|ACPM Headlines 2/6/15|
In this Issue
Policy and Practice
Research and Reports
1. ACPM PRIORITIES FARE WELL AGAIN IN PRESIDENT’S BUDGET
President Obama’s FY 2016 budget request to Congress supports the high water mark of $7.1 million for preventive medicine residency training programs set in last year’s FY 2015 omnibus appropriations bill. ACPM scored a second victory with the President’s $23.5 million funding request to expand the Centers for Disease Control and Prevention’s (CDC) National Violent Death Reporting System (NVDRS) to all 50 states and the District of Columbia. The request represents a $12 million increase over FY 2015. ACPM is the administrative home of the National Violence Prevention Network, a coalition of national organizations committed to nationwide expansion of the NVDRS program.
In response to a request from leaders of the House Energy and Commerce Committee for input on Medicare graduate medical education (GME) reform, ACPM president Halley Faust, MD, MPH, FACPM sent a letter stating that, "ACPM supports efforts to allocate GME dollars directly to residency training programs and expand the eligibility criteria to include more community-based training sites to support all residency training programs. Such a policy would inject greater accountability and transparency into the GME funding stream, while providing residents across all disciplines the opportunity to enhance their understanding of population health and the need to address the underlying risk factors of disease to promote health. With the growing focus on improved population health, it’s time to shift the focus of physician training from treatment of disease in hospital settings to disease prevention and health promotion at the community level.”
3. STILL TIME TO GIVE TO THE YOUR GIFT MATTERS CAMPAIGN
There’s still time to contribute to the Your Gift Matters campaign before it concludes at Preventive Medicine 2015 in Atlanta next month. Gifts of $500 or more will be recognized during a special reception at the Annual ACPM Awards Ceremony. Join your colleagues and donate today!
ACPM is now scheduling interviews during Preventive Medicine 2015 for multiple clinical safety and pharmacovigilance job opportunities at Otsuka Pharmaceutical Development & Commercialization for early-to-mid-career preventive medicine physicians. Successful applicants will be offered a full-time position monitoring the efficacy of Otsuka’s global drug and device products.
Clinical Safety and Pharmacovigilance physicians are involved in designing and conducting clinical trials, reviewing adverse events associated with company products, responding to health authority requests for safety information, and much more! If you are interested in learning about the program prior to applying, Otsuka will be hosting a breakfast reception on Thursday, February 26th during Preventive Medicine 2015 to discuss opportunities for preventive medicine physicians in the field of pharmacovigilance.
Apply now to interview during the Preventive Medicine 2015 conference in Atlanta! If you are interested, please send a copy of your CV and a statement of interest to Andrea Lowe, ACPM Director of Policy and Practice, at email@example.com.
ACPM has submitted five recommendations of over-utilized or unnecessary services to the American Board of Internal Medicine (ABIM) Foundation Choosing Wisely campaign. These recommendations will be unveiled on the Choosing Wisely website and at the Preventive Medicine 2015 conference during the Choosing Wisely in Preventive Medicine session on Thursday, February 26th. Please join ACPM Choosing Wisely Task Force members as they introduce the campaign, discuss the ACPM recommendations, and discuss the impact of these recommendations on medical practice and their implications for clinical preventive services.
6. PRESIDENT PROPOSES INVESTMENT TO COMBAT ANTIBIOTIC RESISTANCE
President Obama’s FY 2016 budget request includes an investment of $1.2 billion to combat antibiotic resistance across government. The proposal would provide $650 million across the National Institutes of Health (NIH) and the Biomedical Advanced Research and Development Authority (BARDA) to significantly expand America’s investments in development of antibacterial and new rapid diagnostics; $280 million to the Centers for Disease Control and Prevention (CDC) to support antibiotic stewardship, outbreak surveillance, antibiotic use and resistance monitoring; and $47 million to the Food and Drug Administration (FDA) to support evaluation of new antibacterial drugs and antibiotic stewardship in animal agriculture.
Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell announced a goal of tying 85 percent of all traditional Medicare payments to quality or value by 2016 and 90 percent by 2018. In 2011, Medicare made almost no payments to providers through alternative payment models, but today such payments represent approximately 20 percent of Medicare outlays. The goals announced recently represent a 50 percent increase by 2016. HHS has reported results on cost savings with alternative payment models with combined total Medicare savings of $417 million. HHS expects these models to continue the slowdown in health care spending.
The U.S. Preventive Services Task Force (USPSTF) has published a final research plan on screening children and adolescents for dyslipidemia. Based on public comments, the final research plan clarifies the inclusion and exclusion criteria for familial hypercholesterolemia and provides separate evidence reviews for familial hypercholesterolemia and multifactorial dyslipidemia. In each of the evidence reviews, USPSTF weighs the harms and benefits of screening children and adolescents by focusing on whether screening children delays or reduces the incidence of myocardial infarctions (MI) or stroke in adulthood, and its impact on intermediate outcomes.
9. REPORT OUTLINES STATE OF INJURY AND VIOLENCE PREVENTION PROGRAMS
The Safe States Alliance recently released the State of the States: 2013 Report. The report is a national assessment of capacity among state public health injury and violence prevention programs. It assesses various aspects of injury and violence prevention from data collection and policy strategies to programmatic funding. Also, the data is compared to the four previous State of the States annual reports.
10. AMERICANS RANK CLEAN WATER AND FOOD ACCESS AS GLOBAL HEALTH PRIORITIES
A new Kaiser Family Foundation survey examining the role of the U.S. in global health found that the public prioritize global health spending on meeting basic needs such as improving access to clean water and food and helping children. Addressing the Ebola outbreak in West Africa also ranked as a top priority. Some high profile issues such as malaria and reproductive health were ranked lower. About 7 in 10 Americans believe that spending to improve health in developing countries helps protect Americans by preventing the spread of diseases like Ebola, and nearly 6 in 10 feel that the spending helps improve the U.S. image globally.
A meta-analysis of ”Sedentary Time and Its Association With Risk for Disease Incidence, Mortality, and Hospitalization in Adults” found that prolonged sedentary time is independently associated with deleterious health outcomes (cardiovascular disease, diabetes, cancer, all-cause mortality) in adult populations, independent of physical activity. Also, the researchers note that findings were more pronounced at lower levels of physical activity. Sedentary behavior was defined as waking behaviors involving little physical movement and low-energy expenditure (sitting, watching TV, reclining).
A study published in Preventing Chronic Disease shows that using principles of behavioral economics can help increase cancer screenings and reduce health disparities. The authors outline several concepts that can help effectively promote screening, particularly among low-income, minority, and uninsured people who are disproportionately affected by cancer.
In an unrelated study published in the BMJ,pregnant women were more than twice as likely to quit smoking when offered financial incentives than regular counseling. The authors note that with tobacco use concentrated among the poorest in society, financial incentives can serve as a strong incentive for quitting.
For more information on this topic don’t miss the Medical Quality Track keynote Behavioral Economics/Patient Incentives at Preventive Medicine 2015 by Kevin G.M. Volpp, MD, PhD, founding Director of the Center for Health Incentives and Behavioral Economics at the Leonard Davis Institute. Dr. Volpp will present on developing and testing innovative ways of applying insights from behavioral economics to improving patient health behavior and affecting provider performance.
13. CA DEPT. OF PUBLIC HEALTH SEEKS LEADER IN CHRONIC DISEASE AND INJURY CONTROL
The California Department of Public Health is seeking a Public Health Medical Administrator II for immediate appointment as Chief of the Chronic Disease and Injury Control (CDIC) Division that houses California’s tobacco control, obesity prevention, cancer registry, and injury/violence prevention programs and initiatives. The successful applicant will provide leadership, scientific, medical, policy, and program guidance to this division overseeing 300 staff from a broad range of health disciplines. Minimum qualifications include a current license or application for license to practice medicine in California and a minimum of five years administrative experience as a board-eligible or board-certified physician in a public health program. Applications will be accepted until the vacancy is filled.
The T. Colin Campbell Center for Nutrition Studies, a non-profit organization, is excited to offer ACPM members a special discount on their newest on-line course offering -- "Nutrition for a Healthy Heart” in partnership with eCornell. Participants will learn how optimal nutrition can reduce the risk of heart disease and how to implement heart healthy practices into everyday life. The two week course provides an Ivy League experience with historical and contemporary research, lessons from multiple disciplines and a readily available live, expert instructor team. Check out the website for information on enrollment and how to earn continuing medical education (CME) credits. ACPM members are eligible to receive a 30% discount applicable for Healthy Heart Course. When registering, please use the discount code "acpm15” (all lowercase). This promotion ends on February 28, 2015.
The Centers for Disease Control and Prevention's (CDC) National Diabetes Education Program is hosting a webinar "Population Health Management: Improving Health Where We Live, Work, and Play” on Tuesday, February 24, 12:00-1:00 pm EST. The webinar will present a different way to think about health and wellness on the job and in the community. It will present a population management approach that considers health quality and costs beyond the clinical setting to integrate health information, management, and support into people's daily lives.
Congratulations to ACPM Member and nominee Alexander H. Krist, MD, MPH, who was appointed by the Director of the Agency for Healthcare Research and Quality to serve on the U.S. Preventive Services Task Force (USPSTF). Dr. Krist's term began in January 2015. Dr. Krist is an associate professor of family medicine and population health at Virginia Commonwealth University and an active clinician and teacher in its affiliated Fairfax Family Practice residency program. He is co-director of the Virginia Ambulatory Care Outcomes Research Network and director of community-engaged research at the Center for Clinical and Translational Research. Dr. Krist's research focuses on implementation of preventive recommendations, patient-centered care, shared decision-making, cancer screening, and health information technology.