|ACPM Headlines 3/27/15|
In this Issue
Policy and Practice
Research and Reports
1. FIFTY-SIX CONGRESSIONAL MEMBERS SIGN ON TO LETTERS URGING $10 MILLION FOR PMR TRAINING
Congratulations and thank you, ACPM members! As a result of your grass roots advocacy and collective voice, 18 Senators and 38 Representatives signed on to letters circulated by preventive medicine champions Sen. Tom Udall (D-NM) and Rep. Gene Green (D-TX) in the Senate and House, respectively, to increase funding for Preventive Medicine residency training. The sign-on letters in the House and Senate urged appropriators to provide $10 million in FY 2016 to the Health Resources and Services Administration (HRSA) to expand support for Preventive Medicine residency training programs. FY 2015 funding for preventive medicine programs is $7.1 million.
The strong showing of support is a direct result of ACPM member involvement in grassroots advocacy, which led to today’s high-water mark of support in Congress to expand the preventive medicine training pipeline.
2. ACPM RELEASES FACT SHEETS ON HEALTH SYSTEMS TRANSFORMATION
ACPM’s Health Systems Transformation (HST) Task Force has produced factsheets and resources for ACPM members to learn more about national and local HST efforts and how to get involved. The activities of the task force span a wide variety of topics including financing and service delivery reform, preventive medicine leadership in health systems transformation, and policy drivers, among others.
The task force was created as a result of a five-year cooperative agreement awarded to ACPM by the CDC in 2013 to conduct capacity building activities that will facilitate the integration of public health and primary care. The main foci of the cooperative agreement include professional development in HST and educating the public health and heath care systems about the critical importance of involving preventive medicine physicians in national and local efforts focused on HST.
ACPM is now accepting applications from residents interested in participating in a health policy practicum rotation at ACPM during the spring and the summer of 2015. Based at the ACPM headquarters in Washington, DC, the program is intended to give preventive medicine residents an opportunity to participate in preventive medicine policy activities in the nation's capital. The activities during each rotation will be tailored to take advantage of ACPM’s national policy focus and the many policy bodies in Washington, DC, including Congress, federal health agencies, and non-governmental health organizations.
more information, please contact Paul Bonta at email@example.com.
4. RONALD DAVIS SPECIAL RECOGNITION AWARD WINNER: BORIS D. LUSHNIAK, MD, MPH
This is the first of a series profiling the 2015 ACPM Award Winners. Each winner will be highlighted in upcoming issues of Headlines.
Boris D. Lushniak, MD, MPH, was awarded the Ronald Davis Special Recognition Award during the closing ceremony of Preventive Medicine 2015. As acting United States Surgeon General from July 17, 2013, until December 18, 2014, Rear Admiral Lushniak launched the50th Anniversaryof the Surgeon General’s Report on Smoking and Health and the firstCall to Action toPrevent Skin Cancer.In December, RADM Lushniak returned to his duties asDeputy Surgeon General, a post he has held since November 2010.
A firm believer in leadership by example, RADM Lushniak also promotes the core messages of the National Prevention Strategy via his active lifestyle. He is an avid long-distance bicyclist, runner, hiker, and kayaker. In 2012, he scaled the summit of the most heavily glaciated peak in the United States, Washington’s 14-thousand foot Mount Rainier. He also leads community Surgeon General’s Walks throughout the United States.
The Ronald Davis Special Recognition Award honors outstanding achievement in or contribution to the field of preventive medicine. Recipients do not need to be working directly in the field of preventive medicine, but should be recognized as important contributors to the field.
To nominate or learn more about ACPM’s Awards, visit: http://www.acpm.org/awards.
5. CORPORATE ROUNDTABLE MEMBER PROFILE: MDVIP
As an ACPM Bronze-level Corporate Roundtable member, MDVIP focuses on prevention and wellness to enable affiliated physicians to work with patients to live healthier lives. The MDVIP model allows physicians to partner with patients to keep them healthy. As a result, physicians spend more time discussing prevention and wellness. MDVIP has created a practice model built on the physician-patient relationship and greater in-office coordination and collaboration across the healthcare continuum.
MDVIP has published results showing improved outcomes across its network. Hospitalizations are down 79 percent in Medicare patients in one year and 72 percent in commercial patients; readmission rates for common problems (Acute MI, CHF and pneumonia) are all under 2%, compared to national averages that range from 15 to 21 percent; and control of chronic conditions is better against all benchmarks. Together, these results saved the healthcare system over $300 million a year.
In a recent Medical Economics issue, Andrea Klemes, DO, FACE, MDVIP’s Chief Medical Officer, discussed MDVIP’s patient-centered medicine and personal care models. "Our models were developed because we believe that physicians know that delivering quality care cannot be approached using a one size fits all model.” MDVIP believes its personalized medicine approach has reignited a fire that thousands of physicians practicing in the MDVIP model once held for medicine, and has encouraged many who were contemplating leaving medicine to remain in practice. "The MDVIP model allows physicians to regain the freedom to practice the way they were trained,” said Dr. Klemes.
ACPM thanks MDVIP for supporting its mission and participating in the Roundtable.
6. BILL INTRODUCED IN CONGRESS TO ENHANCE ROLE OF NUTRITION IN MEDICAL EDUCATION
Rep. Tim Ryan (D-Ohio) and Rep. Pat Tiberi (R-Ohio) have introduced a bipartisan bill – the Expanding Nutrition’s Role in Curricula and Healthcare (ENRICH) Act (H.R. 1411) – that would provide grants to update medical school curricula with nutrition and physical activity education and provide overall funding to support nutrition and physical activity education courses in U.S. medical schools.
The ENRICH Act establishes a $15 million grant program—all money from existing funds—to help medical schools incorporate nutrition and physical activity education into their curricula to meet expert recommendations. This will allow recipient medical schools to offer new courses, integrate nutrition and physical activity information into existing courses for all specialties, provide continuing medical education and workshops, offer electives, and include this information in residency rotations.
The American Medical Association (AMA) and the Centers for Disease Control and Prevention (CDC) have announced a joint initiative to take urgent action to Prevent Diabetes STAT and are urging others to join in the effort. Prevent Diabetes STAT: Screen, Test, Act - Today™, is a multi-year initiative to reach more Americans with prediabetes and stop the progression to type 2 diabetes.
As an immediate result of this partnership, the AMA and CDC have co-developed a toolkit to serve as a guide for physicians and other health care providers on the best methods to screen and refer high-risk patients to diabetes prevention programs in their communities.
The initiative aims to build on groundwork already laid by these two organizations over the past two years, including the CDC’s National Diabetes Prevention Program (National DPP), which showed that high-risk individuals who participated in lifestyle change programs, like those recognized by the CDC, saw a significant reduction in the incidence of type 2 diabetes.
Guest column by Michael Ybarra, MD, Sr. Director, Alliance Development, PhRMA
Policymakers and payers are experimenting with a variety of payment and delivery system reforms with the goal of moving away from fee-for-service toward paying for performance on measures of cost and quality. One of the catalysts in generating reforms has been the Center for Medicare & Medicaid Innovation, which was authorized as part of the Affordable Care Act.
The bar was raised on January 26th, when United States Department of Health & Human Services (HHS) announced a goal of tying 30 percent of fee-for-service Medicare payments to quality or value through alternative payment models by 2016, and 50 percent by 2018. HHS also announced the creation of the Health Care Payment Learning and Action Network to engage private payers, employers, patients and providers in increasing the adoption of value-based payments and alternative payment models.
While these reforms have the potential to generate savings and improve quality, there is also a risk that they will reduce quality and access to treatments depending on how new payment models are designed. Payment reforms should be transparent and patient-centered. They should balance patient access, quality, cost control and innovation. To read more, including best practices in payment model design, visit: http://www.phrma.org/phrma-principles-for-payment-and-delivery-system-reforms.
9. USPSTF RELEASES FINAL RECOMMENDATION ON SCREENING FOR THYROID DYSFUNCTION
The U.S. Preventive Services Task Force (USPSTF) has published a final recommendation statement for thyroid screening in non-pregnant, asymptomatic adults. "Final Recommendation Statement Thyroid Dysfunction: Screening” concludes that current evidence is insufficient (I Grade) to adequately assess the benefits and harms of screening in this population.
The systematic review found indirect evidence associated with harms of screening in asymptomatic populations including frequent false-positives, psychological effects of labeling, and over diagnosis and treatment of abnormal TSH levels that may not actually cause health problems in patients. USPSTF recommends additional research using long-term randomized, blinded, and controlled trials on thyroid screening, including the effects of treatment vs. "watchful waiting” on cardiovascular-related morbidity and mortality.
In other USPSTF news, the task force has released a final research plan: periodic screening for gynecological conditions with the pelvic examination and a draft research plan: screening for ovarian cancer for public comment.
The Institute of Medicine (IOM) has published a workshop summary focused on sharing information about the importance of targeted health communication to improve widespread action and awareness to improve health. "Communicating to Advance the Public’s Health: Workshop Summary,” describes the presentations and group discussion among speakers, IOM roundtable members, and the audience on the role of news media, television, and film in influencing public perceptions of health; principles for the appropriate use of social media in engaging audiences; and the science of identifying and crafting messages for specific audiences.
The Office of the National Coordinator for Health Information Technology has released a new data brief, "Hospital Reporting on Meaningful Use Public Health Measures in 2014." The brief shows encouraging growth in hospitals' electronic public health reporting from Stage 1 to Stage 2 of Meaningful Use. Stage 2 hospitals in 2014 had electronic reporting rates of 88 percent for immunization, 85 percent for lab results, and 75 percent for syndromic surveillance. Under Stage 2, these public health reporting objectives became required for participating hospitals.
Safe Kids Worldwide and the American Association of Poison Control Centers has released a report detailing poison control center calls to better understand trends and develop prevention strategies for unintentional medicine poisonings. "Medicine Safety for Children: An In-Depth Look at Calls to Poison Centers” found that 81% of calls related to medicinal poisonings were a result of children getting into medicine that was not meant for them; most commonly among children 1-2 years old and teenagers 15-19 years old. This report further details its findings and includes recommendations for parents to prevent poisonings at each developmental stage of childhood.
13. NY ACADEMY OF SCIENCE TO HOST NUTRITION CONFERENCE
The NY Academy of Science and The Sackler Institute for Nutrition Science on April 16, 2015, will hosting a conference on "Nutrition and the Science of Disease Prevention: A Systems Approach to Support Metabolic Health.” Organized in part by ACPM Fellow and former Regent, Liana Lianov, MD, MPH, FACPM, the one-day conference will highlight the connection between nutrition and the complex science of preventing disease and will focus on promotion of optimal metabolic health.
The U.S. Centers for Disease Control and Prevention (CDC) Million Hearts campaign has announced a funding opportunity for a national organization to disseminate evidence-based cardiovascular disease prevention strategies and resources, promote the use of consistent cardiovascular disease messaging, and provide opportunities for sharing best practices and evidence-based prevention approaches at the state and local level. The "Partner Support for Heart Disease and Stroke Prevention (CDC-RFA-DP15-1504)” award will average $500,000 per year over a five-year period. Applications are due May 11, 2015, with an anticipated start date of September 1, 2015.
The Louisville Metro Department of Public Health and the University of Louisville, School of Public Health and Information Sciences, are seeking qualified candidates for the position of director and faculty member.
This position will direct public health programs and operations pursuant to KRS Chapter 212 and perform academic school faculty member duties as assigned by the University of Louisville, School of Public Health and Information Sciences. This position will establish and implement departmental goals, budget, policies, programs and procedures and exercise supervision over subordinate personnel.
For additional information on duties and minimum requirements, please visit the ACPM’s Career Center to view the entire job posting: http://careers.acpm.org/jobs/6951586/director-louisville-metro-department-of-public-health-and-wellness
The Association of American Medical Colleges (AAMC) has announced the release of Public Health Pathways, a new web-based resource of public health training opportunities for learners across the medical education continuum.
Public Health Pathways is a searchable database of domestic and international public and population health training opportunities in academic, government, and community settings for pre-med students, medical students, residents, and post-residents.