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The Integrator - Integrative Medicine and Complementary and Alternative Medicine News July-Aug 2011 |
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Written by John Weeks
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Issues #90-#91 - July-August 2011
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Issue
#91 - September 13, 2011
September 12, 2011
American
Hospital Association/Samueli Institute find growth in hospital CAM use
... Allina group shows health workers use CAM more than typical
consumers ... Consumer Reports finds high use of CAM, high value for
chiropractic, massage, yoga ... Dr. Rogers' Prize symposium September 23
focuses on integrative centers ... Blog strategy for business
enhancement explored by Glenn Sabin via FON Therapeutics ... Significant
integrative center activity noted via Google Alerts ... Naparastek on
getting coverage for mind-body interventions ... Inc. 5000 fastest
growing includes Standard Process, American Specialty Health, GNC,
Massage Envy, others ... Alternative Medicine re-launched ...
"Distinction Track" in integrative medicine approved at U Arizona ...
Tai Sophia find quick uptake of Masters in Nutrition program ... Bastyr
University's California campus to be near Scripps in San Diego ...
Chiropractors produce white paper on their role in patient centered
medical homes (PCMH) ... Work to set standards for health coaches
advances ... International Association of Yoga Therapists completes "hat
trick" with $30,000 NCCAM grant ... Team led by Steven Stumph, Ed
collates report on acupuncturist income and debt ... International
Research Congress on Integrative Medicine and Health opens website,
online program applications ... Association of Chiropractic Colleges
announces March 2011 meeting ... Tracy Gaudet, MD's's view featured in
Modern Healthcare video ... Guru Sandesh Khalsa, ND selected as Boucher
Institute president ... Oldest university in the West to offer CAM course with Paolo Roberti Di Sarsina, MD ... Society for Integrative Oncology seeks first
executive director ... Palmer Colleges seeks 2 research faculty... More
September 7, 2011
Two reports this summer have given "alternative treatments" and "CAM" their most significant media attention in years. Consumer Reports surveyed 45,000 and examined use for 11 common conditions. This Integrator culls
data relative to which treatments for which conditions "helped a lot"
relative to prescription drugs and OTCs. Just after the Consumer Reports
wave of coverage, a team linked from Allina Hospitals & Clinics,
the Penny George Institute and U Minnesota reported findings of
complementary and alternative medicine (CAM) use by healthcare workers.
The authors anticipate what they discovered will have significant,
positive implications for the integrative care movement. More
September 1, 2011
I spent a better part of the
week of August 15, 2011 with the naturopathic profession at their annual
conference and related meetings. This report includes 11 short selections
including: Jeffrey Smith's anti-GMO talk; Rick Kirschner's ideas from
Dr. Oz on the profession's branding strategy; perspectives from Ian
Coulter and nurse anesthetist Lorraine Jordan at the Science and Policy
Summit; concerns relative to perceived boundaries between the profession
and the products industry; outcomes of an exemplary whole practice
research project on Group Health members with Type 2 diabetes;
resignation of executive director Karen Howard, the voice of the
profession for a decade; Bruce Milliman and the lack of position papers
from the AANP House of Delegates; winners of annual awards; Letitia
Watrous and applying the therapeutic order to pharmacy hours; and a coda
for naturopathic students on what the profession may bring to the
nation's integrative medicine movement. More
August 31, 2011
Toss a switch at Google
Alerts and you you can witness the proliferation of integrative medicine
and alternative medicine initiatives and coverage. Since August 3,
2011, Google has sent me updates for "Integrative medicine" and
"alternative medicine." The results are astonishing. I include a
selection of 40 links - 20 from as many hospital-based integrative
clinics. The level of activity got me thinking about the optimal role
for the Integrator. I include some thoughts. Thanks to adviser Glenn Sabin for teaching this troglodyte about this exceptional service. More
August 24, 2011
The Samueli Institute
hosts an open reception on October 4, 2011 to mark its first productive
decade. The Institute, funded by Susan and Henry Samueli and led by
Wayne Jonas, is the integrative medicine leader in 3 significant areas. From
time-to-time I have had a chance to serve the Institute as an unpaid
outside adviser. Here is a reflection, especially on the tension between
exploring mechanistic science and moving real world practice.
Originally named the Samueli Institute for Information Biology, the
Institute played a key role on Obama's top wellness initiative. Included
are the Institute's 20 Success Measures for 2021. What do you think of
these measures? More
August 28, 2011
The
stories of patients arriving at doors of
integrative practitioner offices with avoidance of prescriptions as
their
motivation are legion. In an earlier column, Stephen Bolles, DC
challenged the move of credit rating firm FICO into drug adherence
monitoring in part for its failure to appreciate what may be called
positive non-adherence. In this exchange, Integrator columnist
Michael Levin notes the substantial estimates of harm from
non-adherence. His take is friendlier toward FICO's intent. Bolles
responds, and Levin replies. It's a complicated exchange in which
paradigms collide. I add a couple comments. More
August 8, 2011
The Susan Samueli Center
at UC Irvine is the lesser known, alongside the Samueli Institute, of
the 2 major projects in integrative medicine that philanthropists Susan
and Henry Samueli have backed. The Center, at UC Irvine, includes a
world-leading acupuncture-cardiology research operation, education
initiatives and, since 2008, an off campus integrative medicine clinic.
This report on the Center is based on interviews with director John
Longhurst, MD, PhD, medical director Wadie Najm, MD, MEd and associate
director Laurie Macauley. The center is a microcosm of the
research-centered or patient-centered duality that, for better and for
worse, is at the heart of the evolution of integrative medicine. Here is
a report, plus some reflections on the duality. More
Issue
#90 - August 3, 2011August 2, 2011
PCORI seeks input on
definition of patient-centered outcomes research ... Bill would allow
payment for supplements under Health Savings Accounts ... NCCAM-funded
team explores role of CAM practitioners in Accountable Care
Organizations ... Homebirth midwives in gains with CMS ... Glenn
Sabin/FON Therapeutics offer marketing white paper on integrative
center marketing ... Adam Perlman chosen to head Duke Integrative
Medicine ... Greenwich Hospital terminates integrative medicine program
... Cancer Treatment Centers of American approved for 4th integrative
cancer hospital in Atlanta ... Spa 4 the Pink charity links with
Colorado integrative medicine center ... Denver Nuggets coach George
Karl stumps for integrative
medicine ... American Holistic Medical Association renews focus on
healing the healer ... Yoga therapists present draft educational
standards ... Massage organization lists institutional relationships
with key health care relationships ... Integrated Healthcare Policy
Consortium gains new Partners in Health ... Chiropractors focus on
primary care in September conference ... Midwifery accreditation group
seeks executive director ... Medscape stimulates dialogue on whether
"CAM is a scam" ... Medical school consortium promotes October 2011
one-day research symposium and major May 2012 conference ... Holistic Primary Care offers 3rd Heal Thy Practice conference ... In Memoriam:
Konrad Kail, ND ... Edzard Ernst leaves Exeter post early ... Clem
Bezold, PhD honored with lifetime award by futurist group ... ACCAHC
adviser John Gilbert, PhD named to Order of Canada More
July 30, 2011
Konrad Kail, PA, ND was a leader in the re-birth of the naturopathic medical profession, and, as such, in the re-emergence of natural health care in US medical delivery. He died
on July 18, 2011. Kail's appetite for leadership was immense. His
roles: president of his national association; awarded in-office
researcher; state licensing board chair; NIH NCCAM adviser; managed
naturopathic
care entrepreneur; 25-year clinician; product formulator; doctor to a
national ultimate Frisbee championship team; and board chair for a
naturopathic medical college. From 1990-1992, Kail was a very close
colleague of mine in
a critical period in my professional life. We worked hard
and played hard together. Here are my own remembrances plus some links
to those in Holistic Primary Care and elsewhere. More
July 26, 2011
Correction: Dr. Roger
Rogers after whom the Dr. Rogers Prize is named is alive ... Bill
Manahan, MD on pain treatment, CAM and the IOM pain blueprint ... Janet
Kahn, PhD on key Integrated Healthcare Policy Consortium language in the
National Prevention Strategy ... Ann Fonfa comments on sham acupuncture
in the IOM blueprint ... Jean Keating, PharmD speaks up for independent
pharmacists ... Glenn Sabin offers an informed patient's view on
Freedman's Atlantic article ... Jim Winterstein, DC speaks to a value in the term "alternative medicine" ... Jennifer
Olejownik, PhD on the current state of integration ... Chris Foley, MD
and Stephen Bolles, DC on "patient-centered care" and "code-centered
care" ... Michael Levin of Health Business Strategies on the
characteristics of Primary Care 2025 ... Lon Jones, DO and Common Sense
Medicine weigh in on the future of primary care ... Lisa Rohleder, LAc
offers a useful rant against protective guild behavior More
July 21, 2011
A recent national "blueprint" on pain from the Institute of Medicine and national "plan" for health and wellness from the National
Prevention,
Health Promotion and Public Health Council were not only laced with
references to "complementary and alternative medicine" and integrative
practice. They each describe these once
outsider approaches in terms that very nearly define "patient-centered
care." Now the outside is inside. This column explores the need for a new
cadre of guild-neutral leaders to take advantage of the new
opportunities for advancing integrative practice in the delivery
system. More
July 19, 2011
The National
Prevention, Health Promotion and Integrative Health Council established
under the Obama-Pelosi Affordable Care Act mandated development of a whole
system approach to prevention and health promotion. The law highlighted the new concept of
"integrative health." Lawmakers mandated the inclusion of integrative practitioners in the Council's Advisory Group. In June 2011, the Council published the National Prevention Strategy: America's Plan for Better Health and Wellness. "Integrative
health" merited a single, undefined mention. Complementary and
alternative medicine was mentioned 4 times. Massage, spinal
manipulation and acupuncture each were mentioned once. Zero reference
was made toward any other related modalities, disciplines or systems.
This Integrator Resource includes all direct references to
"integrative health" and related modalities and disciplines with the
location of each in the document. More
July 17, 2011
FICO, the company that is known for monitoring credit
scores, has a new line of business: creating consumer "medication
adherence scores." In this article, Stephen Bolles, DC points out that what FICO may register negatively as "non-compliance" is actually a consumer's proactive choice of an alternative practitioner. Bolles
expresses his dismay at FICO's reductive approach to an extremely
complex issue then begins to point a way toward better clarity. He
suggests the need for a "registry" of those who are non-compliant and
healthier thanks to an integrative practice or practitioner. Bolles, who
now heads a new initative called Consumer Health Union, is a former
director of a consumer initiative for UnitedHealth. Here is Bolles'
insightful article on the apparently unforeseen aspects of FICO's new
business venture. More
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