AAFP joins effort to protect ACA patient protections | CDC finds increase in US preterm birth rate | Study: Combo drug for BP improves compliance, outcomes
June 14, 2018
Family Medicine SmartBrief
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Top Story
AAFP joins effort to protect ACA patient protections
Six medical organizations, including the AAFP, asked the Department of Justice to reconsider a decision not to defend important parts of the Affordable Care Act, including protections for patients with pre-existing conditions, in a court challenge brought by 20 states that argues the law is unconstitutional. The letter called on the government to seek "policy solutions that increase access to affordable health care that provides all individuals, regardless of their gender, race and health status, reasonable protections against discrimination in coverage and pricing."
AAFP News (6/13) 
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Clinical News
CDC finds increase in US preterm birth rate
A report from the CDC's National Center for Health Statistics showed the preterm birth rate in the US increased from 9.57% to 9.85% from 2014 to 2016. The increase mainly was due to more late preterm births, particularly those at 36 weeks.
Physician's Briefing/HealthDay News (6/13) 
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Study: Combo drug for BP improves compliance, outcomes
Patients with high blood pressure who took a single-pill, fixed-dose combination were more likely to comply with their medication regimens and have better outcomes, researchers reported in PLOS Medicine. There was a 14% reduction in deaths among patients taking the single-pill regimen compared with multiple pills.
Cardiovascular Business online (6/12) 
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Antipsychotics linked to higher adiposity, lower insulin sensitivity in youths
Researchers found that 46.5% of children and adolescents with at least one psychiatric disorder were overweight or obese after 12 weeks of receiving antipsychotic treatments, compared with about 30% at baseline, with the largest increases in body fat found among those who took olanzapine. The findings in JAMA Psychiatry also found reduced insulin sensitivity among those who received antipsychotics, which may increase their long-term risk for type 2 diabetes and cardiovascular disease.
Xinhua News Agency (China) (6/14),  Healio (free registration)/Psychiatric Annals (6/13) 
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Practice Management
Nonphysician documents OK for coding social determinants
The American Hospital Association said data to support ICD-10 coding for patients' social determinants of health can include nonphysician documentation from social workers, nurses, case managers and others. The AHA said codes Z55 through Z65 are not new but are not commonly used.
Health IT Analytics (6/13) 
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Volume-driven health care drives concierge medicine trend
Specialdocs CEO Terry Bauer said a volume-centric health care system has driven some physicians to adopt a concierge medicine model. Bauer said although concierge medicine is not for every physician and money should not be the motivating factor for the change, physician burnout can hurt a practice's finances.
Healthcare Finance (6/12) 
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Health Policy & Legislation
Medical groups issue guidance on opioid abuse policies
The AAFP and five other medical organizations issued the "Addressing the Opioid Epidemic: Joint Principles," guidance to inform congressional policy on the issue. The guidance calls on Congress to recognize opioid use disorder as a chronic disease of the brain and adopt solutions that focus on families dealing with other substance use disorders along with opioid abuse.
AAFP News (6/13) 
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CMS delays Hospital Compare planned July update
The CMS this week posted a notice that it will postpone a July update to its Hospital Compare website. The agency said the delay will allow for additional analysis on how changes to some quality measures will affect hospital star ratings and provide time to address stakeholder issues.
FierceHealthcare (6/13) 
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Professional Issues & Trends
Survey: 57% of health care organizations have a mobile strategy
Researchers polled more than 300 health care professionals and found that 57% reported having a mobile strategy implemented within their organization, 21% of whom cited having the strategy in place for more than five years. Pagers are still a common mode of communication, particularly among non-clinical care staff, but smartphones and Wi-Fi phones also have support and 57% of respondents said smartphones are a reliable tool for sharing clinical information.
Becker's Health IT & CIO Report (6/12) 
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Inside the AAFP
Outbreak brings patients running for vaccinations
Outbreak brings patients running for vaccinations
As a hepatitis A outbreak in her state reaches 150 cases and counting, Kimberly Becher, M.D., wonders in this Fresh Perspectives blog post if media-induced hysteria might actually help overall vaccination rates.
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Learn more about AAFP:
Home Page | AAFP News | AAFP CareerLink
AAFP CME Center | Connect to the AAFP | AAFP Member Advantage
AAFP CareerLink - Connecting Family Physicians and Employers
Family Medicine Program Director
CONE HEALTH - Greensboro, North Carolina
Physician owned multi-specialty group, seeking a Family Medicine Physician to join us
PREVEA HEALTH - Wisconsin
Chief Medical Officer
PUEBLO COMMUNITY HEALTH CENTER - Pueblo, Colorado
Family Medicine Physician
MAYO CLINIC - 
ASSISTANT PROGRAM DIRECTOR Family Medicine Residency
MOUNT CARMEL HEALTH SYSTEM - Columbus, Ohio
Family Medicine Opportunities at Guthrie
GUTHRIE CLINIC - 
Family Medicine - Surgical OB
RURAL MEDICAL SERVICES, INC. - Newport, Tennessee
Family Practice Physician - Outpatient, $30K Signing Bonus!
BECK & FIELD ASSOCIATES - Minot, North Dakota
Family Medicine Clinician Educators
MEDICAL COLLEGE OF GEORGIA (MCG) AT AUGUSTA UNIVERSITY - Augusta, Georgia
FAMILY MEDICINE OR INTERNAL MEDICINE PHYSICIAN
TEXAS STATE UNIVERSITY - San Marcos, Texas
Family Medicine Physician
KALISPELL REGIONAL HEALTHCARE SYSTEM - 
Primary Care Physicians
STANLEY STREET TREATMENT AND RESOURCES (SSTAR) - Fall River, Massachusetts
Be the Physician of your Dreams!
DESTINATION HEALTH - 
Direct Primary Care/ Family Medicine Physician
GRANTS PASS FAMILY MEDICINE PC - Grants Pass, Oregon
FAMILY MEDICINE PHYSICIAN OPPORTUNITIES IN SOUTHERN CENTRAL CALIFORNIA
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (KAISER PERMANENTE) - Kern County, California
  
  
You won't be happy, whatever you do, unless you're comfortable with your own conscience.
Lucille Ball,
entertainer and producer
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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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