Optimizing delivery to meet demand for integrative medicine services in an academic hospital setting: A pilot study

Abstract

ContextA rapidly growing body of evidence shows the positive benefits of integrative medicine (IM) services for patients in hospital-based settings. IM therapies, such as acupuncture, massage, meditation and relaxation, and animal-assisted therapy, reduce symptom burden of pain, anxiety, and stress and increase sense of well-being and satisfaction in hospitalized patients. Current challenges facing hospitals are to move beyond proof-of-concept studies and to provide hospital-based IM therapies. ObjectiveThe aim of our quality improvement project was to develop, implement, and evaluate a feasible, scalable, hospital-based “best practice” model for increasing demand for IM services and optimizing their delivery. DesignA multidisciplinary team convened to use quality improvement tools to outline a process for providing IM services. SettingA large academic medical center in the Midwestern United States. ParticipantsIM leadership staff, IM providers, nurses, hospital team members, support staff, and quality improvement staff. InterventionsAfter determining baseline levels of demand and service delivery, we sought to (1) increase nursing staff awareness of available IM services; (2) improve communication between IM providers and nurses; and (3) reinforce communication at the level of nurse supervisors, patients, and family members. Main Outcome MeasuresWe recorded the numbers and types of IM services ordered at baseline and postimplementation and determined the new delivery rate of requested services. ResultsWe noted an increase in the number of IM orders, percentage of delivered IM services, and percentage of patients who reported that IM services improved their hospital stay.