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COMMITTED TO ADVANCING PREVENTIVE MEDICINE
AND POPULATION HEALTH
ACPM CORPORATE ROUNDTABLE
WHY PARTNER WITH THE AMERICAN COLLEGE OF PREVENTIVE
MEDICINE?
Founded in 1954, the American College of Preventive Medicine (ACPM) is the only national
medical specialty society of physicians focused exclusively on preventive and lifestyle
medicine. Our mission is to improve the health of individuals and populations through
evidence-based health promotion, disease prevention, and systems-based approaches to
health care.
ACPM is a unique organization with physicians, residents, and medical student members who
are at the forefront of critical health issues in health systems transformation. ACPM members
are dedicated physicians leading the charge to infuse prevention and lifestyle medicine into
every aspect of medicine.
WHERE DO I FIND PREVENTIVE MEDICINE PHYSICIANS?
ACPM physicians are found in a variety of settings including research, academia, government,
NGOs, local, state, regional and national public health agencies, clinical and corporate
settings, pharmaceutical and insurance industry, and other entities worldwide as:
•		Directors of local and state health agencies
•		Federal executives at regulatory agencies
•		Chief medical officers of private corporations
•		Executives for multi-national NGOs
•		Professors and department chairs at medical and public health colleges
•		Prevention and quality specialists within health plans and other organizations
•		Pharmaceutical physician executives
THE IMPACT OF PREVENTIVE MEDICINE PHYSICIANS
Preventive Medicine is a primary medical specialty recognized by the American Board of
Medical Specialties (ABMS). Its focus is on the health of individuals, communities, and
defined populations with the goals to protect, promote, and maintain health and well-being as
well as prevent disease.
Preventive Medicine physicians are licensed MDs and DOs who also hold an MPH. They
possess multi-disciplinary expertise in eight core competencies: biostatistics, epidemiology,
environmental and occupational medicine, planning and evaluation of health services,
management of health care organizations, research into causes of disease and injury in
population groups, and the practice of prevention in clinical medicine. As key leaders that
possess a unique systems approach to health and wellness, they are at the nexus of public
health, policy, and medicine. Preventive Medicine physicians:
•	 Develop and apply evidence-based recommendations in population health and
prevention policy;
•	 Implement innovative prevention approaches in health care systems;
•	 Advance public health programs;
•	 Assess health risks and deliver effective clinical preventive services to individuals and
populations.
WHY JOIN THE ACPM CORPORATE ROUNDTABLE?
Created in 2008, the ACPM Corporate Roundtable allows your organization to connect with
leaders in lifestyle and preventive medicine. Members of the Corporate Roundtable are highly
regarded private-sector organizations dedicated to promoting and influencing health for
individuals and populations. The Corporate Roundtable provides a forum to share knowledge,
educate, and encourage innovation.
* Charter member
AstraZeneca*
PhRMA *
EHE International*
Mars Symbioscience
Metagenics
McNeil Consumer Healthcare
NuVal*
Omada Health
RediClinic
Bayer HealthCare*
Cerner Corporation
Cummins
Full Plate Living
Gilead Sciences*
MDVIP
Pfizer
Sanofi
Takeda Pharmaceuticals
UnitedHealth Group
ACPM 2016 CORPORATE ROUNDTABLE MEMBERS
Benefits of Membership
Gold
$15,000
Silver
$10,000
Bronze
$6,000
Member of Corporate Roundtable, which meets twice each year in
conjunction with ACPM Board
• • •
Three one-on-one, in-person visits with ACPM leadership •
Semi-annual calls with ACPM Coporate Roundtable members and
ACPM leadership to discuss areas of interest
• • •
Acknowledgment as Corporate Roundtable member in ACPM
newsletter
3 2 1
Recognition on ACPM web site with logo and link to company’s
home page
• •
Recognition on ACPM web site (text only) •
Complimentary registrations to Preventive Medicine, ACPM’s
annual meeting
3 2 1
40% discount on display advertising in the American Journal
of Preventive Medicine, plus one month free banner ad with
purchase*
•
Articles in ACPM’s newsletter about company, written by company,
approved by ACPM
3 2
Complimentary 10’x10’ booths at Preventive Medicine conference 2 1
Complimentary physician memberships 5 3 2
Limited time access to Lifestyle Medicine Core Competency
Curriculum (3 institutional members)
•
Access to ACPM’s Lifestyle Medicine newsletter • • •
Access to ACPM’s Health System Transformation newsletter • • •
Subscription to the American Journal of Preventive Medicine • • •
*Banner ads to appear on on www.ajpmonline.org, the mobile app, and the AJPM e-Table of Contents alert.
HOW DO I GET INVOLVED?
Membership is selective. Prospective members must demonstrate their commitment to
preventive medicine through shared values, missions, and activities that align with ACPM. All
prospective members must be approved by the ACPM Board of Regents, which determines
eligibility and vote on requests for membership.
ACPM offers three levels of membership. While detailed above, membership benefits include
direct interaction with ACPM leadership and other members to network and exchange ideas
and insights. Membership also includes complimentary invitations to attend ACPM education
programs, updates on governmental efforts in healthcare and preventive medicine, and the
opportunity to collaborate or contribute to cutting-edge ACPM preventive medicine initiatives.
FOCUS AREAS
Issues Corporate Roundtable members and ACPM address include, but are not limited to:
•	 Educational and programmatic support for employers (both health- and non-health
related organizations) related to health, health care management, employee fitness and
corporate productivity;
•	 Improving the delivery of clinical preventive services by clinicians within both
established and new innovative care systems;
•	 Advancing policy and advocacy issues, i.e. improving coverage for preventive services,
tobacco cessation, nutrition, physical activity, healthy communities, and corporate
wellness;
•	 Addressing emerging issues identified by Corporate Roundtable members that may
benefit from ACPM study, application of existing best practices, or joint proposals to
interested funding entities for analysis or improvement;
•	 Developing new educational resources in changing disciplines, including infectious
disease management, environmental health, health systems transformation,
cardiovascular fitness and lifestyle medicine.
COMPOSITION AND ELIGIBILITY
The Corporate Roundtable is comprised of corporations or businesses, foundations, and
other private sector entities whose values, missions, and activities align with the ACPM. The
ACPM Board, Executive Committee or other designated committee will review requests for
membership to determine eligibility and approval.
OPERATIONS
To foster communication and participation between Corporate Roundtable members and
ACPM leaders, the Corporate Roundtable convenes with the Board of Regents in person
twice annually. Meetings coincide with ACPM’s annual Preventive Medicine conference in
the spring, and in the fall at ACPM’s headquarters in Washington, DC. The joint meeting of
the Corporate Roundtable and the ACPM Board of Regents provides a forum for Corporate
Roundtable members and ACPM leadership to discuss issues that include, but are not limited
to, current healthcare policy, market forces, health system trends, and advancements in the
field and how these issues are impacting Corporate Roundtable members and the practice of
preventive medicine.
All Roundtable member organizations will sign an agreement to abide by ACPM’s Policy on Corporate
Relationship.
9.1 	 Overview of Principles
The American College of Preventive Medicine’s principles to guide corporate relationships have been
organized into the following categories: General Principles that apply to most situations; Special
Guidelines that deal with specific issues and concerns; and Organizational Review that outlines
approval authorities and public disclosure responsibilities. These guidelines should be reviewed
over time to assure their continued relevance to the policies and operations of ACPM and to the
current business environment. The principles should serve as a starting point for anyone reviewing or
developing ACPM’s relationships with outside groups.
9.2 	 General Principles
ACPM’s mission statement should provide guidance for externally funded relationships. Relations that
are not motivated by the association’s mission threaten the ACPM’s ability to provide representation
and leadership for the profession.
ACPM’s vision and values must drive the proposed activity.
ACPM’s vision and values ultimately must determine whether a proposed relationship is appropriate
for ACPM. ACPM should not have relationships with organizations or industries whose principles,
policies or actions obviously conflict with ACPM’s vision and values. For example, relationships with
producers of products that harm the public health (e.g., tobacco) are not appropriate for ACPM. In
general, rather than responding to others, ACPM will proactively choose its priorities for external
relationships and participate in those that fulfill these priorities.
9.2.2 	 The relationship must preserve or promote trust in ACPM and the preventive medicine
profession.
To be effective, preventive medicine professionalism requires the public’s trust. Corporate
relationships that could undermine the public’s trust in ACPM or the profession are not acceptable.
For example, no relationship should raise questions about the scientific content of ACPM’s health
information efforts, ACPM’s advocacy on public health issues, or the truthfulness of its public
statements.
9.2.3 	 The relationship must maintain ACPM’s objectivity with respect to health issues.
ACPM will accept funds or royalties from external organizations only if acceptance does not pose a
conflict of interest and in no way impacts the objectivity of the association, its members, activities,
programs or employees. For example, exclusive relationships with manufacturers of health-related
products marketed to the public could impair ACPM’s objectivity in promoting the health of the
nation. Relationships that might bias, or appear to bias, ACPM’s objectivity with respect to health
issues are not acceptable.
POLICY ON CORPORATE RELATIONSHIPS
9.2.4 	 The activity must provide benefit to the public’s health, patient’s care, or physician’s
practice of preventive medicine.
Public education campaigns and programs for ACPM members are potentially of significant benefit.
Corporate-supported programs that provide financial benefits to ACPM but no significant benefit to
the public or direct professional benefits to ACPM or ACPM’s members require careful scrutiny. In the
case of member benefits, external relations should advance professionalism or be neutral to it.
9.3 	 Special Guidelines
The following guidelines address a number of special situations where ACPM cannot utilize external
funding.
9.3.1 	 ACPM will provide health and medical information, but should not involve itself in the
production, sale or marketing to consumers of products that claim a health benefit.
Marketing health-related products (e.g., pharmaceuticals, home health care products) undermines
ACPM’s objectivity and diminishes its role in representing preventive medicine values and educating
the public about their health and health care.
9.3.2 	 Activities should be funded from multiple sources wherever possible.
Activities funded from a single external source are at greater risk for inappropriate influence from
the supporter -- or the perception of it, which may be equally damaging. For example, funding for
a patient education brochure should be done with multiple sponsors if possible. For the purposes
of this guideline, funding from several companies, but each from a different and non-competing
industry category (e.g., one pharmaceutical manufacturer and one health insurance provider) does
not constitute multiple-source funding. ACPM recognizes that for some activities the benefits may be
so great, the harms so minimal, and prospects for developing multiple sources of funding so unlikely
that single-source funding is a reasonable option. Even so, funding exclusivity must be limited to
discrete programs only (e.g., tobacco conference) and shall not extend to a broad category (e.g.,
tobacco). The Board should review single-sponsor activities prior to implementation to ensure that (a)
reasonable attempts have been made to locate additional sources of funds (for example, issuing an
open request for proposals to companies in the category); and (b) the expected benefits of the project
merit the additional risk to ACPM of accepting single-source funding. In all cases of single-source
funding, ACPM will guard against conflict of interest.
9.3.3 	 The relationship must preserve ACPM’s control over any projects and products bearing the
ACPM name or logo.
ACPM retains editorial control over any information produced as part of a corporate/externally funded
arrangement.
When an ACPM program receives external financial support, ACPM must remain in control of its
entire content, and must approve all marketing materials to ensure that the message is congruent
with ACPM’s vision and values. A statement regarding ACPM editorial control as well as the name(s)
of the program’s supporter(s) must appear in all public materials describing the program and in all
educational materials produced by the program. (This principle is intended to apply only to those
situations where an outside entity requests ACPM to put its name on products produced by the
outside entity, and not to those situations where ACPM only licenses its own products for use in
conjunction with another entity’s products.)
9.3.4 	 Relationships must not permit or encourage influence by the corporate partner on ACPM.
An ACPM corporate relationship should not permit influence by the corporate partner on ACPM
policies, priorities, and actions. For example, agreements stipulating access by corporate partners to
the Board of Regents would be of concern. Additionally, relationships that appear to be acceptable
alone may become unacceptable when viewed in light of other existing or proposed activities.
9.3.5 	 Participation in a sponsorship program does not imply ACPM’s endorsement of an entity
or its policies.
Participation in sponsorship of an ACPM program does not imply ACPM approval of that corporation’s
general policies, nor does it imply that ACPM will exert any influence to advance the corporation’s
interests outside the substance of the arrangement itself. ACPM’s name and logo should not be used
in a manner that would express or imply an ACPM endorsement of the corporation or its policies.
9.3.6 	 To remove any appearance of undue influence on the affairs of ACPM, ACPM should not
depend on funding from corporate relations for core governance activities.
Funding for core governance activities from corporate sponsors (i.e., financial support for conduct
of the Board of Regents or Executive Committee) could make ACPM become dependent on external
funding for its existence or could allow a supporter, or group or supporters, to have undue influence
on the affairs of ACPM. Some specific sponsors may make it possible to convene committee meetings
– however this is unacceptable for the Board and Executive Committee meetings.
9.3.7 	 Funds from corporate relations must not be used to support political advocacy activities.
A full and effective separation should exist between political activities and corporate funding.
ACPM should not advocate for a particular issue because it has received funding from an interested
corporation. Public concern would be heightened if it appeared that ACPM’s advocacy agenda was
influenced by corporate funding.
9.4 	 Organizational Review
The Board of Regents must screen every proposal for an ACPM corporate relationship prior to staff
implementation.
9.4.1 	 It is important for ACPM to have an orderly and predictable reporting process to the
membership and for disclosure to others as appropriate.
All ACPM corporate arrangements will be annually reported to the membership in the winter issue of
the ACPM News.
9.4.2 	 The Board of Regents must approve all proposals for ACPM corporate relationships.
Every new relationship must be approved by the Board of Regents, or through a procedure adopted by
the Board.
9.4.3 	 The Executive Director is responsible for the review and implementation of each specific
arrangement according to the previously described principles.
The Executive Director is responsible for obtaining the Board of Regents’ authorization for externally
funded arrangements that have an economic and/or policy impact on ACPM. The Executive Director is
responsible for implementing the activity in a manner that is consistent with the principles contained
in this document.
Please complete all sections.
PRIMARY CONTACT
Company Name ________________________________________________________________
Contact Name ___________________________________________________________________
Professional Title ________________________________________________________________________
Department __________________________________________________________________________________________
Mailing Address ______________________________________________________________________________________
City_________________________________________________ State________________ Zip________________________
Phone________________________________________________________________________________________________
Email________________________________________________________________________________________________
Corporate Website Email_______________________________________________________________________________
ALTERNATE / ADDITIONAL CONTACT
Contact Name _______________________________________________________________________________________
Professional Title _____________________________________________________________________________________
Department __________________________________________________________________________________________
Mailing Address ______________________________________________________________________________________
City_________________________________________________ State________________ Zip________________________
Phone________________________________________________________________________________________________
Email________________________________________________________________________________________________
LEVEL REQUEST
	 o  Gold ($15,000) o  Silver ($10,000) o  Bronze ($6,000)
CORPORATE RELATIONSHIP POLICY
	 o  I have read, agreed to, and signed ACPM’s Policy on Corporate Relationships.
PAYMENT
	 o  Check enclosed. Payable to the American College of Preventive Medicine:	 Check # _______________
	 o  Purchase Order enclosed. If submitting a PO, do you need to be invoiced? 	 o Yes o No
PLEASE SUBMIT
•	Please provide your company mission statement.
•	Please provide a brief description of your interest in and expectations for the ACPM Corporate Roundtable.
CORPORATE ROUNDTABLE APPLICATION
Return application to Jessica Bradshaw, Program Coordinator, American College of Preventive Medicine,
455 Massachusetts Avenue NW, Suite 200, Washington, DC 20001. TIN: 23-1722119.
455 Massachusetts Avenue NW, Suite 200
Washington, DC 20001
Tel: (202) 466-2044
Fax: (202) 466-2662
www.acpm.org
BECOME A CORPORATE ROUNDTABLE MEMBER TODAY
Founded in 1954, the American College of Preventive Medicine (ACPM) is the only
national medical specialty society of physicians focused exclusively on preventive
and lifestyle medicine. In 2008, the ACPM Corporate Roundtable was established
to foster open communication between the ACPM leadership and industry
organizations like yours, in a non-competitive environment.
Please contact Maureen Simmons at msimmons@acpm.org or (202) 466-2044,
ext. 120 to learn more about how your organization can benefit from membership
in the ACPM Corporate Roundtable today!

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CRProspectusJuly2016

  • 1. COMMITTED TO ADVANCING PREVENTIVE MEDICINE AND POPULATION HEALTH ACPM CORPORATE ROUNDTABLE
  • 2. WHY PARTNER WITH THE AMERICAN COLLEGE OF PREVENTIVE MEDICINE? Founded in 1954, the American College of Preventive Medicine (ACPM) is the only national medical specialty society of physicians focused exclusively on preventive and lifestyle medicine. Our mission is to improve the health of individuals and populations through evidence-based health promotion, disease prevention, and systems-based approaches to health care. ACPM is a unique organization with physicians, residents, and medical student members who are at the forefront of critical health issues in health systems transformation. ACPM members are dedicated physicians leading the charge to infuse prevention and lifestyle medicine into every aspect of medicine. WHERE DO I FIND PREVENTIVE MEDICINE PHYSICIANS? ACPM physicians are found in a variety of settings including research, academia, government, NGOs, local, state, regional and national public health agencies, clinical and corporate settings, pharmaceutical and insurance industry, and other entities worldwide as: • Directors of local and state health agencies • Federal executives at regulatory agencies • Chief medical officers of private corporations • Executives for multi-national NGOs • Professors and department chairs at medical and public health colleges • Prevention and quality specialists within health plans and other organizations • Pharmaceutical physician executives
  • 3. THE IMPACT OF PREVENTIVE MEDICINE PHYSICIANS Preventive Medicine is a primary medical specialty recognized by the American Board of Medical Specialties (ABMS). Its focus is on the health of individuals, communities, and defined populations with the goals to protect, promote, and maintain health and well-being as well as prevent disease. Preventive Medicine physicians are licensed MDs and DOs who also hold an MPH. They possess multi-disciplinary expertise in eight core competencies: biostatistics, epidemiology, environmental and occupational medicine, planning and evaluation of health services, management of health care organizations, research into causes of disease and injury in population groups, and the practice of prevention in clinical medicine. As key leaders that possess a unique systems approach to health and wellness, they are at the nexus of public health, policy, and medicine. Preventive Medicine physicians: • Develop and apply evidence-based recommendations in population health and prevention policy; • Implement innovative prevention approaches in health care systems; • Advance public health programs; • Assess health risks and deliver effective clinical preventive services to individuals and populations. WHY JOIN THE ACPM CORPORATE ROUNDTABLE? Created in 2008, the ACPM Corporate Roundtable allows your organization to connect with leaders in lifestyle and preventive medicine. Members of the Corporate Roundtable are highly regarded private-sector organizations dedicated to promoting and influencing health for individuals and populations. The Corporate Roundtable provides a forum to share knowledge, educate, and encourage innovation.
  • 4. * Charter member AstraZeneca* PhRMA * EHE International* Mars Symbioscience Metagenics McNeil Consumer Healthcare NuVal* Omada Health RediClinic Bayer HealthCare* Cerner Corporation Cummins Full Plate Living Gilead Sciences* MDVIP Pfizer Sanofi Takeda Pharmaceuticals UnitedHealth Group ACPM 2016 CORPORATE ROUNDTABLE MEMBERS
  • 5. Benefits of Membership Gold $15,000 Silver $10,000 Bronze $6,000 Member of Corporate Roundtable, which meets twice each year in conjunction with ACPM Board • • • Three one-on-one, in-person visits with ACPM leadership • Semi-annual calls with ACPM Coporate Roundtable members and ACPM leadership to discuss areas of interest • • • Acknowledgment as Corporate Roundtable member in ACPM newsletter 3 2 1 Recognition on ACPM web site with logo and link to company’s home page • • Recognition on ACPM web site (text only) • Complimentary registrations to Preventive Medicine, ACPM’s annual meeting 3 2 1 40% discount on display advertising in the American Journal of Preventive Medicine, plus one month free banner ad with purchase* • Articles in ACPM’s newsletter about company, written by company, approved by ACPM 3 2 Complimentary 10’x10’ booths at Preventive Medicine conference 2 1 Complimentary physician memberships 5 3 2 Limited time access to Lifestyle Medicine Core Competency Curriculum (3 institutional members) • Access to ACPM’s Lifestyle Medicine newsletter • • • Access to ACPM’s Health System Transformation newsletter • • • Subscription to the American Journal of Preventive Medicine • • • *Banner ads to appear on on www.ajpmonline.org, the mobile app, and the AJPM e-Table of Contents alert.
  • 6. HOW DO I GET INVOLVED? Membership is selective. Prospective members must demonstrate their commitment to preventive medicine through shared values, missions, and activities that align with ACPM. All prospective members must be approved by the ACPM Board of Regents, which determines eligibility and vote on requests for membership. ACPM offers three levels of membership. While detailed above, membership benefits include direct interaction with ACPM leadership and other members to network and exchange ideas and insights. Membership also includes complimentary invitations to attend ACPM education programs, updates on governmental efforts in healthcare and preventive medicine, and the opportunity to collaborate or contribute to cutting-edge ACPM preventive medicine initiatives. FOCUS AREAS Issues Corporate Roundtable members and ACPM address include, but are not limited to: • Educational and programmatic support for employers (both health- and non-health related organizations) related to health, health care management, employee fitness and corporate productivity; • Improving the delivery of clinical preventive services by clinicians within both established and new innovative care systems; • Advancing policy and advocacy issues, i.e. improving coverage for preventive services, tobacco cessation, nutrition, physical activity, healthy communities, and corporate wellness; • Addressing emerging issues identified by Corporate Roundtable members that may benefit from ACPM study, application of existing best practices, or joint proposals to interested funding entities for analysis or improvement; • Developing new educational resources in changing disciplines, including infectious disease management, environmental health, health systems transformation, cardiovascular fitness and lifestyle medicine.
  • 7. COMPOSITION AND ELIGIBILITY The Corporate Roundtable is comprised of corporations or businesses, foundations, and other private sector entities whose values, missions, and activities align with the ACPM. The ACPM Board, Executive Committee or other designated committee will review requests for membership to determine eligibility and approval. OPERATIONS To foster communication and participation between Corporate Roundtable members and ACPM leaders, the Corporate Roundtable convenes with the Board of Regents in person twice annually. Meetings coincide with ACPM’s annual Preventive Medicine conference in the spring, and in the fall at ACPM’s headquarters in Washington, DC. The joint meeting of the Corporate Roundtable and the ACPM Board of Regents provides a forum for Corporate Roundtable members and ACPM leadership to discuss issues that include, but are not limited to, current healthcare policy, market forces, health system trends, and advancements in the field and how these issues are impacting Corporate Roundtable members and the practice of preventive medicine.
  • 8. All Roundtable member organizations will sign an agreement to abide by ACPM’s Policy on Corporate Relationship. 9.1 Overview of Principles The American College of Preventive Medicine’s principles to guide corporate relationships have been organized into the following categories: General Principles that apply to most situations; Special Guidelines that deal with specific issues and concerns; and Organizational Review that outlines approval authorities and public disclosure responsibilities. These guidelines should be reviewed over time to assure their continued relevance to the policies and operations of ACPM and to the current business environment. The principles should serve as a starting point for anyone reviewing or developing ACPM’s relationships with outside groups. 9.2 General Principles ACPM’s mission statement should provide guidance for externally funded relationships. Relations that are not motivated by the association’s mission threaten the ACPM’s ability to provide representation and leadership for the profession. ACPM’s vision and values must drive the proposed activity. ACPM’s vision and values ultimately must determine whether a proposed relationship is appropriate for ACPM. ACPM should not have relationships with organizations or industries whose principles, policies or actions obviously conflict with ACPM’s vision and values. For example, relationships with producers of products that harm the public health (e.g., tobacco) are not appropriate for ACPM. In general, rather than responding to others, ACPM will proactively choose its priorities for external relationships and participate in those that fulfill these priorities. 9.2.2 The relationship must preserve or promote trust in ACPM and the preventive medicine profession. To be effective, preventive medicine professionalism requires the public’s trust. Corporate relationships that could undermine the public’s trust in ACPM or the profession are not acceptable. For example, no relationship should raise questions about the scientific content of ACPM’s health information efforts, ACPM’s advocacy on public health issues, or the truthfulness of its public statements. 9.2.3 The relationship must maintain ACPM’s objectivity with respect to health issues. ACPM will accept funds or royalties from external organizations only if acceptance does not pose a conflict of interest and in no way impacts the objectivity of the association, its members, activities, programs or employees. For example, exclusive relationships with manufacturers of health-related products marketed to the public could impair ACPM’s objectivity in promoting the health of the nation. Relationships that might bias, or appear to bias, ACPM’s objectivity with respect to health issues are not acceptable. POLICY ON CORPORATE RELATIONSHIPS
  • 9. 9.2.4 The activity must provide benefit to the public’s health, patient’s care, or physician’s practice of preventive medicine. Public education campaigns and programs for ACPM members are potentially of significant benefit. Corporate-supported programs that provide financial benefits to ACPM but no significant benefit to the public or direct professional benefits to ACPM or ACPM’s members require careful scrutiny. In the case of member benefits, external relations should advance professionalism or be neutral to it. 9.3 Special Guidelines The following guidelines address a number of special situations where ACPM cannot utilize external funding. 9.3.1 ACPM will provide health and medical information, but should not involve itself in the production, sale or marketing to consumers of products that claim a health benefit. Marketing health-related products (e.g., pharmaceuticals, home health care products) undermines ACPM’s objectivity and diminishes its role in representing preventive medicine values and educating the public about their health and health care. 9.3.2 Activities should be funded from multiple sources wherever possible. Activities funded from a single external source are at greater risk for inappropriate influence from the supporter -- or the perception of it, which may be equally damaging. For example, funding for a patient education brochure should be done with multiple sponsors if possible. For the purposes of this guideline, funding from several companies, but each from a different and non-competing industry category (e.g., one pharmaceutical manufacturer and one health insurance provider) does not constitute multiple-source funding. ACPM recognizes that for some activities the benefits may be so great, the harms so minimal, and prospects for developing multiple sources of funding so unlikely that single-source funding is a reasonable option. Even so, funding exclusivity must be limited to discrete programs only (e.g., tobacco conference) and shall not extend to a broad category (e.g., tobacco). The Board should review single-sponsor activities prior to implementation to ensure that (a) reasonable attempts have been made to locate additional sources of funds (for example, issuing an open request for proposals to companies in the category); and (b) the expected benefits of the project merit the additional risk to ACPM of accepting single-source funding. In all cases of single-source funding, ACPM will guard against conflict of interest. 9.3.3 The relationship must preserve ACPM’s control over any projects and products bearing the ACPM name or logo. ACPM retains editorial control over any information produced as part of a corporate/externally funded arrangement. When an ACPM program receives external financial support, ACPM must remain in control of its entire content, and must approve all marketing materials to ensure that the message is congruent with ACPM’s vision and values. A statement regarding ACPM editorial control as well as the name(s) of the program’s supporter(s) must appear in all public materials describing the program and in all educational materials produced by the program. (This principle is intended to apply only to those situations where an outside entity requests ACPM to put its name on products produced by the outside entity, and not to those situations where ACPM only licenses its own products for use in conjunction with another entity’s products.)
  • 10. 9.3.4 Relationships must not permit or encourage influence by the corporate partner on ACPM. An ACPM corporate relationship should not permit influence by the corporate partner on ACPM policies, priorities, and actions. For example, agreements stipulating access by corporate partners to the Board of Regents would be of concern. Additionally, relationships that appear to be acceptable alone may become unacceptable when viewed in light of other existing or proposed activities. 9.3.5 Participation in a sponsorship program does not imply ACPM’s endorsement of an entity or its policies. Participation in sponsorship of an ACPM program does not imply ACPM approval of that corporation’s general policies, nor does it imply that ACPM will exert any influence to advance the corporation’s interests outside the substance of the arrangement itself. ACPM’s name and logo should not be used in a manner that would express or imply an ACPM endorsement of the corporation or its policies. 9.3.6 To remove any appearance of undue influence on the affairs of ACPM, ACPM should not depend on funding from corporate relations for core governance activities. Funding for core governance activities from corporate sponsors (i.e., financial support for conduct of the Board of Regents or Executive Committee) could make ACPM become dependent on external funding for its existence or could allow a supporter, or group or supporters, to have undue influence on the affairs of ACPM. Some specific sponsors may make it possible to convene committee meetings – however this is unacceptable for the Board and Executive Committee meetings. 9.3.7 Funds from corporate relations must not be used to support political advocacy activities. A full and effective separation should exist between political activities and corporate funding. ACPM should not advocate for a particular issue because it has received funding from an interested corporation. Public concern would be heightened if it appeared that ACPM’s advocacy agenda was influenced by corporate funding. 9.4 Organizational Review The Board of Regents must screen every proposal for an ACPM corporate relationship prior to staff implementation. 9.4.1 It is important for ACPM to have an orderly and predictable reporting process to the membership and for disclosure to others as appropriate. All ACPM corporate arrangements will be annually reported to the membership in the winter issue of the ACPM News. 9.4.2 The Board of Regents must approve all proposals for ACPM corporate relationships. Every new relationship must be approved by the Board of Regents, or through a procedure adopted by the Board. 9.4.3 The Executive Director is responsible for the review and implementation of each specific arrangement according to the previously described principles. The Executive Director is responsible for obtaining the Board of Regents’ authorization for externally funded arrangements that have an economic and/or policy impact on ACPM. The Executive Director is responsible for implementing the activity in a manner that is consistent with the principles contained in this document.
  • 11. Please complete all sections. PRIMARY CONTACT Company Name ________________________________________________________________ Contact Name ___________________________________________________________________ Professional Title ________________________________________________________________________ Department __________________________________________________________________________________________ Mailing Address ______________________________________________________________________________________ City_________________________________________________ State________________ Zip________________________ Phone________________________________________________________________________________________________ Email________________________________________________________________________________________________ Corporate Website Email_______________________________________________________________________________ ALTERNATE / ADDITIONAL CONTACT Contact Name _______________________________________________________________________________________ Professional Title _____________________________________________________________________________________ Department __________________________________________________________________________________________ Mailing Address ______________________________________________________________________________________ City_________________________________________________ State________________ Zip________________________ Phone________________________________________________________________________________________________ Email________________________________________________________________________________________________ LEVEL REQUEST o Gold ($15,000) o Silver ($10,000) o Bronze ($6,000) CORPORATE RELATIONSHIP POLICY o I have read, agreed to, and signed ACPM’s Policy on Corporate Relationships. PAYMENT o Check enclosed. Payable to the American College of Preventive Medicine: Check # _______________ o Purchase Order enclosed. If submitting a PO, do you need to be invoiced? o Yes o No PLEASE SUBMIT • Please provide your company mission statement. • Please provide a brief description of your interest in and expectations for the ACPM Corporate Roundtable. CORPORATE ROUNDTABLE APPLICATION Return application to Jessica Bradshaw, Program Coordinator, American College of Preventive Medicine, 455 Massachusetts Avenue NW, Suite 200, Washington, DC 20001. TIN: 23-1722119.
  • 12. 455 Massachusetts Avenue NW, Suite 200 Washington, DC 20001 Tel: (202) 466-2044 Fax: (202) 466-2662 www.acpm.org BECOME A CORPORATE ROUNDTABLE MEMBER TODAY Founded in 1954, the American College of Preventive Medicine (ACPM) is the only national medical specialty society of physicians focused exclusively on preventive and lifestyle medicine. In 2008, the ACPM Corporate Roundtable was established to foster open communication between the ACPM leadership and industry organizations like yours, in a non-competitive environment. Please contact Maureen Simmons at msimmons@acpm.org or (202) 466-2044, ext. 120 to learn more about how your organization can benefit from membership in the ACPM Corporate Roundtable today!