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ACPM Headlines 10/1/12
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In This Issue

Top Stories

1. HRSA announces next round of funding for PMR training programs

2. ACPM convenes fall business meetings

3. ACPM pain medication use/abuse webinar set for Oct 12

ACPM News

4. ACPM Board members visit Capitol Hill

5. ACPM hosts Corporate Roundtable meeting

6. ACPM announces nutrition education webinar: Oct 19

7. ACPM 2013 membership renewal will soon be underway

Policy and Practice

8. Continuing resolution passes House of Representatives

9. Administration releases report highlighting impact of sequestration

10.IOM GME Committee holds first public meeting

Research and Reports

11.USPSTF issues recommendation on ovarian cancer

12.Surgeon General releases National Strategy for Suicide Prevention

13.Rate of preventable deaths higher in US than France, Germany, U.K.

14.Poor medication adherence adds $100 billion in direct health costs

Announcements

15.ABPM to publicly report physicians’ MOC information

16.Drug sample donation campaign gains steam

Top Stories

1. HRSA ANNOUNCES NEXT ROUND OF FUNDING FOR PMR TRAINING PROGRAMS

The Health Resources and Services Administration (HRSA) has released a new $3.8 million funding opportunity for preventive medicine residency (PMR) training programs. All accredited PMR programs are eligible for the funds, which will be awarded on a competitive basis.

This marks the earliest release date of the HRSA funding announcement in recent history, which likely is in response to targeted ACPM education and advocacy efforts with HRSA officials to improve HRSA internal support for PMR programs. Specifically, working to ensure PMR programs have more time to respond to funding announcements and have final funding decisions in advance of the resident application process have been top priorities for ACPM’s advocacy efforts with HRSA.

To view the HRSA funding announcement, visit http://1.usa.gov/SB0SJI.

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2. ACPM CONVENES FALL BUSINESS MEETINGS

ACPM convened its annual fall business meetings September 20-21 at ACPM’s headquarters in Washington, DC. The meetings included the semi-annual meetings of the ACPM Board of Regents and Corporate Roundtable, as well as ACPM’s Capitol Hill Day.

The Board addressed several key business items at its meeting, including approving a policy resolution slated for submission to the AMA House of Delegates for consideration at its November meeting. The resolution calls on the AMA to support budget allocations from the Prevention and Public Health Fund at no less than the levels adopted in the Affordable Care Act of 2010 (ACA) and to actively oppose policies that aim to cut, divert, or use as an offset dollars from the Prevention and Public Health Fund for purposes other than those stipulated in the ACA. The Board also reviewed ACPM’s current financial performance, which is strong, considered a set of organizational performance metrics to assess ACPM’s performance in meeting its new strategic priorities, and adopted an updated Employment Policies Manual. In addition, the Board devoted a half-day session to strengthening its capacity to "Govern in the 21stCentury,” which was led by an expert consultant in association strategy, leadership, and governance.

See below for more information about ACPM’s Corporate Roundtable and Capitol Hill Day meetings.

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3. ACPM TO HOLD WEBINAR ON PAIN MEDICATION USE AND ABUSE

Registration is now open for a free ACPM national webinar to present healthcare providers with the knowledge, skills, and attributes needed to counsel patients about use, abuse, misuse and disposal of prescription pain medication within their daily practice. The webinar, scheduled for October 12 at 9:30am (ET), will identify tools and strategies to assist providers in offering effective counseling on managing challenges associated with prescription pain medication, including preventing overdose. The webinar will describe the risks of prescription medications, providing examples of abuse, the impact of the problem, and how providers can work with patients to prevent abuse while ensuring proper storage, use, and disposal of pain medications.

The webinar is being supported by an educational grant from Purdue Pharma. To register for the free webinar, visit http://bit.ly/P6xAwi.

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ACPM News

4. ACPM BOARD MEMBERS VISIT CAPITOL HILL

Members of the ACPM Board of Regents visited with their congressional delegations on Capitol Hill as part of ACPM’s fall business meetings in Washington, DC. Board members urged support for language included in the FY 2013 Senate, Labor, Health and Human Services, and Education Appropriations bill that provides the Health Resources and Services Administration (HRSA) with an additional $2 million to increase support for preventive medicine residency training programs. Board members also discussed the need to strengthen support in Congress for the Prevention and Public Health Fund that has been used predominantly to bolster public health programs and activities administered by HRSA and the Centers for Disease Control and Prevention (CDC).

For more information, contact Paul Bonta at pbonta@acpm.org.

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5. ACPM HOSTS CORPORATE ROUNDTABLE MEETING

The ACPM Corporate Roundtable (CR), a consortium of corporate and other private organizations with interests and/or programs aligned with preventive medicine, met September 20 at the ACPM headquarters in Washington, DC. CR members heard presentations from and engaged with ACPM leadership around the topics of the day, including the Affordable Care Act and other policy issues, lifestyle medicine, prescription drug abuse, immunization challenges, and relationships between physicians and industry.

ACPM President, Miriam Alexander, MD, MPH, FACPM, presented ACPM’s strategic priorities and exciting changes being made to ACPM’s upcoming annual meeting, Preventive Medicine 2013, while President Elect, Halley Faust, MD, MPH, FACPM, provided a sneak preview of his presidency and themes he is considering for Preventive Medicine 2014 and 2015. ACPM executive director Mike Barry and associate executive director Paul Bonta presented an ACPM member profile and congressional report, respectively. The meeting concluded with a lively open forum on how industry and ACPM intersect and ways for ACPM and industry to collaborate.

For more information on the ACPM Corporate Roundtable, please visit http://www.acpm.org/? CR or contact Maureen Simmons at msimmons@acpm.org.

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6. ACPM TO HOST WEBINAR ON NUTRITIONAL RATING SYSTEM: OCT 19

Registration is now open for the first in a series of two free webinars for ACPM members providing information and tools to counsel patients and educate communities to make more nutritional food choices. The webinar series, being co-hosted by ACPM and NuVal, has been established in response to a recent survey of ACPM members on nutrition education and counseling [http://bit.ly/QgiEy4].

The webinar, scheduled for October 19 at 11:00 am (EST), will feature David Katz MD, MPH, FACPM, FACP,who will discuss the obesity epidemic and present tools for combatting the epidemic through patient and community education. He will particularly focus on the NuVal Nutritional Rating System, endorsed by ACPM in 2010, which serves as a navigation system for shoppers interested in making more nutritious food choices. He, along with colleagues from NuVal, will present the science behind the system, conduct an online demonstration, and present plans for further roll-out of the system. The webinar will encourage audience participation.

The second webinar in the series (date to be determined) will focus on application of the rating system and how ACPM members can become users and/or advocates for the system.

Dr. Katz is the principal inventor of the Overall Nutritional Quality Index utilized in the NuVal nutritional guidance program (www.nuval.com), which currently reaches some 30 million consumers and also is being used in employer and school health and wellness programs. Dr. Katz has no financial ties to NuVal nor conflicts of interest to report. NuVal has provided no financial support for this webinar or other nutrition-related work of ACPM.

To register for the free webinar, visit http://tinyurl.com/feetforks.

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7. ACPM PREPARES FOR 2013 MEMBERSHIP RENEWAL CAMPAIGN

ACPM’s 2013 annual membership renewal campaign will be underway within the next few weeks, so keep an eye out for invoices landing in your mail boxes soon. The ACPM Board of Regents has approved an annual membership dues increase for all members [http://bit.ly/SXkFhk]. The increase, the first in five years, will help ACPM improve its infrastructure, operations, and staffing needed to implement its new strategic plan and enhance the value, benefits and services its members receive. These initiatives include advancing ACPM’s policy agenda in an era of health reform, becoming the one-stop shop for preventive medicine physicians needing CME and MOC opportunities and support, maintaining special member prices for training courses and meetings, and enhancing networking and engagement opportunities for the members.

The Board also has reaffirmed a policy adopted in 2009 to make annual dues adjustments tied to the cost of living/inflation index, rather than less frequent, larger adjustments. This policy had been suspended during the economic downturn of recent years, but will be implemented beginning in 2014.

ACPM looks forward to providing even more substantial returns on your dues investment. For additional information regarding ACPM member benefits, please visit www.acpm.org or contact Member Services at 202-466-2044 ext. 104.

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Policy and Practice

8. CONTINUING RESOLUTION PASSES HOUSE OF REPRESENTATIVES

Prior to leaving town in advance of the November elections, members of Congress adopted a continuing resolution (CR) that will essentially extend FY 2012 funding levels for all government agencies through March 27, 2013. The 6-month CR buys Congress additional time to negotiate a FY 2013 funding package as it works to address other major fiscal issues, such as the impending sequester, tax extenders, and the Medicare physician payment fix.

For more information, contact Paul Bonta at pbonta@acpm.org.

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9. ADMINISTRATION RELEASES REPORT DETAILING IMPACT OF SEQUESTRATION

The Obama Administration’s Office of Management and Budget has released a report detailing the potential effects of sequestration should Congress fail to put a halt to the automatic across-the-board cuts required by the Budget Control Act (BCA) of 2011. The Budget Control Act of 2011 contained a provision calling for sequestration—an across-the-board cut on January 2, 2013—if a $1.2 trillion deficit reduction deal was not reached by the end of 2012.

The report makes clear that sequestration would seriously impair the ability of government to carry out core functions including national security. The sequestration would result in a 9.4 percent cut in non-exempt defense discretionary funding and an 8.2 percent reduction in non-exempt nondefense discretionary funding. The sequestration would also impose cuts of 2.0 percent to Medicare, 7.6 percent to other non-exempt nondefense mandatory programs, and 10.0 percent to non-exempt defense mandatory programs.

The American Hospital Association, American Medical Association, and American Nurses Association also has released a report, "The Negative Impacts of the Medicare Cuts in the Budget Control Act of 2011,” that estimates a loss of 766,000 Medicare-related jobs by 2021 as a result of the impending sequester.

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10. IOM GME COMMITTEE HOLDS FIRST PUBLIC MEETING

A newly formed Institute of Medicine (IOM) Committee on Governance and Finance of Graduate Medical Education (GME) held its first meeting as it embarks on an effort to assess current regulations, financing, content, and governance of GME and recommend how to modify GME to produce a physician workforce for a 21st century U.S. health care system that provides high quality preventive, acute, and chronic care. ACPM will communicate with the committee to highlight the challenges posed by the GME payment formula for preventive medicine residency training programs that train residents in community settings rather than in the typical teaching hospital setting. Furthermore, ACPM will position preventive medicine residency training programs as a critical component of efforts to improve the delivery of preventive services in a more streamlined and efficient health care system.

The committee is co-chaired by Donald Berwick, MD, MPP, former administrator of the Centers for Medicare and Medicaid Services, and Gail Wilensky, Ph.D., former administrator of the Health Care Financing Administration and chair of the Medicare Payment Advisory Commission.

For more information on the IOM Committee, visit http://bit.ly/HMpyZf.

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Research and Reports

11. USPSTF ISSUES RECOMMENDATION ON OVARIAN CANCER

The U.S. Preventive Services Task Force (USPSTF) has issued a new recommendation against routine screening for ovarian cancer. The "Grade D” recommendation comes despite the relatively high mortality rate among those with ovarian cancer. In its statement, the USPSTF noted that ovarian cancer is relatively rare in the United States and that there was sufficient evidence to conclude that routine screening using transvaginal ultrasound or genetic testing does not reduce the number of deaths from the disease.

The full recommendation statement can be found here.

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12. SURGEON GENERAL RELEASES NATIONAL STRATEGY FOR SUICIDE PREVENTION

U.S. Surgeon General Dr. Regina Benjamin released the first National Strategy for Suicide Prevention in eleven years. The purpose of the plan is to guide suicide prevention policy and program decisions for national, state, and local governments and organizations and encourage collaboration between these entities. The plan specifically calls for increased support for the Centers for Disease Control and Prevention’s (CDC) National Violent Death Reporting System (NVDRS), a policy priority of ACPM.

Overall, the plan encompasses four strategic directions and thirteen goals and addresses issues ranging from improving access to clinical and treatment services to improving statewide surveillance systems for suicide.

To access a full copy of the report please, visit this link to the Surgeon General’s website.

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13. RATE OF PREVENTABLE DEATHS IN U.S. HIGHER THAN FRANCE, GERMANY, AND U.K.

Despite higher per capita spending on health care, a study published in Health Affairs places the United States last among France, Germany, and the U.K. for its rate of deaths that are preventable. By 2007, the preventable mortality rate in the U.S. among men under age 65 was 69 per 100,000 while European counterparts United Kingdom (53), Germany (50), and France (37) had substantially lower rates. U.S. women under age 65 also had potentially preventable death rates higher than in the other three countries. These findings can be partially attributed to the fact that between 1999 and 2007, rates of potentially preventable deaths declined more rapidly in these countries than in the U.S. U.S. men and women did, however, have the lowest rates of death due to treatable cancers.

To read the more on the study, click here.

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14. AHRQ RELEASES NEW REPORT ON POOR MEDICATION ADHERENCE

The Agency for Healthcare Research and Quality (AHRQ) has released a report, "Medication Adherence Interventions: Comparative Effectiveness” as part of its Closing the Quality Gap: Revisiting the State of the Science series. This study measured the efficacy of medical adherence interventions from 57 trials in 63 articles among adults with chronic diseases.

The authors identified a range of findings, such as some interventions are only effective for particular clinical conditions and that patients with reduced out-of-pocket expenses for medications are more likely to adhere to treatment than those who do not pay reduced fees.

Overall, the evidence suggests that numerous pathways—including relatively low-cost, low-intensity telephone and mail interventions—provide opportunities to improve medication adherence across clinical conditions.

Despite such evidence about promising approaches to improving medication adherence, only a subset of these effective interventions relates better adherence with better health outcomes or other important end results.

For more information, please access the full article by visiting this link. Also, see ACPM’s Time Tool on Medication Adherence at http://www.acpm.org/?Adherence.

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Announcements

15. ABPM TO PUBLICLY REPORT PHYSICIANS’ MOC INFORMATION

Eleven Member Boards of the American Board of Medical Specialties (ABMS), including the American Board of Preventive Medicine (ABPM), have joined seven other Member Boards in reporting publicly whether the physicians they certify are meeting ABMS Maintenance of Certification®(ABMS MOC®) requirements. The remaining six ABMS member boards expect to make the MOC status of the physicians they certify available in the future.

The public reports show the physician’s name, the name of the ABMS member board(s) that certifies the physician, and a "Yes”, "No” or "Not Required” response to the question of whether the physician is meeting the MOC requirements of that member board. (The physician’s certifying board(s) determines whether or not he or she is meeting its MOC requirements.)

Nearly 800,000 physicians are board certified by an ABMS member board(s). The ABMS MOC program helps demonstrate to the public that doctors board certified by an ABMS member board(s) continually refresh and expand their knowledge; is being incorporated into the credentialing process; and is recognized as an important quality marker by insurers, hospitals and quality and credentialing organizations as well as the federal government. Today, more than 375,000 doctors participate in an ABMS MOC program sponsored by their member board(s).

This information will be displayed by ABMS licensees and Official Display Agents. For more information about the Official Display Agents, please visit the ABMS website.

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16. DRUG SAMPLE DONATION CAMPAIGN GAINS STEAM

Dispensary of Hope (DOH), a service based in Tennessee, has developed a program that provides soon-to-expire pharmaceutical sample medications to low-income, uninsured patients at safety-net clinics. Nearly 800 physician practices around the country are participating in the program by donating sample medicines six months before they are set to expire. The program has net more than $9 million worth of drug samples from medical practices in more than two dozen states. The drugs have been dispensed to community health facilities and charitable pharmacies in 15 states.

It is unclear how much sample medication goes to waste each year, but it is not rare for the drugs to go unused. According to a recent study in the Journal of the American Board of Family Medicine drug sample closets at 10 primary care clinics in the Phoenix metropolitan area found that 14% of the packages were expired. If that rate prevails nationally, it is equivalent to $2 billion in samples going unused each year.

Information about donating samples to Dispensary of Hope is available on its website.

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