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Why is CAM becoming more accepted? |
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Is America behind the times? |
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Evidence of an emerging integrative medical
system |
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Physicians |
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Hospitals |
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Reimbursement |
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HAN |
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“A broad range of healing philosophies,
approaches, and therapies generally defined as those treatments not widely
taught in medical schools, not generally used in hospitals, and not usually
reimbursed by medical insurance companies.” |
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NIH/Nat. Center for Complementary and Alt. Med. |
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“Complementary Medicine is the best of both
worlds. It is a blending of both
mainstream and alternative medicine to provide a broader range of tools to
assist the patient. It is an
opportunity to look at illness from many viewpoints and therefore approach
its treatment from many angles.” |
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D onald W. Novey, MD. Clinician’s Complete Reference to
Complementary and Alternative Medicine. |
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Demand |
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Efficacy |
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Economics |
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1997 survey: |
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42% of Americans utilize CAM |
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Estimated 629 million visits to CAM providers,
exceeded number of visits to PCPs |
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Journal of the American Medical Association
(JAMA) 11/11/98 |
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67.6% have used at least 1 CAM therapy in their
lifetime |
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Annals of Internal Medicine 2001; 135: 262-268 |
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57% of Americans take dietary supplements |
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Journal of the American Medical Association
(JAMA) 11/11/98 |
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A recent survey indicated that 90% of Americans
believe that complementary and alternative medicine may help a wide variety
of health conditions. |
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Reuters Health 4/26/00 |
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Pressure is increasing for health plans to offer
CAM according to a 1998 study: |
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More than 60% of consumers believe the
availability of CAM is important when selecting a health plan. |
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Landmark Healthcare |
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46% of employers currently offer some form of
CAM benefits |
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American Compensation Association |
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Many companies invite massage therapists on-site
as an employment perk and as a means of reducing stress and absenteeism: |
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G.E. |
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Goldman Sachs |
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Motorola |
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American Airlines |
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American Massage Therapy Association |
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After reviewing 355 behavioral and treatment
articles, the U.S. Headache Consortium reported that biofeedback can
benefit individuals who suffer from migraine headaches. |
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Reuters Health 1/24/01 |
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Yale researches have found that acupuncture is
an effective treatment for those addicted to cocaine. |
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Archives of Internal Medicine 8/14/00 |
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In a preliminary study, a yoga-based regimen was
more effective than wrist splinting or no treatment in relieving some
symptoms and signs of carpal tunnel syndrome. |
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Journal of the American Medical Association
(JAMA) 11/11/98 |
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Massage therapy has been proven to: |
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Reduce heart rate |
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Lower blood pressure |
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Increase blood circulation and lymph flow |
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Relax muscles |
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Improve range of motion |
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Increase endorphins (enhancing medical
treatment) |
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American Massage Therapy Association |
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CAM could reduce medical claims by 20%,
according to the Kaiser Institute |
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Ontario, Canada-based Husky Injection Molding
finds $4.6 million savings through CAM program (wellness center) |
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The Integrator for the Business of Alternative
Medicine, 11/00 |
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Acupuncture helped 7 of 29 patients avoid
arthoplasty surgery that would have cost $63,000 |
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Medical Acupuncture Research Foundation, 1/98 |
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Mutual of Omaha reports that it saves about
$6.50 for every dollar it spends covering non-standard (alternative)
treatment |
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New Texas, 8/99 |
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Mind-body therapies can reduce healthcare costs
by as much as 33% |
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Business & Health, 2/97 |
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"For this is the great error of our
day, in the treatment of the human body, that physicians separate the body
from the soul". - Plato |
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Increasing Acceptance: |
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Integration |
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Referrals |
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Licensing |
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Education |
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1998 survey found 60.4% of physicians surveyed
had used or made a referral for acupuncture |
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Faass, Nancy.
Integrating Complementary Medicine into Health Systems. |
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Another survey found that 86% of physicians
acknowledged referring patients for relaxation therapy, 85% for
biofeedback, 66% for massage and 56% for acupuncture |
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Journal of the American Medical Association
(JAMA), 1/17/2000 |
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Louisiana: MD regulations protect patient access
to complementary and alternative therapies from licensed providers |
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Nevada and Texas have similar regulations |
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Medical Schools with CAM Courses: |
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Albert Einstein College of Medicine |
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Columbia University College of Physicians &
Surgeons |
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Harvard Medical School |
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John Hopkins School of Medicine |
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Penn State College of Medicine |
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UCLA School of Medicine |
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Yale School of Medicine |
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Continuing Medical Education (CME) |
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Recent survey: 84% of physicians interested in
learning more about complementary and alternative medicine |
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Harvard Medical School |
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David M. Eisenberg, MD – Course Director |
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2003: Case Studies – present scenarios and then
discuss appropriate therapies |
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Approximately 23% of hospitals, compared to 6%
in 1998, offer hospital-based complementary and alternative medical
services. |
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American Hospital Association (AHA) Annual
Survey |
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JCAHO requirements: |
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Patient intake forms – use of vitamins/ herbs |
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New pain guidelines issued by the Joint
Commission on Accreditation of Health Care Organizations (JCAHO) |
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Suggest that hospitals provide information about
complementary and alternative medicine for patient referral purposes |
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Touro Alternative Therapies Center New Orleans, LA |
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Holistic MD – Medical Director |
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Offers acupuncture, massage therapy, yoga,
ongoing classes and lectures |
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Allegheny General Hospital Pittsburgh,PA |
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Heart surgery program offers yoga breathing,
foot massage, visualization and imagery pre- and post-operative |
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98% of cardiac patients elect to use services |
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Memorial Hermann Southwest Houston, TX |
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Opened “Garden Spa” in Feb. 2003 |
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Occupies section of 85,000-square foot wellness
center |
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Reflexology, therapeutic massage, spiritual
seminars |
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California Pacific Medical Center San Francisco, CA |
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Institute for Health & Healing |
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Use complementary therapies to treat patients
suffering from cancer, gastrointestinal problems, allergies, eating and
learning disorders, and depression |
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Many managed care organizations/ insurance plans
now offer members discounts on services |
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Members still responsible for payment |
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Future: covered benefit programs??? |
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Region’s first and most comprehensive provider
network of complementary and alternative medical practitioners, services,
and products |
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Based in New Orleans |
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Network throughout AR, LA, MS |
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“Fact finding” mission to China |
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Desire to provide increased choice to members |
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Satisfy members’ demand for complementary and
alternative medical services |
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Developed by American LIFECARE |
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Preferred Provider Organization (PPO) Network |
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“Middle man” |
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Contracts physicians, hospitals, ancillary
providers |
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Leases network to self-insured employer groups,
HMOs, third party administrators |
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Not an insurance plan |
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Began operations in 1983 |
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690,000 members |
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391 acute care hospitals |
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16,000 physicians |
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Practitioner component: |
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More than 40 integrative modalities |
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Nearly 300 practitioners |
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Product & Service Marketplace |
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Everyday value |
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Natural food stores |
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Spas |
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Feng shui consultants |
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Yoga centers |
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Credentialing Committee chaired by American
LIFECARE’s Medical Director |
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HAN Practitioner Advisory Committee |
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Inclusion of HAN information in American
LIFECARE provider directory |
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Member education |
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Supports the Collaboration for Healthcare
Renewal’s CAM Effectiveness Database Project. |
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Serves as a resource to hospitals that wish to
offer complementary and alternative medical services |
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Sponsors: |
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Wholistic Wellness Network Regional Conference |
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Natural Health & Wellness Expo |
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HAN providers at American LIFECARE member health
fairs |
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Marketing presentations |
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to Facilitate the Integration of Medicine |
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Complete application |
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Submit licenses, certificates, transcripts |
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Agree to offer special rates to members |
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No fee to participate! |
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Offer agreed-to rate to members who present an
ID card with the American LIFECARE logo |
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Recredentialing every 3 years |
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Listing included in online provider directory |
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Andrew Weil, MD: |
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Hospital Spa |
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Physician-Patient Relationship: |
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Dependency Partnership |
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Medical education: |
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Teach students alternative models of science and
health and the healing power of nature |
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Notes