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Lifestyle Prescriptions Essential in the Transition to Value Based Care

As evolving payment models emphasize the role of primary care in maintaining patient wellness, physicians will increasingly need reliable methods for preventing, treating and reversing lifestyle-related chronic diseases caused or exacerbated by unhealthy habits. This includes using personalized interventions designed to improve nutrition, physical activity, stress management, sleep, social support, and environmental exposures. For providers and administrators financially incentivized by CMS' proposed Physician Quality Reporting Program to keep their patients and populations healthy, lifestyle medicine methodologies are proving to be an effective and inexpensive way to address underlying disease risks and decrease illness burden. However, recognizing its value to patient health does not mean professionals intuitively understand how to integrate lifestyle medicine into their practices.

Equipping practitioners with the knowledge, skill sets, and confidence to counsel patients about their behavior is at the heart of the Lifestyle Medicine Core Competencies Program developed by the American College of Preventive Medicine (ACPM) and American College of Lifestyle Medicine (ACLM). This evidence-based online program provides a comprehensive foundation for physicians and allied health professionals interested in learning how to inspire patients to take control of their health through effective physician–patient collaboration. The accredited 30-hour curriculum covers the fifteen core competencies of lifestyle medicine endorsed by ACPM and ACLM (JAMA, 2010) and proven approaches for facilitating behavior change interventions.

As the healthcare systems moves toward value based care with an emphasis on sustained patient wellness and coordinated care, knowledge and skills in lifestyle medicine will become even more essential. These topics covered along with the evidence base, represent everything that's not being taught in medical school and residency training. And as Medicare reimbursement strongly incentivizes prevention, this curriculum will provide core competencies to enhance patient-centered care and give practitioners the resources to invest in behavior modification and lifestyle prescriptions with their patients.

LEARN MORE ABOUT THE COMPREHENSIVE ACPM/ACLM LIFESTYLE MEDICINE CORE COMPETENCIES PROGRAM

PROGRAM OVERVIEW

STOP BY ACPM'S BOOTH AT OVERCOMING OBESITY 2016, SEPTEMBER 21-25 IN CHICAGO, TO LEARN MORE ABOUT OUR LIFESTYLE MEDICINE CURRICULUM AND OPPORTUNITIES!

ACPM Members and Leaders Participate in the Launch of the FCC's New Mapping Tool for Analyzing Broadband Access and Health

The Federal Communications Commission's (FCC) Connect2Health Task Force recently launched the Mapping Broadband Health in America resource, a web-based mapping tool that will inform data-driven decision making at the intersections of health, telecommunications, and emerging technologies. The resource provides critical data at the county and census block levels to help people better communicate novel concepts across disciplines and inspire each other to address complex problems with innovate new solutions. Yahya Shaikh, ACPM member and a senior consultant for the task force, said his preventive medicine background helped him propose this platform and integrate key features that promote analytic thought in a way that is distinct for and locally relevant to each community across the United States. "A world where challenges are complex and often interlace, needs solutions from groups that are diverse and can collaborate," said Shaikh, also explaining how preventive medicine principles informed this project. "Preventive medicine teaches analysis and the examination of how risk and protective factors distribute across populations. It encourages us to think of the effect of exposures and interventions at the individual level, while considering impact and expansion to a population scale." The mapping platform is interactive and open access for use by public and private sectors, as well as local communities, looking to identify opportunities and gaps in connectivity and care. Users can generate customized maps plotting broadband access, adoption, and speed alongside various health measures in urban and rural areas. In remarks at the launch event, ACPM President-Elect Bob Carr said, "T his tool can better characterize the disease burden at the most granular of community levels. It can help align the epidemiology of the condition with the best and proven interventions and identify gaps in access that need to be addressed for active population engagement and health promotion." He added, " This tool will greatly amplify and accelerate our College’s efforts in collaboration with the CDC and other public health organizations to reduce the incidence and impact of preventable diseases.

Behavior Change Interventions Central in New Care Models, Curriculums

Centers for Medicare & Medicaid Services (CMS) announced that a select number of health care providers will participate in a trial implementation of the Million Hearts® Cardiovascular Disease Risk Reduction Model utilizing preventive interventions to reduce an individual’s risk for heart attack and stroke. Participants will be reimbursed for using this data-driven, predictive modeling approach to generate personalized risk scores and develop specific intervention plans in partnership with patients. By testing new payment models, the CMS Innovation Center is advancing innovative approaches to efficiently administer affordable care while improving health outcomes. Many of these innovations—including the Million Hearts® model and the National Diabetes Prevention Program—involve patient-centered disease prevention informed by population-based epidemiological insights and executed through improved provider–community–patient collaborations.

This model of care employing behavior change interventions was also employed by ACPM and CDC when developing four lifestyle medicine education modules for WISEWOMAN providers who focus on improving health outcomes among low-income, uninsured, or under-insured women ages 40-64 at high-risk for hypertension and cardiovascular disease. These electives will be launched later this year as part of the Lifestyle Medicine Core Competencies Program with the sole purpose of educating providers on the practical skills needed to serve a very diverse population. More details on the launch of these specialized curriculum electives will be forthcoming.

ACPM Awarded Grant to Develop Culinary Medicine Elective

ACPM has recently been awarded a grant from the Ardmore Institute of Health to create an educational course on culinary medicine. The course will to be added as an elective of the Lifestyle Medicine Core Competencies Program and serve as an accredited introduction to culinary medicine for physicians and applicable for nurses, nurse practitioners, physician assistants, dietitians, health coaches, and other allied health professionals. The course will cover common barriers to healthy eating and meal preparation habits along with ways to set healthy eating goals, build cooking confidence, and leverage culinary resources. Dani Pere, ACPM Associate Executive Director, and Liana Lianov, ACPM member and Lifestyle Medicine Faculty Director, will be leading this project for the College. It is anticipated the new course will be available in one year.

Thank you for subscribing to ACPM's Lifestyle Medicine newsletter. To promote your latest lifestyle medicine research, resources, or events in a future issue, contact Dani Pere.

OPPORTUNITIES

Obesity Medicine Certification Exam Physicians with an interest in obesity medicine are invited to sit for the 2016 American Board of Obesity Medicine (ABOM) certification exam. Certification as an ABOM diplomate signifies specialized knowledge in the practice of obesity medicine and distinguishes a physician as having achieved competency in obesity care. Exams will be held early December and administered at testing centers throughout the United States and Canada. Candidates are required to complete 60 CME credits on the topic of obesity in order to qualify. Applications are due by August 30. Visit the ABOM website to review exam resources and learn more about eligibility requirements.

Plant Based Foods Webinar: Growth Opportunities in Retail Today's plant based foods industry tops $4.9 Billion, with advancements in consumer education and product innovation continuing to drive sales at retailers across the country. This recorded webinar provides an overview of category trends and marketplace dynamics of this sector, and how to make these insights actionable at retail.

RESEARCH / NEWS

Lifestyle Medicine Curriculum for a PM Residency Program: Implementation and Outcomes The majority of healthcare providers do not routinely screen or assist their patients in modifying disease-promoting lifestyles. An important reason for this is inadequate medical education and the physician’s lack of confidence in lifestyle medicine skills. The Preventive Medicine Residency Program at Griffin Hospital has developed and implemented an outcomes assessment of a lifestyle medicine curriculum in its program and shown that training can improve providers' health behavior change discussions with patients as well as their own personal health habits. Article

75 Percent of Americans Say They Eat Healthy -- Despite Evidence To The Contrary At a time when more than 80 percent of Americans fail to eat the recommended amounts of fruits and vegetables, about 75 percent of respondents ranked their diets as good, very good, or excellent in a recent poll. As a nation, we seem to have our blinders on. "Some of the problem is that individuals pay more attention to getting good things in their diet than they do to limiting overall intake," said David Just, a behavioral economist who studies food psychology at Cornell University. Article

Doctors not taught to discuss diet, nutrition with patients Good diet and nutrition can put you on a path to health and wellness, but it's unusual to find doctors who are trained well enough and can spend the time required to have this conversation with patients. The standard medical school curriculum has required spending only a few days in four years discussing how nutrition affects wellness and the risk of progression of disease. Many leaders and organizations (including ACPM) are working on closing the gaps between prevention and illness treatment by incorporating lifestyle medicine into all aspects of the medical school curriculum. Article

OBESITY / WEIGHT

CUP Report on The Prevention of Esophageal Cancer A systematic review of the global research by the American Institute for Cancer Research (AICR) and the World Cancer Research Fund International (WCRF) has found that being overweight increases the risk of developing the most common type of U.S. esophageal cancer. The report also concluded that drinking alcohol increases the risk of the second major type of this cancer. The Continuous Update Project (CUP) monitors and analyzes research on cancer prevention from around the world and draws conclusions on how weight, diet, and physical activity can reduce the risk of developing cancer. Report

Average American 15 Pounds Heavier Than 20 Years Ago The CDC’s National Center for Health Statistics published a report showing that the average American now weighs about 15 pounds heavier since the early 1990s, but are not on average any taller. The statistics for 2011-2014 are based on an analysis of a sample of 19,151 people who underwent medical examinations and were interviewed at home. News / Report

The Fit Family Challenge: A Primary Care Childhood Obesity Pilot Intervention Significant decreases in BMI percentile and BMI z-scores were seen for participants who completed 9 to 15 months of a primary care–based childhood obesity intervention pilot study. News / Research

ENVIRONMENT

Innate Immunity and Asthma Risk in Amish and Hutterite Farm Children Researchers compared 30 Amish children to 30 Hutterite children. They compared genetic ancestry, environmental exposures, immune system profiles, and collected blood samples. The researchers found that the Amish children had asthma rates that were four to six times lower than those of the Hutterite kids. Dust samples from the Amish homes were also profoundly different than those of the Hutterites. "Exactly what's in the dust, we don't know. But, we do know there's more microbial products, and we know that something in that dust seems to protect Amish children from asthma and allergies," said Anne Sperling, an associate professor of medicine at the University of Chicago. News / Research

Uncle Sam Wants You — Or at Least Your Genetic and Lifestyle Information Government scientists, as part of the Precision Medicine Initiative Cohort Program, are seeking a million volunteers willing to share the innermost secrets of their genes and daily lives as part of an ambitious 10-year research project to understand the causes and cures of disease. Data will be collected on age, race, income, education, sexual orientation and gender identity as well as information about a person’s lifestyle—diet, exercise, smoking, drinking, sleep patterns and other behavior—and the environment in which a person lives. News / Program

EVENTS

Overcoming Obesity 2016 SEPTEMBER 21-25, CHICAGO, IL This conference provides education on the the comprehensive approach to clinical obesity treatment and methods for treating patients affected by obesity. Attendees will be able to make connections with other health professionals and find answers to obesity-related questions. Registration discounts available when bundling with ABOM exam. Website STOP BY ACPM'S BOOTH AT OVERCOMING OBESITY 2016 TO LEARN MORE ABOUT OUR LIFESTYLE MEDICINE CURRICULUM!

Lifestyle Medicine 2016 OCTOBER 23-26, NAPLES, FL The American College of Lifestyle Medicine will host keynotes, evidence-based educational sessions, research posters, and ample networking activities for attendees. This year’s theme, "Healthy People, Healthy Planet," speaks to the inextricable connectedness of our lifestyle choices that profoundly impact both our health and environmental sustainability. Summer registration rates available through September 5.

ObesityWeek 2016 OCTOBER 31–NOV 4, NEW ORLEANS, LA ObesityWeek 2016 is an international event focused on the basic science, clinical application, surgical intervention, and prevention of obesity. The event is a combined annual meeting of the American Society for Metabolic & Bariatric Surgery and The Obesity Society and attracts over 5,000 participants annually from around the world. Early registration rates end August 15. Event

Lifestyle Medicine 2016 Australasia NOVEMBER 4-6, MELBOURNE, AUSTRALIA The Australasian Society of Lifestyle Medicine, the American College of Lifestyle Medicine, and the European Lifestyle Medicine Organisation are proud to invite you to Lifestyle Medicine 2016 Australasia. The conference will include a scientific program focusing on translational research and feature a ‘how to’ clinical focus designed for doctors and allied health practitioners practicing as a multidisciplinary team. Risk free, refundable early bird registration is available. Event

MFA 25th Annual International Conference NOVEMBER 16-19, ORLANDO, FL Attend educational seminars from the Medical Fitness Association (MFA), Athletic Business, International Council on Active Aging, and National Alliance of Youth Sports. Award nomination deadline is September 1. Event

9th World Congress on Diabetes Prevention DECEMBER 2-4, ATLANTA, GA Attend the 9th World Congress on Prevention of Diabetes and its Complications to learn more the latest techniques and tools from foremost experts in the field. This event open for physicians, allied health professionals, researchers, educators and patients. Event

Chef Coaching Program DECEMBER 8, BOSTON, MA The Institute of Lifestyle Medicine's Chef Coaching program helps health professionals and wellness coaches improve their culinary skills and translate this knowledge into their coaching practice in order to improve client nutrition. In addition to the full 10-week program, Rani Polak will be hosting a live, one-day hybrid professional culinary coaching training on December 8, prior to the Active Lives event. Participants will be granted a ‘Certificate of Completion in Culinary Coaching’ from the Institute of Lifestyle Medicine. Program

Active Lives: Transforming Our Patients and Ourselves DECEMBER 9-10, BOSTON, MA This course offers proven strategies to counsel and motivate patients, and offers evidence-based tools and techniques to prescribe individualized exercise programs. Attendees will receive the latest updates in exercise risks and outcomes, best practices for behavioral counseling, exercise demonstration techniques, and guidelines for patient-centered exercise prescriptions. Registration discounts available through October 16. Event

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