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accahc optimalintegration

http://accahc.org http://optimalintegration.org. ACCAHC Mission. Advance patient care through fostering mutual understanding and respect among the healthcare professions. An organization and a project built to Practice Collaboration in Order to Create Optimal Access & Integration.

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accahc optimalintegration

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  1. http://accahc.org http://optimalintegration.org

  2. ACCAHC Mission Advance patient care through fostering mutual understanding and respect among the healthcare professions.

  3. An organization and a project built to Practice Collaboration in Order to Create Optimal Access & Integration

  4. Context: Policy & Health System Change • Policy: Specific inclusion in federal healthcare overhaul legislation • Workforce inclusion • Delivery (medical homes, community health) • Payment (non-discrimination) • Research (comparative effectiveness) • Health promotion & prevention • Policy: “Real world” focus at NCCAM • New strategic plan focuses on health, • outcomes, disciplines & integration • Health systems • 25% with some form of CAM • Major initiatives: VA, Allina, Beth Israel NY, Swedish, Duke plus • Employers/payers/public health • Cost, over-treatment, pain • Primary care potential Patient choice

  5. ACCAHC Core Disciplines5 with federally-recognized accrediting agencies, plus …

  6. CAM Disciplines: Expansion, Maturation, Recognition Updated from ACCAHC’s Clinicians’ & Educators’ Desk Reference on the Licensed Complementary & Alternative Healthcare Professions (2009)

  7. Power through CollaborationBuilding the ACCAHC Platform 4 Councils of Colleges/Schools 5 Accrediting Agencies 3 Certification and Testing Organizations 4 Traditional World Medicines/Emerging Professions organizations Council of Advisors with leading MD/RNs in health systems, academic medicine 16 Member Organizations

  8. ACCAHC: By the Numbers • 16 national organizations • 350,000 licensed practitioners • 100,000 DC, LAc, ND only • 183 accredited schools/programs • 20,000 students (DC/LAc/ND only) • Yoga teachers/therapists • 7 MD/RN advisers DC-LAc-ND alone are 95% of the certified or licensed integrative practice workforce

  9. Integrative Care Workforce: Comparison • Fellows, American Board of Integrative and Holistic Medicine • Fellows, Arizona Center for Integrative Medicine • Board Certified Holistic Nurses ________________________ • Integrative MD/RN with specialty standards • Licensed DC/ND/LAc 1500 500 900 ______ 2,900 100,000

  10. Context: CAM Disciplines Stepping Up • Integration themes for ACC-RAC and AAAOM in 2011 • New integration themed DC-led journal (Topics) • Integration in institutional missions • Northwestern, Bastyr, NUHS, NYCC, SCUHS • Initial accreditation activity exploration • Integration, co-management, referral • Partnerships with academic health centers • Major initiatives with VA, DoD • DC, LAc, other modalities • Membership commitment and participation In ACCAHC

  11. ACCAHC: Some External Accomplishments2005-Present Network with MD/nurse academics Collegiality, contacts, barrier removal, discipline respect in IM definition Publish ACCAHC CEDR-disciplines book Disciplines versus therapies focus Place CAM disciplines on 2 IOM panels Health focus, CAM participation, collaboration Move CAM disciplines into national interprofessional education (IPE) dialogue Getting CAM disciplines to the table Help shape NCCAM Strategic Plan Increased focus on CAM disciplines; more $$ to CAM schools for EBM, research participation

  12. ACCAHC: Establishing Strategic Priorities2006-Present • 2006 – Decide to form organization • 2007 – Bylaws, dues, RWG formed • 2007 – RWG formed, via Standard Process 2008 – Incorporate, form EWG/CWG • 2009 – Planning retreat; focus on integration • 2009 – RWG, NIH R-25 evidence in education • 2009 – Begin Competencies • 2010 – Finish Competencies; begin ACT • 2010 – RWG led, influence NCCAM plan • 2010 – Endorse Center for Optimal Integration 2011 Forward – COI Web Portal+ as encompassing vehicle for ACCAHC mission

  13. Identified Self-Care for the CAM Disciplines • to Foster System Inclusion • Competencies • Evidence • (as language of integration and as practice improvement )

  14. Forge optimal care that respects patient choice • Activate & support educators, students, researchers, clinicians & administrators • Influence other stakeholders • Create access • Become accepted parts of care teams

  15. COI: Methods • Aggregate useful information • Templates, tools, models, how-to, curricular components • Organize activity • Newsletters, communities of interest • Educate on key policy issues • Online course(s) • Competencies, possible certification • Stimulate leadership

  16. Major Content Area #1: Competencies for Optimal Practice in Integrated Environments Competencies Overview • 11 month process (Sept. 2009-August 2010) • 50 professionals from 8 disciplines • All ACCAHC Working Groups plus Board of Directors • 5 major competency areas • 28 competency elements “I wish all providers had these competencies .” Administrator, Department of Integrative Medicine, Beth Israel Hospital (NYC)

  17. Major Content Area #1: Competencies: Adopt a Competency Task (ACT) Project ACT Overview • Begun September 2010 • ACCAHC educator leaders “adopt” an element as volunteer faculty • Goal: Develop 1-2 hour course module for each competency element • Phase 1: Course objectives, reading list, syllabus/outline • Phase 2: Complete/post (power-point, voice-over powerpoint, other) Quality content in development on 18 of 28

  18. Major Content Area #1: Competencies: Envisioned Next Steps* • Contract professional team • Develop online course • Bring in conventional partners • Seeks formal endorsements • Explore potential certification • Seek CE recognition • Add interactive components • Develop teams for onsite CE • Continuous quality improvement * Requires significant COI funding

  19. Major Content Area #2:Evidence: The Language of Integration Key Audiences • Door opener • Medical directors • In-service presentations • Grand rounds • One-on-one referrals Key Attitudes/Skills • Research literacy • Comfort with science • Non-defensive • Articulate about strengths and weaknesses Evidence-Based Healthcare and Evidence Informed Practice: Key ACCAHC Competency Domain

  20. Major Content Area #2:Evidence Opportunity: Partnership for Dissemination of Exceptional Learning from NIH-Funded Programs Overview of “R-25s” Programs Funded by NIH to: • Expand role of evidence in education in CAM schools • Foster research literacy • Stimulate research interests • 5 DC schools, 2 ND schools with NIH funded programs • All are represented in ACCAHC • Requirement to disseminate 185 ACCAHC-affiliated, accredited programs have never had educational support in this areas.

  21. Major Content Area #2:Partnership for Dissemination: Sample Content Areas • Defining evidence-related competencies • Clarity on what EBM is* • Strategies to engage institutional leaders in culture change • Faculty • Board/Trustees • Share best practices/proven strategies • Role of librarians • Engage dialogue on challenges of evidence & research in whole practice fields

  22. Major Content Area #2:Partnership for Dissemination: Envisioned Additional Steps • Continue to urge NCCAM to increase funding for evidence • Develop and support networks of CAM science educators • Web-based communities • Deliver programs at key conferences • Convene meetings on evidence challenges/strategies in CAM fields • Publish white paper(s) to help policy makers on whole practice and discipline evidence

  23. COI: Additional Envisioned Programs Training Leadership in Optimal Integration • Use experts in leadership • Use experts on team care • Train individuals • Train local teams Top interest of ACCAHC Board Create Communities in Optimal Integration • Accrediting agency issues • Delivery issues • Payment issues • Policy issues Convening/white papers

  24. ACCAHC strategy is an organizer’s • Make plans based on resources available • Basic requirements: $105,000 over 3 years ($315,000) • Fundamental level of 2 key projects • Some staffing, web, consulting, writing, organizing, content development • Resources for excellence: Numerous major project opportunities Societal value of optimal integration is tremendous. What we achieve will rest on what we can bring to the work.

  25. An organization and a project built to practice collaboration in order to create optimal access and integration. Thank-you!

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