|ACPM Headlines 1/24/11|
Policy and Practice
Research and Reports
1. ACPM MEETS WITH HRSA ADMINISTRATOR
ACPM leaders this week met with Health Resources and Services Administration (HRSA) administrator Mary Wakefield, PhD, RN, and her senior leadership team to discuss specific action steps that must be taken to improve internal support for preventive medicine residency training programs within the agency. Dr. Wakefield called the meeting in response to a letter sent by the ACPM Council of Preventive Medicine Residency Program Directors noting several program-specific process areas for improvement. The ACPM team included president-elect Miriam Alexander, MD, MPH, FACPM, Fellow Deborah Porterfield, MD, MPH, FACPM, ACPM executive director Mike Barry, associate executive director for policy and government affairs Paul Bonta, and Resident Physician Section (RPS) president Sam Peik, MD, MPH.
Dr. Wakefield engaged directly with the ACPM team for nearly 2 hours on how best to build an environment within HRSA that will allow the preventive medicine residency training line item to truly flourish for all stakeholders.
ACPM is committed to continuing its work to increase the visibility of preventive medicine within HRSA and other public health agencies.
2. TASK FORCE ISSUES FINAL RECOMMENDATIONS FOR OSTEOPOROSIS
The U.S. Preventive Services Task Force (USPSTF) released a final recommendation for osteoporosis screening. The task force now recommends (with a "B” rating) screening for osteoporosis in women 65 years and older and in younger women whose fracture risk is equivalent to that of a 65 year old white woman. This updates the USPSTF 2002 recommendation to include women under 65. The task force also addressed screening for osteoporosis in males for the first time, concluding that current evidence is insufficient ("I” rating) to assess the balance of benefits and harms of screening for osteoporosis in men.
Of note, this is the first final recommendation to be made since the implementation of the public comment process for draft recommendations, which were initiated in response to the communication controversy over the breast cancer screening recommendation in late 2009.
The recommendation is available on the USPSTF website at http://www.uspreventiveservicestaskforce.org/uspstf/uspsoste.htm.
3. TIME RUNNING OUT TO REGISTER FOR LIFESTYLE MEDICINE AND EMPLOYEE HEALTH WEBINAR
Don’t miss ACPM’s upcoming live webinar, "Lifestyle Medicine Approaches to Effective Employer Health and Wellness Initiatives," scheduled for January 26, 2011 at 2:00 pm ET.
The program, supported by an educational grant from EHE International, will feature a panel of experts in the field of lifestyle medicine and workplace wellness and from a leading employer wellness program, who will present: the lifestyle medicine definition, competencies, and rationale for development of the competencies; how such competencies can translate to or be integrated with employee wellness programs; actionable steps employers can take to promote the physician-patient dialog around lifestyle interventions, prescriptions, and action plans as a first line of therapy; and resources employers and others can use and share with their constituents to improve medical care, disease prevention, and health promotion practices.
The event is quickly approaching and space is filling up fast, so be sure to reserve a seat online and register today at http://acpm.org/LifestyleMedicine/. The event also will be archived and available for free CME/MOC credit on the ACPM E-portal in the weeks following broadcast.Table of contents
4. ADDING DIMENSION TO YOUR MEMBERSHIP EXPERIENCE: CONNECT WITH ACPM ONLINE
Are you a fan of the American College of Preventive Medicine…on Facebook?
If you are looking for news and events of interest to members in real time, join us online. Take this opportunity to share information and connect with your peers. ACPM also has specific groups for Medical Students, Residents and the Young Physician Section.
Become a fan here: http://on.fb.me/evQ7xx
Are you following us on Twitter?
For up-to-date public health, preventive medicine and policy news, followACPM_HQon Twitter. If you are looking for the scoop on ACPM’s educational events, such as the annual Board Review Course, webcasts and CME/MOC programming, and live tweets from Preventive Medicine 2011, check outPrevMedSeries.
Wondering what social media has to do with preventive medicine?
Preventive medicine and public health physicians have something to say and there is an online audience waiting. Join an expert panel in San Antonio at Preventive Medicine 2011 for Session 15: Speak Into the Microphone: Leveraging Social Media for Population Health Improvement, to be held on Thursday, February 17th at 4:45 pm.
5. ACPM PROMOTES SPECIALTY WITH CDC OFFICE OF PREVENTION THROUGH HEALTHCARE
ACPM leaders met with the Centers for Disease Control and Prevention’s (CDC) associate director for policy Andrew Rein, MS, to identify areas of potential collaboration between ACPM and the new Office of Prevention Through Healthcare. The associate director for policy, a new position recently created within the office of the director by CDC director Tom Frieden, MD, MPH, has direct oversight of the Office of Prevention Through Healthcare. ACPM president-electMiriam Alexander, MD, MPH, FACPMand FellowDeborah Porterfield, MD, MPH, FACPMwere joined by ACPM executive director Mike Barry, associate executive director for policy and government affairs Paul Bonta, and Resident Physician Section (RPS) president Sam Peik, MD, MPH, at the meeting.
The goal of the Office of Prevention Through Healthcare is to effectively develop and disseminate policies leveraging the healthcare system to improve health through prevention. ACPM is seeking to lend the expertise of the preventive medicine community in assisting the Office of Prevention Through Healthcare in achieving its goal.
6. ACPM LAUNCHES INITIATIVE TO INCREASE AWARENESS OF PATIENT ASSISTANCE PROGRAMS
ACPM has announced an educational campaign to address the more than 50 million uninsured Americans who do not have access to needed prescription medications. This campaign is being supported by Pfizer Helpful Answers®– Pfizer’s family of patient assistance programs – and AstraZeneca.
Because many patients – and even many physicians – are unaware of the help numerous pharmaceutical companies provide to both uninsured and underinsured patients in need, ACPM is working to promote the public health benefits of these important prescription assistance programs, with the goal of reducing the risks of disease, disability, and death among underserved populations.
The campaign will feature a national educational webinar and a state-based briefing, which will serve as a pilot for potential programs in other states.
If you would like more information on this program, please contact Maya Nath at email@example.com.
7. MAKE SURE YOUR VOICE IS HEARD – VOTE IN THE ACPM 2011 ELECTIONS!
The ballot to elect the 2011 ACPM Board of Regents as well as to vote on proposed changes to the ACPM Constitution will close at 5:00 p.m. on Friday, January 28th. The ballot was originally emailed to all ACPM voting members on January 7th via Zoomerang. A final email reminder will be sent on Tuesday, January 25th to all voting members. The reminder will be sent to the same email address where you receive ACPM Headlines.
If you have not yet voted, please do so before Friday. This is your chance to influence the direction of the College – make sure your voice is heard!
Policy and Practice
8. RATE OF INCREASE IN HEALTH CARE SPENDING SLOWS
According to a report released by analysts from the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary, total U.S. health spending rose 4.0 percent in 2009, the slowest rate of growth since at least 1960. Analysts attribute the economic recession to the slow-down in growth, as patients delayed elective care and limited out-of-pocket spending, in part because millions of people lost private health coverage.
Total health care expenditures reached $2.5 trillion, or $8,086 per person. As a result, health spending grew to 17.6 percent of the gross domestic product (GDP) in 2009, a full percentage point higher than in 2008.Also, federal health care spending increased to 27% of all health spending in 2009, a three percentage point increase from 2008.
To view a copy of the report please visit http://bit.ly/dHhsBj.
9. HOUSE LEADERS FILL OUT APPROPRIATIONS COMMITTEE ROSTER
With the arrival of the new Republican majority in the House, majority and minority ratios on committees have changed, causing a major shift in the makeup of most committees. Leading the Appropriations Committee in the 112thCongress will be Rep. Hal Rogers (R-KY) as chair and Rep. Norman Dicks (D-WA) as ranking member. Leading the Appropriations Subcommittee on Labor, Health and Human Services, and Education, which has jurisdiction over all funding for federal health programs, is Rep. Dennis Rehberg (R-MT) as chair and Rep. Rosa DeLauro (D-CT) as ranking member. The other members of the subcommittee are Reps. Jerry Lewis (R-CA), Rodney Alexander (R-LA), Jack Kingston (R-GA), Kay Granger (R-TX), Nita Lowey (D-NY), Jesse Jackson (D-IL), Lucille Roybal-Allard (D-CA), and Barbara Lee (D-CA).
10. USPSTF SEEKS COMMENT ON PREVENTION OF FALLS IN OLDER ADULTS
The U.S. Preventive Services Task Force (USPSTF) is seeking comment on draft recommendations regarding prevention of falls in older adults, which will update the 1996 recommendation on this topic. The draft recommendations include a "B” rating for exercise or physical therapy, as well as vitamin D supplementation, as recommended interventions to prevent falls in adults over 65 years old. The draft also does not recommend performing multi-factorial risk assessment in addition to management of identified risks in this population, giving it a "C” rating.
More information on the draft recommendation is available at http://www.uspreventiveservicestaskforce.org/draftrec.htm. To provide comments, visit http://www.uspreventiveservicestaskforce.org/tfcomment.htm. The deadline for comments is February 9.
Research and Reports
11. WORLD HEALTH ORGANIZATION RELEASES NEW BOOKLET ON CHILDHOOD LEAD POISONING
In order to inform health professionals about the sources of childhood lead poisoning, the World Health Organization (WHO) has published a new booklet on childhood lead poisoning and its serious consequences. It emphasizes the importance of primary prevention. The complete document can be accessed on the WHO website at: http://www.who.int/ceh/publications/childhoodpoisoning/
12. EXERCISE MAY LOWER RISK OF DEATH FOR MEN WITH PROSTATE CANCER
According to a study available in the online edition of theJournal of Clinical Oncology, physical activity is associated with lower risk of overall mortality and of mortality due to prostate cancer. Researchers from the Harvard School of Public Health and the University of California, San Francisco found while non-vigorous and vigorous activity lowered overall mortality, only vigorous activity (defined as more than three hours per week) affected prostate-specific mortality. The study suggests physical activity could be added to the treatment regimen for men diagnosed with prostate cancer to improve survival, as well as contributing to overall health.
An abstract of the study is available at http://jco.ascopubs.org/content/early/2011/01/04/
13. CDC RELEASES FIRST HEALTH DISPARITIES AND INEQUALITIES REPORT
The Centers for Disease Control and Prevention Health Disparities and Inequalities Report, 2011, is the first in a series of periodic, consolidated assessments highlighting health disparities by sex, race and ethnicity, income, education, disability status and other social characteristics in the U.S.
The findings in the 22 topic-specific essays will be used as baseline estimates for monitoring and reporting changes in health disparities and inequalities in periodic reports in upcoming years. The information in the report will help achieve the goals of the National Partnership for Action (NPA) to End Health Disparities and can be used as additional support for efforts to implement policies, programs, and promising practices that might reduce disparities in the shortest timeframe.
Access the report here: http://www.cdc.gov/mmwr/preview/ind2011_su.html.
14. NATIONAL CONVERSATION ON PUBLIC HEALTH AND CHEMICAL EXPOSURES AVAILABLE IN ARCHIVE
An archive of the National Conversation on Public Health and Chemical Exposures, a collaborative project supported by the Centers for Disease Control and Prevention (CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR), is available on the web. The goal is to develop an action agenda that can help government agencies and other organizations strengthen their efforts to protect the public from harmful chemical exposures.
You can be a part of the National Conversation by registering to participate in WebDialogue. The previous WebDialogue held earlier in January discussed the National Conversation's draft Action Agenda and public comment process.To view highlights of the discussion,visit http://bit.ly/exORJR.
15. AHRQ HEALTH CARE INNOVATIONS EXCHANGE WEB SITE RE-LAUNCHED
The Agency for Healthcare Research and Quality has announced the re-launch of the AHRQ Health Care Innovations Exchange Web Site. AHRQ created the Health Care Innovations Exchange to speed the implementation of new and better ways of delivering health care by offering busy health professionals and researchers a variety of opportunities to share, learn about, and ultimately adopt evidence-based innovations and tools suitable for a range of health care settings and populations.
The redesigned site features streamlined navigation, enhanced browsing and filtering, and multimedia and social media elements to facilitate finding and sharing innovative health care solutions and tools. Also, links to the AHRQ "Linking Clinical Practices and Community Organizations for Prevention” initiative can now be found on the homepage. That section contains profiles from AHRQ's 2010 Summit on the relationship between clinical practices and community organizations, related quality tools, and further reading including profiles and commentary from the 200 8 Summit on the same topic.
16. FREE WEBINAR: ROLE OF HOSPITALS IN TOBACCO CESSATION
Partnership for Prevention and Action to Quit are co-hosting a free webinar entitled:The Role of Hospitals in Tobacco Cessation, Thursday, February 10, 2011, 2:00–3:00 PM EDT. Hospitals and other health centers can play a critical role in tobacco cessation. This webinar will discuss the feasibility and benefits of screening all patients for tobacco use and providing treatment as a policy-driven standard practice. Register at http://bit.ly/hdsUzl.
17. MEMBERS IN THE NEWS – MARIE-MITCHELL
Congratulations to ACPM member Ariane Marie-Mitchell, MD, PhD, MPH, on her new faculty position as Assistant Professor in the Preventive Medicine Department at Loma Linda University (LLU). In her new role, she will be developing clinical, teaching, and research portfolios. Prior to her position at LLU, Dr. Marie-Mitchell was at the Department of Community and Preventive Medicine at the University of Rochester Medical Center, where she was awarded the Young Investigator Award for her work on "Child Outcomes that Matter: Measures of Success for Prevention Through Pediatric Primary Care” by the Academic Pediatric Association.