BOG Priorities: The Year of the Patient John Gordon Harold, MD, FACC Chair, Board of Governors ACC BOG Meeting March 28, 2009

BOG Steering Committee John Gordon Harold, MD, FACC (Chair) Jane E. Schauer, MD, PhD, FACC (Past Chair) Richard J. Kovacs, MD, FACC (Chair-Elect) José Rivera Del Río, MD, FACC J. Chris Higgins, MD, FACC Oscar R. Jenkins, Jr, MD, FACC Margo Minissian, ACNP-BC, MSN, CNS, FAHA Thad F. Waites, MD, FACC Michael Widmer, MD, FACC

American College of Cardiology 60 Years of Quality and Education Dr. Franz Groedel- ACC Founder

ACC Mission Statement “The mission of the American College of Cardiology is to advocate for quality cardiovascular care—through education, research promotion, development and application of standards and guidelines—and to influence health care policy.”

Proposed BOG Priorities The Year of the Patient Quality First: ACC’s Blueprint for Healthcare Reform Health IT and E-Prescribing deployment IC3 PQRI MOC for Chapters “No Governor Left Behind” Enhanced Communications Strategy International Chapter Twinning Pilots Enhanced Collaboration with other Societies: AHA, ACP, STS, SCAI, SCCT

The Triumvirate Quality EducationAdvocacy

Quality First: ACC’s Blueprint for Healthcare Reform

Quality Working closely with ACC staff to implement Quality First: ACC’s Blueprint for Reform. Continued support of ACC Quality initiatives, such as NCDR and IC3. Increased support of ACC appropriateness criteria. Increased sharing of “best practices” and quality tools from institutions and chapter members. Collaboration with other societies such as American Heart Association (AHA) and the American College of Physicians (ACP).

Developing Ideal STEMI Systems 9

STEMI Systems Synergy Collaborating Societies & Organizations AHA Mission: Lifeline  Inter-Hospital, Pre- hospital, Patient Education pre/post (N=5,000) ACC D2B Alliance  Intra-hospital ( N=1200) Registries  Guideline-based Performance Measures and Quality Metrics

Quality First: ACC’s Blueprint for Reform: Potential Quality Pilots Reducing CV hospital readmission rates Reducing inappropriate imaging with clinical decision support at the point of care Reducing geographic variations in care Testing payment models that reward quality Increasing primary and secondary prevention through medication adherence and lifestyle

Quality First: ACC’s Blueprint for Reform: Potential Quality Pilots: Increasing physician adherence to guidelines Making quality operational Partnering on Patient Centered Medical Home models Empowering patients Ensuring professional competence Tort Reform – Based on the ACC’s draft legislative strategy

Advocacy

Increased political education and member involvement in lobbying efforts and political issues More state-to-state discussions among BOG members about state issues/efforts More relationship building with legislators Promotion of Advocacy grant funding from ACC to Chapters BOG State Advocacy Committee

ACC Political Action Committee BOG support for the ACC PAC- goal of 100% BOG PAC participation $1,000 for 1000 campaign Cardiologists must work together to fulfill the advocacy component of ACC’s mission: –Combining voices to impact the political process –Combining resources to send a powerful message to Congress –Combining power to preserve healthcare

Education

MOC sessions for Chapters Realizing the BOG vision of ACC-provided CME for Chapter meetings Help facilitate Life-Long Learning projects Encourage members to contact their Governors with ideas and issues Ensuring professional competence Enhancing professionalism

ABIM approved Maintenance of Certification (MOC) Sessions for ACC Chapters ACC Emerging Faculty

MOC for Chapters ACC is committed to providing lifelong learning opportunities for cardiologists to maintain a high level of scientific knowledge and clinical skills necessary to deliver high quality health care. Chapter based MOC sessions combination of new individualized ACC Lifelong Learning Portfolios, participation in continuous quality improvement quality projects, and innovative new educational modules, which include the commitment to empowering patients as partners in care.

Next Step along the Journey... From “No Chapter Left Behind to “No Member Left Behind” to “No Governor Left Behind” No Chapter Left Behind Goal: Supporting Chapter Resources –Leadership –Finances –Management Tools –Goal Setting No Member Left Behind Goal: Supporting Individual Members, in BOG and Chapters –Strengthening your voice and purpose –Enhanced bi- directional communication

“No Governor Left Behind” Identify opportunities for continued involvement in the College for Governors who are completing their three year term of office: Committee assignments Task Force assignment BOG “mentoring” program Board of Trustees

“No Governor Left Behind…”

Enhancements in Communications Enhancing Advocacy /Practice management communications to members: –Payment reform –Provide feedback on payment cut impacts. –Submit comments on regulatory proposals. –HIT adoption –E-prescribing communication –Close partnership with BOG and ACC communications staff: Steve Erickson

Enhancements in Communications More interactive and unstructured BOG dialogue for creative brainstorming and idea swaps to: –Foster authentic dialogue –Stimulate meaningful deliberations –Discuss the “elephant in the room” –Engage all members of the BOG, not just the most vocal –Help others achieve their chapter’s mission

Enhancements in Communications Empower the grassroots to contribute their thoughts through their Governors. Convey the views, needs, thoughts and fears of the grassroots to the Board of Trustees. Open communication to the Board of Governors Steering Committee BOG Participation in Dr. Jack Lewin’s Blog.

Enhancements in Communications Breaking news and/or urgent messages will be coordinated through communications sent to the BOG and Chapter Executives via respective list serves in order for them to distribute via Chapter channels as appropriate. A coordinated slide set on healthcare reform and advocacy related issues is being developed for ACC leaders presenting at ACC Chapter Meetings throughout the Spring and Fall.

Enhancements in Communications Monthly updates to the Chapter Affairs Extranet with Advocacy/Practice Management news that Chapters can use in their respective newsletters. Updated FAQ with answers to “Hot Topics” will be posted to the Chapter Affairs Extranet and promoted via BOG Conference Call and Newsletter. Continued updates to run in BOG Update, however, there will be more efforts made to not just relay the news, but provide guidance on how to use it.

ACC/BCS Twinning Pilot

DISCUSSION