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 effici