ALTERNATIVE MEDICINE INTEGRATING COMPLIMENTARY AND ALTERNATIVE MEDICINE PRACTICES INTO TRADITIONAL

ALTERNATIVE MEDICINE INTEGRATING COMPLIMENTARY AND ALTERNATIVE MEDICINE PRACTICES INTO TRADITIONAL MEDICINE HEALTH SYSTEMS My Medical Experience •31 Years of Nursing •20 Years of Studying Prevention •20 Years Practicing Balanced Health •18 Years Studying Alternative Medicine, Herbs & Vitamins •Attend many seminars and trainings across the country in different alternative therapies •Program development for 25 years at St. John’s(Heart institute, Cancer Center, Fitness Center, Alzhiemer’s Center, Osteoporosis Center, Nutrition Center, and on site Corporate Medicine) ALL IN THE EYES OF THE BEHOLDER PHYSICIAN NURSE MASSAGE THERAPIST HERBALIST ACUPUNCTURIST WELL PERSON CANCER PATIENT CHIEF FINANCIAL OFFICER I had to know how to approach each different person NATIONAL INSTITUE OF HEALTH DEPARTMENT OF ALTERNATIVE MEDICINE NIH Need to understand their definition to develop your plan of action Need to know what CAM (NIH) services you already have at your facility 7 DIVISIONS OF NIH’S OAM MIND/BODY INTERVENTIONS* ART THERAPY BIOFEEDBACK DANCE THERAPY GUIDED IMAGE HUMOR HYPNOTHERAPY MEDITATION MUSIC THERAPY Red=already had Green=developed PRAYER PET THERAPY PSYCHOTHERAPY RELAXATION SUPPORT GROUPS YOGA ALTERNATIVE SYSTEMS OF MEDICAL PRACTICE* ACUPUNCTURE AYURVEDA ENVIRONMENTAL MEDICINE NATIVE AMERICAN PRACTICES NATUROPATHIC MEDICINE PAST LIFE THERAPY SHAMANISM TIBETAN MEDICINE TRADITIONAL ORIENTAL MEDICINE MANUAL HEALING * ACUPRESSURE BIOFIELD THERAPEUTICS CHIROPRACTIC MEDICINE MASSAGE THERAPY OSTEOPATHY REFLEXOLOGY ROLFING THERAPEUTIC TOUCH TOUCH FOR HEALTH WATSU HERBAL MEDICINE * HERBS TOP 5 IN GERMANY ST. JOHN’S WORT KAVA ECHINACEA GOLDENSEAL VALERIAN ROOT DIET, NUTRITION, LIFESTYLE CHANGES * LIFESTYLE CHANGES (exercise & diet) HEALTHY DIET GERSON THERAPY MACROBIOTICS MEGAVITAMINS NUTRITIONAL SUPPLEMENTS BIOELECTROMAGNETIC APPLICATIONS * BLUE LIGHT THERAPY ELECTROMAGNETIC FIELDS MAGNET THERAPY ELECTROACUPUNCTURE PHARMACOLOGICAL & BIOLOGICAL TREATMENTS ANTIOXIDIZING AGENTS CHELATION TREATMENT Health Care - The Three Legged Stool Second Leg Surgery & Procedures First Leg Pharmaceuticals Third Leg Self Care Self Care consist of the health habits and behaviors for which the individuals themselves can be responsible. (Benson, 1996) Consumers are asking for it?? Why not integrate them into traditional services? Why not collect cash from consumers? (hospitals are looking for new revenues) Why not be selective on which services are allowed into your health care system? Why not track your outcomes? (published our fibromyalgia results and pain center) Prevalence of Alternative Medicine Use and # Visits Relaxation Herbal Massage Chiropractic Megavitamins Self-help grp. 16.3% 12.1% 11.1% 11% 5.5% 4.8% 103203 10491 113723 191886 ... 22196 79754 SpiritualHealing 7% Prevalence of Alternative Medicine Use and # Visits Im agery Folk rem edies Lifestyle diet Energy Healing Hom eopathy 4.5% 4.2% 4.0% 3.8% 3.4% 22640 27474 516 1774 39972 1777 Com m ercial diet 4.4% Prevalence of Alternative Medicine Use and # Visits Hypnosis 1.2% 4171 3871 5377 Biofeedback 1.0% Acupuncture 1.0% Reasons for Alternative Therapies Back problems Allergies Fatigue Arthritis Headaches Neck problems High blood pressure Sprains/Strains 24% 20.7% 16.7% 16.6% 12.9% 12.1% 10.9% 10.8% Reasons for Alternative Therapies Insomnia Lung problems Skin problems Digestive problems Depression Anxiety >1 condition 9.3% 8.7% 8.6% 8.2% 5.6% 5.5% 77.8% 59% OF AMERICANS ARE SEEKING OTHER THERAPIES OR TREATMENTS TO EITHER COMPLIMENT THEIR CURRENT CARE OR REPLACE THEIR CURRENT CARE Integrative Medicine Task Force The Integrative Medicine Task Force was established to develop, in keeping with St. John's Health System's philosophy and commitment to excellence in patient care, an approach to how Integrative Medicine is to be incorporated into St. John's Health System's response to patient needs. Integrative Medicine Task Force Development of process/principles to evaluate specific Integrative Therapies and the role SJHS and its physicians will play in making patients aware of them Coordinated presentations to task force by various CAM practitioners Reviewed all current CAM services already practicing at St. John’s Health System Reviewed all outcome results from our studies Integrative Medicine Task Force Written communication about task's force role (sent out updates to medical staff) Development of a central contact person to obtain written information on various treatment options, supplements, and herbals that have been selected by this task force to educate physicians Integrative Medicine Task Force Development of a series of grand rounds or seminars to educate the medical staff on other treatment options Did surveys of physicians on their use of CAM services and CAM services requested by their patients Paid physicians to be medical directors of our various integrated programs (Fibromyalgia, Smoking Cessation, Pain) Alternative (CAM) at SJHS Pain center • • • • • • • • • Acupuncture Auricular Therapy Aromotherapy Massage therapy Individual Psycho-therapy Hypnosis Exercise Nutrition Alpha Stim-electrical stimulation • Touch for Health • Biofeedback • • • • • • • • • • • • Hammons Heart Massage therapy Individual Psycho-therapy Exercise Nutrition Group psychotherapy Music therapy Touch for Health Vitamin/herb counseling Alpha Stim-electrical stimulation Auricular Therapy Yoga Manual Lymphatic Drainage Mid America Cancer Center • • • • • • Midwest Rehab • • • • • • Fremont Pharmacypurchased a program that looked at Rx and herb interactions after putting in vitamins and herbs to sell Tai Chi Yoga Vitamin/herb counseling Massage therapy Nutrition Meditation Spinal adjustment Personal training Tai Chi Massage therapy Nutrition Lymphadema Clinic (manual lymphatic drainage) DOES INSURANCE PAY AETNA HAS STARTED DEVELOPING RIDERS TO COVER THESE SERVICES OXFORD WAS ONE OF THE FIRST INSURANCE CARRIERS TO PAY FOR THESE SERVICES CHIROPRACTIC SERVICES ARE COVERED BY OUR HMO CALLED PREMIER HEALTH PLANS I TOOK TWO KEY DIAGNOSIS TO GET OUR HMO TO PAY FOR THE CAM SERVICES WE INTEGRATED (FIBROMYALGIA AND HEADACHE) I TRACKED OUR OUTCOMES AND SHOWED A 75% REDUCTION IN PAIN WITHOUT DRUGS AFTER 8 WEEKS HEALTH IS A BALANCE PHYSICAL EMOTIONAL MENTAL SPIRITUAL You need your task force members to represent all these areas of health Your chairman and yourself is the key drivers of the success of your program. HOW AND WHY ARE PATIENTS LOOKING IT’S NOT JUST ABOUT DRUGS, PROCEDURES, AND SURGERIES. HOSPITALS ARE ACUTE DISEASE CARE CENTERS THEY NEED TO BE TAUGHT ABOUT ALL THE COMPONENTS OF HEALTH 9 Steps to Healthy LIVING • A...Attitude • N...Nutrition • E...Exercise • W...Water • S...Stress Management • T...Taking care of me • A...Air/Env. • R ...Rest • T...Trust in God COMPLEX BODIES OUR HEART BEATS 2.7 BILLION TIMES IN A LIFETIME WE SLEEP 202,752 HOURS IN A LEFETIME WE HAVE ENOUGH FAT TO MAKE 7 BARS OF SOAP WE HAVE 10 GALLONS OF WATER-1/2 TUB FULL WE HAVE ENOUGH CARBON TO MAKE 9000 PENCILS WE CONTAIN ABOUT 40 tsp. Of salt WE HAVE ENOUGH SULFAR TO KILL THE FLEAS ON AN AVERAGE SIZE DOG WE ONLY HAVE 1/4TH POUND OF SUGAR WE HAVE ENOUGH PHOSPHORUS TO MAKE 2200 MATCH HEADS WE HAVE ENOUGH LIME IN US TO WHITE WASH A CHICKEN COOP YET OUR TOTAL VALUE OF MINERALS IN OUR BODY IS ONLY WORTH $.98 THAT IS NOT A LOT TO LOOSE HEALTH IS A BALANCE ANY CAM PROGRAM MUST TEACH THAT HEALTH IS YOUR PERSONAL RESPONSIBILITY I like the term PARTICIPITORY MEDICINE We are available to consult for your facility Your questions ?