Monday, March 19, 2018

The Mind of a Leader, a Lunchtime Listen Recommendation

keywords:  leadership skills, skills for successful leadership, build a team and team-cohesiveness, skill-building, team leadership, leadership and mindfulness, leadership and selflessness, leadership and compassion

The foundation of leadership is to understand yourself --Rasmus Hougard

This week's Lunchtime Listen recommendation is a keynote address, 

This limited-availability video is an intriguing lead magnet from the Mindful Leadership Summit.

"The Mind of a Leader" keynote presentation reviews, in 52 minutes, the findings published in The Potential Project's new book, The Mind of the Leader:  How to Lead Yourself, Your People, and Your Organization for Extraordinary Results by Rasmus Hougaard and Jacqueline Carter.

This video is available to view until Thursday, March 29th, 2018.

View today's featured presentation video on the webpage.
"The foundation of leadership is to understand yourself" --minute 6.55
Notes on the Presentation
The Potential Project did a 2-year research project, working with the Harvard Business Review, about leadership. The results are published in the book, Mind of the Leader, which was released in March 2018.

Presentation Overview
The presentation will be a "crash course" in
(1) mindfulness
(2) selflessness, and
(3) compassion. [minute 8.30]

Mindfulness subject focus [minutes 8-24]

Selflessness discussion [minutes 24-35]
"selflessness is the most important leadership quality in the 21st century"--Dominic Barton
"Selflessness helps us to see the inter-connected-ness of organizations and make us understand our modest contribution.  The only sound response is humility and gratitude." 

When you develop humility, it is easier to practice gratitude.

Research has shown that "gratitude is [the most] empowering leadership skill."

Compassion Discussion [starts minute 35]
Marriott Hotels example.
Jeff Weiner:  "compassion without wisdom is folly; wisdom without compassion, ruthless." [minute 40]
  • minute 43:  compassion is also about giving tough feedback so [your employee/colleague] can grow and improve.
  • Compassion can be difficult.
  • Compassion is valuable leadership skill. 
  • Do you know how to develop your compassion?
  • minute 44-48 short 3-minute "practice of compassion"
  • be aware of your intention throughout your day.  Intention is directly related to acts of compassion.

When leaders are (1) mindful, (2) selfless, and (3) compassionate, this creates trust and social cohesion.  So, when hard times arise, the organization will be ready and resilient.

References mentioned
Mindful Leader website
The Potential Project
Mind of the Leader, the book

Related Blogposts
More about Mindfulness:  Are You Appreciating the Present Moment?
More on Leadership

Did you find this information useful?  
If so, please support this community resource by contributing $5 or $25 today and watch these resources grow by following the blog and Facebook page.

Tuesday, March 13, 2018

Congressional Integrative Health and Wellness Caucus

key words: advocacy, integrative health, opioid crisis, non-pharm options in healthcare, patient-centered care models, Congressional Integrative Health and Wellness Caucus 

When our politicians learn more about the integrative health and wellness movement as part of mainstream U.S. healthcare from recognized experts, they can make better informed decisions when voting on health-care related legislation.

Invite your U.S. House Representative to the March 15th, 2018, D.C. luncheon, Congressional Integrative Health and Wellness Caucus to learn more about Integrative Health during lunch.


Not sure who your U.S. House representative is?  Use this look-up tool.

Sample Script 
Here is a sample script for your email: 
Share a brief personal reason why this issue is important to you (constituent/voter).

"Hello, I am ___(name)__ and my zip code is ___.
As your constituent, I urge you to attend the Congressional Integrative Health and Wellness Caucus on Thursday, March 15th.
Event details are here:  
This is an introductory educational briefing with lunch. 
Health care and access to integrative health as part of my health care team is important to me and my family.  I hope you are able to attend this briefing or meet with one or several of the speakers."
If it is after March 15th, you can still contact your representative and connect them to some of the resources that were available at the luncheon.  Here are the published contact details:

What is the Integrative Health and Wellness Caucus?
The Integrative Health and Wellness Caucus is a bipartisan Congressional effort.

Published Schedule and Speaker Panel for the 2-hour luncheon, March 15th, 2018:

What is the Integrative Health Policy Consortium (IHPC)?

It is a national policy and advocacy voice of integrative health and wellness healthcare professionals.  It represents 24 health professional organizations and 600,000+ healthcare providers.


New Congressional Caucus on Integrative Health and Wellness Formed

Monday, March 5, 2018

Why this Project?

keywords: hospital practice, integrative health in medical centers, making integrative health available to those who need it

How did I get started on this work?  

Why am I passionate about making hospital-practice work available to East Asian Medicine Practitioners/Licensed Acupuncturists?  

Why do I want EAMPs/L.Ac.s to be available in hospitals and medical centers?

Well, it's personal.  And, personal stories are hard to share.  So, while I recorded this video for our spring fundraiser at much prompting from colleagues and some family, I never wrote a blogpost to accompany this video.  Until now.

With the community growing the past several months and several major steps for hospital practice work being announced in the past 60 days, it seems like a good time.  These major steps that have taken years of work from members of the profession and their advocates--the BLS occupational code (Jan. 1st, 2018), the Joint Commission Pain Standard (Jan 2018), and the VA Handbook Occupational/Staffing Code (Feb 2018).

Here is my "WHY" (4 minutes):

Support the Project here.  

So how did I get started in all this? 
When I was in grad school, there was the troop surge in the Iraq war. And my brother was one of those soldiers. 
As I sat in class learning about Traditional Chinese medicine, I was thinking about how what I was learning could help my family and friends who were deployed.  
And, I learned that East Asian medicine is a non-drug non-surgery option for pain management. 
And, it decreases stress. And, it improves sleep. So, thereby, it helps increase resiliency.  
As it turns out, if you can improve sleep quality, decrease stress, and decrease pain you can decrease the probability of post-traumatic stress from becoming PTSD. 
East Asian medicine complements conventional medical care. 
So, how do we get East Asian medicine into the hospital system?  How do we get East Asian medicine to those who need it? 
By working in the conventional medical system. By having Acupuncturists work in hospitals, medical centers, VAs, and military treatment facilities. 
There have been barriers to working in hospitals, the first of which is that we are new to the system. 
So, often, each time an Acupuncturist is hired into a system, they are the first or one of the first for that facility. So, the problem of reinventing the wheel is common. 
Instead of existing in silos, this Project endeavors to create connections  community, and share wisdom. 
The hospital handbook project provides a ladder over the barrier and makes landing on the other side with your hospital sponsor a little softer. You still need to get up and get moving; and I believe your clinic and your program will be better poised for success because you have learned from the wisdom of others. 
This is what the Hospital Practice Handbook Project living resource aims to do. 
I wish these resources had been available to me when I started hospital practice. And I hope, by getting these resources published and collaborative projects funded, that this resource will be available to hospital practice acupuncturists and their sponsors.

You can support this community resource by contributing $5 or $25 today and watch these resources grow by following the blog and Facebook page.

Tuesday, February 27, 2018

Society for Integrative Oncology

key words:  palliative care, oncology, integrative medicine, team care, integrative health, collaboration, collaborative healthcare, patient-centered care, quality of life care, recommended resources, person-centered care

topics:  oncology, the integrative medicine movement in mainstream U.S. medicine

At the 14th International Conference of the Society for Integrative Oncology, a new definition of integrative oncology was announced.

The Official Society for Integrative Oncology Definition of "Integrative Oncology":
Integrative oncology is a patient-centered, evidence-informed field of cancer care that utilizes mind and body practices, natural products, and/or lifestyle modifications from different traditions alongside conventional cancer treatments. 
Integrative oncology aims to optimize health, quality of life, and clinical outcomes across the cancer care continuum and to empower people to prevent cancer and become active participants before, during, and beyond cancer treatment.

Integrative oncology seems to be firmly rooted in the true philosophy of "integrative health care".  I am looking forward to watching it grow strong for the health of patients and their families and the field of health care in general.

To learn more about this year's conference, I recommend reading the report by Zeyiad Elias, DAOM, RAc, in the winter 2018 issue of Meridians:  Journal of Acupuncture and Oriental Medicine.

Elias Z. Society for Integrative Oncology 14th International Conference:  A Report. MJAOM 2018;5(1): 30-35.
Society for Integrative Oncology

If you found this information helpful, please consider contributing $5 or $25 at our website to help with creating this blog resource and building new resources for the community.  Thank you. 
Do you want to follow our work at the Hospital Handbook Project?  Just sign up for the newsletter on the website, subscribe to the blog, and like our Facebook page.

Sunday, February 25, 2018

The BLS Standard Occupational Code for Acupuncturists

keywords:  occupational code, SOC, hospital credentialing, profession tracking, issues in student loan repayment, the development of a profession, why and how a federal occupational code (SOC) makes a difference for a profession

Did you know, that, for the first time in our profession, we have a unique Standard Occupational Code (SOC), published and being tracked by the Bureau of Labor and Statistics since Jan. 1st, 2018?

This is a major milestone for our profession.

29-1291 Acupuncturist

Two other major milestones for hospital-practice Acupuncturists have occurred within just 40 days of this.

  1. The Joint Commission Pain Management Standard began official implementation Jan. 1st, 2018 for any accredited facility (most U.S. hospitals strive for accreditation by the Joint Commission).  This includes requiring facilities to provide non-pharmacological pain management therapies (such as acupuncture/East Asian medicine, chiropractic, yoga, physical therapy, health psychology) by qualified, licensed practitioners. 
  2. The VA Occupation/Staffing Handbook was updated February 7th, 2018 to include a professional occupation distinction, Acupuncturist.

So, how does having a standard occupational code (SOC) make a difference?

In my experience, this makes a difference in at least 2 ways:

  1. Potential for the profession to be eligible and included as in federal student loan forgiveness programs
  2. Makes it easier for health care organizations to create job descriptions and credentialing packets for your occupation.  
    1. So, if you are the first or one of the first people in your profession to work in that health care facility, civilian OR federal, the facility now has this basic standard that they are accustomed to reference, the BLS SOC Handbook, to write the basic outline for the job (position) description and the outline for your credentialing packet.

Time period:  2006 - 2010
Hospital Credentialing Office:  What is the occupational code for your profession? 
Me, as a volunteer in the early 2000s:  I don't know.  Let me find out.   
Calling my mentors and national organizations:  What is our occupational code?
Someone in the NCCAOM® office:  Actually, we are working on it. 
Me:  Cool.  What does that mean? 
NCCAOM®:  It's complicated.
[Check out all of NCCAOM® (staff and volunteers) work on how they worked on this process over the past decade or so on their webpage
Me, to the Credentialing office in the early 2000s:  My profession does not have a specific BLS federal occupational code at this time. Here are some related standards and the current update on the process. 
Hospital Credentialing Office:  [that dreading look of "this means I have to pull together something from scratch"].  Do you have any examples of how Acupuncturists have been credentialed at other facilities? 
Me, calling the few contacts I had at hospitals Can you share with my facility a copy of what your credentialing department? 
Answers:  "no, this is proprietary information".  "yes, we would love to!"

Fast-forward to 2018:
Hospital Sponsor/Credentialing office:  What is your occupational code?
Acupuncturist:  29-1291 Acupuncturist.
Hospital Sponsor/Credentialing office:  Thank you.  Do you have any examples you can share of other facilities' credentialing standards for your profession?
Acupuncturist:  Yes.

  1. Here is the VA's published occupation staffing code for Acupuncturists, published in Feb. 2018
  1. Here are my national organization, NCCAOM® Hospital-based Task Force guidelines on credentialing documents, published in 2016:
  • "Credentialing of Acupuncturists for Hospital-based Practice:  A Resource Guide for NCCAOM® Diplomates".  July 2016.
  • "Credentialing Licensed Acupuncture and Oriental Medicine Professionals for Practice in Healthcare Organizations:  An Overview and Guidance for Hospital Administrators, Acupuncturists and Educators".  October 2016. 

...end of storytime...

Where can I find the federal BLS Occupational Code Manual to revel at the code, finally published?

Go to the Standard Occupational Code (SOC) webpage on the U.S. Bureau of Labor and Statistics website and follow the links to the 2018 Manual  

You can view a pdf of the 2018 Manual from here.  For the published occupational code listing for Acupuncturist, go to p. 107 in the document (114 in the pdf).  This Manual has been officially in use since Jan. 1st, 2018.  

The 2018 Standard Occupational Code (SOC) Manual
The NCCAOM® multi-year work on the SOC for Acupuncturists
The Joint Commission Pain Management Standard Clarification
Publications:  Hospital-based Task Force papers and Recognition of Acupuncturist as Licensed Independent Practitioner (LIP)

Related Blogposts
The VA Occupational Code for Acupuncturists
Why this Project?  Megan's story

Want to learn more on documenting clinical change in your patient-centered practice? 
Check out our Metrics series posts: The Pain Scale and Medication Review:  Calculating Morphine Equivalent Dose (MEQ).

If you have found this blogpost useful, please contribute $5 or $25 today to support the Hospital Practice Handbook Project resource.  
Thank you. 

Follow us on our public Facebook page and sign up for newsletters and announcements through our website.  See you there!

Monday, February 19, 2018

Moving Beyond Medications, the Infographic

keywords:  pain management, integrative health, communicating with primary care providers, communication with biomedical providers, provider communication, non-pharm pain management, non-drug pain management, the opioid crisis, integrative health as part of the integrative pain management models of care

topics:  pain management, communication with biomedical providers, opioid crisis

I have recommended this infographic in previous blogposts on the subject of pain management and the opioid crisis.

Moving Beyond Medications is a useful one-page infographic for primary care providers looking for a quick reference point for referrals for non-pharm pain management.

"Non-Pharmacological Approaches to Pain Management and Well-Being:
 In response to the current public health crisis of opioid abuse, overdose, and death, many organizations have issued guidelines and recommendations for treating pain, including the former Surgeon General’s “Turn the Tide” campaign. Similar to other guidelines, this campaign recommends non-pharmacological approaches as first line pain treatment, with opioids to be considered only if these and non-opioid pharmacological treatments are ineffective. This document expands upon those recommendations to help primary care clinicians and their patients with this approach."

This infographic, available for free, was created through a collaboration of several national organizations:  The Academic Collaborative for Integrative Health (ACIH, the "Collaborative"), the Academic Consortium for Integrative Medicine and Health (the IM Consortium), the Academy of Integrative Health and Medicine (AIHM), and the Integrative Health Policy Consortium (IHPC).

The Consortium Pain Task Force published a related white paper, Evidence-based Nonpharmacologic Strategies for Pain Care.  Free copies are available for download here.

Want to learn more on documenting clinical change in your patient-centered practice? 
Check out our Metrics series posts: The Pain Scale and Medication Review:  Calculating Morphine Equivalent Dose (MEQ).

Related Blogposts

If you have found this blogpost useful, please consider contributing via the website to help support this resource.  Thank you. 

Do you want to follow our work at the Hospital Handbook Project?  Just join the contact list on the website, subscribe to the blog, and like our Facebook page.

Sunday, February 18, 2018

The VA Occupational Code for Licensed Acupuncturists

The VA Occupational Code for Licensed Acupuncturists has been published!

Thank you to everyone involved in the process who kept doing that next right thing over the past several years to build this code through what must be a tedious process.  This occupational code is a huge step toward making this non-drug and non-surgery integrative health resource available to patients as part of their VA care from the local VA clinic to the larger medical centers.  From a practitioner perspective, this is big step in the ability to be a full employee instead of temporary contract positions.

For more practitioner resources about how to work in hospital practice, connect to our community here and help us build and grow resources for current and future practitioners.  We endeavor to fix the silo problem by creating community.  Learn more about why I founded the Project here.

For hospital administrator resources on how to hire and credential Acupuncturists, there are some basic guidelines here, published by the national organization NCCAOMⓇ and more resources being created through this Hospital-Practice Handbook Project.  

If you are hiring a new practitioner not already connected to the community, please connect them to our contact page and Facebook page where they can connect to other hospital-practice Acupuncturists.  "We connect, share wisdom" to help avoid re-inventing the wheel.  For more about why I launched this project, watch this short video.

Now for the weblink you have been waiting for!

Go to this page

Then, scroll down to the line for Acupuncturist:

and it brings up a pdf with a note that the pdf or VA Handbook update was published 2.7.2018.

Let's see that screenshot again (I am so happy!):

Looking at the online pdf, it looks like the positions are title 38 hybrid status and the range of  GS-9 (which reads like an internship position) to GS-11 and GS-12 as full-practitioner and GS-13.  GS-13 are supervisor or program coordinator positions.  It is not clear to me what a full-time researcher position would be, but perhaps that is covered in a different category (the research job category?) of job positions than this.

Wonderful news!  Thank you to everyone who worked on this effort!!

Related Blogposts
Why This Project? Megan's story
Fixing the Silo Problem:  How the Project is Working to Create Community and Build Resources
Supporting Our Hospital Sponsors/Hospital Administrators
Creating Connections, Growing Community
Why Build This Resource?
The Webinar Series Project, ready for funding  :)

Want to learn more on documenting clinical change in your patient-centered practice? 
Check out our Metrics series posts: The Pain Scale and Medication Review:  Calculating Morphine Equivalent Dose (MEQ).

Follow us on our public Facebook page and sign up for newsletters and announcements through our website.  See you there!