U.S. Supreme Court upholds ACA exchange subsidies | For more, read the AAP press release. | Pregnant women should not use marijuana, experts say
June 25, 2015
AAP SmartBrief
News for pediatricians and other child health professionals

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U.S. Supreme Court upholds ACA exchange subsidies
Supreme Court
The Supreme Court. (Mandel Ngan/Getty Images)
The U.S. Supreme Court today upheld federal subsidies under the Affordable Care Act for people buying insurance through the federal insurance exchange, HealthCare.Gov. The 6-3 opinion in King vs. Burwell was written by Chief Justice John Roberts. The decision confirms that people qualify for subsidies whether they buy health plans through state or federal exchanges. NBC News (6/25), The New York Times (tiered subscription model) (6/25)
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Pregnant women should not use marijuana, experts say
Doctors should counsel women not to use marijuana during pregnancy and breast-feeding due to the potentially harmful effects on the baby's brain development, researchers from the American College of Obstetricians and Gynecologists wrote in the journal Obstetrics & Gynecology. Prenatal exposure to marijuana could affect children's visual problem-solving, visual and motor coordination, and visual analysis skills, as well as their attention span and behavior. PhysiciansBriefing.com/HealthDay News (6/23)
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Is It Time to Replace Your PM System?
Practice Management (PM) systems form the backbone of any medical practice, helping physicians and their staff manage appointments, keep track of patients, and perform medical billing. This white paper covers the key drivers—market, technology, and user experience—behind the PM replacement trend and why many practices are making the move to modern, cloud- based PM systems. Download now.

Pediatric Health Care
Group warns about health risks of liquid laundry packets
Global organization Safe Kids Worldwide cautioned about the growing rate of accidental poisonings involving liquid laundry packets among children in the U.S. The American Association of Poison Control Centers received more than 30,000 calls, or nearly 30 children daily, regarding liquid laundry packet incidents from 2012 through May 2015. Parents should store the pods out of children's reach and sight and know what to do if an incident occurs, the group said. CBS News (6/24)
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Adiposity tied to teenagers' sedentary behavior, study finds
(John Moore/Getty Images)
Sedentary behavior was associated with adiposity in adolescents, regardless of their dietary intake, according to an Australian study in Obesity Reviews. Researchers reviewed 25 studies that focused on the association between sedentary behaviors of 12- to 18-year-olds and cardiometabolic markers. PhysiciansBriefing.com/HealthDay News (6/24)
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Overuse injuries more common in female athletes, study says
A study in the Journal of Pediatrics found that female athletes had a higher rate of overuse injuries than male athletes, with track, field hockey and lacrosse being the top sports for overuse injuries among girls. Lead study author Dr. Thomas Best cited the role of nutrition and advised girls to get the right amounts of vitamin D and calcium. Stack (6/24)
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Recall initiated for Medtronic's pediatric, neonatal tracheostomy tubes
A recall was initiated by Medtronic involving some lots of its Covidien Shiley pediatric and neonatal tracheostomy tubes produced after Nov. 29, 2012. The firm, which advised replacement to address the problem, made the recall over concerns that the products' wider angle bend may cause breathing difficulties and other injuries. FDAnews (6/24)
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Trends & Technology
HIMSS survey analyzes cost, benefits of direct messaging
A Healthcare Information and Management Systems Society survey found that 51% of health information organizations said the cost of implementing direct messaging is worth the health data sharing benefit that they get from the technology. The top use of the technology was for care transitions, followed by admission-discharge-transfer notifications and patient communications. Healthcare Informatics online (6/23)
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Majority of providers interested in offering virtual visits, survey says
A QuantiaMD and American Well survey found that 57% of more than 2,000 primary care doctors are interested in having video visits with patients compared with 12% who wouldn't offer the service. A flexible work-life schedule topped the reasons why participants would provide telehealth consultations, followed by additional income and better patient outcomes. BeckersHospitalReview.com (6/22)
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Health Policy & Regulations
House votes to repeal Medicare IPAB
The House voted to repeal a section of the Affordable Care Act that sets up the Medicare Independent Payment Advisory Board, which would be convened to suggest spending-reduction strategies if the growth in Medicare spending exceeds certain levels. The New York Times (tiered subscription model)/The Associated Press (6/23), The Washington Post (tiered subscription model) (6/23)
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The Last Word - News from the AAP
Leonard P. Rome CATCH Visiting Professorship Program
The purpose of this Visiting Professorship Program is to promote advocacy for children and advance the field of community pediatrics. Up to eight accredited pediatric residency programs will be provided with a maximum of $4,500 each to implement a 2- or 3-day program focusing on resident education, faculty development and building partnerships for community health and advocacy. Applications are due by July 8. Learn more.
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Bronchiolitis QI project targets unnecessary treatments
Most participants in the Quality Collaborative to Improve Hospitalist Compliance with the AAP Bronchiolitis Guideline, or B-QIP, achieved major improvements, reducing use of bronchodilators, corticosteroids and chest radiography. Visit AAP News to read the full article about this project.
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Maybe all one can do is hope to end up with the right regrets."
-- Arthur Miller,
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This news roundup is provided as a timely update to AAP members and other health professionals about child health topics in the media. Links to articles are provided for the convenience of pediatricians who may find them of use in discussions with patients or colleagues.
External Resources are not a part of the aap.org website. AAP is not responsible for the content of sites that are external to the AAP. Linking to a website does not constitute an endorsement by AAP of the sponsors of the site or the information presented on the site.
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