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To be licensed or not to be licensed :During the call, please send relevant questions or comments to bhaswatimd@gmail.com. . Thesis Question: Why should we try to get licensed?Ability of Vaidyas to practice legallyValidation of Ayurveda as a ScienceAbility to interact professionally w
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1. To Be or Not To BeLicensing Ayurveda in the USA Bhaswati Bhattacharya, MPH, MD, AWHC
Director, The DINacharya Institute, New York (www.dinacharya.org) Chair, Council for Ayurveda Credentialing (www.acharjya.com/cac.aspx)
Asst Professor of Clinical Family Medicine, Dept of Medicine, Weill-Cornell Medical College
2001-2011, Director of Research, Attending Physician and Director, WyCAM-Center for Complementary & Alternative Medicines
Wyckoff Heights Medical Center, Brooklyn
www.drbhaswati.com • drbhaswati@gmail.com
2.
To be licensed or not to be licensed :
During the call, please send relevant questions or comments to bhaswatimd@gmail.com.
3.
Thesis Question: Why should we try to get licensed?
Ability of Vaidyas to practice legally
Validation of Ayurveda as a Science
Ability to interact professionally with other health professions
4. Increased access to revenue
4. Main Obstacles to Licensure
Lack of familiarity of BAMS in USA with licensure process
2. Ayurvedic physicians are not trained to practice in USA
Lack of understanding of medical educationprocess vs. medical practice in USA
Licensure is an expensive and political journey, and taken by those who really want to fight for it
Lack of research that is convincing to the masses
5. Issues to Know
What is licensure?
- specific art, with no infringement on other health professional licenses
- who is licensed? Who is not? Drawing the line
- safety to patients
- validity and reliability of the science
6. Do we really want licensure?
- cost of the process
- consequences of licensure
- malpractice / liability
- registering for insurance reimbursement
7. Steps to take if we really want licensure
- scope of practice
- competence
- how to test competence
- standard practice tools within defined scope of practice
8. Groups working on issues required for licensure
Council for Ayurveda Credentialing
http://acharjya.com/CAC.aspx
NAMA Standards Committee
http://ayurvedanama.org/standards-committee/
9.
Health freedom movement
- National Health Freedom Action http://www.nationalhealthfreedom.org
the pioneering work of Diane Miller, Esq.
- There are 8 states with Health Freedom Laws that allow non-licensed healers to practice their arts providing they do not violate the law of another profession. - They are MN, AZ, CA, RI, ID, LA, OK, and NM.
10. Patient Protection and Affordable Care Act (PPACA)
Passed into law 2011, effective 2014
role of states vs. federal
2012 important decisions
high-risk pools
regulating the commercial insurance market
Medicaid eligibility
creating a health insurance exchange
defining essential health benefits packages
11. Patient Protection and Affordable Healthcare Act (HR 3590)Sections Directly Related to CAM and Integrative Practices 1. Inclusion of Licensed Practitioners Insurance Coverage
SEC. 2706. NON-DISCRIMINATION IN HEALTH CARE.
2. Inclusion of Licensed Complementary and Alternative Medicine Practitioners in Medical HomesSEC. 3502. ESTABLISHING COMMUNITY HEALTH TEAMS TO SUPPORT THE PATIENT-CENTERED MEDICAL HOME
3. Integrative Health Care and Integrative Practitioners in Prevention StrategiesSEC. 4001. NATIONAL PREVENTION, HEALTH PROMOTION AND PUBLIC HEALTH COUNCIL.
4. Dietary Supplements in Individualized Wellness PlansSEC. 4206. DEMONSTRATION PROJECT CONCERNING INDIVIDUALIZED WELLNESS PLAN.
5. Licensed Complementary and Alternative Providers and Integrative Practitioners in Workforce PlanningSEC. 5101. NATIONAL HEALTH CARE WORKFORCE COMMISSION
6. Experts in Integrative Health and State Licensed Integrative Health Practitioners in Comparative Effectiveness ResearchSEC. 6301. PATIENT-CENTERED OUTCOMES RESEARCH.Part D--Comparative Clinical Effectiveness Research
7. Certified Professional (Direct-Entry) Midwives Covered in Birth CentersSEC. 2301. COVERAGE FOR FREESTANDING BIRTH CENTER SERVICES
http://theintegratorblog.com/site/index.php?option=com_content&task=view&id=658&Itemid=189
These statistics are not specific to SA women because there is very little (a paucity/dearth of information) SA women, DV, and health.
This information is meant to provide you with a baseline of information about the impact of DV on health care.These statistics are not specific to SA women because there is very little (a paucity/dearth of information) SA women, DV, and health.
This information is meant to provide you with a baseline of information about the impact of DV on health care.
12. Summary: A SWOT Analysis
14. Questions & Discussion