White paper analyzes consumer priorities in value-based care | Increasing evidence shows Zika induces microcephaly | The AAFP can help family physicians stay current on the latest information related to the Zika virus outbreak.
September 16, 2016
Family Medicine SmartBrief
Top Story
White paper analyzes consumer priorities in value-based care
A white paper released by the Health Care Transformation Task Force, which AAFP joined last September, looks at consumer priorities and value-based health care and has outlined a framework based on six principles. The white paper is also summarized in a Health Affairs Blog post.
AAFP News (9/15) 
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Clinical News
Increasing evidence shows Zika induces microcephaly
Brazil Continues Battle Against Zika Virus Ahead Of Olympic Games
(Mario Tama/Getty Images)
Preliminary results of new Brazilian research shows Zika is most likely responsible for microcephaly in 13 of the 32 infants who were diagnosed with the infection, in comparison to all of the 62 newborns in the control group that did not show any signs of Zika infection, according to a study published in The Lancet Infectious Diseases. Researchers also found that 41% of the infants with microcephaly had the Zika infection in their blood or cerebrospinal fluid, and 84% of those with microcephaly had low birthweights.
Los Angeles Times (tiered subscription model) (9/15) 
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Study: Only 61.6% of middle-age patients with diabetes, no CVD prescribed statins
A study of 215,193 patients ages 40 to 75 years with diabetes and no overt cardiovascular disease found that only 61.6% were prescribed a statin by a cardiologist. The findings in the Journal of the American College of Cardiology showed those who received statins were more likely to receive non-statin cholesterol-lowering therapy and had CV risk factors and lower mean low-density lipoprotein cholesterol than patients who didn't receive a statin.
Physician's Briefing/HealthDay News/HealthDay News (9/13) 
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Study ties early menopause to elevated risks of heart disease, mortality
A Dutch study in JAMA Cardiology found women who started menopause before the age of 45 had a 50% higher risk of coronary heart disease, a 20% increased risk of cardiovascular disease-related mortality and a 12% greater risk of all-cause mortality, compared with those who entered menopause at an older age. A second study found women who began menopause between 50 and 54 had a lower risk of fatal coronary heart disease, compared with those who began menopause before age 50.
Reuters (9/15) 
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CDC examines physical activity among older US adults
Thirty-one million US adults ages 50 and older don't engage in any physical activity, including almost 26% of men and more than 29% of women, which increases their risk for diabetes, cancer and heart disease, according to the CDC's Morbidity and Mortality Weekly Report. Researchers evaluated the results of a 2014 national health survey and found that adults become more physically inactive as they age.
HealthDay News (9/15) 
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Study shows experimental shingles vaccine effective for older patients
The experimental shingles vaccine Shingrix was 90% effective in patients over age 70 after four years, researchers reported in the New England Journal of Medicine. Data from a separate Kaiser Permanente study showed the Zostavax vaccine had reduced efficacy as people aged, decreasing to around 18% for adults older than 79.
Reuters (9/14) 
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Practice Management
Study: Incentive program has little effect on preventive care
Data showed similar racial disparities in preventive care before and after the CMS Quality Bonus Payment Demonstration program in Medicare Advantage, which was introduced in 2012, researchers reported in the journal Preventing Chronic Disease. Researchers studied whether program incentives affected preventive care in the areas of improving bladder control, reducing risks of falls, and physical activity monitoring.
Healio (free registration) (9/14) 
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Health Policy & Legislation
CMS: Hospital readmission rates drop average of 8%
The CMS reported an average 8% decrease in hospital readmission rates from 2010 to 2015. Agency officials credited much of the improvement to the Hospital Readmissions Reduction Program that cuts Medicare reimbursements for hospitals with 30-day readmission rates that are higher than expected for targeted clinical conditions including heart failure, acute myocardial infarction and pneumonia.
Medscape (free registration) (9/15) 
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CMS modifies grants for Accountable Health Communities Model
The CMS has modified its Accountable Health Communities Model and created a new funding opportunity to reduce required Medicare and Medicaid beneficiary screenings from 75,000 to 53,000 and increase grants from $1 million to $1.17 million during the next five years to boost the model's adoption among health care and community-based organizations.
Healthcare Informatics online (9/14) 
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Professional Issues & Trends
Okla. health system increases mobile primary care clinics
Good Samaritan Health Services in Tulsa, Okla., is increasing the number of sites for its mobile clinics, which are staffed by 30 volunteer physicians who treat more than 600 patients each month. Good Samaritan administrator Ben Dodwell said the mobile clinics provide complete primary care to the poor and uninsured.
Tulsa World (Okla.) (9/15) 
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Inside the AAFP
It's not too late to register for FMX
AAFP FMX Orlando
Online registration has closed, but you can still register on-site for the 2016 AAFP Family Medicine Experience (FMX) in Orlando, Fla., Sept. 20-24. Gain best practices for conditions you see every day. Hear thought leaders such as renowned surgeon, researcher and best-selling author Atul Gawande, M.D.
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Learn more about AAFP:
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AAFP CareerLink - Connecting Family Physicians and Employers
Primary Care Physicians
MHM SOLUTIONS, INC. - Harrisburg, Pennsylvania
Primary Care Physician
Family Medicine Opportunity Available
Family Medicine Physician
Primary Care Physician
Full-time Primary Care Physician
Urgent Care Physician
Physician - Family Medicine
Primary Care Physician
ONSITE CARE INC. - Salt Lake City, Utah
Family Physician
CATHOLIC MEDICAL CENTER - Manchester, New Hampshire
Family Medicine Physician - Rural practice outside of yeahTHATgreenville
GREENVILLE HEALTH SYSTEM - Laurens, South Carolina
World Traveling Potential - 7 ON 7 OFF
100K Signing Bonus - OP Only - Sierra Nevada Foothills
Family Medicine Physician
A failure is not always a mistake. It may simply be the best one can do under the circumstances. The real mistake is to stop trying.
B.F. Skinner,
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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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