S02 Attachment Thirteen 13 VHA Directive 1137.pdf

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Department of Veterans Affairs Veterans Health Administration Washington, DC 20420

VHA DIRECTIVE 1137

Transmittal Sheet

May 18, 2017

PROVISION OF COMPLEMENTARY AND INTEGRATIVE HEALTH (CIH)

1. REASON FOR ISSUE:

2. SUMMARY OF CONTENTS:

3. RELATED ISSUES:

4. RESPONSIBLE OFFICE:

5. RESCISSIONS:

6. RECERTIFICATION:

DISTRIBUTION:

Attachment Thirteen (13) 36C24821R0092

May 18, 2017 VHA DIRECTIVE 1137 i

CONTENTS

PROVISION OF COMPLEMENTARY AND INTEGRATIVE HEALTH (CIH)

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VHA DIRECTIVE 1137

PROVISION OF COMPLEMENTARY AND INTEGRATIVE HEALTH (CIH)

1. PURPOSE

AUTHORITY

2. BACKGROUND

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NOTE: The term “Integrative Health” is inclusive of CIH and integrative medicine. It is sometimes referred to as, or considered synonymous with, “Integrative Medicine”;

however, the scope of “Integrative Medicine” is narrower than that of Integrative Health.

See 3.h. for the full definition of Integrative Health. For this reason, IHCC recommends the term “Integrative Health” be used solely.

3. DEFINITIONS

Alternative Medicine.

CIH Self-Care Well-Being Practice.

Complementary and Alternative Medicine.

Complementary and Integrative Health (CIH).

Complementary Medicine.

Conventional Medicine.

Health.

Instructor.

Integrative Health.

Integrative Medicine.

Practitioner.

Proactive.

4. POLICY

5. RESPONSIBILITIES

Executive Director, Office of Patient Centered Care and Cultural Transformation (OPCC&CT).

Integrative Health Coordinating Center (IHCC).

Decision Support Services Outpatient Identifiers

IHCC Advisory Workgroup (IHCCAW).

Office of Patient Care Services and Office of Nursing Services.

Veterans Integrated Service Network Director.

VA Medical Facility Director.

Facility Chief of Staff (COS) and Associate Director for Patient Care Services /Nurse Executive (ADPCS/NE).

6. CIH APPROACHES AVAILABLE WITHIN VHA

NOTE: This is an internal VA Web site not available to the public

LIST I.

Clinical Caveat 1:

Clinical Caveat 2:

LIST II. .

NOTE: Consult the local business office or the Office of Community Care to determine if a Veteran is eligible for CIH contract care in the community.

NOTE: If a VISN Director, VA medical facility Director, or any other VA practitioner would like to offer a particular patient a CIH approach not included on these lists, he/she can submit a detailed request with clinical justification to the Integrative Health Coordinating Center Advisory Workgroup (discussed below) (IHCCAW) by sending it to vhaopcctintegrativehealth@va.gov. The IHCCAW serving, in part, as a national consult service for the field will review the request to use the subject CIH and, based on a complete review, will make its clinical recommendation to the Integrative Health Coordinating Center (IHCC). IHCC will forward positive recommendations to the Whole Health Experience Committee (WHEC) and then to the Under Secretary for Health, who will decide the matter; IHCC may, however, disapprove requests unilaterally. In all cases, IHCCAW will notify the requester of the ultimate outcome. If the Under Secretary for Health approves a request, the electronic website identifying sanctioned CIH approaches will be promptly updated (as will also be done in the case of any changes to the listings in paragraph 6).

7. REFERENCES

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APPENDIX A

UNDER SECRETARY FOR HEALTH DELEGATION MEMO: ADVANCING

COMPLEMENTARY AND INTEGRATIVE HEALTH IN VHA

NOTE: This is an internal VA Web site that is not available to the public.

NOTE: This is an internal VA Web site that is not available to the public.

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APPENDIX B

EXECUTIVE DIRECTOR, OPCC&CT AND IHCC VETTING PROCESS FOR

DETERMINING INCLUSION IN VA’S MEDICAL BENEFITS PACKAGE