aafp update · 11/11/2017  · aafp total membership 93,300 94,600 94,700 97,600 100,300 105,900...

37
AAFP Update North Dakota Academy of Family Physicians November 11, 2017 Clif Knight, MD, CPE, FAAFP AAFP Senior VP for Education [email protected]

Upload: others

Post on 10-Oct-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: AAFP Update · 11/11/2017  · 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

AAFP Update

North Dakota Academy of Family Physicians

November 11, 2017

Clif Knight, MD, CPE, FAAFP

AAFP Senior VP for Education

[email protected]

Page 2: AAFP Update · 11/11/2017  · 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

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

2

Page 3: AAFP Update · 11/11/2017  · 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

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

3

Page 4: AAFP Update · 11/11/2017  · 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

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

4

Page 5: AAFP Update · 11/11/2017  · 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

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.

5

Page 6: AAFP Update · 11/11/2017  · 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

Two MACRA Pathways

6

Page 7: AAFP Update · 11/11/2017  · 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

“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

7

7

Page 8: AAFP Update · 11/11/2017  · 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

8

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

Page 9: AAFP Update · 11/11/2017  · 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

9

The AAFP Is Here to Help!

Page 10: AAFP Update · 11/11/2017  · 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

10

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.

Page 11: AAFP Update · 11/11/2017  · 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

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

11

Page 12: AAFP Update · 11/11/2017  · 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

Family Physician Compensation Not Keeping Pace

12

Source: Medscape 2016 Physician Compensation Survey

How Much Do Physicians Earn Overall?

Page 13: AAFP Update · 11/11/2017  · 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

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.

13

Page 14: AAFP Update · 11/11/2017  · 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

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

14

Page 15: AAFP Update · 11/11/2017  · 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

A communications campaign to advocate for

the values of family medicine, demonstrate

the benefits of primary care, and drive

patient activation.

15

Page 16: AAFP Update · 11/11/2017  · 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

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

[email protected].

16

Page 17: AAFP Update · 11/11/2017  · 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

• 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.

17

Page 18: AAFP Update · 11/11/2017  · 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

18

The AAFP currently has

34,000 student members.

Student Interest in Family Medicine is Growing:

Page 19: AAFP Update · 11/11/2017  · 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

19

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

Page 20: AAFP Update · 11/11/2017  · 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

20

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

Page 21: AAFP Update · 11/11/2017  · 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

Medical Education & Student Choice

21

Page 22: AAFP Update · 11/11/2017  · 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

Medical Education & Student Choice

22

Page 23: AAFP Update · 11/11/2017  · 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

23

• 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.

Page 24: AAFP Update · 11/11/2017  · 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

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.

24

Page 25: AAFP Update · 11/11/2017  · 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

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.

25

Page 26: AAFP Update · 11/11/2017  · 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

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.

26

Page 27: AAFP Update · 11/11/2017  · 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

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.

27

Page 28: AAFP Update · 11/11/2017  · 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

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

28

Page 29: AAFP Update · 11/11/2017  · 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

How to Stay Informed

• AAFP News

• AAFP.org

• Family Medicine SmartBrief

• AAFP blogs and social media channels

• Conferences and CME

29

Page 30: AAFP Update · 11/11/2017  · 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

30

April 26–28, 2018

Kansas City, Missouri

Page 31: AAFP Update · 11/11/2017  · 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

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

31

Page 32: AAFP Update · 11/11/2017  · 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

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.

32

Page 33: AAFP Update · 11/11/2017  · 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

AAFP Foundation

• All 20 programs are focused in one of the following areas:

- Humanitarian

- Education

- Scientific

33

Page 34: AAFP Update · 11/11/2017  · 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

AAFP Foundation

34

Page 35: AAFP Update · 11/11/2017  · 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

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

35

Page 36: AAFP Update · 11/11/2017  · 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

Questions?

Clif Knight, MD, CPE, FAAAP

Senior VP for Education

[email protected]

36

Page 37: AAFP Update · 11/11/2017  · 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