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ACPM Headlines 2/14/12
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In This Issue:


Top Stories


1. ACPM President featured in USA Today and Money Magazine

2. ACPM urges coverage of tobacco cessation under essential health benefits

3. Last chance to register: ACPM global climate change conference

 

ACPM News

4. ACPM MOC Part II goes online

5. ACPM weighs in on Sunshine Act rules

6. ACPM attends Aspirin Council meeting

7. See the latest CME/MOC articles in AJPM

8. So Long, Farewell: Edwards leaving ACPM

 

Policy and Practice

9. ACPM sends comments to FDA on antibiotic resistance

10. ACPM opposes use of Prevention Fund to pay for tax extenders package

11. February is American Heart Month


Research and Reports

12. Health and access to care worse among unemployed adults

13. HHS releases National Alzheimer's proposal

 

Announcements

14. BMA publication addresses health risk

15. Job announcement: USPSTF Science Director

16. Mayo offers course on teaching quality improvement and patient safety

17. Members in the News: Matt Boulton

 

Top Stories

1. ACPM PRESIDENT FEATURED IN USA TODAY & MONEY MAGAZINE

ACPM President Miriam Alexander, MD, MPH, FACPM, was featured in the January 26 edition of USA Today in an article in the Your Life section urging readers to put prevention high on their agendas for the new year. In the article Dr. Alexander cites the U.S. Preventive Services Task Force as setting the "gold standard” of screening guidelines.

She is quoted in the article as saying, "The task force looks at the evidence from 30,000 feet,” basing them on the population as a whole, not individuals with unique family histories or situations. In describing the importance of weighing all the recommendations along with one’s personal needs, she notes "Sometimes we have to make decisions that are not based on the best scientific evidence, but on what’s best for us.”

Dr. Alexander also interviewed for and was quoted on behalf of ACPM in an article published in the January-February edition of Money Magazine on the effects of stress and how to manage it. From the article: "Stress increases your risk for a host of ailments, including heart disease, gum disease, and even the common cold, says Miriam Alexander, president of the American College of Preventive Medicine.”

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2. ACPM URGES COVERAGE OF TOBACCO CESSATION UNDER ESSENTIAL HEALTH BENEFITS

ACPM joined several tobacco cessation advocates on a letter to Department of Health and Human Services (HHS) Secretary Kathleen Sebelius urging HHS to create a minimum federal standard for smoking cessation benefits to help standardize and guide the development of state health exchanges as required by the Affordable Care Act (ACA).

The letter notes, "Federal employees and their dependents now have access to a model tobacco cessation benefit. The undersigned groups urge the federal government to enact requirements and policies that provide this tobacco cessation coverage to other populations – particularly low income and/or needy populations like Medicaid enrollees and people buying insurance through state exchanges.”

ACPM will continue to monitor and respond to further guidance expected from HHS on the development of state health exchanges.

To view a copy of the letter,visit http://bit.ly/yc61Zw.

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3. LAST CHANCE TO REGISTER: ACPM GLOBAL CLIMATE CHANGE AND HEALTH CONFERENCE

Time is running out to register for ACPM’s conference, Global Climate Change and Health: Best Practices for Mitigating the Effects and Impacting Policy, on February 22, 2012. This free CME/MOC conference will feature expert speakers addressing how preventive medicine physicians and other healthcare providers can work with patients and community leaders to recognize, mitigate and adapt to the health effects of global climate change. This conference will include interactive working group sessions to develop communication messages and concrete plans for each participant to take back to their own community and work setting.

The conference will convene from 8:00 am to 5:00 pm at the Buena Vista Palace Hotel and Spa in Orlando, Florida. Although held in the same location as ACPM's Preventive Medicine 2012 annual meeting, registration for this conference is independent of that meeting and not part of the Preventive Medicine 2012 annual meeting registration or institute package rate. You MUST register for this conference separately.

Funding for this conference was made possible (in part) by the CDC. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Reserve your seat today at www.acpm.org/?ClimateChangeConf while space is available.


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ACPM News

4. ACPM TO LAUNCH NEW ELECTRONIC MOC REQUEST FORMS AT PM 2012

Among the cutting-edge sessions, state-of-the-art educational programming, and abundant networking opportunities you will find something else at Preventive Medicine 2012…something new and green. MOC (type 2) credits will now be offered electronically both onsite and after the meeting. ACPM is excited to introduce this new, easy, and environmentally-friendly way to complete your MOC requests and quizzes all online!

Preventive Medicine 2012 attendees will receive an email this week on how they can earn MOC credit for the meeting.

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5. ACPM SIGNS CMSS LETTER TO CMS RE: PROPOSED ‘SUNSHINE ACT’ RULE

ACPM has signed on to a letter from the Council on Medical Specialty Societies to the Centers for Medicare and Medicaid Services (CMS) commenting on CMS’ proposed rule implementing the Physician Payments Sunshine Act provisions adopted by Congress as part of the Patient Protection and Affordable Care Act of 2010.

CMSS’ letter focuses on two aspects of the proposed rule related to Accredited and Certified CME that need to be clarified and modified to avoid unintended consequences: (1) "Direct Compensation for Serving as a Faculty or as a Speaker for a Medical Education Program,” and (2) "Indirect Payments Through a Third Party.” The position of ACPM and the other 38 societies that are part of CMSS is that compensation provided to speakers and faculty by accredited medical society CME programs should not be reportable under the law, as these individuals are independently selected and paid by the society and, as required by the CME accrediting body rules, have no relationship with any manufacturer that might be supporting the CME activity through an educational grant. Similarly, grants from applicable manufacturers to CME providers should not constitute an indirect transfer of value, either to faculty or participants of the CME activity.

Stay tuned for further updates from ACPM as these regulations evolve.


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6. ACPM PARTICIPATES IN ASPIRIN COUNCIL MEETING

 

ACPM participated in the January 26-28 annual meeting of the Council on Aspirin for Health and Prevention’s in Napa Valley, CA. The Council is an autonomous, ad hoc group of volunteers convened by the Partnership for Prevention to identify, discuss, and vet ideas and opportunities for broadening the appropriate use of aspirin to prevent heart attacks and strokes. The Council also serves as a forum for scientific review, discussion, and guidance development around aspirin use.

ACPM, through its past president George Anderson, has been represented on the Council since its inception in 2006. Mike Barry represents ACPM as a liaison to the Council, and has been a collaborative partner with the Council on work focused on the provider-patient relationship around aspirin counseling and the interventions, educational strategies, and systems that influence this relationship. At the recent meeting, Mike presented a project proposal to the Council to conduct a "proof of concept” clinical pilot of ACPM’s Aspirin Talks quality improvement tool kit. Work on the pilot is expected to commence later this year.

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7. MORE CME/MOC OFFERINGS FROM ACPM…

Have you earned enough CME and MOC credits to satisfy your state medical boards and the American Board of Preventive Medicine’s MOC requirements? Visit ACPM’s Education Center each month and take advantage of the multiple ways to enhance your preventive medicine knowledge and competencies and boost your credits, including through the American Journal of Preventive Medicine (AJPM) and various ACPM Time Tools (both are eligible for MOC).

This month AJPM is featuring the following articles for 1 hour of CME/MOC credit, each:

  • Obesity and Severe Obesity Forecasts Through 2030
  • Assessing the Built Environment Using Omnidirectional Imagery

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8. ACPM BIDS FAREWELL TO EDWARDS

On a sad note, ACPM’s long-time Membership Director and CME Manager, Jennifer Edwards, has accepted a position with another organization and is leaving the College. Jennifer first started with ACPM in 1998, left the College for a short period in 2005, and returned in 2006. She has served in the Membership Department her entire tenure and assumed the CME duties in 2006.

Jen has been a tremendous asset to the College and an organizational fixture for many years. Her personable style, wit, and humor are one of a kind, and she will be greatly missed. Jen will be with ACPM through the Preventive Medicine 2012 conference in Orlando. Please join us in wishing her well in her new endeavors.

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Policy and Practice

9. ACPM SENDS COMMENTS TO FDA ON ANTIBIOTIC RESISTANCE

In response to the growing public health threat posed by misuse and overuse of antibiotics in farm animals, ACPM, as an active member of the Pew Charitable Trusts workgroup on antibiotic resistance, applauded recent Food and Drug Administration (FDA) action to ban the extra-label use of cephalosporins in food-producing animals.

ACPM President Miriam Alexander wrote, "Banning the extra-label use of cephalosporins represents an important first step towards addressing the growing public health threat posed by antibiotic resistance. However, we urge the FDA to continue this important work by issuing guidance to thwart the use of antibiotics to promote growth and compensate for the effects of unsanitary and overcrowded conditions among livestock.”

To view a copy of the letter, visit http://bit.ly/ywOHl4.

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10. ACPM OPPOSES USE OF PREVENTION FUND TO PAY FOR TAX EXTENDERS PACKAGE

ACPM sent a letter to House and Senate conferees working to negotiate a long-term extension of the "doc fix” in the Medicare physician fee schedule urging they not tap funds from the Prevention and Public Health Fund to pay for higher reimbursements for physician services.

In the letter ACPM President Miriam Alexanderstated, "While ACPM has been a staunch supporter of efforts to fix the broken sustainable growth rate formula used to calculate Medicare physician reimbursement levels, the College will not support any proposal that diverts funds away from disease prevention programs in order to increase payments for disease treatment.” ACPM has been a vocal proponent of the Prevention and Public Health Fund and will continue to voice opposition to efforts aimed at weakening or eliminating this important source of revenues for prevention and health promotion programs.

To view a copy of the letter, visit http://bit.ly/zg0Vz6.

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11. FEBRUARY IS AMERICAN HEART MONTH

February has been declared American Heart Month, a time intended for all to "recommit to better heart health for all Americans.” As the leading cause of death in the UnitedStates, heart disease claims more than half a million American lives a year and costs the nation more than $444 billion in health care expenses and lost productivity.

For more information, please visit: http://www.cdc.gov/features/heartmonth/

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Research and Reports

12. UNEMPLOYED ADULTS FARE WORSE ON HEALTH AND ACCESS TO CARE MEASURES

Recent data from the National Health Interview Survey shows unemployment is associated with unfavorable health and access to care compared to employed adults, over and above the loss of health insurance. However, it is not possible to know from these data the extent to which unemployment is a cause or effect of poor health. There were no significant differences between employed and unemployed adults in the percentage who had ever been diagnosed with selected chronic conditions, including hypertension, heart disease, diabetes, or cancer (NCHS unpublished analysis of NHIS data), so the need to treat these chronic conditions exists for both employed and unemployed adults.

In addition to having poorer health, unemployed adults were more likely to delay or not receive needed medical care and needed prescriptions due to cost than those employed across categories of insurance coverage. Thus, the unemployed reported both worse health and less access to needed care and treatment than employed adults. This was found not only for those without health insurance, but also for those with public and private insurance.

To read the full brief reported by the National Center for Health Statistics, visit http://www.cdc.gov/nchs/data/databriefs/db83.pdf.

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13. HHS RELEASES NATIONAL ALZHEIMER’S PROPOSAL TO IMPROVE DIAGNOSIS AND TREATMENT

The Department of Health and Human Services has released a draft proposal to develop effective means of preventing and treating Alzheimer's by 2025. The proposal calls on experts to identify Alzheimer's research priorities and accelerate efforts to detect early and pre-symptomatic stages of the disease. It recommends improving assessment tools to help physicians detect symptoms of Alzheimer's disease in their patients. Health professionals also are encouraged to educate patients and their families about the disorder, advise them of local sources for counseling or support, and help them plan for future long-term care as the disease progresses.

Creating a plan to tackle the disease is required by the National Alzheimer's Project Act, which President Obama signed into law January 4, 2011. The strategy is being developed by a 27-member advisory council consisting of Alzheimer's experts, caregivers of those with the disease and other health professionals. A first draft of the plan will be released in mid-February, and the final plan will be issued in the spring.

For more details on the National Alzheimer's Project Act, visit http://aspe.hhs.gov/daltcp/napa/.

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Announcements

14. BRITISH MEDICAL RESOURCE EXAMINES HEALTH RISK

The British Medical Association Board of Science has released a new publication developed to improve understanding and management of health risks in the 21stcentury. The publication, Risk: what’s your perspective, aims to help doctors understand risk and provide an overview of the major health risks faced by the UK population. It aims to help doctors communicate risk to their patients and the public, reviewing effective risk communication strategies, and outlining common attitudes and perceptions of risk. It may be a useful resource for preventive medicine physicians in the U.S. as well, as they deal with assessing and managing risks across a range of major public health events such as pandemic influenza, natural disasters and terrorist attacks, to lifestyle risks such as obesity, alcohol and tobacco use, to risks acquired in the health care setting, such as risks associated with screening, adverse drug reactions, and health care associated infections.

To view the publication, visit http://www.bma.org.uk/images/risk-whatsyourperspective_tcm41-211623.pdf.

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15. USPSTF SEEKS SCIENCE DIRECTOR

The Agency for Healthcare Research and Quality (AHRQ) is seeking a senior level clinician to serve as the Scientific Director of the U.S. Preventive Services Task Force (USPSTF). The candidate will provide overall scientific leadership and direction to the USPSTF, working closely with its leaders, and is responsible for directing a team of dedicated medical professionals. The Scientific Director also will lead the development and implementation of a comprehensive national program of research related to clinical prevention.

Candidates must possess an MD, DO, doctoral level nursing degree, or be a physician assistant with a doctoral level degree. All candidates must have experience in prevention and primary care. This position is located at AHRQ's headquarters in Rockville, MD.

For more information on this position and an application, visit:
http://www.usajobs.gov/GetJob/ViewDetails/302462000. For other exciting career opportunities for preventive medicine physicians, visit ACPM’s Career Center at http://www.acpm.org/?page=CareerCenter.

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16. TEACHING QUALITY IMPROVEMENT AND PATIENT SAFETY IN HEALTH PROFESSIONS EDUCATION

Mayo Clinic, May 7-8

Course Description:
This 1.5-day, train-the-trainer interactive workshop will provide the knowledge, best practices and tools necessary to successfully implementQuality Improvement and safety education in undergraduate medical education (UME), graduate medical education (GME), continuing medical education (CME), and allied health schools. Registration is limited to 60 participants.

Short Communication Abstracts:
Mayo invites submissions on all topics related to quality improvement and patient safety education, including, but not limited to:

  • Teaching quality improvement (in any health professions education)
  • Teaching patient safety (in any health professions education)
  • Assessing Competence in Quality improvement and patient safety
  • Inter-professional Quality Improvement education

Short Presentations may be based upon either new program initiatives or empirical research.

The Short Presentation Abstract Submission deadline is Wednesday,March 10, 2012.

Register here and submit abstracts here: http://www.mayo.edu/cme/quality-2012r926

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17. ACPM FELLOW BOULTON NAMED TO MMWREDITORIAL BOARD

Matthew L. Boulton, MD, MPH, FACPM, Director of the Preventive Medicine Residency at the University of Michigan Schools of Public Health and Medicine, was recently named to CDC’s Morbidity and Mortality Weekly ReportEditorial Board. Dr. Boulton has been an active contributor to the MMWR for many years and published an article entitled, Food Safety Epidemiology Capacity in State Health Departments, 2010 in the Dec 23, 2011 issue of the MMWR.

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