by John Weeks, Publisher/Editor of The Integrator Blog News & Reports
Study puts annual deaths from regular medicine at 210,000-440,000 – the nation’s 3rd largest killer
The title of the story was a question: “How Many Die from Medical Mistakes in the U.S.?” A new study in the current issue of the Journal of Patient Safety estimates that number as between 210,000 and 440,000 patients each year “who go to the hospital for care [then] suffer some type of preventable harm that contributes to their death.” The seminal Institute of Medicine report from 2000 that brought deaths from medical errors into the light put the figure at 98,000. Then, in 2010, the Office of Inspector General for Health and Human Services suggested that hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year. The new estimates were developed by
U.S. Senate offers powerful, supportive statements on naturopathic medicine in declaration of “Naturopathic Medicine Week”
On September 10, 2013, the U.S. Senate, via U.S. Senate Resolution 221, declared October 6-13, 2013 “Naturopathic Medicine Weeks.” The initiative, championed by Barbara Mikulski (D-MD), was the brainchild of the American Association of Naturopathic Physicians. As argued in this column, the power in the passage of the resolution was the way naturopathic medicine and naturopathic physicians are described in the series of “whereas” statements that explained the reason for the action (see comment field). Jud Richland, CEO of the AANP, states on the organization’s website that “passage of this resolution is a historic achievement for naturopathic medicine.” This is the first explicit inclusion of the naturopathic medical profession in any act of either branch of Congress. The profession is promoting Naturopathic Medicine Week celebrations to celebrate the healing power of nature in communities around the country.
Comment: How about these endorsements from the U.S. Senate for your profession’s calling card: “Safe, effective and affordable health care.” Or: “Focus(ed) on patient-centered care, the prevention of chronic illnesses,
and early intervention in the treatment of chronic illnesses.” Or: “Aspects have been shown to lower the risk of major illnesses such as cardiovascular disease and diabetes.” How about a recommendation from the U.S. Senate that citizens “learn about the role of naturopathic physicians in preventing chronic and debilitating conditions”? These are all part of the resolution – a nice introduction into the mainstage of healthcare politics for naturopathic medicine.
State of Oregon Health Authority creates “Integrative Medical Advisory Group”
A brief note in a business news piece captures a piece of history simply: “Advisory appointment: Bruce Goldberg, MD, Director of the Oregon Health Authority has appointed Albany chiropractor Dr. Vern Saboe to a new ‘Integrative Medical Advisory Group.’ The advisory group will provide advice to the Oregon Health Authority about how to best integrate a variety of complementary and alternative medicine health care services, assure access and choice of care to OHA clients, promote and assure quality of care, appropriately credential practitioners, as well as other items that arise.” A contact in Oregon gave me a preview of the make-up. It will include representatives from MDs, DCs, NDs, LAcs, LMTs and midwives spanning Oregon’s newly formed Medicaid Accountable Care Organizations, which we call Coordinated Care Organizations, plus representatives from Independent Physician Associations, commercial insurance plans and the Oregon state health department.
Comment: This may be the first state level authority to recognize the “integrative medicine” brand in a formal body.
The Physicians Foundation reports (positively) on MD-medicine’s scope campaigns against other disciplines
A well-funded organization called the Physicians Foundation has published what it calls a “White Paper on Expanding Scope of Practice for Non-Physician Providers and Implications for Patients and U.S. Healthcare System.” The formal title of the publication, by authors Stephen Isaacs and Paul Jellinek titled, “Accept No Substitute: A Report on Scope of Practice,” The editorial line is clear in the initial paragraphs of the executive summary: “On the whole, physicians and their advocates have so far been remarkably successful in holding the line on many of these expansionary forays. For example, after many years of concerted effort by nurse practitioner advocates, currently only 14 percent of the nation’s nurse practitioners practice in states judged by the American Journal of Nurse Practitioners to allow nurses full autonomy. Optometrists have gained surgical privileges in only three states, and psychologists have won prescribing rights in only two.” The authors immediately speak to the potential loss of control and income to medical doctors.
Comment: One may wonder what “public” or “charitable” purposes is being performed via this tax-deductible work that begins with a presumptive charge that no good to human health will come from expanded scope of other providers. This will be useful reading for any political activists who are on the front-line. Now, one wager: I’d be willing to bet that neither naturopathic physicians nor chiropractic physicians are welcome members in the Physicians Foundation. Any takers?
Study puts annual deaths from regular medicine at 210,000-440,000 – the nation’s 3rd largest killer
The title of the story was a question: “How Many Die from Medical Mistakes in the U.S.?” A new study in the current issue of the Journal of Patient Safety estimates that number as between 210,000 and 440,000 patients each year “who go to the hospital for care [then] suffer some type of preventable harm that contributes to their death.” The seminal Institute of Medicine report from 2000 that brought deaths from medical errors into the light put the figure at 98,000. Then, in 2010, the Office of Inspector General for Health and Human Services suggested that hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year. The new estimates were developed by John T. James, a toxicologist at NASA‘s space center in Houston who runs an advocacy organization called Patient Safety America. The story notes that this “would make medical errors the third-leading cause of death in America, behind heart disease, which is the first, and cancer, which is second.” A spokesman from the American Hospital Association reportedly stated that they are “more comfortable with” the IOM’s 98,000 estimate.
Comment: One possible response to this information is what a friend does when thinking of the extinction of species. She opens her heart and takes it in the magnitude of the news. This causes wailing. Snide asides are an easier, protective response: And this from a system that had us believing that it’s the best in the world? Or: And they’ve the gall to lambaste “CAM” for questionable safety?! How does one cross the bridge from the Hippocratic “above all do no harm” to become the nation’s 3rd largest killer? Plenty of shame to go around. Question is, can shame corrode the finery and lifestyle that shell-up the captains of the $2.8-trillion industry?
National, multidisciplinary certification group for health coaches gains not-for-profit status
A newsletter from Meg Jordan, PhD, RN and the California Institute of Integral Studies reports that the National Consortium for Credentialing of Health and Wellness Coaches has recently gained status as a formal not-for-profit organization. Jordan is a member of the organization’s illustrious board of directors. The group first assembled in 2009 then convened a national meeting of 75 interested leaders in September 2010 shortly after the Affordable Care Act was passed. The group is multidisciplinary and is working to set credentialing standards that would work across disciplines in order to, as their mission states, “improve the health and well-being of all Americans who are struggling to start and sustain health-giving behaviors and lifestyles, manage chronic diseases, and make important health decisions.”
Comment: In the best of all worlds, I would add required education in health coaching to that in self-care and in health and well-being (see Institute of Medicine web-accessible workshop includes focus on health and well-being in “transdisciplinary professionalism) as mission critical remedial actions to lever our disease focused system toward health. And yes, I also include anesthesiologists and brain surgeons as those who should be forced to ground their view of where the medical system needs to go by immersing themselves in these arts and sciences. Here’s hope that the group has had a set of significant donors waiting in the wings for the tax-deductible status to come through.
Boston Medical Center group receives $1.6-million PCORI grant to explore group-delivered integrative medical services
The Program for Integrative Medicine and Health Care Disparities at Boston Medical Center has been approved to receive a research award from PCORI to study Integrative Medicine Group Visits (IMGV) for chronic pain and depression in a low-income, minority population. Paula Gardiner, MD, MPH will lead the project at BMC. Basic research questions: “Will patients with chronic pain and associated conditions report less pain compared to control (those who do not participate in the IMGV) participants? Will patients with chronic pain and related conditions feel less depressed than those who are not in the IMGV? Will patients in the IMGV have more self-motivation to reduce pain compared to those who are not in the IMGV?”
Comment from Janet Kahn, PhD: Via work with the Research Working Group of the Academic Consortium for Complementary and Alternative Health Care, massage therapist-researcher-integrative medicine policy leader Janet Kahn, PhD, CMT commented on the study. I received her approval to publish these here: “Paula Gardiner and Rob Saper, the folks who head up the Boston Medical Centers Program for Integrative Medicine and Health Care Disparities are, in my mind, heroes. They are some of the relatively few integrative health care folks in either the allopathic or CAM worlds who are totally dedicated to bringing integrative health care to underserved poor folks. They are not working in boutique practices for folks who can pay out of pocket. While even rich folks suffer and deserve help for their suffering, the professionals who are treating poor folks are way less likely to be getting wealthy doing it. If the Boston Medical Center study shows these treatments to be cost-effective and successful for poor, underserved people with depression it is one more argument we can bring to CMS to start making integrative health care available through Medicare and Medicaid.” One additional note: the subject of this study, integrative group visits, is very exciting. From perspectives of values, effectiveness and efficiency, all integrative practitioners and their educators should be all over these approaches.
National Center for Homeopathy “re-booting” under new executive director
A September 25, 2013 e-newsletter from Alison Teitelbaum, MS, MPH, the recently named executive director of the National Center for Homeopathy, boasts a series of changes in the organization. Chief among them is a new website that includes additional information for “newcomers,” and expanded news and research sections. Other changes: a new bi-monthly e-news “about all things homeopathy.” Teitelbaum pledges many more changes in upcoming months.
Comment from Dana Ullman, MPH, CCH: I asked long-time observer-participant in the homeopathy field Dana Ullman, MPH, CHC, for a perspective: “Alison Teitelbaum has recently become the Executive Director
of the National Center for Homeopathy and has hit the ground running. It has been only around 9 months since Alison has assumed this position, but she is off to a great start.” Then he added: “She is working and rebooting the organization from the inside out. Now, if only the medical and scientific community will finally actually look at the growing body of scientific evidence that verifies the biological basis to and the clinical efficacy of nanodoses, the medical revolution will finally begin.” (See related piece, under Perspectives in this Round-up.) My additional comment: a tough business in homeopathy is how does one provide maximal voice for those who focus on using the minimal dose. Herding cats is one thing. Herding minds-in-search-of-remedies is a challenge of another order. Good luck, Teitelbaum.
Council for Responsible Nutrition report estimates billions saved via appropriate use of dietary supplements
The Council Responsible Nutrition, a major Beltway player in the wars over dietary supplements, has released a new report entitled Smart Prevention—Health Care Cost Savings Resulting from the Targeted Use of Dietary Supplements. The report is subtitled “An Economic Case for Promoting Increased Intake of Key Dietary Supplements as a Means to Combat Unsustainable Cost Growth in the United States.” The organization contracted with Frost & Sullivan for the report. They focused on 4 conditions: 1) coronary heart disease (CHD) and the potential health care cost savings when using omega-3 fatty acids, three B vitamins (folic acid, B6, and B12), phytosterols, and psyllium dietary fiber; 2) diabetes-attributed CHD and the potential health care cost savings when using chromium picolinate; 3) age-related eye disease (ARED), specifically age-related macular degeneration and cataracts, and the potential health care cost savings when using lutein and zeaxanthin; and 4) osteoporosis and the potential health care cost savings when using the combination of calcium and
vitamin D or when using magnesium. Some estimates: $6.8 billion annual savings from increased use of magnesium in women over 55 with osteoporosis; $12-billion annually from Calcium and Vitamin D if routinely given to the same population; and $4.3 billion annually from affirmative use of Omega 3s. These are each reported in this summary. The full report is available here.
Comment: One day perhaps the estimate of harm from the present system, such as was estimated in the article referenced above, will include the opportunity costs – the best foregone alternatives from not deploying appropriate complementary and integrative practices – in this case supplementation.
Israelson’s UNPA and Bland’s PLM link for exploration of dietary supplement-personalized medicine opportunities
The United Natural Products Alliance (UNPA), founded by natural products regulation maven Loren Israelson, and Personalized Lifestyle Medicine (PLM), founded by Jeff Bland, PhD, are uniting to co-sponsor Personalized Medicine: Opportunities and Challenges for the Dietary Supplement Industry. The event will take place in Salt Lake City on October 25, 2013. The organizations argue that “the age of ‘personalized health’ is upon us, and it’s a game changer for the natural health, nutrition and wellness industry.” And again: “To stay relevant, the natural health products industry must move from providing a ‘shotgun’ prevention approach to one that is patient-centered, utilizes a wide range of integrated approaches and addresses specific concerns.”
Comment: The Israelson-Bland connection brings together two of the more significant influencers in the natural products industry over the past 30 years, for Israelson, and 40 years, for Bland. Notably, the Council for Responsible Nutrition study on cost savings from dietary supplements, reported above, also invokes the growing interest in personalized medicine as background for the importance of its report.
AAAOM declares ambitious plan for 5 pieces of federal legislation
The American Association of Acupuncture and Oriental Medicine has declared a 5-bill agenda for its work with the U.S. Congress. The priorities, as laid out in this interview in Acupuncture Today, target: “1) Defense Health, our nation’s program serving active duty service members, National Guard and Reserve members, retirees, their families, survivors and certain former spouses worldwide. 2) Veterans Administration, America’s largest integrated health care system with over 1,700 sites of care, serving 8.3 million Veterans each year. 3) Medicare, the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease. 4) Federal Health Employees Benefits which provides healthcare to federal employees, retirees and their survivors who enjoy the widest selection of health plans in the country. 5) Public Health Service Corps, a team of more than 6,500 highly qualified, public health professionals. The Commissioned Corps officers work for Federal agencies, such as the Indian Health Service and
Bureau of Prisons, on the forefront of public health treating individuals that need it most. The Corps’ officers are dedicated to public health promotion, disease prevention, and the advancement of public health science.” In a significant effort to engage the whole profession in the agenda, the AAAOM has asked for input on the DRAFT bills, which are posted here. The AAAOM site indicates that thus far $20,500 has been raised to support what they see as a $3.14-million strategic plan.
Comment: One sort of Congressional strategy for an under-resourced profession is to choose a relatively undemanding goal that might give you a win but may not add up to much except some PR. The naturopathic doctors did this with SR221 and “Naturopathic Medicine Week.” (See Policy, this issue.) It follows Saul Alinsky’s Rules for Radicals: Choose winnable goals. Another strategy is to announce the big audacious
goal in hopes that it will magnetize. That appears to be the AAAOM strategy. Credit the AAAOM for its big tent process. As the comment field in the Acupuncture Today interview shows, integration, inclusion and insurance coverage are hotly debated by members of this profession as they are by all others. At present, this news is under Professions. Here’s hoping there will soon be positive reports of sponsorship and engagement under Policy.
American Chiropractic Association House of Delegates focuses on guidelines, evidence
In a report on the September 27-29, 2013 meeting of the House of Delegates of the American Chiropractic Association (ACA), the ACA highlighted one key action: “Best Practices and Clinical Guidelines: With more of health care payers transitioning to models supporting evidence-based health care practices, delegates approved a resolution to develop an ACA work group to review current and future best practice and guideline documents for potential adoption. The resolution points out that management of many commonly encountered disorders by chiropractic physicians is under scrutiny by third-party payers, and notes that ‘evidence-informed practice incorporates evidence-based research, established clinical guidelines, standard and accepted diagnostic algorithms and, diagnostic procedures and patient preference used in conjunction with the clinician’s clinical skills.'” In a lead-in to the report, ACA president Keith Overland, DC, reinforced this view: “We have an opportunity facing us like never before in history. Our entire U.S. health care system is transforming. The payment mechanisms and delivery system are changing. Evidence and cost-effectiveness are required. We must stop clinging to the past if we want to create the future.”
Comment: A number of recent reports on the evidence for cost-savings through doctors of chiropractic suggest that any system should start proactively creating managed access to these practitioners. The question for the chiropractors is partly whether evidence is enthroned; prejudice must also be dethroned, and the tool there may be less evidence than relationships.
Naturopathic doctors face regulatory challenges over prescription rights in Vermont, Alaska
The story in the Rutland Herald reports that “a set of rules proposed by the Secretary of State’s Office of Professional Regulation to revise the prescribing authority of naturopathic physicians has been rejected, at least temporarily, by a legislative panel.” The legislature had passed “a special license endorsement authorizing [naturopathic doctors] to prescribe, dispense, and administer prescription medicines,” eliminating a prior formulary. However, within a week, the panel reversed itself and backed the law: In an about-face, lawmakers expand prescription authority for naturopaths.
The same September 27, 2013 daily e-news of the American Association of Naturopathic Physicians (AANP) shared an article in the Juneau Empire that reports concerns of that state’s naturopathic doctors that new rules in the state will take away their rights to prescribe inject-able vitamins. The story notes that NDs have some form of prescriptive authority in 13 of the 17 states in which they are regulated. In both Vermont and Alaska, the naturopathic doctors were opposed by the respective state’s MD medical boards.
Comment: Credit the AANP for directly informing their members of these two conflicts. The NDs can at least take solace that they shouldn’t take the opposition personally. Prescription issues are front and center for the AMA’s Scope of Practice Partnership that seeks to limit scope, and drug rights, to multiple disciplines.
American Holistic Nurses plans cruise to explore the “evolution of integrative health and holistic nursing”
The expectation is of some 400 nurses and other practitioners gathering in Miami on November 2, 2013 for a week-long tax-deductible “Evolving Consciousness Community Cruise” through the Caribbean. Literally a boatload of integrative medicine and holistic nursing speakers, and a promise to “get silly, creative and profound, in ways that help us evolve into greater…” – and the list includes self-awareness, self-empowerment, professional satisfaction, and more.
Comment: This is the sort of moment when any sometimes speaker thinks: Now, why didn’t I have the right content to be forced to have my way paid to attend that event …? As a present resident in the Caribbean town of Rincon, Puerto Rico, I can attest to the possible co-habitation of actual work with the tropical pleasures.
Calling the Question: Is battle over non-discrimination in health care (Section 2706) rightfully spoken in the same breath as battles for people of color and women?
In a recent family trip to a book fair at the nation’s capitol, massage therapist Lauren Cates, CMT purchased “a beautifully illustrated book and CD following Martin Luther King’s ‘I have a dream’ speech.” Cates, the founder of the Society for Oncology Massage, heard echoed in King’s words the battle over Section 2706 of the Affordable Healthcare Act. The section is entitled “Non-Discrimination in Health Care.” Cates reflected on the connection and blogged on it in 2706 Redux (Not that it died … yet). The post is something of a ramble but raises the question and the uneasiness of the association with these two powerful cultural change movements directly: “You might feel that I’m stretching to compare the position of massage therapists in the world of healthcare with the civil rights movement or the feminist movement.” Then, before speaking to the American Medical Association’s efforts to overturn 2706, she makes her own view clear: “If, in your role as a massage therapist, you feel respected and ‘seen’ by doctors, physical therapists, nurses and hospital administrators, then you should stop reading now. Don’t waste this beautiful day staring at your computer when you could be out riding your unicorn.”
Comment: I hold strong personal view that frank prejudice is at play in much of this “integration” work. The evidence game, for instance is hardly a jury of one’s peers: whole system methods in front of the NIH review panels have a black man’s chance with a 1962 Selma jury. Access to care is subject to insurer red-lining. (Note that the insurers, did, however, pay for virtual all the murder and mayhem captured in the article on deaths via medicine, above.) The night-riders for the old system of medicine get away with throwing figurative ropes over tree branches, as judge and jury, dissing integrative medicine as “quackademic medicine” and blithely referring to “naturopathic medicine week” as “quack week.” Cates refers to massage therapists not being “seen” by medical doctors. Hello Ralph Ellison and the seminal Invisible Man. The parallels go on, even to the ways that the imprint of the dominant system on the “alternative” outsiders create psychic chains explored in such works as Albert Memmi’s The Colonizer and the Colonized. Good for the outspoken Cates to have called
the question. Now: what are its full implications for those who have a dream? (Thanks to David Matteson for bringing Cate’s post to my attention.)
Update from Dana Ullman: Indian Institute of Technology delivers compelling evidence for homeopathy/nanomedicine
After an e-exchange with Dana Ullman, MPH, CCH, regarding changes at the National Center for Homeopathy (reported above), Ullman added an update on recent research published out of India. He said I could share: “Speaking of these nanodoses, the work of Iris Bell, MD, PhD is of special importance here. Dr. Bell [has been a researcher with] Andy Weil’s University of Arizona Center for Integrative Medicine and she has been a
tireless researcher and a collector of evidence from mainstream science that has now verified a wide body of evidence to show that nanodoses of the original medicine PERSIST in water solutions and remain in measurable doses that are known to active biological and physiological effects. Bell also draws some of her evidence from the body of research conducted at the famed India Institute of Technology (India’s leading governmental research agency), which recently had a team of researchers conduct studies, using three different types of spectroscopy, to confirm the persistence of nanodoses. This team published their newest review of their (and others’) research in the highly respected journal in the field of ‘material sciences’ called Langmuir. (Chikramane PS, Kalita D, Suresh AK, Kane SG, Bellare JR. Why Extreme Dilutions Reach Non-zero Asymptotes: A Nanoparticulate Hypothesis Based on Froth Flotation.) Based on this research, people who now say or suggest that there is ‘nothing’ in homeopathic medicines have been PROVEN to be wrong (or misinformed).
Ullman continues: “Bell’s work is an exceptional review of the basic sciences literature that explains how homeopathic medicines may work. (Bell IR, Koithan M. A model for homeopathic remedy effects: low dose nanoparticles, allostatic cross-adaptation, and time-dependent sensitization in a complex adaptive system. BMC Complement Altern Med. 2012 Oct 22;12(1):191.) Further, it is widely recognized that MANY common hormones and cell signaling agents in the human body are known to react powerfully to extremely small doses. A review of some of this evidence was published [some years ago] in Archives of Internal Medicine: Eskinazi, D., Homeopathy Re-revisited: Is Homeopathy Compatible with Biomedical Observations? Archives in Internal Medicine, 159, Sept 27, 1999:1981-7. I hope this intrigues you and your readers…and this body of scientific evidence leads me to tell fellow homeopaths that we must now seriously consider referring to homeopathy as a type of ‘nanopharmacology’ and a ‘nanomedicine.’ When homeopathy gets re-framed this way, I predict that it’ll be better understood and accepted. Nanomedicine IS part of the future of medicine.”
Comment: I am not a big homeopathy guy, as my spouse, Jeana Kimball, ND, MPH, who is, will attest. (I take the remedies, and do reach for Traumeel on my own …) I am, however, a big fan of Iris Bell. I have heard repeatedly, from my spouse, that one day the science will support the activity in these infinitesimal doses. If what Dana reports is correct, that day may be upon us. On me, a spousal I told you so.
Integrative pediatrician Sunita Vorha, MD awarded 2013 $250,000 Dr. Rogers’ Prize
In a gala ceremony in Vancouver, B.C. on September 26, 2013, integrative pediatrician Sunita Vohra, MD, MSc won the $250,000 Dr. Rogers’ Prize for excellence in complementary and alternative medicine. An account in the Vancouver Sun notes that Vorha, 42-years-old, started Canada’s first integrative pediatric program. She presently directs the Complementary and Alternative Research and Education or CARE at the University of Alberta in Edmonton. After asking what she planned to do with the award funds, Vohra, a clinician-researcher, the Sun reported that she “didn’t have specific plans for the money other than she would use it to help get the kind of research she does out of books and into policy that makes changes in the world.” The Dr. Rogers’ Prize, awarded every two years, is named after a pioneering integrative medical doctor in British Columbia, Roger Rogers, MD. It is the largest prize of its kind in the world in complementary, alternative and integrative health and medicine.
Comment: Vohra’s response on her planned use is quite practical and down-to-earth and gives a little hint to what drives her. Her eye is on the real prize: translating what we are learning to shift practice toward better care.
Integrative researcher-clinician Dugald Seely, ND chosen one of Ottawa’s Top 25 People
The Ottawa Integrative Cancer Center (OICC) founder and executive director Dugald Seely, ND, MSc, FABNO has been selected as one of the Top 25 People in the Capital in 2013 by Ottawa Life “for his vision and leadership in starting the first integrative cancer care and research centre in central and eastern Canada.” Seely also serves as the director of research at the Canadian College of Naturopathic Medicine where this year he successfully had published in the Canadian Medical Association Journal the first positive article about outcomes of a whole person naturopathic protocol. OICC offers a whole person, integrative oncology approach.
Comment: Having not known the winner of the Dr. Rogers’ Prize, but with close familiarity with Seely’s remarkable trajectory and influence as a clinician-researcher (like the winner, Sunita Vorha, MD), I’d supported a nomination for Seely to win that prize. Perhaps another year. While no prize money for this, quite an honor in Ottawa.
Horace Elliott to step down after 27 years with the National Board of Chiropractic Examiners
Twice granted honorary doctorates by the chiropractic organizations, Horace Elliott will be celebrated on October 30, 2013 in Greeley, Colorado, by the National Board of Chiropractic Examiners (NBCE). The organization is holding a reception “to honor for his 27 years of service to the chiropractic profession.” The executive vice president to the chiropractic profession’s testing agency, is a strong believer in the value of collaboration and interprofessional teams in providing optimal care, Elliott was a champion of NBCE’s decision to become a member of the interprofessional Academic Consortium for Complementary and Alternative Health Care (ACCAHC) for which he has served on the board and as chair of the finance committee.
Comment: Fine man. It has been a personal pleasure to have had a chance to work closely with Horace from time-to-time via his ACCAHC role.
Disease Proof: new book from Yale integrative and preventive medicine leader David Katz, MD, MPH
The new book by Yale integrative and preventive medicine leader David Katz, MD. MPH, is Disease Proof: The Remarkable Truth about What Makes Us Well. Katz argues that 80% of disease risk can be limited through “four simple things—not smoking, eating well, being active, and maintaining a healthy weight.” An ad for the book says Katz “equips readers with the knowledge to manage weight, improve immune function, reprogram our genes, and prevent and reverse life-altering illnesses.”
Comment: Katz, who founded Yale Integrative Medicine, has perhaps the strongest prevention and public health pedigree of any integrative medicine leader. He serves as the chair of the steering committee of the Health Resources Services Administration-funded National Coordinating Center for Integrative Medicine, a.k.a., Integrative Medicine in Preventive Medicine (IMPriME).
American Chiropractic Association selects James Potter as new CEO
The American Chiropractic Association announced that it has selected James G. Potter as its Chief Executive Officer. Potter is an experienced association director who comes from the American Academy of Physician Assistants where he served as Senior Vice President and Interim CEO. Potter previously directed government relations at the American Speech-Language Hearing Association and held positions with radiologists and with the American Medical Association. He joined ACA in mid-September, replacing Bill O’Connell.