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The voice of Ob/Gyn physicians & their patients in North Carolina.

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Presentation on theme: "The voice of Ob/Gyn physicians & their patients in North Carolina."— Presentation transcript:

1 The voice of Ob/Gyn physicians & their patients in North Carolina

2  Who we are  What we do  Where you come in _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina

3 Who we are….. _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina The North Carolina Obstetrical and Gynecological Society (NCOGS) is a statewide, dues-supported membership organization dedicated to the advancement of women's health through advocacy, education and public relations. The NCOGS is committed to representing the best interests of Ob/Gyn physicians and their patients.

4 Who we are – Organizationally Leadership:  Executive Committee  Executive Committee  Legislative Liaison  Legislative Liaison  ACOG / NC Section Liaison  ACOG / NC Section LiaisonManagement:  Executive  Executive  Administrative / Clerical  Administrative / Clerical  Legislative / Legal  Legislative / Legal _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina

5 Who we are – Organizationally _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina NCOGS Executive Committee: PRESIDENT Edward R. Newton, MD / Greenville PRESIDENT-ELECT John Allbert, MD / Charlotte SECRETARY-TREASURER Lindsay Stevenson, MD / Elizabeth City IMMEDIATE PAST PRESIDENT Ellen C. Wells, MD / Chapel Hill PAST PRESIDENT William E. Brown, MD / Greenville MEETING PROGRAM CHAIR Haywood L. Brown, MD / Durham MEETING ARRANGEMENTS CHAIR Paige Fisher, MD / Greenville MEMBER AT LARGE Keith Nelson, MD / Greenville LEGISLATIVE LIAISON Harold Pollard, MD / Winston-Salem ACOG SECTION CHAIR Frank N. H. Harrison, Jr., MD / Charlotte

6 Who we are – Operationally The NC Ob/Gyn Society is managed through an arrangement with the North Carolina Medical Society. Services provided include The NC Ob/Gyn Society is managed through an arrangement with the North Carolina Medical Society. Services provided include: _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Financial Management  Financial Management  Meeting Management  Legislative Guidance / Lobbyist Coordination  Managed Care Resources  Regulatory Interaction  Membership Management  Organizational Interaction / Professional Relations  Communications Management

7 Who we are – Organizationally and Operationally What differentiates the What differentiates the NC Ob/Gyn Society from the NC Section of ACOG _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina

8 ACOG works primarily in four areas: Serving as a strong advocate for quality health care Serving as a strong advocate for quality health care for women. for women. Maintaining the highest standards of clinical Maintaining the highest standards of clinical practice and continuing education for its members. practice and continuing education for its members. Promoting patient education and stimulating patient Promoting patient education and stimulating patient understanding of and involvement in medical care. understanding of and involvement in medical care. Increasing awareness among its members and the Increasing awareness among its members and the public of the changing issues facing women's health public of the changing issues facing women's health care. care.

9 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do Legislative & Political Advocacy at the State Level Legislative & Political Advocacy at the State Level Interaction with Women’s Health Agencies in N.C. Interaction with Women’s Health Agencies in N.C. Collaboration to Broaden Influence Collaboration to Broaden Influence Attention to Managed Care & Reimbursement Issues Attention to Managed Care & Reimbursement Issues Continuing Medical Education Continuing Medical Education

10 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Advocacy:  Legislative  Regulatory What we do

11 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Political Advocacy + Legislative Advocacy Advocacy: The Balance

12 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Political Advocacy + Legislative Advocacy Advocacy: The Balance

13 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do → Political Advocacy GOPAC GOPAC Relationships Relationships

14 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do → Legislative Advocacy Direct Access Legislation The bill required health benefit plans issued, renewed or amended on or after that date to allow each female plan participant or beneficiary age 13 or older to have direct access within the health benefit plan, without prior referral, to an obstetrician-gynecologist practicing within the health benefit plan for most healthcare services.

15 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Post-partum Care Legislation Requires that a health benefit plan providing maternity coverage must provide inpatient care for mother and baby for a minimum of 48 hours after vaginal delivery and a minimum of 96 hours after delivery by caesarian section. What we do → Legislative Advocacy

16 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Tort Reform Legislation Created minimum qualifications for experts testifying in medical malpractice lawsuits and established a stringent pre-screening procedure for malpractice complaints. The bill also capped punitive damages at $250,000 or three times compensatory damages, whichever is greater. Punitive damages can be awarded only if the patient can prove that the defendant is liable for compensatory damages. What we do → Legislative Advocacy

17 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Tort Reform / Expert Tort Reform / Expert Witness Legislation Witness Legislation Allowed up to ten written interrogatories to review the identity and/or qualifications of an “expert”. What we do → Legislative Advocacy

18 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Contraceptive Coverage Legislation Mandates that insurance companies and others who provide coverage of prescription drugs and devices to also include coverage of prescription contraceptive drugs and devices, and for outpatient contraceptive services. What we do → Legislative Advocacy

19 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Bone Mass/Osteoporosis Legislation Requires health plan and insurance coverage for bone mass measurement and evaluation of osteoporosis. What we do → Legislative Advocacy

20 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Prompt Pay Legislation Requires payment or full disclosure as to claim problems within 30 days. What we do → Legislative Advocacy

21 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Lay Midwifery Legislation Bill to certify “professional midwives” was defeated. What we do → Legislative Advocacy

22 Patients Bill of Rights The bill sets up independent external review of a HMO’s denials if a patient disagrees, allows patients to sue HMOs after review of the health plan and an external independent council, allows patients to receive necessary prescriptions even if the drug is not on the company’s approved list, and allows people with serious, chronic diseases to choose specialists as their primary care physician. ________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do → Legislative Advocacy

23 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Medicaid Budget Medicaid reimbursement at 95% of Medicare secured. What we do → Legislative Advocacy

24 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Medicaid Budget Medicaid reimbursement at 95% of Medicare secured. What we do → Legislative Advocacy

25 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina State Budget $300,000 appropriation the State Folic Acid Campaign. What we do → Legislative Advocacy

26 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina State Budget $100,000 appropriation in 2003 for the continuation of activities performed by the Heart Disease and Stroke Prevention Task Force. What we do → Legislative Advocacy

27 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Medicaid Budget Medicaid reimbursement at 95% of Medicare secured. What we do → Legislative Advocacy

28 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Billing for Pathology Services Requires disclosure of any mark-up in lab charges. What we do → Legislative Advocacy

29 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Medical Liability Reform Establishes arbitration as an option. What we do → Legislative Advocacy

30 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Medicaid Budget Medicaid reimbursement at 95% of Medicare secured. What we do → Legislative Advocacy

31 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Medicaid Budget Medicaid reimbursement at 95% of Medicare secured. What we do → Legislative Advocacy

32 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do → Legislative Advocacy Medical Liability Reform

33 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Legislative Outlook Factors: New Administration New Administration New Faces in the Legislature New Faces in the LegislatureIssues: Licensure of Certified Professional Licensure of Certified Professional Midwives Midwives State Budget – Medicaid State Budget – Medicaid Reimbursement Reimbursement Retail Medicine Retail Medicine Physician Profiling by Medical Board Physician Profiling by Medical Board

34 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do → Regulatory Advocacy NC Medical Board NC Medical Board NC Dept of Health NC Dept of Health & Human Services & Human Services

35 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do → Regulatory Advocacy NC Medical Board NC Medical Board Physician Profiling Rules

36 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do → Regulatory Advocacy NC Dept of Health NC Dept of Health & Human Services & Human Services Rules for Testing Pregnant Women for STDs

37 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do → Advocacy Advocacy is not a spectator sport. Get in the game. Become a Key Contact, support GOPAC, become locally active.

38 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do → Advocacy Opportunities to get involved: Legislative Key Contact Legislative Key Contact White Coat Wednesday (Feb. 18, 2009) White Coat Wednesday (Feb. 18, 2009) Doctor of the Day Doctor of the Day PAC Support (GOPAC & MEDPAC) PAC Support (GOPAC & MEDPAC) Local Meetings w/ Legislators Local Meetings w/ Legislators At a minimum – Be a member At a minimum – Be a member

39 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do – Practice Support Managed Care and Health Plan Relations through the resources of the North Carolina Medical Society

40 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do Education: 2009 NCOGS Annual Meeting ``````````````````````````````````` April Grove Park Inn / Asheville Mark your calendar !

41 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do Communications / Public Relations  Newsletter  Legislative Alerts  Media Relations / Press Releases

42 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina What we do Professional Relations Collaboration with:  North Carolina Medical Society  ACOG  State Specialty Societies  Women’s Health Agencies

43 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Take initiative ! Expert Witness Review Panel Expert Witness Review Panel Women’s Health Advisory Panel Women’s Health Advisory Panel Women’s Health Report Card Women’s Health Report Card Midwifery Collaborative Project Midwifery Collaborative Project What we do

44 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Where you come in...

45 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina The NCOGS needs every Ob/Gyn physician in North Carolina as a member.

46 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Including: Private Practice Private Practice Academia Academia Retired Retired Residents Residents

47 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina As our membership grows, our voice grows!

48 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina As our voice grows our chances of success grow!

49 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Not a member? Join today! Already a member? Be sure to renew!

50 _________________________________________________________________ The voice of Ob/Gyn physicians & their patients in North Carolina Questions? Contact the NC Ob/Gyn Society:


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