aafp update · 11/11/2017 · aafp total membership 93,300 94,600 94,700 97,600 100,300 105,900...
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AAFP Update
North Dakota Academy of Family Physicians
November 11, 2017
Clif Knight, MD, CPE, FAAFP
AAFP Senior VP for Education
AAFP Member Value Statement
The AAFP is committed to helping family physicians
improve the health of Americans by:
• Advancing the specialty of family medicine.
• Strengthening members’ collective voice.
• Providing solutions to enhance patient care.
AAFP Strategic Priorities• Payment Reform
• Practice Transformation
• Workforce
• Clinical Expertise
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AAFP Total Membership
93,300
94,600
94,700
97,600
100,300
105,900
110,600
115,900
120,900
124,900
129,000
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
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Recent Federal Advocacy
Accomplishments
• Pick Your Pace
• Primary Care Codes
• Mental Health Reform
• Health IT Reporting and Interoperability
• Opioid Epidemic
• Federal Funding for Primary Care Research
and Workforce, Family Planning and Zika
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AAFP Advocacy Agenda
• Promote physician payment reforms that value
primary care.
• Defend Affordable Care Act coverage gains.
• Increase family physician workforce.
• Support population health improvement.
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Two MACRA Pathways
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“Pick Your Pace” Options for 2017
Test
• Submit some data to QPP
• No negative adjustment
Partial Participation
• Report minimum 90 days
• Smallpositive adjustment
Full Participation
• Report 90 days up to full year
• Modest positive adjustment
Advanced APM
• Qualifying Program & Qualified Participant
• 5% incentive payment
NO NEGATIVE PAYMENT ADJUSTMENTS
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Technical Assistance to Prepare for
Medicare’s Quality Payment Program
Find the program right for your practice:
email [email protected].
Quality Payment Program—
Small, Underserved, & Rural
support (QPP-SURS): free
support for small practices
Innovation Center’s Learning
System: specialized support for
AAPM and APM participants
Quality Innovation Network-
Quality Improvement
Organizations (QIN-QIOs):
free support for large practices
and health systems
Transforming Clinical
Practice initiative (TCPi): free
support and a transformation
curriculum
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The AAFP Is Here to Help!
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Additional Practice Management Resources
ACO webinar and
resources
Find these resources and more by
visiting the Practice Management
section of AAFP.org or
AAFP.org/shop.
Center for State Policy
• AAFP Congress of Delegates Initiatives
• Chapter Advocacy Casework
– State Legislative Conference
– Chapter Advocacy Days
– Chapter Speak Outs
• Model Legislation Library
• Policy Analysis
• State Legislative Tracking
• Legislative Resources
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Family Physician Compensation Not Keeping Pace
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Source: Medscape 2016 Physician Compensation Survey
How Much Do Physicians Earn Overall?
Leading a broad strategic effort focused on:
• Expanding access to the medical home.
• Advancing the use of technology in a way that supports
and strengthens doctor-patient collaboration.
• Ensuring a strong primary care workforce.
• Shifting to comprehensive primary care payment.
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Family Medicine for America’s Health
• LLC formed, a wholly-owned subsidiary of AAFP.
• Board of directors formed to guide the project.
• Board includes one representative from each of the eight sponsoring organizations, plus a representative from each of the following categories:– Family physician in full-time private practice
– Young family physician leader
– AAFP chapter executive
– Patient/consumer representative
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A communications campaign to advocate for
the values of family medicine, demonstrate
the benefits of primary care, and drive
patient activation.
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Follow—and get involved
@healthisprimary
https://www.facebook.com/HealthIsPrimary
www.healthisprimary.org
www.fmahealth.org
Websites:
Contact Family Medicine for America’s Health at
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• Elect candidates to the U.S. Congress who support the
AAFP’s legislative goals and objectives.
• Since 2005, FamMedPAC has raised and contributed
more than $5 million to more than 400 candidates.
• FamMedPAC is the ONLY political organization that
promotes family medicine in Washington, D.C.
Visit www.fammedpac.org to learn more.
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The AAFP currently has
34,000 student members.
Student Interest in Family Medicine is Growing:
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6,000
7,000
8,000
9,000
10,000
11,000
12,000
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
410 436 452 465 475 474 472 469 466 474 472 459 460 458 455 451 452 451 454 461 477 485 491 537
Number of ACGME-Accredited Family Medicine Residencies by Year
Number of Residents in Family Medicine Programs
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928 8%
2,281 19%
2,925 25%
5,627 48%
2017 Number of Family Medicine Residents by Source Medical School
IMG-Non US Citizens
IMG-US Citizens
US-DO
US-MD
Total 11,761 Family Medicine Residents in ACGME-Accredited Programs
Medical Education & Student Choice
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Medical Education & Student Choice
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• Board preparation (live courses and
self-study options)
• Self-study (online, audio, and print)
• Live clinical courses and procedures
Evidence-based, high-quality, and engaging, AAFP CME is
developed specifically for family physicians to improve
patient care and help meet license and certification
requirements.
Continuing Medical Education
AAFP CME your way
Revenue generated from CME resources is re-invested into
the AAFP to advance the specialty and provide solutions for
enhancing patient care.
Health of the Public and Science
• Advance science and public health initiatives
through:
– Clinical practice guidelines and policies, including
preventive services, immunizations, clinical care, opioid
misuse/pain management, infectious disease outbreaks,
and Choosing Wisely recommendations.
– Patient education.
– Programs to address prevention, well-being and lifestyle
issues (healthy eating, physical activity, tobacco use, etc.)
through clinical practice, community engagement, and
advocacy.
– Integration of primary care, public health, behavioral health
and oral health.
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Health of the Public and Science
• New Center for Diversity & Health Equity
– Serves as a “hub” for activities to address diversity and
social determinants of health and strive for health equity.
– Focused areas include:
• Health in all policies approach through advocacy
• Interdisciplinary collaboration
• Family physician workforce development
• Evidence-based Knowledge/Education
– The AAFP’s Community Health Resource Navigator:
• Helps AAFP members locate community resources relevant to
each patient’s health care needs.
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Health of the Public and Science
• AAFP National Research Network
– Cultivates, conducts, and disseminates practice-
based research at the point of care.
– Evaluates research studies to examine the
effectiveness of interventions in changing practice.
– Hosts data-driven learning communities in which
practices can share performance data and lessons
learned.
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Health of the Public and ScienceAAFP Center for Global Health Initiatives
- Provides member support, guidance and engagement.
- Offers global health-related resources, information,
networking, and training.
- Provides leadership opportunities for members.
- Offers global health programs, resources, and leadership
and training opportunities that encourage student career
choice of family medicine
- Interfaces and collaborates with U.S.-based and
international global health organizations, including Wonca,
as well as funding agencies, foundations, and country-
specific governmental and non-governmental
organizations.
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Valuable Resources for YOU
• AAFP Chronic Pain Management Toolkit
• Child and adult immunization schedules
• MACRA Ready and other practice transformation tools
• Clinical practice guidelines
• Clinical preventive service recommendations
• Open payments (Physician Payment Sunshine Act)
information
• Continuing medical education—live and online
• familydoctor.org
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How to Stay Informed
• AAFP News
• AAFP.org
• Family Medicine SmartBrief
• AAFP blogs and social media channels
• Conferences and CME
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April 26–28, 2018
Kansas City, Missouri
Get Involved!
• Respond to AAFP Speak Out! alerts
• Become a Key Contact
• Attend the Family Medicine Congressional and State
Legislative Conferences
• Help extend the reach of family medicine messages through
social media
• Serve in the AAFP Congress of Delegates
• Serve on an AAFP Commission
• AAFP Member Interest Groups
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AAFP Member Interest Groups (MIGs)
• Created by the AAFP Board of Directors to serve as
a forum for members with shared professional
interests to:
– Network with fellow AAFP members and meet face-to-
face at AAFP’s FMX.
– Connect to existing AAFP resources, influence creation of
new resources, and participate in interest-specific
continuing professional development activities.
– Deliver a unified message to AAFP leadership.
– Suggest AAFP policy and provide input on AAFP policies
and positions (upon request).
– Pursue professional leadership development within the
AAFP.
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AAFP Foundation
• All 20 programs are focused in one of the following areas:
- Humanitarian
- Education
- Scientific
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AAFP Foundation
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AAFP Foundation
• Funding Support
– Family Medicine Philanthropic Consortium Grant Awards
(40% of dues check-off)
– Student Externship Matching Grants
– Chapter Executive Leadership Program
– Disaster Assistance Program
– Special grant opportunities
• Other Forms of Support
– Planned giving options for split charitable gift annuities or charitable remainder trusts
– Potential asset management for smaller chapters
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