Whole Health in Your Practice 13 WHOLE HEALTH

Whole Health in Your Practice 13. WHOLE HEALTH RESOURCES NATIONAL, ONLINE, LOCAL

Integrative Health Coordinating Center (IHCC) • Guide and support development of Integrative Health throughout VHA – Clinical Innovation, Research & Evaluation, Education – Policy, Human Resources, Veteran Benefits, Metrics – Seamless integration with existing OPCC, VHA, VA initiatives • Demonstrate improved health outcomes and return on investment VETERANS HEALTH ADMINISTRATION

Getting CIH into the Standard Medical Benefits Package 3 Steps to provide guidance and regulatory change 1. CIH Memo – Supports CIH implementation and will initiate vetting process for CIH services through the VEC and Integrative Health Coordinating Center (IHCC) – Signed by VEC Co-Chairs May 3 rd, 2016 – Signed by Dr. Shulkin (USH) on May 24 th, 2016 VETERANS HEALTH ADMINISTRATION

Getting CIH into the Standard Medical Benefits Package 2. CIH Directive – Signed by USH May 2017 2: http: //vaww. va. gov/vhapublications/View. Publication. asp? pub_ID= 5401 • LIST I: evidence of promising or potential benefit – Evidence of promising or potential benefit – Vetted by IHCC Advisory Group – VA must provide a mechanism to offer • In facility • In community • http: //vaww. infoshare. va. gov/sites/OPCC/Site. Pages/IHCC-Approved. VETERANS HEALTH ADMINISTRATION CIH. aspx

Getting CIH into the Standard Medical Benefits Package 2. CIH Directive • LIST II: Generally Considered Safe – Requires common knowledge, throughout the expert scientific community • Both internal and external to VHA • Reasonable certainty that it is not harmful under the conditions of intended use – Optional for inclusion in VA facility, depending on capability (staff/space) at sites VETERANS HEALTH ADMINISTRATION

Getting CIH into the Standard Medical Benefits Package 3. Regulatory Change • Regulation incorporated into Benefits Handbook VETERANS HEALTH ADMINISTRATION

Approved CIH Approaches LIST I • • Acupuncture Meditation Tai Chi Yoga Massage for treatment Guided imagery Biofeedback Clinical hypnosis an be found here: http: //vaww. infoshare. va. gov/sites/O PCC/Site. Pages/IHCC-Approved. VETERANS HEALTH ADMINISTRATION CIH. aspx LIST II • • Healing Touch Acupressure Alexander Technique Reflexology Reiki Therapeutic Touch Emotional Freedom Technique Animal-assisted Therapy (under recreational therapy)

VERA and Whole Health • Whole Health will be a new price category in VERA (category 4) • In order to qualify for that category, a Veteran needs 10 CIH visits (occurring on different days) – Visit: Stop code or CHAR 4 code VETERANS HEALTH ADMINISTRATION

Business Infrastructure • Two CIH/Wellbeing Stop Codes – 159 – Either position • CIH treatment – 139 – Either position • Wellbeing approaches • Co-pay exemption regulatory change underway; Timeline 1 -2 years • CHAR 4 codes • National Note Title – Integrative Health Note • https: //vaww. infoshare. va. gov/sites/OPCC/Shared% VETERANS HEALTH ADMINISTRATION 20 Documents/CIH%20 Coding%20 Guidance

CHAR 4 ACUP BIOF CDTC CGQC Name Acupuncture Biofeedback Expressive Arts Qi Gong MPAT Movement Therapy MSGT Massage Therapy NAHL Native American Healing PILA Pilates DEMC GIMA HTFC HYPN Eye Mvmnt Desensitiz&Reprocess Guided Imagery Whole Health Partner Hypnotherapy PNTC Animal-Assisted Therapy REIK Reiki RFLX Reflexology Relaxation Techniques IACT IDHC MANT BFA Technique (not regular Acupuncture) Integrative Health Consult Mantram Repetition RLXT Mindfulness Based Stress MBSR Reduction (MBSR) MDTN Meditation MMMT Mindfulness other than MBSR CHAR 4 Name SCVT EVP Whole Health* EVP ACT (acceptance and commitment therapy)* SNVC EVP Mindful Movement* SCHC TAIC Tai Chi TPHT Therapeutic or Healing Touch WCHC YOGA Whole Health Coaching Yoga *can only be used with Empower Veterans Program (EVP) 9

Ongoing Efforts • • Office of Community Care Telehealth Volunteer Services Position Descriptions – – – Whole Health Partners Whole Health Partner Supervisor Yoga Instructor Tai Chi Instructor Health Coach developmental PD pending VETERANS HEALTH ADMINISTRATION

Connect! • • • IHCC Email – vhaopcctintegrativehealth@va. gov FIT CIH Specialty Team Email -- VHAOPCCCTCIHSpecialty. Team@va. gov IHCC Share. Point – http: //vaww. infoshare. va. gov/sites/OPCC/site. Pages/IHCC-home. aspx VA Pulse IH Community – https: //www. vapulse. net/groups/integrative-health-community FIT Share. Point Page – http: //vaww. infoshare. va. gov/sites/OPCC/Site. Pages/FIT-programs. aspx VETERANS HEALTH ADMINISTRATION 11

Research • VA’s Office of Health Services Research & Development (HSR&D) – More than 80 ongoing CIH research – http: //www. hsrd. research. va. gov/research/portfolio_description. cfm? Sulu=24 • PRIMIER (Patients Receiving Integrative Medicine Interventions Effectiveness Registry) – Includes 3 VA systems – Collects patient-reported outcomes and extracted HER data for a large national registry – http: //www. bravewell. org/current_projects/bravenet/ VETERANS HEALTH ADMINISTRATION

THIS IS A SNAPSHOT OF THE OPCC&CT SHAREPOINT REFRESH VETERANS HEALTH ADMINISTRATION 13

Print Products VETERANS HEALTH ADMINISTRATION Click here

Print Products VETERANS HEALTH ADMINISTRATION Click here

Print Products VETERANS HEALTH ADMINISTRATION Click here

Education & Resources W H O L E H E A L T H Whole Health 101 Whole Health in Your Practice Whole Health in Your Life Whole Health Coaching Taking Charge of My Life and Health Specialty Whole Health Courses Whole Health Workshops VETERANS HEALTH ADMINISTRATION

COP calls/VA pulse • IH COP call- 2 nd Thursday of month • VA PULSE. NET- Integrative Health Community https: //www. vapulse. net/groups/integrativehealth-community • OPCC Share. Point site http: //vaww. infoshare. va. gov/sites/OPCC/site. P ages/IHCC-home. aspx • Email us: vhaopcctintegrativehealth@va. gov • FIT Partner/IH engagements VETERANS HEALTH ADMINISTRATION

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More on the Whole Health Library Website • External • Has resources for clinicians • http: //projects. hsl. wisc. edu/SERVICE/ • Can also Google “Whole Health Library” • Will be changing this fiscal year – more webfriendly VETERANS HEALTH ADMINISTRATION

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Unde r Rev ision Check it out! Updated C out! t i k hec

Educational Overview

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Educational Overview

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And, What About Local Resources?