The Corrective Health Institute – Quality Assurance Commission
(a.k.a. “CHI-QAC”, “The Commission”)
The CHI-QAC serves the citizens of the State of Washington by promoting the emergence of safe, effective and cost-effective health care through the development and enforcement of standards for physicians and physician assistants who offer innovative or “non-standard of care” protocols to fully informed patients.
Reason for Existence
The current law RCWE 18.130.010 Section 34 Lines 4-7 as regards health care in the State of Washington reads: “The use of a non-traditional treatment by itself shall not constitute unprofessional conduct, provided that it does not result in injury to a patient or create an unreasonable risk that a patient may be harmed.”
The spirit of this law as regards “non-traditional” physicians is routinely and knowingly violated by the Department of Health (DOH) and Medical Quality Assurance Commission (MQAC). In particular, “harm” is being interpreted in a manner grossly inconsistent with the spirit and original intent of the law.
“Harm” includes, but is not limited to:
- economic harm which results in monetary loss but represents no health hazard;
- indirect harm which results in a delay of “appropriate” (conventional or standard) treatments, and
- direct harm which results in inappropriate adverse patient outcome
Washington state innovative physicians and the Washington state legislature agree that patients deserve the right to fully informed consent which by law requires a description of the risks and benefits of all available treatment options including “alternative” options (WAC 388-97-0260 Sec 2, A, B,C). The inclusion of “alternative” options is essential because patients, unless declared incompetent, are the sole authority in assessing the risks/benefit ratio of various therapeutic protocols for themselves and also the patient is the sole agent capable of determining what constitutes “harm” for themselves. The State in general, and the DOH and MQAC in particular, are neither competent in deciding, nor properly party to this determination.
Innovative Washington state physicians are currently being investigated by medial doctors (members of the MQAC) who are not their actual peers since no innovative or integrative physicians currently serve on MQAC. Consequently, because MQAC is not competent to evaluate innovative physicians, these doctors are being harassed inappropriately, which has the tragic result that citizens of Washington state are being deprived the benefits of safe, effective and cost-effective corrective health care. This interference with citizens’ rights happens even in instances where the care offered by innovative physicians exceeds the standard of care.
In order to restore the rights of Washington State citizen to freely choose their manner of health care, CHI-QAC has come into existence. We hold that the patient, if competent, is a free agent who possesses unalienable the legal right to enter into therapeutic contract with a licensed physician as regards non-standard of care treatments provided fully informed consent is accomplished.
The CHI-QAC serves the public by promoting patient safety and enhancing the integrity of the profession through evaluating:
- The scientific integrity of, and
- The ethical rigor of
physicians’ practices who offer treatments which differs from the standard of care and the scientific and clinical merit of whose practices are beyond the scope and knowledge base of current MQAC members.
CHI-QAC strives to advance the optimal level of health care (including medical, endogenous biochemical, holistic, integrative, energetic, homeopathic, nutritional and neutraceutical) for the people of Washington State.
We do not endorse the term “alternative” health care since there is no alternative to excellent health care. Rather, we endorse the term “corrective” health care.
We do not endorse the term “alternative” health care since there is no alternative to excellent health care. Rather we endorse the term “corrective” health care implying that the priority of therapy ought to be the restoration, using natural means where feasible, of an individual’s health. This corrective process occurs in conjunction, where necessary, with synthetic, patented drugs so as to lessen pain and preserve of life. Corrective health strives to enhance the quality and quantity of life for every citizen of the State of Washington.
It is the purpose and responsibility of the Corrective Heath Institute Quality Assurance Commission (CHIQAC) to protect the public by assuring quality health care is provided by physicians and physician assistants. The Commission establishes, monitors, and enforces qualifications for standards of practice as well as for continuing education and continuing competency. The Commission currently regulates approximately 200 holistic MDs and PAs. Rules, policies, and investigations when complaints arise deriving from the Commission promote the delivery of quality health care to the people in Washington.
- We make fair, objective, and informed decisions in assessment of corrective health practitioners as regards practice recommendations and disciplinary actions.
- Understanding that the standard of care in medicine is constantly in evolution as new scientific and clinical evidence is integrated with current practices and understanding that patients ought not be experimented upon without the full and informed consent, CHI-QAC performs unbiased peer-review of medical practices which purport to be distinct from the standard of care.
- We rely on evidence-based data and we look to health-based outcomes to determine safety and effectiveness of a medical practice under investigation by MQAC.
- We encourage collaboration through mutual respect and direct, effective communication.
- We strive for innovation and continuous improvement in all our processes.
- We promote a rewarding and supportive work environment.
- We earn the public’s trust and the Washington State Department of Health’s trust by being transparent and accountable.
- We receive no funds from sources with financial conflicts of interest as regards freedom of choice in health care matters such as private, insurance-funded entities such as the National Federation of State Medical Boards which, despite conflicts of interest, currently financially support the Washington State Medical Quality Assurance Commission
The Commission is composed of twenty-one appointed members and pro-tem members appointed by the President of the Corrective Health Institute. There are opportunities each June for new Commission member candidates to be considered.
The President of the Corrective Health Institute appoints members to four year staggered terms:
- Thirteen physicians; one from each congressional district and four at-large positions.
- Six public members
- Two physician assistants.
The President of the Corrective Health Institute appoints physicians, physician assistants and public members to serve as pro tempore members. Their purpose is to assure there are sufficient case reviewers, panel members for hearings, and adequate representation on special committees.
As of October 1st, 2012, Commissioners are not yet compensated for their work. There are opportunities each year for new Commission member candidates to be considered.
Code of Ethics
- Remain current and fully informed on relevant scientific literature
- Remain current and fully informed on relevant clinical practices
- Make fair and objective decisions and justify those decisions not simply with opinion, but with written references to scientific publications and well-established clinical practices.
- Strictly maintain confidentiality in general and in particular through the review of charts including the redaction of any information which may identify the citizen/patient whose health care is under-investigation.
- Avoid improper ex parte contacts;
- Recuse themselves when there is a real or potential conflict of interest, or the appearance of such a conflict;
- Protect the integrity of those who appear before the Commission
- Support the decisions of the Commission in public.
- All proceedings shall be submitted to The Department of Health Secretary and to the physician in question (and/or his attorney) within 30 days of a case being initiated.