|ACPM Headlines 10/15/12|
In this Issue
Policy and Practice
Research and Reports
1. HRSA ANNOUNCES INTEGRATIVE MEDICINE PROGRAM GRANTS TO 12 PMR PROGRAMS
The Health Resources and Services Administration (HRSA) has announced the award of Integrative Medicine Program (IMP) grants to 12 Preventive Medicine Residency (PMR) programs (click http://granteefind.hrsa.gov/Search.aspx and enter IM in the Award Number search field). The purpose of the grants are to: (1) incorporate evidence-based integrative medicine content into existing preventive medicine residency programs; (2) provide faculty development to improve clinical teaching in both preventive and evidence-based integrative medicine; and (3) facilitate delivery of related information that will be measured through competency development and assessment of the residents. This funding was made possible by a $2.5 million appropriation in the FY 2012 Labor, Health and Human Services, and Education bill that resulted from direct ACPM advocacy. Only PMR programs were eligible for this round of two-year funding.
As reported to the membership in a separate communication, ACPM has been awarded a two-year grant from HRSA to establish the National Coordinating Center for Integrative Medicine to coordinate technical assistance for the IMPs and generally provide technical support for Preventive Medicine Residency and other health professions training programs interested in incorporating evidence-based integrative medicine content in their training. See press release for more information.
2. ACPM AND OTHER GROUPS ALERT CONGRESS TO SEQUESTRATION IMPACT ON HEALTH PROFESSIONS
ACPM, as a member of the Health Professions and Nursing Education Coalition (HPNEC), joined 52 organizations on a letter to Congress noting the impact of sequestration on Title VII health professions programs. These programs are funded through the Health Resources and Services Administration’s (HRSA) Health Professions Bureau and include the Preventive Medicine line-item that supports a handful of Preventive Medicine Residency training programs.
According to the White House Office of Management and Budget (OMB) sequestration report, discretionary programs within the HRSA budget will be subject to an 8.2 percent cut on Jan. 2, 2013.
The letter states "sequestration will undermine ongoing efforts of the programs to improve the supply, diversity, and distribution of the health care workforce in FY 2013,” and cites specific examples illustrating what the cut will mean for aspiring and practicing health professionals. To view a copy of the letter, visit http://bit.ly/RPQbAT.
3. TEEN DRINKING AND DRIVING HAS FALLEN OVER TIME
The Centers for Disease Control and Prevention (CDC) has reported a 54% decrease in teenage drinking and driving since 1991, according to the October 2012 issue of Vital Signs. However, 85% of teenagers who did not report drinking and driving in the past month reported being involved with binge drinking (5 or more alcoholic drinks within a couple of hours). Additionally, one in five teenagers involved in fatal crashes had some amount of alcohol in their system.
This issue of Vital Signs includes additional teenage drinking and driving statistics, links to research published in the Morbidity and Mortality Weekly Report (MMWR), and information on what states, health professionals, parents, and teenagers can do to prevent these injuries.
4. ACPM SIGNS AGREEMENT TO REVIEW WEIGHT MANAGEMENT PROGRAM
ACPM has signed an agreement with RediClinic, a national chain of retail clinics that provide routine treatment and preventive care, to conduct a review of its "Weigh Forward” medically supervised program for lifelong weight management. The 10-week program, developed in partnership with ACPM Fellow David L. Katz, MD, MPH, provides patients with comprehensive information and counseling on diet/nutrition, physical activity and behavior modification.
ACPM is assembling a small member panel to conduct a review of the results of an evaluation by a third-party research organization. Assuming a positive review, ACPM is exploring a second-phase agreement with RediClinic to disseminate the program to ACPM members at a discount and form partnerships for co-branding and dissemination to primary care practices, health plans, and health care delivery systems.
To learn more about Weigh Forward visit Weigh Forward Program. Results of the review will be released in December.
5. PREVENTIVE MEDICINE 2013 ABSTRACT DEADLINE APPROACHING
There’s still time to submit an abstract for Preventive Medicine 2013 before the October 24, 2012 deadline! Submissions on research, practice, training and policy activities in any preventive medicine or public health topic are encouraged, with an emphasis on the following content areas:
Topics relevant to the annual meeting theme (Population Health is Good Medicine: Improving the Health of People from the Clinic to the Community), adolescent health, occupational medicine/employee health and productivity, environmental health, military health, and aerospace medicine are also strongly encouraged.
6. ACPM WELCOMES NEW STAFF MEMBER
ACPM is pleased to welcome Allyson Petty as its new Meetings and Education Coordinator. Allyson’s responsibilities will include coordinating logistical operations for educational meetings and conferences, providing support for ACPM’s continuing medical education (CME) and maintenance of certification (MOC) activities, and providing assistance with special projects for ACPM’s Meetings and Education department.
Allyson brings to the College more than a decade of diverse experience working with nonprofit organizations, and was most recently employed with the American Society for Radiation Oncology (ASTRO) as an Education Coordinator, responsible for planning educational content for meetings.
Allyson may be reached at 202-466-2044, ext. 108, or firstname.lastname@example.org.
Policy and Practice
7. FROM THE USPSTF: SCREENING FOR HEPATITIS B, ALCOHOL MISUSE
The United States Preventive Services Task Force (USPSTF) has published a new draft recommendation for alcohol misuse screening as well as a draft research plan for hepatitis B screening. Draft research plans and recommendations are released to give the public an opportunity to comment on the proposals.
In its draft recommendation, the USPSTF gave alcohol misuse screening and behavioral intervention by clinicians a "grade B” recommendation, concluding that there is moderate certainty of a moderate net benefit to screening and brief behavioral counseling interventions for alcohol misuse in adults. However, for adolescents, an "I statement” was issued as the evidence concerning alcohol misuse screening and behavioral counseling interventions in primary care settings was inconclusive.
The draft research plan addresses hepatitis B virus infection screening in nonpregnant adolescents and adults. The final research plan will be used to guide a systematic review of the evidence by researchers at an Evidence-based Practice Center, which will form the basis of the USPSTF Recommendation Statement on this topic.
8. CDC CHANGES RECOMMENDATIONS FOR VACCINE STORAGE AND HANDLING
The Centers for Disease Control and Prevention (CDC) has published an interim guide on proper handling and storage of vaccines. Changes to previous recommendations come in light of new scientific evidence on equipment used for vaccine storage and improved understanding of best practices for the handling and storage of vaccines. The guidance is intended for all providers, and CDC will evaluate the most efficient and cost effective strategies to adhere to these new recommendations. The specific details of the recommendations can be found here.
9. VIDEO DESCRIBES NEED FOR INTEGRATION OF PRIMARY CARE AND PUBLIC HEALTH
The Institute of Medicine (IOM) has produced a new video highlighting its recent report about the integration of primary care and public health. The video identifies several instances where primary care and public health have coordinated to reduce disease burden and improve health outcomes. It provides examples of initiatives around the country where this kind of integration has been successful. Additionally, it offers actionable strategies to help achieve better integration between primary care and public health. The video is available to watch online or may be downloaded as slides.
Research and Reports
10. ELECTRONIC STANDING ORDERS INCREASE DELIVERY OF PREVENTIVE SERVICES
A new study published in The Journal of the American Board of Family Medicine and funded by the Agency for Healthcare Research and Quality (AHRQ) shows an increase in the delivery of preventive services when effective electronic standing orders are employed in conjunction with electronic health records (EHRs). In this study, Implementing and Evaluating Electronic Standing Orders in Primary Care Practices: A PPRNet Study, eight primary care practices developed standing orders for health screenings, immunizations, and diabetes management. These standing orders were checked against patient EHRs to produce a list of necessary preventive services. The project resulted in all eight practices improving the delivery of at least six specific services.
As a supplement to the journal article, AHRQ produced a video highlighting the project successes.
11. PROGRAMS THAT PROMOTE HEALTHY AGEING CAN HELP REDUCE RISING HEALTH CARE COSTS
A new Pfizer-sponsored report from the Economist Intelligence Unit (EIU), "Preventive Care and Healthy Ageing: A Global Perspective,” concludes that when governments increase investment in healthy ageing, healthcare costs go down. The report, which sheds light on ways countries are promoting preventive healthcare, suggests preventive care can pay dividends for cash-strapped governments.
12. REPORT SHOWS DECREASE IN MEDICAL VISITS AMONG WORKING-AGE ADULTS
A report released by the U.S. Census Bureau shows that in 2010, working-age adults made an average of 3.9 visits to doctors, nurses or other medical providers, down from 4.8 in 2001. Among those with at least one such visit, the average number of visits also declined, from 6.4 to 5.4 over the same period. While the study found that 66% of Americans rate their health "excellent” or "very good”, the drop in visits does not seem to be correlated with health status. Officials from the Census Bureau noted that the decline in the use of medical services was widespread, taking place regardless of health status.
Details of the report can be found here.
13. REPORT UNDERSCORES LINK BETWEEN PUBLIC HEALTH AND HEALTH CARE
A report from the National Association of Chronic Disease Directors, titled Why We Need Public Health to Improve Healthcare, highlights the important role that public health plays in improving overall health care and impacting both economic and human costs.
The report notes how population health programs focused on common risk factors—such as nutrition, physical activity, smoking, and other behavioral risks—and on improving health among specific age groups provide reinforcement for healthy messages provided in the course of clinical care where people live, go to school, and work. According to the report, "These programs are the difference between hearing "you should eat better and get more exercise” from one’s doctor once a year and being in communities where healthy foods and opportunities for physical activity are the norm and part of one’s daily life.”
14. NOMINATIONS BEING ACCEPTED FOR UNSUNG HEROES OF PUBLIC HEALTH AWARD
The Campaign for Public Health Foundation is accepting nominations for its second annual Unsung Heroes of Public Health Award, which honors individuals who have worked to produce meaningful results in disease prevention or health promotion efforts, yet have not been recognized for their work. The awards also highlight the oft-overlooked value of our nation’s behind-the-scenes disease control and prevention efforts.
Nominate a friend or colleague for one of the following Unsung Heroes of Public Health Award categories:
For more information or to submit nominations visit http://bit.ly/cOiHtG.
Matthew L. Boulton, MD, MPH, FACPM, professor at the University of Michigan School of Public Health in the departments of epidemiology, health management & policy, and preventive medicine, and professor in the School of Medicine in the division of infectious diseases, is this year's recipient of the Association of Schools of Public Health/Pfizer Faculty Award for Excellence in Academic Public Health Practice, to be presented at the American Public Health Association annual conference in San Francisco in October 2012. Dr. Boulton was recognized for career contributions to advancing and integrating scholarly public health practice within research, teaching and service, for applying research findings to practice settings, and for engaging students in public health practice.