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Integrative Medicine, Complementary and Alternative Medicine and Health Round-up #71: September 2013 PDF Print E-mail
Written by John Weeks   

Integrative Medicine, Complementary and Alternative Medicine and Health Round-up #71: September 2013

-PARCA coalition sends letter to oppose removal of "non-discrimination" clause from the Affordable Care Act
-Integrative MD leader Delia Chiaramonte in key role in Maryland win for chiropractors on manipulating children
-Getting into the Nation's team-care movement: HRSA-funded Center opens website and invites participation

-NCCAM's Briggs calls for "more nuanced" conversation about complementary and integrative medicine in JAMA editorial
-American Journal of Medicine features positive review of integrative medicine from Sierpina and Dalen
Academic Health and Medicine
-Chiropractor Joe Brimhall, DC, elected to chair the Northwest Commission on Colleges and Universities
-Incoming Parker University president Brian McAulay, PhD turns the ritual of investiture into a dedication to community service
Business and Economics
-American Specialty Health to move corporate headquarters to Indiana
-Former Alliance for Natural Health chair Sherri Tenpenny, DO in critical position at work with Fortune 250 firm Parker-Hannifin
-Standard Process in new engagement with the acupuncture and Oriental medicine community
-Sabin on Steps to Negotiating Integrative Medicine in Institutional Settings
-Bravewell Collaborative extends its sun-setting to 2015, declares legacy projects
-Society for Integrative Oncology publishes paper on integrating top10 supplements into cancer care
-Massage Therapy Foundation publishes free e-book on pediatric massage
Bravewell's Mack: legacy projects

-American Massage Therapy Association explains its watch-and-see role toward non-discrimination/Section 2706
-Naturopathic professional organization sponsors "Naturopathic Medicine Week," October 7-13, 2013
-Cochrane review paper boosts care from midwives: happier Moms, fewer adverse effects
Creating Health and Health Coaching
-Mayo Clinic innovation leader speak of "creating health" as medicine's goal
-Health coaching the subject of exceptional series in Global Advances in Health and Medicine
-Role of integrative nurses in health coaching featured
-Jeffrey Feldman, PhD the new director of the Wake Forest Baptist Health Center for Integrative Medicine
-Award-winning film producer Kevin Miller seeking crowd sourcing to complete Letters from Generation RX
-Georgetown's Hakima Amri, Marc Miccozi and Mones Abu-Asab team for translation of 1000 year-old  Avicenna's Medicine
publisher-editor John Weeks' commencement talk to integrative health and medicine graduates


Upton: chair of key committee
PARCA coalition sends letter to oppose removal of "non-discrimination" clause from the Affordable Care Act

The Patient's Access to Responsible Care Alliance (PARCA) has sent a letter to Congressmen Fred Upton (R-MI) and Henry Waxman (D-CA) to register PARCA's strong opposition to H.B. 2817. The bill was introduced by a coalition of MD specialty organizations to remove the non-discrimination clause, Section 2706, from the Affordable Care Act. The bill is disingenuously entitled "Protect Patient Access to Quality Health Professionals Act of 2013." PARCA argues, in part, that "limiting patient access to and choice of qualified, licensed and certified non-MD/DO health care providers as H.R. 2817 intends, would further reduce competition and concentrate market share and economic benefit into the hands of select providers -a misguided policy that would increase costs for consumers and the delivery system as a whole."

The PARCA coalition comprises the American Academy of Audiology, American Association of Nurse Practitioners, American Association of Nurse Anesthetists, American Chiropractic Association, American College of Nurse Midwives, American Occupational Therapy Association, American Optometric Association, American Physical Therapy Association, American Podiatric Medical Association, American Psychological Association, American Speech-Language-Hearing Association, National Association of Clinical Nurse Specialists, and the National Association of Pediatric Nurse Practitioners.

Waxman: minority leader
: These professions used to be called "allied health providers." Ever since the American Medical Association's Scope of Practice Partnership was created in 2006 to beat back and corral these "allies" into ever smaller corners of turf so as not to threaten medical hegemony, the set of disciplines should perhaps  be better characterized as "non-aligned health professions." Witness the recent Cochrane review on the better outcomes from midwives over that of obstetricians, reported under Professions, this Round-up. The American College of Nurse Midwives are part of PARCA. Take a guess if the medical OB-Gyn's organization is a supporters of 2817. There is a good reason that it has taken organized medicine 100 years to begin to organize itself around the values of better patient experience, enhanced population outcomes and lower cost. The values can be unfriendly to their interests. (The group backing 2817 is family doctors, ophthalmologists, dermatologists, anesthesiologist, plastic surgeons, otolaryngologists and yes, obstetricians.)

Chiaramonte: collegial support of chiropractors
Integrative MD leader Delia Chiaramonte in key role in Maryland win for chiropractors on manipulating children

The American Chiropractic Association (ACA) recently celebrated an important win for the field in the state of Maryland. The September 5, 2013 ACA e-news prefaced their comments this way: "Despite past advocacy efforts by the ACA and the profession, CareFirst Blue Cross Blue Shield (CareFirst) has had a long-standing policy against pediatric spinal manipulation." Then: "However, thanks to the persistent efforts of many, CareFirst recently changed its policy on spinal manipulation by removing any 'limitations related to age.' This is a significant step forward for DCs in Maryland, Virginia and the District of Columbia." The new policy went into effect July 22, and CareFirst has stated that any existing contracts with pediatric manipulation restrictions will be changed to reflect the new policy. Among those thanked was Delia Chiaramonte, MD, an integrative medicine leader at the University of Maryland Program in Integrative Medicine. Contacted by the Integrator about her role, Chiaramonte responded via e-mail: "My chiropractic colleagues thought it might be helpful to include a physician champion in the discussions with CareFirst's medical director. I was happy to help and am pleased with the outcome."

Comment: A simple, good news article, of mutual respect and collaboration. This follows a series of other advances for chiropractic doctors that I document in this recent piece: Chiropractic Doctors Hit a Trifecta in Move for "Cultural Authority". Nice work, Dr. Chiaramonte.
Brandt: inviting participation
Getting into the Nation's team-care movement: HRSA-funded Center opens website and invites participation

A recent post from Barbara Brandt, PhD, director of the National Center for Interprofessional Practice and Education (NCIPE) announced the opening of the Center's website - The site notes that the Center "is the only such organization in the United States, designated by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services as the sole center to provide leadership, scholarship, evidence, coordination and national visibility to advance interprofessional education and practice as a viable and efficient health care delivery model." The Resource Exchange invites contributions from all interested in the subject area. Individuals and organizations are invited to create profiles and engage in forums. The Center is fueled with $4-million from the US Health Resources Services Administration and $8.1-million from four foundations. The project is presently funded for 5 years.

Comment: I just signed up, personally, and will soon be signing up the organization with which I am affiliated and posting some documents that will be useful to the field. Only roughly 150 people have yet signed up. (I saw the name of one registrant who is of a naturopathic physician I know, Dhai Barr, ND.) This is the big round table for convening that many have dreamed about for years. As George Thibault, MD, CEO with Center-funder the Josiah Macy Jr. Foundation said at a related Institute of Medicine meeting, US health care needs to "widen the circle" of players who can be helpful. (See Widening the Circle: ACCAHC Report from the 1st IOM Global Forum on Interprofessional Education.) Get in the game!


Killen: co-author on the JAMA viewpoint
NCCAM's Briggs calls for "more nuanced" conversation about complementary and integrative medicine in JAMA editorial

In a prominent editorial in the Journal of the American Medical Association, Josephine Briggs, MD has called for a "more nuanced conversation" from the scientific community regarding the potential value of complementary, alternative and integrative medicine. Briggs, the director of the NIH National Center for Complementary and Alternative Medicine, co-authored the piece, blandly entitled "Perspectives on Complementary and Alternative Medicine Research," with her long-time deputy, Jack Killen, MD. They review the agency's work since 1999, ticking off the main areas of positive and negative findings. They note the inclusion of mind-body, acupuncture and other therapies in guidelines of major conventional organizations. The accomplishments are book-ended by strong pitches for a more "nuanced conversation" about the therapies and practitioners NCCAM is charged to explore. The push for a "more fresh, nuanced and more balanced conversation," as she states in an accompanying You-Tube video, is repeated three times.

Platform to shift the dialogue
: Well done, Drs. Briggs and Killen! Of course the anti-CAM/IM polarizers, those Bulls in the Science Shop, immediately responded with a reiteration that "the vast majority of CAM is pure quackery." Briggs and Killen make their points well. The clear goal is marginalizing these birthers who just won't take positive evidence as an answer. I honor the restraint shown by Briggs and Killen. At a time when the revolution in medicine requires a move toward "creating health" rather than delivering procedures (see the comments from the Mayo director of innovation, this Round-up), a more appropriate response to these mainly men but some women behaving like little boys and girls might be the Maoist prescription of sending them to the countryside for re-education. But then that is hardly the spirit of integration, is it? Good for JAMA, which recently included various CAM approaches in its consumer site on non-pharmacological approaches to pain, for providing the platform. One small step for humankind. For additional perspective on "balance" in this dialogue, see this somewhat gratuitous positioning statement from the British Journal of Complementary and Alternative Medicine.

Sierpina: visibility for integrative medicine
American Journal of Medicine features positive review of integrative medicine from Sierpina and Dalen

University of Texas integrative medicine leader Victor Sierpina, MD, a former chair of the Consortium of Academic Health Centers for Integrative, and James Dalen, MD, a leader in the establishment of the University of Arizona integrative medicine program, co-authored an opinion piece called "The Future of Integrative Medicine" in The American Journal of Medicine, June 13, 2013. The authors have an inclusive approach to who might be an integrative medicine practitioner: "More and more patients seek integrative medicine practitioners. By 2007, approximately 40% of adult Americans and 12% of children were using some form of alternative therapies compared with 33% in 1991." The focus then shifts to developments in MD integrative medicine and concludes: "Now on the horizon is a more pluralistic, pragmatic approach to medicine that is patient-centered, that offers the broadest range of potential therapies, and that advocates not only the holistic treatment of disease but also prevention, health, and wellness."

Comment: Must have been a double whammy for the anti-CAM/IM Bulls in the Science Shop to see this flattering, supportive view of the advance of integrative medicine just months before the JAMA decision to publish the Briggs-Killen piece.

Academic Health and Medicine

Brimhall: first for a chiropractic educator
Chiropractor Joe Brimhall, DC, elected to chair the Northwest Commission on Colleges and Universities

In a remarkable act of respect for an academic leader in chiropractic and integrative health, the Northwest Commission on Colleges and Universities (NWCCU) has elected Joe Brimhall, DC, to its chair. Brimhall is a former integrative-oriented clinician from Utah who first became involved in academics as a licensing board representative to the Council on Chiropractic Education (CCE). Brimhall currently serves as president of University of Western States, the Portland, Oregon institution which was Western States Chiropractic College when he came on board. A release from the University notes that Brimhall has also served as chairman of the NWCCU Commission on Accreditation, as president of the CCE, as president of the Councils on Chiropractic Education International. In addition, Brimhall is a founding director of the Oregon Collaborative for Integrative Medicine and serves on the executive committee of the Academic Consortium for Complementary and Alternative Health Care.

Comment: Shortly after submitting a column last month entitled Chiropractic Doctors Hit a Trifecta in Move for "Cultural Authority" it occurred to me that Brimhall's election would have been a perfect coda. My thesis was that, ultimately, cultural authority does not come from doing things for one's own field. Rather, such authority comes from gaining respect for service in the common good. Brimhall's election is just such an acknowledgement. He is not only the first chair of a regional accrediting body from the integrative health disciplines. To my knowledge and his - I asked him - he is and was the first commissioner. The election is a big deal, in the scheme of things.

McAulay: re-purposing investiture
Incoming Parker University president Brian McAulay, PhD turns the ritual of investiture into a dedication to community service

Investiture, the formal ritual for conferring presidential authority in the academic environment, dates make to medieval times. In a letter to the Parker University and broader chiropractic community on August 26, 2013, Parker's incoming president Brian McAulay, PhD announced a significant shift. Wrote McAulay: "With the time approaching to plan my investiture, I knew I wanted to do something a little different." Then: "Rather than mark my formal investiture with a week of speeches, gowns, and perfunctory applause, I thought it would be more representative of Parker's vision and the vision of my own presidency to mark the occasion with service, compassion, and hands-on philanthropy." McAulay then invited everyone to join him on September 20, 2013, when "the entire Parker community will join together for the inauguration of Parker Serves, an annual event we are thrilled to launch as I formalize my tenure as President of this incredible institution." Among project targeted: hunger action, nature beautification, youth services, and free adjustments for "men women and families who lack adequate food and shelter."

Comment: With this start, one looks forward to other evidence of McAulay's vision for his presidency. A former vice president at LIFE University, McAulay is also the incoming president of the Association of Chiropractic Colleges. 

Business and Economics

DeVries: moving headquarters
American Specialty Health to move corporate headquarters to Indiana

The $240-million American Specialty Health, which began in the garage of founder and chair CEO George DeVries as a managed chiropractic network, has announced that it is moving its corporate headquarters from San Diego to Indiana. Favorable tax laws and proximity to its national market figure high among the reasons for the translocation. The firm, which presently employs over 1000 people, will continue to have a San Diego office. The day before the announcement, the firm sent a release that Inc. 5000 Names American Specialty Health Among America's Fastest-Growing Private Companies for Fifth Consecutive Year. The firm's revenue grew from $158-million in 2009 to $218-million in 2012. From the release on the move, revenue appears to jump to upwards of $240-million in 2013.

Comment: ASH is the house that covered chiropractic in California built. It would be nice if DeVries would wake up one morning and decide that it's time to give back. However, it was never about values or the movement for this CEO. When DeVries recognized a legal loop-hole 15 years ago to effectively sequester for his company roughly $7-million that a court of justice (versus a court of law) would have had him redistribute to chiropractors in his state, he took the money to fuel ASH's national expansion. The move to Indiana evidences the same, unsentimental, all-business perspective. Perhaps one day, DeVries will convene the right group of people to get things right with his karma and figure best use for investing $7-million, for cause, rather than for aggrandizement. 

Tenpenny: key role at Parker Hannifin
Former Alliance for Natural Health chair Sherri Tenpenny, DO in critical position at work with Fortune 250 firm Parker-Hannifin

What if a Fortune 250 corporation discovers huge savings via a Libertarian's idea of access to covered complementary and integrative medicine services? What if such a pilot is engaged and the initiative ends up costing a boat-load with little health to show for it? Sitting in the powerful and likely nerve-wracking role of fashioning such a pilot for the last two years is author, clinician and integrative medicine leader Sherri Tenpenny, DO, ABIHMO. The corporation is the $13-billion manufacturer Parker Hannifin. The multinational has declared a wide open Wellness and Preventive Medicine Program. Given how imbedded are old ways, the fiefdoms of benefits managers, the near illiteracy of information systems, and barriers from HIPAA, the challenges Tenpenny and her colleagues face is no less than the hero's charge to pull the sword from a stone. At the same time, the influence of well-researched outcomes could be more profound than any single research project in the United States relative to advancing integrative care. An article focusing on the Parker-Hannafin benefit is here: CFO Magazine Urges Fortune 500 Firms to Explore Cost Savings Via Alternative and Integrative Medicine.

Funding AOM scholarships
Standard Process in new engagement with the acupuncture and Oriental medicine community

For many years, whole foods supplement manufacturer Standard Process has provided scholarships to selected chiropractic students and significant grants to the field's educational institutions. The firm announced on August 26, 2013 that it is beginning a similar program for acupuncture and Oriental medicine students. They position these as "part of its long-term initiative to support future health care professionals" and, more specifically, the firm's "dedication to supporting the growth of acupuncture in the United States." The first awardees were Kristin Hauser, a student in the College of Acupuncture and Oriental Medicine at Southern California University of Health Sciences and Erika Schultz from the Austin, Texas AOMA Graduate School of Integrative Medicine (AOMA). States Amanda Smith, Standard Process' acupuncture segment manager: "Standard Process is committed to the future of acupuncture and its professionals."

Comment: An interesting new direction for one of the most powerful and strategic corporate players in the supplement industry.

Sabin: 8 steps
Sabin on Steps to Negotiating Integrative Medicine in Institutional Settings

I recently shared with integrative clinic consultant Glen Sabin a practical column from acupuncturist Christian Nix on what licensed acupuncturists should and should not do to open doors to health system jobs. Sabin used this as a launch for his own column to his target audience: "8 steps to Negotiating Integrative Medicine within Institutional Settings." Sabin first offers a pithy summary of Nix's Ten Cardinal Sins Acupuncturists Make (such as "don't make upfront assumptions about the 'deciders'; learn their needs and challenges, ask the right questions and do lots of listening") then launches his own list. Sabin turns to such topics as the opportunities under accountable care, and a charge to "Focus on the Bigger Economics and Opportunities."


Announces legacy projects
Bravewell Collaborative extends its sun-setting to 2015, declares legacy projects

A July 12, 2013 letter to donors and supporters of the Bravewell Collaborative of philanthropists for integrative medicine announced that the generative organization is extending its planned sun-setting to 2015 from 2013. The letter, from co-founder and chair Christy Mack, was principally an invitation to its November 7, 2013 final gala in New York City. Mack also noted that "in the next several years, Bravewell will establish a Leadership Program in Integrative Healthcare at Duke University so that a new generation of transformative leaders will continue to improve our nation's health through integrative medicine." In addition, according to Mack, Bravewell will "create PRIMIER, a national data registry that will collect and record patient-reported outcomes, provider assessments and common medical record information, making it possible to document the full potential of Integrative Medicine."  

Comment: The leadership program is at Mack's own philanthropic base for integrative giving, Duke Integrative Medicine, where it will be headed by the immensely capable duo of Adam Perlman, MD, MPH and Annie Nedrow, MD, MBA. Notably, it's a program not in leadership in integrative medicine but instead puts the accent on health care. The term is more inclusive, as many pointed out at the Bravewell-funded 2009 IOM Summit on Integrative Medicine. (The letter does not make clear what disciplines the Bravewell program will allow attendance, other than medical doctors. Nurses? Naturopathic doctors? Chiropractic doctors? The naming as "integrative healthcare" also appropriately highlights the end goal, which is not medicine but health. The two initiatives appear to be great legacy projects for the Bravewell group, in line with their past pattern of strategic investment. The only question is whether what appeared to be a clean, Michael Jordan-like retirement, at the top of their game, will turn into a, well, Michael Jordan-like inability to leave the court. The legacy projects suggest we should welcome them sticking around.

Publishes on supplements in cancer care
Society for Integrative Oncology publishes paper on integrating top10 supplements into cancer care

This FON Therapeutics posting from integrative oncology consultant Glenn Sabin shares that an open access "seminal paper on Integrative Dietary Supplements into Cancer Care will be published in the October/November 2013 edition of SAGE's Integrative Cancer Therapies." The publication is free for download here during September 2013. The author team was led by Moshe Frankel, MD who will present on the subject at the upcoming 10th annual International Conference of the Society for Integrative Oncology, in Vancouver, BC, October 20-22, 2013.
Publishes on pediatric massage
Massage Therapy Foundation publishes free e-book on pediatric massage

The Massage Therapy Foundation has announced publication of a free e-book entitled Pediatric Massage: A Massage Therapists Guide to Getting Started. The 26 page book was created by Tina Allen, LMT, CPMMT, CPMT, CIMT, founder of a leading, children's health and nurturing touch organization Liddle KidzTM Foundation. Subheads in the text include such practical themes as "permission," "pressure," "pace", "positioning" and "parents." The text goes on to explore the various setting for delivering the care.

Comment: The Massage Therapy Foundation continues to produce useful meetings, products and tools to serve their constituency. Fun to see this come out in the same month that the chiropractors earned back their right to adjust children in the state of Maryland. (See under Policy, this Round-up.)


Massage group shares 2706 strategy
American Massage Therapy Association explains its watch-and-see role toward non-discrimination/Section 2706

When a colleague shared dismay over what she views as an inactive role of the American Massage Therapy Association (AMTA) relative to the organizing work in the battle over the interpretation of "non-discrimination in health care", I sent a query to Chris Studebaker, AMTA's director of government and industry relations. Studebaker sent the official position statement: AMTA's Approach to the Affordable Care Act. The statement characterizes AMTA's work as maintaining and developing relationships relative to key player in Congress and the broader community in a "practical and systematic way." AMTA president Winona Bontrager states: "Many of us have hopes and interpretations of the law that may not be realistic as it begins to take shape." The letter lays out their principles for engagement and notes that their August 2013 conference will close with a keynote panel on the topic.

Comment: A problem with the perspective articulated by Bontrager is that what is realistic is precisely a shape-shifting entity that changes as a function of the energy that different individuals and organizations put into their advocacy.  Here's hoping AMTA will realize that it needs to take a stronger position of engagement for promoting what will most benefit its tens of thousands of members who are participating not just in feel-good massage but in health care payment and settings. Why not stand tall on a band-wagon for non-discrimination, in the broadest sense? Leave the warnings of too much hope to those whose interest is in dashing hope.

Resolution passes US Senate!
Naturopathic professional organization sponsors "Naturopathic Medicine Week," October 7-13, 2013 - U.S. Senate approves resolution supporting!

Late-breaking news: U.S. Senate passed
S.Res.221 on September 10, 2013 "designating the week of October 7 through October 13, 2013, as 'Naturopathic Medicine Week' to recognize the value of naturopathic medicine in providing safe, effective, and affordable health care." More next issue.

We've got International Herb Day. We have International Integrative Medicine Day. This year the American Association of Naturopathic Physicians (AANP) has decided that such a visibility strategy will fit its own purposes. The AANP will sponsor Naturopathic Medicine Week October 7-13 as a "tremendous opportunity to celebrate the profession and spread awareness of the benefits of naturopathic medicine to prospective patients, legislators, and the public." Individual doctors and organizations are urged to host events in their own communities. In a twist on such campaigns, the AANP is seeking a US Senate Resolution to establish Naturopathic Medicine Week. The organization's site notes that "S. Res. 221 has not been adopted yet but our expectations are that it will."

Comment: These are good low cost, grassroots, excuses for individual adherents and practitioners to raise a banner in their own communities. Now, let's see about that Senate resolution.

Better outcomes than obstetricians
Cochrane review paper boosts care from midwives: happier Moms, fewer adverse effects

A study reported in NewsDay adds fire to the move toward shifting care of newborns from obstetricians to midwives. According to the article, the research team engaged a systematic review for the Cochrane of 13 studies involving over 16,000 pregnant mothers. They found that "moms-to-be who turned to a small group of midwives instead of a team that included midwives as well as obstetricians and general practitioners were less likely to lose their babies before 24 weeks." They add: "In addition to being happier with the care they received, these women were also less likely to give birth prematurely, had fewer epidurals and fewer episiotomies (a surgical incision made to prevent vaginal tearing)." The Cochrane review article was published in the British Medical Journal as Midwife led care delivers best outcomes, Cochrane review finds.

Comment: What must add insult to injury is that even having obstetricians on a team with midwives led to worse outcomes. Keep ‘em out of the room, please! This supports the findings of the 2010 Future of Nursing Report from the Institute of Medicine/Robert Wood Johnson Foundation: advanced practice nurses, practicing independently, are not only safe. They have better outcomes. What part of the Triple Aim of enhancing patient experience, bettering population health and lowering individual costs is not being advanced here? As noted at the top of this Round-up, obstetricians are backing H.B. 2817 to make sure that their current discriminatory advantages over midwives continue.

Creating Health and Health Coaching

Mayo Clinic innovation leader speak of "creating health" as medicine's goal

In a special supplement to Hospitals and Health Networks, the American Hospital Association publication, Douglas Wood, MD, the director of strategy and policy at the Mayo Center for Innovation is quoted as stating: "We will realize fairly quickly that we need to change the focus of the health care industry to creating health, not just producing health care." The comment was made in "The Patient Experience: Taking It to the Next Level," a gatefold supplement to Hospitals and Health Networks, the AHA magazine, May 2013.

Comment: Finding the right language to adequately describe the distinctive intent and focus of integrative practices can be challenging. Say "prevention" and you conjure early diagnosis. Say "health promotion" and public health campaigns spring to mind. How does one adequately capture the orientation toward health in integrative care?

In 2001, with colleagues in the Integrative Medicine Industry Leadership Summit 2001, we used the term "health creation." We declared some Design Principles for Healthcare Renewal in which Principle #9 included: "The renewed healthcare system is a partnership between an expanded commitment to the public health and a thriving industry of health creation." Then in 2005, a diverse set of academic leaders across a dozen integrative health disciplines with which I had the pleasure to be involved used the term in the vision statement for our collaborative work. They envisioned a system that will "deliver effective care that is patient centered, focused on health creation and healing, and readily accessible to all populations." Interesting to see the meme coming into use by Mayo's innovation leader. Here's betting we'll see more of it. 

Riley: guiding Global Advances into key themes
Health coaching the subject of exceptional series in Global Advances in Health and Medicine

If there is a single new force in the "health creation" movement, it is the emergence of health coaches and health coaching by practitioners from many fields. Global Advances in Health and Medicine, under the direction of David Riley, MD and Michele Mittelman, RN, MPH, chose to highlight this activity in an exceptional May 2013 issue of their peer-reviewed journal. The set of articles includes Riley's opening editorial, an overview from Karen Lawson, MD on the "four pillars of health coaching," researched outcomes on a telephonic-based program, an examination of how empowerment works in the coaching environment, and even a relationship of health coaching to genomics. There's more. It's the issue for May 2013, Volume 2, Number 3.

An earlier cover
: A significant contribution of Riley's editorial leadership of Global Advances is that he is a fellow who has been ensconced in science, evidence and the movement for integrative care for better than two decades. (He may, in truth, have been the person who elevated the term "integrative medicine" from a toss-out at a conference.) Riley, and Mittelman, with whom he is partnered in the development of the journal, know the values and the discipline-neutral directions that the field needs to move to advance. This issue of Global Advances should be must reading for members of all healthcare disciplines.

Luck: promoting integrative nurse coaching
Role of integrative nurses in health coaching featured

As the movement for health coaching picked up following passage of the Affordable Care Act, in which the potential value was acknowledged, a national group began focusing on setting transdisciplinary standards. Such certification might apply to practitioners from many fields: nutrition, acupuncture, nursing, conventional medicine, chiropractic, naturopathic medicine and more. (See With Standards in the Works, Is it Time to Claim, and Certify, the Health Coach Within?) Concurrently, a group of holistic nurses led by Barbara Dossey PhD, RN, AHN-BC, FAAN, HWNC-BC and Susan Luck RN, BS, MA, HNC, CCN, HWNC-BC, began developing and promoting standards specifically for nurses. They saw in this field of 3-million plus a powerful force for coaching. A summary article by Luck on the work, the certification, the standards and training was published in August 2013 by Integrative Practitioner as The Strategic Role of Integrative Nurse Coaches in Health Care. The article includes a link to a Dossey-Luck training for  nurses at Kripalu, November 10-15, 2013.

Dossey: partnered with Luck in training program
: The idea of all disciplines jointly buying into a shared standard for health coaching has a certain appeal in this era in which we are promoting inter-professionalism and team care. A joint-standard could be unifying and also a shared assertion of the importance of health creation, a key goal of coaching. The idea is parallel to that suggested by integrative nurse leader Mary Jo Kreitzer, RN, PhD and her colleague, Elizabeth Goldblatt, PhD, MPA/HA at the Institute of Medicine in May. There they found strong support for their proposal of an interprofessional education module on self-care, health and well-being for all disciplines. (See Exogenous Factors and Shifting Terrain: Time for Integrative Health and Medicine Leaders to Show Up.) Meantime, there is no question that if a large subset of the nation's nurses could internalize health coaching, the system would be better for it. Luck and Dossey's promotion of their work in this area can be a significant influencer. 


Feldman: new leader at Wake Forest
Jeffrey Feldman, PhD the new director of the Wake Forest Baptist Health Center for Integrative Medicine

A member of the Wake Forest Baptist Health Department of Neurology, Jeffrey Feldman, PhD has been named director of the medical school's Center for Integrative Medicine.  Feldman has been acting director for the past year. He helped establish the program in 2005. He has had a particularly active role in the Center's educational efforts, according to September 4, 2013 e-newsletter. He was worked with the Student Wellness Center and chairing the advisory committee of the WFBH-Community Integrative Medicine Speaker Series. Since 2008, he has served as the WFBH representative to the Steering Committee of the Consortium of Academic Health Centers for Integrative Medicine (CAHCIM), an organization comprised of representatives from 58 academic medical centers and affiliate institutions. He has served CAHCIM as Co-Chair of the Clinical Working Group since 2011, and will join its Executive Committee in October 2013. Feldman replaces founding director Kathi Kemper, MD, who presently runs the integrative medicine program at the University of Ohio.

Miller: crowd sourcing fund for movie
Award-winning film producer Kevin Miller seeking crowd sourcing to complete Letters from Generation RX

I received a note from Kevin Miller, the internationally awarded film producer and director in which he shared that he is looking to crowd-source support of the completion of his Letters from Generation RX film project. Miller writes: "It looks like Monday, Sept 23rd will most likely be the launch date for my Indiegogo crowd-funding campaign aimed at completing my new film. With 85% of the interviews already in the can, we have only a few interviews remaining, but we need to complete editing, add graphics, music, and sound, in general." Miller has worked in the natural health space for years. His previous projects include The Promised Land, and Let Truth Be the Bias. My spouse and I donated. To do so prior to Miller's Indiegogo drive: 1) first go to this PayPal site; then 2) enter your email address in the space; and finally 3) enter Miller's email address in the appropriate box -
Amri: revitalizing a historic text
Georgetown's Hakima Amri, Marc Miccozi and Mones Abu-Asab team for translation of 1000 year-old  Avicenna's Medicine

A three person team has combined to publish a new translation of Avicenna's Medicine, which is being promoted as "the 11th-Century Canon with Practical Applications for Integrative Health Care." The authors are Mones Abu-Asab, PhD, Georgetown integrative medicine's Hakima Amri, PhD, and author-publisher Marc Micozzi, MD, PhD. A posting from Georgetown features an interview in which Amri describes how she and her colleagues "translated the first volume of the Canon into English and provided a narrative and commentaries as to how this work of wisdom provides a model for the ‘practice of truly individualized medicine.'" Says Amri: "Above all, this model of integrated, individualized medicine is both a way of thinking and a framework of practice - an art of clinical relationship between the patient and the physician that has been lost and is desperately needed today."  

Weeks: delivering NYCC commencement talk
Integrator publisher-editor John Weeks' commencement talk to integrative health and medicine graduates

This is raw self-promotion. On my fourth chance to speak at a commencement, this one to graduates of chiropractic, acupuncture and Oriental medicine, and therapeutic nutrition at  New York Chiropractic College, I seem finally, from responses, to have hit a mark. I built it around Vaclav Havel's immensely useful definition of hope: "Hope is definitely not the same thing as optimism. It is not the conviction that something will turn out well, but the certainty that something makes sense, regardless of how it turns out." All of us who work as change agents in the practice, policy and business of medicine and health have good reason to be deeply troubled from time to time. The talk is my effort to pull together the threads of good sense that can empower new graduates and sustain us. Hope you find it interesting, as published here in the Huffington-Post: The World You Are Entering: My 2013 NYCC Commencement Address to Integrative Health and Medicine Graduates.

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