DAOM/EL-Fall 2015.

Greg Lane, Marc Sklar, Simone Ressner, Leslie Pasternack, Prana Gogia

Topics Covered
1
2

Outreach Goals
Mission, Vision, Culture

Greg Lane
Prana Gogia

3
4

Description of Quality
Patient Base & Medical
Specialties

Mark Sklar
Leslie Pasternack

AOM Providers Can Add

Value
Entry Approach to the HCS
About us
References
Q&A

Simone Ressner

6
7

8
9

HCS: Outreach Program. DAOM/EL-Fall 2015.

Greg Lane

Outreach Goals
Provide Acupuncture Treatments

to Veterans
Community Involvement

Create Awareness of TCM in VA

HCS

Focus on One Center

HCS: Outreach Program. DAOM/EL-Fall 2015.

VA San Diego Healthcare System

Vision

Be the benchmark of excellence and value

in health care and benefits by providing
exemplary services that are both patient
centered and evidence based.

This care will be delivered by engaged,

collaborative teams in an integrated
environment that supports learning,
discovery and continuous improvement.

It will emphasize prevention and population

health and contribute to the nations wellbeing through education, research and
service in National emergencies.
HCS: Outreach Program. DAOM/EL-Fall 2015.

VA San Diego Healthcare System

Mission
Honor Americas Veterans by providing exceptional health care that
improves their health and well-being.

Values
Integrity: Act with high moral principle. Adhere to the highest professional standards.
Maintain the trust and confidence of all with whom I engage.
Commitment: Work diligently to serve Veterans and other beneficiaries. Be driven by
an earnest belief in VAs mission. Fulfill my individual responsibilities and organizational
responsibilities.
Advocacy: Be truly Veteran-centric by identifying, fully considering, and appropriately
advancing the interests of Veterans and other beneficiaries.
Respect: Treat all those I serve and with whom I work with dignity and respect. Show
respect to earn it.
Excellence: Strive for the highest quality and continuous improvement. Be thoughtful
and decisive in leadership, accountable for my actions, willing to admit mistakes, and
rigorous in correcting them.

HCS: Outreach Program. DAOM/EL-Fall 2015.

VA San Diego Healthcare System

Diverse
Innovative, Research Oriented
Patient Centered Teamwork
HCS: Outreach Program. DAOM/EL-Fall 2015.

Description of Quality
VASDHS was recognized by The Joint
Commission as a Top performer on
Key Quality measures for 2013
for heart attack, heart failure,
pneumonia and surgical care.

Src: http://va-hospitals.healthgrove.com/l/130/VA-San-Diego-HCS)

HCS: Outreach Program. DAOM/EL-Fall 2015.

Description of Quality
68.6% of inpatients at VA San Diego HCS
gave the hospital a 9 or 10 out of 10,
meaning this VA hospital is performing
better than most other hospitals.
74.1% of inpatients at VA San Diego HCS
felt that their doctor communicated well
with them.

61.9% of outpatients rated this hospital a

9 or 10 out of 10, which means it is
performing better than the average VA
hospital.
HCS: Outreach Program. DAOM/EL-Fall 2015.

Description of Quality
Average Wait times
range from 4-9 days.
The observed-toexpected ratio of
surgical morbidity at
VA San Diego HCS is
1.07 to 1.

Surgical mortality is
at 0.73 to 1.
HCS: Outreach Program. DAOM/EL-Fall 2015.

Patient Base
The Aspire Center is a 40bed residential treatment
facility
Aimed at promoting
recovery in Service
members, particularly those
returning from the wars in
Iraq and Afghanistan.
The Center provides
temporary housing for
Veterans who do not need
inpatient care, but would
benefit from rehabilitation
services for an average of
60-120 days.
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Medical Specialties

Case Management/Social Work

Vocational Rehabilitation
Neuropsychological Assessment
Psychotherapy
Occupational Therapy
Educational Classes
Medication Management
Complementary/Alternative Therapies
Posttraumatic Stress Disorder
Traumatic Brain Injury
HCS: Outreach Program. DAOM/EL-Fall 2015.

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AOM Providers Can Add Value

Acupuncture and Oriental Medicine (AOM)

involves inserting sterile, disposable
needles at identified acupoints on the body
to stimulate the bodys natural healing
abilities and is among the most widely
practiced forms of alternative medicine in
the country. Acupuncture has proven
efficacy with a number of the VA
initiatives:

PTSD
Depression, Anxiety
Pain/ Vocational Rehabilitation
Digestive disorders
Addiction (to medications, alcohol, smoking)

AOM is more than 2,000 years old, and

was used for any ailment in Asia from pain
to insomnia and mental illness.
Specifically, acupuncture has been used to
treat mental illness since 1100 BC (Hoizey
and Hoizey, 1993; Liu, 1981).

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AOM Providers Can Add Value

Military studies using the following

measurable outcome tools show
remarkable decrease in all
represented outcome tools:

The Posttraumatic Symptom Scale-Self Report

(PSS-SR).
Beck Depression Inventory, version 2 (BDI-II;
Beck, Ward, Mock, & Erbaugh, 1971)To assess
depressive symptom severity
Numeric Rating Scale for Pain (NRS; Cleeland &
Ryan, 1994)
SF-36v2 (Ware, Kosinski, & Gandek, 2000)To
assess physical and mental health functioning

Sources:

http://www.amiciassociates.com/uploads/8/5/4/8/
8548059/acupuncture_for_ptsd.pdf
Liu X (1981) Psychiatry in Traditional Chinese
Medicine.
Br J Psychiatry.138:429433.
Hoizey D, Hoizey M-J (1993)
A History of Chinese Medicine. Translation by P.
Bailey. Edinburgh: Edinburgh University Press.
http://www.pdhealth.mil/downloads/Evaluating_th
e_Efficacy_of_Acupuncture_as_a_Treatment_for_P
osttraumatic_Stress_in_Military_Personnel.pdf

HCS: Outreach Program. DAOM/EL-Fall 2015.

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Entry Approach
Work with Pacific College
to establish an offsite
clinical internship clinic
within the Aspire Center.

Provide acupuncture
administered by clinical
interns and supervised by
licensed acupuncturist.
In process of meeting with the director to plan a
strategy in navigating the VA system for credentialing.
HCS: Outreach Program. DAOM/EL-Fall 2015.

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System Contact
Debbie Dominick, LCSW
Aspire Center Director
VA San Diego Healthcare System
2121San Diego Ave
San Diego, CA 92110
Office 619-497-8462
Cell 858-349-5935
Deborah.dominick@va.gov

http://www.sandiego.va.gov/services/aspire_ce
nter.asp
HCS: Outreach Program. DAOM/EL-Fall 2015.

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About Us
Greg Lane is the Director of Clinical Services for Pacific College of Oriental Medicine, San Diego. He is a
California Licensed Acupuncturist and Chinese Herbalist. Greg has been in private practice for 21 years and
enjoys working with a diverse population of patients. In his practice he has focused on Womens Health,
Orthopedics, Pain Management and Drug and Alcohol Detoxification. Greg believes in promoting a healthy,
active lifestyle and incorporates Mindfulness, Tai Chi and Qi Gong principles into his practice enjoys.

Simone Ressner is fueled by her passion for the power of collective healing, Simone Ressner
birthed Source Empowered Wellness Center in 2015 to aid people on their path to establishing
health as a lifestyle. The center offers $30 community acupuncture treatments, herbal medicine,
massage, and chiropractic adjustments. www.SEWacu.com

Prana Gogia is Licensed Acupuncturist & Herbalist and teacher of Siddha Ayurveda, and
Craniosacral Work. Born in India with over thirty years studying and practicing healing work in the
lineage of the Siddha tradition. Traveled extensively through the Himalayan regions of Tibet, Nepal,
and India, to learn meditative and healing practices. His mission is to help people live in harmony
with Nature and themselves. http://pranajiacupuncture.com/
Leslie Pasternack is driven by her passion to learn and desire to help others achieve their full potential
both mentally and physically. Leslie is committed to encouraging people to live a healthy and happier life.
She invites you to experience the world of Chinese Medicine and discover the healing practice of
acupuncture. During her free time, Leslie enjoys reading, traveling, and enjoys being a mother to her one
month old baby, Kaileia.

Marc Sklar is the founder and owner of Reproductive Wellness in San Diego California. His clinic has 2
locations which specialize in women's health and fertility. Marc is Board Certified Herbalist and Oriental
Medicine Practitioner, and Fellow of the American Board of Oriental Reproductive Medicine. Marc has been
involved politically over the years by being a board member of CSOMA and ABORM.

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References
Angeli, E., Wagner, J., Lawrick, E., Moore, K., Anderson, M., Soderlund, L., & Brizee, A. (2010, May 5). General format.
Retrieved from: http://owl.english.purdue.edu/owl/resource/560/01/
Debbie Dominick, LCSW, Aspire Center Director. Retrieved from:http://www.sandiego.va.gov/services/aspire_center.asp
Cady, R. K. & Farmer, K. (2015). Acupuncture in the treatment of headache: A traditional explanation of an ancient art.
Headache, 55(3).
Chan, J. S., Ho, R. T., Wang, C. W., Yuen, L. P., Sham, J. S. & Chan, C. L. (2013).
Effects of qigong exercise on fatigue, anxiety and depressive symptoms of patients with chronic fatigue syndrome-like illness:
A randomized controlled trial. Evidence Based Complementary and Alternative Medicine. Da Silva, A.N. (2015).
Acupuncture for migraine prevention. Headache, 55(3).
Gemmell, C. & Leathem, J. M. (2006). A study investigating the effects of tai chi chuan: Individuals with traumatic brain injury
compared to controls. Brain Injury, 20(2).
Hoizey D, Hoizey M-J (1993). A History of Chinese Medicine. Translation by P. Bailey. Edinburgh: Edinburgh University Press.
Retrieved from:
http://www.pdhealth.mil/download/Evaluating_the_Efficacy_of_Acupuncture_as_a_Treatment_for_Posttraumatic_Stress
_in_Military_Personnel.pdf.
Hollifield, Michael MD. (June 2006). Acupuncture for Posttraumatic Stress Disorder. A Randomized Controlled Pilot Trial.
Retrieved from: http://www.amiciassociates.com/uploads/8/5/4/8/8548059/acupuncture_for _ptsd.pdf.
Hull, A., Reinhard, M., McCarron, K., Allen, N., Jecmen, C., Akhter, J., Duncan, A., Soltes, K. (2014). Acupuncture and
meditation for military veterans: First steps of quality management and future program development. Global Advances in
Health and Medicine, 3(4).
Khusid, M. (2015). Clinical indications for acupuncture in chronic posttraumatic headache management. Military Medicine,
180(2).
Liu, X (1981). Psychiatry in Traditional Chinese Medicine. Br J Psychiatry.138:429433.
PTSD: A Growing Epidemic. National Institure of Health. Vol.4 (Winter 2009). Retrieved from:
http://www.nlm.nih.gov/medlineplus/magazine/issues/winter09/articles/wint er09pg10-14.html.
VA Hospital Quality Ratings, Retrieved from: http://vahospitals.healthgrove.com/l/130/VA-San-Diego-HCS.
Wang L. P., Zhang X. Z., Guo J., Lui, H. L., Chang, Y., Lui, C. Z., Yi, J. H., Zhao, J. P. & Li, S. S. (2012). Efficacy of
acupuncture for acute migraine attack: A multicenter single blinded, randomized controlled trial. Pain Medicine,13(5).
62330.
Yost, T.L. & Taylor, A.G (2013). Qigong as a novel intervention for service members with mild traumatic brain injury. Explore
(NY), 9(3).

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Questions? Comments? Suggestions?

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