Transcript EDPMA Business Meeting: EDPMA's 2013 Strategic Plan

EDPMA’S 2013 STRATEGIC PLAN
PRESENTED AT
EDPMA ANNUAL BUSINESS MEETING
ARON P. GOLDFELD, JD
TEAMHEALTH, INC.
VICE CHAIR, EDPMA BOARD OF DIRECTORS
EDPMA MEMBER SINCE 1999
EDPMA’S CHARTER
ADVOCACY
EDPMA strives to be a visible, influential, respected, advocate for an
efficient and fair legislative and regulatory environment for the effective
delivery of high-quality and sustainable emergency department patient
care.
KNOWLEDGE and LEARNING
EDPMA is committed to equipping its members with timely and pertinent
knowledge, resources, and networking to support sustainable, quality
patient care through operational excellence and financial stability.
MEMBERSHIP
EDPMA recognizes its strength comes from its membership. It strives to
increase its representative capacity to increase advocacy effectiveness.
ORGANIZATIONAL VITALITY
EDPMA establishes policies and procedures to ensure appropriate
governance, strong leadership, financial stability, utilization of best
association practices, and ethically sound practices for the purpose of
ensuring a respected and balanced organization.
ADVOCACY OBJECTIVES
• We will keep our members apprised of critical
developments in the state legislative and regulatory
arenas and mobilize through outreach efforts.
• We will monitor, communicate, and advocate for our
members’ interests in the federal legislative and regulatory
arenas.
• We will ensure EDPMA's PAC advances our strategic
legislative advocacy initiatives and works in concert with
others to ensure successful outcomes.
• We will work in tandem when common intererests align to
weigh in on issues that affect EDPMA members,
Emergency Medicine, the Health Care Industry and the
patients we serve.
ADVOCACY: FEDERAL POLICY
ACTIVITY IN 2013 (YTD)
• CMS Comments filed for the appropriate factors
and attributes of the ED to accurately design an
ED Patient Satisfaction Survey Tool.
• CMS Comments filed on concerns and
recommendations for administering Cost-Sharing
provisions care delivered in the ED deemed by
CMS as non-emergent.
• Partnered with ACEP’s EMAF in opposition to
certain edits built into the McKesson Knowledge
Base Payer Claims Edit tool resulting in
Impermissible Bundling of certain ED procedures;
commitment from McKesson to cease and desist
actions.
ADVOCACY: STATE POLICY
ACTIVITY IN 2013
• Established Task Force in Mississippi to fight Balance Billing
Prohibitions Being Addressed by State Legislature
• April 2013, letter to Mississippi’s Insurance Commissioner
opposing balance billing restrictions in certain instances.
• Member Guidance on Federal Rules and Activities Related
to ACA’s Medicaid Expansion and Primary Care Incentive
Program
ADVOCACY: PROVIDER ENROLLMENT
ACTIVITY IN 2013
• April 25, 2013 … Meeting with CMS to Urge
Improvements to Provider Enrollment, Especially in
the area of Revalidation
ADVOCACY: PAC
ACTIVITY IN 2013
• April 27, 2013 … EDPMA PAC co-hosts a fundraiser
immediately before the Solutions Summit for Rep.
Burgess (R-TX). More than $20,000 was raised.
ADVOCACY: OVERSIGHT
• EDPMA’s FHPC chaired by incoming chair, Dr. Kolka
and past chair, Dr. Pilgrim
• EDPMA’s Federal Heath Policy Objectives are
vetted and approved annually by EDPMA’s BOD.
EDUCATION: OBJECTIVES (1 OF 2)
• We will offer online a full set of educational
opportunities and knowledge resources
• We will develop and produce annually the premier
educational venue for emergency medicine practice
management.
• We will continue to develop a robust website with
timely content and enhanced usability by members
and non-members.
• We will regularly conduct "Town Hall" calls.
• We will develop and hold Regional Workshops or "Hot
Topic” Sessions in addition to the Annual Summit.
• We will inform and educate members on Proposed
and Final Rules and Guidance on Medicare,
Medicaid, and Essential Health Benefits.
EDUCATION: OBJECTIVES (2 OF 2)
• We keep abreast of Coding and Documentation issue,
including recent OIG inquiry into Facility Coding practices in
the ED.
• We will develop material, and update the website with
information that is useful on pertinent coding and
documentation issues.
• We will develop Tool Kits and Talking Points for EDPMA Leaders
which will contain letters and templates.
• We, the Board will develop a Board Charge and Directives with
prioritization for Quality, Value & Performance and assess the
need for additional sub-committees such as Value-Based
Reimbursement or a State Exchange Subcommittee.
• We will educate our members on current and emerging quality
measures and requirements.
EDUCATION: ACTIVITY IN 2013
• We have a Record Attendance here at Solutions
Summit
• We have procured early feedback reinforcing our
view that we have delivered content and speakers
at Solutions Summit
• We have delivered new technology and access to
our materials via the web and apps.
MEMBERSHIP: OBJECTIVES
• We will maintain a dynamic and strong organization by
actively soliciting new members.
• We will continue to endorse various membership categories
which will be equitable and supportive of EDPMA’s strategic
mission and organizational vision.
• We will strive for high levels of membership retention will be
achieved by continuously delivering strong member value.
MEMBERSHIP: ACTIVITY IN 2013
• We have 10 New Members:
• 1)Thunder Bay Emergency Physicians
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2) AdvantEdge Healthcare Solutions
3) Greater San Antonio Emergency Physicians
4) Integrated Billing Solutions Inc
5) BlueWater Emergency Partners
6) OPYS Physician Services
7) Linde Therapeutics Solutions
8) Emergency Care and Health Organization
9) HealthFront, P.C.
10) Noah Management Group
• New Membership Recruiting Material
• New Member Breakfast
ORGANIZATIONAL VITALITY:
OBJECTIVES
• We will ensure a strong financial future through a
diversification of our revenue sources while simultaneously
enhancing member value.
• We will develop a strong Board and leadership base by
providing opportunities for leadership training,
development, and mentorship.
• We will ensure for effective communication and outreach
for all programs and services of EDPMA
• We will ensure the future of EDPMA through concentrated
marketing & promotion of the organization.
ORGANIZATIONAL VITALITY:
ACTIVITY IN 2013
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EDPMA’s Financial Status is Solid
New Executive Director – Elizabeth Mundinger
Achieved Revenue Goals for Solutions Summit
Join Us … Become an Active Member.
EDPMA
ANNUAL BUSINESS MEETING
QUESTIONS?
EDPMA
ANNUAL BUSINESS MEETING
THANK YOU FOR YOUR SUPPORT
Aron P. Goldfeld, JD
TeamHealth, Inc.
[email protected]