1. Board of Trustees State of the Association Address August 30, 2015

2. How Are We Doing? A Brief Review of MAOPS Plan to “S.P.E.A.K. Up for the Profession” With an Emphasis on the “S”

3. Grade: D  Increased Central Office communication with leaders in 2014-15  Decreased district interaction with Central Office in 2014-15  Low district participation in “100 Members in June” campaign  District and Governance Task Force – Neal LaPointe, D.O., Chair To meet in fall Challenge: Many of our districts simply have no infrastructure left, making it very hard to resurrect them. Lots of resources going to keeping them afloat.

4. Grade: D  Goal: 50% by 2018  As of August 2015 D.O. Market Estimate 2,793* MAOPS Market Share – 931 Our Share – 33% + minimum  We must have district cooperation and assistance in order to grow in this category! Challenge: We are doing an outstanding job advocating for members and the profession and promoting what we do. But, how do we get the word out to non-members who don’t know/care who we are? *There are 741 physicians without addresses included in “D.O. Market” above. + Our share is actually higher, but we have to determine the exact status of a large portion of the 741 above.

5.  Non-member focus group dinner(s)  Hospital/medical group dinners  Attempt to have employers pay as group (need district assistance!)  Better segregation of solicits  Earlier district membership drives  Staff call program – 90% retention Challenge: New members come from grassroots efforts, not mailings! We have to have leaders and districts advocating on our behalf to get members. If these strategies don’t work? Invest significant resources for an outside firm.

6. Grade: B  AMS – Implemented and working, along with Informz  Online Social Communities- Have been a struggle to implement; even bigger struggle to get members to use  Analytics – Implemented and beginning to use to monitor communication effectiveness  Need to continue to identify technologies to increase efficiency and ease of engagement

7. Grade: A- Wetzel Scholar Program  Continues to be successful and seeing fruits of our labor Leadership/Spokesperson Training – Expectations Increasing  Implementing and effective Promotion of Funding Opportunities  MOSA, Wetzel, AOA Health Policy, AOA AHP Wetzel Support of Residents and Students  Dinners, seed money for MOSA, COM support for MOMA Day, Working with COMs

8. Grade: B Starting to see more engagement and opportunities  MHA – Strategic Planning Session  MSMA – Primaris, Legislative Summit, Advocacy  MAFP – Legislative Ally  MSACOFP – Continued Cooperation  AOA – Increased Cooperation  BoHA – Good relationship with ED and Board Members  Pfizer – St. Louis District, MAOPS (annual grant and invitation to medical society meeting)  AOSED – Many Opportunities for Collaboration We are looked to as leaders in many instances!

9. Grade: B-  Provide funding for training; encouraging team to take advantage  Compensation is fair (2014 compensation study)  Team recognition system in place for all to take advantage of  Review of strategic plan; increased focus  2015 – Team motto, principles, and values implemented  Employee Assistance Program? Challenge: Retention historically low, especially for lower level team members.

10. Grade: B  2014 – Dissolution of House of Delegates  2015 – District and Governance Task Force  2014-15 – Implementation of new policy review system  2015 – Dissolution of ineffective committees; increased reliance on fast action teams Challenge: We must figure out how to get ALL of our districts functioning effectively.

11. Grade: A-  Highly engaged Finance and Audit Committee  Annual Audit  Outstanding staff oversight and adherence (Chris)  Outstanding investment consultant (Max) Challenge: Meeting strategic goals WITHOUT deficit spending

12. Grade: C  Enhance the member database  Good data on hand, but need more diverse data  Need to identify member needs  Now have the right staff person in the right position to move us forward Challenge: It’s tough to gather data on people who are not members!

13. Grade: C  Legal advice has been obtained on how to proceed.  With Primaris (next) looming, this will probably be postponed until 2016. Challenge: Finding time to complete!

14. Grade: C  In progress, but moving much slower than we would like.  $6-7 million dollar deal Challenges: MSMA holds majority interest and is just now finally moving forward as we originally requested.

15. Promote Grade: B Won the AOA S.T.A.R. Award for the second year in a row!, but need to reach nonmembers… Educate Grade: B Specialty and Online education will be a focus this year Advocate Grade: B We do a lot in this area, but there is more to do! Pro-active policy development is key. Need more district presence and engagement. Knowledge Grade: B Members look to us for answers. We continue to develop resources for online use. Need Ideas from districts!

16. Leaders and the Central Office Team go above and beyond to ensure we meet this mission. We are passionate stewards of the profession. We are responsible stewards of our resources. Membership numbers do not reflect the quality of the job we are doing for our members. Our greatest challenge is to determine what is needed to gain members for the future, so we can continue our outstanding stewardship of - and advocacy for - the profession!