HCS.outreachProject.v.1.4.Presentation

7/24/2019 HCS.outreachProject.v.1.4.Presentation

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DAOM/EL-Fall 2015.Greg Lane, Marc Sklar, Simone Ressner, Leslie Pasternack, Prana Gogia


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1 Outreach Goals Greg Lane2 Mission, Vision, Culture Prana Gogia

3 Description of Quality Mark Sklar

4 Patient Base & Medical

Specialties

Leslie Pasternack

5 AOM Providers Can AddValue

Simone Ressner

6 Entry Approach to the HCS Greg Lane

7 About us

8 References

9 Q & A

HCS: Outreach Program. DAOM/EL-Fall 2015. 2

Topics Covered


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Outreach Goals

Provide Acupuncture Treatmentsto Veterans

Community Involvement

Create Awareness of TCM in VA

HCS Focus on One Center



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Vision Be the benchmark of excellence and value

in health care and benefits by providing

exemplary services that are both patient

centered and evidence based.

This care will be delivered by engaged,

collaborative teams in an integrated

environment that supports learning,

discovery and continuous improvement.

It will emphasize prevention and population

health and contribute to the nations well-

being through education, research and

service in National emergencies.


VA San Diego Healthcare System


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Mission Honor Americas Veterans by providing exceptional health care that

improves their health and well-being.

Values Integrity: Act with high moral principle. Adhere to the highest professional standards.

Maintain the trust and confidence of all with whom I engage.

Commitment: Work diligently to serve Veterans and other beneficiaries. Be driven byan earnest belief in VAs mission. Fulfill my individual responsibilities and organizationalresponsibilities.

Advocacy: Be truly Veteran-centric by identifying, fully considering, and appropriatelyadvancing the interests of Veterans and other beneficiaries.

Respect: Treat all those I serve and with whom I work with dignity and respect. Showrespect to earn it.

Excellence: Strive for the highest quality and continuous improvement. Be thoughtfuland decisive in leadership, accountable for my actions, willing to admit mistakes, andrigorous in correcting them.



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Diverse

Innovative, Research Oriented

Patient Centered Teamwork


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Description of Quality


VASDHS was recognized by The JointCommission as a Top performer onKey Quality measures for 2013for heart attack, heart failure,

pneumonia and surgical care.

Src: http://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCS)
http://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCShttp://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCShttp://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCShttp://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCShttp://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCShttp://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCShttp://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCShttp://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCShttp://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCShttp://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCS


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68.6% of inpatients at VA San Diego HCS

gave the hospital a 9 or 10 out of 10,meaning this VA hospital is performingbetter than most other hospitals.

74.1% of inpatients at VA San Diego HCSfelt that their doctor communicated wellwith them.

61.9% of outpatients rated this hospital a9 or 10 out of 10, which means it isperforming better than the average VAhospital.




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Average Wait times

range from 4-9 days.

The observed-to-

expected ratio ofsurgical morbidity atVA San Diego HCS is1.07 to 1.

Surgical mortality isat 0.73 to 1.




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Patient Base


The Aspire Center is a 40-

bed residential treatmentfacility Aimed atpromoting

recovery in Servicemembers, particularly those

returning from the wars inIraq and Afghanistan.

The Centerprovidestemporary housing forVeterans who do not need

inpatient care, but wouldbenefit from rehabilitationservices for an average of60-120 days.


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Medical Specialties

Case Management/Social Work

Vocational Rehabilitation

Neuropsychological Assessment

Psychotherapy

Occupational Therapy Educational Classes

Medication Management

Complementary/Alternative Therapies Posttraumatic Stress Disorder

Traumatic Brain Injury



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AOM Providers Can Add Value


Acupuncture and Oriental Medicine (AOM)involves inserting sterile, disposableneedles at identified acupoints on the bodyto stimulate the bodys natural healingabilities and is among the most widelypracticed forms of alternative medicine inthe country. Acupuncture has provenefficacy with a number of the VA

initiatives: PTSD

Depression, Anxiety

Pain/ Vocational Rehabilitation

Digestive disorders

Addiction (to medications, alcohol, smoking)

AOM is more than 2,000 years old, andwas used for any ailment in Asia from pain

to insomnia and mental illness.

Specifically, acupuncture has been used totreat mental illness since 1100 BC (Hoizeyand Hoizey, 1993; Liu, 1981).


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Military studies using the following

measurable outcome tools showremarkable decrease in allrepresented outcome tools:

The Posttraumatic Symptom Scale-Self Report(PSS-SR).

Beck Depression Inventory, version 2 (BDI-II;Beck, Ward, Mock, & Erbaugh, 1971)To assessdepressive symptom severity

Numeric Rating Scale for Pain (NRS; Cleeland &

Ryan, 1994) SF-36v2 (Ware, Kosinski, & Gandek, 2000)To

assess physical and mental health functioning

Sources: http://www.amiciassociates.com/uploads/8/5/4/8/

8548059/acupuncture_for_ptsd.pdf

Liu X (1981) Psychiatry in Traditional ChineseMedicine.

Br J Psychiatry.138:429433.

Hoizey D, Hoizey M-J (1993)

A History of Chinese Medicine. Translation by P.Bailey. Edinburgh: Edinburgh University Press.

http://www.pdhealth.mil/downloads/Evaluating_the_Efficacy_of_Acupuncture_as_a_Treatment_for_Posttraumatic_Stress_in_Military_Personnel.pdf


AOM Providers Can Add Value


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Entry Approach


In process of meeting with the director to plan a

strategy in navigating the VA system for credentialing.

Work with Pacific College

to establish an offsite

clinical internship clinic

within the Aspire Center.

Provide acupuncture

administered by clinical

interns and supervised by

licensed acupuncturist.


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System Contact


Debbie Dominick, LCSW

Aspire Center DirectorVA San Diego Healthcare System

2121San Diego Ave

San Diego, CA 92110

Office 619-497-8462

Cell 858-349-5935

[email protected]

http://www.sandiego.va.gov/services/aspire_center.asp
http://www.sandiego.va.gov/services/aspire_center.asphttp://www.sandiego.va.gov/services/aspire_center.asphttp://www.sandiego.va.gov/services/aspire_center.asphttp://www.sandiego.va.gov/services/aspire_center.asphttp://www.sandiego.va.gov/services/aspire_center.asp


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About Us


Greg Lane is the Director of Clinical Services for Pacific College of Oriental Medicine, San Diego. He is aCalifornia Licensed Acupuncturist and Chinese Herbalist. Greg has been in private practice for 21 years andenjoys working with a diverse population of patients. In his practice he has focused on Womens Health,Orthopedics, Pain Management and Drug and Alcohol Detoxification. Greg believes in promoting a healthy,

active lifestyle and incorporates Mindfulness, Tai Chi and Qi Gong principles into his practice enjoys.

Simone Ressner is fueled by her passion for the power of collective healing, Simone Ressnerbirthed Source Empowered Wellness Center in 2015 to aid people on their path to establishinghealth as a lifestyle. The center offers $30 community acupuncture treatments, herbal medicine,massage, and chiropractic adjustments. www.SEWacu.com

Prana Gogia is Licensed Acupuncturist & Herbalist and teacher of Siddha Ayurveda, and

Craniosacral Work. Born in India with over thirty years studying and practicing healing work in thelineage of the Siddha tradition. Traveled extensively through the Himalayan regions of Tibet, Nepal,and India, to learn meditative and healing practices. His mission is to help people live in harmonywith Nature and themselves. http://pranajiacupuncture.com/

Leslie Pasternack is driven by her passion to learn and desire to help others achieve their full potentialboth mentally and physically. Leslie is committed to encouraging people to live a healthy and happier life.She invites you to experience the world of Chinese Medicine and discover the healing practice ofacupuncture. During her free time, Leslie enjoys reading, traveling, and enjoys being a mother to her onemonth old baby, Kaileia.

Marc Sklar is the founder and owner of Reproductive Wellness in San Diego California. His clinic has 2locations which specialize in women's health and fertility. Marc is Board Certified Herbalist and OrientalMedicine Practitioner, and Fellow of the American Board of Oriental Reproductive Medicine. Marc has beeninvolved politically over the years by being a board member of CSOMA and ABORM.


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ReferencesAngeli, E., Wagner, J., Lawrick, E., Moore, K., Anderson, M., Soderlund, L., & Brizee, A. (2010, May 5). General format.

Retrieved from: http://owl.english.purdue.edu/owl/resource/560/01/

Debbie Dominick, LCSW, Aspire Center Director. Retrieved from:http://www.sandiego.va.gov/services/aspire_center.asp

Cady, R. K. & Farmer, K. (2015). Acupuncture in the treatment of headache: A traditional explanation of an ancient art.Headache, 55(3).

Chan, J. S., Ho, R. T., Wang, C. W., Yuen, L. P., Sham, J. S. & Chan, C. L. (2013).

Effects of qigong exercise on fatigue, anxiety and depressive symptoms of patients with chronic fatigue syndrome-like illness:A randomized controlled trial. Evidence Based Complementary and Alternative Medicine. Da Silva, A.N. (2015).Acupuncture for migraine prevention. Headache, 55(3).

Gemmell, C. & Leathem, J. M. (2006). A study investigating the effects of tai chi chuan: Individuals with traumatic brain injurycompared to controls. Brain Injury, 20(2).

Hoizey D, Hoizey M-J (1993). A History of Chinese Medicine. Translation by P. Bailey. Edinburgh: Edinburgh University Press.Retrieved from:http://www.pdhealth.mil/download/Evaluating_the_Efficacy_of_Acupuncture_as_a_Treatment_for_Posttraumatic_Stress_in_Military_Personnel.pdf.

Hollifield, Michael MD. (June 2006). Acupuncture for Posttraumatic Stress Disorder. A Randomized Controlled Pilot Trial.Retrieved from: http://www.amiciassociates.com/uploads/8/5/4/8/8548059/acupuncture_for _ptsd.pdf.

Hull, A., Reinhard, M., McCarron, K., Allen, N., Jecmen, C., Akhter, J., Duncan, A., Soltes, K. (2014). Acupuncture andmeditation for military veterans: First steps of quality management and future program development. Global Advances inHealth and Medicine, 3(4).

Khusid, M. (2015). Clinical indications for acupuncture in chronic posttraumatic headache management. Military Medicine,180(2).

Liu, X (1981). Psychiatry in Traditional Chinese Medicine. Br J Psychiatry.138:429433.

PTSD: A Growing Epidemic. National Institure of Health. Vol.4 (Winter 2009). Retrieved from:

http://www.nlm.nih.gov/medlineplus/magazine/issues/winter09/articles/wint er09pg10-14.html.VA Hospital Quality Ratings, Retrieved from: http://vahospitals.healthgrove.com/l/130/VA-San-Diego-HCS.

Wang L. P., Zhang X. Z., Guo J., Lui, H. L., Chang, Y., Lui, C. Z., Yi, J. H., Zhao, J. P. & Li, S. S. (2012). Efficacy ofacupuncture for acute migraine attack: A multicenter single blinded, randomized controlled trial. Pain Medicine,13(5).62330.

Yost, T.L. & Taylor, A.G (2013). Qigong as a novel intervention for service members with mild traumatic brain injury. Explore(NY), 9(3).

http://owl.english.purdue.edu/owl/resource/560/01/http://www.sandiego.va.gov/services/aspire_center.asphttp://www.sandiego.va.gov/services/aspire_center.asphttp://owl.english.purdue.edu/owl/resource/560/01/


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