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From the perspective of the integrative medical care consultant.
What type of evidence would you propose to show that an
integrative approach produces the best medical outcomes in
medical care? As the consultant, how would you address the
criteria put forth by your peers?
Considering Integration
For the purpose of this discussion, I have been asked to
meet with an integrated medical care consultant whose job is to
propose that my consortium incorporate CAH practitioners into
its clinics. As a Chief Medical Officer of a specialty clinic
consortium that is dedicated in delivering the highest level of
cancer care treatment, I would have several concerns and
questions for the consultant. First, what types of therapies will
we be offering to our patients? Are there scientific studies
available that prove both the efficacy and safety of these
therapies? What is the internal cost of making the
transformation to integrative care? What are the licensure
requirements for the CAH practitioners who will be joining our
staff? Are they responsible for the cost of maintaining
licensure, or is that our responsibility? This is the most
important information I would like to gain from the consultant’s
presentation.
Moreover, the most important clinical criteria that I
would want to consider before I made a contractual decision to
integrate CAH practitioners into the consortium clinics are as
follows:
An outcome assessment of this integrative clinical model that
includes concurrent measurement of biologic, psychologic,
social, spiritual, and contextual dimensions of whole-person
health as well as patterns of change in medical conditions, risk
factors, and/or health behaviors that occur during the integrative
medical treatment (Greeson, Rosenzweig, Halbert, Cantor,
Keener, & Brainard, 2008, p. 4)
An assessment of current studies that prove both efficacy and
safety in CAH therapies to be integrated
An assessment of current policies and procedures, as well as
any adjustments that would need to be made for integration
An assessment of key concerns of integration for patients and
staff alike
A risk assessment and liability analysis (Ventola, 2010, p. 3)
An assessment of the integrative model of care’s scope of
practice
An assessment of the ethical considerations of integration
I feel that next to efficacy and safety, cost effectiveness and
ethical implications are the most important elements to consider
when discussing making the transformation to an integrative
care facility.
References
Greeson, J. M., Rosenzweig, S., Halbert, S. C., Cantor, I. S.,
Keener, M. T., & Brainard, G. C. (2008). Integrative medicine
research at an academic medical center: patient characteristics
and health-related quality-of-life outcomes.
Journal Of Alternative And Complementary Medicine (New
York, N.Y.)
,
14
(6), 763-767. doi:10.1089/acm.2008.0114.
Ventola, C. L. (2010). Current Issues Regarding Complementary
and Alternative Medicine (CAM) in the United States: Part 3:
Policies and Practices Regarding Dietary Supplements In Health
Care Facilities.
Pharmacy and Therapeutics, 35
(10), 570–576.
From the perspective of the integrative medical care consultant. Wha.docx

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  • 1. From the perspective of the integrative medical care consultant. What type of evidence would you propose to show that an integrative approach produces the best medical outcomes in medical care? As the consultant, how would you address the criteria put forth by your peers? Considering Integration For the purpose of this discussion, I have been asked to meet with an integrated medical care consultant whose job is to propose that my consortium incorporate CAH practitioners into its clinics. As a Chief Medical Officer of a specialty clinic consortium that is dedicated in delivering the highest level of cancer care treatment, I would have several concerns and questions for the consultant. First, what types of therapies will we be offering to our patients? Are there scientific studies available that prove both the efficacy and safety of these therapies? What is the internal cost of making the transformation to integrative care? What are the licensure requirements for the CAH practitioners who will be joining our staff? Are they responsible for the cost of maintaining licensure, or is that our responsibility? This is the most important information I would like to gain from the consultant’s presentation. Moreover, the most important clinical criteria that I would want to consider before I made a contractual decision to integrate CAH practitioners into the consortium clinics are as follows: An outcome assessment of this integrative clinical model that includes concurrent measurement of biologic, psychologic, social, spiritual, and contextual dimensions of whole-person health as well as patterns of change in medical conditions, risk factors, and/or health behaviors that occur during the integrative medical treatment (Greeson, Rosenzweig, Halbert, Cantor, Keener, & Brainard, 2008, p. 4) An assessment of current studies that prove both efficacy and
  • 2. safety in CAH therapies to be integrated An assessment of current policies and procedures, as well as any adjustments that would need to be made for integration An assessment of key concerns of integration for patients and staff alike A risk assessment and liability analysis (Ventola, 2010, p. 3) An assessment of the integrative model of care’s scope of practice An assessment of the ethical considerations of integration I feel that next to efficacy and safety, cost effectiveness and ethical implications are the most important elements to consider when discussing making the transformation to an integrative care facility. References Greeson, J. M., Rosenzweig, S., Halbert, S. C., Cantor, I. S., Keener, M. T., & Brainard, G. C. (2008). Integrative medicine research at an academic medical center: patient characteristics and health-related quality-of-life outcomes. Journal Of Alternative And Complementary Medicine (New York, N.Y.) , 14 (6), 763-767. doi:10.1089/acm.2008.0114. Ventola, C. L. (2010). Current Issues Regarding Complementary and Alternative Medicine (CAM) in the United States: Part 3: Policies and Practices Regarding Dietary Supplements In Health Care Facilities. Pharmacy and Therapeutics, 35 (10), 570–576.