|ACPM Headlines 5/12/14|
In this Issue
1. ACPM announces its first certification of weight management program
Policy and Practice
8. Administration clarifies tobacco cessation coverage requirements under ACA
Research and Reports
11. Report finds some e-cigarettes produce carcinogens
1. ACPM ANNOUNCES ITS FIRST CERTIFICATION OF WEIGHT MANAGEMENT PROGRAM
ACPM and RediClinic have released a joint statement announcing ACPM’s first program certification, awarded to RediClinic’s Weigh Forward® weight/lifestyle management program, recognizing the program as meeting evidence-based standards for healthy weight loss. The announcement marks the launch of a program to provide non-profit and for-profit organizations with the opportunity to receive ACPM certification for their weight management programs, ACPM’s first certification area.
ACPM experts conducted a comprehensive review of RediClinic’s program against rigorous, evidence-based criteria built on proven program elements. Outcomes of Weigh Forward were not reviewed or certified, but will be examined during program recertification.
Organizations that receive ACPM certification for their weight management program will be able to market the product as such to potential customers. And, for the first time, consumers will have the ability to seek the ACPM certification seal when assessing their options to create and support a healthy lifestyle.
RediClinic submitted the first application for ACPM certification, serving as an initial test of the certification program first announced by the College last summer. With this successful launch, ACPM is now seeking additional companies to apply for certification. To learn more about the certification program, please visit the ACPM website or contact Dani Pere, Associate Executive Director, Programs and Operations, at firstname.lastname@example.org.
The Centers for Medicare & Medicaid Services (CMS) has released information regarding registration in the Open Payments system for physicians and teaching hospitals interested in reviewing and verifying data reported bypharmaceutical, biotechnology and medical device manufacturers and group purchasing organizations (GPOs) in concordance with the "Sunshine Act” prior to public disclosure of this information by CMS. Registration in the Open Payments system is voluntary. Specifically:
CMS will be releasing additional guidance regarding the CMS registration process and Phase 2 timeline in the coming weeks.
ACPM’s Integrative Medicine in Preventive Medicine Education (IMPriME) coordinating center has announced the next series of monthly faculty development integrative medicine webinars, beginning May 29 and extending through September, 2014.
The webinars are an outgrowth of ACPM’s two-year IMPriME project and feature best practices and lessons learned by 12 Integrative Medicine Program (IMP) grantees as they incorporate integrative medicine curricula into their preventive medicine residency training programs. The 2014 webinar series also features guest speakers from the United States Pharmacopeia and the Memorial Sloan Kettering Cancer Center.
The live and archived webinars each offer one CME/MOC credit, which is available at no charge to ACPM members and for $10 to other webinar attendees. Consider joining IMPriME’s Community of Learning to stay abreast of webinars and other IMPriME activities as they become available. Additional information about the IMPriME project, which is funded by the Health Resources and Services Administration (HRSA), and IMPriME webinars can be found at www.IMPriME.org.
4. NEW ACPM SECTION LEADERS ELECTED AND INSTALLED
ACPM’s Young Physician Section, Resident Physician Section, and Medical Student Section have completed their 2014 elections for section leaders to round out their governing councils. The section leaders for 2014 are:
Individuals who are active ACPM members and members of their section are eligible to serve as a section officer. Section representatives govern, develop initiatives, and facilitate program planning for their respective sections. They develop a deep understanding of the College’s mission and vision, commit time, and offer unique perspectives to serve members of their ACPM member group constituency. They also represent the pipeline of young physicians who eventually will serve at the highest levels of volunteer leadership for the College.
ACPM extends warm congratulations to its 2014 section leaders! To learn more about ACPM member groups, and how you may become involved, please visit our website or contact Benjamin Butz, Director, Membership Engagement and Innovation, at email@example.com or 202.466.2044 x104.
As part of a feature on health and wellness, Katie Couric spoke with Yale-Griffin Prevention Research Center Director David Katz, MD, MPH, FACPM, and naturopathic physician Pina LoGiudice, ND, LAc, on April 29 about some of the benefits and challenges of integrative medicine. Integrative medicine specialist Melissa Young, MD, also spoke about Cleveland Clinic’s incorporation of Traditional Chinese Medicine at its Center for Integrative Medicine. A webcast of the show is available at The Katie Couric Show, Integrative Medicine. Additional related commentary authored by Dr. Katz is available at A Holistic View of Evidence-Based Medicine.
Dr. Katz is Chair of ACPM’s Integrative Medicine in Preventive Medicine Education (IMPriME) project, a two-year project funded by the Health Resources and Services Administration (HRSA) to incorporate evidence-based integrative medicine curricula into preventive medicine residency training programs.
The Chairman of the Chicago City Council’s Committee on Finance has introduced legislation to safeguard children from the potentially harmful effects of liquid nicotine poisoning, and included with the introduction of his bill a copy of a letter signed by ACPM and other national organizations to President Obama warning of the increasing risk to children of exposure to liquid nicotine. ACPM reported in a recent edition of ACPM Headlines about the increasing public health risk of liquid nicotine fueled by the use and popularity of e-cigarettes. The National Poison Data System reports that number of reported poison cases linked to e-liquids grew 300% in 2013 and is set to double in 2014.
7. ACPM WELCOMES NEW MEMBERSHIP DIRECTOR
ACPM is pleased to welcome Benjamin Butz (pronounced ‘Boots’), MPA, CAE, as its new Director, Membership Engagement and Innovation. Ben comes to ACPM from the American Association of Medical Society Executives (AAMSE), where he rapidly advanced from a program manager to his most recent position as AAMSE’s executive director. He brings to ACPM a wealth of association management experience, with a true passion for membership development, innovation, and engagement and an intimate understanding of how medical societies operate. Please join us in welcoming Ben (firstname.lastname@example.org) to the ACPM family.
8. ADMINISTRATION CLARIFIES TOBACCO CESSATION COVERAGE REQUIREMENTS UNDER ACA
Group health plans and health insurance issuers that offer plans under the Affordable Care Act (ACA) must provide free tobacco use screening and offer smokers at least two tobacco cessation attempts each year, according to clarifications recently posted on the Department of Labor's website. Each attempt should also include four tobacco cessation counseling sessions and 90-day prescriptions for approved medication to help patients break the habit.
While the ACA requires most health plans to cover tobacco cessation services, implementing the requirements has been inconsistent. Smokers have reported difficulties accessing treatments and having to pay for services that should have been free, prompting the departments of Labor, Health and Human Services (HHS), and Treasury to draft these clarifications.
9. FROM THE USPSTF: PREVENTING DENTAL CARIES IN CHILDREN; COUNSELING TO PREVENT STI’S
The U.S. Preventive Services Task Force (USPSTF) has released several draft and final recommendation statements for clinician guidance. The final recommendation statement for "Prevention of Dental Caries in Children from Birth Through Age 5 Years,” encourages primary care clinicians to prescribe oral fluoride supplements to children ages 6 months to 5 years who are not regularly drinking fluoridated water and apply fluoride varnish to the primary teeth of all infants and children, beginning at primary tooth eruption. This statement received a B recommendation (USPSTF recommends this service). An I statement (insufficient evidence to assess the benefits and harms) was given for routine screening examinations for dental caries by primary care clinicians for children in this age group.
In addition, two draft recommendation statements and draft evidence reports regarding sexually transmitted infections (STIs) were released for public comment. The draft recommendation statement and evidence report for "Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections” suggest a B recommendation for intensive behavioral counseling for all sexually active adolescents and adults at increased risk for STIs. A separate draft recommendation statement and evidence report were released for chlamydia and gonorrhea. "Screening for Chlamydia and Gonorrhea” provides a B recommendation for screening all sexually active women aged 24 years and younger in addition to older women who are at increased risk for infection. USPSTF has given an I statement for chlamydia and gonorrhea screening in men. Comments for both statements will be accepted until May 26th at 5:00 pm EDT.
Steven Colbert, host of "The Colbert Report,” aired a segment on a recent show that highlights the lack of evidence behind the anti-vaccine movement. Mr. Colbert poked fun at parents who refuse to allow their child to be vaccinated because of a perceived link between vaccines and the rise in autism. His guest, Paul Offit, MD, chief of the Division of Infectious Diseases and the director of the Vaccine Education Center at the Children's Hospital of Philadelphia, noted that parents who do not give their child a vaccine, "what they’re doing is putting aside a mountain of scientific evidence. There are now more than 20 studies that show that vaccines don’t cause autism.”
11. REPORT FINDS SOME E-CIGARETTES PRODUCE CARCINOGENS
A new, peer-reviewed study to be published in the journal Nicotine and Tobacco Research indicates some electronic cigarettes produce carcinogens at concentrations similar to cigarette smoke. The study follows new sweeping rules proposed by the Food and Drug Administration (FDA) that would give the agency authority to regulate electronic cigarettes.
The study examined the concentration of formaldehyde, a known carcinogen, in the smoke of electronic cigarettes utilizing refillable "tank technology.” These tank systems are designed to achieve higher vaporizing temperatures than smaller, cigarette-like devices. The higher temperatures produce larger plumes of smoke and larger nicotine doses per inhalation. These devices are easily modified, potentially leading to increased release of cancer causing compounds.
Diabetes diagnosis among children has increased markedly despite a renewed focus on interventions, according to a study published in the May 7th issue of JAMA. Type 1 diabetes increased 30% between 2001-2009 for children age 19 and under, while Type 2 diabetes increased about 35% for children between ages 10 and 19 for the same time period.
With more than 215,000 children currently diagnosed with diabetes, the study raises fresh concerns about the public health impact of pediatric diabetes. Increases were detected among all racial groups except for American Indians. The reasons for the increase are unknown.
The National Physical Activity Plan Alliance, a not-for-profit coalition of national organizations committed to promoting physical activity in Americans, has released an inaugural Report Card evaluating the physical activity levels and indicators influencing physical activity among children and youth.
The Report Card is an authoritative, evidence-based rubric that approaches the problem of youth physical inactivity from an ecological perspective. Overall, the Alliance gives a grade of "D-"(success in approximately 21-41% of children) in the evaluation of overall childhood physical activity. The Alliance provides scoring in 9 other categories (sedentary behaviors, active transportation, organized sport participation, community and the build environment, physical education in school, active play, health-related fitness, family and peer fitness, and government strategies and investments) with scores ranging from INC (insufficient information to establish grade) to a "B-"(success in well over half of children) for the evaluation of the built environment supportive of childhood physical activity.
The National Forum for Heart Disease and Stroke Prevention has released an update to its April 2003 report, highlighting achievable national goals for the prevention of heart disease and stroke. The Ten-Year Update, which includes contributions from 100 public health leaders, calls for the financial prioritization of prevention, the transformation of public health agencies into champions of heart health policy and environmental changes, and the focus on the root causes of heart disease and stroke.
The Ten-Year Update identifies seven action priorities focusing on effective communication, strategic leadership, action steps, capacity building, evaluation, policy advancement and regional/global collaboration. The Action Plan serves as a continuing point of reference for state heart disease and stroke prevention programs and the ongoing work of CDC’s Division for Heart Disease and Stroke Prevention.
The National Forum is an alliance of organizations representing public, private, health care, advocacy, academic, policy, and community sectors (including ACPM) that provides a collective voice for a heart-healthy and stroke-free society through collaborative policy and programmatic efforts.
15. THIRD NATIONAL CLIMATE ASSESSMENT RELEASED
The U.S. Global Change Research Program (USGCRP) has released the Third National Climate Assessment, summarizing the impacts of climate change on the United States. This report was guided by a team of over 300 experts and a 60-member Federal Advisory Committee and explores their findings of the effects of climate change by state or region. The committee members and experts found that climate change is affecting the United States in various devastating ways and provides response strategies to help Americans adapt to the changing climate.
The Agency for Healthcare Research and Quality (AHRQ) has released its 2014 Stay Healthy consumer brochures to help consumers understand the different preventive services available to them to stay healthy. The brochures, available to download or print on the AHRQ web site, provide information on what screening tests to take, and what steps to take for good health and preventive care. The information in the brochures is based on USPSTF recommendations.