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ACPM Headlines 8/9/13
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In this Issue

Top Stories

1. Last chance to register for ACPM’s Board Review Course

2. IOM releases plan for measuring progress on nation’s obesity prevention efforts

3. ACPM expands career opportunities in clinical safety/pharmacovigilance

ACPM News

4. ACPM joins letter in support of funding to expand firearm violence research

5. ACPM endorses ‘‘Medicare Better Health Rewards Program Act of 2013”

6. YPS to host webinar on ACPM Fellowship application process

7. Welcome Nathaly Navarro to the ACPM team!

Policy and Practice

8. Longest running heart study faces 40 percent cut due to sequestration

9. FDA releases proposed rule for menthol cigarettes

10. From the USPSTF: draft recommendation statement for lung cancer screening

11. Physicians Payment Sunshine Act provisions take effect

Research and Reports

12. IOM releases seminal report, "Best Care at Lower Cost”

13. Improved preventive care in nursing homes could reduce hospitalizations by 60%

14. Elevated blood pressure an increasing problem for children and teens

15. Firearm-related suicides increasing, homicides decreasing in large metro areas

Announcements

16. Members in the News: Boris Lushniak; Thomas Coleman

17. On Your Behalf: Hugh Tilson recognized for service to Council on Linkages

18. Corporate partners in the news: EHE International

Top Stories

1. REGISTRATION EXPIRES TODAY FOR ACPM’S 26TH ANNUAL BOARD REVIEW COURSE

Earn up to 40 CME/MOC Credits

Advance registration for ACPM's 26th annual Board Review Course expires today, Friday, August 9th. The course provides the only comprehensive framework for review and preparation for the American Board of Preventive Medicine (ABPM) certification examination. For current certificate holders, the course also serves as a strong refresher in preventive medicine, offering 40 hours of Continuing Medical Education (CME) and EPIQ/Maintenance of Certification (MOC) credit. After August 9, ACPM will be accepting only onsite registrations. Don’t wait—register today!


2. IOM RELEASES PLAN FOR MEASURING PROGRESS ON NATION’S OBESITY PREVENTION EFFORTS

The Institute of Medicine has released "Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress,” a concise and actionable plan for measuring the nation’s progress in obesity prevention efforts—specifically, the success of policy and environmental strategies recommended in the 2012 IOM report, Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation. The plan offers a framework that will provide guidance for systematic and routine planning, implementation, and evaluation of the advancement of obesity prevention efforts. This framework is for specific use with the goals and strategies from the 2012 report and can be used to assess the progress made in every community and throughout the country.

The report is timely given the release this week of a CDC report containing the finding that 19 states/territories experienced a decrease in obesity among low-income preschoolers. While the CDC report highlighted a number of factors that might be contributing to the decrease, it notes "The specific factors that might have contributed to the differential changes in obesity prevalence by state could not be readily identified.” Understanding how local and state initiatives—such as those focusing on the implementation of nutrition and physical activity standards for early care and education programs and efforts to improve healthier food options and physical activity offerings in communities—are impacting the obesity epidemic is critical to scaling up successful programs.


3. ACPM EXPANDS CAREER OPPORTUNITIES IN CLINICAL SAFETY/PHARMOCOVIGILANCE

ACPM has announced a new program to expand the number of opportunities to place early and mid-career preventive medicine physicians in rewarding clinical safety and pharmacovigilance positions. Through a partnership with Otsuka Pharmaceutical Development & Commercialization, Inc. (OPDC), this program places successful applicants in challenging pharmacovigilance positions with OPDC in Princeton, NJ.

Physicians working with Otsuka will use their preventive medicine skills to support research, development, adoption, and utilization of pharmaceutical and device products worldwide and will gain exposure to and develop a broad expertise in global product safety. Qualified candidates should be graduates of an accredited residency in Preventive Medicine. Successful applicants will possess a medical degree (MD or DO), in addition to a minimum of an MPH or MS, preferably in Epidemiology. All applicants will be required to have had training in epidemiology and biostatistics from an accredited school of public health. Prospective applicants should also show a strong interest in pursuing a career in clinical safety and pharmacovigilance. Preference is given to candidates with an ABMS board certification and demonstrated analytical skills.

Interested applicants should send an updated CV and cover letter noting their specific qualifications to Andrea Lowe, ACPM Policy and Practice Manager.


ACPM News

4. ACPM JOINS LETTER IN SUPPORT OF FUNDING TO EXPAND FIREARM VIOLENCE RESEARCH

ACPM joined several public health and medicine partner organizations on a sign-on letter to Senate appropriators urging "support for at least $10 million within the Centers for Disease Control and Prevention (CDC) in FY 2014 along with sufficient new funding at the National Institutes of Health to support research into the causes and prevention of gun violence. Furthermore, we urge Members to oppose any efforts to reduce, eliminate, or condition CDC funding related to gun violence prevention research.”

President Obama proposed $10 million in FY 2014 for the CDC National Center for Injury Prevention and Control to expand the research base on firearm use. The President’s proposal included an additional $15 million to expand the CDC’s National Violent Death Reporting System (NVDRS), a priority on ACPM’s policy agenda.

For more information please contact Paul Bonta.


5. ACPM ENDORSES "MEDICARE BETTER HEALTH REWARDS PROGRAM ACT OF 2013”

ACPM recently endorsed the "Medicare Better Health Rewards Program Act of 2013,” legislation introduced by Sen. Rob Portman (R-OH) that would reward Medicare beneficiaries for meeting certain health targets. Standards would be developed for specific activities linked to the annual wellness visit, tobacco cessation, diabetes and cardiovascular disease screening, cholesterol level screening and specified vaccinations to be identified by the Department of Health and Human Services (HHS). A beneficiaries’ health professional would be charged with monitoring the beneficiaries’ progress toward health promotion targets. Please visit these links to read the legislation and the ACPM endorsement letter.


6. YPS ANNOUNCES WEBINAR ON ACPM FELLOWSHIP APPLICATION PROCESS

Join your colleagues on August 27 at 9 pm EDT for a Young Physician Section (YPS)-sponsored webinar titled, "Fellowship Applications: ACPM Membership Committee Perspectives." Robert (Bob) Morrow, MD, MPH, FACPM, Chair of ACPM’s Membership Committee, will lead the webinar, which will focus on applying for fellowship in the College.Dr. Morrow is a senior medical research analyst for Battelle Memorial Institute and has supported Navy Medicine Public Health for more than 16 years.

After a 20-minute presentation there will be up to 40 minutes of Q/A with Dr. Morrow and ACPM membership manager, Camille Sanders. This presentation is part of the ACPM YPS webinar series. YPS membership is open to all ACPM members under the age of 40 or within 8 years of residency completion. The YPS webinar is free, but registration is required. For additional information, please visit our website.


7. ACPM WELCOMES ITS NEW MEETINGS AND EDUCATION COORDINATOR

ACPM is delighted to introduce Nathaly Navarro as its new Meetings and Education Coordinator. In this role Nathaly will be providing administrative support for ACPM’s annual meeting and Board Review Course as well as its CME and MOC programs.

Nathaly joins ACPM from the Metropolitan Washington Airport Authority where she served as Administrative Assistant. In this capacity, Nathaly was responsible for many departmental support services, database maintenance, & general administrative support for the office. Nathaly earned her Associate of Science (A.S.) degree from Northern Virginia Community College in 2009, and is currently pursuing a Bachelor of Science degree in Business Administration at Strayer University in Virginia. When she is not working, Nathaly pursues her second passion—music. She is a gifted singer, plays several instruments and teaches piano (for beginners).

Please join us in welcoming Nathaly to the College. You may contact Nathaly via email or at 202-466-2044 (x108).


Policy and Practice

8. SEQUESTRATION THREATENS LONGEST RUNNING HEART STUDY

In a recent statement the Framingham Heart Study (FHS) announced it expects to lose $4 million, or approximately 40 percent of its funding from the National Institutes of Health (NIH), as a result of sequestration. According to the statement, the funding reduction will result in a "reduction in workforce,” as well as "reductions in clinic exams and lab operations.”

FHS, established in 1948, is the longest running cardiovascular epidemiological study in the world and has involved over 15,000 people, spanning three generations of Framingham, Massachusetts, residents and their offspring. FHS is unique for its multigenerational design and duration of follow-up, and its research has resulted in several medical breakthroughs, including the identification of major cardiovascular disease risk factors. FHS research also covers stroke, dementia, diabetes, obesity and osteoporosis.


9. FDA RELEASES PROPOSED RULE FOR MENTHOL CIGARETTES

The Food and Drug Administration’s (FDA) Center for Tobacco Products recently released a report on menthol cigarettes, together with an advance notice of proposed rulemaking seeking additional information to help the agency make informed decisions about menthol in cigarettes. The preliminary evaluation addresses the association between menthol cigarettes and various outcomes, including initiation, addiction, and cessation. The deadline to submit public comment on menthol in cigarettes is September 23rd.


10. FROM THE USPSTF: DRAFT RECOMMENDATION STATEMENT FOR LUNG CANCER SCREENING

The United States Preventive Services Task Force (USPSTF) is seeking public comment on its draft recommendation statement on lung cancer screening for high-risk adults. USPSTF recommends annual screening using low-dose computed tomography (LDCT) for healthy persons with a 30 pack-year or more history of smoking who are ages 55 to 79 years and have smoked within the past 15 years.The task force assigned a Grade B to the recommendation, noting there is moderate certainty that the net benefit of screening among this population is moderate. Public comment will be accepted on this recommendation statement until August 26th at 5:00pm EDT.


11. PHYSICIAN SUNSHINE ACT PROVISIONS TAKE EFFECT

This month marks the first milestone of implementation for the Physician Payments Sunshine Act. Biopharmaceutical companies are now required to begin collecting data and reporting of payments and other transfers of value to currently licensed physicians and ownership interests held by physicians and immediate family members, effective August 1, 2013.

The American Medical Association has developed a comprehensive resource page including brochures, a toolkit, and an archived webinar to educate physicians about these requirements. In addition, ACPM is part of Partners for Healthy Dialogues, a campaign focused on the importance of interactions between healthcare professional and biopharmaceutical and device companies and how these collaborations can improve patient care. Visit Partners for Healthy Dialogues to learn more.

Research and Reports

12. IOM RELEASES SEMINAL REPORT, "BEST CARE AT LOWER COST”

The Institute of Medicine has updated its seminal Crossing the Quality Chasm (2001) report with Best Care at Lower Cost. This report updates insights from the 2001 report on the quality of care and underscores the increasing challenges of a complex and costly health care system in the United States. Challenges addressed include systemic inefficiencies, rapidly advancing medical knowledge, and poor focus on patient needs. IOM committee members provided recommendations for reducing waste and unnecessary expenditures in a complex modern health care system as well as opportunities for improvement and use of emerging technologies and practices, such as health information technology and team-based care.


13. IMPROVED PREVENTIVE CARE IN NURSING HOMES COULD REDUCE HOSPITALIZATIONS BY 60%

Appropriate preventive care could prevent 60 percent of hospitalizations of long-stay nursing home residents, according to a new Agency for Healthcare Research and Quality-funded study published in the August issue of Medical Care. The study examined data from a cohort of long-stay nursing home residents and found that the majority of hospitalizations were for avoidable infections, injuries, and congestive heart failure. Clinical risk factors identified by the study included renal disease, diabetes, and a high number of medications. Staffing, quality, and reimbursement were found to affect avoidable, but not unavoidable hospitalizations. Authors suggest that reimbursement policies be aligned with, and supportive of, clinical preventive care before decreased nursing home hospitalizations can be realized.


14. ELEVATED BLOOD PRESSURE AN INCREASING PROBLEM FOR CHILDREN AND TEENS

The prevalence of elevated blood pressure is on the rise in children and teens, according to a study published in the latest issue of Hypertension. Using data from National Health and Nutrition Examination Survey (NHANES) III and NHANES 1999–2008, study authors compared the results of two surveys 12 years apart with identical blood pressure protocols after accounting for differences in age, sex, ethnicity, BMI, waist circumference, and sodium intake.

In representative samples of the U.S. pediatric population aged 8 to 17 years, the authors demonstrated the risk of having either prehypertension or hypertension increased by 27% over the 12 year period. Likewise, a 36% increase in the risk of elevated blood pressure was seen among children with the highest sodium intake (more than 3,450 mg/day) versus those with the lowest sodium intake (2,300 mg/day or less), even after controlling for age, sex, race, BMI, and waist circumference.

The authors’ note that changes over time in the food supply, dietary patterns, and dependence on processed foods has led to an increase in dietary sodium intake in children as well as adults and recommend that blood pressure and waist circumference should be a routine part of pediatric office visits along with counseling about how to limit dietary sodium.


15. FIREARM-RELATED HOMICIDES DECREASING, SUICIDES INCREASING IN LARGE METRO AREAS

From 2006–2007 to 2009-2010, 78% of the 50 most populous U.S. metropolitan statistical areas (MSAs) reported decreases in firearm homicide rates for all ages; however, firearm suicide rates increased for 74% of MSAs in the same time period. These findings, based on National Vital Statistics System (NVSS) data, were reported in the Centers for Disease Control and Prevention’s (CDC) Morbidity and Mortality Weekly Report. The data showed that males overwhelming represented firearm homicide (85%) and suicide (87%) victims.


Announcements

16. MEMBERS IN THE NEWS: LUSHNIAK; COLEMAN

Rear Admiral (RADM) Boris D. Lushniak, MD, MPH, has been appointed as the acting United States Surgeon General. The Surgeon General articulates the best available scientific information to the public regarding ways to improve personal health and the health of the nation. He also oversees the operations of the U.S. Public Health Service (USPHS) Commissioned Corps, comprising approximately 6,700 uniformed health officers who serve in locations around the world to promote, protect, and advance the health and safety of the nation. Dr. Lushniak served as deputy surgeon general from November 2010, until July 17, 2013, when he assumed the duties of acting surgeon general.

Thomas Coleman, MD, MPH, FACPM has been named the chief health officer for the Southern Nevada Health District. In this capacity, Dr. Coleman will lead the District’s 500-plus staff members in its four divisions. Most recently, he served as the agency’s director of community health where his responsibilities included the management of the community health division, which includes the office of epidemiology, the office of public health preparedness, the office of chronic disease prevention and health promotion, the office of emergency medical services and trauma system, and the Southern Nevada public health laboratory. Dr. Coleman also is an adjunct assistant professor for public health and preventive medicine at Touro University Nevada College of Osteopathic Medicine.

17. TILSON RECOGNIZED FOR SERVICE TO COUNCIL ON LINKAGES

Hugh Tilson, MD, MPH, FACPM, is stepping down as ACPM’s long-standing representative on the Council on Linkages Between Academia and Public Health Practice (Council onLinkages). The Council on Linkages, formed in 1992, is a coalition of representatives from 20 national organizations intended to further academic/practice collaboration to assure a well-trained, competent workforce and strong, evidence-based public health infrastructure. Council projects are funded by the Centers for Disease Control and Prevention (CDC)and the Health Resources and Services Administration (HRSA), while staff support is provided by the Public Health Foundation.

Dr. Tilson has been a staunch advocate and proponent of preventive medicine residency training within the Council and advocated for strong recognition of preventive medicine throughout the Council’s work. His representation and service are greatly appreciated. ACPM’s seat on the council will be filled by Beverly Taylor, MD, FACPM, preventive medicine residency director at Morehouse School of Medicine.


18. CORPORATE ROUNDTABLE MEMBER UPDATE: EHE INTERNATIONAL

EHE International, a nationally recognized leader in preventive medicine and annual physical exams and a charter member of ACPM’s Corporate Roundtable, has announced it will expand its presence to all 50 states to meet a dramatic surge in demand for greater access to EHE’s prevention programs. The expansion will begin immediately and is scheduled for completion by year-end.

"EHE’s continued expansion is a sign that more and more employers are realizing the benefits of standardization of clinically based protocols in preventive health and annual exams,” said Deborah McKeever, president of EHE International. "The traditional sick-care insurance model, which responds to developed health problems, is growing increasingly expensive for businesses. Focusing on evidence-based prevention with reportable health outcomes helps control future healthcare costs by catching problems before they become too serious, and contributes to greater employee job satisfaction and higher productivity among employees when they’re engaged in proactively managing their own health.”

For more information about EHE please visit EHE International.


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