AIHM White Paper

The ACADEMY of INTEGRATIVE

HEALTH & MEDICINECreating health and wellness

on a global scale

TABLE OF CONTENTS

Letter from the President 1

Executive Summary 4

Creating Health, Not Just Treating Disease 5

A Clinician’s Calling 8

The Wellness Route Map 9

A Global Community 10

Expanding Opportunities 11

The Affordable Care Act 13

Who We Are 15

What Happened to Holistic 17

Uniting Leaders in Integrative Health 19

Vision and Mission 22

Values 23

Areas of Focus 25

Who Will Benefit from the AIHM 29

Board of Directors 31

Connection & Collaboration 34

Get Involved 35

Thank You 37

References 39

Mimi Guarneri, MD, FACC, ABIHM President, Academy of Integrative Health & Medicine

No problem can be solved from the same level of

consciousness that created it.

—Albert Einstein

Together, we are working to prevent illness and restore health, rather than just treat disease. The Academy provides critical resources to support collaboration between practitioners working to transform our disease-care model into one that serves the whole person—body, mind, spirit—and beyond to include community and planet.

We are at a tipping point.

I am deeply grateful to our partners and friends who are supporting us in our journey. We won’t stop now. I invite you to join us in this important work. From this state of crisis, we have the opportunity to create the change we want to see.

With gratitude, “ “Health care is in a state of crisis around the world. Practitioners, isolated from their peers and disconnected from their patients, are burning out. An “ill to the pill” mentality supports an $830 billion global pharmaceutical industry.1 Of the more than $2.8 trillion spent annually on health care within the United States,2 the majority is spent on chronic diseases,3 most of which have a significant lifestyle component.

It’s impossible to quantify the suffering, frustration and fear behind these numbers. But if you have lost someone to a preventable disease…if you have felt hurt and confused in a medical setting as you get referred to multiple specialists who tell you “nothing is wrong”…if you feel like the reimbursement model doesn’t reward us for keeping patients well and independent…if you see the injustice of having to pay out of pocket for an integrative clinician who has restored you back to health…then, you have a sense of what I mean. We know that the current system is broken. It may feel hopeless. At times, I have certainly felt overwhelmed.

We need to establish a new paradigm.

The formation of the Academy of Integrative Health & Medicine (AIHM) is a bold response to a call to action for change—to transform the way we think about health and health care. The Academy is a home to a broad international community of healthcare practitioners and health seekers connected by a shared holistic philosophy of person-centered care, who also recognize the link between our health and the state of the planet.

LETTER from the PRESIDENT

Healthcare transformation will require unprecedented changes in our thinking about prevention and treatment strategies. The growing patient demand around the world for integrative and holistic services is bolstered by mounting evidence of its efficacy.4 These and other factors are driving the need for knowledgeable, certified health professionals trained in an interdisciplinary approach to integrative health and medicine. In the United States, the Affordable Care Act (ACA) has triggered a national movement toward population health that embraces evidence-based, whole- person, patient-centered care models.

It is time to unite the many voices in integrative health into an organization that provides a platform to build bridges between professions, offers credible educational and certification programs for licensed healthcare providers, advocates for affordability and accessibility on behalf of patients and practitioners and builds leadership capacity in the next generation of caregivers.

The Academy of Integrative Health & Medicine will deliver on this central role, championing health creation within the context of comprehensive, person- centered care. In the next few pages, you will learn more about the challenges and opportunities that face our field. You will also learn about the factors that make now the ideal time to create such an organization and how the Academy is offering solutions to the most challenging healthcare issues of our day.

EXECUTIVE SUMMARY

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• By concentrating fat, salt and sugar in products formulated for maximum “bliss,” an industrialized food complex has spent almost a century distorting our diets, most notably of Americans, whose diet of calorie-dense products has been mirrored by the calamitous rise in obesity rates. These tactics, in addition to the chemicals and preservatives routinely added to processed foods, have created a perfect storm of addictive, unhealthy foods that have wreaked havoc on health around the globe.

As a former hospital CEO and current AIHM board member, I am committed to working to support the global community of healthcare professionals coming together to transform population health and patient-centered care from catch phrases to reality.

Empowering the individual to become an active participant in his or her own health is the only way we will overcome the current healthcare crisis.

“

“F. Nicholas Jacobs, FACHEInternational Director,Sunstone ConsultingHarrisburg, PA

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• Lifestyle-related illnesses are on the rise and society cannot afford the escalating costs associated with treating preventable conditions.

• Healthcare professionals are in need of healing—tired and discouraged, they have forgotten why they entered their professions. We pay too little attention to the wellbeing of those who care for us.

CREATING HEALTH, NOT JUST TREATING DISEASE

• People are living longer with chronic diseases. Yet, the high-tech and pharmaceutical interventions that prolong life may actually compromise quality of life.

• Our delivery of care system provides massive incentives to perform procedures and treat disease. A patient’s primary needs—for prevention and wellness—are relegated to a lower priority, ultimately yielding ever-increasing costs.

The time has come for those of us in the healing professions to take a stand, to focus our energies on creating health, preventing illness and promoting wellness together. Here’s why:

• As the science of healing emerges, there is growing evidence that providing whole-person care—mind, body and spirit—leads to a wide range of positive outcomes.5

• There is strong evidence that quality and safety connect caregiver with patient.6,7 Investing in improving relationships—whether patient-provider or inter-professional—is the new commodity.

As healthcare clinicians, our calling to serve our patients is at odds with current realities:

• A healthcare education system that emphasizes diagnosing and treating disease, often ignoring the skills required to understand the whole person or to teach patients health-promoting behaviors.

• Allocation of healthcare resources—both financial and human— that are focused on disease management, pharmaceutical quick fixes and end-of-life heroic measures with far fewer resources available for prevention.

• Misaligned payment incentives that continue to reward treating disease and performing procedures over prevention and wellness.

• Integrative health care and basic lifestyle and health-promoting services are unaffordable and inaccessible to many. Why does the patient have to pay out of pocket for a gym membership but have complete coverage for a triple bypass?

• A U.S. healthcare system that ranks 37th in the world in health outcomes8 while spending almost $9,000 per person, per year (more than two and half times that of other wealthy industrialized nations such as France, Japan or Sweden).9

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A CLINICIAN’S CALLING

Molly M. Roberts, MD, MS, ABIHMPast President, American Holistic Medical AssociationSan Francisco, CA

Our world is about to get a lot more connected and collaborative. The Academy is bridging the professional silos that have kept us all from being in community.

We will carry on the good work of the AHMA and ABIHM while developing the mission in exciting, meaningful ways that reflect our commitment to you: to bring health and vitality into your health care.

“

“

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What excites me most about the new Academy is our unique philosophy of pluralism in viewing all healthcare professionals as equal partners in the healing process. In addition, our educational programs reflect this same inclusiveness. We are developing educational curricula that offer participants exposure to an inter-professional environment with cross-learning among professions. Our new Leadership College will draw in young professionals and mentors to perpetuate and embrace this deep philosophy of holism.

““

Len Wisneski, MD, FACPClinical Professor of Medicine,George Washington UniversityWashington, DC 10

The Sustainable Development Unit of the National Health Service in England designed the Route Map as a framework, applicable to individuals or systems, to address immediate needs and support financial sustainability and cost management.

Cultures around the world have historically used traditional medical practices for prevention, diagnosis and treatment. We now live in a global community where traditional medicine is practiced alongside western biomedicine. The World Health Organization (WHO) has a strategy to strengthen the role for traditional medical systems in keeping people healthy—ranging from Traditional Asian Medicine, Ayurveda, Anthroposophic Medicine, Naturopathy, Chiropractic, Osteopathy, Unani to indigenous healing systems. The Academy of Integrative Health & Medicine is building an international community of healthcare professionals committed to evidence-based, person-centered care that promotes health and offers outstanding and sensible treatment options.

A GLOBAL COMMUNITY

The WELLNESS ROUTE MAP

Old RoadHealth care as an institution-led service

Curative and fixing medical care

Procedure-focused treatment

Sickness

Isolated and segregated

Buildings

Decision-making based on today’s finances

Single indicators and out-of-date measurements

Sustainability as an add-on

Waste and overuse of resources

Nobody’s business

New HighwayHealth and social care as part of a community

Early intervention and preventative care

Chronic illness management focused on a return to health

Health and wellbeing

Integrated and in partnership

Healing environments

An integrated value of the future that accounts for the impacts of society and nature

Meaningful scorecard information and in real time

Integration in culture, practice and training

A balanced use of resources where waste becomes a resource

Caring community

Source: Adapted from England’s National Health Service (NHS) Route Map for Sustainable Health 10

Moving to a more sustainable health system and a new way of thinking

health outcomes. “Being a good doctor is about more than scientific knowledge. It also requires an understanding of people,” says American Association of Medical Colleges President and CEO Darrell Kirch.19

• Medical schools and academic medical centers have also been paying attention to the growing patient and student demand. In fact, the Consortium of Academic Health Centers for Integrative Medicine now reports 57 member institutions, all dedicated to advancing the principles

and practices of integrative healthcare within academic institutions.20

• In 2013, 58 of the 120 member nations participating in the WHO’s Traditional Medicine Strategy Development Meeting stated that a lack of education and training opportunities for traditional and complementary medicine providers was among their key concerns.

• Data from the American Board of Integrative Holistic Medicine has shown that there has been a rapid increase in demand by MDs and DOs—particularly specialists—for certification in integrative holistic medicine.

Source: American Board of Integrative and Holistic Medicine 21 12

• Emerging data from the Bravewell Collaborative demonstrates the efficacy of an integrative approach to health care derived from three sources: research conducted at universities, studies at corporations for employee wellness and pilot projects run by insurers. The research has revealed that significant health benefits can be realized by using three strategies: integrative lifestyle change programs for those with chronic illness, integrative interventions for people with depression and integrative prevention strategies for all. One diabetes study found that every dollar invested in lifestyle intervention cut $3.50 in medical costs.18

• New questions added to the 2015 medical college admission test (MCAT) will focus on the psychological, social and biological foundations of behavior and recognize the importance of socio-cultural and behavioral determinants of health on 2000 2005 2010 2014

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ABIHM CERTIFICATION

manipulation, yoga and massage therapy were the most common complementary health approaches used in 2012.14

• Hospitals have responded to patient demand by offering complementary therapies on an outpatient and inpatient basis. The American Hospital Association’s Annual Survey of Hospitals has been tracking the growth in the number of hospitals who stated they offer some form of complementary therapy either for employees or patients—there has been a steady increase from 1998 to 2012.15 In the

2010 Complementary and Alternative Medicine Survey of Hospitals conducted by the American Hospital Association’s Health Forum and the Samueli Institute, the most common services were offered on an outpatient basis, while the most popular therapies offered were massage therapy, acupuncture, guided imagery and meditation.16 A 2007 McKinsey & Company report found that 41 percent of patients’ choice of hospital was based on the offerings of “amenities” that included complementary and alternative medicine services such as massage therapy.17

Source: American Hospital Association’s Annual Survey of Hospitals14

EXPANDING OPPORTUNITIESIntegrative medicine is a practice that reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence and makes use of all appropriate therapeutic approaches, healthcare professionals and disciplines to achieve optimal health and healing.11

• Patient demand has been steady over the last decade. In 2007, approximately 38 percent of U.S. adults aged 18 years and over and approximately 12 percent of children used some form of complementary and alternative medicine (CAM).12

• In 2007, U.S. adults spent $33.9 billion out of pocket on visits to CAM practitioners and purchases of CAM products, classes and materials.13

• Non-vitamin, non-mineral dietary supplements, chiropractic or osteopathic

Number of hospitals reporting they offer complementary andalternative medicine therapies

1998 2000 2005 2010 2012

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Section 2706 of the ACAthat went into effect in January 2014 states that “group health plans and health insurance issuers offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any healthcare provider who is acting within the scope of that provider’s license or certification under applicable State law.” This means that all state licensed providers, including acupuncturists, chiropractors, nurse practitioners, naturopathic physicians and others can be reimbursed as long as they operate within their scope of practice. This significant ruling not only

Chronic diseases are typically lifestyle-related, so managing them requires modifying behavior and providing personal support systems that educate, motivate, reinforce, reward and renew long-term personal commitment and resilience. While this skill set is underdeveloped in conventional medical practice, it will be critical to achieving the goals of accountable care. As ACOs experiment with new delivery models, now is the time to learn from integrative approaches to health care that include lower-cost options involving higher levels of patient engagement and self-care.23

substantially improves accessibility and affordability for patients to integrative therapies but offers providers the opportunity to fully participate as part of the patient’s healthcare team in managing their health. The Integrative Healthcare Policy Consortium is conducting studies to identify cost savings, cost effectiveness, patient satisfaction and outcomes of integrative approaches to care.

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OPPORTUNITIES forINTEGRATIVE HEALTH CARE

The Triple Aim of the Affordable Care Act (ACA strives to improve the experience of care for individuals and the health of populations and to lower the per capita cost. The ACA aims to move the healthcare system away from its current episodic, fee-for-service payment approach and toward a coordinated model that is focused on delivering high-quality, low-cost care across the continuum of care.22 Additionally, the formation of accountable care organizations (ACOs), both in the Medicare fee-for-service system and private-pay system, offers an unprecedented opportunity for the incorporation of integrative approaches.

The AFFORDABLE CARE ACT:

One of my main challenges as an administrator is identifying and hiring appropriately qualified and well-trained practitioners. We look for individuals who not only believe in the integrative approach but have the credentials and training to accompany that philosophy.

The Academy will be a boon to all hospitals and clinics such as ours. AIHM certification programs will set standards in integrative health and holistic medicine and provide a resource for us to send our providers to for training.

““

Emilie Rowan, LCSWDirector of the Center for Well BeingAtlantic Integrative Medicine Morristown, NJ

Since its first meeting, the AHMA strove to create fellowship and collaboration among practitioners—bringing an understanding of how the mind, body and spirit all have a role to play in healing. In addition to bridging the gap between conventional and complementary and alternative medicine, the AHMA is uniting organizations within the holistic and integrative movement to grow and strengthen the collective voice and shift the paradigm from disease care to true health care.

In 1996, a group of AHMA members formed the American Board of Holistic Medicine, now known as the American Board of Integrative Holistic Medicine (ABIHM). Since 2000, the ABIHM has provided the only peer-reviewed, psychometrically validated board

certification exam, exclusive to MD and DO physicians, in comprehensive integrative holistic medicine. The ABIHM exam set a critical standard: Nearly 3,000 MDs and DOs became ABIHM Diplomates. The ABIHM Review Course, co-sponsored with the Scripps Center for Integrative Medicine, became an internationally recognized educational event, valued for its scholarly content and the fellowship enjoyed among the attendees. The board provided invaluable mentorship programs, published authoritative, evidence- based training materials and offered coursework online. Health seekers depended on ABIHM to connect with integrative MDs and DOs who practiced holistic medicine.

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As the organization grew, so did its global network of interdisciplinary colleagues. Health professionals began an open dialogue about developing education and training beyond MDs and DOs. ABIHM leaders embraced a model of a team-based approach and collaborative care among providers and between disciplines. As the ABIHM evolved, the leaders of the ABIHM and AHMA, who have always been close, reconnected more meaningfully and envisioned a shared future as the Academy of Integrative Health & Medicine.

the American Holistic Medical Association (AHMA) was founded to unite licensed medical doctors who practice holistic medicine and to provide a community for sharing, networking and collaborating. It is one of the oldest holistic medical organizations of its kind and many of today’s national leaders in holistic medicine like Dr. “Patch” Adams, Dr. Bernie Siegel and Dr. Christiane Northrup are or were members of the AHMA. In 2008, the AHMA opened membership to other licensed holistic practitioners including naturopathic physicians, acupuncturists, chiropractors massage therapists and others, and promoted the integration of conventional with complementary and alternative medicine. Today, the AHMA numbers over 800 members in 48 states and has local chapters in Minnesota, Michigan and Northeast Ohio.

WHO WE AREIn 1978,

2013 AIHM is announcedat ABIHM conference2013 AHMA begins to prepare membership for

merge with ABIHM to form Academy

2008 ABHM changesname to ABIHM2008 AHMA opens membership

to additional disciplines

1978 AHMA is established as a memberorganization for MDs and DOs

1993 AHMA holds first course on thescience of integrative holistic medicine

2000 ABHM offers first exam

1996 ABHM is created by a group of AHMA members

2014Academy is Launched

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Reclaim your energy and focus to achieve optimal health with the AIHMLike so many of my healthcare peers, I felt the burden of stress and was on the verge of burnout. When I connected with the AIHM community, my world opened to a new level of physical, environmental, mental, emotional, social and spiritual balance.

This revelation has transformed my life. It provides me with a reservoir of resiliency and informs what I now cultivate, practice and teach.

SuperSmartHealth, Founder & CEO AIHM Chair

Daniel Friedland, MD, ABIHM

in their names and in their DNA. So, too, does the Academy. Our shared principles and values are based on holistic health and medicine principles taken straight from the AHMA and ABIHM traditions. Many of our Academy charter members describe themselves first and foremost as holistic healers. While “holistic” does not appear in the Academy of Integrative Health & Medicine name, AIHM instead incorporates the more encompassing term, “health.”

How did this happen?At the root of the word “health” is wholeness. At the root of the word “patient” is suffering. Ultimately, Academy members committed themselves to bringing people back to wholeness and to maintaining optimal health. We are dedicated to establishing a new paradigm for humanity and the planet. That’s holistic.

To have a global impact, the Academy needs to speak to a wide audience. Beyond the USA, the words health and medicine have a greater significance than the word holistic. The founding board of the Academy is determined to evolve toward redefining health and medicine while retaining the holistic foundation upon which we were built.

WHAT HAPPENED to HOLISTIC

I am very pleased to see the Academy’s strong commitment to ensuring wider public accessibility to integrative therapies through its advocacy and policy work, while at the same time developing affordable educational programs for all healthcare practitioners interested in advancing their knowledge and seeking certification in integrative health. The Academy’s support of efforts to bring low-cost integrative options into the community health setting are particularly important to improve affordability and accessibility for the underserved.

“

Tabatha Parker, NDCo-Founder, Natural Doctors InternationalSan Diego, CA

“Both the AHMA and ABIHM have “holistic”

conference. The announcement launched a series of collaborative discussions with interdisciplinary associations and leaders. Board members rallied for rapid development in the emerging Academy’s areas of focus: membership, education, certification, leadership, research and advocacy. The ABIHM and AHMA moved toward a merger.

In October 2014, the Academy celebrated its inaugural event in San Diego, representing the 15th Science and Connection Conference. Attendees had the opportunity to become charter members of the Academy and contribute directly to the Academy’s formation across the areas of focus. The ABIHM exam for MDs and DOs is being phased out, although ABIHM Diplomates will continue to recertify under the Academy banner. In 2015, the Academy is offering interdisciplinary certification, establishing a new standard of knowledge of integrative holistic medicine. Academy credentials provide a relevant, powerful seal of approval to patients and healthcare practitioners. 20

BEHIND OUR LOGOin INTEGRATIVE HEALTH

GLOBAL REACH&

THE HEALTH OF THE PLANET

INTEGRATION &INTERCONNECTEDNESS

BODY, MIND + SPIRIT

LOVE&

COMPASSION

As Academy President Mimi Guarneri points out, just as Western medicine has specialties such as cardiology, dermatology and gastroenterology, we now have “integrative medicine,” “holistic medicine,” “functional medicine” and other silos that weaken our influence by unnecessary separateness. To help reconcile the disparate needs and voices in our field, the AHMA and ABIHM decided to come together to create a new Academy to build bridges and link individuals and organizations, internationally, committed to the values, principles and practice of holistic medicine. The Academy’s mission is to translate the science of health and healing into practice by bringing leaders of medicine and the healing arts together into an academic and clinically focused community.

In 2013, empowered by a generous endowment from the Donald & Ruth P. Taylor Foundation and a groundswell of support, Dr. Guarneri announced the Academy’s formation at the 14th annual ABIHM

UNITING LEADERS Finally, we have a space where all health professions are valued and have equitable input in discussions surrounding best practices! The AIHM will facilitate interprofessional collaborative models based on equitable partnerships, business models for integrative practice and work toward fair reimbursement rates for services across professions. By supporting collaborative research and the team-based model, together, we can ensure quality care and compassionate service.

“

Lucia Thornton, ThD, MSN, RN, AHN-BCPast President, American Holistic Nurses AssociationFresno, CA

“

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Where health care is about health and available to all

Where prevention is our foundation and mechanical fixes are embraced when we need them

Where all healthcare providers work collaboratively to heal body, mind and spirit

Where sustainability is integrated into our culture, practice and training

We are the solution

Working together to establish a new paradigm of health care for humanity and the planet

The Academy of Integrative Health & Medicine is dedicated to engaging a global community of health professionals and health seekers in innovative education, certification, leadership, inter-professional collaboration, research, and advocacy that embraces all global healing traditions, to promote the creation of health and the delivery of evidence-informed comprehensive, affordable, sustainable person-centered care.

We too have a dream

MISSIONVISION

As an Interventional Cardiologist, I realized that effective cardiovascular disease treatment was far beyond the checklists and tools I had been supplied. We were doing very little in health care to empower people with knowledge to prevent and effectively treat disease.

Attending the Science and Connection Conference and sitting for the ABIHM Board Exam, I found my tribe of healers and my own path. I learned how to treat the whole person—mind, body and spirit. I shifted my practice toward connection and prevention. Now, I know that’s true health care.

Learn how to treat the whole person—body, mind and spirit—at the AIHM

Guarneri Integrative Health, Founder & DirectorAIHM President

Mimi Guarneri, MD, FACC, ABIHM

Individuality Holistic healthcare practitioners focus patient care on the unique needs and nature of the person who has an illness rather than the illness that has the person

Learning Opportunities All life experiences including birth, joy, suffering and the dying process are profound learning opportunities for both patients and healthcare practitioners

Teaching by Example Holistic healthcare practitioners continually work toward the personal incorporation of the principles of holistic health, which then profoundly influence the quality of the healing relationship

Integration of Healing Systems Integrative practitioners embrace the use of all appropriate global healing traditions and integrative healthcare strategies, disciplines, systems and healthcare professionals for the diagnosis, prevention and treatment of disease. We embrace collaborative care among providers and between disciplines

Relationship-Centered CareThe ideal practitioner-patient relationship is a partnership, which encourages patient autonomy and values the needs and insights of both parties. The quality of this relationship is an essential contributor to the healing process

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VALUES

The Healing Power of Love Holistic healthcare practitioners strive to meet the patient with grace, kindness, acceptance and spirit without condition, as love is life’s most powerful healer.

Wholeness Holistic healthcare practitioners view people as the unity of body, mind, spirit and the systems in which they live.

Optimal Health Optimal health is the primary goal of the practice of holistic health and medicine. It is the conscious pursuit of the highest level of functioning and balance of the physical, environmental, mental, emotional, social and spiritual aspects of human experience, resulting in a dynamic state of being fully alive. This creates a condition of well being regardless of the presence or absence of disease. This is the pursuit of health creation.

Innate Healing Power All people have innate powers of healing in their bodies, minds and spirits. Holistic healthcare practitioners evoke and help patients utilize these powers to affect the healing process.

Prevention and Treatment Holistic healthcare practitioners promote health, prevent illness and help raise awareness of dis-ease in our lives rather than merely managing symptoms. A holistic approach relieves symptoms, modifies contributing factors and enhances the patient’s life system to optimize future well-being.

Individuality Holistic healthcare practitioners focus patient care on the unique needs and nature of the person who has an illness rather than the illness that has the person.

Learning Opportunities All life experiences including birth, joy, suffering and the dying process are profound learning opportunities for both patients and healthcare practitioners.

Teaching by Example Holistic healthcare practitioners continually work toward the personal incorporation of the principles of holistic health, which then profoundly influence the quality of the healing relationship.

Integration of Healing Systems Integrative practitioners embrace the use of all appropriate global healing traditions and integrative healthcare strategies, disciplines, systems and healthcare professionals for the diagnosis, prevention and treatment of disease. We embrace collaborative care among providers and between disciplines.

Relationship-Centered CareThe ideal practitioner-patient relationship is a partnership, which encourages patient autonomy and values the needs and insights of both parties. The quality of this relationship is an essential contributor to the healing process.

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EducationDevelop and conduct national and international educational programs for a broad range of community members, disciplines and levels of expertise to translate the science of health, healing and self-care into practice. The Academy offers courses that focus on the topics that are often lacking in the present-day medical education curriculum such as wellness, prevention, health promotion, deep consideration of our planet and complementary and alternative therapies. Special attention is paid to chronic disease management

It is imperative that the Academy, an organization with a strong integrative physician base, step up and advocate for inclusive team care—and prioritize engagement in the interprofessional education and practice movement. Together, we need to advocate for whole-person and whole-practice research models and get involved in the weeds of transforming the research funding processes to support new real-world models.

“

“John WeeksExecutive DirectorAcademic Consortium for Complementary and Alternative Health CareSeattle, WA

and other subjects that are poorly addressed in much of existing health care training. These educational offerings also serve the continuing education needs of those who have been certified by the ABIHM to maintain their credentials and others who need to seek CME credits.

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Serving as a platform for all healthcare providers who recognize that health is more than the absence of disease and is closely intertwined with the health of our communities and the planet, the Academy supports its varied constituents through six areas of focus:

MembershipEstablish a community of healthcare providers, health seekers and aligned organizations that share the vision, mission and goals resulting in breakthrough collaboratives that create wellness, sustainability and healing practices in all settings. Four levels of membership will serve the needs of varied constituents: (1) health providers, including medical, osteopathic, chiropractic and naturopathic physicians; nurses; acupuncturists; certified nurse midwives and direct entry midwives; physician assistants; nurse practitioners; homeopaths; massage therapists;

and other licensed and certified health providers; (2) associations and institutions such as professional associations, integrative clinics, healthcare systems or hospitals and educational institutions; (3) an international commission that will serve members outside the United States; and (4) consumers or the general public.

Existing AHMA members and those who join the Academy before December 31, 2015 are charter members with access to expanded benefits. The Academy board oversees the review of credentials to confirm membership eligibility levels and benefits.

AREAS OF FOCUS

AdvocacyChampion health creation globally in national and international public policy, develop global roadmaps and shared strategic visions and advocate for full patient choice in selecting the qualified health practitioners and disciplines of their choice. The Academy advocacy initiatives are a natural outgrowth of the holistic perspective underpinning our education and certification programs. Through institutional and legislative advocacy, we aim to shift the healthcare paradigm to refocus on prevention, accessibility and wellness. The Academy is linking arms with the Integrative Healthcare Policy Consortium (IHPC) as we take an active stance together in policy discussions on issues such as practitioners’ and consumers’ healthcare rights. We are gathering a strong community of integrative practitioners

and will ensure that our voices are heard and respected by legislators. The Academy’s advocacy work also addresses planetary health and social justice, including food justice, reflecting the fact that integrative holistic medicine treats the whole person—body, mind and spirit—and recognizing that an individual is part of his or her community.

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LeadershipTrain the current and next generation of healthcare leaders to advance the fields of integrative holistic health and medicine. The Academy is committed to creating a new leadership college that will shepherd a global cadre of transformational leaders who are equipped to become agents of change in this ever-changing healthcare landscape. We are creating a network of these leaders and continue to support building their capacity through ongoing mentoring, peer-to-peer learning and lifelong education opportunities.

ResearchReview, aggregate and conduct practice-based research efforts to continue building the evidence base for this new integrated approach to health and health care and for the educational programs that facilitate its mastery by all health professions. The Academy will support high-quality research to improve the reliability and value of medical research that promotes transparency and accuracy in the reporting of research studies in integrative health and medicine. This research will range from case reports and observational studies to controlled clinical trials, systematic reviews and clinical practice guidelines. We support the publication of these results in medical journals. The Academy will create a platform that supports the global community of stakeholders and their need for evidence on which they can make informed decisions.

CertificationEstablish and evaluate educational standards and dynamic training models for certification, from leaders among all interested parties to programs across all disciplines. The Academy will offer certification in integrative holistic care for a broad range of health professions including medical, osteopathic, chiropractic and naturopathic physicians; nurses; acupuncturists; certified nurse midwives and direct entry midwives; physician assistants; nurse practitioners; homeopaths; and other licensed health providers. Using the standards we developed in 2000 and the experience gained in certifying nearly 3,000 physicians, we are creating certification programs that will synthesize the knowledge, skills and abilities for these providers. We are building a cadre of certified professionals who can work independently, in group practices, or in hospitals or other institutions. The certification offers the much needed credibility and endorsement of a trusted and well-established entity such as the Academy. At the core of the certification process is a culture of interdisciplinary collaboration and a holistic approach to the patients we are serving. The certification process will involve self-care and community initiatives that will have a transformative impact on the participants and those they serve.

AREAS OF FOCUS

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UnderservedPopulations

Patients

CaregiversMulti-SpecialtyClinics

Students

Insurers

Consumers

HospitalsThe Planet PolicyMakers

Researchers

Corporationsand

Organizations

Militaryand

HealthOrganizations

Members

VeteransPractitionersHuman

ResourcesManagers

WE ARE ALL STAKEHOLDERS

As a multidisciplinary, global organization, the Academy is rallying together a community of like-minded healthcare providers committed to advancing the knowledge and practice of integrative and holistic care. It is uniquely positioned to bring its clout to bear and offer significant contributions to a variety of stakeholders.

WHO WILL BENEFIT from the AIHM

We embrace the Academy’s international vision and outreach. A global collaboration in medical education, research, innovation, publication and political issues is essential for the practice and further development of holistic and integrative medicine.

Establishing a forum to share ideas, successful concepts and case examples of integrative health care, individualized and system-oriented medicine, outcome improvement, patients’ competence and medical education is crucial to theadvancement of our field.

““

Gunver Kienle, Dr. med.Institute for Applied Epistemology and Medical Methodology at the University of Witten/HerdeckeFreiburg, Germany

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Pamela Snider, ND Founder and Executive Editor, Foundations of Naturopathic Medicine Project

Rob Wyse Managing Director, Capital Content

Ellen Stiefler, Esq. CEO, Transmedia Multiverse, LLC

Emeritus: Wendy Warner, MD, ABIHM Founder and Director, Medicine in Balance

John Weeks Executive Director, Academic Consortium for Complementary & Alternative Health Care (ACCAHC)

Executive Director: Nancy Sudak, MD, ABIHM

Leonard Wisneski, MD, FACP Clinical Professor of Medicine, George Washington University Medical Center

Co-Executive Director: Steve Cadwell

Last updated October 2014

BOARD OF DIRECTORS

President: Mimi Guarneri, MD, FACC, ABIHM Founder & Medical Director, Guarneri Integrative Health at Pacific Pearl

Treasurer: F. Nicholas Jacobs, FACHE International Director, Sunstone Consulting, LLC

Chair: Daniel Friedland, MD, ABIHM Founder & CEO, SuperSmartHealth

Russell Faust, MD, FAAP, ABIHM Managing Partner, WindrivenGroup

Jennifer Blair, LAc, MaOM Penny George Institute for Health and Healing

David Riley, MD Founder, Integrative Medicine Institute, LLC

Vice President: Daniel Asimus, MD, MSEd, ABIHM Founder and Medical Director, Life Fitness Center

Sanford Levy, MD, ABIHM Clinical Associate Professor of Medicine, SUNY at Buffalo

Secretary: Scott Shannon, MD, ABIHM Founder and Director, Wholeness Center

Molly Roberts, MD, MS, ABIHM Integrative Holistic Physician, Institute for Health & Healing

CONNECT

PhysicianAssistant

Pediatrician

Osteopath Resident

Student

Psychiatrist

Nutritionist HealthCoach

Nurse

Chiropractor

CraniosacralTherapist

NaturopathicPhysician Internist Life Coach

MedicalDoctor Homeopath Massage

Therapist

SurgeonMusic

TherapistFamilyDoctor Acupuncturist

Psychologist

ReikiMaster Educator Dietician

YogaInstructor Neurologist

AddictionCounselor

EnergyMedicineProvider

HealthcareAdministrator

NursePractitioner

ArtTherapist

CONNECTION and COLLABORATIONThe AIHM connects with a wide range of healthcare professionals, including naturopathic doctors, nurses, acupuncturists, chiropractors, medical doctors, nutritionists and many more. Our goal is to empower leaders who together will help shift the current healthcare paradigm to one that is about the whole person and the planet.

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When I connected with the AIHM community, I found an organization transcending the divisions and silos between healing disciplines including, MDs, DCs, DOs, NDs, NPs, and RNs. At AIHM, I am part of a truly integrated community that honors all professions. We trust each other and share our resources. We are creating a new way—one of equity, respect and healing.

The Academy’s strong commitment to ensuring wider public accessibility to integrative medicine through its advocacy and policy work, while at the same time developing affordable educational programs for all healthcare practitioners is a true demonstration of social equity. The further committment to support efforts that bring low-cost integrative options into the community health setting are particularly important to improve affordability and accessibility of integrative health for all people on this planet. I am honored to be a part of this truly remarkable organization.

Co-Founder, Natural Doctors International (NDI) AIHM Director of Education

Experience true interdisciplinary collaboration at the Academy

Tabatha Parker, ND

CERTIFY AIHM Certification supports licensed medical professionals including CNMs, DCs, DOs, LAcs, MDs, NDs, NPs, PAs, RNs and others. Having AIHM behind your name means that you have demonstrated a level of expertise in Integrative Medicine that your peers and patients can trust. Learn more at aihm.org.

ACTThe AIHM’s advocacy activities aim to empower practitioners and consumers. Please learn about the issues and get involved at aihm.org.

SPREAD THE WORDWe need everyone’s voice represented in the movement to transform health care. Please contribute by reaching out to your peers and personal contacts via social media to inform them of the AIHM and our initiatives. Our efforts will be powered by our collective energies.

SUPPORT The Academy is a 501(c)(3) nonprofit corporation. By investing in us, our partners help us actualize our mission, expand training opportunities and support critical research initiatives.

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JOINBecome a member and join your community of practitioners, health seekers or organizations. Benefits include exclusive access to journal resources, networking opportunities, discounts on outstanding educational opportunities, practice resources like legal forms and marketing tools and inclusion in our “find a provider” database.

VOLUNTEERWe love our member volunteers! We are seeking your support for conference planning, media outreach and setting up local chapters. If you are interested in taking a leadership position, please contact us at [email protected].

GET INVOLVED

LEARN Deepen your understanding of the science and art behind the healing power of integrative holistic medicine. Access introductory and advanced courses online or join us for trainings held throughout the year. Learn more at aihm.org.

CONNECTOur global community is online, too! Sign up for our email newsletter for important developments and resources. Connect with us and your peers via social media.

Integrative Healthcare Policy Consortium (IHPC) The Integrative Healthcare Policy Consortium advocates for an integrative healthcare system with equal access to the full range of health-oriented, person-centered, regulated healthcare professionals. ihpc.org

Integrative Medicine Consortium (IMC) A collaborating group of national physician organizations dedicated to promoting Integrative Medicine as the standard of care in medicine. By coming together with fellowship and cooperation, the IMC creates larger and more sustainable initiatives than any individual organization could achieve on its own. integrativemedicineconsortium.org

Integrative Medicine for the Underserved (IM4US) Integrative Medicine for the Underserved is a collaborative, multidisciplinary group of people committed to affordable, accessible integrative health care for all. im4us.org

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Miraglo MIRAGLO Foundation is a nonprofit public benefit corporation in support of alternative & global healing techniques. Miraglo is a name coined out of two words Miracle and Glow; Miracle is often a result of something divine and Glow signifies growth, together we mean “Divine Growth”. www.miraglofoundation.org

Scripps Center for Integrative Medicine Co-founded by AIHM President, Mimi Guarneri, MD, a healthcare system that believes there are many paths to healing and that holistic health is a cohesive balance of mind, body and soul. scripps.org/services/integrative-medicine

VA Greater Los Angeles Healthcare System The VA Greater Los Angeles Healthcare System is the largest, most complex healthcare system within the Department of Veterans Affairs. It is one component of the VA Desert Pacific Healthcare Network (VISN22) offering services to veterans residing in Southern California and Southern Nevada. losangeles.va.gov

The Westreich Foundation The Westreich Foundation, of which Ruth Westreich is the President, has a focus on optimum health and wellness, education and literacy. In the areas of wellness and prevention, The Westreich Foundation generously supports integrative medicine and palliative medicine nationally and locally. thewestreichfoundation.org

Donald & Ruth P. Taylor Foundation (Taylor Family Foundation) Don and Ruth Taylor of Calgary, Alberta, are committed to projects to transform medicine from an institution-based service that reacts to sickness with mechanical fixes and pharmaceuticals to a system of early interventions, social support and prevention that promotes optimal health.

Academic Consortium for Complementary & Alternative Health Care (ACCAHC) The mission of ACCAHC is to enhance the health of individuals and communities by creating and sustaining a network of global educational organizations and agencies, which will promote mutual understanding, collaborative activities and interdisciplinary healthcare education. accahc.org

American Board of Holistic Medicine Foundation With an express purpose of health education, the ABHM foundation supports students and residents to access training and certification in integrative, holistic medicine.

Atlantic Health System A recognized leader in quality health care and advanced medical technology. atlantichealth.org/atlantic

CARE Group CARE guidelines provide a framework that supports transparency and accuracy in the publication of case reports and the reporting of information from patient encounters. care-statement.org

Commons Health Care Network The Commons Health Network is advancing a network of place-based, integrative health creation models. commonshealth.org

Foundations of Naturopathic Medicine Project The vision of naturopathic medicine and of the Foundations of Naturopathic Medicine Project is to advance the health of individuals, communities, and support a healthy environment, through innovation in scientific research and clinical practice, based on investigating and understanding the nature of the healing process. foundationsproject.com

THANK YOU We are grateful to our friends and collaborators.

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16. Ananth S. 2010 Complementary and Alternative Medicine Survey of Hospitals. Samueli Institute Web site. Published October 2011. http://www.samueliinstitute.org/library/ourresearch/ohe/cam_survey_2010_oct6.pdf. Accessed July 8, 2014

17. Grote, K. D., J. R. S. Newman, and S. S. Sutaria. 2007. “A Better Hospital Experience.” McKinsey Quarterly. Published November 2007

18. Guarneri E, Horrigan B, Pechura C. The Efficacy and Cost Effectiveness of Integrative Medicine: A Review ofthe Medical and Corporate Literature. The Bravewell Collaborative Web site. Published June 2010. http://www. bravewell.org/integrative_medicine/efficacy_cost. Accessed July 8, 2014

19. Mowbray S. You Really Can’t Eat Just One, and Here’s the Reason. New York Times. March 12, 2013. http://www.nytimes.com/2013/03/18/books/salt-sugar-fat-by-michaelmoss.html?pagewanted=all&_r=0. Accessed July 20, 2014

20. Consortium of Academic Health Centers for Integrative Medicine. http://www.imconsortium.org/about/home.html. Accessed October 3, 2014

21. Sudak, Nancy, MD. “Interview with Executive Director of American Board of Integrative Holistic Medicine.” E-mail interview. May 22, 2014

22. Ten Questions About ACOs & Accountable Care. Accountable Care Facts, Council of Accountable Physician Practices Web site. Published April 14, 2011. Updated January 31, 2013. http://www.accountablecarefacts.org/topten/what-are-the-barriers-and-challenges-suchorganizations-might-face-1. Accessed June 30, 2013

23. Ananth S, Hassett M. ACOs and Integrative Health Care. H&HN Daily. Published January 24, 2011. http://www.hhnmag.com/display/HHN- news-article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HHN/Daily/2011/Feb/Ananth-2670005967. Accessed June 20, 2014

1. Association of the British Pharmaceutical Industry. http://www.abpi.org.uk/industry-info/knowledge-hub/global-industry/Pages/industry-market-aspx . Accessed September 25, 2014

2. Centers for Medicare and Medicaid. National Health Expenditures 2012 Highlights. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/highlights.pdf. Accessed September 25, 2014

3. Centers for Disease Control and Prevention. Chronic Diseases. The Power to Prevent, The Call to Control. http://www.cdc.gov/chronicdisease/resources/publications/aag/chronic.htm. Accessed September 25, 2014

4. Horrigan B, Lewis S, Abrams A, Pechura C. Integrative Medicine in America —How Integrative Medicine Is Being Practiced in Clinical Centers Across the United States. Global Adv Health Med. 2012;1(3):18-94

5. Singer J, Adams J. Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers. BMC Complement Altern Med. 2014 May 22;14:167. doi: 10.1186/1472-6882-14-167. PubMed Accessed June 30, 2014

6. Kelley JM, Kraft-Todd G, Schapira L, et al. The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2014 Apr 9;9(4):e94207. doi: 10.1371/journal.pone.0094207. eCollection 2014. PubMed PMID: 24718585; PubMed Central PMCID: PMC3981763. Accessed Sept 9 2014

7. Fong Ha J, Longnecker N. Doctor-Patient Communication: A Review. Ochsner J. 2010 Spring; 10(1): 38–43

8. Musgrove P, Creese A, Preker A, et al. The World Health Report 2000. Health Systems: Improving Performance. Geneva: World Health Organization; 2000

9. Kane J. Health Costs: How the U.S. Compares with other Countries. PBS Web site. http://www.pbs.org/newshour/rundown/health-costs-how-the-uscompares-with-other-countries. Published October 22, 2012. Accessed July 31, 2014

10. NHS Sustainable Development Unit—Route Map for Sustainable Health.NHS Sustainable Development Unit. Published February 2011

11. Consortium of Academic Health Centers for Integrative Medicine, Developed and Adopted, May 2004, Edited May 2005, May 2009 and November 2009 http://imconsortium.org/about/home.html. Accessed June 20, 2014

12. Barnes PM, Bloom B, Nahin R. CDC National Health Statistics Report #12.Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007. December 10, 2008

13. Nahin RL, Barnes PM, Stussman BJ, and Bloom B. Costs of Complementary and Alternative Medicine (CAM) and Frequency of Visits to CAM Practitioners: United States, 2007. National health statistics reports; no 18. Hyattsville, MD: National Center for Health Statistics. 2009

14. Peregoy JA, Clarke TC, Jones LI, et al. Regional variation in use of complementary health approaches by U.S. adults. NCHS data brief, no 146. Hyattsville, MD: National Center for Health Statistics. 2014

15. Kralovec, Peter. “Interview with Director at American Hospital Association.” E-mail interview. June 20, 2014

REFERENCES

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