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Table of Contents

• The Re-design of Delivery:Complementary and Integrative Medicine
• IntegratingComplementary Medicine
• The Name Game
• World Health Organization: Study on the Extent of Utilization
• The key components of a complementary medicine project are already in place in most of your hospitals!
• The largest nightmare in the integration of complementary medicine: The credentialing of providers who are not yet within the system !
• New England Journal of MedicineSeptember 17th, 1998 vol. 339, #12
• The Challenge - Integrate
• Complementary and Alternative Medicine - CAM
• Complementary and Alternative Medicine - CAM
• Alternative therapies:
• Pressures in the System
• Pressures in the System
• Driven by public demand, mediated by 3rd party
• Utilization Surveys
• Findings
• Findings
• Health Futures Forecast
• Chronic IllnessJAMA, C. Hoffman, et al, November, 1996
• PPT Slide
• Medical Error - Iatrogenic Illness
• CAM in US Health Care by the Institute of Alternative Futures for the NCMIC Insurance Corp  and the National Foundation for Chiropractic Education and Research , 1998 Findings: CAM methods will -
• CAM in US Health Care by the Institute of Alternative Futures for the NCMIC Insurance Corp  and the National Foundation for Chiropractic Education and Research , 1998 Recommendations:
• A Few Cases
• In 1990, Eisenburg et al, 1
• In 1990, Eisenburg et al, 2Some of the therapies studied:
• In 1990, Eisenburg et al, 3The less frequently discussed points:
• Journal of the American Medical AssociationMay, 1998, vol. 279, pgs 1548 - 1553
• Alternative Medicine:What do people really want?
• What are the most important complementary services?
• Myths and Failures
• Most important Component of Alternative Medicine Program?
• PPT Slide
• PPT Slide
• PPT Slide
• 70%of disease is preventable Healthy People 2000, DHHS, 1991, #91-50213 National Center For Health Statistics, DHHS, 1992, # 92-1232
• Medical visits - 65% could be handled through self-care, 25% require contact with a provider (no visit), 10% require an office visit (physician or nurse practitioner).  Health Decisions, Demand Management Donald Vickery, MD
• Archives ofInternal MedicineStress & Heart DiseaseBlumenthal, et al, October, 1997Duke, National Heart Lung and Blood
• Ornish Programfor Recovery from Heart Disease, Prostate Cancer, etc.
• Malignant melanoma - a review of numerous studies on self-care, fewer deaths, fewer recurring cases. UCLA General Hospital Psychiatry, Fawzy, FI, 5/94
• P.H.A.S.E.SPersonal Health Action Strategies and Evaluation System
• PPT Slide
• PPT Slide
• Rich resources already in place:
• Phased Implementataion -#1
• Phased Implementataion -#2
• Phased Implementataion -#3
• The easiest, cheapest complementary medicine initiative
• Best Cases
• Multi-disciplinary team
• There is a major difference between complementary medicine programs that are Isolated and Paralleland those that areAuthentically Integrated.
• Where do CAM providers go structurally within the system?
• Truly new paradigm, integrated medicine:
• Customer Flow, Health Based
• Monday Morning