1. Discussing Clinical & Business Tools Useful for Implementing Integrative Therapies, Programs, and Products into Clinical Practice.
[Sanesco Logo]

2. Why do we care? Why I started on this path – my patient
Patient-Driven Movement
Continual patient requests for various treatments such as GI allergy testing – yeast, food sensitivities, etc, BHRT and neurotransmitter testing years ago before it was really on the radar
Ability to assess and treat continued symptoms despite usual and customary treatment options
[happy patient image]

3. Where do we start?
Open mindedness – thinking outside the box from customary treatment options,
Respecting and researching other disciplines – their treatments, research, etc
General points of where to begin
What mindset to be in
Introduction of where to start

4. Connected to the Global Integrative Medical Movement
Medical Journals
Medical Periodicals
Health Blogs
The Natural Standard
Consumerlab.com
Integrative Medical Journal
[consumberlab.com logo & The Natural Standard logo]
[smaller integrative & alternative medical journal articles]

5. Strategies for the Generalist
Key points on how to go through the junk
Prove themselves from financial and clinical operational perspectives.
Luminary clinical skills are not enough to guarantee the survival of such programs--a strong clinical base of expertise in alternative therapies is a key success factor
No substitutes for clinical excellence or sound management
Much of the buzz over integrative medicine is well deserved. The opportunities seem to outweigh the risks, but superior management skills are needed to guide these programs through adolescence into clinical and business maturity. By carefully considering the staffing, team building, compensation methods, marketing, and program evaluation and development issues explored in this article, health care and physician executives should be able to steer between the rocks on their way to integrative medicine decisions that are right for their organizations.
Physician Exec Nov-Dec;24(6):22-5.Complementary and alternative medicine. Integrative medicine: business risks and opportunities.Berndtson K.SourceAmerican WholeHealth, Inc., USA.

6. Colleague Validation & Clinical Practice Success
Look towards active opinion leaders
Active peers showing clinical & business success
Other larger health organization finding clinical success –
Shadowing some who’s using what is in question
When researching potential additions to current treatments/testing, consider calling the company to inquire into area providers involved in similar treatment – not only individual providers but practices
Local or long distance
When reviewing research articles – note authosr, bibliography, - google authors, clinics cited in research
Shadowing is a powerful experience – overview of patient interaction, ideas for incorporating business/clinical model, delivery of information, etc
[group of doctors and healthcare practitioners image]

7. Looking at the Scientific Evidence
Bio-idential hormone program
Several labs offering blood and saliva besides convention labs such as LabCorp, Quest, etc
Thought process – speaking with company representatives, gathering list of area clinicians and speaking with them, attending conferences – CME available - also very interesting as usual and customary subject matter is presented in another manner with other approaches for treatment
The study below, published in 2002 outlines the sentiment that there isn’t enough scientific evidence to prove unconventional therapies effective. While as a clinician, there is a positive tendency to favor clinical evidence and acceptance of peers in active practice because seeing is believing. This slide can be dedicated to your own experience with ‘non-believers’.
Purpose: The number of U.S. medical schools offering courses in complementary and alternative medicine (CAM) has risen sharply in recent years. This study gauged the current state of CAM instruction by gathering details about the specific topics being taught and the objectives behind the instruction.Method: Data were collected from questionnaires mailed to 123 CAM course directors at 74 U.S. medical schools.Results: Questionnaires were returned by 73 course directors at 53 schools. The topics most often being taught were acupuncture (76.7%), herbs and botanicals (69.9%), meditation and relaxation (65.8%), spirituality/faith/prayer (64.4%), chiropractic (60.3%), homeopathy (57.5%), and nutrition and diets (50.7%). The amounts of instructional time devoted to individual CAM topics varied widely, but most received about two contact hours. The “typical” CAM course was sponsored by a clinical department as an elective, was most likely to be taught in the first or fourth year of medical school, and had fewer than 20 contact hours of instruction. Most of the courses (78.1%) were taught by individuals identified as being CAM practitioners or prescribes of CAM therapies. Few of the courses (17.8%) emphasized a scientific approach to the evaluation of CAM effectiveness.Conclusion: A wide variety of topics are being taught in U.S. medical schools under the umbrella of CAM. For the most part, the instruction appears to be founded on the assumption that unconventional therapies are effective, but little scientific evidence is offered. This approach is questionable, especially since mainstream medicine owes much of its success to a foundation of established scientific principles
Academic Medicine:September Volume 77 - Issue 9 - p 876–881Special Theme: Complementary, Alternative, and Integrative Medicine: SPECIAL THEME RESEARCH REPORTSThe Teaching of Complementary and Alternative Medicine in U.S. Medical Schools: A Survey of Course DirectorsBrokaw, James J. PhD, MPH; Tunnicliff, Godfrey PhD; Raess, Beat U. PhD; Saxon, Dale W. PhD

8. Case Study: How Sanesco Presented the Scientific & Clinical Evidence
Urinary Neurotransmitter Testing White Paper – R.W. Watkins, MD, MPH
Statistical Clinical Reports
Practitioner Case Studies – from active and accredited members in our network.
Consolidated Medical References
Hundreds and Thousands of Patients Tested
[images of training and education pieces]

9. Quality & Technology

10. Case Study: Key Highlights in Sanesco and NeuroLab’s Quality & Technology Really makes a difference!
Regulatory certifications
Enrollment in proficiency testing programs
Internal Quality Control tracking
Laboratory technology platform for optimum precision and accuracy; minimum room for human error
Regularly undergoes validation studies
Laboratory Quality: CLIA accredited, best in industry clinical analysis technology, third-party verification programs -

11. How do I choose between clinical product and service providers
Scientific Evidence and Clinical Success Observations
Education & Training
Business Implementation & Personal Support
On-Demand or Fast Clinical/Product Support
Patient Accessibililty
Financial Bottom Line

12. Education & Training NEUROENDOCRINE CLINCAL ANALYSIS PROGRAM (NCAP)
ONE-ON-ONE SUPPORT AND INTERPRETATIONS
MEDICAL BOARD CONSULTS
ONLINE EDUCATIONAL MODULES
PATIENT TESTING AND NATURAL PRODUCTS PACKAGES
[training program images]

13. Implementation Made Easy
Easy phone call to Sanesco provided exceptional customer service, clear and concise information on the process, on-going communication
Sanesco team member was very informative, kept practitioner on schedule for timely certification, outstanding record keeping, “lots of hand holding”!
Time involved – several one hour webinars, a session or two with clinical support to learn integration of model, with interpretation of several tests – probably 2 months of intermittent training but could be much less
Sanesco team is dedicated to training all necessary staff members to thoroughly understand the model
Everyone at Sanesco is very easy to access and the follow up is outstanding

14. Patient Accessibility
Cost
Insurance
Testing and Treatment Options
Cost: affordable – with special pricing under certain circumstances
Insurance: Medicare, and most insurance plans
Options: see above
[patient image]
Will update with the important of cost and options scholarly article published in the last couple of years.

15. Financial Impacts to the Practice
Improve revenue
Patient retention
Broaden patient reach
Improve bottom-line

16. Sanesco Example
My Experience with CSM as an Integrative Program in my Practice
Most patients presenting for another concern have symptoms of neurotransmitter imbalances
Identification of potential imbalances with testing and treatment is intriguing to patients. Many have been over medicated and under diagnosed leading to frustration and decreased quality of life
Pt satisfaction is very high and they are appreciative of “new and different” treatment options
Not only do you have referrals from area providers but from patients. Many refer their sons, daughters, mother’s, spouses etc. Referral of a family member t is the highest compliant given by a patient
Ongoing revenue stream – additional 10-15% added to net revenue from office visits
Referrals from all areas of health care specialties as symptoms are present in all cultures, ages, sex, etc

17. Laboratory Quality: What to Look For
Regulatory certifications
Enrollment in proficiency testing programs
Internal Quality Control tracking
Laboratory technology platform for optimum precision and accuracy; minimum room for human error
Regularly undergoes validation studies

18. Service Provider / Strategic Partner: What to look for
Clinical experience: tens of thousands of patients tested
Proven clinical outcome
Leadership: credentials of the multidisciplinary Clinical Advisory Board
Technology and innovation
Service, responsiveness, and technical expertise
Patient-friendly, user-friendly
Ease of implementation

19. Clinical Success Factors
Targeted Nutritional Therapy
NSB + quality ingredient sources and active forms + scientifically proven combinations of cofactors = lower concentration of main ingredients, fewer capsules per day, improved patient compliance, reduced overall treatment period, well protected investment for patients, optimal clinical outcome
Correlation Analysis Report
Patient-specific and comprehensive
Reveals key links between biochemical imbalances and patient symptoms
Easy to understand by synthesizing interpretation
Allows effective treatment of a wider spectrum of cases allowing you to refer less patients
Suggests easy to follow therapeutic protocols
For a graphical TNT example, we should display 3 TNT bottles on the left and list the number of recommended capsules per day; and on the right, display all the different supplement bottles that would be needed to obtain the ingredients included in the 3 TNT formulas and list the number of capsules needed per day to match the TNT protocol.

20. Financial Success Factors
More patient visits and meaningful interaction
The serial testing model and necessary adjustment of therapeutic protocols provides more selling opportunities
Boutique-type of service serving your local area
Applicable model to all patients:
Prevention
Wellness
Chronic symptoms and conditions
For “financial success factors” we can display the piece that demonstrates the revenue model and potential net profit.

21. Professional Success Factors
Training and education programs
Learning to apply one of the most innovative, sophisticated, and clinically effective tools in the market today
Join the hundreds of practitioners who have already experienced the benefits for their practice and their patients
Access to Sanesco’s esteemed multidisciplinary Clinical Advisory Board