1. Dani Pere, MPM February 3, 2017 New York City

2. 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

3. Cooperative Agreement with CDC
ACPM has a five-year cooperative agreement ( ) 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

4. 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 

5. 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

6. 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.

7. 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!

8. 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

9. 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

10. 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

11. 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

12. 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

13. Wrap – Up
Dani Pere

14. 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

15. 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:

16. 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

17. Claiming Your CME/MOC
All participants will receive an 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,
For questions about CME/MOC for this event- Jessica Bradshaw

18. 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