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

Getting CIH into the Standard Medical Benefits Package 3 Steps to provide guidance and regulatory change 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 3rd, 2016 Signed by Dr. Shulkin (USH) on May 24th, 2016

Getting CIH into the Standard Medical Benefits Package CIH Directive – Signed by USH May 2017 2: http://vaww.va.gov/vhapublications/ViewPublication.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/SitePages/IHCC-Approved-CIH.aspx

Getting CIH into the Standard Medical Benefits Package 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

Getting CIH into the Standard Medical Benefits Package Regulatory Change Regulation incorporated into Benefits Handbook

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

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

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%20Documents/CIH%20Coding%20Guidance

CHAR4 Name ACUP Acupuncture BIOF Biofeedback CDTC Expressive Arts CGQC Qi Gong DEMC Eye Mvmnt Desensitiz&Reprocess GIMA Guided Imagery HTFC Whole Health Partner HYPN Hypnotherapy IACT BFA Technique (not regular Acupuncture) IDHC Integrative Health Consult MANT Mantram Repetition MBSR Mindfulness Based Stress Reduction (MBSR) MDTN Meditation MMMT Mindfulness other than MBSR CHAR4 Name MPAT Movement Therapy MSGT Massage Therapy NAHL Native American Healing PILA Pilates PNTC Animal-Assisted Therapy REIK Reiki RFLX Reflexology RLXT Relaxation Techniques SCHC EVP Whole Health* SCVT EVP ACT (acceptance and commitment therapy)* SNVC EVP Mindful Movement* TAIC Tai Chi TPHT Therapeutic or Healing Touch WCHC Whole Health Coaching YOGA Yoga *can only be used with Empower Veterans Program (EVP)

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

Connect! IHCC Email vhaopcctintegrativehealth@va.gov FIT CIH Specialty Team Email -- VHAOPCCCTCIHSpecialtyTeam@va.gov IHCC SharePoint http://vaww.infoshare.va.gov/sites/OPCC/sitePages/IHCC-home.aspx VA Pulse IH Community https://www.vapulse.net/groups/integrative-health-community FIT SharePoint Page http://vaww.infoshare.va.gov/sites/OPCC/SitePages/FIT-programs.aspx

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/bravenet/

This is a snapshot of the OPCC&CT SharePoint refresh

Print Products Click here

Print Products Click here

Print Products Click here

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

COP calls/VA pulse IH COP call- 2nd Thursday of month VA PULSE. NET- Integrative Health Community https://www.vapulse.net/groups/integrative-health-community OPCC SharePoint site http://vaww.infoshare.va.gov/sites/OPCC/sitePages/IHCC-home.aspx Email us: vhaopcctintegrativehealth@va.gov FIT Partner/IH engagements

More on the Whole Health Library 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 web-friendly

Personal Health Planning in Your Practice: Making It Real Under Revision Check it out! Updated Check it out!

Educational Overview Educational Overview

Educational Overview Educational Overview

And, What About Local Resources?