AAFP strongly opposes VA plan to expand scope of practice for nurses | 90% of strokes are preventable, research shows | Case of female-to-male Zika transmission suspected in N.Y.
July 18, 2016
Family Medicine SmartBrief
Top Story
AAFP strongly opposes VA plan to expand scope of practice for nurses
Expanding the scope of practice for advance practice nurses to allow them to work independently could jeopardize patient safety and would override state authority to regulate medical and nursing practice, AAFP Board Chair Robert Wergin, M.D., wrote to the Department of Veterans Affairs. Wergin said the VA policy would basically create a national nursing license although 29 states require APRNs to collaborate with or be supervised by physicians.
AAFP News (7/15) 
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CMS Open Payments: What You Need to Know
As part of the Centers for Medicare & Medicaid Services (CMS) Open Payments, medical drug & device companies submitted data about their financial relationships with you–physicians and teaching hospitals. This data is now live and CMS encourages you to review, and dispute if needed, your information in the system. Limited time remaining–Learn more now!
Clinical News
90% of strokes are preventable, research shows
More than 90% of the world's strokes could be prevented by targeting 10 modifiable risk factors, according to a study published in The Lancet. Eliminating high blood pressure alone would decrease stroke impact by almost 48%, while eliminating physical inactivity and poor diet would cut impact by 36% and 23%, respectively, although effects would vary by region.
HealthDay News (7/15) 
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Case of female-to-male Zika transmission suspected in N.Y.
A New York woman who traveled to an area where the Zika virus is spreading and her male partner have been diagnosed with Zika virus infection, according to a report from the CDC. "This case represents the first reported occurrence of female-to-male sexual transmission of Zika virus," the agency said.
CNBC (7/15) 
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Biologic drugs tied to reduced CAD progression in severe psoriasis
A Danish study of 58 patients found those who received biologic treatments, such as adalimumab, etanercept, infliximab or ustekinumab, for severe psoriasis had reduced coronary artery disease progression, compared with controls. Researchers noted in the journal JAMA Dermatology that psoriasis was associated with an increased prevalence of premature coronary artery disease.
Healio (free registration) (7/15) 
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Maternal dietary intake during pregnancy may affect baby's body composition
Babies born to mothers who had high saturated fat intake during gestation had higher body fat mass, compared with those whose mothers ate fewer carbohydrates and fatty foods. The findings in the American Journal of Obstetrics and Gynecology, based on data involving 1,040 mother-child pairs, showed that infants' body fat mass increased by 11 grams, 6 grams and nearly 3 grams for every additional 100 daily calories in saturated fat, unsaturated fat and carbohydrates in their mothers' diet, respectively.
Reuters (7/14) 
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Study ties epilepsy, febrile seizures to higher ADHD risk in children
A Danish study found that youths with epilepsy were three times as likely to develop attention-deficit/hyperactivity disorder and those with febrile seizures had a nearly 30% increased risk of ADHD, compared with those without epilepsy or febrile seizures. The findings in Pediatrics also showed that those with both epilepsy and febrile seizures were more than three times as likely as those without either condition to develop ADHD.
PhysiciansBriefing.com/HealthDay News (7/13) 
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The Basics of Encryption and Compliance
Do you know why data encryption is important for your business? Read this ebook to see how using advance encryption lets you support your compliance with multiple regulations while meeting clients' expectations, protect your data and reputation, and eliminate paperwork and other overhead. Download the free ebook now.
Practice Management
Many seniors receive opioid prescriptions after hospitalization
Many seniors receive opioid prescriptions after hospitalization.
(Joe Raedle/Getty Images)
A study in JAMA Internal Medicine found that 14.9% of 623,000 Medicare beneficiaries who were discharged from hospitals in 2011 filled a prescription for opioid painkillers within a week, and 42.5% of those filled another within at least 90 days afterward. Hospitals that had somewhat greater opioid use rates following patient discharge tended to have higher patient satisfaction for inpatient pain control, a metric the CMS has proposed removing from payment calculations.
Kaiser Health News (7/15) 
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Health Policy & Legislation
Congress sends opioid bill to president
The US Senate last week adopted the conference report on the Comprehensive Addiction and Recovery Act of 2016 following approval by the House, sending the measure to President Barack Obama for his expected signature. AAFP President Wanda Filer, M.D., said the bill will "expand much-needed access to care for Americans struggling with substance abuse disorders -- a policy long-supported by the American Academy of Family Physicians and our members."
AAFP News (7/15) 
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End-of-life costs lower for older Medicare patients
A Kaiser Family Foundation report found traditional Medicare claims for beneficiaries who died in 2014 showed per-person spending that year peaked at $43,353 for patients age 73, while per-patient spending was $33,381 at age 85 and $27,779 at age 90. The data may indicate a move toward hospice care at more advanced ages, researchers said.
Kaiser Health News (7/14) 
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Want the latest in family medicine?
Learning keeps us alert, alive, and engaged. Attend the 2016 AAFP Family Medicine Experience (FMX) in Orlando, FL, September 20-24. NEW! Earn a year's worth of CME credit! Earn up to 35 Live and 25 Enduring Prescribed credits (registration includes FMX On Demand). Register now and save.
Professional Issues & Trends
Report shows increase in patients' access to online medical records
Ninety-two percent of hospitals offered access for patients to view medical records online in 2015, compared with 43% in 2013, according to a report from the American Hospital Association. The report also found an increase in the percentage of hospitals that allowed patients to download data from medical records and request changes to their medical records, and that hospitals are offering more options to pay bills, schedule appointments and complete other routine medical tasks online.
BeckersHospitalReview.com (7/15) 
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Inside the AAFP
Meet thousands of family physicians like you
AAFP FMX Orlando
Attend the 2016 AAFP Family Medicine Experience (FMX) to renew your passion for patient care with solutions-focused CME and expert faculty. Connect with thousands of family physician colleagues from all over the country. Share best practices and learn from each other. Register now for FMX in Orlando, Fla., Sept. 20-24.
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Learn more about AAFP:
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AAFP CareerLink - Connecting Family Physicians and Employers
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BRIGHT HEART HEALTH - All Cities, All States
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BAYSTATE HEALTH - Greenfield, Massachusetts
UNC Family Medicine Physician Opportunities in Raleigh, Durham, and Chapel Hill
UNC HEALTH CARE - North Carolina
UNC Family Medicine Opportunity in Western North Carolina
UNC HEALTH CARE - North Carolina
Primary Care Physician
ONSITE CARE INC. - Salt Lake City, Utah
Urgent Care Physician
AFC URGENT CARE - BON SECOURS - Greenville, South Carolina
Family Practitioner
COMPREHENSIVE PEDIATRICS - Brooklyn, Staten Island NY also
Family Practice in Iowa-- Midwest Living at Its Best, Quality of Life and Full Loan Repay
Urgent Care Physician
We must always take sides. Neutrality helps the oppressor, never the victim. Silence encourages the tormentor, never the tormented.
Elie Wiesel,
writer and activist
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About AAFP
This news roundup is provided as a timely update to AAFP members and other health care professionals about family medicine topics in the news media. Links to articles are provided for the convenience of family physicians who may find them of use in discussions with patients or colleagues. Opinions expressed in Family Medicine SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American Academy of Family Physicians. On occasion, media articles may include or imply incorrect information about the AAFP and its policies, positions or relationships. For clarification on AAFP positions and policies, we refer you to http://aafp.org.
External Resources are not a part of the AAFP website. AAFP is not responsible for the content of sites that are external to the AAFP. Linking to a website does not constitute an endorsement by AAFP of the sponsors of the site or the information presented on the site.

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