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ACPM Headlines 6/22/12
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In This Issue:

 

Top Stories

1. HRSA announces integrative medicine funding opt for PMRs

2. Senate bill includes $2 million increase for PMR programs

3. ACPM participates in White House town hall on health reform

ACPM News

4. ACPM is featured cosponsor at Capitol Hill briefing on obesity

5. Your ACPM in action at AMA

6. ACPM joins call to implement menu labeling requirements

7. Update your ACPM membership profile

8. Welcome new ACPM staff: Giovanna Fernandez

Policy and Practice

9. Latest from the USPSTF

10. Health spending will climb to nearly one fifth of GDP

Research and Reports

11. Many U.S. adults not receiving key preventive services

12. Sigmoidoscopy reduces colorectal cancer deaths by > 25%

13. States act to prevent childhood obesity

Announcements

14. Unjunk yourself

15. RWJF calls for proposals on sharing public health services

16. Register now for Lifestyle Medicine 2012

 

Top Stories

1. HRSA ANNOUNCES INTEGRATIVE MEDICINE FUNDING OPPORTUNITY FOR PMR PROGRAMS

The Health Resources and Services Administration (HRSA) has announced the availability of $2.5 million for preventive medicine residency (PMR) programs that "incorporate evidence-based integrative medicine curricula” into their training. The HRSA announcement follows an aggressive ACPM advocacy campaign to steer the integrative medicine funding to PMR training programs.

HRSA funds may be used "to incorporate evidence-based integrative medicine content into existing preventive medicine residency programs, provide faculty development to improve clinical teaching in both preventive and evidence-based integrative medicine, and facilitate delivery of related information that will be measured through competency development and assessment of the trainees.” Approximately 16 programs will be funded up to $150,000 each. Grant applications are due July 16.

To view the complete funding announcement, visit http://gg.gg/339. HRSA also is seeking peer reviewers from the preventive medicine community to review grant proposals on Aug. 16 and 17. If interested in serving as a peer reviewer, please contact HRSA’s review administrator Beatriz Gramley as soon as possible at bgramley@hrsa.gov.

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2. SENATE BILL INCLUDES $2 MILLION INCREASE FOR PM RESIDENCY PROGRAMS

The Senate Appropriations Committee has approved its FY 2013 Labor, Health and Human Services (HHS), and Education Appropriations bill, which includes $2 million in new funding for preventive medicine residency (PMR) training programs. Proposed funding for the budget line-item at the Health Resources and Services Administration (HRSA) that supports PMR programs would increase to $5.5 million.

This is a significant legislative victory for PMR programs and the training pipeline, given the continued downturn in the national economy and sharp focus in Congress on reduction of funds for federal programs. Reports indicate that the FY 2013 Labor, HHS, and Education Appropriations is not expected to pass prior to the start of the new fiscal year and will likely be folded into a catch-all spending bill at the end of the year.

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

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3
. ACPM PARTICIPATES IN WHITE HOUSE TOWN HALL ON HEALTH REFORM

ACPM was represented at the recent White House town hall meeting on health care delivery reform. White House officials discussed efforts to build a delivery system that focuses on evidence-based prevention and care coordination. Key themes discussed included: new delivery and payment models, payment reform focused on population management, patient-centered care, medical homes, telemedicine, pay for performance, patient engagement, provider engagement, and outcomes measurement.

ACPM was represented by Member Scott Kahan, MD, MPH, George Washington University faculty member and new Director of the Strategies to Overcome and Prevent (STOP) Obesity Alliance.

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ACPM News

4. ACPM IS FEATURED COSPONSOR AT CAPITOL HILL BRIEFING ON OBESITY

ACPM and the Partnership to Fight Chronic Disease co-sponsored a recent Capitol Hill briefing on obesity that highlighted initiatives and collaborations that create supportive environments for families with young children to promote healthy lifestyles. Scott Kahan, MD, MPH, director of the STOP Obesity Alliance, represented ACPM and participated in the panel of speakers.

In his remarks, Dr. Kahan indicated that the U.S body mass index (BMI) distribution "had shifted to the right" between 1980 and 2006 and, thus, the entire adult population has become heavier. He drew a comparison between the current obesity epidemic and infectious disease epidemics during the 1920s. He noted that even before the introduction of antibiotics and better vaccines in the 1940s and 1950s, the mortality rate from infectious diseases had already dropped by nearly 80% as a result of both community and policy-based efforts. He stated that similar action was required to address childhood obesity.

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

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5. YOUR ACPM IN ACTION AT THE AMA

ACPM successfully advanced new policy in support of lifestyle medicine and the Federal Toxic Substances Control Act (TSCA) at the recent American Medical Association annual House of Delegates (HoD) meeting in Chicago. The HoD adopted an ACPM-sponsored resolution calling on the AMA to "recognize the 15 competencies of lifestyle medicine as defined by a blue ribbon panel of experts” while working to "urge physicians to acquire and apply the 15 clinical competencies of lifestyle medicine, and offer evidence-based lifestyle medicine interventions as the first and primary mode of preventing and, when appropriate, treating chronic disease within clinical medicine.” The resolution also asks that the AMA work with appropriate federal agencies and other stakeholders to assist physicians to routinely address lifestyle factors with their patients as the primary strategy for chronic disease prevention and management.

The HoD also adopted an ACPM-sponsored resolution calling on the AMA to "support modernizing the TSCA to require chemical manufacturers to provide adequate safety information on all chemicals and give federal regulatory agencies reasonable authority to regulate hazardous chemicals.”

In addition, ACPM’s delegation was active in supporting or speaking to a variety of other prevention-related policies at the HoD meeting, and was particularly vocal in defending the USPSTF recommendations and methods from assault by numerous medical societies unhappy with recent task force recommendations on mammography screening and prostate cancer screening. ACPM thanks Fellows Robert Gilchick, MD, MPH, Jason Spangler, MD, MPH, and Wendy Braund, MD, MPH, the ACPM delegate, alternate delegate, and AMA Section Council on Preventive Medicine representative, respectively, for their efforts in helping to advance preventive medicine policy at the AMA HoD meeting.

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6. ACPM JOINS CALL TO IMPLEMENT MENU LABELING REQUIREMENTS

ACPM executive director, Mike Barry, joined executives from several leading public health organizations on a letter to President Obama urging implementation of menu-labeling requirements. The letter urges that regulations use a broad definition of restaurants and similar retail food establishments, and should cover all retail food establishments that sell restaurant‐type food, including supermarkets, convenience stores, movie theaters, casinos, bowling alleys, stadiums, cafes in superstores, and hotels.

The Administration also is strongly encouraged to include alcohol-labeling as part of menu-labeling requirements. "To exempt it out would mean that consumers would not be provided with nutrition information for the fifth largest source of calories in adults’ diets,” according to the letter. "The Dietary Guidelines for Americans (DGA) recommends that people monitor calorie intake from alcoholic beverages.”

To view a copy of the letter, visit http://bit.ly/LEiRYt.

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7. UPDATE YOUR ACPM MEMBERSHIP PROFILE

Please be sure to login and update your ACPM member profile with current mailing and email addresses, areas of expertise, interests and other key demographic information. Keeping your member profile updated helps ensure you receive timely and relevant news updates, targeted engagement opportunities, and other important member communications. Visit www.acpm.org to update your member profile today!

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8. ACPM WELCOMES GIOVANNA FERNANDEZ TO ITS STAFF

ACPM is pleased to announce it has hired Giovanna Fernandez to be its new meetings and education manager. Giovanna will be managing ACPM activities related to continuing medical education (CME) and maintenance of certification (MOC), as well as providing support for ACPM meetings.

Giovanna possesses nearly a decade of diverse association work experience. She previously served as education and accreditation manager at the American Society of Appraisers (ASA), where she managed accreditation processes including the preparation, testing and grading of specialty exams.

Please join us in welcoming Giovanna to the College! She may be reached at 202-466-2044 ext. 108 or gfernandez@acpm.org.

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Policy and Practice

9. LATEST FROM THE USPSTF: DRAFT RECOMMENDATIONS FOR PUBLIC COMMENT

The United States Preventive Services Task Force (USPSTF) has posted a draft recommendation on vitamin D and calcium supplementation to prevent cancer and osteoporotic fractures. The USPSTF recommends against daily supplementation with ≤400 IU of vitamin D3 and 1,000 mg of calcium carbonate for the primary prevention of fractures in non-institutionalized postmenopausal women (Grade D). The task force also found evidence currently is insufficient to assess the balance of benefits and harms of vitamin D supplementation (with or without calcium) for the primary prevention of cancer in adults, combined vitamin D and calcium supplementation for the primary prevention of fractures in premenopausal women or in men, or daily supplementation with >400 IU of vitamin D3and 1,000 mg of calcium for the primary prevention of fractures in non-institutionalized postmenopausal women (Grade I). Public comments for these recommendations will be accepted through July 10th. To view the draft recommendation and submit comments, visit http://bit.ly/q0Lkyv.

The USPSTF also posted a draft statement recommending clinicians screen women of childbearing age for intimate partner violence (IPV), such as domestic violence, and provide or refer women who screen positive to intervention services (Grade B). The task force found evidence currently is insufficient to assess the balance of benefits and harms of screening all elderly or vulnerable adults (physically or mentally dysfunctional) for abuse and neglect (Grade I). Public comments for this recommendation also will be accepted through July 10th. To view the draft recommendation and submit comments, visit http://bit.ly/uRZqMF.

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10. HEALTH SPENDING WILL CLIMB TO NEARLY ONE FIFTH OF GDP

A report from the Center for Medicare and Medicaid Services’ (CMS) Office of the Actuary found that the health share of the gross domestic product (GDP) is projected to grow from 17.9 percent in 2010 to 19.6 percent by 2021. Published in the journal Health Affairs, the authors note that health spending will grow at 4.0 percent between 2011 and 2013 due to sustained effects of the recent recession and modest recovery, but accelerate to 7.4 percent in 2014 as major coverage expansions from the Affordable Care Act (ACA) begin. Overall, between 2011 and 2021, health spending growth is projected to be 5.7 percent. According to the report, while health care spending is expected to rise roughly 2 percentage points faster than the overall economy during the projection period, this rise has been consistent over the past 30 years.

To view this article, visit: http://bit.ly/KqZDdo.

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Research and Reports

11. MANY U.S. ADULTS NOT RECEIVING KEY PREVENTIVE SERVICES

According to the Centers for Disease Control and Prevention (CDC), only about half of U.S. adults received key preventive health services between 2007 and 2010. The report, published as a supplement in the Morbidity and Mortality Weekly Report (MMWR), provides baseline data on the use of selected adult preventive services, including aspirin or otherblood-thinning therapy, controlling blood pressure, screening for and controlling high cholesterol, and ending tobacco use. Findings include:

  • Less than half (47%) of patients with heart disease affecting blood vessels were prescribed daily aspirin during their physician visit;
  • Only 44% of patients with high blood pressure had it under control;
  • Just 1/3 of men and 1/4 of women were screened for dyslipidemia in the preceding 5 years; and
  • Fewer than 1 in 13 tobacco users were prescribed medications to help them quit.

To view the MMWRsupplement entitled "Use of Selected Clinical Preventive Services Among Adults — United States, 2007–2010,” visit http://1.usa.gov/z4V5Wo.

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12. SIGMOIDOSCOPY REDUCES COLORECTAL CANCER DEATHS BY 26%

The use of flexible sigmoidoscopy screening reduced deaths from colorectal cancer cases by 26 percent, according to a recent study from the University of Minnesota School of Public Health. The study, involving 155,000 people, also found a 21 percent reduction in the incidence of colorectal cancer in the screened group compared to the usual care group.

With fewer side effects, less bowel preparation, and a lower risk of bowel perforation than colonoscopy, sigmoidoscopy offers a viable alternative to colonoscopy for reducing risk of colon cancer incidence and mortality, according to the study’s authors.

For more information about the study, visit http://ow.ly/bHSBF.

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13. STATES ACT TO PREVENT CHILDHOOD OBESITY

A growing number of state legislatures are enacting laws to promote healthy communities and prevent childhood obesity, according to a new report by the National Conference of State Legislatures (NCSL). More states enacted laws in 2011 than in the previous year, although the total number of bills enacted was not as high as in 2010.

In 2011, 13 states passed bills related to school nutrition/nutrition education, complementing federal legislation enacted in 2010 that reauthorized the national School Lunch and School Breakfast programs and set higher nutrition standards for school meals. State legislative action also progressed on "complete streets” policies, which consider and accommodate the needs of all transportation users, including bicyclists and pedestrians. Three states passed complete streets bills in 2011, bringing the total number of states with such policies to 26—more than half the nation.

The findings can be found in the 2011 edition of State Actions to Promote Healthy Communities and Prevent Childhood Obesity: Summary and Analysis of Trends in Legislation. http://ow.ly/bHT0X

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Announcements

14. UNJUNK YOURSELF

ACPM Fellow David Katz, MD, MPH, and Turn the Tide Foundation have collaborated to develop a program entitled "Unjunk Yourself”, which promotes better health and disease prevention through healthy eating and exercise. The program will include a library of music videos aimed at children and teens. Like similar public health campaigns that helped raise children’s awareness concerning the dangers of tobacco, Unjunk Yourself is designed to stir up indignation concerning unhealthy foods. It will deliver fun, provocative, engaging, health-promoting information in music video format—as well as links to online resources that families can use. View the first series’ video at: http://youtu.be/PLaS0En9Q98.

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15. CALL FOR PROPOSALS: SHARING PUBLIC HEALTH SERVICES

The Robert Wood Johnson Foundation (RWJF) will provide two-year grants of up to $125,000 to up to 18 teams of public health officials, policymakers, and other stakeholders that are sharing services, resources and functions across multiple public health agencies and jurisdictions. Referred to as cross-jurisdictional sharing (CJS), these arrangements range from informal agreements around sharing discrete services or programs, to regionalization including the formal merger or consolidation of multiple public health agencies.

For more details on RWJF’s Shared Services Learning Community and how to apply, visit http://ow.ly/bHSUu.

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16. REGISTER NOW FOR LIFESTYLE MEDICINE 2012

Register to attend the American College of Lifestyle Medicine’s upcoming annual meeting, Lifestyle Medicine 2012, "Treating the Cause.” The conference will be held September 30-October 2 at the Inverness Hotel and Conference Center in Englewood, CO. Lifestyle Medicine 2012 is a combined lifestyle medicine clinical and practice management conference. "Pioneer” and "early adopter" physicians and other health care professionals will educate attendees on the practice of treat the cause healthcare. For more information or to register, visit http://lifestylemedicine.org/LM2012.

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