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  A Health Science Process Initiative

  For The U.S. Global Healthcare Initiative

  Presented to the College of Graduate Health Studies in partial fulfillment of the

  requirements for the Doctor of Health Science Degree A.T. Still University

  June 3rd, 2018 by John Barton MBA

  Introduction

  The successful implementation of a Health Science Process Initiative (HSPI) is

  necessary for the U.S. Global Healthcare Initiative (GHI) to realize national improvements in the

  quality and safety of care. "Country ownership" is to be modeled in the U.S. for developing

  meaningful processes and outcomes for the reduction in cost associated with the GHI for global

  recipients of HSPI. Increasing quality and safety while reducing the cost of healthcare is the

  primary orientation of planning an HSPI and is the foundation of leading and managing the

  new program which includes developing the mission, goals, objectives, and policies necessary

  for successful program implementation and integration. Historically diagnostic errors have

  plagued health cares ability to navigate the terrains of corrective whole body therapies but the

  HSPI utilizes proven whole-body kinematic strategies for integrative intervention.

  Background

  In 2007 The Exercise is Medicine (EIM) Initiative was introduced by the American

  College of Sports Medicine to institutionalize physical activity in healthcare. Lobelo,

  Stoutenberg and Hutber (2014) states physical inactivity is the fourth leading global cause of

  mortality and the past decade of research demonstrates physical activity can increase and

  improve function and health when directed from the healthcare setting in the form of counseling,

  exercise prescriptions and referrals. Physical activity though is a means to address the symptoms

  of the much deeper and systemic issues of a body that is sedentary and out of equilibrium or

  homeostasis (Mothes, Leukel, Jo, Seelig, Schmidt and Fuchs, 2017).

  Homeostasis is the definition of biological health, function and the stable state of equilibrium between the

  interdependent systems of the body; a property of cells, tissues, and organisms that allows the

  maintenance and regulation of the stability and constancy needed to function properly. These

  processes and systems of the body are mostly regulated by Ca2+ which is manufactured in the

  skeletal system and subsequently transported throughout the body by systems for systems

  (Schneider, Taboas, McCauley and Krebsbach, 2003). The Endogenous Cannabinoid System

  (eCBs) regulates homeostatic mechanisms of the body and can be modulated primarily by

  integrative physical activity, manual therapy, nutrition and engaging in intellectual activities.

  Global initiatives already exist for physical activity, nutrition, education and a necessary

  component of cultivating a healthier global community is implementing an initiative for

  protocols cultivating structural homeostasis. The inference is that a skeletal system that is in

  homeostasis is better able to provide homeostatic messengers for the aggregate when functioning

  optimally and yet historically no emphasis has been placed on the importance of maintaining

  systemic structural homeostasis by modulating the skeletal system towards a healthier

  orientation (Heifets and Castillo, 2009). By reorienting national and global healthcare leadership

  and management towards a HSPI global initiative, the GHI can experience a positive global

  healthcare benefit and impact for the least amount of resources or cost. Benefits to the recipients

  of HSPI are increased homeostasis represented by reduced nociception and increased function.

  The development of an HSPI program is a resource and resolution for the GHI and a vital

  addition to the emerging trend in healthcare initiatives. The World Health Organization lists the

  125 health topics that it is invested in addressing from A-Z on its website and a HSPI is

  positioned to provide field support for many of the topics listed.The GHI provides funding for

  existing U.S. global health programs to increase efficiency and effectiveness from its current

  budget and programs as opposed to creating new programs that require new funding and the

  HSPI would be a way to maximize efficiencies associated with current projects designed to

  address physical, physiological, psychological initiatives and topics. These perceived planning

  and budget constraints present no challenges to implementing HSPI and are conducive to the

  organizational environment shared by the GHI and the planners of HSPI.

  The U.S. executive branch chiefly administers U.S. global health activities and would be

  responsible for planning and making decisions associated with HSPI in conjunction with the

  HSPI management committee. The Department of Health and Human Services (HHS) global

  affairs division, particularly the Centers for Disease Control and Prevention would also provide

  diplomatic support in Implementing U.S. global health efforts.

  U.S. global health initiatives have been implemented in at least 60 countries like Africa, Asia,

  Latin America, the Caribbean, the Middle East, Europe and Eurasia through bilateral support.

  Although more support is directed to countries with an increased burden of incidence,

  other decision making factors include willing and able partner governments, positive relations

  and goodwill with host countries.

  (Cooper, A. (2016). Governing Global Health: Challenge, Response, Innovation. Routledge).

  Those mostly impacted by HSPI are human beings in one of the more than 60 countries

  where U.S. Global initiatives are active, specifically those with increased nociception and

  diminished skeletal function. Increased nociception and diminished skeletal function are

  historically associated with human beings seeking and necessitating some type of corrective

  therapy as opposed to surgical intervention.

  Corrective therapies already exist in global health

  initiatives but as of yet are not trained or educated to address increasing homeostasis and skeletal

  function through a process approach. There are some therapies that possess elements of HSPI

  but lack the primary ubiquitous protocols that make HSPI unique. The solution is to train the

  already present practitioners to apply HSPI to what they are already doing, labor-intense

  occupations dominate in third world countries and a HSPI designed to decrease nociception and

  improve function is a necessary component of impacting global healthcare.

  Mission Statement

  The Health Science Process Initiative creates equality in human rights by providing improved

  safety and quality for all.

  Vision Statement

  The Health Science Process Initiative vision is to develop integrative strategies to promote

  systemic homeostasis; health and wellness for every country, community and human being.

  Value Statement

  The Health Science Process Initiative is guided by an unrelenting desire to globally promote:

  Equality – healthcare excellence through a one earth, one body orientation.

  Health – a synergistic effect of homeostasis through physical activity, nutrition, education and

  integrative touch.

  Goals And Objectives

  Patient Care – all individuals who access GHI care will receive HSPI which is not limited to

  touch therapy for reducing nociception and increasing function.

  Education – all individuals or organizations currently providing patient care will be trained in the

  Health Science Process Initiative and this knowledge will be explained during patient care.

  Research – all individuals receiving or providing care will be part of the ongoing HSPI that

  collects and disseminates data for information and information for knowledge.

  Policies

  The scope of service for HSPI are as follows:

   Integration of whole body kinematics into the current body of modalities to decrease

  nociception and increase function

  a. visually assess natural/genetic alignment and skeletal type

  b. visually assess asymmetry of shoulder-girdle, pelvic girdle, axial complex,

  cranium and extremities.

  c. confirm visual observation by palpation while prone, supine, sideline and

  standing

  d. confirm visual observation and palpation with walking analysis

  e. determine direction of correction and modulation for segmental deviations

  causing increased nociception and decreased function.

  f. provide a treatment plan of care for each individual based on diagnostic

  measures

  Conclusion

  In a HSPI, dysfunctional patterns and segmental deviations are the primary issues to be

  able to identify and resolve. These primary issues are the primary cause of increased nociception

  and decreased function in deviations from structural homeostasis. The GHI and WHO have

  qualified practitioners in the field providing patient care but are subjected to the diagnostic errors

  that plague Western medicine and forms of corrective therapies and intervention. The ability to

  address pain management intervention in third-world countries with improved safety and quality

  is the objective of the HSPI . The U.S. GHI exhibits "Country ownership" to be modeled in the

  U.S. for developing these meaningful processes and outcomes for the reduction in cost

  associated with the GHI for global recipients of HSPI (Liebler, Gratto and McConnell, 2017).

  Increasing quality and safety while reducing the cost of healthcare is the primary orientation of

  planning a HSPI and is the foundation of leading and managing this new program for health

  and equality for all. The U.S. GHI predicts that the outcomes of running a national HSPI will

  provide situational leadership conducive for each region where a program is implemented and

  integrated into the current body of knowledge and modalities.

  References

  Cooper, A. (2016). Governing Global Health: Challenge, Response, Innovation. Routledge.

  Heifets, B. D., & Castillo, P. E. (2009). Endocannabinoid signaling and long-term synaptic

  plasticity. Annual Review of Physiology, 71, 283–306.

  Liebler, Joan Gratto, and Charles R. McConnell. Management Principles for Health

  Professionals. Jones & Bartlett Learning, 2017.

  Lobelo, F., Stoutenberg, M., & Hutber, A. (2014). The Exercise is Medicine Global Health

  Initiative: a 2014 update. British Journal of Sports Medicine, 48(22), 1627–1633.

  Mothes, H., Leukel, C., Jo, H.-G., Seelig, H., Schmidt, S., & Fuchs, R. (2017). Expectations

  affect psychological and neurophysiological benefits even after a single bout of

  exercise. Journal of Behavioral Medicine, 40(2), 293–306.

  Schneider, A., Taboas, J. M., McCauley, L. K., & Krebsbach, P. H. (2003). Skeletal homeostasis

  in tissue-engineered bone. Journal of Orthopaedic Research: Official Publication of the

  Orthopaedic Research Society, 21(5), 859–864.