Mike Barry, CAE Executive Director, ACPM ACPM CDC Listening Session Houston February 24th
ABOUT ACPM Only medical specialty organizaion focused on populaion health Over 2500 physicians have commitment, training and interest at the intersecion of three areas: health promoion, disease prevenion and system-based care improvement Members work in a variety of sexngs Health Plan/ System, 4% Private/ Group PracIce, 5% Industry/ Business, 6% State Govt, 6% Local Govt, 7% Self Employed, 9% Hospital, 4% Assoc. / FoundaIon/ NGO, 3% Military, 10% University, 19% Federal Govt, 13% Other, 14%
CooperaIve Agreement with CDC ACPM has a five-year coopera4ve agreement (2013-2018) with the Centers for Disease Control and PrevenIon (CDC) Office of State, Tribal, Local, and Territorial Support to work on capacity building ac4vi4es for physicians and other health care professionals and local and state health departments that facilitate the integra4on of primary care and public health Current Projects Using CPT codes for falls prevenion Health systems transforma4on (6 18 ini4a4ve) Prediabetes screening, tesing and referral to a diabetes prevenion program Prostate cancer screening decision aids CreaIng and DisseminaIng Lifestyle Medicine Modules for CDC s WISEWOMAN providers Zika-focused pracicum rotaion of prevenive medicine residents in state and local health departments
ACPM Health Systems TransformaIon Task Force Members M. Jacob Adams, MD, MPH Wendy E. Braund, MD, MPH, MSEd, FACPM Earl W. Ferguson, MD, PhD, FACC, FACP, FACPM Tisha Johnson, MD, MPH Carolyn Murray, MD, MPH, FACPM Samar Muzaffar, MD, MPH Michael D. Parkinson, MD, MPH, FACPM F. Douglas Scutchfield, MD Catherine Witkop, MD, MPH
Health Systems TransformaIon Defined ACPM defines Health Systems Transforma4on (HST) as: Systems-based approaches to improving populaion, community and individual health by incorporaing and addressing the determinants of health and increasing the efficiency and effeciveness of healthcare
CDC s 6 18 IniIaIve What is 6 18 ini4a4ve? CDC is partnering with health care purchasers, payers, and providers to improve health and control health care costs. Through 6 18 CDC is targeing six common and costly health condiions tobacco use, high blood pressure, healthcare-associated infecions, asthma, unintended pregnancies, and diabetes and 18 proven specific intervenions that providers, payers and other stakeholders can use to inform their decisions to have the greatest health and cost impact. AddiIonally, this iniiaive aligns evidence-based prevenive pracices with emerging valuebased payment and delivery models. Why are we here today? To explore the various roles of physicians in engaging in the 6 18 iniiaive To solicit substanive feedback from physicians and other health professionals about effecive implementaion of the 6 18 iniiaive.
6 18 Survey Results of ACPM Members Robust response; More than 90% were ACPM member physicians Diversity in response reflects diverse ACPM membership University, state & local health departments, hospitals, ambulatory care, federal government, military Nearly half (46.4%) of the physicians applied any of the18 intervenions in a clinical sevng, more than a third (35.44%) have worked on these intervenions by advoca4ng for policy change, and 30.4% have offered one or more of the intervenions at a community or popula4on level through their roles at a state or local health department.
6 18 Survey Results: ACPM members Reduce Tobacco Use o Nearly half refer paients to or advocate for evidence-based tobacco cessaion treatment o 30.8% uilize paients covered treatment benefits or advocate for increased uilizaion of these benefits Control and Prevent Diabetes o More than half of physicians (55%) screen for abnormal blood glucose in paients who are overweight or obese o More than a third refer their paients to a diabetes prevenion program
6 18 Survey Results: ACPM members Control High Blood Pressure o Nearly 30% use team-based approaches to control hypertension among their paients o Nearly 20% of the physicians provide their paients with access to devices for selfmanagement of blood pressure. Control Asthma o Nearly equal number of physicians either use evidence-based asthma management based on 2007 guidelines (37.1%) or educate their paients on intensive self-management (36.7%) o Nearly a third of the physicians (32.50%) use strategies to improve access and adherence to asthma medicaions
6 18 Survey Results: ACPM members Prevent Healthcare-Associated Infec4ons o Nearly three-quarter of the physicians do not use any of the intervenions associated with prevening healthcare-associated infecions Prevent Unintended Pregnancy o Nearly three-quarter of the physicians do not use any of the intervenions associated with prevening unintended pregnancy
Lifestyle Medicine & 6 18 IniIaIve Current ACPM Resources: Lifestyle Medicine Core Competencies Curriculum - Modules Related to: - High Blood Pressure - Diabetes, Prediabetes, and the DPP - Smoking CessaIon
Meet Your Facilitators!
Wrap Up Dani Pere, MPM
ACPM HST Resources All resources available at www.acpm.org/hst Physician competencies across five domains related to HST HST webinar to explore roles of ACPM, CDC and Center for Medicare and Medicaid InnovaIon (CMMI) HST day-long ins4tute at PrevenIve Medicine 2016 Conference: AlternaIve Payment Models Team-based Care Shared-decision making Health informaion technology Two regional summits, May and June 2015, California and New York
HST Factsheets ACPM HST Resources Health System TransformaIon Overview PrevenIve Medicine Physician Involvement in HST CMMI categories for innovaion and State InnovaIon Model (SIM) awards HST Newsle_er Sign up at RegistraIon Desk
6 18 OpportuniIes at ACPM Listening Sessions Recap on ACPM website Findings shared during Preven&ve Medicine 2017 conference in Portland, Oregon in May 2017 Webinar in June on role of physicians in 6 18 iniiaive Manuscript on the role of physicians in the 6 18 ini4a4ve under development; will be considered for publicaion in the American Journal of PrevenIve Medicine
How to get CME/MOC 1. All paricipants will receive an email during the week of February 27 th with separate links to complete the CME evalua4on survey and/or the MOC Quiz 2. ParIcipants will have one month to complete the evaluaion 3. Once you complete the evaluaion survey, a CME cerificate will be automaically generated 4. Once you complete the MOC quiz, the results will be directly reported to ABPM. ACPM will report to ABPM during the week of March 27 th For quesions about the Listening Session - Anita Balan, abalan@acpm.org For quesions about CME/MOC for this event- Jessica Bradshaw jbradshaw@acpm.org
Thank you University of Texas Health Science Center at Houston School of Public Health Dr. Arch Carson Peggy Weinshilboum Center for Disease Control and Preven4on Laura Seeff Christa Singleton Melanie Ross All par4cipants and facilitators
Become a member today! Visit www.acpm.org/join Email membership@acpm.org Call 202.466.2044