|ACPM Headlines 11/7/14|
In this Issue
Policy and Practice
Research and Reports
ACPM has announced the release of a new strategic plan, adopted by the Board of Regents at its semi-annual, in-person meeting last week in Washington, DC, to guide the College’s strategic initiatives and resource allocation over the next two years. The plan blends the most recent strategic plan—a high-level guiding framework for the organization adopted by the Board in November 2011—with four focused strategic initiatives developed by an ACPM task force led by ACPM President-elect Dan Blumenthal. The strategic initiatives and related objectives were identified during a day-long, facilitated retreat in June and refined by the task force and Executive Committee over the past five months.
The plan retains the four main pillars from the prior plan, namely (1) putting prevention front and center, (2) advancing science in real-world practice, (3) enhancing value for our members, and (4) positioning the College for the long term. In addition, the plan identifies one key strategic initiative under each pillar on which ACPM will focus attention and resources over the next two-plus years. These include:
Population health in health care systems: 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.
The first and third initiatives will require considerable research and development, whereas the other two initiatives will build upon initiatives well underway. A copy of the plan is accessible on the ACPM home page, www.acpm.org. The participation of ACPM members will be vital to the successful execution of this plan, so if any of these initiatives spark your interest, please contact ACPM executive director Mike Barry.
2. ACPM BOARD APPROVES FIVE CHOOSING WISELY SERVICES
The ACPM Board of Regents approved a set of five recommendations during its October meeting for the ABIM Foundation Choosing Wisely initiative. This initiative challenges national medical specialty organizations to identify a set of common tests or procedures whose clinical use should be questioned or discussed between providers and patients. The goal is to spark discussion about the true need for many frequently ordered tests or treatments.
The ACPM recommendations were developed by a task force of members and are focused on preventive measures, including overutilized screenings and treatments. The list is expected to be published in January 2015, at which time it will be released to ACPM members; please stay tuned for more information.
3. ADULT OBESITY REMAINS VERY HIGH, NEW RESOURCES SHOW
New resources from the Trust for America's Health (TFAH) and the Centers for Disease Control and Prevention (CDC) show that despite some leveling off in the growth of the obesity epidemic, obesity rates remain high across the country and are still increasing in some states.
TFA has released its latest edition of The State of Obesity, a resource that includes maps of adult obesity rates, as well as a special report on racial and ethnic disparities in obesity, policy analyses, and briefs that summarize relevant obesity statistics for each state. According to the report, "adult obesity rates increased in six states over the last year. Mississippi and West Virginia have the highest rates of obesity at 35.1 percent, while Colorado has the lowest rate at 21.3 percent.”
CDC has published new obesity maps that graphically display adult obesity rates for the 50 states plus Guam and Puerto Rico. The maps illustrate that every state now has an obesity rate over 20%.
To help providers initiate conversation with their adult patients about weight and health, the Strategies to Overcome and Prevent (STOP) Obesity Alliance has released Why Weight? A Guide to Discussing Obesity & Health With Your Patients, that discusses potential scenarios providers may face and suggests ways to approach the conversation, in addition to including practical information on coding and patient accommodation.
4. ACPM MEMBERS RESPOND TO 2014 EBOLA EPIDEMIC
ACPM has created a web page featuring a selection of responses received from members who responded to ACPM’s survey in October assessing their involvement in the 2014 Ebola epidemic. The web page, "ACPM Members Are Gearing Up for Ebola Response,” features the stories and photos of many of our members’ varied work in this field.
ACPM received a tremendous response to the survey. Thank you to everyone who has submitted responses and for the work you are doing to protect populations from this dangerous virus. We hope you will enjoy reading about the work of your colleagues as much as the ACPM staff has.
If you have any suggestions of additional ACPM products or activities related to Ebola response, or want to share your story, please contact Andrea Lowe, Director of Policy & Practice, at email@example.com.
5. ACPM SEEKING APPLICANTS FOR WEIGHT MANAGEMENT CERTIFICATION
ACPM is pleased to provide non-profit and for-profit organizations with the opportunity to receive certification for weight management programs. This initiative allows organizations to apply for certification that their program meets ACPM’s rigorous, evidence-based standards for health promotion and weight management. Organizations that have received ACPM certification for their weight management program will be able to market the product as such to potential customers. And, for the first time, consumers will have the ability to seek the certification seal when assessing their options to create and support a healthy lifestyle.
ACPM evaluates weight management programs against evidence-based best practice criteria for both their overall program content and individual process elements, placing emphasis on health improvement.
Be a Part of This Exciting New Program:
To learn more about the certification criteria and process, or to apply, please visit the ACPM website at: http://www.acpm.org/?certification OR Contact Danielle Pere, Associate Executive Director of Programs and Operations at firstname.lastname@example.org or 202-466-2662, ext. 105.
6. ACPM HOSTS CORPORATE PARTNERS IN THE COLLABORATIVE SPIRIT
Collaboration was the focus of the ACPM Corporate Roundtable semi-annual meeting, held at ACPM headquarters in Washington, DC on October 28, 2014. Keynoting the meeting was Rhona Applebaum, Vice President, Chief Science and Health Officer with Coca Cola. Ms. Applebaum shared with the Corporate Roundtable Coca Cola’s approach to wellness and sustainability.Wayne Dysinger, MD, MPH, FACPM, Chair, Department of Preventive Medicine, Loma Linda University,Dexter Shurney, MD, MPH, MBA, Chief Medical Officer, Executive Director Global Health Benefits, Cummins Inc., Robert G. Porter Regional President and Senior Partnership Executive, Healthways and Terrence "Sonny” Morton, MD, MBA/MHA, Senior Medical Director with CVS/MinuteClinic, presented a lively, stimulating and provocative discussion around emerging trends in prevention healthcare.
Following the full Roundtable meeting, corporate partners met with the ACPM President and senior staff to discuss the idea of collaborative initiative among all of the partners. Stay tuned for more information as the joint initiative unfolds in 2015.
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.
7. FROM THE USPSTF: LATEST PRODUCT RELEASES
The United States Preventive Services Task Force (USPSTF) is seeking public comment on a draft recommendation statement for thyroid dysfunction and a draft research plan on obesity screening for children and adolescents. In addition, USPSTF has released its final research plan for screening obstructive sleep apnea in adults.
8. ACPM SIGNS LETTER SUPPORTING DoD’S REVIEW OF TOBACCO POLICIES
ACPM has signed a letterto U.S. Senate Armed Services Committee Chairman Carl Levin (D-MI) and Ranking Member James Inhofe (R-OK) in partnership with twenty-five medical societies and public health organizations supporting the Department of Defense (DoD) review of its tobacco policies. The U.S. House of Representatives version of the National Defense Authorization Act for FY2015 features language that will prohibit the Secretary of the Defense from implementing policies to limit, restrict, or ban the sale of any legal consumer product sold in military commissaries or exchanges. The DoD is currently conducting a thorough review of its tobacco policies, and as explained in the letter, should be allowed to consider recommendations such as banning or limiting the sale of tobacco products in military facilities. This letter congratulates the DoD for their policy review and urges the Senate to reject the House language that would preempt this review.
The Centers for Disease Control and Prevention (CDC) has released two new clinical resources for health care workers in the fight against Ebola. The Ebola Clinical Slide Set provides a resource for clinicians in the U.S and will be updated every Friday after 5pm. The PPE Demonstration Video shows a step-by-step procedure on how to properly put on (donning) and take off (doffing) personal protective equipment when taking care of patients who are suspected or confirmed of having Ebola Virus Disease.
10. IOM RELEASES TWO REPORTS ON CHILD AND YOUNG ADULT HEALTH
The Institute of Medicine (IOM) has released two reports on child and young adult health. Harvesting the Scientific Investment in Prevention Science to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary focuses on new technologies and methods to implement evidence-based interventions (EBIs). It identifies strategies for overcoming barriers and integrating silos to implement EBIs. Also, this report discusses how to build public-private partnerships and develop new business models and funding mechanisms to support these evidence-based interventions.
Investing in the Health and Well-Being of Young Adults synthesizes current knowledge of the health, safety and well-being of young adults. It provides guidance and recommendations for policymakers, organizations and community partners to improve services and support provided to young adults (approximately age 18 to 26) during a critical juncture in their life as they transition to adulthood. It also highlights the research that needs to be done to further inform policies and programs to address the special needs of young adults.
11. HHS RELEASES NATIONAL ACTION PLAN FOR ADVERSE DRUG EVENT PREVENTION
Recognizing adverse drug events (ADEs) are an important public health and patient safety issue, U.S. Department of Health and Human Services (HHS) has released the National Action Plan for Adverse Drug Event Prevention (ADE Action Plan). The ADE Action Plan aims to identify common, clinically significant, preventable, and measurable adverse drug events and align the efforts of health agencies to reduce patient harms from these specific ADEs nationally. The plan suggests a four-pronged approach to reduce patient harms from ADEs: Surveillance, Prevention, Incentives and Oversight, and Research. The ADE Action Plan should serve as a catalyst to promote leaders at the federal, state, and local levels to implement evidence-based guidelines and engage in strategies that will help advance the goals of the ADE Action Plan.
A recent study published in Nature Neuroscience by Brickman et al at Columbia University Medical Center found that increasing dietary flavanols can improve brain function in the dentate gyrus region of the hippocampal circuit, which is associated with age-related memory decline. "Enhancing Dentate Gyrus Function with Dietary Flavanols Improves Cognition in Older Adults” included 37 participants in a double-masked, randomized controlled trial with a dietary intervention for 3 months in healthy sedentary participants between the ages of 50–69 years old.
Participants with a high intake of flavanols were found to have enhanced dentate gyrus function when measured by fMRI and cognitive testing. Of note, no significant effect was observed for the exercise intervention which was seen in previous studies. As a result, the authors report that a more stringent exercise regimen may be required in this elderly population.
13. MEMBERS IN THE NEWS: HILL, STAFFORD, SINGER, AND BRENNER
ACPM Fellow Linda Hill, MD, MPH was recently featured in a story by National Public Radio’s Marketplace Morning Report on October 29th. "Car Companies Catch Up to a Connected World,” discusses new technology being introduced in cars, including Netflix streaming and tweet-by-voice command features. Dr. Hill was interviewed as a driving safety expert at the University of California, San Diego and cautions the extensive use of these technologies in motor vehicles as they cause cognitive distractions for drivers.
ACPM Fellow Randy Stafford, MD, PhD was selected to represent ACPM on a writing committee to develop "Guidelines for the Management of Patients with Hypertension” in partnership with the American Heart Association and American College of Cardiology. Dr. Stafford will be working with experts from other medical specialties over the next year to produce these guidelines. Congratulations Dr. Stafford!
ACPM Member Karyn Singer, MD, MPH, has joined McKinsey & Company, a global management consulting firm in New York City, as Associate, Healthcare. Congratulations Dr. Singer!
ACPM Member Sara Brenner, MD, MPH and family welcomed their second son October 15, 2014. Neil Gabriel DiRienzo was 8lbs, 21.5 inches and according to his mother is quite the little fireball! Congratulations Dr. Brenner and welcome to the newest member of the ACPM family!
14. HHS ANNOUNCES $840 MILLION INITIATIVE AIMED AT TRANSFORMING CLINICAL PRACTICE
HHS Secretary Sylvia M. Burwell has announced the launch of the Centers for Medicare and Medicaid Services (CMS)' Transforming Clinical Practice Initiative to help clinicians achieve large-scale health transformation. The initiative encourages doctors to team with their peers to move from volume-driven systems to value-based, patient-centered, coordinated healthcare services through a combination of incentives, tools, and information. This effort is projected to save $1 billion to $5 billion over four years and could prevent five million avoidable hospitalizations.
CMS will award cooperative agreement funding up to $840 million to two network systems under this initiative: Practice Transformation Networks and Support and Alignment Networks. Letters of intent are due to CMS November 20.