|ACPM News August 2016|
TABLE OF CONTENTS
Black Lives Matter
BLACK LIVES MATTER. It’s a slogan and a movement that have been prominent in the news for the last couple of years. As we all know, the phrase refers to the violent deaths of African Americans in incidents in which it appeared that Blacks were treated as if their lives didn’t matter.
But it could just as easily refer to a much greater loss of Black lives: the excess mortality that has affected Black Americans for decades. The mortality rate for every important cause of death (heart disease, cancer, stroke, diabetes, AIDS, homicide, etc.,) is greater for African Americans than for any other racial or ethnic group. This was first noted in the 1985 Report of The Secretary’s Task Force on the Health Status of Blacks and Other Minorities. That document calculated that in the two-year period 1979-1981, there were 58,942 “excess deaths” among Black Americans. This is the number of Blacks who would not have died had the Black mortality rate been the same as the White mortality rate. My rough calculation using 2011 mortality rates suggests that there were about 65,000 excess deaths among African Americans in that one year period. Thus, it would be hard to say that we are doing any better now than we were over 35 years ago.
Health disparities are not limited to African Americans. Hispanics, for instance, are more likely than whites to have asthma, HIV infection, tuberculosis, and a number of other conditions. But with respect to mortality disparities, it is Black Americans who suffer the greatest loss of life.
Relatively recently, health advocates have begun to frame this problem as a lack of “health equity” – a more positive concept than “health disparities.” At Preventive Medicine 2017, ACPM’s annual meeting (Portland Oregon, May 23-26), our organization will take up the issue as reflected in the meeting theme: Achieving Health Equity through Prevention. Indeed, there is much evidence to suggest that the fastest and surest route to greater health equity is through prevention, rather than (for instance) awaiting better drugs for cancer or more advanced surgery for coronary artery disease. And since we do believe that “Black lives matter,” the meeting will offer an outstanding opportunity to explore strategies for making the slogan a reality.
Daniel Blumenthal, MD, MPH, FACPM
LIFESTYLE PRESCRIPTIONS ESSENTIAL IN THE TRANSITION TO VALUE-BASED CARE
As evolving payment models emphasize preventive care in maintaining patient wellness, physicians will increasingly need reliable methods for preventing, treating and reversing lifestyle-related chronic diseases caused or exacerbated by unhealthy habits. This includes using personalized interventions designed to improve nutrition, physical activity, stress management, sleep, social support, and environmental exposures.
For providers and administrators financially incentivized by the Centers for Medicare and Medicaid Services’ proposed Quality Payment Program to keep their patients and populations healthy, lifestyle medicine methodologies are proving to be an effective and inexpensive way to address underlying disease risks and decrease illness burden. However, recognizing its value to patient health does not mean professionals intuitively understand how to integrate lifestyle medicine into their practices.
Equipping practitioners with the knowledge, skill sets, and confidence to counsel patients about their behavior is at the heart of the Lifestyle Medicine Core Competencies Program developed by the American College of Preventive Medicine (ACPM) and American College of Lifestyle Medicine (ACLM). This evidence-based online program provides a comprehensive foundation for physicians and allied health professionals interested in learning how to inspire patients to take control of their health through effective physician-patient collaboration. The 30-hour CME curriculum covers the fifteen core competencies of lifestyle medicine endorsed by ACPM and ACLM (JAMA, 2010) and proven approaches for facilitating behavior change interventions.
As the health care system moves toward value-based care with an emphasis on sustained patient wellness and coordinated care, knowledge and skills in lifestyle medicine will become even more essential. These topics covered along with the evidence base are usually not covered in medical school or residency training. As the medical community is now being strongly incentivized by Medicare reimbursement reform to focus on prevention, this curriculum will provide core competencies to enhance patient-centered care and give practitioners the resources to invest in behavior modification and lifestyle prescriptions with their patients.
#PREVMEDAMPLIFIED CAMPAIGN REACHES GOAL
ACPM's #PrevMedAmplified campaign formally concluded at the end of July and we are happy to announce that we reached and surpassed our goal of $35,000.
WATERBORNE DISEASE CME PROGRAM NO LONGER AVAILABLE
The ACPM CME-Sponsored activity, Recognizing Waterborne Disease and The Health Effects of Water Pollution, is no longer available as of August 12, 2016. All outstanding certificates were sent to participants by the closing date. If you have any questions, please contact the activity host at firstname.lastname@example.org.
ACPM PARTICIPATES IN LAUNCH OF FCC’S NEW HEALTH MAPPING TOOL
ACPM members played a key role in the recent launch of the Federal Communications Commission's (FCC) Mapping Broadband Health in America resource, a web-based mapping tool that will inform data-driven decision making at the intersections of health, telecommunications, and emerging technologies. The resource, developed by the FCC’s Connect2Health Task Force, provides critical data at the county and census block levels to help people better communicate novel concepts across disciplines and inspire each other to address complex problems with innovative new solutions.
Yahya Shaikh, ACPM member and a senior consultant for the task force, said his preventive medicine background helped him propose this platform and integrate key features that promote analytic thought in a way that is distinct for and locally relevant to each community across the United States.
"A world where challenges are complex and often interlace needs solutions from groups that are diverse and can collaborate," said Dr. Shaikh, also explaining how preventive medicine principles informed this project. "Preventive medicine teaches analysis and the examination of how risk and protective factors distribute across populations. It encourages us to think of the effect of exposures and interventions at the individual level, while considering impact and expansion to a population scale."
ACPM President-Elect Bob Carr also delivered remarks at the launch event. "This tool can better characterize the disease burden at the most granular of community levels. It can help align the epidemiology of the condition with the best and proven interventions and identify gaps in access that need to be addressed for active population engagement and health promotion." Dr. Carr added, "This tool will greatly amplify and accelerate our College’s efforts in collaboration with the CDC and other public health organizations to reduce the incidence and impact of preventable diseases.”
Mapping Broadband Health in America is an interactive, open-access platform for public and private sectors as well as local communities looking to identify opportunities and gaps in connectivity and care. Users can generate customized maps plotting broadband access, adoption, and speed alongside various health measures in urban and rural areas.
WELCOME NEW RESIDENT MEMBERS!
ACPM would like to welcome our new resident members from the following residency programs:
Amanda Lerner, MD
California Department of Public Health
Maggie Ford, MD, MS
Dartmouth-Hitchcock Medical Center
Luke Barre, MD
Megan Gallagher, MD
Julia MacCallum, MD
Saumya Saini, MD
Elizabeth Rabold, MD
Earl Stewart, MD
Griffin Hospital-Yale University
Khaula Khatlani, MBBS, MSc
Shaileja Pamnani, MBBS
Andre Montoya-Barthelemy, MD
Johns Hopkins Bloomberg School of Public Health
Daniel Foster, DO
Max Romano, MD, MPH
Oluwatobi Yerokun, MD
Loma Linda University Medical Center
Cesar Reis, MD
Maine Medical Center
Christina DeMatteo, DO
Meharry Medical College
Ada Egbuji, MD, MPH
Jose Jeune, MD
Debra Munro, MD, MSPH|PhD
Suvag Patnaik, MD, MPH
Ministry of Health Saudi Arabia
Omar Mohammed Khojah, MBBS
Jarrod Matthei, MD
Candace Tannis, MD, MPH
National Health Services United Kingdom
Bruna Pura, MBBS
Naval Aeropsace Medicine Institute
Erin Elizabeth Smith, MD, MPH, MSc
Oregon Health & Science University
Luis Manriquez, MD
Bernadette Zakher, MBBS
George Singletary, MD
Uniformed Services University of the Health Sciences
Elizabeth Erickson, MD
Brianna Rupp, DO
Colby Uptegraft, MD
United States Air Force
Bryant Martin, MD
Chris McLaughlin, MD, MPH
Michelle R Milner, MD, MPH
United States Food and Drug Administration
K.Leila Njimoluh, MD
University College Hospital, Ibadan
Oyeyemi Sholotan, MBBS
University of California Los Angeles
Kay Hooshmand, DO
University of California, San Diego
David Crabtree, MD
Samuel Park, MD
Sankar Sridaran, MD
Amish Talwar, MD
University of North Carolina at Chapel Hill, School of Medicine
James Benjamin Hooker, MD, MPH, MS
University of Pennsylvania
Hannah McLane, MD, MPH, MA
Chinyere Omeogu, MBBS, MPH
UP Health System Marquette
Kaity Lazet, DO
DR. STACY JOINS NCCHC BOARD AS ACPM LIAISON
Sylvie Stacy, MD, MPH, recently joined the National Commission on Correctional Health Care (NCCHC) board of directors as the new ACPM liaison. NCCHC is a not-for-profit organization working to improve the quality of care in our nation’s jails, prisons, and juvenile detention and confinement facilities. NCCHC establishes standards for health services in correctional facilities; operates a voluntary accreditation program for institutions that meet these standards; produces and disseminates resource publications; conducts educational trainings and conferences; and offers a certification program for correctional health professionals. NCCHC is supported by the major national organizations representing the fields of health, law and corrections.
NCCHC will celebrate its 40th annual national conference October 22-26 at the Paris Hotel in Las Vegas. At the five-day conference – the country’s largest conference for correctional health professionals – clinicians, administrators and others will gather to learn about latest advancements and best practices in delivering health care behind bars.
Health professionals working in the nation’s jails, prisons and juvenile detention facilities face unique issues and challenges. For four decades, NCCHC has provided an opportunity for them to come together, learn from experts and one another, discuss common challenges and share solutions. Close to 2,000 people are expected to attend this year’s conference.
Congratulations on your appointment, Dr. Stacy, and thank you for representing preventive medicine and ACPM in this important field!
PREVENTIVE MEDICINE COMMUNITY LOSES ADVOCATE FOR WOMEN’S AND INFANTS’ HEALTH
We are saddened to announce that ACPM Fellow and champion of women’s and infants’ health, Miriam Labbok, MD, MPH, IBCLC, passed away on August 13. From 2006 to 2016, she was Professor of the Practice of maternal and child health at the UNC Gillings School of Global Public Health and founding director of the Gillings School’s Carolina Global Breastfeeding Institute (CGBI).
A memorial service will be held Monday, Aug. 15 at 2 p.m. at Judea Reform Congregation, 1933 W. Cornwallis Rd., Durham, NC 27705.
In lieu of flowers, memorial contributions may be made to benefit the Carolina Global Breastfeeding Institute. Checks should be written to the Public Health Foundation and sent to SPH Advancement, UNC Gillings School of Global Public Health, 107 Rosenau Hall, Campus Box 7400, Chapel Hill, NC 27599-7400. Please note “In memory of Miriam Labbok” on the check’s memo line.
View the full obituary here. An online giving option will be available soon there. ACPM extends its condolences to Dr. Labbok’s family.
ASPPH LOSES ITS PRESIDENT/CHIEF EXECUTIVE
The public health and preventive medicine community also is mourning the loss of Harrison C. Spencer, MD, MPH, DTM&H, CPH , the President and CEO of the Association of Schools and Programs of Public Health (ASPPH). Nationally and internationally recognized for his clinical public health work, research endeavors in infectious disease prevention and control, and authorship of more than 100 publications, Dr. Spencer was uniquely able to speak on both practice and research perspectives. His combined eight years as a dean of two prestigious schools gave him insight into university politics, education, and academic public health.
A member of many committees, boards, and professional societies, including the National Academy of Medicine, Dr. Spencer was most proud of co-founding the Interprofessional Education Collaborative (IPEC) with his medical, nursing, pharmacy, and dentistry peers in 2009, where he had served as chair of the board. ACPM extends its condolences to Dr. Spencer’s family and the ASPPH family. Funeral services for Dr. Spencer will be held on Friday, September 9 at 2:00 p.m. at Christ Church, 3116 O Street, NW, Washington, DC.
BARRY INSTALLED TO AAMSE BOARD OF DIRECTORS
ACPM Executive Director Michael Barry was installed to the American Association of Medical Society Executives (AAMSE) Board of Directors July 22 at the AAMSE national conference in Baltimore, MD. AAMSE is a professional association for more than 1,400 medical society professionals throughout the country. The membership base of AAMSE is comprised of local, state, and national medical specialty associations. AAMSE has forged a path for medical society professionals to take a leadership role in the field of medical society management and the community of medicine at large through collaboration and sharing of information, tools, and resources.
POLITICO HIGHLIGHTS ACPM'S CHOOSING WISELY® RECOMMENDATIONS
Politico’s Prescription Pulse, a weekly briefing on pharmaceutical policy news, highlighted in its July 18 edition one of ACPM’s five recommendations for the Choosing Wisely® campaign to reduce overused preventive services: Don't use expensive medications when an equally effective and lower-cost medication is available.
CORPORATE ROUNDTABLE SPOTLIGHT: PHRMA UPDATES PRESCRIPTION MEDICINES REPORT
The spread of the Zika virus and its potential effect on the 2016 Summer Olympic Games is just one of many examples of new and alarming health challenges faced by healthcare practitioners every day. To address challenges like these, Corporate Roundtable member Pharmaceutical Research and Manufacturers of America (PhRMA) has released an updated version of Prescription Medicines: Costs in Context, which highlights the biopharmaceutical industry’s value, cost and evolving marketplace. It looks at what factors help keep costs under control and examines recent advances in treating diseases, among other topics.
PhRMA represents innovative biopharmaceutical research and discovery companies and is devoted to advancing public policies in the U.S. and around the world that support innovative medical research, yield progress for patients today and provide hope for the treatments and cures of tomorrow. With more than 7,000 medicines in development around the world, PhRMA has never been more optimistic about the future and the potential for new medicines to help patients live longer, healthier lives.
PhRMA, the Pharmaceutical Research and Manufacturers of America, represents the country’s leading biopharmaceutical researchers and biotechnology companies.
Member companies are committed to finding tomorrow’s cures and treatments for some of the most serious diseases such as Cancer, Alzheimer’s disease, Cystic Fibrosis and Parkinson’s. New medicines are an integral part of the healthcare system, providing doctors and their patients with safe and effective treatment options, extending and improving quality of life. To learn more about PhRMA, please visit: Pharmaceutical Research and Manufacturers of America (PhRMA)
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 private-sector organizations committed to preventing disease and improving patient care. Please contact Maureen Simmons, MA, CFRE, ACPM Chief Development Officer, at email@example.com 1-202-466-2044, Ext. 120, to learn more about the ACPM Corporate Roundtable and Corporate Roundtable Members.