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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 #76 & #77 - May-June 2010
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Issues #76 & #77 - May-June 2010 PDF Print E-mail
Written by John Weeks   

Issue #77 -July 3, 2010

July 5, 2010

Integrative Medicine and Integrated Health Care Round-up: July 2010

Integrated Healthcare Policy Consortium calls for input in next phase of national policy work for integrative care ... AMA to urge repeal of Section 2706/non-discrimination; chiropractic organization says "over our dead bodies" ... Holistic doctors offer useful review of prevention language in federal healthcare reform law ... Yoga therapy in the Navy's new medical home in Bethesda ... Naturopathic doctors as primary care boosted in publication ... Bravewell opens applications for integrative medicine fellowships, takes more control of selection ... Integrative Therapeutics-funded ND residency update ... National University of Health Sciences receives $500,000 from Standard Process ... New organization of massage educators in hopeful start with first conference, election of new Board ... Consortium of educators from licensed complementary healthcare disciplines announces top-flight Council of Advisers to help with integration strategies ... New NCCAM fact sheet on credentialing CAM practitioners ... Explore article on American Board of Integrative Holistic Medicine describes new directions for this standard-setter for integrative medical doctors ... AMA officially endorses "personalized medicine" ... Homeopathic accreditation and certification organizations organize summit to position field ... E-CAM now part of Hindawi ... NDNR reaches 5th year as key publication for NDs, other natural medicine doctors ... Information Television Network initiates new DVD series on natural health approaches ... Joyce Frye, DO reports on LIGA, the international homeopathic conference ... Philanthropist-author Bill George and Yongey Mingyur Rinpoche to co-lead conference on Mindful Leadership ... Conference on integrative pediatrics explores environmental influences ... Knowles and Hall to lead Natural Products Foundation ... Blumenthal honored by pharmacognosy group with Varro Tyler Award ... Jean Watson selected as AHNA's Holistic Nurse of 2010. More     

July 3, 2010

Quarterly Report from the Academic Consortium for Complementary and Alternative Health Care: July 2010

I split my professional life between the Integrator and related writing and the organization featured here, the Academic Consortium for Complementary and Alternative Health Care (ACCAHC). This Quarterly Report describes how the release of the Clinicians' and Educators' Desk Reference on the Licensed Complementary and Alternative Healthcare Professions is opening significant discussions about inter-professional education inside schools and universities nationwide; new developments in a dialogue with the NIH NCCAM leadership; initial Council of Advisers includes Cooper, Haramati, Jonas, Kligler, Knutson, Kreitzer, Nedrow, Perlman; document on Competencies for Optimal Practices in Integrated Environments that is expected to shape ACCAHC activity going forward developed through extensive multidisciplinary process; plus latest thinking on themes for ACCAHC's June 26-28, 2011 Conference for Educators. More

July 2, 2010

Reader Forum:  Zaidman/FBU, Howard/AANP, Sportelli/NCMIC, Rohleder/WCA and Nixdorf/BC Chiropractic Respond

Five Branches University president Ron Zaidman, MTCM, MBA supports a two-tiered training for the AOM field ... NCMIC president Lou Sportelli, DC on whether hospitals will lead healthcare's transformation ... AANP executive director Karen Howard on her organization's strategy for defining "integrative healthcare practitioner" in federal regulations ...Community Acupuncture Network co-founder Lisa Rohleder, LAc, clarifies fees, visits, income at her anchor clinic ...  BC chiropractic association director Don Nixdorf, DC on the AMA campaign to overturn 2706/non-discrimination ... Anonymous acupuncturist uses discussion of fellowships to vent opposition to short-course acupuncture by MDs, others ... More

June 26, 2010

Alert: Your Input Sought by Integrated Healthcare Policy Consortium (IHPC) on Next Steps for Federal Policy Action

Here is your chance to influence the direction of the most significant lobbying coalition working to advance integrated healthcare in federal policy. The Integrated Healthcare Policy Consortium (IHPC -www.ihpc.info) has posted a 10 question Survey Monkey poll through which they are soliciting your input. The organization, led by Janet Kahn, PhD, executive director and Len Wisneski, MD, chair, also sent a report to their e-list on their recent action to advance integrative practices and integrated treatment. One IHPC priority: lobbying specific members of the integrative practice community onto new panels established in the Obama-Pelosi healthcare overhaul bill. Here is your link to the survey and the IHPC update. Be heard! More

June 25, 2010

University of Arizona's 466 Integrative Medicine Fellows: Portrait of an Emerging Cadre of Leaders

An issue since the idea of an "integrative medical doctor" emerged 15 years ago is what exactly the term denotes. Is this an MD who recommends some meditation or an herb now and then? What is the required training to earn the title? A standard was set by Andrew Weil, MD, Victoria Maizes, MD, MPH and others when they created the Integrative Medicine Fellowship at the University of Arizona School of Medicine. The program recently survey the 466 fellows who have completed this program. Here is the profile that emerged from the 254 respondents. More

June 16, 2010

Obama's Embattled Nominee Berwick's Integrative Medicine Smarts Emblematic of Why He's Right for CMS/Medicare

Barack Obama's nomination of Don Berwick, MD, MPH as administrator of the Center for Medicare and Medicaid Services (CMS) merits the active support of the integrative practice community. Berwick became known to many in these fields through the 2009 IOM Summit where he articulated 8 "principles for integrative medicine." The Harvard professor's visibility had already soared nationally when he responded practically and ambitiously to the IOM's 2000 report on the awful extent of hospital and physician-caused deaths by organizing the successful 100,000 Lives Campaign. In 2009, personal experience led him to declare in Health Affairs his "extremist" views on the importance of truly putting patients at the center of care. Not surprisingly, the nomination of this right-man-at-the-right-time is already proving extremely contentious. Obama and Berwick may need support from every quarter when the hearings begin later this summer. Pay attention. Be heard. Berwick is a legacy choice for this moment in US healthcare. More

June 7, 2010

Prevention Provisions and Health Promotion in HR 3590/Healthcare Reform: Courtesy of AHMA

The concepts of prevention and health promotion and even a paradigm shift away from a disease orientation is at the heart of much integrative practice. Thus an article in the June 2010 issue of  the e-newsletter of the American Holistic Medicine Association (AHMA) is a useful document. Entitled simply "Prevention Provisions in HR 3590," the article notes 10 separate places where the healthcare overhaul law, the Patient Protection and Affordable Healthcare Act, touches on the subject of prevention. Following AHMA permission, I re-print the article here. While there is little here yet that embodies a progressive approach to primary prevention, many are clearly steps in the right direction. More 

June 3, 2010

Michael Levin: Opportunities for Integrative Medicine Revealed in MedCo Study of Growing Pharma Use in Children 

A disturbing new report from Medco documents the growing use of major pharmaceuticals in the treatment of children. Use with childhood chronic diseases is highlighted with a particular area of concern the drug treatment of Type 2 diabetes associated with childhood obesity. Integrator columnist Michael Levin, a healthcare consultant with Health Business Strategies, seizes on the report's recommendation that "health plans actively promote lifestyle change." Levin urges the right integrative medicine entrepreneurs to step up to a potentially lucrative business opportunity. More

Issue #76 -June 2, 2010

June 2, 2010

Integrative Medicine and Integrated Healthcare Round-up: June 2010

AMA specialists seek continued discrimination against integrative practitioners in effort to repeal Section 2706 of healthcare overhaul ... Ornish program receives penultimate boost toward full coverage from CMS/Medicare ... AANP proposes a definition of "integrative practitioner" to shape federal policy post reform .. Integrator publishes resource on the mentions of CAM/IM in the healthcare overhaul law ...  Notes on the overhaul's impact on health psychologists and LAcs from Bastyr University ... Brief comment/update on the Integrative Medicine Clinic of Santa Rosa ... Medical schools begin offering tenure to integrative medicine leaders ... College links with integrative medicine clinic to offer certificate course for "patient navigators" ... Duke's Integrative Health Coach program booked solid, certification program begins soon ... NCCAM begins publishing priorities for the 2011-2015 strategic plan, holds session on CAM and behavioral change ... Botanical sales up in 2009 to over $5-billion .. Survey finds MD knowledge of herbs remains low ... Standard Process honored for commitment to advancing integrative medicine ... Bravewell publishes 50 page booklet on integrative medicine ... Helfgott's Tippens reports socio-demographic data on clients of community acupuncture model .. Fall 2010 American Public Health Association conference will include 16 segments on alternative healthcare practices and chiropractic ...  Integrative medicine featured in Minnesota Monthly and group visits in the Denver Post ... Micozzi's pioneering Fundamentals of Complementary & Integrative Medicine textbook in 4th edition with forward from former JAMA editor George Lundberg ... Mark Hyman, MD takes role as chair of the Institute for Functional Medicine ... Integrative behavioral health leader Joseph DeNucci announces new retreat center ... More 

May 28, 2010

Battle Engaged: MD Specialists Promote Repeal of Non-Discrimination Toward Licensed Integrative Practitioners, Others, in Section 2706 of Reform Bill

The ink is hardly dry on the landmark Non-Discrimination in Health Care provision (Section 2706) of the Patient Protection and Healthcare Affordability Act, and MD specialists are pushing its repeal. Anesthesiologists and ophthalmologists have asked the AMA to initiate a major lobbying campaign at the executive, Congressional and grassroots levels. The request is framed as part of the AMA's ongoing Scope of practice partnership against other professions. Section 2706 is healthcare reform's most significant inclusiveness measure for DCs, NDs, LAcs, massage therapists and licensed midwives, potentially opening consumer choice to over 50-million more Americans. In the name of patient protection, the two AMA specialty societies were targeting their direct competitors, nurse anesthetists and optometrists. Here is the proposed Resolution as it will go to the AMA House of Delegates in June 2010. More

May 26, 2010

Your Comments: 3 on BI's LAc Fellowship, Wikipedia on that Quack Paracelsus, NCCAM's Agenda and Seeking the Cause

Tom Ballard, ND shares a fascinating encounter with Wikipedia over whether Paracelsus was the original medical quack ... Acupuncturist Gary Wagman, LAc calls Beth Israel's fellowship for licensed acupuncturists a shame ... Bethany Leddy, LAc and consultant Linda Rapuano offer correction that the original inpatient fellowship for LAcs was not at Beth Israel but at St. Vincent ... Consumer Perry Chapdelaine, Sr. urges that NCCAM examine those practice which seek to work with patients to find and treat the causes of disease. More

May 20, 2010

Scenes from a Forced Marriage: Data Update on the Chiro-Veteran's Administration Integrated Care Program

In 2004, the chiropractic profession and various Veterans' Service Organizations shouldered their way into the Veterans Health Administration through an act of Congress. Now, 4 years later, what do we know? How experienced are the VHA chiropractors? With what conditions are patients presenting? From which specialties are referrals originating? Via what models are the chiropractors employed and how much as they being paid? How well integrated are they with the other medical services? To what extent are they using these positions to educate others? Here is an at-a-glance chart of answers to these and other questions as reported by a team including Anthony Lisi, DC, Christine Goertz, DC, PhD and others. Lisi heads up the VHA's chiropractic program. More

May 18, 2010

Musings on Seppuku, Christo, Al Gore and the Likelihood of Hospitals Leading Health Care's Transformation

The American Hospital Association is gathering its members at a Leadership Summit this July, the theme of which is "Hospitals Leading Health Care's Transformation." The claim in the title struck me as quite unlikely. Two images came to mind: one of mass seppuku, the other of the artist Christo with his sights on a sprawling metropolitan hospital building much as he once focused his conceptual art on the German Reichstag. Here are some musings on the probabilities of hospitals leading health care transformation, and some intimations about where we might begin to find a leading coalition. More 

May 12, 2010

Reference Guide: Language & Sections on CAM and Integrative Practice in HR 3590/Healthcare Overhaul

This article is meant as a reference resource on integrative practice and healthcare policy. Included are locations and exact language in the sections of the Patient Protection and Affordable Healthcare Act (HR 3590) that will shape policy action relative to integrative practices in coming years. Complementary and alternative medicine practitioners and integrative practices are included in these sections (2706, 3502, 4001, 4206, 5101, 6301 and 2301) relative to non-discrimination, workforce planning, community medical homes, wellness, prevention and health promotion, comparative effectiveness research and birthing services. Here are the facts, without interpretation or commentary. (If there are others, let me know.) What they will mean is up to us. The challenge ahead is to bring what one integrative practice lobbyist called "these major steps toward recognition" to life. More

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