|ACPM Headlines 8/16/12|
Policy and Practice
Research and Reports
1. UPDATED CDC DATA SHOW 36 PERCENT OF AMERICANS OBESE
The Centers for Disease Control and Prevention has released updated data showing nearly 36 percent of American adults were obese and 17 percent of youth were obese in 2009 to 2010. According to new data from the Behavioral Risk Factor Surveillance System, Mississippi had the highest rate of overall obesity at 35 percent, and Colorado had the lowest at 21 percent.
The South had the highest prevalence of adult obesity at 29.5 percent, followed by the Midwest at 29 percent, the Northeast at 25.3 percent and the West at 24.3 percent. No state had a prevalence of adult obesity less than 20 percent, and 12 states—Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Oklahoma, South Carolina, Texas and West Virginia—had a prevalence of 30 percent or more.
The USPSTF has released its final recommendation on screening for hearing loss in older adults, determining there is insufficient evidence to assess the balance of benefits and harms of screening for hearing loss in asymptomatic adults aged 50 years or older (Grade I). This final recommendation replaces an earlier guideline (1996) that recommended periodically asking older adults about their hearing, discussing hearing aids, and making appropriate referrals for further evaluation. The new recommendation does not apply to patients with subjective complaints of hearing difficulty or other symptoms suggestive of possible hearing loss.
The recommendation statement can be found at http://bit.ly/NB4Tsz.
3. LAST CALL TO REGISTER FOR ACPM’S BOARD REVIEW COURSE!
Time is running out to register for ACPM’s 25th Annual Board Review Course, August 18-22 at the Omni Shoreham Hotel in Washington, DC.
Don't miss this opportunity to participate in the only comprehensive review of the Preventive Medicine specialty, prepare for the American Board of Preventive Medicine (ABPM) certification examination, and learn about the maintenance of certification (MOC) process. Representatives from ACPM and ABPM will be on site to answer your questions.
ACPM’s Review Course is a valuable professional development opportunity—even if you are not planning to sit for the exam. Attendees can earn nearly 40 credits of continuing medical education (CME) and maintenance of certification (MOC).
Register online for the full five-day course, two-day weekend refresher, or a specialty breakout.
4. ACPM ATTENDS CDC MEETING TO PROMOTE INTEGRATION OF PRIMARY CARE AND PUBLIC HEALTH
ACPM participated in a recent stakeholder meeting hosted by the Centers for Disease Control and Prevention’s (CDC) Office for State, Tribal, Local and Territorial Support to provide input into a new CDC initiative to promote integration of primary care and public health. The meeting follows the recent release of the Institute of Medicine (IOM) report "Primary Care and Public Health: Exploring Integration to Improve Population Health.”
ACPM Southeast Regent Betsey Tilson, MD, MPH, FACPM, represented ACPM and highlighted the unique contributions preventive medicine physicians and residents can play in advancing initiatives that promote the integration of primary care and public health. In her post-meeting report to the College, Dr. Tilson noted that much of CDC’s current focus is centered on the delivery of public health educational resources to primary care residency training programs across the country. ACPM is lending its support to this effort by promoting the CDC initiative and training modules to preventive medicine residency training programs, urging linkages between PMR and primary care residencies, and reviewing the educational modules. To view the CDC educational modules, visit http://1.usa.gov/TES1Es.
5. MISSED ACPM’S FELLOWSHIP WEBINAR? ACCESS IT ONLINE!
If you missed the Young Physician Section (YPS)-sponsored webinar on August 8 about ACPM fellowship, you may now access the informative presentation online. Visit our website to view Joining the Best of the Best: How to Become a Fellow of the American College of Preventive Medicine. David Shih, MD, MS, FACPM, chair-elect of YPS, and Camille Sanders, ACPM's membership manager, were the webinar presenters and also answered questions about the application process. The final deadline for 2012 applicants is October 18. If you currently meet all eligibility criteria, please submit your fellowship application today.
6. ACPM OFFERS MYRIAD DISTANCE LEARNING OPPORTUNITIES
ACPM members are encouraged to take advantage of numerous professional development courses that are easily accessible, cost-efficient, and available on demand through the ACPM website, www.acpm.org. ACPM offers distance learning for CME and MOC credit through CDs and DVD-ROMs, webcasts, and conference sessions available through ACPM’s e-learning portal. These modules provide the opportunity to review quality PowerPoint presentations and lectures from the convenience of your office, home, lap top computer, or other mobile device with an internet connection.
Distance learning is now a predominant mechanism for delivering courses and symposia throughout the world, and now—more than ever—professionals are making the most of this innovative approach to learning. While ACPM’s distance learning courses do not offer the interactive and networking value of our on-site courses and symposia, they can provide an additional benefit to many who desire access to diverse professional development courses without the required travel, hotel and time away from work and families.
For additional information about our distance learning programs and how you can participate, visit http://www.acpm.org/?CMEMOC_activities.
7. STILL TIME TO PARTICIPATE IN ACPM’S NUTRITION COUNSELING AND EDUCATION SURVEY
ACPM still is accepting responses to its Nutrition Counseling and Education Survey. ACPM is conducting this survey to ascertain the extent to which its members are engaged in nutrition counseling and education activities, their awareness of resources to support consumers’ and patients’ health education needs, and their need for education and resources to support their practice efforts in this area. The survey results will be used as ACPM embarks on educational programming for its members to support nutrition counseling and education, including use of evidence-based, consumer-oriented tools such as the NuVal nutrition rating system.
Note that ACPM has received no financial support from NuVal to conduct this survey or any follow-up education activities. The ACPM Board of Regents voted in 2010 to approve a non-exclusive endorsement of the NuVal nutrition rating system after a careful review and vetting of the system’s science and design against ACPM’s objective review criteria. The Board also urged ACPM to educate and engage its members in how to use the system in support of public health and preventive medicine practice to combat obesity.
The survey should take no more than 5 minutes to complete, and will remain open through Wednesday, August 22. We greatly appreciate your participation in this survey!
Policy and Practice
8. COMMUNITY TASK FORCE UPDATES CANCER SCREENING RECOMMENDATIONS
The Community Preventive Services Task Force has released updated recommendations related to increasing community demand for breast and colon cancer screenings based on new systematic reviews conducted by Community Guide researchers and partners. The Task Force recommends use of group education for increasing breast cancer screening and one-on-one education to increase colorectal cancer screening with fecal occult blood testing (FOBT).
Previously there was insufficient evidence available to support these practices. Strong evidence also is now available to support the use of client reminders to increase colorectal cancer screening with FOBT; whereas, previously, there was only sufficientevidence to recommend this intervention.
These recommendations are available in The Community Guide: Increasing breast, cervical, & colorectal cancer screeningat http://bit.ly/OYeZ6f.
9. ALMOST A THIRD OF PHYSICIANS UNWILLING TO ACCEPT MORE MEDICAID PATIENTS
A recent study published in the journal Health Affairs found that 31% of physicians are unwilling to accept additional Medicaid patients. However, this percentage varies significantly across the US. For example, in New Jersey, only approximately 40% of physicians are accepting new Medicaid patients, while in Wyoming nearly all physicians are willing to accept new Medicaid patients.
In contrast, only 17 percent of physicians refused new Medicare patients, and 18 percent were unwilling to accept new patients with private insurance coverage. These findings are particularly relevant in light of new provisions employed under the Affordable Care Act (ACA) to increase the number of patients covered by Medicaid and increase Medicaid payments to primary care doctors.
10. COALITION OFFERS GRASSROOTS TOOLKIT FOR PUBLIC HEALTH FUNDING ADVOCACY
The Coalition for Health Funding, a broad-based coalition of more than 70 national organizations working to increase overall funding for federal health programs, has released a grassroots toolkit aimed at increasing awareness among lawmakers of the negative impact sequestration will have on programs supported through discretionary funding. Federal discretionary dollars are used to fund activities that fall outside entitlements, defense, and homeland security programs. Unless Congress acts to reverse sequestration’s impact by the end of the year, most federal programs will face an across-the-board cut of roughly 8 percent starting January 2, 2013. Sequestration is a rigid budgetary tool originally included in the 2011 Budget Control Act as a measure to force bipartisan agreement on a broad deficit reduction package, which has not materialized.
The toolkit is tailored for use during the August congressional recess and includes:
ACPM, a long-time member of the Coalition for Health Funding, recently joined nearly 3,000 national, state, and local organizations on a sign-on letter to Congress urging that they avert sequestration by "adopting a balanced approach to deficit reduction that does not include further cuts to NDD (non-defense discretionary) programs.” Please consider utilizing the toolkit and communicating with your elected officials about the impact sequestration will have on state and federal public health programs in your community. To access the toolkit, please visit http://bit.ly/NdUVPo.
11. WORLDWIDE CANCER CASES COULD DRAMATICALLY INCREASE
Researchers from the International Agency for Research on Cancer and the American Cancer Society have predicted an increase in overall worldwide cancer cases of 22.2 million by 2030. The research, recently published in an article in The Lancet Oncology, used 2008 cancer rates to base predictions. The researchers also used the Human Development Index (HDI) to compare the cancer burden between highly-developed and lesser-developed countries.
Researchers concluded that highly-developed or more ‘western’ countries experience more reproductive, dietary and hormonal-related cancers compared to lesser-developed countries, which experience more infection-related cancers. However, they believe that as lesser-developed countries undergo socio-economic transition, they will experience an increase in non-infectious cancer cases, similar to highly-developed countries.
12. CIGARETTE SMOKING FALLS BUT OTHER TOBACCO USE ON THE RISE
The Centers for Disease Control and Prevention (CDC) recently reported that cigarette smoking has decreased, but use of tobacco in other forms (i.e., pipe tobacco, cigars, etc.) has increased. Consumption of all combustible tobacco products decreased 27.5% from 2000-2011. Consumption of cigarettes decreased nearly 33%, while consumption of non-cigarette, smokable tobacco increased a whopping 123%. Current tobacco use, combustible tobacco use, and cigarette smoking use by both high school and middle school students have declined.
These findings suggest that some smokers have switched from cigarettes to other lower-priced tobacco products. This trend may be related to price differences between cigarettes and other smokable tobacco products. Various types of smokable tobacco products are now less expensive than manufacturer cigarettes, mainly because of federal tobacco excise taxes.
A separate policy analysis by the Robert Wood Johnson Foundation found that tobacco prevention and cessation efforts, especially well-funded and comprehensive programs, are proven to reduce tobacco use and lower associated healthcare costs, providing a strong return on investment (ROI), such as $50 saved for every dollar invested in California.
13. REPORT EXAMINES EFFECTS OF OPTING OUT OF MEDICAID EXPANSIONS
In the August 2012 edition of Health Affairs,professors from George Washington University and Georgetown University comment on the recent U.S. Supreme Court decision declaring state Medicaid eligibility expansion under the Affordable Care Act (ACA) as unconstitutional, thereby allowing states to continue receiving federal Medicaid funding regardless of future program expansion plans. The authors believe this raises two questions for state and federal policymakers to consider as they move forward with ACA implementation. First, how does this ruling affect existing Medicaid programs, as well as other ACA amendments with Medicaid requirements? Secondly, will the federal government be able to modify the expansion requirements with individual states? Please visit the Health Affairs website to read the full article.
14. CMMI STATE INNOVATION MODELS FUNDING OPPORTUNITY
The Centers for Medicare and Medicaid Services Innovation Center (CMMI) has released a competitive funding opportunity announcement (PDF link) for states and U.S. territories to design and test multi-payer payment and delivery models that deliver high-quality healthcare and improve health system performance. The funding announcement provides an opportunity for states and territories to bring together multiple partners to develop and test innovative models that can help support efforts to deliver better health, better care, and lower costs. Applications are due September 17, with an anticipated award date of November 2012.
15. CANCER CONTROL CAREER DEVELOPMENT AWARDS FOR PRIMARY CARE PHYSICIANS
The American Cancer Society’s (ACS) Extramural Grants Program is currently soliciting proposals for this year’s Cancer Control Career Development Awards for Primary Care Physicians. The program primarily focuses on beginning investigators, and seeks to support and promote high impact and innovative cancer research across a wide range of disciplines to meet critically important needs in the control of cancer. The award provides support for primary care physicians in supervised programs intended to develop clinical and teaching expertise and the capacity to perform independent research or educational innovation in cancer control. Awards are for three years and for up to $100,000 per year. A maximum of $10,000 per year for the mentor(s) may be included in the budget.
All proposals are subjected to multiple levels of peer review to identify the most meritorious projects for funding. The deadline date for submission is October 15, 2012. For additional information about this funding opportunity, visit http://bit.ly/OiJ5SZ.
16. NATIONAL WEBINAR PROMOTES EVIDENCE IN IMMUNIZATION STRATEGIES
The Public Health Foundation (PHF) is hosting an online training program on August 22, 2012, from 2:00-3:15 pm EDT, entitled Immunization Strategies: Using the Evidence and What Works to Improve Practice. This program is designed to target health department staff, health care professionals, community health workers, and others who provide vaccines to the public. The goal is to strengthen participant knowledge and use of evidence-based immunization strategies to increase vaccination rates. Continuing education credits will be provided.