Care survey finds holistic and conventional practices converging ...  Graduates of University of  Arizona IM Fellowship struggling to establish IM practices, survey finds ... Integrative practice organizations urge additional integrative health expertise before finalizing National Prevention (and Health Promotion) Strategy ... Obama appoints acupuncturist-nurse Charlotte Rose Kerr to "integrative practitioner" slot for National Prevention Council Advisory Group  ...  No integrative health researchers named to PCORI Methodology Committee, despite Congressional intent ... Former Duke IM leader Tracy Gaudet, MD appointed to head up new national VA office ... Integrated Healthcare Policy Consortium offers policy-makers a statement relative to integrative practitioners in workforce planning ... developer Mitch Stargrove, ND, LAc named to leadership group for HRSA pharmacy initiative ... Council of Colleges of Acupuncture and Oriental Medicine publishes strategic priorities ... "Integration" used as a draw for prospective students at New York Chiropractic College ... Boucher Institute of Naturopathic Medicine seeks new president ... Philanthropic organizations invited by team Samueli-Kellogg-Ripple team to explore an integrative medicine interest group at upcoming Grantmakers in Health conference ... National College of Natural Medicine receives $1.35 million from from owners of Bob's Red Mill organic foods  ...  Integrated Chiropractic Outcomes Network created to capture real world outcomes, including health and wellness ... New Yorker article by Atul Gawande highlights role of health coaches ... Swiss government reverses, will test 5 key "CAM" practices' NCCAM may be arbiter ...  James Wheedon, DC examines possible data biasing in Medicare chiropractic demonstration project ... Peter D'Adamo to offer May 2011 Generative Medicine seminar ...  Minnesota Medicine runs Bill Manahan, MD's health reform suggestions, originally published in early 2009 in the Integrator ... More
January 30, 2011

Do Graduates of the U Ariz Fellowship Establish Integrative Medicine Practices? Survey Findings from Richard Schneider, MD

Duke Primary Care physician Richard Schneider, MD, a recent graduate of the Fellowship in Integrative Medicine at the University of Arizona Center for Integrative Medicine, found difficulties in developing an integrative medicine practice after he completed his program. He wondered if other graduates did. Schneider surveyed 27 of them. Just 23% were in integrative practices. His overall conclusion: "The results are quite encouraging, but not without caveats to the development of an IM practice." Here are Schneider's findings, plus a look at perceived barriers and areas for work to facilitate change. More

January 28, 2011

Draft National Prevention (and Health Promotion) Strategy: Samueli, IHPC, AANP, ACA, NCH, SIO, Pino, Maclean, Weeks Respond

In the short, holiday-filled time frame for responding to the National Prevention, Health Promotion and Public Health Council's draft National Prevention (and Health Promotion) Strategy, some in the integrative practice community did. All but one of the following was then sent to the Integrator. I gathered the other from the web. Included is a note from the Society for Integrative Oncology followed by submissions from the Samueli Institute, Integrated Healthcare Policy Consortium, American Chiropractic Association, American Association of Naturopathic Physicians, Nationla Center for Homeopathy, consumer leader Charles Maclean, PhD, acupuncturist Karah Pino, LAc, MAcOM, and yours truly. I conclude with a brief list of common themes, and two references to the scholarly work of Theodor Geisel. More

January 28, 2011

New Prevention Council Thumbs Nose at Congress & Public by Closing Comments on National Strategy Prior to Naming Advisory Group

A new National Health Promotion, Public Health and Prevention Council with great potential broke its Congressional mandate in its first, critically important 6 months. The Council of federal agency directors was to develop a national strategy on health promotion, public health and prevention with required input from an Advisory Group of community experts. This Group was to include "integrative health practitioners," "health coaches", work site wellness experts and others. Public comment on the strategic plan was closed in January 2011 without the Council even naming the Advisory Group, much less getting its formal advice. Can we expect this Council to fundamentally shift the paradigm toward health and wellness, as the Council promises, when community experts are, as the Integrated Healthcare Policy Consortium (IHPC) states "relegated to simply helping to implement something they were not able to frame"? More
January 17, 2011

Positive Side-Effects: Evidence of Prevention & Health Promotion via Integrative Clinical Practices from Ornish, Cherkin-Sherman, Seely-Herman & Gaby

An integrative medicine colleague challenged me on the evidence-base for arguing that integrative practices deserve to be highlighted in the National Prevention (and Health Promotion) Strategy. Here are some morsels from 2010 from Dan Cherkin-Karen Sherman, Dean Ornish and Dugald Seely-Patricia Herman and Alan Gaby. The Surgeon General and her Council would serve us all in examining these. If NIH NCCAM fully wakes to the potential societal benefit from focusing research dollars on these health-enhancing practices, we may yet have a chance to "shift the nation," as the draft Strategy declares in its first sentence, "from a focus on sickness and disease to one based on wellness and prevention." More

January 17, 2011

IHPC Offers Federal Policy Makers Guidance on "Integrative Health Practitioners" 

Federal policy makers like US Senators Bernie Sanders, Tom Harkin and Barbara Mikulski who champion integrative medicine and complementary and alternative medicine inserted the phrases "integrative health practitioners" and "integrative health care" in various places in the 2010 Affordable Care Act, including workforce planning. But what exactly did they mean with these terms? The law is not clear. The Integrated Healthcare Policy Consortium (IHPC), the multidisciplinary lobbying group, set up a task force to create a definition in September 2010. On January 13, 2011, IHPC issued a press release entitled "Policy Statement on the National Healthcare Workforce in an Era of Integration." In it, they offer a definition. IHPC's policy statement and the definition are printed here in full. I add commentary. Do you agree with this approach? More

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