|ACPM Headlines 4/25/14|
In this Issue
Policy and Practice
Research and Reports
1. FDA EXPANDS REGULATORY AUTHORITY TO E-CIGARETTES
The Food and Drug Administration (FDA) has issued a proposed rule to extend its regulatory authority to e-cigarettes through provisions that would prevent minors from purchasing these products and prohibit e-cigarettes from being sold in vending machines or being passed out as free samples. The proposed rule follows criticism by public health advocates and many lawmakers that the agency has delayed action even as significant numbers of youth have begun using e-cigarettes. It could be another year before the restrictions go into effect, however. FDA commissioner Margaret Hamburg said that the proposal lays the foundation for further control of e-cigarettes as well as cigars, another currently unregulated tobacco product that also would be covered by the rule.
2. PRESIDENT’S MESSAGE: HAVE YOU MADE YOUR 2014 GIFT YET?
As a long-time member and Fellow of the American College of Preventive Medicine, I know firsthand how the College has positively impacted my career and the careers of so many of my colleagues. Last November, I asked you to make a gift to support the work of the College and today I'm writing to ask you to please make your donation today. An investment in ACPM is an investment in your future and the future of the specialty of preventive medicine. ACPM advocates for our profession and is the only professional medical society dedicated to us, preventive medicine specialists. Prevention matters. Now, with the honor of serving as President of ACPM, we are in the position to elevate the role of prevention in our health care system. More than ever, ACPM is in the unique position to support innovative solutions in health care management and public health improvement. ACPM matters. With your support, along with that of our fellow members, I know we can make a difference. Visit ACPM's website to learn more about the strategic initiatives your dollars will support or to make a contribution online. Thank you in advance for your generous donation. Your gift matters.
With gratitude, Halley S. Faust, MD, MPH, FACPM
ACPM Donor Spotlight: Janet Greenhut, MD, MPH, CSC
3. ACPM SENIOR STAFF TALK ABOUT LIFESTYLE MEDICINE AT PHRMA ANNUAL MEETING
ACPM Associate Executive Director of Program and Operations, Dani Pere, was interviewed by PhRMA during its recent annual meeting in Washington, D.C. Throughout the meeting industry leaders, legislators, and issue experts were interviewed on the issues they care about and the perspectives they were bringing to PhRMA. During her interview, Dani highlighted the shifting conversation about lifestyle medicine and its impact on chronic disease as well as ACPM’s goal to elevate prevention in the collective health care conversation.
4. ACPM SIGNS LETTER IN SUPPORT OF CDC’S ANTIBIOTIC RESISTANCE INITIATIVE
ACPM joined its partners in medicine and public health on a letter to House and Senate appropriators urging support for President Obama’s FY 2015 budget request of $30 million for the Centers for Disease Control and Prevention’s (CDC) Detect and Protect Against Antibiotic Resistance Initiative. The proposed initiative would enhance surveillance and laboratory capacity at the local, state, and federal levels to speed the identification of antibiotic resistance threats while investing in evidence-based interventions that reduce the spread of antibiotic resistant pathogens.
According to the letter, “The Detect and Protect Against Antibiotic Resistance Initiative has the potential to deliver significant, measurable results for patients. CDC projects that over five years the initiative could lead to a 50% reduction in health-care associated Clostridium difficile (C. diff), 50% decline in health-care associated carbapenem-resistant Enterobacteriaceae (CRE), 30% decline in invasive methicillin-resistant Staphylococcus aureus (MRSA), 30% decline in health-care associated drug-resistant Pseudomonas sp., and 25% reduction in drug-resistant Salmonella infections. CDC estimates that the reduction in antibiotic resistance related pathogen C. diff would alone prevent 150,000 hospitalizations and save 20,000 lives.”
5. REGISTRATION NOW OPEN FOR THE 27th ANNUAL ACPM BOARD REVIEW COURSE
Join us August 23-27, 2014 at the Omni Shoreham Hotel in Washington, DC for a one-of-a kind opportunity to prepare for the American Board of Preventive Medicine (ABPM) certification examination. The course will feature a comprehensive review of the ABPM study guide and provide a unique opportunity to earn Continuing Medical Education (CME) and Maintenance of Certification (MOC) credits.
2014 Review Course Highlights
· A presentation by the American Board of Preventive Medicine featuring valuable information about the Board exam and a question and answer session.
· An evening presentation by Deputy Assistant Secretary of HHS Office of Disease Prevention and Health Promotion, Don Wright, MD, MPH, on “Preventive Medicine in the Field of Federal Health Policy.” This presentation will focus on Dr. Wright’s professional journey from preventive medicine into the federal government, the basics of federal health policy and its ties to preventive medicine, opportunities in the federal environment, and federal tools and resources useful to the field. Potential speakers may include the U.S. Surgeon General and a representative from the Agency for Healthcare Research and Quality (AHRQ).
· Opportunity to earn significant CME and MOC credits.
Register now and take advantage of the early-bird discount.
This live activity has been approved for a maximum of 40 AMA PRA Category 1 Credits™ and Maintenance of Certification Credits (MOC)
6. RENEW YOUR MEMBERSHIP BEFORE IT'S TOO LATE!
Congratulations to our early renewal iPad winner
ACPM’s annual membership dues renewal season is winding down, and members have been sent several renewal reminders. If you have renewed, thank you for your continued support of the College. If not, we encourage you to submit your membership dues renewal as soon as possible to ensure continuation of valuable ACPM member benefits, including reduced rates on annual meeting registration, CME/MOC credit discounts (members pay no fees—while non-members pay $10 per credit!), publications, and much more.
To renew your membership, simply visit our website and login with your username and password, select the option to "Manage Profile” and "Click to Renew Your Membership Dues.” Our quick and convenient online renewal process also offers the option to obtain a receipt for your transaction. if you forgot your password, click the "Forgot your password?" link and a reset link will be sent to your email on record.
Don’t wait—renew your membership today and stay connected with ACPM! Also, be sure to take a few moments and update your member profile with current contact and other valuable demographic information, which will help assure you derive the most value from your dues dollars.
Congratulations to Chris Pernell, MD, MPH, the winner of the iPad Mini for early renewal of her ACPM dues. Dr. Pernell is a PGY-2 in the General Preventive Medicine Residency at the Johns Hopkins Bloomberg School of Public Health.
7. PREVENTIVE MEDICINE RESIDENT SHARES HER STORY ABOUT THE COST OF CARE
Laura Sander, MD, MPH, chief resident in the Johns Hopkins Bloomberg School of Public Health’s General Preventive Medicine Residency program and recent member of ACPM’s Resident Physician Governing Council, was chosen as one of four winners for a contest sponsored by Costs of Care, a nonprofit that raises awareness of health costs, for her essay about her family’s experience.
As a primary care and preventive medicine physician in Baltimore, Dr. Sander often witnesses her patients struggling with medical expenses, but the issue became personal when Sander's father was diagnosed with non-Hodgkin lymphoma while working in France. Her family chose to bring him home for treatment to be near his family during his struggle, even though he was “under-insured” in the U.S. The exorbitant costs of tests, surgeries and medications took a huge financial toll on her family, to the point where her parents considered selling their home to cover costs.
“I think my dad’s story highlights a lot of the challenges in our health care system and I wanted to add to that conversation” said Sander, who is pursuing a career in primary care and preventive medicine.
Read Sander's story, published on the Costs of Care blog.
Policy and Practice
8. HHS ANNOUNCES HISTORIC RELEASE OF PHYSICIAN DATA SET
The Department of Health and Human Services (HHS) earlier this month announced the release of new, privacy-protected data on services and procedures provided to Medicare beneficiaries by physicians and other health care professionals. The new data also show payment and submitted charges, or bills, for those services and procedures by provider.
The Obama administration has touted the data release as an important milestone toward making the health care system more transparent, affordable, and accountable. In the agency’s announcement, Centers for Medicare and Medicaid Services Administrator Marilyn Tavenner said, "Data transparency is a key aspect of transformation of the health care delivery system. While there’s more work ahead, this data release will help beneficiaries and consumers better understand how care is delivered through the Medicare program.”
Not all physician groups are extoling the data release, however. According to the April 11 AMA Wire, “…because the agency released only raw data with little context and considerable limitations, it’s easy for patients, reporters and others to draw inaccurate conclusions about individual physicians.” The AMA provided the following talking points for physicians who may receive inquiries from patients or reporters about their charges or payments:
9. EARLY DATA ON E-CIGARETTES MAY SHOW AN ASSOCIATION WITH CANCER
The New York Times has reported on preliminary study findings suggesting an association between e-cigarettes and cancer. The results were presented by a multi-university research team at the 3rd joint conference for the American Association for Cancer Research-International Association for the Study of Lung Cancer in January 2014.
In this study, researchers found that when cells with genetic mutations associated with an increased risk for lung cancer are exposed to e-cigarette vapor, they began exhibiting changes associated with cancer. The researchers will publish their findings at the conclusion of the study.
10. FROM THE CPSTF: COMMUNITY GUIDE TOOLBOX, REDUCING ALCOHOL-IMPAIRED DRIVING
The Community Preventive Services Task Force (CPSTF) has announced two new publications: (1) a new toolbox to assist clinicians with planning and implementing effective public health interventions, and (2) a new recommendation regarding sobriety checkpoint programs to reduce alcohol-impaired driving.
The Community Guide Toolbox consists of five sections focusing on assessment, planning, engaging stakeholders, implementation, and sustainability utilizing Community Guide recommendations and other national resources to produce effective community-level interventions.
After a review of the currently available evidence, CPSTF recommends the use of publicized sobriety checkpoint programs to reduce alcohol-impaired driving. CPSTF reviewed fifteen studies evaluating checkpoint programs. The studies found a decrease in crash fatalities involving alcohol (13-18.8% decrease), number of drivers with a BAC level above the legal limit (28% to 64% decrease), and serious and fatal nighttime crashes (22% decrease).
More information on each of these publications can be found at the Community Preventive Services Task Force website.
11. POWERFUL NARCOTIC PAINKILLER UP FOR FDA APPROVAL
The Food and Drug Administration (FDA) is convening a panel to consider whether to approve the powerful new prescription painkiller, Moxduo.® Brought to market by QRxPHARMA, Inc., this drug combines morphine and oxycodone into one capsule at lower doses than if a patient took them individually.
While some experts say the narcotic could be used as a valuable alternative for patients in intense pain, others are concerned that the drug could worsen the epidemic of abuse of prescription painkillers and overdoses. Because the new drug is easy to crush, addiction specialists worry that it could escalate the already soaring levels of people addicted to painkillers and dying from overdoses. But advocates for approval explain that it can help millions of patients who are in pain and who can’t take traditional morphine or oxycodone due to side effects.
Research and Reports
12. IOM COMMITTEE IDENTIFIES SOCIAL DETERMINANTS OF HEALTH FOR EHRs
An Institute of Medicine (IOM) committee has released a first-phase report identifying domains and measures that capture the social determinants of health to inform the development of recommendations for meaningful use of electronic health records (EHRs). In its report, the committee identifies the social and behavioral domains that are the best candidates to be considered in all EHRs; specifies criteria that should be used in deciding which domains should be included; and identifies any domains that should be included for specific populations or settings defined by age, socioeconomic status, race/ethnicity, disease, or other characteristics.
Traditionally, research and interventions on social and behavioral determinants of health have largely been the purview of public health. Health care systems, in contrast, have focused primarily on the treatment of disease in individual patients, and, until recently, social determinants of health have not been linked to clinical practice or health care delivery systems. Electronic health records (EHRs) provide crucial information to providers treating individual patients, to health systems about the health of populations, and to researchers about the determinants of health and the effectiveness of treatments.
13. CDC REPORT HIGHLIGHTS EFFECTIVE STRATEGIES FOR REDUCING HEALTH DISPARITIES
The Centers for Disease Control and Prevention (CDC) has issued a report on public health interventions that are proven effective or show promise in reducing health disparities. The report, Strategies for Reducing Health Disparities – Selected CDC-Sponsored Interventions, 2014, is a companion to two earlier disparity reports--CDC Health Disparities and Inequalities Report—United States, 2011 and an updated report in 2013.
14. STUDY SHOWS RISE IN SEVERE OBESITY AMONG CHILDREN
The University of North Carolina has published a new study showing an upward trend in severe obesity among children despite apparent stabilizing of the overall prevalence of obesity. The analysis counters the recent claim that obesity rates have declined among young children over the last decade.
The new study examines all available data from the National Health and Nutrition Examination Survey (NHANES), while previous studies have only examined the last decade—where 2003 data reflects an uptick in obesity leading to the appearance of a decline in subsequent years. Most troubling is an upward trend in the more severe forms of obesity – those in which children have a body mass index (BMI) that is 120 to 140 percent higher than their peers.
“Prevalence and Trends in Obesity and Severe Obesity Among Children in the United States, 1999-2012,” finds that all classes of obesity have increased over the last 14 years for children aged 2 to 19 years. Specifically, the study examined differences in obesity trends by age, race/ethnicity, and sex using NHANES data.
15. UNIVERSITY OF ND SEEKS FOUNDING CHAIR OF DEPARTMENT OF POPULATION HEALTH
The University of North Dakota, Grand Forks, is seeking a founding chair for its Department of Population Health in the School of Medicine and Health Sciences. The successful applicant will be responsible for creating the new department that will serve as an academic home for faculty conducting research on the determinants of health and disease in populations, providing public health education to students and faculty, and collaborating with clinicians, communities, and other institutions and researchers to improve the understanding of health to inform policy and practice. Qualifications include a PhD or clinical (e.g., MD, DO, DSN) terminal degree, academic work qualifying applicants for appointment as a Professor, and a distinguished record of teaching and extramurally funded research.
Please visit the website for further qualification details and application information.
16. AHRQ SEEKS NOMINATIONS TO U.S. PREVENTIVE SERVICES TASK FORCE
The Agency for Healthcare Research and Quality (AHRQ) is soliciting nominations for new members to serve on the U.S. Preventive Services Task Force (USPSTF). The USPSTF is an independent body of experts in prevention and evidence-based medicine that works to improve the health of Americans by making evidence-based recommendations about the effectiveness of clinical preventive services and health promotion.
Qualified candidates must demonstrate expertise and national leadership in clinical prevention, the critical evaluation of research, and the implementation of evidence-based recommendations in clinical practice. In addition, AHRQ seeks candidates who have experience in public health, the reduction of health disparities, the application of science to health policy, and the communication of findings to health care professionals, policy makers, and the general public.
To learn more about the nomination process, how to nominate
an individual for consideration, or how to self-nominate,
please visit the AHRQ
website. Nominations must be received by Thursday,
May 15, 2014 to be considered for appointment with an anticipated start date of
ACPM is very happy to announce that Haydee Barno, MBA,
CMP-HC has returned to the organization as Director, Continuing
Education. She is thrilled to return to the organization, and to continue to
serve our members.