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The Integrator Blog. News, Reports and Networking for the Business, Education, Policy and Practice of Integrative Medicine, CAM and Integrated Health Care. - Issues #26 and #27 - May 2007
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Issues #26 and #27 - May 2007 PDF Print E-mail
Written by John Weeks   

May 22, 2007 mailing - Issue #27

May 22, 2007

Invited Voices: The Legacy of NIH NCCAM Director Stephen Straus, MD (1947- 2007)

If one were to chose the single individual who has had the most significant influence on the evolution of the complementary and integrative medicine dialogue over the past decade, one would be hard pressed to top that of Stephen Straus, MD. Straus, who was selected to direct the NIH National Center for Complementary and Alternative Medicine when it was founded, had a profound impact on how roughly $700-million of NIH funds were spent. Straus died on May 14, 2007 following a multi-year battle with brain cancer. The Integrator invited some who knew Straus to share reflections on the man, and his tenure with NCCAM. Here is a sampling from Brian Berman, MD, Susan Folkman, PhD, Carlo Calabrese, ND, MPH, Adi Haramati, PhD, Ted Kaptchuk, OMD, Kathi Kemper, MD, MPH and, from across the Atlantic, George Lewith, MD, PhD. More ...

May 19, 2007

Your Comments:  Do the CPT and ICD Codes Fit with Integrative/Naturopathic Practices - Drs. May and Milliman Play "Stump the Chump"

Can integrative medical practices be appropriately reflected and billed using the American Medical Association's CPT codes and the ICD diagnostic codes? Or is whole-person care bastardized by jamming it into that system? This Your Comments article is a thoughtful exchange between two professionals with significant experience in 3rd party payment. Among the commentators is Bruce Milliman, ND, a member of an advisory panel to the AMA's CPT coding committee. Milliman asserts that a good deal of whole person practice can fit the CPT/ICD structure. He invited others to challenge him, saying "stump the chump."  Robert May, ND, who spent a good deal of the last decade as an executive working in complementary medicine managed care, decided to take Milliman up on the challenge. I sent May's comments to Milliman for his responses. Was the chump stumped? More ...

May 18, 2007

Education: NWHSU Pioneers Post-Doc Hospital Fellowship for LAc, NYBI Offers Multi-Disciplinary Online CME Course, AHNA and AHMA June Conferences, Nutrition Certification Diplomat Program Accredited, plus ...

The nation's first post-doc fellowship to place a licensed acupuncturist in a hospital setting is starting via an arrangement between Northwestern Health Sciences University and the Woodwinds Health Campus ... Another multi-disciplinary advance is visible through an online CME program offered through the New York Beth Israel Continuum Center for Health and Healing ...  The American Clinical Board of Nutrition achieved a key step toward legitimacy of its diplomat program via hard-won accreditation ...  The American Holistic Nurses Association and American Holistic Medical Association each hold June conventions  ... And the Prince of Wales prize expands More ...

May 17, 2007

True North: Interview with Former Medtronic CEO Bill George on Integrative Medicine and His Best-Sellers on Authentic Leadership

Bill George is known to many in the integrative medicine movement as the spouse of a powerful leader, Penny George. Penny George co-founded and served as the first president of the Bravewell Collaborative of philanthropists for integrative medicine. Bill George, as it turns out, has a resume in his own right that had something to do with  allowing the Georges to be so generous. He had a very successful tenure growing Medtronic from a $1.1 billion market value to $60+ billion during the 1990s. But what's been building his resume lately are two best-sellers on leadership which have had a high impact in the business community. The first was Authentic Leadership (2003). His 2007 exploration of these leadership themes is entitled True North. The Integrator reached Bill George for a short interview on the book, on leadership, and on what's needed in medicine. More ...

May 15, 2007

State Action: Challenge to Homeopaths in Arizona, Florida Agency Data on Massage, NDs Advance in NY, Library Services as Integration, plus

Arizona is one of 3 states licensing MD-homeopaths, but with an odd, broad law - which is now under serious review following questionable behavior from some of those licensed. The American Medical College of Homeopathy is organizing the fight to keep the law ...  The Florida Department of Health has released data from its survey of the practitioner in that state ... ND licensing advances in New York State, but may be stopped by a refusal of the New York State Medical Society to meet ... Three studies out of the California Bureau of Consumer Affairs offer a grounding in the ND scope of practice ... Higher licensing fees to practitioners in Washington to support access to evidence based practice resources from the University of Washington Health Sciences ... Plus some good resources on ND and homeopathic practice. More ...

May 15, 2007

Your Comments: Integrator FDA Report Stimulates Huge Array of Links, Thanks, Blasts and Queries

The Integrator Special Report on the FDA's Guidance for the Industry on Complementary and Alternative Medicine stimulated more response than any other Integrator article thus far. Response ranged from thanks to reprimand. Some blasted the Integrator for allowing the FDA's Phillip Chao to speak. Others credited the Integrator with bringing a modicum of reason to a hugely politicized and polarized environment. Here is a sampling of comments. I share these with Integrator readers in part to show the wildness of response, and also to bask briefly in the satisfaction of having provided a service. Thanks to the Integrator sponsors and contributors who make the work possible. More ...

May 9, 2007 mailing - Issue #26

May 9, 2007

Integrator Adviser Speaks: Levin on Whether Supplement Quality May be Influencing Clinical Outcomes 

Another recent Integrator post reports outcomes of a survey of media coverage of dietary supplements in 2006. The outcomes were not pretty for the industry. Integrator editorial adviser Michael Levin noted two recent reports, both on chondroitin, which might explain some of that negativity. Levin, who has held executive level positions for both Big Pharma and supplement companies, focuses on a Consumerlab.com quality and potency study and an efficacy study in the Annals of Internal Medicine. Is there a useful pattern emerging?More ...

May 9, 2007

Clinical/Academic: Services Offered in the Bravewell Clinical Network, Survey of Homebirth Midwifery Educators, Komen Grant to Potomac Massage Therapy Institute Serves Low-Income

  A presentation on the Bravewell Clinical Network at the recent Health Forum conference provides a window into the types of services which are offered in some of the nation's more visible, academically-affiliated integrative centers ...  Susan G. Komen Foundation stepped out of its usual pattern to make its maximum grant for community clinical services to a Potomac Massage Training Institute. The focus: services to low-income women with breast cancer ... A study published by the Midwifery Education Accreditation Council provides a snapshot into the education issues of the least known of the 5 complementary healthcare disciplines with a federally-recognized accrediting agency. Plus a note on a homebirth registry which is capturing experience of birth as a non-invasive process.More ...

May 8, 2007

Chiropractor as (Potentially) Cost-Saving PCP: What Fate the Broad-Scope Practice?

  Two months ago, a colleague in the written word, Erik Goldman, editor of Holistic Primary Care, asked if I might write up something for his journal on the idea of primary care services provided by chiropractors. What role does this broad scope practice have in chiropractic, and in healthcare reform? Goldman was particularly interested in the apparently substantial savings that were reported from an Alternative Medicine Integration Group model in which DC-PCPs were available to members of a Blue Cross of Illinois subsidiary. Here is some of what I learned about the stature of the American Academy of Chiropractic Physicians and the American Board of Chiropractic Internists. More ...

May 8, 2007

Visibility: Donna Karan Brings Glamour to Integrative Medicine, Supplements Suffer in the Media, Chiropractic Campaign 

Is there a healing power in glamour? Donna Karan is creating a huge New York City event which brings together cultural and integrative medicine luminaries and will test a postulate about whether committed glitz can rocket the integrative health movement. Who wouldn't want to be hanging out with Susan Sarandon, Laurie Anderson, Annie Liebowitz and Uma Thurman? But alas, while integrative medicine may be arriving as a glamour do, the distinct CAM disciplines appear to remain a glamour don't ... Meantime, in more familiar trenches, an analysis by the Dietary Supplement Education Alliance shows a negative trend in media reports on supplements ... The high-end PR campaign of the Foundation for Chiropractic Progress - which successfully brought the ICA and ACA into one tent - moves forward with a little unifying glitz of its own, former Stanford University gymnast and Ms. Fitness USA Sara Harding. More ...

May 3, 2007

The Business Case for Hospital Integration: Some Perspectives from the 5th Annual AHA/Health Forum Conference 

The attendance at the Health Forum/American Hospital Association's annual conference, Integrative Medicine for Healthcare Organizations, jumped 58% this year, from 160 to 260. These attended a meeting which recognized that mission alone can only move hospital integration of complementary and alternative services so far. What is needed is a business case to support the integration. This year Health Forum partnered with the Samueli Institute, which has establishing the business case as a core goal. Here are some perspectives on money and integration which came forward at the meeting ... including a health system CEO's perspective that we may need a government mandate. More ...

April 23, 2007

Integrator Special Report: The FDA's Guidance on CAM - What is the Appropriate Response?

In recent weeks, a growing crescendo of concerned queries reached the Integrator about the US Food and Drug Administration (FDA) document entitled Guidance for Industry on Complementary and Alternative Medicine Products and Their Regulation by the Food and Drug Administration. Is the FDA really trying to squelch health freedoms, stamp out dietary supplements, put alternative therapies and natural health care under the control of allopathic doctors and harm religious practices? Are these claims grounded? Others ask: What does the FDA Guidance really mean? Here is an attempt through a score of interviews with concerned parties, the FDA, flame throwers, and numerous legal and policy experts, to get to the bottom of these claims and counter claims. More ...

April 20, 2007

The FDA's CAM Guidance: Interview with FDA's Co-Author and Senior Scientific Adviser Philip Chao

  The February 27, 2007 Federal Register informing the public that the Food and Drug Administration was issuing a Guidance document on complementary and alternative medicine. The issuance has caused a furor on the internet and among the natural health and integrative medicine community. What's up? Over 90,000 protest messages, to one account, have been received by the FDA. In the eye of the storm is on Philip Chao, senior scientific advisor for the FDA and a co-author of the FDA's Guidance document. I queried Chao on three separate occasions about questions on the Guidance raised by both level-headed observers, and some who are well over into the hysterical. Here is a composite of those Integrator interviews with Chao. More ...

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