Integrative Health Care

Integrated Family Wellness (IFW) a alternative medicine medical clinic located in Brookfield, WI. It has been owned and operated by Dr. Michele Nichols NMD since 2001. In 2015 it was identified that Dr. Nichols desires for her organization to have a franchised system for medical providers to establish their own profitable integrated medical practice, regardless of the specialty. Lisa McNeil and Trifecta Consulting were hired to assess the organizational and training needs, determine why profits have flat lined in the last three years, and make suggestions for improvement of processes and systems.

These efforts include early intervention, appropriate treatment, use of medications, and suicide prevention. The AAFP being in great support of integrated health care continue to struggle with the rates of reimbursements and continues to advocate for proper payment structures to enable them to support and implement the integrated process into their own private practices. The Affordable Care Act specified that Medicaid payments for primary care services would be at Medicare levels for primary care physicians in 2013 and 2014. Since then this provision has expired and instead of implementing new payment proposals the Center for Medicare and Medicaid services reverted to rates that proved to be lower than those most state Medicaid payors. (Blackwelder,

Vertically integrated health care system that I have chosen is the Veterans Administration (VA) it's accountable for a large patient population for military veterans. As stated, The Veterans Health Administration is America’s largest integrated health care system with over 1,700 sites of care, serving 8.76 million Veterans each year (VA.GOV). The services that's provided to veterans is health care, rehabilitation, employment, education, home loan guaranties, and life insurance coverage. VA control costs by buying in bulk and control costs by engaging in a deep, single-source relationship with each patient. The Assistant Secretary for Management oversees all resource requirements, development and implementation of agency performance measures,

Ambrose-Miller and Ashcroft (2016) present the article as a "think tank" (p.103) to identify areas that support the inclusion of social workers into an interdisciplinary approach to health care. The authors discuss challenges and ideas about how social workers can respectfully engage colleague's in a collaborative approach that is in line with the Canadian Association of Social Workers (CASW) code of ethics (2005). The social worker's lens assists the team with moving away from a from a medical model of care to a model that is egalitarian (p. 104) and client-centred and meets the diverse needs of the client and the professionals supporting them.

Physical health and behavioral health care are typically delivered in separate settings by different providers, often with little collaboration and coordination. This fragmented health care delivery system leads to care deficiencies, specifically for individuals with mental and physical health co-morbidities (Enthoven, 2009). Individuals with mental and substance abuse disorders may die decades earlier than the average person — often from untreated and preventable chronic diseases (Substance Abuse and Mental Health Administration [SAMSHA], 2017). Evidence indicates that the health care system is improving care delivery for members with co-morbidities through the integration of physical and behavioral health care (Enthoven, 2009).

An integration of care study was conducted by a Doctor of Behavioral Health Intern at Michael R. Zent (MRZ)Healthcare Clinic in Phoenix, Arizona. MRZ is a reverse co-located integrated medical and behavioral clinic that provides services to about 4000 children and 4000 adults annually. MRZ provides laboratory, pharmacy, behavioral and physical health services together under one roof. The clinic utilizes an integrated electronic health record to document the treatment of members. The focus of the integration of care study was to understand and assess the barriers and challenges of the integration of care methodology at MRZ.

If we want to reduce obesity, we need to make eating fruits and vegetables convenient and affordable...” The good part is that it is reversible and there are many ways you can not be obese anymore. Obesity can happen to anyone for many reasons and it can be reversed many different ways. More and

1. CAM has involved into integrative healthcare which means that lifestyle factores such as diet, nutrition, physical activity play a significant role in an individual's state of health. The NIH's NCCAM has sponsored numerous studies confirming the safety and efficacy of many integrative health care strategies and interventions.Evidence-based care must come into the 21st century and not rely solely on pharmaceuticals (Greek root word "pharma" means poison).

The rise of health concerns continues to proliferate throughout the country from increasing obesity rates to the astonishing number of our population with high blood pressure or diabetes. It’s enough to make anyone want to second-guess everything they eat and put in into their bodies. We ask our doctor’s, and ourselves “what can be done?” Eat right, and exercise. Those are the parameters for maintaining a healthy life. So it’s only natural that across the board we’ve got numerous exercise programs to help you lose weight fast or build lean muscle. Then we’ve got every diet under the sun, the no carb diet, high protein diet and all juice diets. Through research we can find and utilize programs and healthy habits that we can practice

Individuals following diet could gain better results by deterring from the supposedly 'healthy' variants, reports Express.

In the video Food as Medicine: Preventing and Treating the Most Common Diseases with Diet, which was released in 2015, doctor Greger gave a live presentation of the most common diseases with the diets of the people. He talks very confidently about all the issues what exist in the diet that the people now a days take and how it effects out health to such a deep extent. He gives a solution to several deadly diseases by stating that they can be cured by the intake of some foods in our diet (NutritionFacts.org, 2015).

The approach that I found to be more interesting was the cultural approach. This approach focuses on the ideas, beliefs, and values of a group when it pertains to this group's health, such as ways of explaining diseases and fighting them off. Within this approach there are different sectors that medical anthropologist can look into such as belief and ethnomedical systems, social construction of illness, healers, etc. What I found to be interesting is the aspect of healers within different cultures and the social construction of illness. I had a brief understanding that some cultures practiced differently than what I am used too, but I never understood how. For people who live in the United States when they have a cold they go to doctor who

Integrative methods offer extensive appeal in part because they lecture patient concerns at several stages. Some patients get integrative medicine therapies because their symptoms are not replying to conservative treatment. Other patients, only want to take a holistic method to their body, awareness and life to recover health and wellness.

The difference between a healthy and a dangerous diet rely on the way we decide to do it:

Because the number of patients with health diseases continues to rise, health systems cannot survive if they keep focusing on health problems rather than the person. They need to involve the patient adhere to treatment, make behavioral change and self-manage. There is a growing recognition that patient-centered health care, which meets the needs and preferences of patients, may be also the most cost-effective way to improve health outcomes for a large number of patients with chronic conditions (IAPO, 2007, p. 34). It is the mission of the International Alliance of Patients’ Organizations (IAPO) to help in the constitution of patient-centered health care around the world. However, patient-centered health care is an approach that, while it is