Integrating Complementary Medicine Into Health Systems

Front Cover
Jones & Bartlett Learning, 2001 - Medical - 763 pages
This comprehensive and in-depth guide includes complete case studies by over 40 model organizations and thorough reviews of acupuncture, chiropractic, therapeutic massage, clinical nutrition, and herbal therapy. Content includes trends and data, practical strategic planning, reimbursement, marketing, and policy, credentialing and staffing, regulations, clinical operations, and assessment and research.
 

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Contents

Chapter 1Major Trends in the Integration of Complementary
4
Chapter 2Utilization Data on Complementary and Alternative Medicine
12
Chapter 3Evolving Demands and Demographics in Health Care
22
Chapter 4New Perspectives
32
MANAGEMENT FUNCTIONS
41
Epilogue
48
Case Studies
54
Chapter 7Strategic Planning in the Integration of Complementary Medicine
76
Conclusion
368
PART IXINTEGRATIVE MEDICINE CENTERS
369
Business Profile
375
Evaluation and Reimbursement
384
Chapter 37An Integrative Medicine Clinic in a Teaching Hospital
391
The Role of Management
397
Successful Interdisciplinary Collaboration
403
Community Education
410

Planning the Integrative Medicine Center
83
Conclusion
89
Additional Aspects of Program Design
97
Conclusion
104
Clinical Integration
111
PART IIIREIMBURSEMENT MARKETING AND POLICY
115
Conclusion
121
Basic Benefit Designs
130
Program Design
136
Pricing Overview
143
Expanding CAM Coverage
151
Software To Support Electronic CAM Billing
157
Current NCCAM Research
163
Demonstration
169
Chapter 16State Initiatives in Complementary Medicine
171
A Cancer Clinic Staffed by Volunteers
179
Conclusion
185
Licensing and Legal Requirements
191
The Legal Definition of Acupuncture in the State of Hawaii
202
What Makes Someone a Healer?
214
Practical
217
Unauthorized Professional Practice
220
Implications for Risk Managers
226
Malpractice Liability in Managed Care Organizations
232
Precedents Governing Disclosure
238
Chapter 22Two Perspectives in Complementary Care
244
A Conceptual Framework for Care Management
250
Chapter 24Clinical Strategies in Integrative Medicine
257
Building Bridges in Medical Practice
263
Chapter 25Clinical Perspectives in Risk Management
270
Chapter 26Criteria for Assessing Successful Integration
276
Chapter 27Technology Assessment
283
Web Sites
292
A Methodologic Manifesto
298
Research Conducted with NIH
305
Chapter 29Practical Perspectives on Research in Complementary Medicine
312
ORGANIZATIONAL STRUCTURES
319
Product Considerations
330
Organizational Factors
338
Quality Management
342
A DirectAccess Model
348
Computerized CAM Quality Assessment
354
Coverage for Complementary Medicine
360
North Hawaii Community Hospital
424
Program Development
431
Review of the Literature
437
Chapter 44Service Delivery
445
Physician Involvement
454
Expanding the Continuum of Care
461
Akron General
467
St Charles Medical Center
473
The Medical Symptom Reduction Program
480
Chapter 49Cost Savings through Work Site Health Promotion
490
Chapter 50The Discipline of Acupuncture
498
Information Resources
506
Chapter 52The Clinical Research on Acupuncture
519
Nausea and Vomiting
525
Organic Pain
532
Rheumatologic Conditions
538
Mechanisms and Clinical Application
543
Clinical Applications of Neuroelectroacupuncture
549
Chiropractic CostEffectiveness
556
Joint Manipulation
564
Safety and Risks
570
Conclusion
578
Chapter 56Effectiveness and Safety of Spinal Manipulation for LowBack Pain Neck
582
Spinal Manipulation and Headache
589
Barriers to Chiropractic
595
PART XIVMASSAGE
603
Research
609
Acupressure and PressurePoint Therapies
619
PART XVCLINICAL NUTRITION
629
A Breadth of Resources in Clinical Nutrition
639
A Functional Perspective
642
PART XVIHERBAL THERAPY
649
The Advantages of Herbal Medicines
655
The Future of Herbal Medicine
661
Databases up to date as of January 2000
667
Chapter 64Assessing the Effectiveness of Naturopathic Medicine
680
PART XVIIRESOURCES FOR CONTINUING EDUCATION
687
Integrating CAM into a Medical Practice
697
Research Organizations Institutions and Associations
703
PART XVIIIFUTURE PERSPECTIVES
707
Conclusion
717
A Customer Focus Credo
724
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