“Often when you’re at the edge of something, you’re at the beginning of something else.” Fred RogersTidbits from the March 2019 newsletter
March: The Maple Sap is Rising
It is early spring. The sap is rising; the season for growth and movement.
What are you noticing about the spring energy of growth and movement? Uncomfortable? Blocked? Perfect weather? More than ready to jump into summer after a long winter?
Short Topic Summary for This Newsletter
- Getting Your Foot in the Door of Hospital Practice: First Steps document
- Did you respond to the feedback form?
- Looking for sponsors to support the “Paths to Practice” interview series
- Self Care: The Practice of Self-Reflection
- Community Discussion topics: acupuncture post-surgery models and the "bundle" model for joint replacement
- National News: The HHS call out--read the NCCAOM response
HH Project News
- Free Download from the Project
- Have you downloaded our free document, Getting Your Foot in the Door of Hospital Practice: First Steps…, yet?
- Please take the quiz to help me improve future products.
- All products help support the Project with the goal of making this community work sustainable.
- Next product available soon: the workbook for the Getting Your Foot in the Door pdf. The workbook has been going through edits and beta readers this past month.
- Looking for sponsor(s) to help cover the cost of video edits for the latest in the “Paths to Practice” interview series.
- In the “Paths to Practice” interview series, I interview a colleague about their path into hospital-based practice.
- There are options for full sponsorship and partial sponsorship.
- Please contact me if you or your business or organization is interested. Thank you for supporting this work.
- Did you know we have an online short course available?
- You can purchase access to this short course, “How to use a validated pain scale in your chart note” All proceeds go toward supporting the Project.
- Thank you for supporting this work!
March Discussion Topics in the Community
- Acupuncture for post-surgical pain
- Share-able related published articles:
- “Acupuncture Provides Short-term Pain Relief for Patients in a Total Joint Replacement Program”
- Crespin DJ, Griffin KH, Johnson JR, et al. Acupuncture provides short-term pain relief for patients in a total joint replacement program. Pain Med. 2015;16(6): 1195-1203. doi: 10.1111/pme.12685
- Knee/joint replacement integrative care models: The Bree Collaborative’s bundled payment model
- On knee/joint replacement care, let's take a step back and look at models of care for the patient's care process from pre-surgery to recovery. The Bree Collaborative of Washington state finished the total knee replacement bundled payment model standard last year (2018). This is a one-to-watch for your medical centers.
- The Bree Collaborative is a standard-setter in value-based model care with patient-centered outcomes. It sets standards for WA state health care policy. These models they discuss work best in “centers of healthcare excellence (COHE or COE)” where patients can have access to all services in the bundle in one system and in a timely manner. From assessment of surgery to surgery to inpatient stay to post-operative care to rehabilitation care.
- share-able published articles on this topic:
- "Improving Care by Redesigning Payment", an NEJM catalyst article
- Bree Collaborative 2018 end of year report
- Bree Collaborative, the landing page for the "total knee and hip replacement bundle and warranty" standard as well as other accountable payment model standards they have published.
- Models of integrative health in hospitals and medical centers
- The JACM special edition, March 2019, volume 25, issue S1, Special Focus Issue on Multimodal Approaches in Integrative Health: Whole Persons, Whole Practices, Whole Systems
- When Clinical Research Impacts Health Policy
- “Acupuncture for Chronic Pain in the Vermont Medicaid Population: Interview with Robert Davis, LAc” by Jennifer A.M. Stone, LAc. Meridians: JAOM, winter 2019, p. 35 -36, 45.
- Excerpt: (paraphrase) After receiving acupuncture treatment in the study:
- 57% of patients used less non-opioid pain relief medications
- 32% of patients using opioid meds reported reductions in use
- 74% of employed patients reported improved capacity to work
- 96% said they would recommend acupuncture to others with chronic pain
- 91% reported qualitative improvements (physical, functional/behavioral, and psycho-emotional)
- Davis RT, Badger G, Valentine K, Cavert A, Coeytaux RR. Acupuncture for chronic pain in the Vermont Medicaid population: A prospective, pragmatic intervention trial. Glob Adv Health Med. 2018; 7:2164956118769557. Published 2018 Apr 10.
- On writing a scientific paper—this article is a good review with specifics to the practice of acupuncture and east Asian medicine.
- “Writing a Solid Scientific Paper That Will Sail Through the Peer Review Process: Valuable tricks from the experts” by Jennifer A.M. Stone, LAc, pages 30-35 of Meridians: The Journal of Acupuncture and Oriental Medicine, spring 2018.
- The U.S. Health and Human Services (HHS) call for information on pain management best practices, identify gaps in care, etc., to help curb the opioid crisis ends April 1st, 2019.
More on research this past month--Basics and Bodywork-focused
- The Massage Therapy Foundation (research) and the NCBTMB (massage therapy and bodywork) have collaborated to create a webinar series on the basics of research in 2019. The first webinar aired in February 2019, with the episode, "Why Research?"
You can support this work anytime:
- Share blog posts
- Sponsor a newsletter or pitch in to offset daily operating costs at a cup of coffee or lunch. ☕️
- Take our first metrics course
Happy early spring!
Here's the link to the full March newsletter if you missed it. Sign up on our email list to get future newsletters.