|ACPM News July 2016|
TABLE OF CONTENTS
Your Elected Leadership: Stewards of Change
I am composing this column having concluded a special meeting of the ACPM Board of Regents only minutes ago. During this meeting, called by ACPM President Dr. Blumenthal as a follow-up to unfinished business at the Board’s June 22 meeting, the Board agreed to provide seed funding for a broad, strategic communications plan. The plan represents the key initiative under ACPM’s first strategic priority to put preventive medicine front and center.
Your Board unanimously voted to allocate $60,000 to launch the campaign, allocating $25,000 from ACPM reserves and an additional $35,000 that is anticipated to be raised from our leadership and membership through #PrevMedAmplified. Hopefully you have seen our messages about the Preventive Medicine Amplified campaign (#PrevMedAmplified) created to support this communications plan. There is still time to contribute to the campaign and help close the gap in funding needed for its full execution.
The decision by the Board was not easy, nor one to be taken lightly. The plan is big. It is bold. It is expensive. The first year costs alone of conducting this campaign are projected to be nearly $200,000. It is designed to address the longstanding lack of recognition, understanding, and utilization of preventive medicine specialists within our health care system through strategic and tactical communications, public relations, and marketing efforts. The plan was created in response to messages we have heard from you, our members, for many years about the relative obscurity of the specialty of Preventive Medicine and in which preventive medicine specialists practice, while the competencies and skills you bring to the table have never been more important than now.
While we are extremely pleased with the success of the fundraising campaign to date, and grateful to those of you who have given to the campaign thus far, we know we can do even better. Of the $31,000 contributed to date, nearly $22,000 has been contributed from the ACPM Board members, 100% of whom have given. Our Board members have put “money where their mouths are,” so to speak, both personally and as fiduciary stewards of the organization. We know you can too. By the time you read this column, there will be only about 10 days left in the campaign. We want to see the general membership’s contributions surpass those of the ACPM Board. Any amount you can give will help. The key is for all of you who care about the specialty and about effecting real change in the health system—change based on the principles of population health—to give to the cause.
I commend the ACPM Board members for their continued leadership, dedication, and willingness to invest in the cause of our organization and specialty, and urge that you join them in helping us to forge the future we all want to see for patients, populations, the specialty, and ACPM. Give now to the Preventive Medicine Amplified campaign!
Michael A. Barry, CAE
ACPM CHOOSING WISELY RECOMMENDATIONS PUBLISHED IN AJPM
Several ACPM members have published an article on ACPM’s Choosing Wisely recommendations in the July 2016 issue of the American Journal of Preventive Medicine, the official journal of ACPM and the Association of Prevention Teaching and Research. The article presents ACPM’s five recommendations, the evidence behind them, and a discussion of barriers to implementation.
The five recommendations include:
ACPM is one of many medical specialty societies participating in the American Board of Internal Medicine (ABIM) Foundation’s Choosing Wisely® project, which has a ‘goal of advancing a national dialogue on avoiding wasteful or unnecessary medical tests, treatments and procedures.’ ACPM convened a Choosing Wisely Task Force under the guidance of its Prevention Practice Committee to develop evidence-based recommendations to inform preventive medicine and other physicians, allied health professionals, and patients about overutilization of certain preventive services that are not beneficial and may even lead to patient harm.
Two of ACPM’s recommendations were chosen by Consumer Reports Health® to be published as patient-friendly factsheets: Whole Body Scans to Screen Cancer and Dietary Supplements to Prevent Disease or Cancer.
Congratulations to all the ACPM members who served on the ACPM Choosing Wisely Task Force and the authors of the article for their accomplishment! Access the press release, published article, and suggested tweets at the ACPM web page. We encourage you to share the story widely within your networks.
ACPM ADOPTS POLICY STATEMENT ON NON-MEDICAL EXEMPTIONS TO VACCINATIONS
The ACPM Board of Regents has approved an ACPM policy statement on non-medical exemptions to vaccinations in response to the growing number of individuals opting out of vaccination for non-medical reasons and increasing public health risk.
The policy states, “ACPM advocates for policies that will promote protection of vulnerable individuals and of communities from vaccine-preventable diseases by upholding vaccination requirements for school entry and limiting vaccine exemptions to only those with medical contraindications.” The policy statement was developed by the ACPM Policy Committee and approved by the Board of Regents at its June 22 meeting.
AJPM ANNOUNCES TOP ARTICLE OF 2015
The American Journal of Preventive Medicine is pleased to announce its selection of the 2015 Paper of the Year, entitled "2010 National and State Costs of Excessive Alcohol Consumption," by Dr. Jeffrey Sacks and colleagues.
The AJPM Paper of the Year is based on the editors' appraisal of metrics related to online engagement (e.g., mainstream media mentions, article downloads on the journal website, and references on social media platforms) and recognizes outstanding research that advances the fields of preventive medicine and public health.
The AJPM editorial office congratulates Dr. Sacks and colleagues on their scholarly contribution to the journal and anticipates substantial and lasting impact of their work.
For additional information regarding the AJPM Paper of the Year designation, please contact Jillian Morgan, MPH, Managing Editor, at firstname.lastname@example.org.
PRESCRIBING PARKS TO PATIENTS AS THE NATIONAL PARK SERVICE TURNS 100 THIS YEAR
Dani Pere, Associate Executive Director, ACPM
Our National Park Service turns 100 this year, and the centennial will kick off a second century of stewardship of America's national parks. This anniversary is a good time to highlight the connection between parks and the link to health and wellbeing. During a recent visit to Big Bend National Park, I attended a ranger-led hike entitled “Healthy Parks, Healthy People.” On the one-hour hike, Park Ranger Jennette Jurado described the emerging movement of providers prescribing parks to their patients for both physical and emotional health. As we hiked up the Chisos Basin, Ranger Jurado encouraged us to shed our cell phones, quiet our minds, spike our heart rates, and practice mindfulness-based stress reduction.
The American College of Preventive Medicine recently has partnered with the National Recreation and Parks Association (NRPA) to raise awareness among providers of the available resources to write park prescriptions for patients. NRPA co-leads the National ParkRx Initiative to advance the use of parks and public lands to improve health and wellness among individuals and communities. Last month, ACPM and its partner organization, ACLM, launched a first-of-its-kind Lifestyle Medicine Core Competencies Program that provides a comprehensive, evidence-based curriculum, which supports the practice of writing park prescriptions.
Big Bend National Park was a respite – it helped me hit the reset button. No cell service, no TV, and very few people. The land and wildlife stunned me with its beauty and solitude. I had been restored and ready to get back to the intensity of everyday life. For the Lifestyle Medicine community, let’s collectively use the momentum of the National Park Service Anniversary to prescribe parks to patients and to keep top of mind the important but underutilized connection between parks and health.
HEALTH AND WELL-BEING FOR ALL: MEETING-IN-A-BOX
Are you looking for an innovative and compelling tool to help address the shift to a value-based healthcare system amongst your students or professionals in training? The Health and Well-Being for All Meeting-in-a-Box is designed to meet that need. It explores the determinants underlying health problems faced by patients and communities in an engaging way. This hands-on tool simulates a 6-step process for leading change to improve the community’s health. It incorporates a big-picture visual with supporting materials, including data and graphics cards, group dialogue exercises, and facilitator tips to identify and engage collaborators.
To learn more visit http://www.cdcfoundation.org/health-in-a-box.
WHAT YOU NEED TO KNOW ABOUT ASPIRIN USE FOR PREVENTION
The Aspirin Project is a comprehensive resource on the use of aspirin for prevention. It was developed by the Council on Aspirin for Health and Prevention, a group of public health and medical specialists, to increase the proper use of aspirin to improve health. ACPM has been a long-time partner to the Council, which guided ACPM’s work in 2008-2010 on utilization of aspirin for prevention of cardiovascular events, including the Aspirin Talks tool kit.
The Aspirin Project web site is a one-stop-shop for information and resources about the use of aspirin in prevention and treatment of disease and risk. It includes information for consumers, providers, and policy makers about the benefits and harms of aspirin use and the scientific evidence underpinning aspirin recommendations. It also includes a library of resources around aspirin use, including fact sheets, slide decks, case studies, educational programs, and project grants available from the Council.
Aspirin prevents strokes in women, heart attacks in men and some types of cancer. The site promotes discussion between patients and doctors about how aspirin can prolong life as well as its risks.
Remember The Heart of Orlando #OrlandoUnited
Kevin Sherin, MD, MPH, FACPM
Christine Grimmie was shot and died --
Little did we know what lurked next, outside
The city thought her death was a shock to its soul
It had no idea, what was yet to unfold.
The heart of Orlando was quickly -pierced by a sword
The pulse nightclub's safe place, -horribly massacred--
OPD and sheriff responded. -they did their very best.
A bearcat assault was staged - that saved all the rest.
Orlando's trauma teams and hospitals * - kicked into high gear
They proved in just one day -that they were TOP tier.
Six surgeons operated 24:7 - saving 54 lives
spectacular results came- helping more to survive.
Families suffered anguish- Grief, and appall
First Responders witnessed -the most gruesome of all
The ME separated shooter from victims- most discreetly
He and the state FEMOR team -performed superbly, exquisitely.
The shock waves resounded -near, far and wide
But one thing stood very tall --that was Orlando's Pride.
What one madman intended-- for terror and for fear
Has brought a city closer -and taught us what to hold dear
We vow the 49 -will not have died in vain
That good and positive change, will come out of this pain.
Violence is a public health issue - it is very true.
Only policies for data collection, science and prevention will do.
Diversity and safe zones --a must throughout our land
There is no place for hate --and love must guide our hands.
Justice for all --must truly be our brand
Health equity and justice -must always lead the band.
The unity of community is the bond, to heal and to survive
By uniting For inclusion --- Together we will thrive
* more surgeons. Two hospitals. Updated numbers can follow.
THANK YOU ACPM LIAISONS!
ACPM is pleased to highlight the following ACPM members representing the organization in external capacities:
Rachel Urrutia, MD represents ACPM on the American College of Obstetrics and Gynecologists’ Multidisciplinary Steering Committee to recommend updates to existing Guidelines on Women Preventive Services.
Scott Kahan, MD, MPH represents ACPM on the Obesity Medicine Education Collaborative. The collaborative was formed by Obesity Medicine Association and Obesity Society to develop, promote and disseminate comprehensive obesity medicine education to medical students, residents and fellows.
Elizabeth Garland, MD, MS, along with Tisha Johnson, MD, MPH, represent ACPM on the Organization of Program Directors Association within the Council of Medical Specialty Societies (CMSS) to raise and address issues critical to preventive medicine. Dr. Garland is the current chair of ACPM’s Graduate Medical Education Committee (GME) and Dr. Johnson is the current chair of the Council of Preventive Medicine Residency Directors.
ACPM Member Manajeh Berenji, MD, MPH recently became the Health Management Director at Hill Chesson and Woody. As Health Management Director, she will build out and lead the health management platform and team to provide health management consultation and innovative solutions to help clients with controlling health care costs. She will have a presence in the health care marketplace to champion and collaborate with providers, insurers, third party service providers, and clients in developing the health management platform. Congratulations Dr. Berenji!
ACPM Fellow and former Secretary Christopher Armstrong, MD, MPH, FACPM, FAsMA, is now the new Medical Director at the Department of Labor. In his new position, Dr. Armstrong oversees the Division of Energy Employees Occupational Illness Compensation’s medical program and serves as the principle advisor to the Director on medical policy. He ensures accurate, appropriate, and consistent impairment ratings by District Medical Consultants. In addition, he adjudicates complex medical claims and authorizes high-dollar treatment recommendations (e.g., stem cell transplants, durable medical equipment, long-term care). He represents the Department of Labor before medical professionals, government agencies, academic institutions, professional and trade associations, labor organizations, industry groups, and public interest groups and responds authoritatively and on behalf of the Division to questions concerning the science underpinning the Division’s policies and procedures, and he recommends change to legislation, regulations, policies and procedures to improve the Division’s medical services and related activities. Congratulations to Dr. Armstrong on his new position!
ACPM Fellow Steven H. Woolf, MD, MPH, FACPM, co-authored an article on Health Affairs blog, entitled ‘The US Health Disadvantage and The Role of Spending.’ Dr. Woolf, along with co-author Laudan Aron, explores the reasons why the United States experiences health disadvantage when compared to other high-income countries. They recognize a number of reasons for health disadvantage such as lack of health insurance, high rates of unhealthy behaviors, other social determinants of health including physician and social environments, inadequate education and high poverty. The US spends $2 on health care for every $1 on social services making it the 5th highest in the world on per capita spending on health and social welfare. But more dollars go into medical care that still leave many without access to care and fewer dollars are invested in children, families and disadvantaged. The authors remind us that the health disadvantage in the United States cannot be solved by healthcare reform or adoption of healthier habits alone; addressing social determinants of health is as or even more important than, “any cure medicine can render.”
ACPM Member Christina Holt, MD, MA, MSc and ACPM Associate Executive Director Paul Bonta, MA were recently featured in the Portland Press Herald. The article highlighted the new preventive medicine residency program at Maine Medical Center and is one of the only ones to have a focus on “plant-based medicine.” Dr. Holt is the program director of this new residency program.
Congratulations to ACPM’s IT Manager, David Dauphinais, on winning the “Trooper Award” from the Greater Grand Forks Community Theater. Dave earned the award for his production as the Foley operator in “It’s A Wonderful Life;” for sound effects for the radio show; and for creating special effects (i.e., a flying carpet) for the production of Aladdin. Congratulations Dave!
A listing of activities in which ACPM has been involved on behalf of the organization in the past month
Tobacco Prevention Funding: ACPM and 46 other organizations signed on to a letter strongly opposing funding cuts in the House FY 2017 Labor, Health and Human Services, Education, and Related Agencies Appropriations bill to the Centers for Disease Control and Prevention’s (CDC) Office of Smoking and Health (OSH). The letter urged Congressional leaders to restore this funding and allocate at least $210 million to OSH, which is critical ending the tobacco epidemic.
FDA’s Authority on Tobacco: ACPM and 52 other organizations signed on to a letter urging the U.S. Senate to oppose any amendments that would weaken Food and Drug Administration’s (FDA) authority to regulate tobacco products.
Zika Funding: ACPM and 51 other organizations signed on to a letter imploring Congress to send a bipartisan Zika emergency spending bill to the President by Friday, July 15, 2016, before Congressional leaders leave for their summer recess.
ACPM EXECUTIVE DIRECTOR PARTICIPATES IN PPHF LOBBY DAY
ACPM executive director Michael Barry, CAE, participated in a recent CEO-level lobby day on Capitol Hill to urge support for the Prevention and Public Health Fund (PPHF) established under the Affordable Care Act (ACA). Given previous attempts by select lawmakers in Congress to eliminate or siphon funds from the PPHF, several non-profit CEO’s banded together to communicate the impact of the PPHF in advancing health promotion programs in communities across the country. Mr. Barry spoke to PPHF’s support of programs in states and communities important to ACPM members and projects led by ACPM that are funded by the Centers for Disease Control and Prevention (CDC).
CORPORATE ROUNDTABLE SPOTLIGHT: NUVAL LAUNCHES EMPOWER AT 2016 IDEA WORLD CONVENTION
This week, ACPM Corporate Roundtable member NuVal will launch EMPOWER at the 2016 Idea World Convention in California. “EMPOWER is our first program where we release NuVal scores to subscribers,” said Anne Bernier, Senior Operations Director for NuVal. “Subscribers have access to the Scores Search Website, an extensive database where you can search for products and NuVal Scores, make side by side comparisons, and see nutrition information, ingredients, and images. Benefits also include access to the NuScan Mobile App which allows you to scan any product no matter where you are and get the NuVal Score. If the product is not yet scored, snap a few pictures and submit up to 5 UPCs per month directly to NuVal for scoring. The cost is nominal. For just $19.95 a month, subscribers will have unlimited access to the best nutritional scoring system in the world.”
Fact panels, package labels, nutrition reports. Selecting the right food for a healthy diet is important to maintaining a healthy weight. NuVal has developed the NuVal® Nutritional Scoring System to make food selection at the grocery store easy for consumers. The scoring system was developed by ACPM Fellow, David Katz, MD, MPH, FACPM, FACP, who convened and led a 12-member scientific panel that developed the ONQI® (Overall Nutritional Quality Index) algorithm that powers the NuVal System. Dr. Katz is a nationally-recognized authority on nutrition, weight control, and the prevention of chronic disease. The NuVal System helps to make food choices simple by scoring food on a scale of 1-100. The higher the NuVal Score, the better the nutrition. To learn more about NuVal and the EMPOWER program, please visit: NuVal EMPOWER
About the ACPM Corporate Roundtable
Established in 2008, the American College of Preventive Medicine Corporate Roundtable links ACPM, the nation’s sole medical specialty organization exclusively dedicated to preventive medicine, with highly regarded private-sector organizations committed to preventing disease and improving patient care. Please contact Maureen Simmons at email@example.com or 1-202-466-2044, Ext. 120 to learn more about ACPM Corporate Roundtable and Corporate Roundtable Members.