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ACPM Headlines 3/9/12
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In This Issue:


Top Stories

1. Board of Regents focuses on strategic planning and governance in Orlando

2. ACPM recognized on Senate floor

3. ACPM highlighted in local NPR affiliate story on lifestyle medicine

ACPM News

4. Congratulations to ACPM election winners

5. ACPM honors award winners and new Fellows

6. ACPM announces scientific award winners

7. ACPM hosts Corporate Roundtable in Orlando

8. ACPM convenes successful Global Climate Change and Health Conference

9. ACPM responds to editorial in The New York Times

10. Academy Update – American College of Lifestyle Medicine

Policy and Practice

11. Court blocks implementation of new, graphic cigarette warning labels

12. Community Guide publishes evidence reviews on adolescent pregnancy, HIV, STIs

13. CMS releases proposed rule for Stage 2 Meaningful Use

Research and Reports

14. Surgeon General releases report on youth smoking

15. Policy brief examines the Prevention and Public Health Fund

16. Workplace wellness programs may punish workers

Announcements

17. National Health Promotion Summit – April 10-11

18. USPSTF draft research plan on BRCA mutation open for public comment

19. Public Health Services and Systems Research call for proposals

20. Members in the News: Jonathan Fielding

 

Top Stories

1. ACPM BOARD TACKLES STRATEGIC PLANNING AND GOVERNANCE ISSUES

Reviewing the second phase of ACPM strategic planning and strengthening ACPM’s governance structures and processes were the "spotlight” issues addressed by the ACPM Board of Regents at its recent meeting in Orlando. The Board reviewed and approved in concept a compilation of draft action steps, performance measures, and timelines to implement the strategic plan adopted by the Board in October, 2011 that were developed by ACPM committees, staff, and other leaders over the past five months. The Board also set preliminary priorities among the strategic objectives and action steps and charged ACPM committees and the strategic planning task force with finalizing the implementation plan with alignment strategies by June 2012. The Board also wrestled with ways to strengthen ACPM’s leadership development, nomination and election processes, and Board structure. A small working group, led by ACPM President-Elect Halley Faust, will prepare recommendations on these issues for the Board’s approval in June.

Other actions taken by the Board at its meeting included:

  • Adopting the ACPM 2012 budget
  • Modifying the membership eligibility guidelines for the ACPM President’s Society and changing the society’s name to the Preventive Medicine Leadership Society to align more closely with the Preventive Medicine Leadership Fund
  • Supporting changes to the annual meeting planning and programmatic structure
  • Adopting bylaws and policy changes to codify the relationship between ACPM membership and the ACPM Code of Ethics and to realign the terms of the categorical Regents structure to assure appropriately staggered terms
  • Approving minor changes to the ACPM Code of Ethics enforcement process

For more information about the Board of Regents meeting, contact ACPM executive director Mike Barry (mbarry@acpm.org).

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2
. ACPM RECOGNIZED ON SENATE FLOOR

Sen. Tom Harkin (D-IA), Chair of the Senate Health, Education, Labor and Pensions Committee, recently went to the Senate floor to denounce congressional efforts to divert funds from the Prevention and Public Health Fund to pay for the "doc fix” by pointing to a letter he received from ACPM president Miriam Alexander, MD, MPH, FACPM. During his speech on the Senate floor, Sen. Harkin noted, "Given the relentless rise in health care costs, it is a classic case of penny wise and pound foolish to take money from the Prevention and Public Health Fund. Americans get it when it comes to disease prevention…Here is a letter from the American College of Preventive Medicine urging us to oppose taking any money from the Prevention and Public Health Fund.”

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

To view an excerpt of Sen. Harkin’s comments visit http://bit.ly/ABT4fq.

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3. ACPM FEATURED IN BOSTON NPR AFFILIATE STORY ON LIFESTYLE MEDICINE

ACPM executive director Michael Barry was quoted in an article published online in CommonHealth, a blog on the Boston-based National Public Radio affiliate wbur.org, discussing the growing field of lifestyle medicine. The article, "Doctors Who Actually Tackle Your Unhealthy Lifestyle,” discusses the "emerging movement” of lifestyle medicine and how it is being advanced under health reform and profiles physicians who practice it.

The article also cites ACPM’s academy partner, the American College of Lifestyle Medicine, and refers to the "core competencies” developed and published under ACPM’s leadership. The article quotes Mr. Barry extensively regarding some of the barriers that need to be overcome before lifestyle medicine can become standard practice. Mr. Barry says that lifestyle medicine suffers from the lack of "a core economic driver like other treatments.” He also discusses the time barrier for busy primary care physicians in today’s competitive fee-for-service environment who argue that lifestyle medicine just "puts more on our plate.”

The article can be viewed at http://commonhealth.wbur.org/2012/02/doctors-lifestyle.

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ACPM News

4. THE RESULTS ARE IN: CONGRATULATIONS TO ACPM’S ELECTION WINNERS!

ACPM announced at the recent Preventive Medicine 2012 conference the winners of this year’s elections to the ACPM Board of Regents:

  • Treasurer: Robert A. Gilchick, MD, MPH, FACPM
  • Secretary: Christopher R. Armstrong, MD, MAEd, MPH, FACPM, FAsMA
  • PH/GPM Regent: Liana Lianov, MD, MPH, FACPM
  • YPS Regent: Katrina Rhodes, MD, MS, FACPM
  • Mid-Atlantic Regent: James Mancuso, MD, DrPH, FACPM
  • International Regent: Elliot Rosenberg, MD, MPH, FACPM

Congratulations to the winners as well as all of this year’s outstanding nominees.

ACPM also would like to recognize and thank the outgoing Board members for their tremendous leadership, service, and contributions to the College, including: P. Glenn Merchant, MD (Secretary-Treasurer); Herman Ellis, MD (Public Health Regent); Marcel Salive, MD (Mid-Atlantic Regent); Bart Harvey, MD (International Regent); and Wendy Braund, MD (Young Physician Regent).

Please join us in welcoming the new Board members and thanking the outgoing members for their service! For information on each Board member, please visit: http://www.acpm.org/default.asp?page=BORMain.

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5. ACPM HONORS AWARD WINNERS AND NEW FELLOWS

ACPM celebrated its leaders, award winners, and new Fellows at the ACPM Awards/New Fellows banquet on February 25 in Orlando, FL, capping off an outstanding Preventive Medicine 2012.

ACPM would like to congratulate the following award winners:

  • Marcel Salive, MD – Ronald Davis Special Recognition Award
  • Erica Frank, MD – ACPM Distinguished Service Award
  • Jean Paul Chretien, MD – William Kane Rising Star Award
  • Karsten Lunze, MD – Donald Gemson Resident Award

For more information about the award winners please visit: http://www.acpm.org/?page=Award_Winners.

The College also welcomes the new class of Fellows for the 2012-membership year: Wendy Braund, MD; David Damsker, MD; Hope Ferdowsian, MD; Sandra Guerra, MD; Mark Harris, MD; David Hyman, MD; Nishith Jobanputra, MD; Bernard Kozlovsky, MD; George Moore, MD; Padmini Ranasinghe, MD; Katrina Rhodes, MD; Randall Stafford, MD; and Tisha Titus, MD. Please join us in congratulating these accomplished physicians.

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6. PREVENTIVE MEDICINE 2012 ABSTRACT AWARD WINNERS

Each year the Preventive Medicine conference provides a platform for some of the best and brightest minds in the field to showcase their talents, and Preventive Medicine 2012 did not disappoint. This year’s winners are:

ACPM Outstanding Resident or Student Abstract

Steven Menez, BS, BA, Johns Hopkins School of Medicine

ACPM Outstanding Scientific Poster Abstract

David Pratt, MD, MPH, Schenectady County, New York

American Cancer Society Cancer Prevention & Control Poster Winner

Trudye Young, MD, Morehouse School of Medicine

Outstanding Oral Abstract Selections

John Millet, BA, Yale University of Medicine

Dariusz Mydlarz, MD, MPH, Walter Reed Army Institute of Research

Jeff Tzeng, DO, MPH, Uniformed Services University of Health Sciences

Alicea Mingo, MD, University of North Carolina at Chapel Hill

Congratulations to all poster and oral abstract winners and a special thanks to our judges for taking the time to review and score these presentations! ACPM also commends and thanks the Scientific Review Committee, led by ACPM Fellow Lorraine Yeung, for its efforts reviewing and selecting the oral and poster abstracts submitted for Preventive Medicine 2012.

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7. ACPM HOSTS CORPORATE ROUNDTABLE MEETING

ACPM hosted the semi-annual meeting of its Corporate Roundtable at Preventive Medicine 2012in Orlando. The Corporate Roundtable (CR) is an ongoing forum for mission-aligned private sector organizations to discuss and advance issues of shared interest with the College, leveraging the impact of the nation's sole medical specialty organization primarily focused on prevention and public health with like-minded organizations from the private sector. The intent of the CR is to foster communication between ACPM and CR members about topics of mutual interest and to create jointly valuable collaborative opportunities through relationship building to advance each partner’s mission.

Fourteen companies are currently members of the CR, which launched in October 2008. The February 24 meeting featured keynote speaker and new ACPM member RADM Boris Lushniak, MD, MPH, Deputy Surgeon General of the U.S. Public Health Service, who discussed the HHS National Prevention Strategy in a presentation entitled "a Blueprint for a Healthier America.” RADM Lushniak attended the full meeting and engaged in lively and passionate discussion with Corporate Roundtable members about the multiple and interrelated ways to improve population health outcomes. CR members also heard an update on ACPM’s strategic plan and other initiatives from ACPM President Miriam Alexander and executive director Mike Barry, and participated in the always-engaging and -entertaining legislative update from ACPM associate executive director Paul Bonta, with a particular focus on the impact of the 2012 elections process on the legislative agenda.

To learn more about the Corporate Roundtable and its members, visit http://www.acpm.org/?page=CR_Home.

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8. ACPM CONVENES SUCCESSFUL GLOBAL CLIMATE CHANGE AND HEALTH CONFERENCE

On February 22, 2012, ACPM convened a highly interactive, action-oriented conference, "Global Climate Change and Health: Best Practices for Mitigating the Effects and Impacting Policy,” in Orlando, FL. The live conference drew over 35 participants.

A panel of expert speakers presented on what climate change means for health, mitigation opportunities and adaptation needs, how to effectively communicate health implications of climate change, green practices for communities and office settings, and healthy habits for physicians and their patients. Attendees participated in discussion sessions on messaging and communication, greening practices within their work settings including ways to plan, prioritize and implement their ideas, and activism leadership opportunities and plans for taking action.

The conference was supported (in part) by a grant from the CDC and the content was developed by the ACPM Environmental Health Committee and the ACPM Conference Planning Group.

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9
. ACPM RESPONDS TO EDITORIAL IN THE NEW YORK TIMES

ACPM president Miriam Alexander, MD, MPH, FACPM sent a letter to The New York Times responding to a Feb. 28 editorial "If You Feel O.K., Maybe You Are Ok” that claimed preventive services lead to the overutilization and unnecessary use of clinical services. The author claimed, "The truth is, the fastest way to get heart disease, autism, glaucoma, diabetes, vascular problems, osteoporosis or cancer ... is to be screened for it. In other words, the problem is overdiagnosis and overtreatment.”

In her response, Dr. Alexander noted that the author "has forgotten the first lesson that he should have learned in his public health training which is, screening tests are different from diagnostic tests. He has lumped screening tests that should detect risk factors for disease with diagnostic tests which identify diseases already present.”

To view the editorial, visit http://nyti.ms/zqXWDl.

To view the ACPM response, visit http://www.acpm.org/resource/resmgr/Policy-Files/2012_Ltr__NYT-Welch.pdf.

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10. ACADEMY NEWS: FROM THE AMERICAN COLLEGE OF LIFESTYLE MEDICINE

Lifestyle Medicine in Action, February 2012

  • Dr. Michael F. Holick, leading vitamin D expert, offers his perspective on the role of vitamin D in health and disease.
  • ACLM President, Dr. Wayne Dysinger shares results of the recent ACLM election and offers his view of what lies ahead in his final President’s Desk column.
  • Lifestyle Medicine in Action features upcoming CME opportunities, including theLifestyle MedicinePractice Management Online CME Course, and offers current research and resources in Lifestyle Medicine.

Link to Lifestyle Medicine in Action:http://ow.ly/9xxND

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Policy and Practice

11. COURT BLOCKS IMPLEMENTATION OF NEW GRAPHIC CIGARETTE WARNING LABELS

A final ruling by U.S. District Court Judge Richard Leon in Washington, DC blocking implementation of the new, graphic cigarette warning labels could hamper continued efforts to implement effective cigarette warning labels. The U.S. Department of Justice has already appealed an earlier ruling by Judge Leon and is working to preserve this critical requirement of the landmark 2009 law giving the Food and Drug Administration (FDA) the authority to regulate tobacco products. Judge Leon concluded in his summary statement that the warnings are "neither factual nor accurate” about cigarette smoking.

A federal judge from the Sixth Circuit earlier upheld the new, graphic warning labels and that decision is now under appeal by the tobacco industry. The next rulings on this issue will come from the two appellate courts, and the issue could end up before the U.S. Supreme Court.

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12. COMMUNITY GUIDE PUBLISHES EVIDENCE REVIEWS ON PREVENTING ADOLESCENT PREGNANCY, HIV, and STIs

The Community Preventive Services Task Force has published its findings on two types of interventions to prevent teen pregnancy, HIV, and other sexually transmitted infections—comprehensive risk reduction and abstinence education delivered to groups of teens in school or community settings. Based on a systematic review of scientific evidence, the Task Force recommends comprehensive risk reduction interventions based on sufficient evidence that they reduced several self-reported risk behaviors, increased self-reported use of protection against pregnancy and sexually transmitted infections (STIs), and reduced the incidence of self-reported or clinically-documented sexually STIs.

A related review looked at group-based abstinence education to prevent pregnancy, HIV and other STIs among adolescents. Due to inconsistent results among reviewed studies, the Task Force found insufficient evidence to support this intervention and noted that more research is needed to determine whether or not the intervention works.

These findings and the Community Guide evidence reviews on which they are based are published in the March 2012 American Journal of Preventive Medicine. See http://ow.ly/9xCE0 for more information.

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13. CMS ISSUES PRELIMINARY RULE FOR STAGE 2 MEANINGFUL USE

The Centers for Medicare and Medicaid Services (CMS) has released the preliminary rules for Stage 2 Meaningful Use. "Meaningful Use” is the federal standard for eligible physicians and hospitals to receive incentives through Medicare and Medicaid for adopting and using an Electronic Health Record. Stage 1, finalized about two years ago, was meant to start getting providers to move key clinical data into electronic format. Stage 2 is meant to tie health information technology (HIT) adoption more closely to driving improvements in care, and to show that electronic health records are beginning to make a difference.

A few of the notable changes that will be underway once the Stage 2 rule is finalized are:

  • The "optional” measures included under stage 1 now would be "core” measures and would be added to the original stage 1 core measures.
  • Under stage 1, an electronic connection for exchange of health information between providers had to be successfully "tested.” Under stage 2, actual patient health data would be exchanged with another healthcare provider.
  • Under stage 1, patients had to have electronic access to their health records. Under stage 2, doctors would need to demonstrate that a percentage of their patients have accessed and downloaded their information.

Public comments on the preliminary Stage 2 rule will be accepted through March 23. The Stage 2 rule is expected to be finalized this summer. To view and comment on the preliminary Stage 2 rule, visit http://bit.ly/hL99Yo.

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Research and Reports

14. SURGEON GENERAL RELEASES NEW REPORT ON YOUTH SMOKING

Surgeon General Dr. Regina Benjamin has ramped up the fight against youth tobacco use by releasing the Surgeon General’s Report, Preventing Tobacco Use Among Youth and Young Adults. This report details the scope, health consequences and influences that lead to youth tobacco use and proven strategies that prevent its use. For the HHS news release and to access the report, visit http://ow.ly/9xGJv.

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15. POLICY BRIEF EXAMINES THE PREVENTION AND PUBLIC HEALTH FUND

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation provides an overview on two sides of the debate surrounding the Prevention and Public Health Fund created under the Affordable Care Act in 2010. The brief discusses the rationale for creation of the Prevention and Public Health Fund; examines where spending has gone to date; and lays out the debate over preserving, cutting, or eliminating the fund altogether.

The brief can be read here: http://bit.ly/Acp9Iv

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16. WORKPLACE WELLNESS PROGRAMS MAY PUNISH WORKERS

While more offices are turning to workplace wellness programs, Georgetown University Health Policy Institute researchers warn that improperly designed programs run the risk of shifting costs to those with the greatest health care needs. The report, Premium Incentives to Drive Wellness in the Workplace, recommends standards at the state and federal level for consumer protections to guard against those programs that inappropriately punish workers in poor health. The report can be read here: http://ow.ly/9yZve

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Announcements

17. 2012 NATIONAL HEALTH PROMOTION SUMMIT – APRIL 10-11

The Office of Disease Prevention and Health Promotion (ODPHP) and the Association for Prevention Teaching and Research (APTR) are hosting the 2012 National Health Promotion Summit: Prevention. Promotion, Progress, April 10-11, 2012, in Washington, DC. HHS Secretary Kathleen Sebelius, Surgeon General Regina Benjamin, and Health Affairs Editor-in-Chief Susan Dentzer are confirmed to speak at the event. Student scholarships are available. Register here: http://www.aptrweb.org/2012summit/registration.html

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18. USPSTF POSTS DRAFT RESEARCH PLAN ON BRCA MUTATION RISK ASSESSMENT AND TESTING FOR PUBLIC COMMENT

The U.S. Preventive Services Task Force (USPSTF) has posted a draft research plan on Genetic Risk Assessment and BRCA Mutation Testing for Breast and Ovarian Cancer Susceptibility. Once finalized, the research plan will guide the systematic evidence review that the USPSTF will use to update its recommendation on this topic. The USPSTF is encouraging review and feedback on the draft plan, which will be available for comment until March 27, 2012. Visit http://www.uspreventiveservicestaskforce.org/tfcomment.htm.

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19. PUBLIC HEALTH SERVICES AND SYSTEMS RESEARCH CALL FOR PROPOSALS

This solicitation seeks to expand the evidence for effective decision-making in public health practice and policy through research that utilizes natural experiments to understand the effects of external forces within communities and the resulting impact on population health. For more information and to apply, visit http://ow.ly/9xEWm.

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20. MEMBERS IN THE NEWS: JONATHAN FIELDING

ACPM Fellow and Past President Jonathan Fielding made a $50 million donation to the UCLA School of Public Health, the largest single donation in the school’s history. UCLA immediately renamed the school the Jonathan and Karin Fielding School of Public Health, which will use the donation to continue its tradition of teaching, research, and service. Dr. Fielding is the director of public health for Los Angeles County and one of the world's leaders in public health and prevention. To read the story, visit http://ow.ly/9xFSu.





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