Wednesday, March 11, 2020

Winter's Research Roundup

keywords:  research literacy, metrics, research writing resources, and more resources shared since last "research roundup" blog article

Review of the "Research and Metrics Thursdays" theme from the public Facebook Page and newsletter

At the Hospital Practice Handbook Project, we encourage practitioners to cultivate mentor-relationships and practice research literacy.

SAR 2019 Conference Notes, Published Articles, and Highlights
For a compilation of the community's notes on SAR and the articles (or their citations) written about the SAR 2019 conference since June 2019, go to our Conference Notes module.

Interested in Measuring Your Work?
New Acupuncture Research shares since last blog article

Massage Therapy Evidence Map 

Research Literacy Basics: Practical Applications for the Hospital-based Practitioner
The following citations were added to the blog article, "Research Literacy Notes for the Hospital-based Practitioner".

Research Thursdays: Oncology article
The following was updated in the "Research Thursdays: Oncology" blog resource article.
  • Journal of the American Society of Acupuncturists (JASA), formerly Meridians: JAOMfall 2019 issue articles on oncology
    • Clinical Pearls section query is "How Do You Treat Chemotherapy-Induced Peripheral Neuropathy in Your Clinic?" p. 30 - 36
    • "Exceptional Results in Traditional Chinese Medicine and Oncology: A Focus Dryness and Heat Part One, Radiation: External Dryness" by Dr. Yair Maimon, p. 36
    • The 2019 Society for Integrative Oncology conference report by Dr. Jason Bussell, p. 40

New or Updated Resources on Research from NCCIH
  • Pragmatic Clinical Trials resource.
    • For those of you interested in clinical research in real-world settings, see NCCIH's online resource, "Rethinking Clinical Trials, A Living Textbook of Pragmatic Clinical Trials". This resource is published by the NIH Health Care Systems Research Collaboratory. It contains information about the design, conduct, and dissemination of pragmatic clinical research. And it has examples from the Collaboratory's demonstration projects.
  • NCCIH on the NIH HEAL initiatives to stem the opioid crisis with non-drug pain management approaches

"Join NCCIH and our director, Dr. Helene Langevin, as we launch NCCIH’s strategic planning process for the next 5-year plan (2021–2026). We will kick off this year-long process with a webinar for the complementary and integrative health community on the topic of 'Whole Person Health.' Dr. Langevin will share her thoughts on this topic, which considers the whole person and the relationships among numerous factors, including biologic, environmental, behavioral, mental, and social factors, in determining health. She will also focus on how this concept fits into and expands upon NCCIH’s current strategic plan and may serve as a way to inform our strategic planning and future research directions.
"Input gathered as a result of this event will feed into the NCCIH strategic planning process being led by Ms. Mary Beth Kester, Director of the NCCIH Office of Policy, Planning, and Evaluation.
"Dr. Langevin presented initial thoughts on this topic at the afternoon session of the September 20, 2019, NCCIH Advisory Council meeting." 

Podcasts's "Working Scientist" podcast

Reviewing Some Research Basics

Metrics: Clinician Employee Burnout & Employee Well-Being
Are you interested in measuring burnout or well-being?
Learn more about the NAM Clinician Well-Being Series at our concise blog post here

For more on the topic of research

Other monthly research summary blogposts
Research Review posts
Research Resource Websites & Journals

Did you find this information useful or interesting?
You can request a pdf copy of this blogpost via the website for the cost of a cup of coffee. All proceeds go toward basic operating costs to keep this HH Project work going. Thank you.

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You can support this community-wisdom-sharing work by buying me a coffee or sponsoring a newsletter via our website.  Thank you.

Tuesday, March 3, 2020

Vision Statement

Our Vision for the HH Project
last revised 3.3.2020
In 2016 I created this wisdom-sharing resource, the Hospital-Based Practice Handbook Project for Acupuncturists and their Hospital Sponsors (Administrators). The Project supports this challenging new avenue of employment for acupuncturists. The Project enables hospital program managers to learn and share the latest evidence-based practices and research in the integrative medicine field and include the acupuncturists in each step.

The Project is a resource for licensed acupuncturistsMore acupuncturists are being hired in hospitals, FQHCs, hospice, county clinics, and other mid to large healthcare systems. The Project is designed to streamline these hiring procedures and promote the integration of acupuncturists into any hospital's biopsychosocial patient-centered care model. Specifically, the Project facilitates a clear understanding of how acupuncturists' procedures and approaches can complement ongoing patient care in each service line. This can reduce miscommunication about the hiring of licensed acupuncturists as well as illustrate the value of LAcs as health care professionals working as advanced practice clinicians.
The Project helps hospitals streamline the hiring of licensed acupuncturists by providing the hiring staff and credentialing team with published standards on hiring and credentialing of them. The Project connects users to resources that include basic program frameworks--from standard operating procedures (SOPs) to clinical outcome metrics.

The Project is a resource for program managers. Whether the goal is to address increased patient demand for integrative health services or to meet Joint Commission, CDC, and HHS/CMS recommendations for non-pharm options for pain management, this resource is an important asset for the champions and change-makers in the healthcare field. It provides documentation standards and templates as well as practical program standards and outcome metrics. 
The Project is a knowledge-sharing network designed to quickly and successfully implement a cross-section of programs, from new program setup to selection of relevant metrics that track cost savings and patient-centered outcomes. Whether it's program success in these patient-centered outcomes or improved access to non-pharm pain care, the Project provides versatile applications for all hospital programs. It also presents effective models for revenue generation as well as service reimbursement.
The Project supports individual program managers as well as their hospital by facilitating connections
between other managers who work with integrative health (IH) professionals or run IH programs. This is important because it helps in-house acupuncturists understand the pressures and standards the facility is working toward; for example, it's handy for developing (or improving) a clinic's outcome measures to align its metrics with the facility's larger mission and vision.
The Project connects standards of practice in documentation (coding, use of relevant research-validated metrics), compliance, billing, and reimbursement models, and research. It also connects the user to resources in health policy, thus directly affecting an acupuncturist's hospital-based practice.

A Resource for All.
The Project is designed for use by all healthcare professionals, not just licensed acupuncturists. It can help both program managers and LAcs streamline a set of new programs before they are implemented or assist with the move into new areas by connecting colleagues such that everyone can learn from each other's successes and failures.
The Project connects users to relevant published research and program frameworks (from feasibility studies to pragmatic trials.) This offers great potential for collaboration in multi-site research projects. The Project hosts discussions of relevant research in the field as well as vetted recommendations for continuing education resources, whether it's through courses or conferences. Included are both closed group resources for discussion and social support through connections to mentors and existing resources and the beta-testing of new resources.

Project resources include

Welcome to the Project!

Megan Kingsley Gale, MSAOM, Dipl OM (NCCAOM)
Founder & Facilitator of The Hospital Practice Handbook Project, a community resource project (volunteer)

Excerpts of this were published in a "Dear Editor" letter in the summer 2019 edition of The

Want to learn more about the Project? 
Start with our "why" at Why This Project?

Support This Work Today 

"Transformation doesn't just happen. It requires intentionality."

Saturday, January 11, 2020

2019 at the HH Project: Review and Accomplishments

keywords and topics: year-in-review, progress in goals and projects, review of current resources

"Start by doing what's necessary; then do what's possible..." Saint Francis of Assisi
Home and family
Review of the HH Project work in 2019
Goal setting & re-evaluating
    2018 goals that led to 2019 goal restructuring
    2019 goals
Resources that grew significantly in 2019
this also went out as an email newsletter 01.13.2020. Go here for the newsletter version.

Home and Family
First trip to collect sap from the maple trees
Now that we live in the Mid-South and my husband is on shore duty, I am taking the opportunity to travel with my kids to visit my family (just a two-day drive in the car each direction now) in Minnesota as much as we are able. As you may remember, we moved from the Pacific Northwest to western TN in the Mid-South of the U.S.A. in July 2018. One of my kids had a flare in a chronic health condition so we didn't travel until late March 2019, during spring break.

For our first "maple syrup March" we headed to the multi-generational family farm to assist (mostly watch and learn from) my uncle gather sap from the sugar bush (grove of maple trees). In summer we escaped the southern heat for a few weeks visiting family and then attended a family funeral.

Mayo Clinic books on Integrative Medicine
In fall we again were able to escape the autumn heat of the Mid-South during fall break where we squished in time with extended family in Rochester and the North Shore, including a wedding, and a quick visit with our integrative health colleagues at the Mayo Clinic. I received a copy of their latest (2017) Guide to Integrative Medicine: Conventional remedies meet alternative therapies to transform health by Brent A. Bauer, MD. I recently rediscovered one of the older copies that survived all the household moves (2007).

In early September my oldest was officially in remission (no more flare). Hooray! In late September my mom was hospitalized for anemia and later diagnosed with cancer. So this fall has been a rollercoaster of health issues with my family.

Review of the HH Project Work in 2019


May 2019 submission to The 2020 International Congress on Integrative Medicine and Health (ICIMH). At the encouragement of my hospital-based colleagues, I submitted a multi-day pre-conference idea for “Basics of Hospital-based Practice for Acupuncturists and their Hospital Admin.”

Late June 2019, I attended the 2019 Society of Acupuncture Research Conference in Burlington, Vermont
This conference experience was wonderful. I was able to cheer on my colleague, Lisa Taylor-Swanson, PhD, in presenting our work related to WA State Workers' Comp Pilot. I met up with many of my hospital-based practice colleagues and introduced more people to the Project community.
You can read more about the conference in the article I wrote for JASA and see notes, photos, citations of work from the conference, and how to join SAR in the Notes from the 2019 SAR Conference online module.
Gale, M. Report on the Society of Acupuncture Research International Conference. JASA: The Journal of the American Society of Acupuncturists: 2019 6(3): 32-34.
Screenshot. Go download the article!

July 2019—published two articles in the peer-reviewed journal, Journal of the American Society of Acupuncturists (JASA), formerly Meridians: Journal of Acupuncture and Oriental Medicine (JAOM)

"There are two objects of medical education: to heal the sick, and to advance the science...Medicine is both an art and a science, and both make appeal to the true physician." C.H. Mayo
October MN trip—visited the Mayo Clinic's integrative medicine team. See our Facebook Page for an album of photos from this trip, especially if you have never visited the Mayo Rochester complex. For more about the history and architecture of the Mayo Rochester health system, two useful resources are the Olmsted County History Center and the Mayo Clinic History website.
My favorite door to a hospital building.
Amazing artwork and symbolism of health in the community and the practice of medicine.
See more photos here.

Early October 2019—submitted two distinct session proposals to the Academic Consortium's 2020 conference, The 2020 International Congress on Integrative Medicine and Health (ICIMH) 
  1. “Hiring and Credentialing LAcs”
  2. “Reimbursement Issues”
December 2019: ICIMH 2020 session proposal accepted! 
Our session proposal on reimbursement issues & revenue streams was accepted! I will lead the session, “Reimbursement Issues and Revenue Streams for Hospital-based Programs and Organizations with Acupuncturists: Current Practices, Innovations and Issues” with Christine Kaiser, Timothy Suh, Annie Budhathoki, and Paul Magee.  We are scheduled to present Friday, May 1st, 2020 at the 2020 International Congress on Integrative Medicine and Health (ICIMH) in Cleveland, Ohio.🎉

Integrative Oncology—what does success look like in an integrative oncology program?
The survey closed in late October 2019. Submissions still being processed. Current public HH Project resource page on integrative oncology is Research Thursdays: Oncology

I haven’t compiled answers. I did, at the June 2019 SAR conference, present and submit questions to the hospital-based practice session on EHR templates and use at the June 2019 SAR conference.

Sept 2019 webinar: “Issues in Hospital-based Practice: Hospital Contracting” with Dr. Timothy Suh was done live. I have received permission to publish and share part of the recorded session. I will share this soon.

Review of 2018 HH Project Goals and How They Led Us to Our 2019 Work

The main HH Project goals in 2018 were to
  • maintain the space for the community in closed social media groups
  • post share-able information on the blog
  • start the HH Project Learning Opportunities Directory and
  • publish monthly general newsletters in 2018
  • finish beta-testing the membership site community space option

The goal with the creation of the membership site
The goal was to have an online community space that is not dependent on social media and it is accessible through online direct login and/or by email with updates and reminders available to be sent via email. This, the membership site, was a strong request from about 25-30% of the community who are opting out of social media and 50% who have social media accounts but prefer email communication.

The New HH Project Goal in 2018
The new HH Project goal in 2018 was to identify types of people using the HH Project resources and brainstorm ideas on how to best serve them. So, in 2019 I created the following "user-flow" outline and started the “specific resource generation” work

This Leads to the 2019 Project Goals

Maintain the Basics
So, in 2019, I continued to nurture the community discussion groups (mainly Facebook and membership site in 2019; LinkedIn has not been actively engaging), the blog, the website, and the monthly newsletters.

The New 2019 HH Project Goal: Create Resources Specific for Identified User-Types in Community
The new goal that started in 2019 was to create stand-alone starting resources for the following user-types identified in 2018.

  • The new hospital (LAc) employee (0-5 years practice)
    • Resource packets on the process of getting hired, what it is to be an employee in a hospital/healthcare system, and more resources identified by the community as needed for the practitioner 0-5 years into hospital-based practice
    • The resource is in the beta-testing process. The online resource is available for early purchase at a low rate to help support the project while still in the beta-testing phase
    • The article on this resource is here
    • Sign up for updates on this resource here
  • The established hospital employee (5+ years)
    • Ongoing resource
  • The lead acupuncturist or program manager
    • Ongoing resource
  • The hospital administrator
    • Ongoing resource

HH Project Resources that Grew Significantly in 2019 
The following online resources grew significantly in 2019:
  1. Membership site
    • More resources added each month
    • Lots of pdfs and more available by request
    • Access to some courses from the online school on a temporary or rotating basis, depending on community feedback.
    • Want to join the membership site? 
      • You are eligible if you work at a hospital or other types of facilities that are accredited by or eligible for accreditation by The Joint Commission, and you have a sponsor/mentor to the group. Just send me an email with some information about where you work and who your sponsor/mentor to the group is. If you don’t have a sponsor/mentor, contact me, and I will endeavor to connect you to a potential sponsor.
  2. Online school
  3. Website
  4. Coffee/Tea/Cocoa support

   4. The Blog
  • 40 new articles in 2019
  • Many of the previous 166 posts were revised or updated

Volunteer hours I averaged working on the HH Project in 2019: 
32 hours/week 

I hope you have found some part of this work helpful.

You can help shape future HH Project work by giving me your feedback by email:
  1. What did you enjoy most or find most helpful related to the HH Project this year?
  2. What would you like to see more of in 2020 and 2021?
  3. Tell me more about the ways you would prefer to support this community work.

Thank you.
Megan Kingsley Gale, MSAOM
Founder and Facilitator, The Hospital Practice Handbook Project for Acupuncturists and Their Hospital Sponsors

"Transformation doesn't just happen. It requires intentionality."
Matthew Kelly