|ACPM Headlines 9/12/14|
In this Issue
Policy and Practice
Research and Reports
1. ACPM ANNOUNCES PARTNERSHIP WITH EUROPEAN SOCIETY OF LIFESTYLE MEDICINE
ACPM has announced a partnership with the European Society of Lifestyle Medicine (ESLM) to advance preventive medicine and lifestyle medicine and improve education of health professionals and research worldwide in order to reduce the burden of lifestyle-related, non-communicable diseases globally. ESLM is Europe’s leading professional medical society dedicated to research, prevention and treatment of lifestyle-related diseases/non-communicable diseases.
"Europe and North America share many of the same health problems; it just makes sense for ACPM and ESLM to be working together to address these problems, said ACPM President-elect Daniel Blumenthal, MD, MPH, FACPM, who helped broker the agreement. "Achieving improved health status at both the individual and population levels is a shared goal of ACPM and ESLM. It is important to leverage the resources of organizations committed to supporting healthy behaviors and lifestyles through both clinical and public health approaches in a unified way. For that reason, as well as the opportunity to expand our messaging and branding internationally, ACPM is excited about this partnership.”
ESLM becomes the first organization to partner with ACPM under its new Affiliate Organization structure approved by the Board of Regents earlier this year (see Article X, Section 2).
The lifetime risk of being diagnosed with diabetes for Americans at age 20 is 40.2% for men and 39.6% for women, according to a recent study published in The Lancet Diabetes & Endocrinology. "Trends in Lifetime Risk and Years of Life Lost due to Diabetes in the USA, 1985-2011: A Modeling Study” also found that minority populations, including Hispanic men and women and non-Hispanic black women, have the highest lifetime risk at over 50%. In addition, the average number of years of life lost has increased over time by 46% in men and 44% in women. The authors note that effective interventions to reduce diabetes incidence are imperative to decrease future health care service costs.
The country’ largest drug store chain announced on September 3rd it has stopped selling all tobacco products at its 7,600 stores, started a smoking-cessation campaign, and changed its name to position itself as health-care provider. CVS Health, as the company now calls itself (formerly CVS Caremark), made the move to stop selling tobacco products nearly one month ahead of schedule and has drawn praise from public health advocates. As the biggest seller of prescription drugs, CVS Health is positioning itself as a health care provider while looking to capitalize on the 8 million new insurance beneficiaries under the Affordable Care Act. CVS Health will forgo $2 billion in annual revenue as it becomes the first national pharmacy chain to end tobacco sales. To date, no other drug store chains have followed suit, although shares of CVS reached their highest value in 34 years.
4. ANOTHER SUCCESSFUL BOARD REVIEW COURSE IN THE BOOKS
ACPM hosted its 27th annual Board Review Course in Washington, DC August 23-27, 2014 attracting nearly 170 physicians. The course featured an extensive review of topics slated for the Preventive Medicine Board Certification and Recertification Exams. In addition, ACPM featured for the first time two career-focused sessions hosted by the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (ODPHP).
The CDC session featured an "Introduction to Health Systems Transformation,” by Peter Briss, MD, MPH. His presentation focused on why health systems transformation is important, as well as the current challenges and opportunities for improvement. The ODPHP session featured presentations about the ODPHP and Agency for Healthcare Research and Quality (AHRQ) programs and initiatives. In addition, ODPHP and AHRQ representatives held an extended question and answer period regarding federal government employment opportunities for preventive medicine physicians.
ACPM would like to thank its longstanding Board Review
Course Chair, Jill
Waalen, MD, MPH, MS, FACPM, for again organizing a top-notch event, and
the dedicated faculty members for their critical contributions and expertise.
ACPM has joined, as a founding member, the U.S. Stakeholder Forum on Antimicrobial Resistance (S-FAR) to provide strategic input into policy development efforts aimed at addressing antimicrobial resistance. Organized by the Infectious Diseases Society of America (IDSA), S-FAR is comprised of more than 75 national organizations representing medicine, public health, consumers, and international health organizations.
S-FAR’s work will be guided by the following principles:
For more information please contact Paul Bonta at firstname.lastname@example.org.
ACPM has joined 122 medical and public health organizations asking U.S. Senate Majority Leader Harry Reid and Minority Leader Mitch McConnell to oppose S. 1347, "The Conference Accountability Act of 2013.” This legislation would severely restrict the number of federal employees able to attend conferences as well as limit the amount of funding that federal agencies can use to support scientific conferences.
ACPM is seeking program reviewers for its exciting new weight management certification initiative. Under this initiative ACPM will certify weight management programs that meet specific, evidence-based standards for safe and healthy weight loss and maintenance defined by the ACPM Prevention Practice Committee.
Program reviewers will anonymously analyze data submitted by the program; score the program and provide feedback that could lead to ACPM certification of the program; as well as assess the certification review process. ACPM evaluates weight management programs against evidence-based best practice criteria for both overall program content and individual process elements, placing emphasis on health improvement.
If you have expertise in weight management, nutrition, physical activity, lifestyle medicine, or other related areas and are interested in becoming a program reviewer, please submit a short statement of interest and your CV to Danielle Pere, ACPM Associate Executive Director for Programs and Operations, email@example.com by September 24th.To learn more about the weight management program and the criteria, please visit the ACPM website.
The American College of
Preventive Medicine (ACPM) is considering hosting an event or information booth
at the American Public Health Association's (APHA) annual conference. To help
us assess the most appropriate level of engagement at the APHA meeting, please
complete this brief
survey. We greatly appreciate your
input as we consider additional opportunities to connect with our members. Your
responses to the survey (2 minutes or less) will remain anonymous.
9. UPDATES FROM THE USPSTF: TWO NEW RECOMMENDATIONS
The U.S. Preventive Services Task Force (USPSTF) has released two new recommendations for clinicians. "Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors,” features a B recommendation encouraging clinicians to offer or refer adults to intensive behavioral counseling if they are overweight or obese and have additional cardiovascular disease risk factors. USPSTF has found moderate benefits for such types of counseling that promote healthy eating habits and physical activity in patients at risk for cardiovascular disease and are overweight or obese.
The USPSTF has also provided a B recommendation for "Low-Dose Aspirin Use for the Prevention of Morbidity and Mortality from Preeclampsia.” Clinicians are encouraged to prescribe low-dose aspirin to women at high risk for preeclampsia after 12 weeks of pregnancy gestation. Available research has determined that low-dose aspirin (60-150 mg/d) use in high risk women have reduced their risk for preeclampsia by 24%, for preterm birth by 14%, and for intrauterine growth restriction by 20%.
The Community Preventive Services Task Force (Task Force) has released an evidence-based recommendation in favor of programs that actively encourage those at increased risk for type 2 diabetes to eat healthier and be more physically active. Specifically, the Task Force recommends combined diet and physical activity promotion programs for people at increased risk of type 2 diabetes based on strong evidence of effectiveness in reducing new-onset diabetes.
Combined diet and physical activity promotion programs also increase the likelihood of reverting to normoglycemia (normal blood sugar) and improve diabetes and cardiovascular disease risk factors, including overweight, high blood glucose, high blood pressure, and abnormal lipid profile.
Program participants may be considered at increased risk of type 2 diabetes if they have blood glucose levels that are abnormally elevated, but not high enough to be classified as type 2 diabetes. Participants may also be identified using validated predictive diabetes risk scores.
The Task Force also concluded from the economic evidence that combined diet and physical activity promotion programs to prevent type 2 diabetes among people at increased risk are cost-effective.
11. ACPM AND NETWORK PARTNERS URGE OMB TO EXPAND NVDRS
ACPM, as chair of the National Violence Prevention Network, led a delegation of network members to meet with Office of Management and Budget (OMB) officials to urge for continued expansion of the Centers for Disease Control and Prevention’s (CDC) National Violent Death Reporting System (NVDRS). CDC recently announced the expansion of NVDRS to 13 new states bringing the total of NVDRS-funded to states to a record high of 32.
The National Violence Prevention Network was instrumental in building support for the $8 million in new funding required to expand NVDRS to 32 states and is now working with OMB to ensure additional NVDRS funding is included in the President’s FY16 budget request that will be presented to Congress next February.
The annual State of Obesity report, by the Robert Wood Johnson Foundation (RWJF), found that after decades of rising obesity rates among adults, the pace of increase is beginning to slow. However, adult obesity rates remain high overall and increased in six states in the past year.
Adult obesity rates increased in Alaska, Delaware, Idaho, New Jersey, Tennessee and Wyoming.Mississippi and West Virginia tied for having the highest adult obesity rate in the United States at 35.1 percent, while Colorado had the lowest at 21.3 percent.
The report also found that obesity rates remain higher for blacks and Latinos, while 9 out the 10 states with the highest obesity rates are in the South. Baby Boomers (45-64 years of age) have the highest obesity rates of any age group. The report concluded that racial, ethnic, and socioeconomic disparities continue to persist.
The Council on Linkages Between Academia and Public Health Practice has released the 2014 version of the Core Competencies for Public Health Professionals, which builds on the 2010 version by adding and expanding concepts of increasing importance given the movement toward health department accreditation. A crosswalk of the 2014 and 2010 versions is also available to help with the transition to the new core competencies.
The World Health Organization (WHO) has released its first report on the global burden of suicide. "Preventing Suicide: A Global Imperative” is a response to the WHO Mental Health Action Plan published in 2013, recognizing that suicidal behavior is a response to social, psychological, cultural, and other factors. An estimated 804,000 people world-wide committed suicide in 2012.
Recognizing that suicide is a sensitive issue, may be often misclassified or not registered at all, actual suicide deaths are expected to be much higher. Given these statistics, WHO has prioritized suicide prevention on its public health agenda and issued this report to raise awareness of suicide as a major public health problem.
15. HEALTHIER PREGNANCY TOOLS AND TECHNIQUES: IN-PERSON MEETING AND WEBCAST
The US Department of Health and Human Services is hosting a free Continuing Education (CE) opportunity for health care professionals on September 23rd titled "Healthier Pregnancy: Tools and Techniques to Best Provide ACA-Covered Preventive Services.” The event will be held in-person at The Ohio State University in Columbus, Ohio, and via webcast for participants unable to attend in-person. CE credits will be available to all participants.
Three positions of interest for preventive medicine physicians have opened across the country:
The Children's Medical Center of Dallas is currently looking for qualified candidates for their position of Medical Director, Center for Population Health and Innovation
The Los Angeles Department of Public Health is seeking a new public health director and also has a number of other positions open, including Epidemiologists.
The Chicago Department of Health is currently looking for qualified candidates for their position of Medical Director for the Office of Public Health Preparedness and Emergency Response.
Academy Health is accepting applications for its Population Health Scholarship Program. Sponsored by the Kresge Foundation, the program is designed to bring emerging community health leaders to Washington, D.C. for a policy boot camp, where they will:
Ten scholars will receive a travel stipend and complimentary registration for the National Health Policy Conference and participate in activities based on their health policy interests.