|ACPM Headlines 6/19/15|
June 19, 2015
In this Issue
Policy and Practice
Research and Reports
1. ACPM HOSTS SUCCESSFUL NORTHEASTERN REGIONAL SUMMIT ON HEALTH SYSTEMS TRANSFORMATION
ACPM hosted its second Health Systems Transformation (HST) Regional Summit on June 18th in Albany, NY, drawing over 60 engaged participants from northeastern states. ACPM convened leaders and members from Massachusetts, Maine, New York, Vermont, and Pennsylvania to share insights, exchange ideas, and learn from each other as participants explored the role of preventive medicine in this new era of healthcare delivery.
The successful summit combined highly interactive sessions from state public health officials from New York, Vermont, and Massachusetts, who shared their State Innovation Model award experiences with presentations from the private and philanthropic sectors, including the New York Academy of Medicine, the Commonwealth Fund, the Xerox Corporation, the Finger Lakes Healthy System, and the Maine Health Management Coalition. Participants also heard a keynote from Ursula Bauer, PhD, MPH, Director of the CDC’s National Center for Chronic Disease Prevention and Health Promotion, on the how HST plays a role in the integration of primary care and public health.
ACPM thanks our members and co-sponsors for their work in helping to organize, moderate, and speak at the Northeastern Regional Summit. These regional summits represent one of several projects developed through a cooperative agreement with the U.S. Centers for Disease Control and Prevention to educate, connect, and promote health systems transformation to the preventive medicine and public health community.
ACPM and Partnership for Prevention co-sponsored a highly-attended webinar entitled the Role of Healthcare Providers in Tobacco Cessation on June 17th with over 500 registrants. This webinar addressed the critical role of healthcare providers in tobacco cessation, specifically: (1) the current tobacco landscape in the U.S., (2) tobacco cessation, care providers, and health system change, and (3) implementing a comprehensive tobacco cessation program in a large health system. An archive of the webinar will be available online in the near future.
ACPM and the Office of Disease Prevention and Health Promotion at the U.S. Department of Health and Human Services have announced that Colin Milner, CEO of the International Council on Active Aging and leading authority on health and well-being of older adults, will deliver a thought-provoking keynote session at the 2015 Healthy Aging Summit, scheduled July 27-28, 2015 at the Omni Shoreham Hotel in Washington, DC.
The session will uncover the possibilities surrounding an aging population and how policy makers, governments, businesses, and society at large are addressing current and future challenges, and rethinking everything from societal contracts and policies to the life course itself.
In addition to the keynote, the Summit will explore the state-of-the-science on healthy aging through 6 plenaries and 20 concurrent sessions led by more than 65 expert speakers. Online registration for the Summit ends on Monday, July 13, 2015. Register now.
4. REGISTRATION NOW OPEN FOR ACPM LIFESTYLE MEDICINE SYMPOSIUM
ACPM is pleased to invite its members interested in learning more about lifestyle medicine to participate in a special symposium at the Hyatt Regency Baltimore on the Inner Harbor, Baltimore, MD, August 23-24.
This two-day symposium, featuring the ACPM-ACLM-sponsored Lifestyle Medicine Curriculum, will cover the 15 physician lifestyle medicine competencies identified by a national blue ribbon panel and published in JAMA, as well as key modules in nutrition and weight management. The competencies focus on the clinical processes that ensure quality lifestyle interventions for prevention, treatment and reversal of chronic diseases.
The sections covered in the session represent a subset of a comprehensive 30-hour course aimed at covering a range of topics central to lifestyle medicine, including nutrition, physical activity, sleep, coaching behavior change, alcohol use, tobacco cessation, emotional wellness, and mindfulness-based stress reduction, which will be available soon on ACPM’s E-Learning Portal.
A team of ACPM representatives, including ACPM’s AMA delegate Robert Gilchick, MD, MPH, FACPM, and alternate-delegate Jason Spangler, MD, MPH, FACPM, participated in the recent House of Delegates meeting where they worked to advance policy positions that promote preventive medicine. At this meeting, ACPM co-sponsored a resolution drafted by the American Academy of Family Physicians (AAFP) urging AMA endorsement of the "Smiles for Life: A National Oral Health Curriculum.” While several other physician specialty societies expressed support for the resolution, the House of Delegates adopted the Reference Committee’s recommendation that the resolution be "referred for decision” by the AMA Board of Trustees. This action was intended to comply with AMA operating procedures that require the curriculum to undergo the same corporate review process as any other program or entity the AMA is asked to endorse.
Separately, the House of Delegates voted to recommend that states establish a decision-making process about mandatory vaccinations that includes the input of qualified public health physicians and provides exemptions to vaccines for medical reasons only. The new policy also says doctors who directly care for patients have an obligation to accept immunization unless there is a recognized medical reason not to do so. The broad exemptions allowed in some states came under renewed scrutiny after a multistate outbreak early this year that was traced to Disneyland.
ACPM is now accepting orders for the 2015 Preventive Medicine In-Service Examination, scheduled for August 1-31, 2015. This 2.25 hour electronic exam, administered annually, enables residents and program directors to determine specific areas in which residents need more study and experience. The voluntary exam also allows residents to compare themselves with others at the same level nationally.
Though not intended to be an examination preparation tool, the In-service Exam can be a gauge of how well residents are being trained and prepared for the content of the Board examination. It is designed for residents in all specialty areas of Preventive Medicine. The material covered in the exam relates to the core (morning) portion of the American Board of Preventive Medicine (ABPM) certification exam.
For more information and the order form, please visit:http://www.acpm.org/?InserviceExamination.
The American Journal of Preventive Medicine Board of Governors met in Ann Arbor, MI, June 4-5 for its annual business meeting and for a day-long strategy session to map out the journal’s future direction and assure the sustainable success of the journal in the face of a rapidly-evolving medical publishing environment and precipitous growth in manuscript submissions. The meeting, the first in-person meeting of the Board since the new editorial team began full operations in 2014, was hosted by the AJPM chief editor, Matthew Boulton, MD, MPH, FACPM, and his editorial team at the University of Michigan School of Public Health.
During the strategy session, which included the Board, editorial team, publisher, sponsoring societies, and a journal publishing consultant, participants reviewed recent enhancements made to the journal, explored other potential revenue enhancements and cost-savings options, and discussed the merits of potential derivative products.
ACPM thanks Dr. Boulton, Angela Beck (Managing Editor), and the rest of the editorial team for serving as terrific hosts for these dynamic meetings and congratulates them for the continued success of the journal.
8. HHS ANNOUNCES NEW PREVENTIVE CARE AWARENESS CAMPAIGN
The Department of Health and Human Services (HHS) has announced a new preventive care campaign focused on health literacy and preventive services, encouraging consumers to invest in their "Healthy Self." The launch of the Healthy Self campaign represents a joint effort between the White House and HHS, including the Surgeon General, to promote healthy living and to highlight preventive services available for the newly insured, as well as for those who have always had insurance.
Although the Affordable Care Act guarantees that certain preventive services are covered under most private insurance plans, many beneficiaries and even providers are still unaware of what is covered. The joint campaign will focus on touching the 137 million Americans who have guaranteed access to recommended preventive care and services, with no out-of-pocket costs, and may not be aware of it.
The White House has announced an antibiotic resistance initiative directing Federal departments and agencies to create a preference for meat and poultry produced according to responsible antibiotic-use. The Presidential Food Service is also committing to serving meats and poultry that have not been treated with hormones or antibiotics. Separately, the Food and Drug Administration (FDA) will announce that it has finalized changes to the Veterinary Feed Directive (VFD) regulation, an important piece of FDA’s overall strategy to promote the judicious use of medically important antibiotics in food-producing animals as it facilitates bringing the feed-use of such antibiotics under the oversight of licensed veterinarians.
The Administration also issued the National Strategy on Combating Antibiotic-Resistant Bacteria and the President’s Council of Advisors on Science and Technology released a report with recommendations to address the crisis of the proliferation of antibiotic-resistant bacterial infections.
Fifty hospitals in the United States charge uninsured patients more than 10 times the actual cost of patient care, according to a recent article published in Health Affairs. In comparison, the national average rate charged by hospitals for an uninsured patient is 3.4 times the actual cost of care. In addition to uninsured patients, others who are vulnerable to full payments and overcharging are patients whose hospitals are not in their insurance company’s preferred network of providers, patients using workers’ compensation, and those covered by automobile insurance policies.
The study authors note that insurance programs like Medicare negotiate lower rates for many Americans, and those without insurance do not have anyone to negotiate the rate for them. Specifically, the main factors for overcharging cited by the authors are lack of market competition and the fact that the federal and state governments do not regulate prices that the hospitals can charge. The study recommends that federal and state governments consider limitations on charge-to-cost ratio, a form of all state payment setting or mandated price disclosures so patients can make informed decisions about the payment of their care.
11. BPC RELEASES "PREVENTION PRESCRIPTION” FOR IMPROVING U.S. HEALTH OUTCOMES
The Bipartisan Policy Center (BPC) has released a new publication from its Prevention Task Force focusing on improving health outcomes and reducing costs through prevention strategies.
"A Prevention Prescription for Improving Health and Health Care in America” includes recommendations for building the evidence base for prevention and recommendations to embed prevention in health system reform in the short-term. Examples of each type of recommendation include requiring economic analysis in funding opportunity announcements and collaboratively exploring ways to improve community health needs assessments as a tool for aligning goals and planning.
According to a data mining study of Proton Pump Inhibitors (PPI), people who take PPI are 16 to 21 percent more likely to suffer from myocardial infarction. PPIs are among the most widely used drugs in the world to treat Gastro esophageal Reflux Disease (GERD), commonly referred to as heartburn.
The study’s researchers combed over millions of records to compare the frequency of heart attacks among those who were using PPI against those who were not using the medication.
One of the leading theories is that PPIs reduce the production of nitric oxide from cells that line the circulatory system including the heart. Although further studies are required, researchers suggest that the association is strong enough for the Food and Drug Administration to pay attention and that those patients who use PPI should talk to their doctors about the risks.
The incidence of melanoma, the deadliest form of skin cancer, has doubled in the last ten years according to a Vital Signs Study published by the Center for Disease Control and Prevention. Researchers tallied more than 65,000 new cases of melanoma in 2011 and the age-adjusted rate is 19.7 new cases / 100,000 Americans. The total number of new cases would rise to 112,000 by 2030 at the current growth rate. While the incidence of melanoma has doubled from 1982-2011, the mortality rate has remained stable.
The projected cost of treating newly diagnosed melanoma patients is $1.6 billion in 2030, compared to $457 million spent in 2011. But researchers believe the trend can be mitigated if the U.S. implements a comprehensive skin cancer prevention program.
A study published in JAMA Psychiatry this month, "Epidemiology of DSM-5 Alcohol Use Disorder,” estimates nearly 33 million adults in the past 12 months, and 68 million over the course of a lifetime, experienced alcohol use disorder (AUD). The findings are based on the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions III (NESARC-III).
Among other findings, AUD rates are generally higher in men and younger adults than women and older adults. The authors conclude AUD is a highly prevalent disorder in the United States and highlight the urgency for the public and policy makers to encourage reduction in alcohol consumption.
Simultaneously, the Community Preventive Services Task Force (CPSTF) has released a factsheet on Preventing Excess Alcohol Consumption, the latest in a series of "What Works” factsheets with easy-to-read summaries of CPSTF findings. This factsheet introduces the reader to the 88,000 deaths that occur each year in the U.S. related to excessive alcohol consumption and recommends intervention strategies (such as increasing alcohol taxes, educational interventions, etc…) to prevent such tragedies.
15. FUNDING OPPORTUNITY TO ADVANCE HEALTH DISPARITIES INTERVENTIONS
The National Institute on Minority Health and Health Disparities (NIMHD) has announced a new funding opportunity for 5-year research projects. "Advancing Health Disparities Interventions Through Community-Based Participatory Research,” is a cooperative agreement designed to promote and support collaborative interventions to address health disparities. Projects must include at least one community-based organization or American Indian Tribal Government, and may include other partners such as academic organizations, health care providers, and school districts. NIMHD is offering up to $350,000 per year to successful applicants.
The Agency for Healthcare Research and Quality (AHRQ) is seeking nominations for seven new public members to serve on the National Advisory Council for Healthcare Research and Quality. The Council advises the Secretary of HHS and the Director of AHRQ on matters related to activities of the agency to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within HHS and with other partners to make sure the evidence is understood and used.
The 21-member Council meets in the Washington, D.C., metropolitan area, generally in Rockville, Maryland, approximately three times a year. Members generally serve three-year terms, and the new members will start their service in spring 2016. AHRQ seeks individuals who are distinguished in the conduct of research, demonstration projects and evaluations with respect to health care; the fields of health care quality research or health care improvement; the practice of medicine or other health professions; representation of the private health care sector (including health plans, providers and purchasers) or administrators of health care delivery systems; the fields of health care economics, information systems, law, ethics, business or public policy; and representation of the interests of patients and consumers of health care.
Nominations are due on or before July 8. A Federal Register notice has instructions for submitting nominations.
The Altarum Center for Sustainable Health Spending is hosting a symposium, New Dimensions on Sustainable U.S. Health Spending, which will take place on July 21 in Washington, DC. You are invited to attend this fourth Robert Wood Johnson Foundation-funded sustainable health spending symposium, coming shortly after the Supreme Court King vs. Burwell ruling, which will provide an update on health policy and politics, discuss key health care reform issues such as new payment models, analyze associated cost factors, and peer into the future regarding health spending trends.
Speakers include Len Nichols, Mark McClellan, Richard Frank, Katherine Hempstead, Henry Aaron, Uwe Reinhardt, Capitol Hill staffers, and more.