A source of information for Hospital-practice Acupuncturists and their Hospital Sponsors. This blog is part of the Hospital Handbook project which also includes social network sites to start or continue topic discussion.
Goals: to share collective wisdom of hospital practice
to create community
to encourage each other
to improve our knowledge and practice standards together
Peace & time to breathe/pause to all of my essential worker
colleagues and those who are also making space for positive change in their workplace
or community. 🦋
"To mindfully pause is to interrupt your automatic reactions to
life’s events and the stories that flow from those reactions. Pausing allows
your mind to take a break, so you can be with life as it is vs. how you’d like
life to be. Pausing is also part of a larger cycle of work and renewal, a
rhythmic flow of life. Pausing’s not merely a good idea. It’s a required
nutrient like air or water."
If you found this content useful or insightful, please support this community work. You can support with cups of virtual coffee, sponsor a newsletter, or sponsor a project via the website.
keywords: quality assurance (QA) standards, quality improvement (QI), program leads and program managers, leadership and workplace, metrics
topics: QA/QI and workplace safety and patient safety, the latest standards on patient and workplace safety from the Institute for Healthcare Improvement (IHI)
This report, “provides clear direction that health care
leaders, delivery organizations, and associations can use to make significant
advances toward safer care and reduced harm across the continuum of care.”
“The report harnesses the knowledge and insights of the
National Steering Committee for Patient Safety (NSC) members, including
influential federal agencies, leading health care organizations, patient and
family advisors, and respected industry experts, into a set of actionable and
effective recommendations to advance patient safety.”
“The National Action Plan centers on four foundational
and interdependent areas, prioritized as essential to create total systems
safety. The recommendations in these four areas build on the substantial body
of experience, evidence, and lessons learned that the NSC has gathered and will
test and implement together to allow for future refinements as our
understanding, experience, and evidence evolve over time.”
The National Action Plan has a list of 17 recommendations
“to advance patient safety”. These recommendations fall into the following
sub-categories:
Culture, leadership, and governance
Patient and family engagement
Workforce safety
Learning system
Read this report and its supporting materials on this IHI webpage.
Related HHP Resources
For more about our HHP recommended resources on
leadership, quality assurance issues specific to hospital-based practice, and
program lead/program manager resources, send me a message via the website (for specific recommendations).
Or you may browse this blog with the search terms "workplace", "leadership", "quality assurance", and/or "program lead".
If you found this content useful or insightful, please support this community work. You can support with cups of virtual coffee, sponsor a newsletter, or sponsor a project via the website.
keywords: leadership in integrative health, program leads, program managers, inspiration for the workplace
Leadership Resources at the Hospital Handbook Project
Recommended Reading and More
HHP Leaders Group & Resource
I have been developing a Leaders Group & Resource for program leads and managers over the past couple of years for the Hospital Handbook Project. If you are interested in this, you can contact me via the website with a note about your interest, including why you are interested.
The "Issues in Hospital-based Practice Webinar Series"
This didn't get off the ground again in 2020. So, right now, the plan is to roll the 2020 sessions into the 2021 series. You can sign up now to access the 2020 resources and support the ability to have sessions in 2021.
The "Basics of Being an Employee in a Healthcare System: Focus on Performance Management"
A wisdom-share series with colleague Sandro Abanto, MBA, in a video interview format. Read more about it in this article.
Leadership and Workplace Mondays, a seasonal or monthly review of the weekly theme on the public Facebook page. These are compilations of resources on the topics of leadership & workplace, with a focus on the professional healthcare employee.
If you found this content useful or insightful, please support this community work. You can support with cups of virtual coffee, sponsor a newsletter, or sponsor a project via the website.
keywords: federal practice acupuncturists, prospective practitioners, new hospital employee, position description, program funding, federal student loan forgiveness programs
The Indian Health Service (IHS) now includes licensed acupuncturists in their "eligible providers" category for their student loan forgiveness federal service employment program.
Quote:
"25 U.S.C. 1616a, authorizes the IHS to determine specific health professions for which IHS LRP contracts will be awarded....The list of priority health professions that follows is based upon the needs of the IHS as well as upon the needs of the American Indians and Alaska Natives
(a) Medicine--Allopathic and Osteopathic doctorate degrees
(b) Nursing--Associate Degree in Nursing (ADN) (Clinical nurses only).
(c) Nursing--Bachelor of Science (BSN) (Clinical nurses only).
(d) Nursing (NP, DNP)--Nurse Practitioner/Advanced Practice Nurse in Family Practice, Psychiatry, Geriatric, Women's Health, Pediatric Nursing.
If you are a student or prospective practitioner and are interested in starting practice in a large health care system, whether federal or civilian, a good starting place is ourGetting Your Foot in the Door: First Stepse-book and workbook resource.
keywords: telehealth, hospital-based acupuncture programs, remote work options for clinicians, policy and procedures, hospital-based acupuncture & telehealth programs, telehealth & Chinese Herbal Medicine (CHM), VA acupuncture telehealth program, inpatient telehealth acupuncture, new program creation, wisdom-sharing, billing & reimbursement, coding for hospital-based acupuncture work, hospital-based acupuncture program manager, hospital-based acupuncturist, hospital-based integrative health programs, telehealth programs and policy for hospital-based integrative health providers, pandemic prep & response for integrative health care providers
Telehealth for oncology patients receiving treatment at
the infusion center(s)
Minute 31 -32
John discusses how the acupuncture team collaborated on
the development of a training/competency program to deliver “TCM Acupuncturist
Directed Therapeutic Strategies”.
Minute 32 -33
Setting up reimbursement for telehealth services by LAcs.
Coding, billing, reimbursement agreement with third party
payors (3PP)
Getting LAcs the access to tech for virtual visits and the
system’s EHR compatibility
keywords and phrases: telehealth, patient-centered care, hospital-based integrative health programs, hospital-based acupuncture programs, teaching self-care, delivering patient care virtually to support patient-led health goals, virtual one-on-one patient care, virtual group patient care classes, supporting patient lifestyle change for better health through the medium of telehealth, benefits of telehealth for providers and for patients in general and during a respiratory virus-based pandemic, upcoming online telehealth roundtable event on hospital-based acupuncture programs
The Hospital Practice Handbook Project's Telehealth Roundtable Pre-Event, Part 1: Why Telehealth? and What Could a Patient-Centered, Integrative Health Telehealth Program Look Like?
The pdf of this presentation will be available in the "recordings access" portion of the Roundtable ticket (Ticket Plus or Recordings Only ticket options).
Meet the community request to publicly present examples of telehealth programs in hospital-based acupuncture practice
minute 8
Defining "Telehealth"
with a citation from a peer-reviewed paper published in May 2020 by a Duke University team
Jedrek Wosik, Marat Fudim, Blake Cameron, Ziad F Gellad, Alex Cho, Donna Phinney, Simon Curtis, Matthew Roman, Eric G Poon, Jeffrey Ferranti, Jason N Katz, James Tcheng, Telehealth transformation: COVID-19 and the rise of virtual care, Journal of the American Medical Informatics Association, https://doi.org/10.1093/jamia/ocaa067
minute 9
Telehealth vs. Direct Patient Care
False comparison
Clinical vs. No Clinical care is the true comparison
Leveraging technology
example: the active duty military family communication
minute 11 - 18 The Telehealth Model for Integrative Health
keywords: community survey, pandemic prep & response, telehealth, acupuncture programs, hospital-based acupuncture, FQHCs, county clinics, community health centers, phased re-opening and closing, tiered re-opening and closing, remote work options, community resource
Background
As you know, I have been hosting community discussion zoom sessions since mid-March to help the hospital-based acupuncture community discuss and share ideas on the pandemic prep & response. And, all the share-able content generated from those sessions so far is (and continues to be) uploaded to the online resource module here.
Three weeks ago a colleague recommended creating a survey to capture all the information on all the changes in a format that can:
Be edited by the data entrant [because things change!]
Create some summaries
Be a quick source of share-able community information
Situation
I finished edits on it last week and it is up and running! It is available for acupuncturists and program managers who work with acupuncturists to input their information.
Assessment & Recommendation
This could be a useful resource for the community during this time of great change if enough of us complete it.
Please complete the survey to the best of your knowledge for your program and share this link with other hospital-based practice colleagues.
Who can take the survey?
Anyone who works in an organization or facility that is accredited by or eligible for accreditation by The Joint Commission.
What is "hospital-based"?
For purposes of this survey, I define "hospital-based" as any organization or workplace that is accredited by or eligible for accreditation by The Joint Commission. This definition includes FQHCs, county clinics, community health centers, and other federal health care spaces.
keywords: telehealth, pandemic prep & response, virtual health care, hospital-based acupuncture programs, coding and reimbursement for telehealth services for integrative health practitioners, acupuncture employee, acupuncture program manager, program examples, online event
Join our experienced panel of hospital-based acupuncture program leads and managers to discuss setting up a telehealth program in medium to large healthcare systems and pivoting the work during the pandemic as part of phased re-opening/closing plans.
Telehealth Programs in Hospital-based Acupuncture Practice: Pivoting in the Pandemic
Lessons Learned, Benefits (patients, providers, system), Issues, Examples of Innovation, and Discussion
Why this online event?
The Hospital Practice Handbook Project has been hosting
community discussion space online and in live zoom sessions at least weekly since
mid-March for the hospital-based community to provide space for discussion,
problem-solving, and sharing examples of innovation as we all respond to the
pandemic in our various programs and through different stages of closing and
re-opening.
Out of these sessions came a consistent need to do even
more, particularly to host our own conference on telehealth.
Why a telehealth event specific to hospital-based
acupuncture programs?
Telehealth capability is critical for all clinicians in the
phased clinic opening/closing as communities respond to the pandemic. Some
organizations had a telehealth program in place before the pandemic, but many
stood theirs up during the pandemic as a way to support and protect both provider
personnel and patients during a respiratory-based pandemic. Some are still in
the process of standing theirs up and looking to the community for examples
that match their system.
However, not all systems have been supportive or
understanding of how acupuncturists can work via telehealth (vs. in-person),
citing “lack of access to current examples”.
So, here we are, presenting current examples of telehealth
programs in hospital-based acupuncture practice. And, having a professional Socratic
discussion on the related topics.
I hope you are able to attend or if you are otherwise
engaged that day, consider supporting via the “recordings only” ticket and
submitting your questions to the panelists in your ticket form.
All ticket revenue goes directly toward the outgoing costs of
this event (platform hosting, data, recordings, video editing, etc.). My time
and work are 100% volunteer.
For more information on confirmed panelists and updates
Go to our Facebook Event page and choose “interested” or “going” to see social media updates on this event.
Event Agenda
Introduction
Panelists each give short summaries of their programs
Socratic discussion of the topic by panelists
Some Qs from attendees posed to the panel for more discussion
Panelists include (confirmed to date)
Paul Magee, lead acupuncturist, Penny George Institute of Health and Healing, Allina Health, Minnesota
Christine Kaiser, acupuncture program manager and quality assurance, University Hospitals Connor Integrative Health Network, Cleveland, Ohio
John Burns, acupuncture program manager, Advocate Aurora of Wisconsin and Illinois
Juli Olson, National Lead, Acupuncture, Integrative Health Coordinating Center, Veterans Health Administration
Mori West, C.P.C. of AcuClaims, coding & billing expert
Nancy Gahles, Integrative Health Policy Consortium, IHPC
Please buy a ticket and share this event with anyone who may benefit from it or enjoy attending and supporting. Thank you.
More resources on telehealth
University of WA Survey of Acupuncturists during the COVID-19 Pandemic
For those of you practicing as acupuncturists, check out this IRB-approved survey from a colleague who is doing this research through the University of Washington. Looks like she is collecting data on how the pandemic is affecting practice, from direct clinical care to pivots in online resources including the use of telehealth: https://redcap.iths.org/surveys/?s=7FTTYN73X9&
suspension date: the survey closes June 8th, 2020
More info:
The survey is intended for ALL licensed acupuncturists. You don't need to have a telehealth service in place to respond to the survey. One of the aims of this survey is to set the stage for larger survey studies of profession-wide effects similar to the benchmark studies in other healthcare professions.
The estimated time to complete the survey is 5 minutes.
Principal Investigator: Tamsin Lee, DAOM
New Research Paper on Relevance of Telehealth Programs During Pandemic and Beyond, from a Duke University Team
At a time when I hear disagreement in the definition of "telehealth", I offer this very useful definition they published, which dispels all previous confusing terminology I have heard in the medical field the last year or so:
"The term 'telehealth' refers to the entire spectrum of activities used to deliver care at a distance--without direct physical contact with the patient. Telehealth encompasses both provider-to-patient and provider-to-provider communications and can take place synchronously (telephone and video), asynchronously (patient portal messages, e-consults), and through virtual agents (chatbots) and wearable devices."
Jedrek Wosik, Marat Fudim, Blake Cameron, Ziad F Gellad, Alex Cho, Donna Phinney, Simon Curtis, Matthew Roman, Eric G Poon, Jeffrey Ferranti, Jason N Katz, James Tcheng, Telehealth transformation: COVID-19 and the rise of virtual care, Journal of the American Medical Informatics Association, https://doi.org/10.1093/jamia/ocaa067
More Community Resources on Pandemic Prep & Response
keywords and topics: community discussions, COVID-19 pandemic, integrative health programs, acupuncturists in hospital-based practice, telehealth in hospital-based acupuncture programs, what does tiered re-opening look like for outpatient integrative health programs?
www.thehospitalhandbook.com
The HHP-hosted Community Discussions on Pandemic Prep
& Response, a review of the work & resources so far
This video is a review of my past 3 months of work supporting
the hospital-based acupuncture community with community discussion space to
share ideas, concerns, and issues on the pandemic prep & response.
Included in this video:
·How you can support this community-building work
·How to access the resource content created
·How you can join in future discussions
·Review of the work so far
·Short review of resources for the two currently
most common topics
otelehealth
and
owhat
does tiered re-opening look like?
·Announcing the future telehealth roundtable
panel:
ohow
to participate, submit questions, and space for sponsorships
I define this as working at a facility or organization
that is accredited by or eligible for accreditation by The Joint Commission.
This includes FQHCs, some county clinics and hospitals, and hospice.
The Hospital Practice Handbook Project has multiple
platforms (website, blog, and social media page & closed discussion groups)
to connect hospital practice East Asian Medicine Practitioners (Acupuncturists)
with each other (living resources) and to published resources. Learn more about
this community resource project at http://www.thehospitalhandbook.com/
How to participate in the virtual community discussions
First, you must be a hospital-based acupuncturist or a program manager of hospital-based acupuncturists.
see definition above for "what is "hospital-based practice"
Then, contact me via the website about your interest, where you work, and how you heard about this work.
Frequently Asked Questions (FAQs)
This work sounds valuable, how can I support it? I am not a hospital-based acupuncturist.
I am interested in this content as a clinician. However, I am not a hospital-based acupuncturist. How can I support this work and get access to the content?
I am a hospital-based acupuncturist or program manager of hospital-based acupuncturists. I am not able to attend all the sessions due to my schedule. How may I access the content?
