Dani Pere, MPM February 3, 2017 New York City

American College of Preventive Medicine Bilingual Only medical specialty organization focused on population health Committed to health promotion disease prevention system-based care improvement Diversity & Force Multipliers Preventive Medicine touches every aspect of health care

Cooperative Agreement with CDC ACPM has a five-year cooperative agreement (2013-2018) with the Centers for Disease Control and Prevention (CDC) Office of State, Tribal, Local, and Territorial Support to work on capacity building activities for physicians and other health care professionals and local and state health departments that facilitate the integration of primary care and public health Current Projects Using CPT codes for falls prevention Health systems transformation (6|18 initiative) Prediabetes screening, testing and referral to a diabetes prevention program Prostate cancer screening decision aids Creating and Disseminating Lifestyle Medicine Modules for CDC’s WISEWOMAN providers Zika-focused practicum rotation of preventive medicine residents in state and local health departments

ACPM Health Systems Transformation 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 Transformation Defined ACPM defines Health Systems Transformation (HST) as: Systems-based approaches to improving population, community and individual health by incorporating and addressing the determinants of health and increasing the efficiency and effectiveness of healthcare

CDC’s 6|18 Initiative What is the 6|18 initiative? CDC is partnering with health care purchasers, payers, and providers to improve health and control health care costs. Through 6|18 CDC is targeting six common and costly health conditions: tobacco use high blood pressure healthcare-associated infections asthma, unintended pregnancies diabetes and 18 proven specific interventions that providers, payers and other stakeholders can use to inform their decisions to have the greatest health and cost impact.

Why are we here today? CDC’s 6|18 Initiative To explore the various roles of physicians in engaging in the 6|18 initiative To solicit substantive feedback from physicians and other health professionals about effective implementation of the 6|18 initiative – it’s all about you!

6|18 Survey Results of ACPM Members (October 2016) 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 interventions in a clinical setting, more than a third (35.44%) have worked on these interventions by advocating for policy change, and 30.4% have offered one or more of the interventions at a community or population level through their roles at a state or local health department. 359 responses with 122 partial responses

6|18 ACPM Member Survey Results Reduce Tobacco Use Nearly half refer patients to or advocate for evidence-based tobacco cessation treatment 30.8% utilize patients’ covered treatment benefits or advocate for increased utilization of these benefits Control and Prevent Diabetes More than half of physicians (55%) screen for abnormal blood glucose in patients who are overweight or obese More than a third refer their patients to a diabetes prevention program

6|18 Survey Results – ACPM Members Control High Blood Pressure Nearly 30% use team-based approaches to control hypertension among their patients Nearly 20% of the physicians provide their patients with access to devices for self-management of blood pressure. Control Asthma Nearly equal number of physicians either use evidence-based asthma management based on 2007 guidelines (37.1%) or educate their patients on intensive self-management (36.7%) Nearly a third of the physicians (32.50%) use strategies to improve access and adherence to asthma medications

6|18 Survey Results – ACPM members Prevent Healthcare-Associated Infections Nearly three-quarters of the physicians do not use any of the interventions associated with preventing healthcare-associated infections Prevent Unintended Pregnancy Nearly three-quarters of the physicians do not use any of the interventions associated with preventing unintended pregnancy Introduce Facilitators

Meet Your Facilitators: Elizabeth Schachne - Safran , ACPM Fellow Jacob Adams, ACPM Fellow & HST Task Force Member Pam Allweiss, CDC Division of Diabetes Translation Medical Officer Marissa Hudson, ACPM Staff Anita Balan, ACPM Staff Dani Pere, ACPM Staff

Wrap – Up Dani Pere

ACPM HST Resources Physician competencies across five domains related to HST HST webinar to explore roles of ACPM, CDC and Center for Medicare and Medicaid Innovation (CMMI) HST day-long institute at Preventive Medicine 2016 Conference: Alternative Payment Models Team-based Care Shared-decision making Health information technology Two regional summits, May and June 2015, California and New York

ACPM HST Resources HST Factsheets HST Newsletter Health System Transformation Overview Preventive Medicine Physician Involvement in HST CMMI categories for innovation and State Innovation Model (SIM) awards HST Newsletter Sign up at Registration Desk More Info: www.acpm.org/page/hst

6|18 Opportunities at ACPM Listening Sessions in Houston (02/24) and Atlanta (02/28) Findings shared during Preventive Medicine 2017 conference in Portland, Oregon in May 2017 (concurrent session) Webinar in June on role of physicians in 6|18 initiative Manuscript on the role of physicians in the 6|18 initiative – under development; will be considered for publication in the American Journal of Preventive Medicine

Claiming Your CME/MOC All participants will receive an email during the week of February 6th with separate links to complete the CME evaluation survey and/or the MOC Quiz Participants will have one month to complete the evaluation Once you complete the evaluation survey, a CME certificate will be automatically generated Once you complete the MOC quiz, the results will be directly reported to ABPM. ACPM will report to ABPM during the week of March 20th For questions about the Listening Session - Anita Balan, abalan@acpm.org, For questions about CME/MOC for this event- Jessica Bradshaw jbradshaw@acpm.org

Thank you NYC Department of Health and Mental Hygiene Dr. Anita Geevarughese Joana Osolnik Dr. Byron Alex Center for Disease Control and Prevention Laura Seeff Christa Singleton Melanie Ross All participants and facilitators