|ACPM Headlines 5/24/13|
In this Issue
Policy and Practice
Research and Reports
1. WOMEN IN THEIR 40’s CONTINUE ROUTINE MAMMOGRAMS
New research from the Johns Hopkins University School of Medicine shows that women in their 40s have continued to seek routine breast cancer screenings, despite 2009 U.S. Preventive Service Task Force guidelines that recommend otherwise.
Data was analyzed from Behavioral Risk Factor Surveillance System surveys administered in 2006, 2008 and 2010 by state health departments nationwide. Data collected from 484,296 women ages 40 to 74 showed that 52 percent of women in their 40s and 62 percent of women ages 50 to 74 reported having a mammogram in the past year in 2010, after the new recommendations had been in effect, compared to 53 percent of younger women and 65 percent of older women in 2006 and 2008.
USPTF recommendations advise
that women ages 50-74 should undergo mammograms every two years, while those
ages 40-49 without a family history of breast cancer should discuss risks and
benefits of routine screenings with their physicians based on individual needs
and medical history.
2. ACPM URGES COGME TO INCLUDE PREVENTIVE MEDICINE AS A PRIORITY SPECIALTY
ACPM has submitted official comments to the Council on Graduate Medical Education (COGME) calling on COGME to recognize Preventive Medicine as a "high-priority specialty” as the nation considers future physician workforce needs. Submitted by ACPM Executive Director Michael Barry, the letter was sent in response to the release of COGME’s draft 21st report, "Improving Value in Graduate Medical Education.”
In the letter Mr. Barry noted that, "More than any other specialty, Preventive Medicine, with its focus on improving the health of populations, aligns with the current thrust of health system reform that is shifting emphasis from fee-for-service payment systems to accountable care organizations and payment mechanisms tied to quality improvement.”
by COGME of the need to prioritize Preventive Medicine would represent a
significant boost to ACPM’s advocacy efforts to secure additional funding for
preventive medicine residency training programs. COGME is expected to finalize its report by
the end of May.
3. ASPH ANNOUNCES NAME CHANGE TO REFLECT EXPANDED MISSION
The Association of Schools of Public Health (ASPH) has announced it will change its name, effective August 1, 2013, to the Association of Schools and Programs of Public Health (ASPPH) to reflect its recently expanded scope. The name change was decided by the founding members of the new organization, which represents the CEPH-accredited schools and programs of public health, following an open and collaborative process to ensure broad input into the decision.
steps are to develop a new tagline and logo to highlight the goals and
objectives of ASPPH. Founding members will remain closely involved as
these branding tools and the governance structure are developed.
4. ACPM COMMENTS ON NIH OFFICE OF DISEASE PREVENTION STRATEGIC PLAN
ACPM has submitted comments to the National Institutes of Health Office of Disease Prevention (ODP) regarding its 2013-2018 Strategic Plan. The mission of the ODP is to increase the scope, quality, dissemination, and impact of prevention research by the National Institutes of Health.
While this office was formally established in 1986, this is the first ODP strategic plan.
ACPM’s comments, prepared by members of the ACPM Graduate Medical Education (GME) Committee, noted that we "recommend that ODP emphasize a prevention research agenda that focuses on projects that effectively translate science into practice. Since traditional clinical models (largely one-on-one patient counseling) have been unsuccessful in achieving behavior change, ODP should give special attention to new models for promoting healthy behaviors, as well as established and proven models, such as those that effectively decreased tobacco use.”
greatly appreciates GME Committee members Linda Hill, MD, MPH, FACPM, Peter
Pendergrass, MD, MPH, and Charlotte Wheeler, MD, MPH for their
work on this effort.
5. LAST CALL TO RENEW YOUR ACPM MEMBERSHIP FOR 2013
Thank you to all ACPM members who have renewed your membership with ACPM for 2013. If you have not renewed, there is still time to ensure you remain on ACPM’s membership roster, and continue receiving valuable member benefits.
Why renew? Simply put, the support of our members is integral to ACPM’s efforts to help advance the practice and specialty of preventive medicine. Your annual dues contribute to the development of quality programming, continuing education, networking events, advocacy efforts, and many more programs and services that can help support your career advancement and promote the value of preventive medicine within a reformed health system.
Renew your membership today to ensure you continue receiving reduced rates on meeting registration, CME and/or MOC credit discounts, networking and service opportunities, and subscriptions to the American Journal of Preventive Medicine (AJPM) and ACPM Headlines.
Simply visit our website and
login with your user name and password to renew. Can’t recall your user name or
password? You can reset your user name and password online, if you are using
the same email as when you first registered on the site. Or, simply contact
Camille Sanders, ACPM’s Membership Manager, at firstname.lastname@example.org or 202-466-2044
ext. 104 for assistance.
6. ACPM NOW ACCEPTING FACPM APPLICATIONS FOR JUNE DEADLINE
Interested in becoming an ACPM Fellow? The ACPM Membership Committee currently is accepting applications for consideration through June 14, 2013 at 5:00 PM (Eastern). Fellows are elected by the College’s Membership Committee after thorough review and consideration of candidate applications. ACPM’s Fellowship application process is completely electronic. Please do not mail or fax information.
applications will include a fellowship points form (used to outline your credentials,
experience, volunteerism, etc.), documentation to support the achievements
outlined on your points form, and the non-refundable $50 application fee. Candidates
will be notified of the membership committee’s decisions in mid-June. Review the
requirements and apply online today.
Policy and Practice
7. FROM THE COMMUNITY GUIDE: REDUCING OUT-OF-POCKET COSTS FOR CVD PATIENTS
The Community Preventive Services Task Force (Task Force), a
group of independent public health and prevention-focused experts providing
findings and recommendations for The Guide to Community Preventive Services
(The Community Guide), has found strong scientific evidence supporting reduced
out-of-pocket medication expenses for helping patients
control high blood pressure and high cholesterol. The Task Force recommends combining
reductions in medication costs with medication counseling and patient education
to improve patient medication adherence, blood pressure and cholesterol
8. LATEST RELEASES FROM THE USPSTF
The United States Preventive Services Task Force (USPSTF) recently has released five publications, ranging from draft research plans open to public comment to final recommendations. Information and links to each of these publications are noted below. Research plans outline the framework USPSTF will use to guide their systematic review and provide recommendations on a specific topic.
9. HHS ANNOUNCES ACTION TO IMPROVE SAFETY AND QUALITY OF CHILD CARE
Department of Health and Human Services (HHS) has issued a proposed rule that
would strengthen state, territorial, and tribal standards for health, safety,
and school readiness for children in child care programs funded by the Child
Care and Development Fund. Currently
these standards vary by location and estimates indicate that nearly 10 percent
of these funds are used to support children who are cared for in unregulated
centers and homes. HHS is accepting comments on the proposed
rule at www.Regulations.gov until August 5,
Research and Reports
10. STUDIES SUPPORT POPULATION-BASED EFFORTS TO LOWER EXESSIVE DIETARY SODIUM
Recent studies that examine links between sodium consumption and health outcomes support recommendations to lower sodium intake from the very high levels some Americans consume now, but evidence from these studies does not support reduction in sodium intake to below 2,300 mg per day, says a new report from the Institute of Medicine (IOM).
In Sodium Intake in Populations: Assessment of Evidence, a report
commissioned by the U.S. Centers for Disease Control and Prevention (CDC), the
IOM reports on its examination of the design, methodology and conclusions of
research studies focused on dietary sodium intake and health outcomes in the
United States. The report examines sodium intake by the U.S. population on a
variety of health outcomes, including cardiovascular disease, stroke, kidney
disease, diabetes, high blood pressure, gastric cancer, and mortality.
11. FOUR OUT OF FIVE ADULTS HAVE SMOKE-FREE HOMES AND VEHICLES
Four out of 5 U.S. adults report having voluntary smoke-free rules in their homes and 3 out of 4 report having voluntary smoke-free rules in their vehicles, according to a Centers for Disease Control and Prevention (CDC) study. The study, published in the latest issue of CDC’s journal Preventing Chronic Disease, analyzed data from the National Adult Tobacco Survey and is the first to present estimates of smoke-free rules and secondhand smoke exposure in vehicles among U.S. adults. Survey respondents were classified as having smoke-free rules if they never allow smoking inside their homes or vehicles.
Despite the high prevalence of voluntary smoke-free rules in homes and vehicles, the study found that almost 11 million non-smoking adults continue to be exposed to secondhand smoke in their home, and almost 17 million non-smoking adults continue to be exposed to secondhand smoke in a vehicle. The study also contains state-by-state data showing the highest prevalence of voluntary smoke-free rules in homes and vehicles occurred mostly in states with comprehensive smoke-free laws and longstanding tobacco control programs.
12. HEALTH CARE QUALITY IMPROVING, BUT ACCESS IS GETTING WORSE
The U.S. Agency for Healthcare Research and Quality (AHRQ) has published its 2012 National Healthcare Quality Report and 2012 National Healthcare Disparities Report, finding that health care quality is improving overall, but access is getting worse. For minority and low-income populations these reports find health care quality and access are still significant barriers to appropriate health care.
annual reports measure the trends in effectiveness, timeliness, and efficiency
of care, as well as patient safety, and patient-centered care. The findings are designed to provide health
care and public health professionals with the latest information on the quality
and accessibility of health care services.
13. HHS ANNOUNCES $1 BILLION TO FUND NEXT ROUND OF INNOVATION AWARDS
Health and Human Services Secretary Kathleen Sebelius has announced a nearly $1 billion initiative that will fund awards and evaluation to build on the Obama administration’s work to transform the health care system by delivering better care and lowering costs. This second round of Health Care Innovation Awards will fund applicants that have a high likelihood of driving health care system transformation and delivering better outcomes.
the Centers for Medicare and Medicaid Services will fund projects that test new
payment and service delivery models that will deliver better care and lower
costs for Medicare, Medicaid, and CHIP enrollees. Interested
organizations may submit non-binding letters of intent to apply from June 1
until June 18, and applications will be accepted from June 14 until August 15.
14. MEMBERS IN THE NEWS: FRANK, WHEAT
Erica Frank, MD, MPH, FACPM, has announced the launch of a new service, NextGenU.org, the world’s first free online portal, where anyone, anywhere in the world can access university- and graduate-level courses for interest or for credit through accredited institutions and organizations. Dr. Frank serves as Founder, President, and Executive Director of NextGenU, which offers three medical/public health and environmental courses, and is poised to grow full schools of public health and medicine. NextGenU is a collaboration with leading accredited universities, professional societies, and government co-sponsors, as well as funders, including Grand Challenges Canada, the U.S. Centers for Disease Control and Prevention, and the World Health Organization. All courses are competency-based, and include knowledge transfer through online, expert-created, and expert-certified resources, along with guided opportunities to observe and practice skills with local mentors and a web-based global peer community of practice.
Deirdre Wheat, MD, MPH, MMedSci, PCME has been inducted in the Delta Omega Public Health Honor Society, Gamma Lambda Chapter, School of Public Health and Health Professions, University at Buffalo. She is among 21 other graduating students, members of the faculty, alumni/alumnae, or honorary new inductees in this, the first year in which this chapter has been activated following approval by the National Office. Dr. Wheat works as an inpatient attending physician in internal medicine and preventive medicine in Buffalo. Dr. Wheat is a member of faculty of both the Department of Social and Preventive Medicine and the Behling Simulation Center at University at Buffalo.