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

2. 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

3. 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

4. Getting CIH into the Standard Medical Benefits Package
CIH Directive – Signed by USH May :
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

5. 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

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

7. 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:

8. 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

9. 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

10. 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)

11. 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

12. Connect! IHCC Email vhaopcctintegrativehealth@va.gov
FIT CIH Specialty Team --
IHCC SharePoint
VA Pulse IH Community
FIT SharePoint Page

13. Research VA’s Office of Health Services Research & Development (HSR&D)
More than 80 ongoing CIH research
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

14. This is a snapshot of the OPCC&CT SharePoint refresh

15. Print Products Click here

16. Print Products Click here

17. Print Products Click here

18. 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

19. COP calls/VA pulse IH COP call- 2nd Thursday of month
VA PULSE. NET- Integrative Health Community
OPCC SharePoint site
us:
FIT Partner/IH engagements

21. More on the Whole Health Library
Whole Health Library Website
External
Has resources for clinicians
Can also Google “Whole Health Library”
Will be changing this fiscal year – more web-friendly

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

26. Educational Overview
Educational Overview

28. Educational Overview
Educational Overview

30. And, What About Local Resources?