|ACPM Headlines 7/18/14|
In this Issue
Policy and Practice
Research and Reports
1. IMPACT OF BUDGET CUTS ON PM RESIDENCY TRAINING FEATURED IN REPORT TO CONGRESS
As a member of the Coalition for Health Funding (CHF), ACPM participated in the release of a report to Congress "Faces of Austerity: How Budget Cuts Hurt America’s Health” that provides policymakers with real stories of how reduced federal health spending impacts programs in communities across the country. One of the report’s vignettes, sponsored by ACPM, highlights the impact of reduced federal spending on the preventive medicine residency (PMR) training program at the University of California San Diego (UCSD).
Last year, as a result of federal budget cuts, the PMR program at UCSD, directed by Linda Hill, MD, MPH, FACPM, lost it’s funding from the Health Resources and Services Administration (HRSA). In the report, Dr. Hill noted that, "No one has money to pay the full amount of my resident’s training costs. I am now training fewer residents than ever before. The private sector is not in a position to fully fund graduate medical education. The federal government supports all other residency programs; preventive medicine is the only specialty without either Medicare GME or full HRSA support.”
The report was delivered to each congressional office with representatives from ACPM joining CHF member organizations on targeted visits with policy makers to urge enhanced federal support for the preventive medicine training pipeline.
ACPM, in conjunction with the American College of Lifestyle Medicine (ACLM), is currently developing a 30-hour CME curriculum in lifestyle medicine and has begun piloting various modules of the curriculum via webinar. The first webinar on July 7th, which piloted the nutrition module, drew the largest participation ever recorded for an ACPM-sponsored webinar. Thanks to all members who participated and provided valuable feedback.
This webinar was the first in a series that will occur between July and October 2014. Webinars will potentially cover topics related to nutrition, weight management, physical activity, tobacco, alcohol, emotional wellness, mindfulness-based stress reduction, sleep, and the importance and role of lifestyle medicine in clinical care.
If you missed the live webinar presentation on nutrition, you can now watch it by clicking here and scrolling to the bottom of the page. To register for the 2nd webinar in the series on July 25th to pilot our physical activity curriculum, please click here.
The curriculum may be used as part of a program that will eventually provide formal lifestyle medicine training and to create general lifestyle medicine competence among physicians. To get involved or learn more about ACPM lifestyle medicine projects and initiatives, please contact Dani Pere, Associate Executive Director for Programs and Operations at email@example.com.
The Centers for Disease Control and Prevention’s (CDC) latest issue of Vitalsigns on opioid painkiller prescribing finds that on average 46 people die each day from prescription painkiller overdose, and that state variation in prescribing shows overprescribing of opioids can be reduced safely and feasibly. According to the report, southern states had the most painkiller prescriptions per person.
The report underscores previous research showing regional variation in use of prescriptions cannot be explained by the underlying health status of the population, and that states with high prescribing rates should look at the inappropriate prescription of these drugs. Some opportunities to address the overprescribing of painkillers noted in the report include:
4. HAVE YOU MADE YOUR 2014 GIFT TO SUPPORT ACPM’S MISSION CRITICAL WORK?
As President, long-time member and Fellow of the American College of Preventive Medicine, I am thankful for all of the ways the College has positively impacted my career and the careers of so many of you, my colleagues, and thankful to you because of your generous financial gift to support mission critical work. ACPM is the only professional medical society dedicated to us, preventive medicine specialists.
Today I invite you to make a gift to the College that will not only elevate the role of prevention in our health care system but also support innovative solutions in health care management and public health improvement. Donating is fast and easy. When you invest in ACPM, you invest in yourself, your future and the future of the specialty of preventive medicine. Visit ACPM's website to learn more about the strategic initiatives your dollars will support and make a contribution online.
Thank you in advance for your generous donation.
Halley S. Faust, MD, MPH, FACPM
ACPM, in addition to 11 public health partners, signed on to a July 1st comment letter to the U.S. Center for Medicare and Medicaid Services (CMS) regarding a final rule for prospective payment systems for federally qualified health center (FQHC) services. ACPM supports the final rule, specifically implementing no cost-sharing requirements for preventive services in the FQHC setting. We commend CMS for developing an approach that will address the complexity of applying these requirements in situations that include providing both preventive and non-preventive services to patients during the same office visit.
6. ACPM CO-SPONSORS SPORTS SAFETY BRIEFING FOR LEGISLATIVE STAFF
ACPM partnered with Safe Kids Worldwide and other health professional organizations to co-sponsor a June 25th briefing discussing youth sports safety. Hosted by the Congressional Kids’ Safety Caucus, the event featured discussions by physicians, an athletic trainer, former college football coach, and Mark Hyman, acclaimed author on sports safety. Panelists emphasized the importance of understanding the risks and warning signs of injury and what lawmakers can do to keep kids safe while participating in athletics. Attendees were provided with a legislative toolkit including sports safety tips and a link to the ACPM position statement on cardiovascular screening prior to youth sports participation.
Policy and Practice
7. FROM USPSTF: SCREENING FOR CAROTID ARTERY STENOSIS; RELEASE OF LATEST GUIDE
The U.S. Preventive Services Task Force (USPSTF) has released the 2014 Guide to Clinical Preventive Services (Guide) and a final recommendation statement for screening carotid artery stenosis.
The 2014 Guide to Clinical Preventive Services includes all active Task Force evidence-based recommendations since 2004, including 28 new and updated recommendations since the 2012 version of the Guide. It also includes information about topics in development, background on the Task Force, at-a-glance clinical summary tables for ease of use, and additional resources.
Additionally, the USPSTF issued a "Grade D” recommendation for screening asymptomatic carotid artery stenosis. The USPSTF advises against screening with ultrasound or other screening tests in the adult population because of evidence that ultrasounds yield many false-positive results in the general population with a low prevalence of carotid artery stenosis (approximately 0.5 to 1%). The harms of the procedures resulting from a false-positive screening tests were shown to outweigh the benefits.
8. FROM CPSTF: TWO NEW RECOMMENDATIONS
The Community Preventive Services Task Force (CPSTF) has released two recommendations for clinicians and public health professionals. Use of Motorcycle Helmets: Universal Helmet Laws recommends policy makers implement universal helmet laws based on their strong evidence of effectiveness in reducing fatal and non-fatal injuries. In addition, economic evidence reviewed by the CPSTF reveals that benefits from helmet usage include substantially averting health care and loss of productivity costs due to motorcycle injuries.
In Preventing Skin Cancer: Interventions in Outdoor Recreational and Tourism Settings, the CPSTF recommends that organizations overseeing these settings provide educational and environmental approaches and policies to prevent skin cancer. These approaches and policies can range from providing informational messages and activities for visitors, providing sunscreen or adequately shaded areas, or requiring visitors to wear sun protective clothing while on the property.
9. ACPM JOINS SIGN-ON LETTER URGING WHITE HOUSE ACTION ON ANTIBIOTIC RESISTANCE
ACPM joined its partners in medicine and public health on a sign on letter to the President’s Council of Advisors on Science and Technology (PCAST) urging White House action to "rein in all indiscriminate, untargeted, and unnecessary antibiotic use in meat and poultry production.” The letter specifically calls on PCAST to recognize the use of antibiotics for "disease prevention” in animal feed as injudicious. The letter states that "Recent drug and agribusiness media statements suggest companies may continue to rely on important antibiotics to ‘prevent disease’ that is not present or threatening animal health. In a scenario where those uses are still allowed, and a veterinarian may not be required to visit the animals or the premises where they reside, it is difficult to imagine what will drive meaningful reductions in antibiotic use.”
ACPM joined the Partnership for Prevention, Campaign for Tobacco Free Kids, National Association of County and City Health Officials, and others on a letter to Centers for Medicare and Medicaid Services (CMS) administrator Marilyn Tavenner urging that CMS amend the payment system for acute and long term care hospitals to include in its quality reporting requirements the three National Quality Forum (NQF)-endorsed Joint Commission tobacco performance measures (tobacco use screening, tobacco use treatment provided or offered during hospitalization, and tobacco use treatment management at discharge).
The letter states that, "the U.S. Department of Health and Human Services Public Health Service Clinical Practice Guideline, Treating Tobacco Use and Dependence 2008 Update (The Guideline) emphasizes that a hospitalization presents an unequaled opportunity to promote tobacco cessation and urges such evidence-based interventions be delivered to every hospitalized smoker.”
Research and Reports
11. UNINSURED RATE DOWN 5 POINTS FOLLOWING ACA ENROLLMENT
A new survey from the Commonwealth Fund provides early evidence that the Affordable Care Act’s coverage provisions are helping Americans most at risk for lacking health insurance and access to health care. The national uninsured rate for working age adults dropped from 20% to 15% following the open enrollment period.
Particular gains in coverage have been made to those who have historically been most at risk of being uninsured and include young adults, Latinos, and people with low and moderate incomes. Those ages 19-34 account for more than half of the estimated decline in the uninsured rates and represents an important access point as young adults are more likely to have low or moderate incomes and are less likely to have job-based health insurance.
By June, 60 percent of adults with new coverage through the marketplaces or Medicaid reported they had visited a doctor or hospital or filled a prescription; of these, 62 percent said they could not have accessed or afforded this care previously.
The Centers for Disease Control and Prevention (CDC) has issued a new report noting that infectious diseases continue to pose "substantial challenges" to the U.S. public health, despite efforts and advances in control. The report highlights the following 5 priority areas of infectious diseases:
The report notes that although substantial progress in reduction of the burden of infectious diseases has been made, infections continue to challenge prevention and control strategies. An important priority for control of infectious disease is to ensure that scientific and technological advances in molecular diagnostics and bioinformatics are well integrated into public health.
The National Prevention, Health Promotion and Public Health Council has released its 2014 Annual Status Report, which describes the nation’s progress in meeting specific prevention, health promotion, and public health goals defined in the National Prevention Strategy to the President and the relevant committees of Congress.
The Open Payments system of the Physicians’ Payment Sunshine Act Phase II implementation is now live.
You may review any information that has been submitted about you, and dispute this information if necessary before the Open Payments information is made public. There is a 45-day window to submit disputes (starting July 14, 2014), followed by an additional 15-day resolution period. If, at the end of the 60-day period, the dispute is not resolved, the payment will be marked as "disputed” when it is posted publicly on September 30, 2014, but only if you initiate the dispute during the 45-day period. Otherwise, the payment will be publicly posted as-is and the next opportunity to correct the data will not occur until sometime next year.
Any payments reported under your name are available for public review and may also be subject to particular scrutiny by the media. ACPM urges you to register promptly so you can review and, if necessary, dispute inaccurate payment information during the 45-day review and dispute period.
The journal Behavioral Medicine is seeking manuscripts for a special issue that will examine the influence of context and contextual factors on human behavior, with a particular focus on the role that settings and environments may play in shaping health, health risk behaviors, and health disparities. Preference will be given to manuscripts that are informed by a biopsychosocial perspective of health and well-being and examine the ways in which contextual factors (neighborhoods, communities, schools, family settings, and cultural contexts in which individuals engage) may play a role in these processes in order to build a deeper understanding of health and human development, as well as to inform intentional change strategies aimed at improving health and development for individuals at risk.
If you would like to have an article considered for this special issue, please email the following information to Perry N. Halkitis, Editor in Chief, Behavioral Medicine by August 15, 2014.
1. Tentative title of article
Articles selected for publication will undergo a peer review process and must be submitted by November 30th, 2014.
The Association of American Medical Colleges (AAMC) has announced the following cycle 2 Workforce Improvement Project (WIP) funding opportunities available through the AAMC’s cooperative agreement with the Centers for Disease Control and Prevention (CDC).
WIPs focus on workforce development in various areas of public health practice. The announcement solicits proposals from eligible applicants from members of academic partner institutions in topic areas that are of interest to the CDC Centers, Institutes and Offices (CIOs). For information on the current funding opportunities and how to apply, please visit www.cdc-cafunding.org. The application deadline is July 21, 2014 at 8:00pm ET.
Please contact firstname.lastname@example.org if you have any additional questions.