April 21, 2021
AMSUS SmartBrief
Top Story
The Biden administration's funding request for fiscal 2022 includes funds to modernize the nation's public health data collection system, install broadband infrastructure in rural areas, expand scientific and technological research at the National Institute of Standards and Technology, and continue upgrading the Veterans Affairs EHR system.
Full Story: Healthcare IT News (4/13) 
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PEPAXTO is indicated in combination with dexamethasone for the treatment of adult patients with relapsed or refractory multiple myeloma who have received at least four prior lines of therapy and whose disease is refractory to at least one proteasome inhibitor, one immunomodulatory agent, and one CD38-directed monoclonal antibody. Learn more.
Military Health System
The Department of Defense reported that unanticipated expenses related to the COVID-19 pandemic are expected to increase Tricare costs $1 billion above budget estimates for fiscal 2021, with an additional $800,000 in unexpected costs in the military health system, for a total budget shortfall of $1.8 billion. Acting assistant secretary of defense for health affairs Dr. Terry Adirim said the cost of DOD pandemic support for FEMA could push the figure even higher.
Full Story: Military online (4/20) 
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The Defense Health Agency announced that 17 military medical facilities in the Hampton Roads, Va., area will combine to create a new regional care system. "The market construct lets military medical treatment facilities coordinate locally to share patients, staff and resources to improve care, patient access and readiness activities," said DHA assistant director for management Dr. Barclay Butler.
Full Story: Stars and Stripes (tiered subscription model) (4/20) 
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Strategies and solutions for clinicians
and health care leaders

The pandemic, a summer of protests against injustice, an increasing focus on social determinants of health and the adoption of value-based care have made addressing health inequity an imperative. Join SmartBrief and a panel of experts from across health care for a virtual roundtable discussion of health equity challenges and solutions.
Veterans Health Administration
VA Secretary Denis McDonough testified last week in support of a budget request that would increase support for suicide prevention, programs for homeless veterans and medical infrastructure improvements. "This budget ensures all veterans, including women veterans, veterans of color and LGBTQ+ veterans, receive the care and benefits they have earned," he said.
Full Story: Military online (4/15) 
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National Health Care
A pair of pancreatic cancer research projects at UCLA have received grants of approximately $3 million each from the NIH. One project focuses on creating treatments aimed at mutations of the KRAS gene, which drive most pancreatic cancer cases, while the second study examines STING -- stimulator of interferon genes -- molecules, which might help treat pancreatic cancer when activated.
Full Story: Daily Bruin (University of California, Los Angeles) (4/15) 
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Health and Medical Research
A study of nearly 400,000 female veterans, published in the Journal of the American Medical Association, found that women diagnosed with PTSD were 44% more likely to suffer from ischemic heart disease as those who did not have PTSD. The study also found that women veterans who develop PTSD at younger ages, particularly under age 40, had a greater risk for heart disease than their older counterparts.
Full Story: Military online (4/19) 
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Join AMSUS for this complimentary third webinar in the Leading the Transformation to High-Reliability Organization web series, "Putting It All Together: Setting the Conditions for High Reliability and Filling the Gaps," on April 28 from 3:00 - 4:30 p.m. ET. Learn from a panel of VA leaders how they addressed all levels of the organization and connected elements to provide staff an understanding of how operationalizing the HRO culture transformation drives efficiency and effectiveness. Learn more and register today!
UNC Tar Heel Trauma has partnered with AMSUS to present the 32nd Annual May Day and AMSUS Trauma Virtual Conference on May 6 and 7. This complimentary event features a carefully curated series of lectures from experts covering topics spanning the entire continuum of trauma care, including disaster, pre-hospital, emergency, and critical care. Learn more and register today!
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Diane Arbus,
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