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
Chinese Herb Strategy at the Cleveland Clinic: Insights from Jamie Starkey, LAc, Program Director PDF Print E-mail
Written by John Weeks   

The Chinese Herb Strategy at the Cleveland Clinic: Insights from Jamie Starkey, LAc, Program Manager

Image
Pioneering Chinese herb clinic
I recently spoke with Jamie Starkey, LAc on the widely reported Chinese herb program she had the lead in founding at the Cleveland Clinic. How did the team get this unique program through? While scores of hospitals and health systems have acupuncturists on staff, this appears to still be the singular Chinese herb program housed in a large medical delivery organization in the United States. The program is located in an outpatient facility. It does not serve inpatients.

Starkey spoke to the powerful support of the founding director of the Clinic's integrative medicine center, Tanya Edwards, MD, now deceased. She then reflected on her own longevity there. The half-Korean science major has intentionally built relationships at Cleveland Clinic since 1997 in multiple roles, including quality assurance on clinical research projects under skills gained through her biology degree. She believes that her comfort in Western sciences and in traditional Chinese medicine (TCM) has helped, generally, in her development of the entire TCM program there.

Image
Starkey: guided program into being
Then Starkey spoke to her strategy with the herbal products themselves. Her sense of the Clinic's patients was that they would be more likely to fulfill on their prescriptions if the herbs were delivered familiarly and time-efficiently. She admits to extrapolating from her own challenges in complying with the elaborate ritual of preparation of teas under traditional prescribing: "I was non-compliant as a patient." She knew she was looking for delivery via capsules ideally, or powders. Knowing the Cleveland Clinic culture, she assumed that more standardized forms than taking the whole raw herbs and concocting medicines would be better. She also decided early that it would be a non-starter to promote placement of a Chinese medicinal formulary onsite at the outpatient integrative medicine center. She needed another form of delivery.

Starkey began researching and speaking to possible corporate partners. The bi-coastal Crane Herb Company was suggested by a colleague. She recalls her initial connection to Crane founder and CEO Bill Egloff. She laughed: "When Bill called me back, he started to interview me. He wanted to know all about what we were doing. He was interested in our mission. He cared about our intention and plans. The other companies did not ask about this. It was unforgettable."

Image
Thoroughly vetted herb supplier
Crane, she discovered, offered a method of fulfillment that met her vision. The Clinic's herbalists could diagnose and prescribe. The orders were then filed with Crane for a "custom blended formula" that Crane would individually concoct and package. Crane used herbal granules from a Taiwanese company that was chosen "due to their superior quality," said Starkey. The look of the product mattered: "The Crane labeling is as if taking a true pharma drug. The labeling is in accordance with FDA guidelines." Crane ships out for a two-day turnaround. Starkey noted that because "we don't don't see many acute conditions," the short wait is not problematic.

Starkey underscored that in her strategy, "identifying the actual herbal product was a major concern for not only myself but physicians and pharmacists here at the clinic." The core concern was with quality: "I needed to make sure the herbal product was not contaminated with heavy metals, pesticides, and other pharma drugs." She added that accuracy of species was an additional quality concern. The decision to source from the Taiwanese company, KPC, followed discussion "with everyone on the team." She adds that Crane "uses KPC granules for all their products."

Image
Presentation on Cleveland Clinic's programs
Starkey said that the Chinese herbal clinic has thus far served over 600 patients in its first 18 months. She will be speaking on this topic on February 27, 2016 at the Integrative Healthcare Symposium as a part of a panel on the robust integrative activity at Cleveland Clinic. The other participants will be Mark Hyman, MD and Patrick Hanaway, MD, each with the Clinic's Center for Functional Medicine program, and Melissa Young, MD, director of the Cleveland Clinic's separately-located Tanya Edwards Center for Integrative Medicine, where the Chinese herbal program is housed.



Comment
: I had the opportunity to develop this IHS panel, for which I will serve as moderator and set-up guy. I look forward to hearing what they have to say. Meantime, one wonders what is lost in the translation of Chinese herbal concoction to Crane's capsuled formulations. Integration is a marriage, and any survivor in the latter institution will know that compromise, and willingness to change behaviors, are elemental to success. Starkey's strategy brought Chinese herbs and the Cleveland Clinic to the altar. Eighteen months in, something seems to be working! Kudos to Starkey and the team.

Side note: It does not hurt that Starkey appears to be a person of significant personal power. Her responsibilities with Cleveland Clinic, for instance, include effectively being on call as the acupuncturist for the Cleveland Indians baseball team, no job for a shrinking violet. Alignment of interest note: Crane Herb Company has been supportive of an organization I formerly served as executive director, the Academic Consortium for Complementary and Alternative Health Care.



< 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