Gates Foundation names GHI lead partner in child health network
At its Global Partners Forum in Seattle earlier this month, the Bill & Melinda Gates Foundation announced a new global health surveillance network aimed at preventing childhood mortality in developing countries, particularly in sub-Saharan Africa and south Asia. The Emory Global Health Institute (GHI), which houses the U.S. office of the International Association of National Public Health Institutes (IANPHI), will be the lead partner in the new network.
|Jeff Koplan is VP for global health, and Rob Breiman directs Emory's Global Health Institute.
The Gates Foundation plans an initial commitment of up to $75 million for the initiative.
The Child Health and Mortality Prevention Surveillance network, or CHAMPS, will help speed and improve acquisition of data about how, where, and why children are getting sick and dying. CHAMPS will partner with governments and national public health institutes to diagnose, characterize, manage, treat, and prevent specific causes of disease.
Disease surveillance sites in areas of high childhood mortality will offer a long-term approach to information management, laboratory infrastructure, and workforce capacity, which are vital resources in areas with inadequate public health infrastructure. The goal is to provide data to help develop policy, set priorities for research, and provide needed medicines and vaccines. The network could also be repurposed quickly in the event of an emerging disease epidemic, such as Ebola.
CHAMPS is envisioned to be a 20-year project based initially at six sites but eventually could be expanded to as many as 20 sites.
"Seven million children die from preventable causes annually around the world," says Jeff Koplan, Emory's VP for global health. "Many of these deaths could be prevented with better vaccines, antibiotics, diagnostics, advanced medical procedures, improved nutrition, behavior modification, and access to care. This surveillance network will help the Gates Foundation and other stakeholders generate the data needed to develop targeted prevention, diagnosis, and treatment for children in developing countries."
The Emory GHI will collaborate with IANPHI, the CDC, the Public Health Informatics Institute (a program of the Task Force for Global Health), and Deloitte Consulting LLP. Read more.
Georgia General Assembly of 2015
|Charlie Harman, VP for government affairs
Upon final adjournment of the Georgia General Assembly's annual session, the Governor had 40 days to review legislation that passed the House and Senate and determine which of those bills he would sign or veto. This period ended on May 12. Governor Deal signed more than 200 bills, including the FY 2016 state budget, and he vetoed a handful of bills.
The dust is continuing to settle on the 2015 session, which included several important issues, including medical marijuana authorization, a major transportation bill, important education reform, and the annual budget. While many more bills were debated that did not make it to final passage, some of these are expected back next year. Two important legislative issues, Certificate of Need Reform and the Religious Freedom Act are two that will bear watching next winter.
Some of the highlights of the 2015 session on issues of impact and interest to Emory are as follows:
State budget—The FY 2016 budget will be effective on July 1, 2015. Several important line items include increased funding: Emory's three state student aid accounts, the Tuition Equalization Grant (from $700 per year to $900), the HOPE scholarship (3% from $3,870 per year to $3,986), and the Miller scholarship (3% from $4,220 per year to $4,346 per year).
A coalition of primary care physician groups worked with the General Assembly to prioritize the most common primary care codes used by Medicaid physicians, since full Medicare parity for all codes would be cost prohibitive. There was also an increase in the Hospital Provider Payment program.
The Georgia Research Alliance legislative appropriation is $5 million.
Headliners—In addition to medical marijuana authorization, three other bills of particular interest pertain to badge identification, POLST update, and revision/update of the ability for high school students to enroll in college courses.
Bills that didn't pass—HB482 was introduced by Rep. Wendell Willard. The language would have enabled CTCA to take an unlimited number of Georgia patients and increase their bed capacity. Several efforts to move the bill through the House Health Committee and on the floor of the Senate were all unsuccessful because of a significant effort by the Georgia Hospital Association and the Alliance for Community Hospitals. The CTCA effort will be back next year.
SB129, the Georgia Religious Freedom Restoration Act, came close to passage but stalled in a House committee. Some view the bill as a simple statement that people should be allowed to practice their religious beliefs without government interference. Others believe that this would enable people of certain faiths to discriminate against others. This legislation will return next winter as well.
There were many bills of interest to Emory that failed to pass this winter, and they all may return in the second session of our two-year legislative session. They are too numerous to note.
More information—Please see a complete list of legislation of importance and interest to Emory that passed the legislature and was signed by the Governor. This list also includes additional information on the prioritized primary care codes for Medicaid reimbursement and more specifics on the headliner bills.
Thanks for your support and interest. Should you have any questions or comments, please email or call me at 404-623-4457.—Charlie Harman
Center provides access to cache of research data
Over the past eight years, the Center for Health Discovery and Well Being (CHDWB) has been accumulating vast amounts of data in a program designed to test the feasibility of predicting one's future health outlook. Participants in this program submitted annually to a large battery of tests and questionnaires (about 2,000 data points collected per visit) designed to provide a comprehensive picture of their current health status (bone density, cognitive function, cardiopulmonary fitness, sleep quality, mental health, social support, stress level, and much more). They also underwent extensive lab testing, both traditional tests such as blood chemistry and hormone profile and more exotic testing for regenerative cell potential, oxidative stress and inflammation, genetic and genomic analysis, and metabolomics.
The center now has comprehensive five-year data on about 500 of the original participants enrolled in 2007 and officially made this data available this spring to researchers here and at Georgia Tech.
"Over the past two years, the center has undergone many changes and transitioned to a new phase of its purpose," says Greg Martin, who directs both the CHDWB and the Emory-Georgia Tech Predictive Health Institute. The center remains part of the Predictive Health Institute, but it has moved locations and is now also closely aligned with the ACTSI. "We're now beginning to be able to derive findings from the vast amount of data we've collected, and we want to make this available for others to study."
In 2013 the center moved from its original location at Emory University Hospital Midtown to ACTSI's clinical research network location on the ground floor of Emory University Hospital. The original cohort of participants who entered the program in 2007 are no longer seen in person, but the center still gathers annual long-term follow-up data on them via an online questionnaire. Meanwhile, over the next two years, the center will continue to conduct lengthy, in-person annual work-ups ("like a primary care visit times 10," says CHDWB coordinator Jane Clark) on its final cohort of participants who entered the program in 2012.
Participants come mostly from the Emory community, including both students and employees, and range in age from 20s to 80s, with an average age of 50.
Researchers wishing to access the center's current cache of data and/or specimen samples simply submit an online request, says Clark. Requests are reviewed by a data committee, with approval usually taking a few weeks.
"Since I became director of the center, I have gotten a lot of questions about the status of the center and predictive health as a whole," says Martin. The original goals of the Predictive Health Institute and its role in Emory's strategic plan remain, he says: (1) to characterize health and determine risks before they become problems, both for individuals and populations, and (2) to implement curricula to help the next generation continue to define, develop, and use predictive health.
In terms of the educational goal, he says, Emory students can minor in predictive health via the Center for the Study of Human Health; Emory offers a PhD as part of the Molecules to Mankind program; and Georgia Tech offers a master's degree in systems engineering related to predictive health.
In terms of the CHDWB, the program has helped generate $30 million in funding for investigators and has spawned two books and 44 journal articles, including a recent one in the Journal of Personalized Medicine, summarized here.
"The real value of the center's work, however, continues to be in the future," he says. "It's hard to predict health events in months or even a few years. It will be several years before we can look back and ask, 'How did that data predict what is happening right now?'
"We already know the gamut of tests we use are likely to be powerful predictors of future health, but for some people and some conditions a smaller group of complementary tests may suffice."
Nurses ready to care for veterans
|First cohort of nursing students who received training at the Atlanta VA Medical Center, as part of a VA-funded program to stem the nursing shortage at VA facilities.
Being an Emory nursing student didn't keep Isaac Newton from reading to his two sons at bedtime. Their nightly repertoire of books includes Dr. Seuss's Oh, the Places You'll Go, a perennial favorite both with children and with newly minted graduates like Newton, who received his BSN this month.
"I love this book because in very simple language it tells readers of the great opportunities they face," Newton said during a recent recognition ceremony for the first nursing students to complete the VA Nursing Academic Partnership (VANAP) program.
Newton is one of 21 graduates who received specialized training in mental health, traumatic brain injury, home-based health care, palliative care, women's health, and homeless care at the Atlanta VA Medical Center (VAMC). That's in addition to other courses and clinical rotations that BSN students undertake during two years of study.
The Nell Hodgson Woodruff School of Nursing and the VAMC launched VANAP in 2013 with $4 million in funding from the U.S. Department of Veterans Affairs. The funding supports additional faculty positions at Emory's nursing school and an increase of 100 BSN students over five years. In turn, many of those students will join the VA workforce to help offset a major nursing shortage.
The need for qualified nurses is top of mind for leaders at the VAMC, which is part of the largest integrated health system in the country.
"We are one of the largest and fastest growing medical centers in the country," said Leslie Wiggins, Atlanta VAMC director (front row, far left in photo above). "We've gone from serving 96,000 to 100,000 veterans in the past 12 months.
"This first cohort of students is very special, and it's going to put us on the map in a way that we've wanted to be for a long time," said Wiggins, who began her own career as a nursing assistant and served as a nurse executive with the Detroit VA Medical Center. "By the way," she added, "I have about 100 or more nursing jobs open."
Newton is one of 14 students who will join the VAMC this year.—Pam Auchmutey