S24: Cost Savings of Integrative Medicine: Systematic Review and Results from Studies of Medical Home, Medicare Demonstration Project and 2 Hospitals

Jeffery Dusek1, Patricia Herman2, Michael Erikson3, William Stason4, Benjamin Kligler5

1Penny George Institute for Health and Healing, USA;2Center for Health Outcomes and PharmacoEconomics Research, USA; 3Group Health Headquarters, USA; 4Heller School for Social Policy and Management, USA; 5Continuum Center for Health and Healing, USA

 

The symposium will begin with an overview as to the basics of economic evaluation, and the present state of economic evaluations of complementary and IM.  The results of a systematic review of economic evaluations of complementary and IM will be presented and gaps in these data will be discussed.    The second presentation will focus on how Group Health”s patient-centered medical home model improves attributes of primary care and the chronic care model by focusing on key health indicators and health care utilization patterns. The foundation of this transformation included redesigning Primary Care to focus on the relationship between the patient, physician and care team. Hear how Group Health effectively designed a patient centered medical home prototype and then spread the redesign through each of the Group Health Medical Centers by creating standard work and continuous improvement cycles.As published in Health Affairs, the presentation will include information about cost savings, higher patient satisfaction and less burnout for providers. The third presentation will highlight information from a large Medicare-sponsored demonstration project from 1999-2008 studying the effects of two intense, year-long, lifestyle modification programs on 580 beneficiaries with symptomatic coronary heart disease. The programs were the Dean Ornish Program for Reversing Heart Disease (Ornish) and the Cardiac Wellness Program of the Benson-Henry Mind-Body Institute (MBMI).  Presentation will include main findings of reduced cardiac and non-cardiac hospitalizations in participants in each program compared with controls; net savings in health care costs per participant of $3,500 and $1,000 over three years in the MBMI and Ornish Program, respectively; and statistically significant reductions in body mass index, systolic and diastolic blood pressures, reduced LDL cholesterol, and improved cardiac functional capacity in the participants in each program.    Next, there will be a combined presentation illustrating significant cost savings associated with two different models for providing IM for hospitalized inpatients.  Both the Penny George Institute for Health and Healing at Abbott Northwestern Hospital and the Urban Zen Initiative at  Beth Israel Hospital implemented integrative medicine into the acute care hospital in different ways.  Both approaches have been successful in using existing sources of data on charges, length of stay or medication costs through the enhanced electronic health record or routinely collected hospital decision support tracking system to document cost savings.