|ACPM Headlines 8/19/11|
Policy and Practice
USPSTF updates bladder cancer screening recommendations
Report makes business case for worksite flu vaccine programs
1. HAVE YOU VISITED ACPM’S NEW WEB SITE?
ACPM last week announced the launch of its new web site, featuring a new ACPM logo and an interactive membership database. The new web site allows ACPM members to update their information in real-time, make connections with other members, upload photos, file libraries and resumes, create blogs and much more!
The power of this new site and membership management system can only be achieved if members register (one-time only), review and update their profiles, and engage with the site. An email was sent to all ACPM members on Thursday, August 11, informing them of their new user name and passwords (passwords from the old web site are no longer valid). If you have not already, please log-in to the new site, verify/update your membership information, list your areas of interest, search for fellow members, and look for new opportunities to become involved with ACPM.
2. CMS PROPOSES COVERAGE FOR INTENSIVE BEHAVIORAL THERAPY FOR CARDIOVASCULAR DISEASE
The Centers for Medicaid and Medicare Services (CMS) has released the results of aNational Coverage Analysis (NCA) on intensive behavioral therapy for cardiovascular disease (CVD). In its decision memo, CMS proposed to cover one face-to-face CVD risk reduction visit every two years that includes intensive behavioral therapy conducted in a primary care setting.
The therapy includes counseling for aspirin use and healthy diet using the Five A’s (Assess, Advise, Agree, Assist, Arrange) and consists of the following elements:
CMS’ action was prompted by a National Coverage Request (NCD) submitted by Partnership for Prevention’sCouncil on Aspirin for Health and Prevention (CAHP) that recommended coverage of aspirin counseling for Medicare beneficiaries. ACPM has been a regular participant in the Council, which is chaired by ACPM Fellow Randall Stafford, MD, PhD, MS, who was a lead author of the NCD request. CMS is accepting public comments until September 9th (http://ow.ly/671L1), and will release a final decision in November 2011.
The requirement in the Affordable Care Act that virtually all Americans must carry health insurance by 2014 was struck down by a federal appeals court on Friday, with the divided three-judge panel siding with the 26 states suing to block the law. The decision differs from a previous federal appeals court ruling in June, which upheld the constitutionality of the law, and increases the likelihood the Supreme Court will make the final decision on the individual mandate.
To view a copy of the court’s majority opinion, visit http://1.usa.gov/p2z7N6.
4. ACPM PERSPECTIVES IN PREVENTION: PRESCRIBING LIFESTYLE MEDICINE
ACPM’s latest Perspectives in Prevention column, "Prescribing Lifestyle Medicine," by ACPM General Preventive Medicine Regent Liana Lianov, MD, MPH, FACPM, is now available online for CME on Medscape/WebMD. The article highlights some of the challenges and solutions for physicians providing lifestyle counseling. It presents information on the lifestyle medicine competencies and how these competencies are being implemented by leaders, such as ACPM and the American College of Lifestyle Medicine. The article also issues a call to action to join the effort and offers ways physicians can contribute, including implementing and testing feasible and effective interventions in the primary care setting; inspiring medical colleagues to look for simple ways to emphasize healthy lifestyles in their clinical practices; educating and encouraging young clinicians to develop a comfort level with prescribing lifestyle medicine early in their careers; and advocating for healthcare reform supporting clinical practices offering intensive health behavior change counseling and assistance services.
ACPM encourages physicians to become involved in lifestyle counseling. To learn more about ACPM’s Lifestyle Medicine Initiative visit, https://www.acpm.org/?LMI_Home.
To read the full articles on lifestyle medicine (CME and non-CME) and access previously published Perspectives in Prevention articles, visit https://www.acpm.org/?PerspectivesPrevent.
5. ARCHIVE OF PATIENT ASSISTANCE PROGRAMS WEBINAR AVAILABLE
Join ACPM expert panelists, including ACPM Fellow Dr. Robert Gilchick, to discover how you can help uninsured and under-insured patients access the medicines they need by viewing ACPM's free webinar archive, "Transforming Communities: Health Disparities and Patient Assistance Programs."
For additional information and to view the free webinar, visit: http://www.acpm.org/?DisparityWebinar.
6. ACPM TO CREATE NEW CLINICAL RISK MANAGEMENT FELLOWSHIP
ACPM is developing a national Clinical Risk Management Fellowship program supporting placement of postgraduate preventive medicine physicians in a two-year fellowship program in pharmacovigilance. The goals of the program are to expose preventive medicine physicians to various aspects of global product safety in a major pharmaceutical company and to provide direct training and experience in how pharmaceutical manufacturers use data to support research, development, adoption, and utilization of products.
For more information on the new Fellowship program, contact Paul Bonta at email@example.com.
7. ACPM URGES SWIFT ACTION TO IMPLEMENT TOUGHER AIR QUALITY STANDARDS
ACPM recently joined other leading physician and public health organizations in a letter to President Obama urging that the administration act expeditiously to implement tougher air quality standards. The letter noted that, "The ozone health standard must protect those who are most vulnerable from the dangerous health impacts of ozone, including children, older adults, and those with chronic diseases. To safeguard the health of the American people, help to save lives, and reduce health care spending, we support the most protective standard under consideration: 60 parts per billion (ppb) averaged over eight hours.”
To view a copy of the letter, visit https://www.acpm.org/resource/resmgr/policy-files/2011_ltr_presidentozone.pdf.
8. TASK FORCE UPDATES BLADDER CANCER SCREENING RECOMMENDATIONS
In an update to its 2004 recommendation, the U.S. Preventive Services Task Force (USPSTF) has concluded the current evidence is insufficient to assess the balance of benefits and harms of screening for bladder cancer in asymptomatic adults ("I” statement). USPSTF previously concluded in a 2004 recommendation the harms outweighed the benefits of screening for bladder cancer.
The update focused on the benefits and harms of screening among people without symptoms, the accuracy of screening tests done in primary care settings, and the benefits and harms of treatment. The USPSTF emphasizes the need for additional research in this area.
The recommendation is in the August 16, 2011 issue of Annals of Internal Medicine and is available on the USPSTF Web site at: http://www.uspreventiveservicestaskforce.org/uspstf/uspsblad.htm.
The Task Force on Community Preventive Services has provided new recommendations finding the use of dram shop liability laws to be an effective way to prevent and reduce alcohol-related harms. Dram shop liability laws allow the owner or server of retail alcohol establishments to be held legally responsible for harms inflicted by recently served customers.
In a related finding, the Task Force review showed that more research is needed to determine the effectiveness of enhanced enforcement of laws that prohibit overservice, or the service of alcoholic beverages to intoxicated customers.
To view the recommendations, visit http://bit.ly/q67UxL.
A report published in the August Mayo Clinic Proceedings gives primary care physicians practical recommendations for managing patients' suicide risk. The report urges physicians to ask about suicidal thoughts and behaviors every time they screen a patient for depression, a risk factor for suicide.
The authors recommend physicians use a collaborative care model for treating depression. Such models could include education for the doctors and care managers to monitor patients' outcomes and encourage treatment adherence. The report also urges doctors to be familiar with the warning signs of suicide, such as anxiety, hopelessness, sleep problems, trouble concentrating and excessive or increasing use of alcohol or drugs.
To read the full report, visit www.ncbi.nlm.nih.gov/pubmed/21709131.
ACPM offers a Time Tool resource for providers to use in practice to counsel their adult patients on stress, depression and alcohol and is preparing to release another on adolescent depression this month. To access the stress, depression and alcohol Time Tool and the full portfolio of ACPM Time Tools, visit http://www.acpm.org/?page=TimeTools.
11. WORKSITE FLU VACCINE PROGRAMS CAN SAVE MONEY
Partnership for Prevention has released a report making the business case for worksite influenza vaccination programs and outlines actions employers can take for getting such a program up and running. "Give Productivity a Shot in the Arm: How Influenza Immunization Can Enhance Your Bottom Line” highlights how worksite vaccination programs can improve employee health, increase productivity, and boost national vaccination rates.
To access the report, visit: http://www.prevent.org/flu/
A new guide available from the CDC, Under Pressure: Strategies for Sodium Reduction in the School Environment, offers practical strategies for those working to improve the school food environment through sodium reduction. The guide was developed in response to CDC’s 2010 Public Health Law Summit on Sodium Reduction and is the first in a series of venue-based guides offering strategies for sodium reduction in specific settings.
To view the CDC sodium reduction guide, visit http://www.cdc.gov/salt.
13. POTENTIALLY HAZARDOUS ENVIRONMENTAL EXPOSURES AMONG MILITARY POPULATIONS
The Armed Forces Health Surveillance Center of the Uniformed Services University of the Health Sciences (USUHS) and the USUHS Center for Disaster and Humanitarian Assistance Medicine have published the proceedings from their 2010 symposium and workshop entitled "Assessing Potentially Hazardous Environmental Exposures Among Military Populations.” Published in the journal Military Medicine (Vol. 176, Issue 7, July 2011), the article covers reviews of past exposures, lessons learned, gaps in assessing and responding to potentially hazardous exposures, and the follow-up of people who may have been exposed. The Vietnam Agent Orange experience and the burning oil wells of the 1991 Gulf War are reviewed in detail. Progress in responding to decade-old recommendations of the Institute of Medicine is a core theme.
The Supplement is available for purchase from the Association of Military Surgeons of the United States (AMSUS) http://www.amsus.org/index.php/journal/supplemental-issues.
14. POSITIONS AVAILABLE WITH AHRQ
The Agency for Healthcare Research and Quality’s (AHRQ) Center for Primary Care, Prevention and Clinical Partnership is seeking to fill two positions that support the U.S. Preventive Services Task Force (USPSTF).
The first position is Medical Officer to Support the USPSTF (GS-0602-14). The Medical Officer will provide logistic and scientific support to the USPSTF on topics before the Task Force. To learn more or apply for the position, visit: http://tinyurl.com/4yzvp68
The second position, Associate Scientific Director of the USPSTF (GS-0602-15), will coordinate closely with the Scientific Director to ensure that AHRQ provides the highest quality scientific, technical, and administrative support to the USPSTF. To learn more or apply for the Associate Scientific Director position, visit: http://tinyurl.com/3n42ofm
The NIH has issued a Request for Information (RFI) to solicit input on the feasibility, scope, and design of a State Health Policy Database to facilitate scientific research on key research questions in health economics. Responses will be accepted through Friday, August 26, 2011 and are limited to 1,200 words per submission.
To view the RFI, visit http://1.usa.gov/kLdoka.
ACPM Member Corey Howard, MD, has been elected the Vice Speaker of the Florida Medical Association and the Chair of the Delegation to the American Medical Association. Dr. Howard currently serves as a member of the ACPM Prevention Practice Committee and is a physician at the Physician’s Life Centers, LLC.
Dr Howard actively trains and participates in endurance sports including running races and triathlons. He uses his expertise in fitness and nutrition to guide not only his own training but the training of other endurance athletes. The main focus of his practice is to improve overall health through a combination of caring for a patient’s medical needs and developing a sound health plan using fitness testing and detailed nutritional analysis.