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ACPM Headlines 5/23/14
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In this Issue

Top Stories

1. ACPM announces launch of Preventive Medicine 2014 ePortal

2. DOL clarifies minimum standards for tobacco cessation coverage under ACA

3. ACPM team meets with HRSA primary care and health professions leaders

ACPM News

4. Applications sought for ACPM health policy practicum rotation

5. ACPM seeks member input on health systems transformation

6. ACPM donor profile: Dan Blumenthal

7. ACPM IMPriME team presents at international integrative medicine meeting

8. ACPM welcomes new members

9. ACPM’s Paul Bonta honored by national organization for advocacy work

10. Corporate Roundtable Profiles: MDVIP, Health Diagnostics Laboratory, Inc.

Policy and Practice

11. Task force recommends strategies to prevent skin cancer in community settings

12. NIH announces new policies addressing gender disparities in clinical research

13. ACPM signs on to child nutrition statement

Research and Reports

14. Annual report on the nation’s health highlights Rx drug use

15. CDC: 1 in 3 heart disease deaths are preventable

Announcements

16. Members in the news: Kevin Sherin; Paul Jung

17. Input sought on fitness industry perceptions & referral practices


TOP STORIES

1. ACPM ANNOUNCES LAUNCH OF PREVENTIVE MEDICINE 2014 ePORTAL

ACPM is pleased to announce the launch of its Preventive Medicine 2014 ePortal! All session content, including speaker slides (to the extent released by speakers), is now available through the ePortal. ACPM members enjoy complimentary full access to these materials.

You may access the e-portal HERE. Once you have clicked the link, please click the 2014 Conference Proceedings link in the left margin to view the sessions.

To obtain credits, simply complete the CME/MOC Request Form available under the CME/MOC Information 2014 link, also in the left margin. ACPM members not attending PM2014 may earn CME/MOC credits for a nominal fee.

Full instructions on how to access the presentations and to obtain CME/MOC credits is available in the ACPM e-Portal. Production and distribution of the Preventive Medicine 2014 e-Portal was made possible through a conference grant from the Agency for Healthcare Research and Quality.


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DOL CLARIFIES MINIMUM STANDARDS FOR TOBACCO CESSATION COVERAGE UNDER ACA

The Department of Labor (DOL) has published clarifying guidance regarding the essential smoking cessation services that health insurers must provide, without additional cost to consumers, in order to comply with the Affordable Care Act. The guidance notes that health plans must provide coverage for screening of tobacco use and two tobacco cessation attempts per year. A cessation attempt includes four, 10-minute counseling sessions and 90-day coverage for any Food and Drug Administration-approved cessation medication (either prescription or over-the-counter).

This guidance document will help ensure consistency of tobacco cessation treatment coverage across health insurance plans, guaranteeing evidence-based coverage for cost-free tobacco cessation medication and counseling.


3
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ACPM TEAM MEETS WITH HRSA PRIMARY CARE AND HEALTH PROFESSIONS LEADERS

ACPM representatives recently met with key leaders from the Health Resources and Services Administration’s (HRSA) Bureau of Health Professions and Bureau of Primary Care to identify opportunities for preventive medicine residency (PMR) programs to capitalize on HRSA’s support of community health centers and other programs designed to extend the reaches of primary care services to underserved populations.

At the meeting Bureau of Health Professions associate administrator Becky Spitzgo announced HRSA’s decision to split the existing "public health and preventive medicine” line-item, which includes three public health training programs, to allow for a separate and single line-item for PMR funding. As part of this plan, the preventive medicine line-item would move from the Division of Public Health within the Bureau of Health Professions to the Division of Medicine and Dentistry now headed by the Bureau’s chief medical officer Seiji Hayashi, MD, who also was at the meeting. Historically, the combined line-item deferred allocation decisions across programs to HRSA officials and masked the true PMR funding allocation. This announcement was welcome news, as ACPM has long advocated for a separate PMR line-item to focus greater attention in Congress on the meager funding allocated to PMR training programs.

ACPM would like to thank its Graduate Medical Education Committee chair and UCSD residency director Linda Hill, MD, MPH, FACPM, Director of the University of Michigan School of Public Health Preventive Medicine Residency Eden Wells, MD, MPH, FACPM, and Resident Physician Section member Veronica Villarreal, MD, for their participation in the HRSA meeting. Their ability to passionately communicate the strong linkage between PMR training programs, primary care, and their local community health centers as well as the need to expand these linkages proved instrumental in making the meeting a success.

For more information contact Paul Bonta at pbonta@acpm.org.


ACPM NEWS

4. APPLICATIONS SOUGHT FOR ACPM HEALTH POLICY PRACTICUM ROTATION

Applications for ACPM’s practicum rotation in health policy and preventive medicine are now being accepted. This popular 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.

To apply, please submit an application form here along with a current CV and letter of recommendation from your Residency Program Director to pbonta@acpm.org.

5. ACPM SEEKS MEMBER INPUT ON HEALTH SYSTEMS TRANSFORMATION

ACPM is seeking to learn more about its members’ roles in state-level health reform and health systems transformation. This initiative is part of an ACPM project, supported through a recent award by the Centers for Disease Control and Prevention (CDC), to facilitate ACPM member engagement through training and participation in the Centers for Medicare & Medicaid Services (CMS) State Innovation Model projects as well as other state-level health systems transformation interventions. To identify training needs and help shape ACPM’s program, please respond to the brief (5-10 minute) member survey by June 9th.

If you have questions regarding this survey or the CDC project, please contact Andrea Lowe, ACPM Policy and Practice Manager, at alowe@acpm.org.


6
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ACPM DONOR PROFILE: DAN BLUMENTHAL

This week ACPM profiles President-Elect Daniel S. Blumenthal, MD, MPH, FACPM as he shares his thoughts on the importance of supporting ACPM. "The most fulfilling aspect of donating to ACPM "is knowing that I’ve helped to improve the health of my professional organization."

Have you made your 2014 contribution to ACPM's campaign,"Prevention Matters. ACPM Matters. Your Gift Matters”? The campaign has been a success to date because of generous members who believe in the important work of the College and preventive medicine. But we still have much work to do to reach our fundraising goals. If you haven't done so yet, show your commitment to preventive medicine and ACPM with your gift today! Learn more about the campaign, and donate online.


7
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ACPM IMPRIME TEAM PRESENTS AT INTERNATIONAL INTEGRATIVE MEDICINE MEETING

ACPM’s Integrative Medicine in Preventive Medicine Education (IMPriME) team presented as part of a multidisciplinary panel on integrative medicine competencies in Family Medicine and Preventive Medicine at the Integrative Medicine and Health 2014 meeting in Miami, Florida. The International Research Congress meeting was convened by the Consortium of Academic Health Centers for Integrative Medicine (CAHCIM) in association with the International Society for Complementary Medicine Research.

Panel members included Integrative Medicine Program (IMP) grantees Eden Wells, MD, MPH, FACPM, and Rita Benn, PhD, from University of Michigan, and Robert Saper, MD, MPH, from Boston University. Additional panel members included CAHCIM Chair Margaret Chesney, PhD, from University of California’s Osher Center for Integrative Medicine in San Francisco, and IMPriME Steering Committee Member Asim Jani, MD, MPH, FACP. Additional information about the session can be accessed through the IMPriME website.

IMPriME is a two-year project funded by the Health Resources and Services Administration (HRSA) to incorporate evidence-based integrative medicine curricula into 12 IMP grantee preventive medicine residency training programs. Information about the IMPriME project can be found at www.imprime.org.


8
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ACPM WELCOMES NEW MEMBERS

ACPM is happy to welcome its newest members:

Justin Conway, MD 
Family Medicine Chief Resident
Mt Sinai Beth Israel

New York, NY

Pennie Cuevas, MD, MS 
Resident
NYS Preventive Medicine Residency Program
Rensselaer, New York

Rafael Espinet, MD 
Ponce, Puerto Rico

Lauren Lewis, MD, MPH 
Branch Chief
CDC/National Center for Environmental Health
Atlanta, GA

Robert L. Oldham, MD, MHA 
Health Officer
County of Placer
Auburn, CA

Jason Rice, MD
Resident
UCSD General Preventive Medicine Residency

San Diego, CA

Uma Savanoor, MD, MPH 
Director of Medical Operations
ProMedica
Toledo, Ohio

Magda A. Shaheen, MD, MPH, MS, PhD 
Associate Professor
Charles R Drew University of Medicine and Science
Los Angeles, California

Alana Waterford 
Medical Student
American University of Antigua

Robert M. Williams, MD, MPH, MSc 
PBF Energy
Paulsboro, New Jersey



9
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ACPM’S PAUL BONTA HONORED AS IVP CHAMPION BY SAFE STATES ALLIANCE

Paul Bonta, ACPM’s Associate Executive Director for Policy, Advocacy, and External Affairs, was honored on May 21st, as the 2014 Injury and Violence Prevention (IVP) Champion by Safe States Alliance in Atlanta, Georgia, during the organization’s annual conference. Safe States Alliance is the national organization for injury and violence prevention professionals working at the state and local levels. Mr. Bonta was honored for his advocacy work on behalf of the ACPM-led National Violence Prevention Network advocating for increased funding for the National Violent Death Reporting System (NVDRS), a surveillance system currently located in 18 states. Due to his extensive work with NVDRS-funded and –unfunded states, Congressional members, and other professional organizations, the NVDRS program has secured an increase of more than $8 million to expand its program to an addition 10-15 states.

Congratulations Paul!


10
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ACPM CORPORATE ROUNDTABLE PROFILES: MDVIP AND HEALTH DIAGNOSTICS LABORATORY, INC.

MDVIP is a personalized healthcare program that empowers people to reach their health and wellness goals through in-depth knowledge, expertise and one-on-one coaching. An ACPM Corporate Roundtable member since 2013, MDVIP was created with the hope and vision of bringing more life to more lives by putting impersonal healthcare practice and tactics aside. MDVIP puts the patient at the heart of everything they do by combining today’s high-tech tools with the high-touch practices of the past to make patients and doctors happier and healthier.

The MDVIP model centers on the relationship between doctor and patient. Unlike traditional primary care practice, physicians have extra time to get to know their patients, and seek to improve health through consultations, comprehensive screenings and advanced testing. One of the most important features is a comprehensive wellness program that includes an extensive annual physical and personal wellness plan aimed at identifying health risks and preventing conditions and diseases before they happen.

Health Diagnostics Laboratory Inc. (HDL), which also joined ACPM’s Corporate Roundtable in 2013, was founded in 2008 to provide medical diagnostics services to physicians. HDL, with a growing office and laboratory in Richmond, VA, has opened four "My HDL Hub" health centers in the Richmond area and more are planned across the country. At those "hubs," such as the one that opened in late February at the Bon Secours Heart and Vascular Institute in Henrico County, people can get their blood drawn to be tested by HDL for biomarkers that may reveal risk factors for health conditions such as diabetes and heart disease.

"When it comes to improving health, the key is what happens after the blood test," said Tonya Mallory, HDL's president and chief executive officer. "That's where My HDL Hub centers look to provide more services." In addition to blood tests, the new centers offer customers the opportunity to meet with trained consultants to discuss ways of improving their health through lifestyle changes. The centers also offer regular group classes on topics such as healthy cooking and fitness, and social media tools to connect with people with similar health concerns.


POLICY AND PRACTICE

11. TASK FORCE RELEASES COMMUNITY-BASED SKIN CANCER PREVENTION RECOMMENDATIONS

The Community Preventive Services Task Force (Task Force) has released its latest evidence-based recommendations and findings, which focus on community-based strategies to prevent skin cancer. The recommendations include:

  • Outdoor Occupational Settings – The Task Force recommends use of sunscreen or sun protective clothing or a combination of sun protective behaviors in outdoor occupational settings to increase outdoor workers’ sun protective behaviors, reduce sunburns, and prevent skin cancer.
  • Outdoor Recreational and Tourism Settings - The Task Force recommends interventions in outdoor recreational and tourism settings that include skin cancer prevention messages or educational activities for visitors, and may also provide free sunscreen of SPF 15 or greater.
  • Primary and Middle School Settings – The Task Force recommends educational interventions, supportive behavioral interventions, and environmental and policy changes in primary and middle schools to increase sun-protective behaviors and decrease ultraviolet exposure, sunburn incidence, and formation of new moles.
  • Childcare Centers – The Task Force recommends implementation of sun protection policies along with education of staff and parents to increase children’s protection from excessive UV exposure in child care centers.
  • Multicomponent Community-Wide Programs – The Task Force recommends multicomponent community-wide interventions to prevent skin cancer, which include combinations of individual-directed strategies, mass media campaigns, and environmental and policy changes across multiple settings within a defined geographic area (city, state, province, or country), in an integrated effort to influence UV-protective behaviors.


12
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NIH ANNOUNCES NEW POLICIES ADDRESSING GENDER DISPARITIES IN CLINICAL RESEARCH

To address sex and gender inclusion in clinical research and analysis, the National Institutes of Health (NIH) has unveiled new policies for implementation later this year in "Policy: NIH to Balance Sex in Cell and Animal Studies,” published in the May 14th issue of Nature. The commentary, by NIH Director Francis Collins and NIH Director of Office of Research on Women’s Health Janine Clayton, provides an overview of gender-based differences in treatment that were discovered as a result of comparing female and male cellular and animal responses to research. The authors comment that convention and lack of understanding may have led to an over-reliance on male models in research.

NIH expects to begin implementing new policies in October 2014, including the development and delivery of experimental design training modules that include evaluating sex differences in research, continued co-funding of the Specialized Centers of Research on Sex Differences with the Food and Drug Administration, and a modified grant application review process to encourage research plans that compare and contrast findings of male and female animals and cells.


13
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ACPM SIGNS ON TO CHILD NUTRITION STATEMENT

ACPM has signed on to a statement spearheaded by the Center on Budget and Policy Priorities opposing Congressional use of the appropriations process to change or weaken federal child nutrition programs.

The statement urges Congress to "oppose efforts to intervene in science-based rules regarding the federal child nutrition programs.” The statement was circulated to Congressional members in advance of the House and Senate Agricultural Appropriations mark-ups. In addition to ACPM, 100 other national organizations and 103 state and local organizations signed on to the statement.


14
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ANNUAL REPORT ON THE NATION’S HEALTH HIGHLIGHTS Rx DRUG USE

The Centers for Disease Control and Prevention (CDC) has released its annual report, "Health, United States, 2013,” with a special section on prescription drugs. The special section highlights the growing use of prescription drugs, including the most commonly prescribed classes of drugs, and the 3-fold increase in drug poisoning deaths over the past decade.

The full report, an annual compilation of health statistics by the CDC’s National Center for Health Statistics, features 135 tables summarizing data on fertility/reproductive health, life expectancy, leading causes of death, health risk behaviors, health care utilization, insurance coverage, and national health expenditures.


15
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CDC: 1 IN 3 HEART DISEASE DEATHS ARE PREVENTABLE

Approximately 34 percent of deaths related to diseases of the heart are preventable, according to a recent issue of the Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report (MMWR).

The report compared the proportion of deaths by heart disease, cancer, chronic lower respiratory tract disease, stroke, and unintentional injuries from 2008-2010 in low-risk states to those with higher death rates. The results of this study indicate that if all states achieved the lowest observed mortality levels for the five leading causes of death, as many as 91,757 premature heart disease deaths, 84,443 cancer deaths, 28,831 chronic lower respiratory disease deaths, 16,973 stroke deaths, and 36,836 unintentional injury deaths could be prevented each year.

The report highlights the regional disparity in preventable deaths and provides essential disease-specific targets for future prevention efforts.


16
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MEMBERS IN THE NEWS: KEVIN SHERIN; PAUL JUNG

ACPM Fellow and Director of the Florida Department of Health in Orange County, Kevin Sherin, MD, MPH, FACPM, is leading the emergency response to Middle East Respiratory Syndrome Coronavirus (MERS-CoV) after its discovery in Orlando, Florida. Responding to media inquiries, Dr. Sherin describes hospital infection control techniques, urges emergency departments to become "proficient” at identifying MERS-CoV, and assures the public that the risk of transmission remains low.

Congratulations to CAPT Paul Jung, MD, MPH, FACPM, who has been appointed by President Obama to be the Associate Director for Health Services at the Peace Corps. CAPT Jung currently is the Acting Director, Commissioned Corps Readiness and Personnel, Office of the Surgeon General.


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INPUT SOUGHT ON FITNESS INDUSTRY PERCEPTIONS AND REFERRAL PRACTICES

To better shape preventive medicine practice, anew study seeks to better understand the current gap between medical and fitness communities. The study is examining physician's perceptions regarding the fitness industry, and needs a large number of physicians to take the brief, 20-minute survey. Your feedback is very important.


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