|ACPM Headlines 10/30/15|
In this Issue
Policy and Practice
a. High blood pressure screening recommended for all adults
Research and Reports
1. ACPM BOARD GRAPPLES WITH APPROACHES TO PROMOTING PREVENTIVE MEDICINE
With key leadership from ACPM, the Adult Vaccine Access Coalition has launched a campaign to boost adult vaccination rates, which lag far behind rates for children who generally need them in order to attend school. ACPM is a steering committee member of the coalition, which includes vaccine makers, public health organizations and health care providers who want to raise awareness of the poor uptake of adult vaccinations and the impact of these low rates.
For example, less than 40% of adults get the flu vaccine, and only about 20% of adults over age 60 get the shingles vaccine. AVAC notes that an estimated 50,000 adults die of vaccine-preventable diseases each year. AVAC’s goal is to advance the necessary policy changes to increase vaccination rates in order to save lives and reduce health care costs.
Your ACPM Board of Regents tackled a host of strategic issues at its October 19 in-person meeting at ACPM’s headquarters in Washington, DC. A prevailing theme among a number of the issues discussed is how ACPM best can promote the unique skill set and branding of Preventive Medicine physicians, the specialty, and the College in this era of health systems transformation. Specifically, ACPM and the Board considered strategies and tactics for advancing its key strategic initiative to “Establish ACPM and Preventive Medicine physicians as leaders in the transformation of health care delivery systems around public health, clinical preventive medicine, and population health principles.”
Among its actions taken, the Board agreed to support the development of plan that will outline a full suite of communications and marketing activities aimed at increasing the number of preventive medicine physicians providing expertise in health systems transformation and working in leadership positions across health systems. The plan will be developed by Burness Communications, a full-service communications firm with expertise in public health marketing and communications.
Other actions taken by the Board include approving a business plan for aggressively disseminating ACPM’s Lifestyle Medicine Competencies Curriculum as well as a plan for strengthening ACPM’s market position to assure the future success of its weight management certification program. The Board also reaffirmed ACPM’s advocacy agenda, approved a “Policy on Policies,” which refines the way in which internal ACPM policies are developed and managed, and approved the joint position paper from the American Heart Association, European Society of Cardiology, European Association for Cardiovascular Prevention and Rehabilitation, and ACPM, “Healthy Lifestyle Interventions to Combat Noncommunicable Disease…” For more information on the ACPM Board of Regents meeting, contact ACPM executive director Michael Barry.
Members of the ACPM Board of Regents stood shoulder-to-shoulder with local preventive medicine residents on Capitol Hill last week to urge that lawmakers work to increase FY 2016 funding for preventive medicine residency training programs. The Health Resources and Services Administration (HRSA) provides roughly $10 million to twenty-five preventive medicine residency program grantees, which depend on annual appropriations to maintain their grants.
Despite the challenging fiscal climate, ACPM has succeeded over the past few years in working with lawmakers to expand the preventive medicine training pipeline. With seventy-two preventive medicine residency training programs nationwide, additional funding is needed to allow more training programs to benefit from federal support.
The American Journal of Preventive Medicine recently published a special supplement on Integrative Medicine in Preventive Medicine Education (IMPriME), which represents a culmination of ACPM’s work over two years as the national coordinating center for integrative medicine, or the IMPriME Center. The IMPriME project, funded by the Health Resources and Services Administration (HRSA), provided technical assistance and other integrative medicine-focused resources to 12 integrative medicine grantees within the preventive medicine residency training program community. Several of the HRSA preventive medicine program grantees contributed to the special supplement.
ACPM would like to thank David Katz, MD, MPH for his leadership of the IMPriME steering committee and Jennifer Trask for her stewardship of the project.
4. WANTED: PREVENTIVE MEDICINE LEADERS! LAST CALL FOR ACPM AWARD AND BOARD NOMINATIONS
There are many exceptional leaders in preventive medicine worthy of recognition and/or ready to serve in an ACPM leadership capacity. You know some, and you may be one yourself. Please consider nominating a colleague for an ACPM award or yourself for a seat on the ACPM Board of Regents.
Annually, ACPM recognizes individuals for significant contributions, dedication and service to the College and preventive medicine. The Strategy and Board Development Committee is currently accepting nominations for the following: Distinguished Service Award, Ronald Davis Special Recognition Award, William Kane Rising Star Award, Donald Gemson Resident Award, and The Arnold P. Gold Foundation Humanism in Medicine Award.
Each of these awards will be presented as part of Preventive Medicine 2016 and highlight the significant contributions members of our preventive medicine community make each year. Please review the more detailed descriptions of each award and nominate someone today!
Awards and Board nominations are due November 13. For additional information on the nominations process, please visit www.acpm.org/awards.
5. ACPM WILL ATTEND/EXHIBIT AT THE ACLM ANNUAL CONFERENCE
The American College of Lifestyle Medicine is holding its annual conference in Nashville, Tennessee, from Monday, November 2, to Wednesday, November 4, 2015. ACPM is one of the sponsors of this conference and will be participating as an exhibitor. The booth will be set up by Sunday, November 1, at 5:00 PM. ACPM staff member, Anita Balan, will be at the booth throughout the conference, and the ACPM executive director and other leaders will be stopping by throughout the conference.
If you are attending the conference or know someone in your network who is, please stop by the booth to say hello and pick up useful information about ACPM and its lifestyle medicine and other initiatives, including newsletters, membership benefits, opportunities to get involved in our programs, and journal articles. If ACPM members would like to connect at the conference beyond the booth, please contact Anita Balan as soon as possible at firstname.lastname@example.org. Hope to see many of you at our booth in Nashville!
As the year winds down, please consider making your 100% tax deductible gift to the ACPM 2015 Annual Fund and join your colleagues in the effort to prevent disease and promote health through the work of the College! Your contributions will help support some of ACPM’s exciting initiatives, including the implementation of an innovative, evidence-based CME program on Lifestyle Medicine, nurturing and expanding relationships with other national prevention-based organizations and international medical societies dedicated to prevention, promoting preventive medicine in Health Systems Transformation, and other initiatives. When you invest in ACPM, you invest in the future of preventive medicine.
Please visit ACPM Annual Fund for more information and to make your gift today. Please contact Maureen Simmons, MA, CFRE, ACPM Chief Development Officer, at 1-202-466-2044, ext. 120 with any questions regarding the annual plan or other philanthropic gifts.
ACPM recently joined its partners in medicine and public health on sign on letters aimed at building support for the Prevention and Public Health Fund and the Agency for Healthcare Research and Quality (AHRQ). Both have come under attack as lawmakers search for savings in an effort to reduce federal expenditures.
The letter in support of the Prevention and Public Health Fund states that, “In the first six years since its inception, the Prevention Fund has invested nearly $5.25 billion in resources to states, communities, tribal and community organizations in support of community based prevention, including tobacco use prevention, healthy eating and active living, as well as increasing access to immunizations and other clinical preventive services. Cutting the Prevention Fund would dramatically impede efforts underway to improve health…”
In response to a proposal that would eliminate AHRQ, ACPM joined its partners noting that, “We know difficult budget decisions must be made, but cutting AHRQ takes our country in the wrong direction. Our nation spends $3 trillion annually on health care – the largest share of which are federal purchases through Medicare, Medicaid, the Federal Employees Health Benefits Plan, insurance exchanges, TRICARE, and veterans’ health care. Americans deserve reliable information on how to deliver the best possible care, at the greatest value, with the best outcomes. AHRQ-funded health services research provides those answers.”
Innovative payment models was the keynote focus of the ACPM Corporate Roundtable semi-annual meeting, held at ACPM headquarters in Washington, DC, on October 20, 2015. Keynoting the meeting was Matthew Press, MD, MSc, Senior Advisor and Medical Officer, Office of the Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services. Dr. Press spoke about the CMMI’s Innovation and Health Care Delivery System Reform initiative and alternative payment models and payment reforms that seek to deliver better care at a lower cost.
Among other highlights of the meeting, President-Elect, Robert Carr, MD, MPH, FACPM, moderated a lively session on how Corporate Roundtable members and the ACPM can work together to achieve results through a collective commitment to prevention. Panelists included Jane Pennington, Chief of Staff, UnitedHealth Group who spoke on America’s Health Rankings: The Use of Data in Preventive Medicine; Jack Segerdahl, Executive Vice President and CFO, EHE International, who spoke about improving employee health through prevention; Mike Heckman, Vice President of Population Health, Cerner Corporation, who spoke on how technology is transforming healthcare; Jade Wood, MA, LMFT, MHSA, GALLUP’s Well-being Practice Manager, who talked about the ways GALLUP is focused on preventive and lifestyle health settings; and Kenny Bailey, Director of Product Management, Ornish Lifestyle Medicine, who talked about strategies for reversing heart disease.
ACPM’s Corporate Roundtable (CR) is an ongoing forum for mission-aligned private sector organizations to discuss and advance issues of shared interest with the College, leveraging the impact of the nation's sole medical specialty organization primarily focused on prevention and public health with like-minded organizations from the private sector. To learn more about the CR, visit ACPM Corporate Roundtable and/or email Maureen Simmons, Chief Development Officer at email@example.com.
9. FROM THE UNITED STATES PREVENTIVE SERVICES TASK FORCE (USPSTF):
HIGH BLOOD PRESSURE SCREENING RECOMMENDED FOR ALL ADULTS: The USPSTF has released a final recommendation statement recommending high blood pressure screening for all adults eighteen or older. The panel gives an ‘A’ grade for this recommendation meaning that “there is high certainty that the net benefit is substantial.” In addition, the panel also recommends annual screening for those who are at an increased risk, including African Americans and those who are overweight or obese. For the first time, USPSTF recommends that physicians confirm high blood pressure diagnosis with follow-up measurements before prescribing medication.
SCREENING FOR ABNORMAL GLUCOSE AND TYPE 2 DIABETES IN ADULTS: The USPSTF has published its final recommendation statement, updated from 2008, in Annals of Internal Medicine on screening for abnormal glucose and type 2 diabetes in adults. The panel recommends blood glucose screening for all adults between the ages of 40 and 70 who are overweight or obese. The panel also recommends that physicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity. USPSTF gives this recommendation a ‘B’ grade meaning that “there is high certainty that the net benefit is moderate.”
A proposed rule drafted by the Food and Drug Administration (FDA) that will establish the agency's authority to regulate e-cigarettes and other tobacco products traditionally outside its purview is now being reviewed by the White House.
FDA first announced its intention to regulate e-cigarettes four years ago and has since faced criticism from anti-smoking groups who say the agency has moved too slowly. The proposed rule covered three major areas: setting the minimum legal age of sale at 18, restrictions on vending machine sales, and specifications for warning labels. It would also make new tobacco products go through FDA's premarket review process.
The rule would cover not only e-cigarettes but also cigars, hookah and pipe tobacco.
Surgeon General Vivek Murthy has announced that the first-ever Surgeon General's report on substance abuse will be published next year. The Surgeon General noted that, "We're going to look at the best science on everything, from heroin and marijuana, to alcohol and prescription opioids and we're going to launch a national campaign to tackle the prescription drug crisis, because we know that someone dies from an opioid overdose every 24 minutes in this country."
It's a move that Sen. Majority Leader Mitch McConnell (R-KY) has already endorsed and Sen. Ed Markey (D-MA) is calling "historic." Advocates hope it will transform the perception and understanding of substance abuse the way the 1964 Surgeon General's report on smoking launched the public health war against tobacco.
12. WHO REPORT SAYS PROCESSED MEAT CAUSES CANCER
A new report from the World Health Organization’s (WHO) International Agency for Research on Cancer (IRAC) has reported that there was enough evidence to rank processed meats as group 1 carcinogens because of a link with bowel cancer. The report indicates bacon, ham and sausages rank alongside cigarettes as a major cause of cancer, placing cured and processed meats in the same category as asbestos, alcohol, arsenic and tobacco. The report places red meat in group 2A, as “probably carcinogenic to humans.” Eating red meat is also linked to pancreatic and prostate cancer, the IARC says. The IARC’s experts concluded that each 50-gram (1.8-ounce) portion of processed meat eaten daily increased the risk of colorectal cancer by 18%.
The American Cancer Society (ACS) has published its revised guidelines for breast cancer screening for women with average risk. Published in JAMA, the ACS guidelines recommend that most women between the ages of 45-54 should receive mammograms every year, and after that receive screening every two years, as long as they remain healthy. The guidelines are based on a new study that reviewed the cases of 15,440 breast cancer patients between 40 and 85. In addition, women between the ages of 40-44 should consult their healthcare providers and get the screening if they want it or if they have risk factors.
These updated ACS guidelines move closer to the 2009 recommendations published by United States Preventive Services Task Force (USPSTF), where breast cancer screenings were recommended every two years to all women between the ages of 50 and 74. But earlier this year, the USPSTF drafted its updated guidelines and made them available for public comment. The task force is now in the process of finalizing these breast cancer screening guidelines.
According to a study from the Centers for Disease Control and Prevention (CDC), vaccines rarely trigger fatal allergic reactions. Out of 25 million vaccines that were given, only 33 people had potentially life-threatening allergic reactions, also known as anaphylaxis. That translates to 1.3 people in every one million who get a vaccine. The researchers of the study reviewed more than 17 million visits and 25 million administered vaccines between 2009 and 2011. The study was published online in the Journal of Allergy and Clinical Immunology.
According to the researchers, vaccination is one of the best ways to protect infants, children and teens from 16 potentially harmful diseases. In the study, there were no cases of anaphylaxis in children less than 4 years of age. None of the people who had anaphylaxis died and only one had to be hospitalized. Though life-threatening reactions are rare when vaccine recommendations are followed, caregivers should always be prepared to treat symptoms of anaphylaxis.
15. HEALTHY PEOPLE 2020 OFFERS OPPORTUNITY FOR PUBLIC INPUT
The US Department of Health and Human Services (HHS) is currently seeking public input on proposed objectives to be added to four different topics for Healthy People 2020: Family Planning; Lesbian, Gay, Bisexual and Transgender Health; Public Health Preparedness; and Social Determinants of Health. The objectives were developed by workgroups led by various agencies within the federal government. The public is also invited to suggest additional objectives that address critical public health issues within the existing 42 topic areas of Healthy People 2020. The additional objectives being proposed must meet the selection criteria. The comment period is open until November 13, 2015.
HealthyPeople 2020 is a set of achievable, science-based, ten-year national objectives to improve the health of all Americans. HHS will continue to provide opportunities for the public to give feedback throughout the decade, so that the objectives reflect the current national health priorities.
16. AHRQ’s EvidenceNOW: ADVANCED HEART HEALTH IN PRIMARY CARE AVAILABLE FOR MOC
The American Board of Medical Specialties (ABMS) has announced that the Agency for Healthcare Research and Quality’s (AHRQ) EvidenceNow program will now be a part of its Multi-Specialty Portfolio Approval Program. EvidenceNow is a grant program to help thousands of primary care physicians use the latest available evidence to improve the heart health of their patients. As a result of this announcements, board-certified physicians in Preventive Medicine and nineteen other specialties who are involved in EvidenceNow program can receive Maintenance of Certification (MOC) credit for their efforts in quality improvement of their patients’ heart health.
EvidenceNow has established seven cooperatives across the nation and each cooperative hopes to recruit 200-300 small and medium independent practices with the ultimate goal of reaching 5,000 primary care physicians serving approximately eight million people.
A CMS Health Care Payment Learning and Action Network (LAN) Work Group has released a draft White Paper on developing a framework for categorizing alternative payment models (APM) and tracking the progress of adoption of APM by providers and health systems across the country. LAN is a learning collaborative of over 4,500 members--including providers, payers, health systems, consumer advocates and other private and public stakeholder groups--established by the Centers for Medicare and Medicaid Services (CMS) to reduce barriers and accelerate adoption of APM. LAN aims to have 30% of US healthcare payments in APMs or population-based payments by 2016 and 50% by 2018.
The White Paper is now available for public comments. The comments are due by close of business on Friday November, 20 2015. You can submit the comments directly to PaymentNetwork@MITRE.org