Archive for August, 2016

AAFP Supports Interim Recommendation That Live Attenuated Influenza Vaccine (LAIV) Should Not Be Used

The AAFP supports the interim recommendation that the live attenuated influenza vaccine (LAIV) should not be used during the 2016-2017 influenza season for any age group.

Background

The Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) voted last week that live attenuated influenza vaccine (LAIV) should not be used during the 2016-2017 flu season for any age group. The ACIP continues to recommend annual flu vaccination, with either the inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV), for everyone six months and older.

The ACIP had concerns about the lack of effectiveness of the vaccine. Of particular concern was the lack of LAIV effectiveness in providing protection against H1N1. Given that the target population coincides with the population most susceptible to severe morbidity and mortality if infected with H1N1, this is especially concerning.

Preliminary Data

The ACIP reported in May of 2016 that preliminary data on the effectiveness of LAIV among children two through 17 years during the 2015-2016 season had become available from the U.S. Influenza Vaccine Effectiveness Network. That data showed the estimate for LAIV vaccine effectiveness (VE) among study participants in that age group against any flu virus was 3 percent (with a 95 percent1 confidence interval (CI)(www.cdc.gov)(http://www.cdc.gov/flu/about/qa/vaccineeffect.htm) of -49 percent to 37 percent). The 3 percent estimate means no protective benefit could be measured. In comparison, IIV (flu shots) had a VE estimate of 63 percent (with a 95 percent CI of 52 percent to 72 percent) against any flu virus among children two through 17 years. Additional non-CDC studies support the conclusion that LAIV worked less effectively than IIV this season. The data from 2015-2016 follows two previous seasons2 (2013-2014 and 2014-2015(www.cdc.gov)(http://www.cdc.gov/media/releases/2015/s0226-acip.html) ) showing poor and/or lower than expected vaccine effectiveness for LAIV.

Vaccine Supply

CHPS will follow this issue closely and will work to advise members about influenza vaccine supply issues as the ACIP recommendation is finalized and implemented.

Congratulations to Emory Healthcare Network on PCMH Level 3 Recognition

In early 2015, EHN partnered with PCMH University to transform 10 primary care sites to Patient-Centered Medical Homes.  The program completed in April 2016 with nine sites submitting their applications to NCQA.  All 9 sites received PCMH Level 3 recognition.

Like other health systems around the country, EHN is adapting to the trend of health insurance, including Medicare and Medicaid, paying hospitals and doctors based on the value of the care they provide rather than the volume of services they render.  Enhancing primary care services is a pillar of EHN’s strategy.  Numerous studies around the country have demonstrated the potential of the PMCH to both improve quality and lower costs.

After a competitive bidding process, EHN chose to partner with the Georgia Academy of Family Physicians (www.gafp.org) and Discern Health (www.discernhealth.com) to support the transformation. EHN is enrolling 10 primary care practices in GAFP’s PCMH University.

Congratulations EHN PCMH University Class of 2015:

  • General Internal Medicine at St. Joseph’s –  Dipak Vashi, MD
  • General Internal Medicine at Emory Midtown – Fred Turton, MD
  • Emory Clinic at Decatur –  Nick Church, MD
  • Integrated mEmory Clinic – Janet Cellar, MD
  • Emory Specialty Associates at Sugarloaf – Drew Huber, MD
  • Emory Specialty Associates at Eagles Landing –  Kennard Hood, MD
  • Internal Medicine of Newton – James Stillerman, MD

Georgia Shines at AAFP National Conference for Family Medicine Residents and Medical Students

Georgia, along with family medicine residency programs from twenty-five additional states, set up decorative booths at the Kansas City Convention Center July 28th-30th to attract medical student candidates to Georgia to attend residency in our state.  Current residents from our programs were there to offer information and share their passion for family medicine with medical students, who were excited and energetic about family medicine and the future.  The steady stream of medical students visiting the Georgia programs was non-stop for three days, and our programs engaged with hundreds of prospective applicants where our programs united to create a strong presence to the students.

In addition, we had a full delegation representing us in both the resident and student categories.  Drs. Daniel Gordon from the Memorial Health Program in Savannah and Chetan Patel from the Columbus Family Medicine Residency Program, two of our resident Board members, were our delegate and alternate respectively, and Joey Krakowiak and Tim Hutton, two of our student Board members, served as our student delegate and alternate.

Our resident delegates reported that the total conference attendance was 4,565-a record high composed of 1,210 Residents and 1,349 Students, and that out of 66 resolutions submitted, another record high, 46 were adopted.

Student and Resident National Meeting

SPECIAL NEWS: Chetan Patel, MD was elected as 1 of the 2 National Resident Alternate Delegates to the AAFP Congress of Delegates for 2016-2017!  Congratulations to Dr. Patel, who is pictured here with AAFP Board member Dr. Jack Chou from California and Dr. Gerry Tolbert, NCCL Convener. The main stage sessions during the conference were inspirational and challenging. They enjoyed hearing from the panel of doctors who discussed various issues that impact family medicine, including how increasing the number of primary care doctors and utilizing them well would help solve our nationwide healthcare spending problem. They were challenged by Dr. Jeffrey Brenner about innovative ways to think about our healthcare system. He shared convincing data about the benefits of healthcare hotspotting through his work with the Camden Coalition.

Our student delegates, Joey Krakowiak and Tim Hutton, reported that they appreciated the opportunity to represent the Georgia Academy at the National Conference of Family Medicine Residents and Medical Students Congress of Delegates last week.  It was their first time attending and were thrilled to meet so many like-minded people who are excited and passionate about Family Medicine and striving to provide the best care for their patients.

S&R National Conf

And they even got a chance to meet and talk with Dr. Wanda Filer, the president of the AAFP, as pictured here.

2016 Annual Scientific Assembly- Early Registration Closes September 11th

The 2016 Annual Scientific Assembly will be held at The Westin Buckhead, November 9th through November 12th.

This year’s meeting will cover current topics and workshops that highlight conditions and diseases that affect our communities.  We will have two mini-tracks devoted to women’s health and chronic kidney disease.  Additionally, there will be a one-day workshop on cardiac stress testing, which will cover the basics for cardiac ECG exercise stress testing (EST), including indications, contraindications, limitations, alternatives, equipment, and personnel needs.

We will also offer four Knowledge Self-Assessment Modules (KSAs) formerly known as SAMs, including the new Medical Genomics module.  In addition to lecture tracks and workshops, there will be education on cancer survivorship, adult immunizations, direct primary care, and management strategies for long-term COPD patients.  There is something for everyone who attends the meeting.

Register for the Annual Meeting

View the Preliminary Agenda

Hotel Information

Rates at the Westin Buckhead begin at $165. For reservations call 404-365-0065 or 800-253-1397. Request the Georgia Academy of Family Physicians room block-available until October 9, 2016. You may also book a room online. GAFP room rates are automatically applied.

 

Proposed Changes for the 2016 Congress of Delegates

Proposed Bylaws Changes for the 2016 GAFP Congress of Delegates

Pursuant to Chapter 14 of the Bylaws, all proposed changes must be presented at least one hundred (100) days prior to any regular or special meeting of the Congress of Delegates. Publications of proposed amendments in the official publication of the Academy shall be sufficient to constitute notice to the members.

The following link is for the 2016 Bylaws with changes marked: 2016 Bylaws with Revisions

Please review the proposed revisions, and submit any questions to: Alesa McArthur for the Bylaws Committee via email (amcarthur@gafp.org) or fax 404.321.7450.

These revisions will be voted on during the November 10 Congress of Delegates.