Board of Directors Meeting

GEORGIA ACADEMY OF FAMILY PHYSICIANS

SPECIALIZING IN ALL OF YOU! Board of Directors Meeting

Sunday, November 8, 2020 2:30 – 5:30 PM

Via Zoom Click Here - Join Zoom Meeting https://zoom.us/j/98671706695

Meeting ID: 986 7170 6695 Passcode: 457683 2 3 4 Sunday, November 8, 2020 2:30 - 5:30 PM-Board Meeting The Avalon Hotel Alpharetta, GA AGENDA Page #

2:30 pm Welcome and Call to Order Board Chair, Donny Fordham, MD

2:40 pm Housekeeping and Roll Call Executive Vice President, Fay Fulton Chief Operating Officer, Angela Flanigan

3:00 pm Presentation of the 2020 President’s Award ...... 8 Recipient: Kathleen Toomey, MD Presented by President, Jeff Stone, MD, MBA, MPH

3:15 pm Strategic Discussant: Peach State Health Plans ...... 10 Urcel Fields, President, Peach State Health Plans

3:35 pm AAFP Update ...... 11 Steven Furr, MD – AAFP Board of Directors

4:00 pm 2020 Georgia Department of Public Health Award ...... 12 Recipient: Kristen Kettlehut, MD Presented by Jeannine Galloway, MPH - Maternal and Child Health Director, Division of Health Promotion

4:05 pm Break

4:15 pm Review of Action Items as of October 31, 2020 • Third Quarter 2020 Financials ...... Financial Packet • 2021 GAFP Proposed Budget (General Fund and additional Funds) ...... Financial Packet • 2021 Georgia Healthy Family Alliance (GHFA) Budget ...... Financial Packet • The Finance Committee and the Executive Committee recommend changing the name of the Patient Center Medical Home University Fund to the Practice Management Fund ...... 13 • The Finance Committee and the Executive Committee recommend to the Board of Directors transfer of excess monies over $250,000 in the PCMH University Fund to GAFP’s Long Term Reserves ...... 13 • The Finance Committee leadership and the Executive Committee recommends moving $65,000 from Long Term Reserves for a 2021 In-Person Celebration of Family Medicine ...... 13 • Support CANDOR (Communication & Optimal Resolution) Coalition...... 13 • Proposed 2021-2024 Strategic Goals ...... 13 • 2021 GHFA Trustee Nomination...... 14 o Harry Strothers, MD • 2021 PAC Board Nominations ...... 15 o Donald Fordham, MD • 2021 PAC Board Nominations ...... 15 o Beulette Hooks, MD • AAFP Congress of Delegates Vice Speaker Nomination ...... 15 o Beulette Hooks, MD • GHFA request for a donation from GAFP Long Term Reserves ...... 17 • Approval of All Draft Committee and Board Minutes

5 • Board of Directors Minutes, August 2, 2020 ...... 27 • Executive Committee Minutes ...... 34 . July 14, 2020 . July 31, 2020 . September 8, 2020

• Education and Research Committee Minutes ...... 41 • Finance Committee Minutes ...... 44 • Georgia Healthy Family Alliance Minutes ...... 46 • Legislative Committee Minutes ...... 50 • Membership Committee Minutes ...... 53 • PAC Board Minutes ...... 55 • Practice Management Committee Minutes ...... 57 • Public Health Committee Minutes ...... 61 • Student & Resident Recruitment Committee Minutes ...... 65

Additional Action Items* - *If needed, these items will be developed and approved during the Sunday, November 15th Executive Committee Meeting

Approval of Consent Calendar (Items not extracted from Action Item list)

4:55 pm Acknowledgement and Recognition of Outgoing Officers Jeff Stone, MD – President

5:05 pm New Business President’s Report GAFP Nominations • Alida Maria Gertz, MD, MPH – AAFP Commission on Health of the Public and Science ...... 70 • Angeline Ti, MD, MPH - AAFP Commission on Continuing Professional Development ...... 71 • Loy “Chip” Cowart, MD – AAFP Commission on Federal and State Policy or Commission on Quality and Practice ...... 72 • Renomination of Evelyn Lewis&Clark, MD – American Medical Association delegation of the American Academy of Family Physicians ...... 73 • Dominique Munroe - AAFP Medical Student Liaison to the Student National Medical Association ...... 74 • Zazi Nylander, MD – Resident, Emory University - AAFP Commission on Federal and State Policy ...... 75 • Altelisha Taylor, MD MPH – Resident, Emory University, AAFP Commission on Continuing Professional Development ...... 76 • Leah Topper – Student nominee, AAFP Commission on Health of the Public and Science or Student Representative to AFP Journal / FMIG Network Regional Coordinator ...... 77 • Macy McNair, MD – Resident – Morehouse School of Medicine, AAFP Commission on Health of the Public and Science ...... 78

Award Winners • Medical Association of Georgia’s 2020 Physician’s Award for Community Service winner – Beverley Ann Townsend, MD ...... 79 • Medical Association of Georgia’s 2020 Jack A. Raines, M.D., Humanitarian Award winner – Loy “Chip” Cowart, MD ...... 80 • 2020 GAFP President’s Award winner – Kathleen Toomey, MD ...... 81 • 2020 Georgia Department of Public Health Award for Family Physicians winner – Kristen Kettlehut, MD ...... 82 • 2020 Family Medicine Legislative Champion of the Year – Senator Jeff Mullis ...... 83 • 2020 Family Medicine Legislative Champion of the Year – Representative Bonnie Rich ...... 84

Advocacy • GAFP’s AAFP Congress of Delegates Resolution - Family Physicians Demand Less Barriers to Care – Prior Authorization ...... 85 • Letter of concern regarding Proposed 1332 Georgia Waiver ...... 88 • Letter in support of Pregnancy Medicaid Extension Section 1115 Waiver ...... 90

Thank You Letters • Pathway to Medical Schools Thank You & Summary ...... 91 • Thank you to GAFP Committee Leaders ...... 95 • Thank you to GAFP Committee Members ...... 96 • Thank you from State Representative Bonnie Rich ...... 97 • Thank you from State Representative Chuck Martin ...... 98 • Thank you from State Representative Deborah Silcox ...... 99 • Thank you from State Representative Gerald Greene ...... 100 • Thank you from State Representative Houston Gaines ...... 101

5:20 pm AAFP Delegate Report ...... Verbal Report Beulette Hooks, MD & Harry Strothers, MD

5:25 pm Gavel Presentation to the Chair & Final Comments from Outgoing Board Chair Donald Fordham, MD to present Jeff Stone, MD with his gavel

For Your Information Current Strategic Plan Action Report ...... 102 2019 COD Action Grid ...... 120 Executive Vice President’s Reports (August – November 2020) ...... 125 GAFP Board August 2, 2020 Meeting Evaluation Summary ...... 127 GAFP Meeting Evaluation ...... sent via Survey Monkey

2021 Meetings March Committee Conclave – Virtual Summer CME Meeting & Committee Conclave – June 10-13, 2021 – Sonesta Resort, Hilton Head, SC August Committee Conclave – July 30-August 1, 2021 - Kimpton Brice Hotel - Savannah, GA Annual CME Meeting & Fall Board Meeting – November 11-13, 2021 - The Avalon Hotel - Alpharetta, GA

7 Kathleen E. Toomey, MD, MPH Commissioner and State Health Officer Georgia Department of Public Health

Kathleen E. Toomey, M.D., M.P.H., was appointed commissioner of the Georgia Department of Public Health (GDPH) by Governor Brian Kemp in March 2019.

As commissioner, Dr. Toomey oversees 159 county health departments in 18 health districts, and various public health programs: Health Promotion and Disease Prevention, Maternal and Child Health, Epidemiology, Emergency Preparedness and Response, Emergency Medical Services, Vital Records and the Georgia Public Health Laboratory.

Prior to coming to GDPH, Dr. Toomey joined the Fulton County Department of Health and Wellness in April 2016 and led the transition of the Department to become the Fulton County Board of Health July 1, 2017.

An epidemiologist and board-certified family practitioner, Dr. Toomey’s career in public health has been long and distinguished. She attained her undergraduate degree at Smith College in Northampton, Massachusetts, and received her M.D. and M.P.H degrees from Harvard Medical School and the Harvard School of Public Health. As a Fulbright Scholar, she studied indigenous healing practices in Peru.

Upon completing her residency in family medicine at the University of Washington in 1982, Dr. Toomey began her medical career as the clinical director of the Alaska Native Hospital in Kotzebue, Alaska. In 1985, Dr. Toomey was selected as a Pew Health Policy Research Fellow at the Institute for Health Policy Studies at the University of California, San Francisco. While in San Francisco, she served on committees looking at the initial cases of emergent HIV.

Dr. Toomey joined the Centers for Disease Control and Prevention (CDC) in 1987, initially as an Epidemic Intelligence Service Officer in Atlanta and later as the Associate Director for External Relations in the Division of STD/HIV Prevention, where she was responsible for developing national and international policy related to HIV partner notification, and advocating for the integration of STD screening and treatment programs into comprehensive women’s health care. In 1991, Dr. Toomey worked in Washington, D.C., as a legislative assistant on health issues, staffing U.S. Senator John Chafee (R-R.I.) and the Senate Republican Task Force on Health.

In 1993, Dr. Toomey became the State Epidemiologist and Director of the Epidemiology and Prevention Branch of the Division of Public Health in the Georgia Department of Human Resources where she managed three major health programs -- HIV/AIDS, STD and TB. In addition, she was responsible for supervising all state epidemiology programs including disease surveillance and outbreak investigations, environmental epidemiology, and the epidemiology units supporting the maternal and child health and chronic disease prevention and control programs.

From 1997 to 2005, Dr. Toomey was appointed the Georgia State Health Officer and Director of the Division of Public Health in the Georgia Department of Human Resources. In this capacity, she provided leadership for all major public health programs statewide, including the HIV/STD/TB programs and other infectious diseases prevention, chronic disease prevention and health promotion, environmental health and injury prevention, public health data and vital records, epidemiology, the Women, Infant and Children (WIC) Program, and emergency preparedness and response. As State Health Officer, Dr. Toomey was responsible for an agency budget of more than $600 million, with 1,000 state and 5,000 related county employees statewide.

8 In 2007, Dr. Toomey returned to CDC as the Director of the Coordinating Center for Health Promotion that included the National Center for Chronic Disease Prevention and Health Promotion, the National Office of Public Health Genomics, and the National Center on Birth Defects and Developmental Disabilities. She managed a budget of over $1 billion and programs in areas as diverse as women’s reproductive health, chronic disease prevention/health promotion, and the prevention of birth defects.

In September 2009, Dr. Toomey had the opportunity to work in the CDC Botswana office as the acting director of the CDC Botswana operations and chose to stay as the permanent director for nearly five years. At CDC Botswana, she oversaw numerous HIV and tuberculosis research and prevention activities across the country, and additionally served as a consultant to the Botswana Ministry of Health on such diverse health issues as tobacco-use prevention and traffic-related injuries.

Dr. Toomey was elected to the Council on Foreign Relations, a nonpartisan organization dedicated to better understanding the world and the foreign policy choices facing the United States and other governments. In her role on the Council, Dr. Toomey provides a voice for public health diplomacy within the context of international foreign policy. She has lectured nationally and internationally on an array of health issues.

Dr. Toomey has received many honors and awards for her outstanding work and dedication, including the CDC Award for Contributions to the Advancement of Women and the Public Health Service Plaque for Outstanding Leadership. She was named to the 2000 Academy of Women Achievers by the Atlanta YWCA and received the 2001 Shining Star Award from the Atlanta Women’s Foundation. Dr. Toomey was recognized nationally as the recipient of the 2003 Public Health Award from the American Academy of Family Physicians. She was the first recipient of the Recognizing & Encouraging Aspirations in Community Health (REACH) Award from Emory University School of Medicine in 2004 and was honored by the Georgia Public Health Association, receiving the 2005 Sellers-McCroan Award for outstanding achievement in public health policy and in 2009 by being named an honorary lifetime member.

9 Urcel Fields currently serves as Chief Operating Officer at Peach State Health Plan a managed care company contracted with the state of Georgia to provide health insurance to individuals that are eligible to receive Medicaid benefits in addition to their Medicare Advantage & Ambetter Marketplace products. Prior rejoining Peach State Health Plan, Urcel served as State President of WellCare South Carolina Health Plan & served as the Chief Operating Officer for Anthem/Amerigroup GA.

Urcel is a proud graduate of Howard University with a Bachelor of Biology and Boston University where he received his Master of Public Health. Urcel has over 25 years of Healthcare experience with a particular acumen in leadership development and finance. Urcel is married to April, has 3 lovely children, is an avid CrossFit athlete, and loves the arts, music, roots for the Vikings & the Falcons; he nerds out on obscure Science Fiction. Urcel’s philanthropic work focuses on combating domestic violence and ending persistent generational poverty.

10 Steven P. Furr, MD, FAAFP AAFP Director

Steven P. Furr, MD, FAAFP, a family physician in Jackson, Alabama, is a member of the board of directors of the American Academy of Family Physicians. The AAFP represents 136,700 physicians and medical students nationwide. As an AAFP board member, Furr advocates on behalf of family physicians and patients to inspire positive change in the U.S. health care system.

Furr is the co-founder of Family Medical Clinic of Jackson, which also supports a small rural hospital and a local nursing home. Furr has cared for patients for more than 35 years, including obstetric care for more than 25 years. He is a certified medical director as well as a certified medical examiner.

Furr is an adjunct assistant professor with the Department of Family Medicine at the University of South Alabama College of Medicine in Mobile. He also serves as adjunct assistant professor with the Department of Family, Internal and Rural Medicine at the University of Alabama School of Medicine College of Community Health Sciences in Tuscaloosa. He also acts as a volunteer instructor in the clinical Department of Family and Community Medicine at the University of Alabama at Birmingham School of Medicine.

Furr has been active in several medical societies at the state level, serving as president of the Medical Association of the State of Alabama and the Alabama Medical Directors Association. He has been vice chair of the Alabama delegation to the American Medical Association.

A member of the AAFP since 1981, Furr served as an Alabama delegate to the AAFP Congress of Delegates and has chaired reference committees on Advocacy and Health of the Public and Science. He was also a member and chair of the Commission on Continuing Professional Development.

At the chapter level, Furr has held various leadership roles in the Alabama Academy of Family Physicians, including chapter president and chairman of the board.

Furr earned his Bachelor of Science degree in biology from the University of South Alabama. He earned his medical degree from the University of South Alabama College of Medicine. He completed his residency at the University of Alabama Huntsville Family Practice Program.

He is board certified by the American Board of Family Medicine and has the AAFP Degree of Fellow, an earned degree awarded to family physicians for distinguished service and continuing medical education.

11 2020 Public Health Award Winner

KRISTEN KETTELHUT, MD

Kristen Kettlehut, MD is a lifelong Georgia native, who completed her undergraduate degree in Neuroscience and Behavioral Biology at Emory University and her medical education at Mercer University School of Medicine, Columbus Campus in 2017. She has worked for Brain Balance Achievement Center, WebMD, and the Center for Disease Control in the National Center for Birth Defects and Developmental Disabilities. She finished her Family Medicine Residency in Columbus at the Piedmont Columbus Regional Family Medicine Residency Program. Kristen currently works at Horizon Diagnostics where she sees children and families from age 7 and up.

In her free time, you will likely find her outside since she enjoys any outdoor activity and exploring new places. She also is a board member for the myTEAM TRIUMPH National Board and Georgia Chapter located right here in Columbus, Georgia. Their mission is to improve the health and lifestyle of adults and children with physical limitations by pairing them with able bodies athletes to compete in running and triathlon events.

The Georgia Chapter of “myTEAM TRIUMPH is a 501(c)3 non-profit organization based in Columbus, Georgia. MTT provides physically limited children, adults, and veterans, termed “Captains,” opportunities to participate in endurance races, like 5K, 10K, Half/Full marathon, and triathlons, throughout communities in Georgia with the assistance of specialized ASTM certified racing chairs and teams of able-bodied runners, termed “Angels.” MTT’s mission is “to enhance the health and well-being of individuals with physical-limitations by fostering lasting, authentic relationships through the teamwork environment of endurance athletics.”

According to the NIH, 2.2 million people in the United States depend on a wheelchair for day-to-day tasks and mobility. In Georgia alone, the CDC estimates that 14.6% of adults currently live with a motor disability. From a pediatric perspective, cerebral palsy (CP) is the most common motor disability in childhood, and the CDC estimates that over 30% of children with CP need to use walkers or wheelchairs for mobility. Additional reasons for mobility impairment range from developmental causes like muscular dystrophy and spina bifida to accidental causes like traumatic brain injury and limb injury. Regardless of the origin, individuals with physical limitations are often excluded from typical daily activities. They are at a higher risk for abuse and are three times more likely to develop heart disease, stroke, diabetes, or cancer. Additionally, social isolation and exclusion increases their risk for psychological conditions like depression.

Having a disability does not mean an individual cannot be healthy. They need health care and health programs for the same reasons any able-bodied individual would – to stay well and to be active and included in the community. “myTEAM TRIUMPH – Georgia Chapter” addresses this problem by providing these “Captains” the platform to look beyond any negatives of their physical-limitations, embrace all positives, and foster inclusion in previously inaccessible community events.

Currently, MTT’s primary impacted population is children and adults with physical limitations, their families, and the Angels serving as their legs. These individuals obviously reside in Georgia; however, they travel from all over the state to participate in races. Since December 2015, we have provided 118 Captain experiences, 336 Angel experiences, and impacted over 200 family members associated with myTEAM TRIUMPH – Georgia participants.

12 Georgia Academy of Family Physicians Board of Directors Meeting November 2020 Action Items

A. Third Quarter Financials…………………………………………………………………Financial Packet The Finance Committee recommends to the GAFP Board of Directors approval of the 2020 third quarter financials as presented. Background: The third quarter financials are located in the Financial Packet.

B. 2021 Proposed GAFP Budget……………………………………………………………..Financial Packet The Finance Committee leadership and the Executive Committee recommend to the Board of Directors approving the proposed 2021 budgets (general and the additional funds). Background: It was noted that with the continued uncertainty with COVID and membership renewals, the Finance Committee leadership acknowledges that this budget may need to be reforecast several times next year. This current budget, if approved, will forecast a small net income of $1,421 over our expenses. Membership dues are being forecasted at 85 percent of 2019 total collected dues.

C. The Finance Committee leadership and the Executive Committee recommends to the Board of Directors changing the name of the Patient Center Medical Home University Fund to the Practice Management Fund. Background: Over the last several years, the PCMHU Fund has been used to offer additional education to our members with practice management advancement through special workshops and the Thrive Program (rapid cycle practice improvement small group learning). Since the GAFP is not currently offering the full courses of PCMH for NCQA certification, it was agreed that this fund should be renamed to more accurately reflect how this program is used.

D. The Finance Committee leadership and the Executive Committee recommends to the Board of Directors sending any excess monies over $250,000 in the PCMH U Fund to GAFP’s Long Term Reserves. (As of August 31, there was $339,717 in the bank account). Background: This fund continues to have a large surplus, even with the movement of $150,000 transferred last year. Moving additional monies to the GAFP’s Long Term Reserves will allow for our monies to increase through the mutual funds that are invested versus in a bank checking account.

E. The Finance Committee leadership and the Executive Committee recommends moving $65,000 from Long Term Reserves for a 2021 In-Person Celebration of Family Medicine. Background: Staff, in discussions with leadership, would propose honoring some of our 2020 awardees and leaders at an in-person event next year (either June or August). This funding could also be used to have a celebration of all the front-line work that Georgia’s family physicians have been accomplished during COVID-19.

F. Support CANDOR (Communication & Optimal Resolution) Coalition The Legislative Committee leadership recommends to the Board of Directors to support and join Georgia’s CANDOR Coalition.

Background: The Georgia CANDOR coalition is planning on seeking legislation in the 2021 Georgia Legislative Session that will also allow for an improved process for resolving unexpected patient outcomes (CANDOR). CANDOR has been passed in Iowa and Colorado legislatures. It also has the support of the AMA and the Medical Association of Georgia. The GAFP’s Congress of Delegates has a policy to support any legislation that would expand options for pre-litigation in medical malpractice cases.

G. Proposed Strategic Plan Goals – 2021 – 2024 Based on our focus groups, leadership surveys and the Strategic Planning Authorship Group that met on Friday, July 31st, the Executive Committee is recommending to the Board, the following Strategic Planning Goals for 2021 – 2024:

• Enhance Georgia’s Family Physician Community /Social Networking / Engagement

13 • Advancement of Practice Excellence • Advance Health Equity in Georgia / Workforce in Underserved Communities • Advocacy for Family Medicine and Our Patients to Public and Private Payors • Evaluation of Governance/Administration / Academy’s Soundness and Resiliency

Background: In July, five focus groups were conducted focusing on the following groups: . New to Georgia . Residents / New to Practice . Dropped Members (within the last three years) . “Checkbook” Members – Non-leaders . Members in Independent Practice

Also, in July, an online survey of 104 Georgia Academy 2020 leaders (all board and committee members) were asked nine open-ended questions.

Comparing Opinions of Focus Groups and Leaders – Opportunities of the GAFP Focus Groups Leaders Telemedicine (continued payment) Practice Support Workforce – support recruitment/retention Payment – telemedicine, pay equity Serve as Information Resource Workforce/Recruitment/Rural Access Improve value/payment for family medicine CME / Advocacy (tie)

Comparing Opinions of Focus Groups and Leaders – Challenges Focus Groups Leaders Patient Telemedicine Demands/Payment Practice Support Reimbursement / Payment Payment (Includes Telemedicine) Workforce/Recruitment GAFP Governance / Administration Educating Public/Legislators on FM Continuing Professional Education

Comparing Opinions of Focus Groups and Leaders – Most Effective Issue Focus Groups Leaders Tobacco 21 / Anti-Vaping COVID Efforts Preceptor Tax Credit Tobacco 21 / Anti-Vaping Thrive Program PCMH University CME Conferences CME Preceptor Tax Credit Conclusion: Holding a series of focus groups during this difficult year when so many areas of family medicine and healthcare overall has been upended allowed many members to speak about areas that have not been emphasized in the past: implicit bias, racism, and the pandemic.

It was encouraging that so many of our members gave affirming statements to our consultant about the work that the Georgia Academy has created and offered to our members (PCMH University, Thrive, Contract Review, CME, Advocacy Initiatives). The proposed strategic goals that are outlined above will allow continued work on ongoing goals – advocacy and education – and allow the Academy’s leadership to work on additional timely issues related to the needs of our members moving through the pandemic – especially practice support and advocacy for telemedicine as a key component for practice sustainability.

H. 2021 Georgia Healthy Family Alliance Board of Trustees Nomination – Harry Strothers, MD The Nominating Committee recommends to the GAFP Board nominating Dr. Harry Strothers (of Macon) to serve as Trustee to the Georgia Healthy Family Alliance for a 2020-2024 term.

14 Background: Past GAFP President, Harry Strothers, MD, FAAFP, (of Macon) has agreed to serve on the Georgia Healthy Family Alliance as a Trustee for 2020-2024, if nominated and confirmed by the GAFP Board. He currently serves on the GHFA Capital Campaign and is a Caduceus supporter of the Foundation.

I. 2021 PAC Board Nomination – Donald Fordham, MD The Nominating Committee recommends to the GAFP Board a nomination of Dr. Donald Fordham (Demorest) to serve on the GAFP PAC Board as the Member-at-Large.

Background: Current PAC Board Chair and Past President Donald Fordham, MD is willing to serve as the Member-at-Large for the GAFP PAC if nominated and confirmed by the GAFP. He would be replacing Dr. Dan Singleton, who has served two years, and would like to rotate off to concentrate more on his leadership with the Public Health Committee. Dr. Fordham is an active supporter of the GAFP PAC.

J. 2021 PAC Board Nomination - Beulette Hooks, MD The Nominating Committee recommends to the GAFP Board the renomination of Dr. Beulette Hooks (Midland) to serve on the GAFP PAC Board as the Board Designee.

Background: Current Board Designee and Past President Beulette Hooks, MD has agreed to serve an additional year for the 2020-2021 PAC Board if nominated and confirmed by the GAFP. Dr. Hooks is an active advocate and supporter of both the AAFP Fam MEDPAC and the GAFP PAC.

K. Nomination of Beulette Hooks, MD for AAFP Vice Speaker – 2021 Campaign The GAFP delegates to the AAFP Congress of Delegates and the Executive Committee of the Georgia Academy Board recommends approving Dr. Beulette Hook’s nomination to campaign for AAFP Vice Speaker in 2021.

Background: Dr. Beulette Hooks has served in leadership roles within the AAFP, AMA, and GAFP since she was a medical student. She is an avid supporter of family medicine and has been a long serving national figure within the AAFP. She is also certified in parliamentary procedures and has served as GAFP’s parliamentarian (official and unofficial) for many years. Surprisingly, at the end of this AAFP’s Congress of Delegates current AAFP Speaker Alan Schwartzstein, MD announced that he would not be running for a term in 2021, thereby opening up the position of Vice Speaker. Dr. Hooks has proudly supported previous campaigns of past GAFP leaders including: Leonard Reeves, MD, George Shannon, MD, D. Ann Travis Honeycutt, MD, and Rick Wherry, MD. The GAFP leaders believe that no other candidate from Georgia, or other state chapters, is more poised to assume national leadership.

Dr. Beulette Hooks - AAFP Board Candidate Evaluation Procedures – CV located on Page 20 of the Board Agenda Packet I. Selection Those members, who express an interest, should do so at least one full year prior to the AAFP Assembly they plan to announce their candidacy for the AAFP Board. The application, including up to date CV should be submitted to the GAFP Executive Vice President so that it can be presented to the Nominating Committee and the GAFP Board of Directors no later than the August Committee Conclave/Board Meeting.

II. Recommended Experience (not all required)

• GAFP Past President • GAFP COD Delegate to the AAFP • Participation with AAFP Regional/National meetings (ACLF, SE Forum, Family Medicine Congressional Conference, etc...) • Participation with AAFP Commission

15 • Chair of AAFP Commission • Participation with AAFP Congress of Delegates Reference Committee • Chair of AAFP Reference Committee

III. Recommended Strategic Positioning • Endorsement of Georgia AAFP COD Delegation • Endorsement of GAFP Executive Committee • Approval by GAFP Board • Identification of at least 5 Non-Georgia AAFP Delegates to serve on Campaign Committee • Announcement of Candidacy at conclusion of prior AAFP COD • Specific Campaign Plan defining role of GAFP Election Committee and GAFP Staff available upon announcement

The GAFP money budgeted for AAFP Campaigns may roll over from year to year as determined by the Executive Committee. Candidates for AAFP offices will likely need to make some personal financial contribution.

IV. Application for AAFP Board Candidacy

Name: BEULETTE Y. HOOKS, MD, FAAFP Date: 10/14/2020 Member AAFP since: 1987 Member GAFP since 1987 Currently Board Certified? NO (not needed for employment – US Military) When will your certification expire?

All GAFP offices attained: BOARD CHAIR, PRESIDENT, PRESIDENT-ELECT, SPEAKER, VICE SPEAKER, GAFP DELEGATE TO AAFP, GAFP ALTERNATE DELEGATE TO AAFP, PRESIDENT OF GAFP FOUNDATION, TREASURER OF GAFP FOUNDATION (See CV for Others)

AAFP Office(s)/Position(s) currently sought: AAFP Vice-Speaker AAFP office ultimately sought: President

1. Of the approximately 230 AAFP COD Delegates/Alternates, how many do you currently know? Between 100 and 130

2. How do you perceive your role as a representative of the GAFP at AAFP? As Vice-Speaker I would make sure the voice of the GAFP through the Delegates would be heard.

3. What do you see as the most highly desirable qualities in a candidate for higher office at AAFP?

4. What do you see as your greatest strengths/weaknesses as a potential candidate for AAFP office? Strength—Having actively been involved in the AAFP since I was a student; Weakness—Not being strong with some of the issues affecting private practice physicians.

5. Do you feel at this time you can devote sufficient time away from your practice and/or family to seek higher AAFP office? Yes. If not now, what would be your timeline?

6. How supportive do you feel your family and your current work setting would be of you running for the AAFP Board and any future higher elective office? Very Supportive, I am not married and have no children, but my sisters and nephews are incredibly supportive and so is my current work setting.

7. In the last five years, have you spoken on clinical or policy topics outside of GAFP? NO In what states/events? On what topics?

8. Are there any mitigating/potentially negative personal or professional issues of concern that you believe should be discussed with the Nominating Committee/Board? The only thing that maybe an issue is that my work does not require Board Certification so currently I am not Board Certified. But that is not in the requirements to run for the AAFP Board.

9. Any other relevant information about you that GAFP should know when considering your qualifications to seek higher office at the AAFP? Only that as you can see by my CV, I have been actively involved in the GAFP and AAFP since I was a Student Member. I have served in many positions in the GAFP and AAFP during that time and for the position of Vice Speaker I have the experience to win the position.

L. The Georgia Healthy Family Alliance and the Executive Committee of the GAFP recommends to the full Board of Directors approval of an annual donation from the GAFP’s long term reserves to support the Alliance’s administrative costs: Supporting Documents can be found on pages 23-26 of the Board Agenda packet

A request from the GAFP Board of Directors for funding to support a special project should be in keeping with the Academy’s mission statement. The Mission of the Georgia Academy of Family Physicians is to promote the health of the citizens of Georgia by advancing the specialty of Family Medicine through education, advocacy, and service to family physicians in the State of Georgia.

GAFP Member Name and Contact Information: Georgia Healthy Family Alliance Board of Trustees Executive Committee: President – P.J. Lynn, MD Vice President – Eddie Richardson, Jr., MD Treasurer – Mitzi Rubin, MD

1. Outline of the Project. The Georgia Healthy Family Alliance request an annual donation from the Georgia Academy of Family Physicians that would be the equivalent of the Alliance staffing costs (salary and payroll taxes). This would be projected at the end of each fiscal year (expected costs in the budget). The funding support would come out of the Georgia Academy’s Long-Term Reserves if the following guidelines are included:

A. The GAFP’s Long Term Reserves must have a minimum of one-years operational budget in reserves. As of September 30, 2020: GAFP Long Term Reserve Balance: $3,587,125 GAFP’s Draft 2021 Budget Operational Expenses: $1,244,079 Potential Funding Source: $2,342,946

B. The Georgia Academy’s Independent/Outside Auditor annually confirms the amount of the transfer will not create any taxable event or jeopardize the Alliance’s Public Foundation Status.

C. Both the GAFP and the GHFA treasurer review and approve the requested transfer of funds from the GAFP long term reserves to GHFA to support staffing costs.

2. How does your project benefit GAFP members and our patients? This annual support will dramatically reduce the administrative percentage of the Alliance which will draw more donors, both from within the GAFP membership as well as outside community support. From our consultants, Pride Philanthropy, they have noted that most organizations support their Foundation staff through their non-501C3 organization to keep their administrative costs low and

17 allow for more of the donations to be used to support the grants and other philanthropic efforts to support the Foundation’s goals.

The Alliance has launched a $4 million Capital Campaign and expects to be at the half-way mark by the end of 2020.

The Alliance supports the GAFP members by our community grants, urgent needs grants, and Tar Wars strike forces to embed education on smoking and vaping to our schoolchildren.

3. List your expected outcomes. Our expected outcome is to finish up our expected fundraising initiative in the next three years and to continue to increase the Alliance’s long term reserves ($679,623 as of September 30, 2020) to a minimum of $1,000,000 so that we can utilize the interest off of our Long Term Reserves to support our grant gifts. We also have a long-range goal of increasing our community/urgent grants from $100,000 to $250,000 over the next three years.

And with our Strike Force areas, currently in Gainesville, Rome, and Savannah, we expect to show a downturn in smoking/vaping usage by school-aged children by 2023

4. How will the outcomes be measured? Outcomes will be measured in the following ways: - Congress of Delegates / Annual Report - Increase in Tar Wars Presentation - Utilization of public-school tobacco use data in strike force communities versus non-strike force communities - Increase in grant giving

5. Please submit a detailed budget of the project Request for GHFA salaries and payroll taxes for 2021: $226,500 Draft GHFA budget for 2021 included in Financial Packet.

6. Please list any other income or expected outside funding (include in-kind donations). GHFA has dramatically increased our donor base with both member and non-member support as well as business and grant support. Additional information about outside funding is included in the 2021 draft budget as it outlines funding support that has quadrupled this year – as compared to last year.

Additional Information and Rules for Applicants The amount requested should never be more than the GAFP policy of the long-term reserve threshold which is that the GAFP must maintain in its long term reserves the equivalent to the current fiscal year’s operational budget.

The application must be completely filled out and transmitted to the GAFP Executive Vice President. The EVP must submit it to the Executive Committee for review and approval. Once approved to be recommended to the full GAFP Board of Directors it will proceed to the next in-person meeting of the full Board. The Board must approve the project with a minimum of a 2/3’s vote.

M. Approval of All Draft Committee and Board Minutes The Executive Committee recommends to the Board to approve all enclosed minutes from the August 2020 Board and Committee Conclave. Background: To avoid a long gap between presentation of the draft minutes and final approval by the Board of Directors, staff received permission by the Executive Committee to post all of the minutes seeking electronic review and approval. Staff utilized Survey Monkey where leaders were encouraged to review and approve the minutes. This mechanism can enhance communication and speed up the review of the work product in the future. The Committee and Board Minutes are included in the November Board Agenda.

Draft Committee and Board Minutes 1. Board of Directors Minutes, August 2, 2020 2. Executive Committee Minutes: • July 14, 2020 • July 31, 2020 • September 8, 2020

3. Education and Research Committee August Minutes 4. Finance Committee August Minutes 5. Georgia Healthy Family Alliance August Minutes 6. Legislative Committee August Minutes 7. Membership Committee August Minutes 8. PAC Board August Minutes 9. Practice Management Committee August Minutes 10. Public Health Committee August Minutes 11. Student & Resident Recruitment Committee August Minutes

N. Additional Action Items* ...... Handout *If needed, these items will be developed and approved during the Wednesday, November 15th Executive Committee meeting and sent out to the Board via email as soon as available.

19 BEULETTE Y. HOOKS, MD, FAAFP

Home: 7286 E Wynfield Office: 6600 Van Aalst Boulevard Midland, GA 31820 Fort Benning, GA 31905 (706) 593-1789 (762) 408- 2511

UNDERGRADUATE EDUCATION: MERCER UNIVERSITY COLLEGE OF LIBERAL ARTS Macon, Georgia Bachelor of Science, Biology June 1985 UNIVERSITY OF NORTH CAROLINA Chapel Hill, North Carolina Certificate from Summer Academic Achievement Program (SAAP) August 1985

GRADUATE EDUCATION: NORTH CAROLINA A&T STATE UNIVERSITY Greensboro, North Carolina Post-Baccalaureate August 1985-June 1987 MERCER UNIVERSITY SCHOOL OF MEDICINE Macon, Georgia Doctor of Medicine Degree June 1993

POST-GRADUATE EDUCATION: MERCER UNIVERSITY/MEDICAL CENTER OF CENTRAL GEORGIA Macon, Georgia Family Medicine Residency Program July 1993-June 1996 (CHIEF RESIDENT 1995-1996)

HONORS AND AWARDS: o 2020 GAFP Family Physician of the Year o Named a 2018 Chattahoochee Valley Woman Trailblazer o Community Service Award 2016 for Outstanding Service to Area Youth o Alpha Omega Alpha Honor Medical Society 2013 o Department of the Army Commander’s Award for Civilian Service 2010 o Fellow of the American Academy of Family Physicians 2005 o Public Health Service Primary Care Policy Fellow 2001 o AMA Young Physician Section Community Service Award 1997 o Georgia Rural Health Clinic of the Year 1997 o Member of Beta Kappa Chi (National Scientific Honor Society) 1986 CLINICAL ASSISTANT PROFESSOR: Department of Community Medicine Mercer School of Medicine 2001-2008

EMPLOYMENT EXPERIENCE: Staff Family Physician and Preceptor Martin Army Community Hospital Family Medical Home Ft. Benning, GA September 2004 to Present

Medical Director Marion Rural Health Center Buena Vista, Georgia 20 August 1996-June 2004 Medical Director Talbotton Rural Health Center Talbotton, Georgia February 1997-May 1999

Graduate Research/Biology Lab Teaching Assistant North Carolina A&T State University Greensboro, North Carolina - August 1985 to June 1987

LICENSURE: FEDERAL LICENSURE EXAMINATION (NATIONAL BOARDS) July 1994 GEORGIA License Number 041313 Expiration: January 31, 2021

PROFESSIONAL AFFLIATIONS:

Member of HRSA Council on Graduate Medical Education 2020-2024 American Academy of Family Physicians (AAFP) Active Member: July 1996-Present Chair, Commission on Health of the Public and Science 2019 Member of Commission on Health of the Public and Science 2014-2018 Chair of AAFP’s Subcommittee on Health Equity (SHE) 2015-2018 AAFP Member of AMA Commission to End Healthcare Disparities 2016-2019 Parliamentarian NCSC 2014 Chair, AAFP Reference Committee on Health of the Public 2014 Member of Commission on Membership and Member Services 2007-2012 2006 Convenor, National Conference of Special Constituencies (NCSC) Member of Committee on Rural Health 2002-2006 Member of Future of Family Medicine Task Force 2001-2003 Chair, Commission on Residents and Students Issues 2001-2002 Member of Commission on Residents and Students Issues 1998-2001 AAFP Delegate to AMA Young Physician Section 1999-2003 AAFP Alternate Delegate to AMA Young Physician Section 1997-1999 AAFP Resident Member: JULY 1993-JUNE 1996 Chair, National Congress of Family Medicine Residents 1995-1996 Member of Committee on Resident and Student Affairs 1995-1996 Member of the Chapter Affairs Committee 1993-1995 Moderator at AAFP’s State Officers Conference 1994 Alternate Delegate to AMA Resident Physician Section 1995-1996

American Academy of Family Physicians (AAFP) Student Member August 1987- June 1993 Chair, National Congress of Student Members 1992-1993 Student Delegate to AAFP Congress of Delegates 1992 Chair, Reference Committee at 1992 National Congress of Student Members ` Member of AAFP’s Congress of Delegates Reference Committee 1992 Student Alternate Delegate to AAFP Congress of Delegates 1991 Member of Committee on Resident and Student Affairs 1991-1993 Member of Committee on Minority Health Affairs 1990-1991

Georgia Academy of Family Physicians (GAFP) Active Member July 1996 – Present AAFP COD Delegate 2014-2016; 2019-2021 AAFP COD Alternate Delegate 2012-2013; 2017-2018 Chair, GAFP Board of Directors 2012-2013 President, 2011-2012 President-elect, 2010-2011 21 Speaker, GAFP Congress of Delegates 2008-2010 Vice Speaker, GAFP Congress of Delegates 2007-2008 Treasurer, Georgia Healthy Family Alliance (GAFP Foundation) 2004-2006 President, Georgia Healthy Family Alliance (GAFP Foundation) 2002-2003 Member of GAFP Foundation Board of Directors 1997-2006 Chair, Task Force on Leadership 1997-2001 Co-Chair, Committee on Membership and Member Services 2006 Member of Public Health Committee 2006-2011 District Director and Member of Board of Directors 1999-2003 Delegate to AAFP NCSC 1997-2010 and 2014-2015 Resident Member July 1993-June 1996 Delegate to GAFP Congress of Delegates 1993-1996 Student Member August 1987-June 1993 President, GAFP Student Members 1989-1990 Student Member of GAFP Board of Directors 1989-1990 Student Member of GAFP Foundation Board of Directors 1989-1990 Student Delegate to GAFP Congress of Delegates 1989-1993

AMERICAN MEDICAL ASSOCIATION (AMA) Active Member July 1996-December 2005 Chair, Late Resolution Committee (YPS) December 2002 Member of Late Resolution Committee (YPS) June 2002 Chair, Reference Committee (YPS) December 1999 Chair, Late Resolution Committee (YPS) December 1998 Resident Member July 1993-June 1996 Member of Credentialing Committee (RPS) June 1996 Student Member August 1987-June 1993

MEDICAL ASSOCIATION OF GEORGIA (MAG) Active Member June 2010 – December 2013 Member of MAG’s Georgia Physician Leadership Academy January 2011-June 2011 Delegate, AMA Resident Section 1994-1995

Member of the American Institute of Parliamentarians Volunteer Medical Director for Tree of Life Free Clinic – Columbus, GA Advisor, Healthcare Explores Post 69 Columbus 2015 - Present

22 Why CANDOR?

Many physicians and other healthcare providers want to be able to talk candidly with patients/family when there has been an error or unanticipated outcome. It is “the right thing to do,” and candid communication promotes trust within the clinician-patient relationship and improves patient care.

But, physicians and healthcare providers are fearful of … - Stirring up litigation - Having claims reported to the National Practitioner Data Bank (NPDB) and state licensing boards which can harm their careers - Facility retribution for having made a mistake and “blame and shame” - Losing their job

A CANDOR law would: - Provide for a process of resolution that avoids triggering NPDB reporting - Provide for a process of resolution that avoids triggering a report to state licensing boards - Promote proactive candid conversations - Provide a way for physicians, other healthcare providers, and hospital facilities to expeditiously accept responsibility for error and be accountable to the patient - Create a culture of transparency between patients, physicians, other healthcare providers and hospital facilities - Promote both internal and external policy and procedure changes to prevent reoccurrences with other future patients - Provide patients with deserved funding when there has been error - Protect the CANDOR communications from being subsequently disclosed in a related legal or administrative proceeding— providing a “safe space” for everyone to talk openly (the current GA law protecting settlement negotiations does not protect prelitigation resolution communications). CANDOR communications would be confidential. - Provide an additional and alternate method to patients, physicians, other healthcare providers and hospital facilities for resolving unintended outcomes—prelitigation resolution.

A CANDOR process: - Would be completely voluntary by all persons/entities involved - Would encourage patients to have legal representation - Would encourage dialogue with the patient to learn the patient’s perspectives and insights in what might be needed to improve future patient safety

23 - Would have the ability to resolve adverse outcomes in a matter of months instead of subjecting physicians, other healthcare providers and patients to years of litigation - Would potentially reduce physician/healthcare provider burnout by significantly reducing the time to resolution after an adverse event - Would protect physicians/healthcare providers from frivolous claims—with the physician/healthcare providers remaining in control of offers of compensation to the patient. Offers are only made when there has been a deviation from the standard of care. - Would allow a patient to maintain his/her privacy and protect his/her personal medical information from public disclosure

With a CANDOR law, the patient or his legal counsel would be able to request a CANDOR discussion

Although CANDOR has to be initiated by the physician/healthcare provider(s), a request by the patient, or his counsel, for the physician/provider(s) to consider CANDOR discussion could be made via two methods: 1) The request could be made orally or 2) The request could be made by an innocuous letter merely indicating that the patient would like to have CANDOR discussion regarding the care provided to him. If any written request comes with an allegation or claim of malpractice or a demand for payment, the CANDOR process could not be used.

A CANDOR law would not remove oversight of physicians/healthcare providers

A CANDOR law would not remove oversight of physicians or other healthcare providers. A hospital would still be looking at incidents through the standard peer review process. When established review criteria are met, the case is automatically reviewed and dealt with according to established hospital policy. Hospitals are required to report to the National Practitioner Data Bank (NPDB) when certain actions are taken against a physician’s privileges. Additionally, a CANDOR law and process would not prevent any person from filing a complaint with state licensing boards, but CANDOR communications could not be disclosed to those boards.

Many incidents result from human error or systems error, not from willful indifference or incompetence. Physicians will be much more willing to take part in CANDOR knowing that CANDOR compensation, in and of itself, will not automatically affect their careers via a negative NPDB report. Furthermore, the NPDB is not a “level playing field” for all physicians. Many physicians are already able to avoid triggering reports to it (i.e. those who are employees of a hospital/facility and those who are employed by the government).

24 October 21, 2020

CANDOR Coalition 287 10th Street NE Atlanta, GA 30309

Re: Communication and Optimal Resolution – Support

Dear CANDOR Coalition:

On behalf of the American Medical Association (AMA) and our physician and medical student members, I write to express our strong support for the efforts of the Communication and Optimal Resolution (CANDOR) Coalition. The AMA supports strong patient safety initiatives and the investigation of alternative dispute resolution models, like CANDOR’s. These initiatives have the potential to decrease defensive medicine costs and more fairly and cost-effectively compensate persons injured in the course of receiving health care services.

The current medical liability system negatively affects patients, in large part because it hinders patients’ communication with their physicians. Yet open communication between patients and health care providers is essential to ensuring optimal health care outcomes and reaching resolution when adverse outcomes occur. Learning from one another is the first step to resolution, which with CANDOR, can be achieved in a matter of months instead of numerous years through the standard litigation process. The CANDOR initiative would establish a process for open communication between a patient and a health care provider or health facility after an adverse health care incident, thereby addressing patient concerns for the better.

It is especially important, with the challenges and stress our health care teams are facing during this COVID pandemic, to provide these health care teams with a process that allows for prompt and complete investigation of unexpected outcomes, including the gathering of information that often only an affected patient and their family can provide. CANDOR opens the door for those communications—creating a safe space for all involved to learn from one another.

We support this important legislative initiative and appreciate your efforts toward improving patient care. To let us know if we can be of any assistance, please contact Wes Cleveland, JD, Senior Attorney, AMA Advocacy Resource Center at [email protected].

Sincerely,

James L. Madara, MD

cc: Medical Association of Georgia Sandra Adamson Fryhofer, MD Patrice A. Harris, MD, MA

25 August 3, 2020

CANDOR Coalition 287 10th Street NE Atlanta, GA 30309

Dear CANDOR Coalition:

I am writing to express the Medical Association of Georgia’s (MAG) support for Georgia legislation that will allow physicians, hospitals, other healthcare providers and patients to voluntarily utilize the CANDOR (Communication and Optimal Resolution) process for resolving unexpected patient outcomes. With more than 8,000 members, MAG is the leading voice for physicians in the state.

As you know, a CANDOR law would promote proactive candid communications within the doctor-patient relationship. The process creates a culture of transparency encouraging clinicians to investigate unexpected outcomes and to expeditiously accept responsibility for error. Such a shift in culture also lays the foundation for systemic improvement in care benefiting future patients.

The CANDOR process for resolution is a great alternative to litigation without abridging a patient’s right to pursue litigation.

Please contact me at the information below in the event MAG can assist you in your efforts to pass this legislation.

Sincerely,

Derek Norton Medical Association of Georgia Government Relations Director [email protected] (678) 303-9280

Building a Better State of Health Since 184926 Board Meeting Sunday, August 2, 2020 8:30 – 11:30 AM-Board Meeting Callaway Gardens Resort Pine Mountain, GA

DRAFT MINUTES

Board Members Present: Board Chair, Donald Fordham, MD, and Drs. Susana Alfonso, Tom Bevill, Samuel Le Church, Mitch Cook, Chip Cowart, Julie Dahl-Smith, Elvan Daniels, Cedrice Davis, Carmen Echols, Tom Fausett, Daniel Grizzle, Alice House, Beulette Hooks, Shameka Hunt McElhaney, Theresa Jacobs, Kevin Johnson, Bruce LeClair, P.J. Lynn, Carl McCurdy, William “Donny” Nash, Monica Newton, Sherma Peter, Michael Satchell, Dan Singleton, Jeff Stone, Harry Strothers, Angeline Ti, Beverley Ann Townsend, Nkiruka Udejiofor, and John Vu.

Student and Resident Board Members Present: Macy McNair, MD; Kamal Mohiuddin, MD; Zazi Nylander, MD; Sydney Koenig; Grace Saxon, and Lindsey Wells.

Board Members Absent, excused: Drs. Sharon Rabinovitz, Jody Bahnmiller-Brasil, Leticia Cardoso do Naschimento (student), Yutong Dong (student), Islam Eltarawy, Wanda Gumbs, Ken Howard, Hikma Jemal, T.J. Miller, Pamela Obi, Folashade Omole, C. Judson Pickett, Eddie Richardson, Collyn Steele, Michael “Caleb” Swindell (student), Jonathan Wade, and Steven Wilson.

Board Members Absent, unexcused: Drs. Gurinder Doad and Zita Magloire

GAFP Member Present: Drs. Avril Campbell Sims

Guests Present: Clive Fields, MD, Co-Founder and Chief Executive Officer – VillageMD; Scott Segell, Vice President and General Manager, VillageMD Georgia; and Stephanie Quinn, Senior Vice President, Advocacy, Practice Advancement and Policy, American Academy of Family Physicians

Staff Present: Angela Flanigan, Fay Fulton, Felicia Kenan, and Tenesha Wallace

I. Welcome and Call to Order - Board Chair, Dr. Donny Fordham, welcomed all the board members and after brief housekeeping notes, called the meeting to order.

II. Industry Partner discussion with VillageMD Dr. Clive Fields, Chief Executive Officer for VillageMD gave the Board a brief history of the organization, the services they offer and a look at the future of primary care as it relates to the COVID-19 pandemic and the weaknesses exposed during the pandemic.

He noted that prior to March and the onset of COVID-19, healthcare was based on an economic model that was fee-for-service centric. He noted that with value-based payments, problems included the delay in payments. He noted that telemedicine was the natural pivot for most healthcare providers and that family physicians were able to continue to deliver chronic care management during tough times. He explained that VillageMD supports primary care physicians and helps them to deliver higher-value care, improve clinical outcomes, enhance patient and physician satisfaction, and lower the total cost of care.

They currently have twenty-one sites in Georgia and are working closely with 120 QCPI practices to support program participants and promote the continuity of healthcare for the entire patient panel, protection of primary care providers and staff, and recognition that specialty and mental health care would be moved to the primary care provider.

III. Strategic Discussion: AAFP and National Alliance of Health Care Purchaser Coalitions Partnership Stephanie Quinn, Senior Vice President, Advocacy, Practice Advancement and Policy joined the meeting and discussed the partnership between the AAFP and the National Alliance of Healthcare Purchaser Coalitions (National Alliance).

Jointly, the organizations are working to change how care is paid for and delivered to ensure comprehensive, continuous, and coordinated advanced primary care for the more than 150 million Americans with employer- sponsored insurance.

The coalition is a first between a primary care organization and the employer coalition community, where they will develop a standard for how purchasers and physicians can work together to deliver meaningful and measurable improvements in how care is paid for and delivered.

Overall, this partnership will advance the importance of primary care throughout the US and enable primary care delivery to help communities thrive and improve healthcare.

IV. Review and approval of Consent Calendar The following action items were approved via consent calendar:

A. Second Quarter 2020 Financials The Finance Committee recommended to the GAFP Board of Directors approval of the 2020 second quarter financials as presented.

B. 2019 Draft Financial Audit The Finance Committee recommended to the GAFP Board of Directors approval of the 2019 draft audit and 990 tax form for the GAFP and the Georgia Healthy Family Alliance.

C. 2020 Family Medicine Legislative Champion Awards State House Background: The Legislative Committee reviewed the list of past family medicine legislative champions and discussed key elements of the 2020 legislative session. It was noted that State Representative Bonnie Rich was pivotal in passing legislation to increase the age for tobacco/vaping from 18 to 21 and to regulate the vaping industry and apply a small tax on these products.

Bonnie Rich has 25 years of experience in a variety of civil matters, including litigation, federal income tax controversy, estate planning, family law and business matters. She has represented individuals, business owners and local governments and has served as in-house counsel for a major financial services corporation. In addition, from 2008 until 2018, she taught law students valuable skills in litigation, tax law and procedure, client counseling and professional and ethical responsibility. Bonnie is a graduate of the Honors Program at the University of Georgia, receiving her Bachelor of Arts degree in Political Science in 1991. She received her Juris Doctorate degree, cum laude, from Georgia State University in 1994. Bonnie was elected to the Georgia House of Representatives in November of 2018. She has been married since 1999 to Randy Rich, who is a Superior Court Judge in Gwinnett County. They have two children and live in Suwanee.

28 D. 2020 Family Medicine Legislative Champion Awards State Senate Background: The Legislative Committee reviewed the list of past family medicine legislative champions and discussed key elements of the 2020 legislative session. It was noted that State Senator Jeff Mullis was pivotal in passing legislation to make it more difficult for children to have access to vaping products and to educate children on vaping/tobacco products in schools.

Senator Jeff Mullis, in only his 10th two-year term as state senator representing the 53rd district, is proving to be one of Georgia’s most important political leaders. Senator Mullis serves as the Chairman of the powerful Senate Rules Committee and is a member of the Senate Appropriations, Economic Development and Tourism, and Regulated Industries and Utilities Committees. Senator Mullis also chairs the Senate Music Committee and the Halls of Fame Joint Committee and was appointed by Governor Deal to the Georgia Film, Music and Digital Entertainment Advisory Commission.

Senator Mullis has been recognized by Georgia Trend Magazine as one of the “100 Most Influential People in Georgia” for ten consecutive years for his work on several issues, including transportation and economic development. His ninth recognition and honor made Sen. Mullis the legislator with the most honors in consecutive years in history. Also, James Magazine listed Senator Mullis as one of the “Most Influential Political Leaders in Georgia” for eight consecutive years.

Senator Mullis was first elected in the Georgia State Senate in 2000. He was born and raised in Chickamauga, Georgia, and currently serves as an Economic Developer in Northwest Georgia. He is married to Teresa Nichols of Dade County and has three children, and one grandchild. He is a member of the Chickamauga First Baptist Church. While Senator Mullis is honored to have received these accolades and recognition for his public service from many groups and organizations, his constituents in Northwest Georgia remain, and will always be,

After discussion, the Legislative Committee voted to nominate to the Board of Directors State Senator Jeff Mullis (District 53 – Chickamauga) as the Georgia Academy’s 2020 Legislative Champion of the Year.

E. The 2020 Policy Review Team makes the following recommendations to the Board: Background: GAFP policy is directed by both the Congress of Delegates (COD) and the Board of Directors. The GAFP Policy Review Team, consisting of the Board Chair, Speaker and Vice Speaker of the COD meet annually to review one third of the GAFP policies. The policies that originated through the Board of Directors are before you today and the balance that were reviewed and that originated with the Congress of Delegates will come before the Congress to review in November of this year.

1. Finance-Cash Reserve Policy At the close of the fiscal year, all monies over 30 percent of the approved operating budget for the following year will be invested in the AAFP Risk Pooled Investments. The rest will be left in the operating and money market accounts with our financial institution. The Policy Review Team recommends to re-adopt the policy as written.

2. GAFP Nominations of AAFP Board Candidates The process will require a potential candidate to fill out an application to be reviewed by the nominating committee and put before the Board, at preferably, the Summer Board meeting a year prior to the candidate running for office. The Policy Review Team recommends to re-adopt the policy as written.

3. EVP Succession Planning Process

29 In the event that the executive vice president position is open, the GAFP board will be guided by the following process to recruit a new executive vice president. It is to be noted that the Chief Operating Officer is to be fully oriented and cross trained in the event of an immediate need for a Chief Staff Officer that the COO will be equipped to step into that role.

1. The president will form a search committee consisting of three members of the board of directors. The search committee will be charged with reviewing applications, rank ordering candidates, interviewing the top three candidates, and recommending two candidates to be considered by the board of directors (or Executive Committee in lieu of the full board)

2. The executive committee will choose an interim EVP to assume the functions of chief staff person. The interim executive director may be a candidate for the permanent position of EVP, but that is not required. The interim EVP will be the fiscal agent for all GAFP fiscal instruments, along with the GAFP treasurer.

3. The search committee may retain the services of a search firm or search consultant to assist in promoting the opening, reviewing candidates' applications, arrange and participate in interviews. If the interim EVP is not a candidate for the permanent EVP position, then the search firm or search consultant will work with and through the interim EVP. If the interim EVP is a candidate, then the president will select another staff person to assist the search firm or search consultant.

Resources to use: • American Academy of Family Physicians, chapter services area • American Society of Association Executives, based in DC (has annual compensation and benefits survey) • American Association of Medical Society Executives, based in CO

4. The search process can be accomplished within 3 months from hiring a search firm or search consultant to the board interviewing the top two candidates. It may take up to three months more for the new EVP to begin.

General Search Approach - The Search Committee’s direct involvement is highlighted in bold italics.

Phase 1 (SC) to begin identification of key skills and behaviors needed, and to approve timeline, process, and role of SC • Search Committee meets via conference call to approve/amend EVP’s job description • Current EVP (if applicable or Interim) posts announcements in appropriate publications and/or online sources • Search Committee develops initial candidate interview questionnaire position profile • Staff acknowledges letters and resumes/CVs as received [continuous] • Staff contacts/follows-up with potential candidates and have them fill out questionnaire position [continuous]

Phase 2 • SC reviews candidate resumes and questionnaire and decides on face-to-face interviews. • Staff confirms interview appointments.

Phase 3 • SC holds first round of candidate interviews (Saturday) and final interviews (Sunday) • SC discusses transition issues and procedures, plans format and process for second interviews, and selects finalists for interviews • Finalists visits GAFP HQ and staff • Staff conducts references and submits report to SC • SC meets to make final recommendation • SC presents recommendations to the Board of Directors The Policy Review Team recommends to re-adopt the policy as written.

4. GAFP Position on Grady Hospital and Grady Hospital Neighborhood Clinics Grady Position Paper Background There has been a great deal of awareness of the role the Grady Health System (GHS) plays in providing a primary care safety net for the underserved of Fulton and Dekalb counties. GHS has six neighborhood health clinics that provide much needed primary care to the community. The clinics saw more than 120,000 patient visits in 2013.

The Georgia Academy of Family Physicians is a 3,200 member organization of family physicians, family physician residents in training and medical students. The GAFP is the largest single specialty devoted to primary care. The Mission of the Georgia Academy of Family Physicians is to promote the health of the citizens of Georgia by advancing the specialty of Family Medicine through education, advocacy, and service to family physicians in the State of Georgia.

Support of Grady Training Programs Grady, through its neighborhood clinics, provides needed primary care training for medical students and residents that could not be found elsewhere if the clinics were shut down. The Georgia Academy asks policy makers to maintain these vital training programs through the Grady neighborhood clinics that are currently a vital support system provided by Grady.

Importance of Neighborhood Clinics and Primary Care Dr. George Rust of the National Center for Primary Care in a 2003 state-wide evaluation of Georgia's health care safety net insisted, "To be counted as part of the primary health care safety net, a health center or health care professional must provide the full range of services typically provided in a family physician's office, i.e. providing the health care for 85 - 90 percent of the health care needs of patients from all age groups. Not only must the services be available, but they must also be affordable, accessible, and culturally and personally acceptable. They must also be comprehensive (as opposed to categorical public health services, such as immunization clinics or prenatal care.)"

The Georgia Department of Public Health Clinics are not structured to support patient-centered care like the Grady Clinics. The structure of Fulton County Public Health is somewhat different than that of all of the other county health departments (Fulton County has established a "Department of Health and Wellness" with a slightly different arrangement, as allowed by Georgia Code). Their primary thrust is toward "population health" rather than direct patient services in a medical home model.

Most health departments in Georgia focus on specific programs (weighted heavily toward women and children) of a preventive nature and are not staffed or funded to provide continuity of care for acute or chronic illnesses. Therefore, it is not reasonable to expect that Public Health could "pick up the slack" if the clinics close, without a philosophical shift and an infusion of funding and resources.

Conclusion Limiting access to the services provided by the Grady Neighborhood Health Centers would increase the state's health cost as more patients would be forced to seek care in hospital emergency rooms, only shifting and increasing the cost of care.

We urge those seeking solutions to Grady's financial situation to tread lightly when it comes to disconnecting Georgians from their health care safety net. The Policy Review Team recommends to re-adopt the policy as written.

31 F. Committee and Leadership Minutes Executive Committee Minutes: May 2020 June 2020 Education and Research Committee Draft Minutes, May 2020 Finance Committee Draft Minutes, June 2020 Legislative Committee Draft Minutes, May 2020 Membership Committee Draft Minutes, May 2020 Nominating Committee Draft Minutes, May 2020 PAC Board Draft Minutes, May 2020 Policy Review Draft Meeting Minutes, May 2020 Practice Management Committee Draft Minutes, May 2020 Public Health Draft Minutes, May 2020 Student and Resident Committee Draft Minutes, May 2020

V. Georgia Healthy Family Alliance Board of Trustees Report Dr. P.J. Lynn, President of the GHFA Board of Trustees, gave a brief update on GHFA accomplishments in 2020. He noted that the Alliance is currently in year three of the Capital Campaign and are close to the $2 million milestone.

He highlighted several outreach efforts conducted by the Alliance since March, including the launch of the Immediate Needs Grant program, which focused on supporting the needs of the community that arose because of the COVID-19 pandemic. The Alliance heeded the call from our members to help with various projects in their communities including lunch programs for school aged children, supplying much needed medication for seniors, and helping physicians get needed protective supplies for their clinics and staff. Since March, the Immediate Needs Grant program has awarded more than $35,000 to GAFP members for their communities.

He noted that the Alliance continues to offer their Community Health Grants Program as well. To-date, the Alliance has awarded more than $400,000 over an eight-year period. He explained that the Alliance has received matching grants from several organizations including Jackson Healthcare and the Raoul Foundation to help make these grants possible.

He also gave the group an update on how tying and implementing the Tar Wars program in Rome and Gainesville, with the help of local GAFP leadership and a Strike Force team, has helped to raise more than $250,000 in these communities. The funding goes to offer Tar Wars programs to more than 30,000 students over a three-year period. He noted that Strike Force teams will be mobilized in the Statesboro/Savannah areas in September.

Lastly, he asked the Board to continue to give to the Capital Campaign and to encourage their colleagues to donate as well.

VI. President’s Report President Dr. Jeff Stone gave a brief overview of activities that have occurred since the last Board meeting in June. He called the group’s attention to several letters in the Board packet that focused on GAFP’s efforts, including our support for suggestions to the AAFP regarding their upcoming Congress of Delegates.

He spoke about GAFP’s support of the request by the Patient-Centered Physicians Coalition of Georgia to the Department of Community Health appropriate funds to two commonly used primary care codes. The letter was sent to Frank Berry, Commissioner, Georgia Department of Community Health. The GAFP also signed on to a

32 letter related to extending postpartum Medicaid coverage for up to one year postpartum. The request highlighted the need for continued access to medical care, especially during the COVID-19 pandemic to help eliminate long term effects for Georgia’s mothers and babies.

Dr. Stone went on to highlight thank you letters for Shawn Martin, AAFP CEO designee who spoke to our Board during the June Board Meeting and the Legislative Working Group, who convene during the Georgia legislative session each year and help with GAFP legislative initiatives.

He also highlighted the GAFP’s Pathway to Medical School contributions to the Foothills Area Health Education Center and the SOWEGA Area Health Education Center, noting that the programs continue to grow and educate pre-med students on the opportunities available in family medicine.

Finally, he called the group’s attention to PAC donations for Georgia legislators who have helped to further family medicine priorities.

VII. Vice President’s Report Dr. Susana Alfonso, GAFP Vice President, gave the group a brief update on the strategic planning meeting. She explained that the strategic planning team and staff would be compiling the report over the next few weeks and a final report will be presented to the Board at the November Board meeting.

VIII. Treasurer’s Report In the absence of GAFP’s Treasurer, our Executive Vice President, Fay Fulton gave the group an update on the 2019 audit review for GAFP and GHFA. She noted that the Finance Committee met with the auditor and received a favorable report. She noted we would be finalizing the organization’s 990 after Board approval.

IX. Congress of Delegates Speaker’s Report Dr. Carl McCurdy, called the group’s attention to the updated COD Action Grid. He discussed the progress of several resolutions from the 2019 Congress of Delegates and noted the actions that have been taken to-date.

X. Adjournment There being no further business, it was moved and approved to adjourn. The next meeting is scheduled for Thursday, November 12 during the Annual Meeting at The Hotel Avalon in Alpharetta.

33 EXECUTIVE COMMITTEE MEETING MINUTES TUESDAY, JULY 14, 2020 – 6:00 PM VIA CONFERENCE CALL

Executive Committee Members Present: Board Chair Donald Fordham MD and Drs. Susana Alfonso, Le Church, Tom Fausett, Carl McCurdy, Sharon Rabinovitz and Jeff Stone.

Staff Present: Fay Fulton

I. Welcome and Call to Order Board Chair, Donald Fordham, MD, called the meeting to order at 6:00 pm.

II. Action: Review of May 29, 2020 Minutes There was a brief review of the minutes from the May 29, 2020 meeting. The minutes were reviewed and approved as presented. The minutes will be sent to the GAFP Board for their review noting that final approval will occur at the August meeting.

It was also noted that the following was approved during the interim via electronic vote:

The Membership Committee voted to nominate the following GAFP / MAG members for a 2020 MAG Award, and ask for your review and approval prior to submitting the applications to MAG.

Beverley Ann Townsend, MD -- The Physician's Award for Community Service, which recognizes physicians for going above and beyond the call of duty for community service. Nominations may be made by a CMS or an individual member physician.

Loy “Chip” Cowart, MD -- The Jack A. Raines, M.D., Humanitarian Award, which is given to a physician who makes an outstanding humanitarian contribution to his or her fellow man, community, country or world community beyond the normal practice of medicine. Nominations may be made by a CMS or a member physician.

III. Review of June Board Meeting The Officers reviewed the evaluations that most members gave high marks of our first virtual board meeting and handling over 60 people participating with many asking questions of our discussant. There were several suggestions for future strategic speakers as well. No further action is needed and there will be a similar evaluation for our upcoming August meeting.

IV. Action Requested: Selection of AAFP Board Member for Annual Meeting The Executive Committee reviewed the options for potential AAFP Board members to attend our annual meeting in November. It is noted that most travel by the AAFP Board has been paused but restrictions may be lifted by the fall. After review of the Board members that will be available to attend, the Committee decided to have Tom Fausett, MD as President-Elect to work with staff to confirm a representative from the AAFP for the upcoming leadership activities.

V. Action Requested: Meeting with Naturopaths The lobbyist representing the Georgia Association of Naturopathic Physicians (GANP) outreached staff seeking a meeting with GAFP leadership. GANP is seeking licensure for naturopathic doctors in Georgia and they intend to introduce legislation in 2021. After discussion, it was agreed that an in-person meeting is not feasible but to offer a virtual meeting on the evening of Tuesday, September 8th and to invite our Legislative Committee Chair and Co-Chair to attend as well as a few members of the Executive Committee. Staff will follow up and confirm this meeting.

VI. Additional Information Dr. Fausett mentioned that the Medical Association of Georgia’s Physician Leadership Academy is being cancelled for 2020 and nominees will be rolled over into the 2021 class.

The upcoming August leadership meetings will have a virtual component for all events to allow members to attend in-person at Callaway or remote in for attendance.

VII. Adjournment There being no additional business, it was moved and approved to adjourn the meeting.

35 EXECUTIVE COMMITTEE MEETING MINUTES CALLAWAY GARDENS RESORT – PINE MOUNTAIN FRIDAY, JULY 31, 2020 3:00 PM – 5:00 VIA CONFERENCE CALL AND IN-PERSON

Executive Committee Members Present: Board Chair Donald Fordham MD and Drs. Susana Alfonso (phone), Le Church (phone), Tom Fausett, Carl McCurdy, and Jeff Stone.

Member Absent: Sharon Rabinovitz, MD Guest: Sydney Koenig (medical student)

Staff Present: Fay Fulton

I. Welcome and Call to Order Board Chair, Donald Fordham, MD, called the meeting to order at 3:00 pm.

II. Action: Review of July 2020 Minutes There was a brief review of the minutes from the July 14, 2020 meeting. The minutes were reviewed and approved as presented. The minutes will be sent to the GAFP Board for their review noting that final approval will occur at the November meeting.

It was also noted that the following was approved during the interim via electronic vote:

The Membership Committee voted to nominate the following GAFP / MAG members for a 2020 MAG Award, and ask for your review and approval prior to submitting the applications to MAG.

III. Action: Annual Meeting Options Staff presented options to host our annual meeting for this fall. Current discussions about a hybrid meeting. The hybrid would include Thursday being a day of leadership including the Board of Directors, Congress of Delegates, and the President’s dinner / Family Physician of the Year Award. Friday and Saturday would be an in-person CME lecture hall for up to 180 members (only) and an additional 500 spots to participate virtually. Three KSA’s will be offered, all virtual, and will be conducted during different times in October and November. There was discussion about the pros and cons of holding the meeting including the in-person component. Staff presented a new budget, which included a request of $48,525 to come from long term reserves. Most of the additional funding needed

36 for the meeting is to support additional audio-visual platforms for both in-person and virtual. After discussion, it was moved and approved to move forward with the hybrid model and to remove $48,525 from long term reserves to support the new annual meeting budget. It was agreed that the Executive Committee will review this decision at both the September and October meetings.

IV. Action Requested: Residents and Student – Nominations for 2021 AAFP Leadership Positions Staff had promoted to both residents and medical students’ options for AAFP leadership in 2021. Five current GAFP leaders applied and requested support from GAFP to be considered for an AAFP position. After discussion, the Executive Committee voted to nominate the following GAFP members for a 2021 AAFP position: Dominique Monroe – Medical Student – Student Liaison to the Student National Medical Association Leah Topper – Medial Student – Commission on Health of the Public and Science Macy McNair, MD – Resident – Commission on Health of the Public and Science Zazi Nylander, MD – Resident – Commission on Federal and State Policy Altelisha Taylor, MD – Commission on Continuing Professional Development

Dr. Susana Alfonso, Vice President, abstained from the vote as she disclosed a conflict of interest.

V. Action Requested: Executive Vice President Requested - Requested Salary Adjustment The Executive Committee reviewed and discussed with Ms. Fulton her contract, and annual review. Both Ms. Fulton and the officers agreed that there is no need to make any changes to the current contract as it was just reviewed by lawyers and updated last year.

After discussion, it was moved and approved for the Executive Committee to go into Executive Session at 3:59 pm and both Ms. Fulton and Ms. Koenig left the room.

Ms. Fulton and Ms. Koenig were brought back into the room and it was disclosed that the Executive Committee moved to end the Executive Session at 4:43 pm.

Ms. Fulton was informed that the Executive Committee is extending an offer for a three- year contract and each year the salary adjustment would be an increase of 3.5 percent. There was a question about whether to match up the contract dates with the salary adjustment August 2021 – August 2024. Ms. Fulton will inquire with either a lawyer or auditor for their opinions.

VI. Infrastructure A. Second Quarter 2020 Financial Packet Ms. Fulton reviewed the financials and the draft audit, noting that our outside independent auditor would be reviewing the financials and audit with the finance committee on Saturday.

B. Congress of Delegates Action Grid

37 Speaker McCurdy, MD reviewed the activity to date following the directives from the last Congress of Delegates and noted that almost all the activities had been completed. A final report will be developed for the upcoming COD this fall.

C. GAFP/GHFA The Executive Committee is invited to attend the August Alliance meeting for an update. GHFA President, Dr. Patrick J. Lynn, will also be giving an update to the full board at the upcoming meeting.

D. Past President’s Luncheon It was agreed that there should not be a past president’s luncheon this year due to all the constraints of COVID and appropriate social distancing. However, staff was asked to think of options to offer some type of exclusive benefit for our past presidents.

E. GAFP Vehicle – Sale Process Ms. Fulton reviewed the current policy for the GAFP car sale. The car is to be sold once it has 50,000 miles and Ms. Fulton will bring several evaluations of the value of the current car and the Executive Committee will approve a “for sale as is” price. This price will be offered to the staff, if interested in purchase, prior to the sale of a new car. Ms. Fulton will bring estimates to the Executive Committee for their review no later than the next Executive Committee meeting.

VII. Adjournment There being no additional business, it was moved and approved to adjourn the meeting.

38 EXECUTIVE COMMITTEE MEETING MINUTES TUESDAY, SEPTEMBER 8, 2020 – 6:00 PM VIA CONFERENCE LINE

Executive Committee Members Present: Board Chair Donald Fordham MD and Drs. Susana Alfonso , Le Church, Tom Fausett, Carl McCurdy, Sharon Rabinovitz and Jeff Stone.

Staff Present: Fay Fulton

I. Welcome and Call to Order Board Chair, Donald Fordham, MD, called the meeting to order at 6:00 pm.

II. Action: Review of July 31, 2020 Minutes There was a brief review of the minutes from the July 31, 2020 meeting. The minutes were presented by Board Secretary, Dr. Samuel Le Church. After discussion they were reviewed and approved as presented. The minutes will be sent to the GAFP Board for their review noting that final approval will occur at the November meeting.

III. Action: Annual Meeting Options The Executive Committee reviewed options that staff presented including briefing from the hotel and state guidelines on social distancing. After discussion about the desire to get together in person versus the ongoing spike in pandemic diagnosis, it was moved and approved to move the meeting over to an all-virtual format for 2020.

IV. Review: August Board Meeting Evaluations The Executive Committee reviewed the evaluations for the August Board meeting which included some officers in the room and most of the members attending virtually. Overall, the evaluations were positive, and members were appreciative of having the option to attend virtually. Staff will continue to work on improving technical and audio-visual glitches.

V. Action: GAFP Car Vehicle – Appraisal and Pricing for Sale to Staff Staff presented two appraisals for the 2018 GAFP Audi Q5, one from Car Max and the other from Kelly Blue Book. After review, it was agreed to offer the GAFP vehicle for purchase by staff for $20,000. There will be a four-week window where the car is available for purchase. If no one steps forward to purchase the car, Ms. Fulton will move forward to purchase a new vehicle, using the current car for its trade-in value.

VI. Action: GAFP Nominations for AAFP Commissions / AMA Representative The Offices reviewed the self-nominations for national positions. After review, it was moved and approved to nominate the following GAFP members:

Evelyn Lewis&Clark, MD – AMA Delegate Loy D. “Cowart” Cowart, MD – Commission on State and Federal Policy Alida Maria Gertz, MD – Commission on Health of the Public and Science Angeline Ti, MD – Commission on Professional Development

VII. Action: Request for Practice Start Up Pilot – Jamal Lawrence, MD

39 Dr. Jamal Lawrence is the first GAFP member who has applied for the Practice Start Up Pilot. After review, it was moved and approved to support his application. Staff will move forward with connecting him with the Sanders Law Firm.

VIII. Adjournment There being no additional business, it was moved and approved to adjourn the meeting.

40 Education & Research Committee Meeting

August 1, 2020 | 9:10am

Callaway Gardens Resorts, Pine Mountain, GA

DRAFT MINUTES

Attendees:

The following committee members participated in the August 1, 2020 Education & Research Committee meeting:

Virtual Attendees: Theresa Jacobs, MD-Chair, Riba Kelsey, MD, Michael Busman, MD, Ambar Kulshreshtha, MD, Michelle Cooke, MD, Felicia Kenan - Staff

In-Person Attendees: Catherine James-Peters, MD, Harry Strothers, MD

Virtual Guests: Tom Fausett, MD, Carl McCurdy, MD

I. Call to Order Education & Research Committee Chair, Theresa Jacobs, MD called the meeting to order at 9:02 am. Attendees shared interesting stories of what they had been doing throughout the COVID-19 pandemic.

II. Committee Oversight – Approval of May Minutes A motion was put forth and approved to accept the May 26, 2020 minutes as presented.

III. 2020 Virtual CME Offering a. Evaluations of Virtual Summer CME Meeting The committee reviewed the evaluation results of the 2020 Summer Virtual Meeting. The evaluations indicated the virtual option was well received by meeting attendees. The Committee agreed that more virtual educational offerings should be provided as a benefit to members. Committee members were encouraged to submit any recommended areas of improvement to enhance the virtual meeting experience for attendees.

b. Virtual Journal Club The call for abstracts of journal articles was released to family medicine residency programs on July 14, 2020. Residents and faculty were invited to submit applications to serve as facilitators of the GAFP Virtual Journal Club. Virtual Journal Club sessions will be held on Monday evenings, September – December. To encourage participation, staff was informed to alert programs that facilitation in the Virtual Journal Clubs would qualify as a quarterly research activity for Residents and that all abstract selections will be peer-reviewed. The Committee approved the application and scoring matrix as presented.

41 c. Committee Recommended Webinars Committee members were asked submit ideas of additional educational webinars they wish for GAFP to support or provide to the membership.

IV. 2020 Hybrid Annual Meeting Planning a. Program Changes The 2020 Fall conference will now become a hybrid meeting. One hundred and eighty active and life GAFP members will be allowed on-site at the Hotel at Avalon while up to an additional 500 attendees may participate virtually. The conference will only host one general session during the two-day conference. Two lectures will be offered in lieu of the business solutions track lecture. The coding workshop will be facilitated virtually by Steven Adams, CPC, PCS, CPC-H, FCS, and a financial planning lecture will be presented onsite by Robert N. Nix, CFP, CHFC, AIF.

b. Agenda Review The committee approved the 2020 agenda as presented. Committee members were provided the opportunity to select which sessions they wished to moderate. Any sessions not selected will be submitted to committee members who were not present during the meeting. It was recommended to recruit point of care/COVID testing vendors to participate as industry partners at the conference.

c. KSA Facilitators The Fall conference will offer three virtual ABFM Knowledge Self-Assessment (KSA) modules on Saturday afternoons from October to November. Moderators were chosen for each session. • Pain Management - October 17, 2020: Harry Strothers, MD • Diabetes – October 24, 2020: Mike Busman, MD • Care of Children – November 7, 2020: Catherine James-Peters, MD

d. Research Poster Competition Due to the current state of affairs, the Committee agreed to host a virtual poster competition. Staff will solicit proposals for virtual poster software that will allow for both audio and video add-ons to the online poster presentations. Posters will be judged on both the research and oral presentations using the video submissions. Poster judges include Ambar Kulshreshtha, MD, Riba Kelsey, MD, Michelle Cooke, MD, and Theresa Jacobs, MD as a back-up judge.

V. For Informational Purposes Only a. Thrive 2020-Atlanta Metro Cohort Staff reported the Atlanta Metro Thrive workshop was held virtually on July 16th. There were five practices in participation, with one being an employed physician practice.

b. GAFP Strategic Plan The strategic planning committee met on July 31st to develop the new GAFP strategic

42 Plan. The new plan is scheduled to be released in 2021.

c. Partner Promoted CME In support of external educational offerings, GAFP distributed access information to the membership on the GAPQC Health Equity and Implicit Bias Learning Series and AAFP’s instructions for Submitting ABFM COVID-19 Self-Directed PI Activity.

d. AAFP Support Staff reminded the committee of the online pandemic support offered by the American Academy of Family Physicians (AAFP). AAFP hosts a virtual town hall meeting every Wednesday at 7:00pm. Active members may access free CME offerings via the AAFP website at https://www.aafp.org/cme/browse/free.html.

e. MAG LDCT Lung Cancer Screenings The committee reviewed a memo from the Medical Association of Georgia (MAG) appealing to medical societies to encourage its members to remain educated about the latest information related to lung cancer screening, including the shared decision- making process, patient identification, and the criteria for quality in LDCT lung cancer screening. VI. Adjourn A motion was put forth and approved to adjourn the meeting at 10:02 am.

43 COMMITTEE ON FINANCE MINUTES - DRAFT Saturday, August 1, 2020 10:50 am – 12:20 pm Callaway Gardens – Loblolly A Pine Mountain, GA

Committee Members Present: Vice Chair John Vu, Drs. Brian Pratt and Dr. Beverley Ann Townsend Committee Member Absent: Dr. Sharon Rabinovitz, Justin Juan (student) and Yasir Anzar (student) GAFP Members (Guests): Brian Muia – Jones & Kolb, Dr. Tom Fausett, and Dr. Jeff Stone GAFP Staff: Angela Flanigan and Fay Fulton

I. Welcome Committee Chair, Dr. John Vu welcomed everyone to the meeting and called the meeting to order. Introductions were made.

II. Review and Approval of June 16, 2020 Draft Minutes Dr. Vu asked the Committee to review the June 16th minutes and asked for a motion to approve. The minutes were approved.

III. 2019 Audit Review Brian Muia, auditor from Jones and Kolb accounting firm joined the group to review and discuss the GAFP and GHFA 990s and 2019 audit reports. The group reviewed the independent audit, and Mr. Muia noted that we have a clean audit. He discussed the findings from their audit noting that there were minimal adjustments because staff was in communication with his team throughout the year regarding questions and areas where they needed clarification. He also noted that even though the audit mainly took place virtually, the audit standards were not relaxed and our financials were reviewed with the same scrutiny as previous years.

Overall, operationally, the GAFP had a positive year. He noted that our net assets increased due to our investment gains and income. He also noted that the GAFP had adopted some of the new revenue recognition rules early and there was minimal impact on our organization.

He gave a brief explanation and comparison of the audit report and noted that we have had positive asset trends over the past few years.

The group then looked at the 990 tax return and Mr. Muia noted that 2019’s return was consistent with the previous year’s return. He also explained to the group that there are changes coming to Form 990 where it will be an eFile requirement. He noted that it may take some time for the IRS to roll out this new change, but he wanted to make the group aware of it.

He went on to share that GHFA also received a clean opinion from the auditors. He noted that the auditors reviewed several items related to GHFA including pledge receivables and other programming related items. He explained that GHFA was in good shape for the year in terms of the amount of non-GAFP support it received in 2019. This was important as it helped to ensure that GHFA wasn’t looked at as a private foundation for the GAFP by having large donations coming from the organization.

44 The Executive Vice President raised a point, noting that GAFP and GHFA have funds in a local community bank that afforded the organizations the opportunity to apply for a payroll protection loan from the federal government in response to the COVID-19 pandemic for GHFA. She went on to explain that both GAFP and GHFA have FDIC- insured funds in the bank and are tied to Sweep accounts, which remove the funds each night from the main account to protect them in case of bank closure, and return the funds each morning. This process protects our funds each day.

The group went into an executive session and staff left the meeting while the Committee continued discussions with Mr. Muia.

Staff returned to the meeting and the group thanked Mr. Muia for completing the audit and being available to answer questions. The Committee voted to accept the 2019 audit and 990 and recommended approval to the Board.

IV. Review of 2nd Quarter 2020 Financials The Committee reviewed and discussed the 2020 second quarter financials, and a motion was made to present the financials to the Board.

The Executive Vice President reported to the group that the Executive Committee voted to approve a re-forecasted Summer CME Meeting budget due to the rescheduling of the meeting to a virtual meeting. It was also noted that the organization has invested in more robust virtual platforms due to the number meetings that will happen virtually.

V. AAFP Pooled Investment Report The group reviewed the monthly pooled investment report from AAFP. It was noted that our investment policy mimics the AAFP’s investment policy, which mandates that less than .75% of our investments be allocated to mutual funds that have tobacco related funds within their mix.

VI. Membership Report The Committee reviewed and compared membership report from June 2019 to June 2020. Staff noted that the numbers were pulled prior to the July 2020 drop date. It was noted that at the time of the report, the GAFP had approximately 300 members at risk of being dropped and the number went down to 175. There were several members who were able to either pay their dues or make payment arrangements.

The group also reviewed the state by state comparison report. It was noted that by offering the installment plan is seen as a value-add to our members.

The group also discussed the AAFP’s proposed dues increase for 2021. It was noted that after letters from AAFP chapters discouraging the move, the AAFP has decided to postpone any dues increases.

VII. 401k Survey and Next Steps Dr. Jeff Stone gave a brief update on the group 401k. He noted that the project is on hold due to the pandemic, but the Executive Committee would keep the task force updated on next steps.

VIII. New Business There was no new business to discuss and the meeting was adjourned.

Georgia Healthy Family Alliance Board Meeting Saturday, August 1, 2020 Callaway Gardens Lodge & Spa ~ Pine Mountain, GA

Meeting called by: Patrick “PJ” Lynn, MD- President Time: 8:30 a.m. – 10:30 a.m. Trustees Present: Eddie Richardson Jr., MD – Vice President Mitzi Rubin, MD – Treasurer Mike Busman, MD Loy “Chip” Cowart, MD Evelyn Lewis & Clark, MD Ambar Kulshreshtha, MD Priya Shah, MD Alliance Staff: Fay Fulton, Kara Sinkule, Daniel Thompson, Alesa McArthur (consultant) Guests: GAFP President Jeff Stone, MD, Donald Fordham, MD Marti Barrow- Pride Philanthropy

Welcome and Introductions Dr. Lynn welcomed those in attendance (both by phone and in person) including guests GAFP President Dr. Jeff Stone, Dr. Donald Fordham, and Marti Barrow of Pride Philanthropy. Dr. Lynn also shared the good news that the Immediate Needs Grants program was named AAFP Foundation Outstanding Foundation Program of the Year for 2020!

1. Alliance Staff Update Ms. Fulton updated the Board on the vacant Director of Philanthropy position following the departure of Shan Hayes in June. Until the position is filled, GAFP bookkeeper and former staffer, Alesa McArthur, will provide staff support for the Rome Strike Force as a consultant in order to finalize fundraising in Rome.

2. Review and Approve February 29, 2020 Alliance Minutes Trustees reviewed the February 29, 2020 Alliance Board meeting minutes. A motion was made to approve the minutes as presented. Motion was approved.

3. GHFA Executive Committee Interim Approvals Ms. Fulton reviewed the GHFA Executive Committee interim approvals to pause the second cycle of the 2020 Community Health Grants and redirect up to $40,000 to support Immediate Needs Grants to fund urgent community needs caused by the COVID-19 crisis.

4. Review Alliance 2nd Quarter 2020 Financials Dr. Rubin reviewed the 2nd quarter 2020 financials including total revenue, income and liabilities to date relaying the Alliance is in great financial shape despite the current pandemic negatively impacting so many 46 non-profits. Ms. Fulton also reviewed GHFA’s long term reserves balance and explained that Brian Muia with Jones Kolb is set to review final details of the GHFA audit for the Finance Committee which Dr. Lynn will be attending. A motion was made to approve the financials as presented. Motion was approved. A motion was also made to reforecast the Community Health Grants budget to $105,000 due to the addition of the Immediate Needs Grant program in March. Motion was approved.

Action: Staff will reforecast the Community Health Grants budget line item to $105,000 due to the addition of the Immediate Needs Grant program launched in March.

5. Board Governance Ms. Fulton reviewed the 2021 GHFA board vacancies relaying that there will be one Trustee vacancy for a four-year term to be voted by the GAFP Board and one Resident Trustee for a two-year term that is voted on by GHFA Trustees in December. Staff will publish a new member outreach in the GAFP Newsletter and will also directly contact GHFA donors, grant recipients and scoring committee members to gauge their interest in serving. Ms. Fulton also reviewed the process for electing Alliance officers and eligible Trustees for the 2021 Executive Committee. Staff announced that Dr. Evelyn Lewis & Clark has agreed to serve as the GHFA Nominating Committee Chair and staff will coordinate communication and outreach efforts to GHFA Trustees seeking 2021 officer nominations in September.

Action: Staff will coordinate nominating committee communication and outreach to GHFA Trustees seeking 2021 officer nominations. The GHFA nominating committee will then review the nominations and present a slate to the full board in November. Staff will also outreach to potential new members via the GAFP Newsletter and contact GHFA donors, grant recipients and scoring committee members directly to gauge their interest in serving as GHFA Trustees in 2021.

6. Tar Wars Update Ms. Sinkule shared that prior to the COVID-19 outbreak Tar Wars was off to another record-breaking start to the year. Tar Wars Coordinator Deanna Kauten had already relayed the dangers of vaping to hundreds of Henry County teens and parents, Dawson County elementary schools, Gwinnett County School Nurses and Athens students before schools closed in March in response to the COVID-19 crisis. Across the board school closures resulted in the cancellation of dozens of previously scheduled Tar Wars classroom presentations. In addition, staff relayed the Georgia School Nurse Association annual meeting on Jekyll Island scheduled for June 9-11th was also cancelled.

In an effort to continue our progress spreading the Tar Wars tobacco and vape free message and to recruit additional presenters for the upcoming school year, Tar Wars staff conducted Tar Wars webinar trainings for school nurses and other interested parties online over the summer. The presentation detailed how vaping can increase the risk of serious complications with COVID-19 and how the program can be tailored for specific age groups. Staff plans to conduct another webinar for school nurses and other interested parties in early September. Staff also relayed that in the event of delayed school openings this Fall due to the Coronavirus, Tar Wars programming will proceed online until schools reopen. Staff also advised Trustees that professional grant writer, Sara Hernandez Evans is continuing to pursue Tar Wars funding opportunities with a focus on both Strike Force communities and the state at large.

Action: Staff will continue to develop and present Tar Wars trainings and programming for youth in an online/virtual platform. Staff will also continue to partner with Georgia school nurses to increase the overall pool of potential presenters across the state and pursue outside grant funding opportunities.

7. Your Giving is Great Medicine Capital Campaign Update Mr. Thompson provided the GAFP leadership in attendance an update on the Your Giving is Great Medicine Capital Campaign progress relaying that more than $1.9 million has been raised to date and that GHFA is less than $60,000 away from the $2 million mark. Mr. Thompson and Ms. McArthur also 47 updated the Board on the Gainesville and Rome Strike Force initiatives including plans to wrap up fundraising by early Fall. Staff detailed the timeline for the Southeast Georgia Strike Force project beginning with the kickoff event in Savannah on September 23rd. Ms. Fulton shared that Dr. Chip Cowart has agreed to serve as Chair of the Southeast Georgia Strike Force and that Dr. Bonzo Reddick will serve as Vice Chair. Pride Philanthropy Consultant Marti Barrow stressed the importance of Trustees helping staff set up in-person meetings with both individuals and businesses during this phase of the capital campaign as larger gifts supporting the three Strike Force initiatives are being sought.

A question was asked about how many GAFP members have donated to the Alliance and staff advised that $5 of every dues renewal goes to the Alliance resulting in 100% of members donating to GHFA. However, staff explained the number of capital campaign donors with a pledge on file is a smaller overall number of donors.

Ms. Fulton shared with the Trustees Pride Philanthropy’s suggestion to request the GAFP pay administrative costs including salaries and benefits for GHFA employees as that is a common practice for foundations. Ms. Fulton outlined a Long-Term Reserves request to the GAFP for $1 million as they currently have $3.4 million in reserves. GAFP Board members present indicated a willingness to review such a request in light of what GHFA has accomplished with previous funding from the GAFP. Ms. Fulton also provided feedback from GHFA Auditor Brian Muia indicating the GAFP could pledge up to $1 million to GHFA and still remain above the public support threshold of 33.3%. Staff will develop a request memo for the GHFA Executive Committee to approve and present to the GAFP Executive Committee in September.

Staff also updated the Board on several outside grants GHFA has received including one from the AAFP FMPC grant program for the Community Health Grants as well as one from Pfizer in support of the Immediate Needs Grants and another from the AEC Cofrin Family Trust in support of Tar Wars initiatives statewide. Staff also reported that GHFA plans to hold a “Thankathon” at the GAFP November meeting inviting Trustees to thank GHFA donors for their support. Details are to be determined due to Covid-19 and will be relayed via email in October.

Action: Staff will develop a request memo for the GHFA Executive Committee to approve and present to the GAFP Executive Committee in September. Staff will also provide details of the “Thankathon” in the weeks leading up to the GHFA November Board meeting. Strike Force fundraising efforts are ongoing.

8. 2020 Third Cycle Community Health Grants Staff reviewed the 35 Immediate Needs Grants awarded across Georgia to date sharing the heart felt thank you notes staff has received from grant recipients. Staff also thanked the GHFA Scoring Committee members for their service and relayed that there were five third cycle grant applications for the final grant cycle of 2020. All five applications earned scores of 85 or higher out of a possible 100. Discussion ensued on awarding the maximum amount allowable to one applicant that requested below $5,000. A motion was made to fund all five applications for the maximum award amount of $5,000 each. Motion was approved.

Third cycle 2020 community health grants were awarded to: 1. DEO Clinic “Telemedicine and Coaching Calls to overcome COVID Concerns While Monitoring Chronic Health Conditions” Dalton $5,000 Sponsor: Raymond Bedgood, MD

2. Adult Disability Medical Home “Get Fit & Be Healthy Cookbook and Health Guide” $5,000 Sponsor: Andrea Videlefsky, MD

3. Philadelphia College of Medicine-GA “Drive Thru Flu Clinic” $5,000 Sponsor: Andrew Morrisey, Medical Student

48 4. “Warrior Centric Health Foundation & Veteran Medical Neighborhood Joining Forces to Mitigate Impact of Social Determinants of Health” $5,000 Sponsor: Loretta Hicks, MD

5. Mercy Health “Flu Prevention & Treatment Project” $5,000 Sponsor: Mitch Cook, MD

In addition, staff updated Trustees on the progress of previously funded 2020 Community Health Grants by reviewing interim and final grant reports submitted since the March Board meeting.

Action: Staff will notify third cycle 2020 grant recipients, prepare Letters of Agreement (LOA) and complete check requests for third cycle 2020 grant projects.

Next GHFA Meeting: GAFP Scientific Assembly Friday, November 13th, 2:30-4:30 p.m. – The Avalon

A motion was made to adjourn. It was moved and approved.

49 DRAFT Legislative Committee Meeting Minutes Saturday, August 1, 2020 2:20 pm – Via Conference Call and In-Person Callaway Gardens, Pine Mountain, Georgia

Members Present: Legislative Chair Bruce LeClair MD, and Drs. Mitch Cook, Chip Cowart (Vice Chair), Casey Henritz, Samuel Le Church, Mitzi Rubin, Willian “Donny” Nash, and Jeff Stone.

GAFP Guest Present: Susana Alfonso, MD

Staff Present: Fay Fulton and Legislative Consultant Chuck McMullen.

I. Welcome and Introductions Legislative Chair Bruce LeClair, MD welcomed all to the meeting and introductions were made.

II. Action: Review of May 20, 2020 Minutes After review and a brief discussion, it was moved and approved to accept the February 29th minutes as presented.

III. 2020 Legislative Session Update Chuck McMullen and Fay Fulton updated the Committee on the activities of the Georgia General Session prior to the suspension of the session in mid-March due to the Coronavirus pandemic. It was noted that all progress on the budget, which had passed over from the State House to the Senate, is being reworked closely working with the Governor’s office. The Governor has asked all state agencies to offer additional 14 percent cuts. The Medicaid budget will utilize the enhanced federal support (FMAP) to offset any cuts to services, eligibility, or payments.

The Georgia Academy is working with multiple physician and advocacy groups to push an increase in the tobacco tax to offset some of the looming cuts. Multiple media outlets have picked up this initiative although both the Governor and the Speaker have publicly commented that they were against any new taxes to dig out of the current state deficit.

The Academy had also signed on to a letter with the Medical Association of Georgia encouraging Medicaid to offer up an accelerated payment to physicians, much like Medicare had already done which had helped with the decrease of patients over the last several months.

The Georgia Academy was also pivotal in working with the Governor’s office to encourage the enactment of an Executive Order to cover physicians and their office staff to offer liability coverage due to CVID-19. There will be legislation, when the legislature resumes, to codify these liability exemptions into state law.

Additional wins for family physicians included the following: o Expanding Medicaid insurance for post-partum women for six weeks to six months o Increase in evaluation and management codes by one percent o Codifying tobacco sales from 18 years of age to 21 (in line with federal law); and

50 o Regulating vaping products and including a small vaping tax on these products

While it was acknowledged that it was a difficult year, the Georgia Academy continued to advance key priorities and initiatives to help our patients and support family medicine.

IV. Family Medicine Legislative Champion There were many legislators who stepped up to support GAFP’s key priorities. However, two legislators were relentless in supporting vaping and anti-tobacco legislation that will shield our children from these products – Senator Jeff Mullis and Representative Bonnie Rich.

After discussion, the Legislative Committee voted to nominate to the Board of Directors State Representative Bonnie Rich (District 97 – Suwanee) as the Georgia Academy’s 2020 Legislative Champion of the Year. Senator Jeff Mullis, in only his 10th two-year term as state senator representing the 53rd district, is proving to be one of Georgia’s most important political leaders. Senator Mullis serves as the Chairman of the powerful Senate Rules Committee and is a member of the Senate Appropriations, Economic Development and Tourism, and Regulated Industries and Utilities Committees. Senator Mullis also chairs the Senate Music Committee and the Halls of Fame Joint Committee and was appointed by Governor Deal to the Georgia Film, Music and Digital Entertainment Advisory Commission.

51 Staff noted that every two years, a survey is sent to the membership that lists a variety of key state issues, to ascertain the most urgent issues that the leadership should focus on at the State Capitol. The last survey was reviewed, and several items can now be removed from the ongoing list of potential priorities. Other issues that were mentioned were: payment of CCM codes by Medicaid, continuation of payment for telemedicine services, and support of graduate medical education. Staff will update the survey and send it around for one last review before launching this fall.

VI. Chuck McMullen Client List Mr. McMullen was asked to leave the call so that the Legislative Committee reviewed his current list of clients to discuss potential conflicts of interest. After a brief discussion, Mr. Mullen was asked to rejoin the call.

VII. Appreciation Legislative Chair Dr. Bruce LeClair thanked staff and the committee for their hard work and also noted that a letter of appreciation had been sent to the State Legislative Working Group.

VIII. Adjournment There being no further business, it was moved and approved to adjourn the meeting at 3:45 pm.

52 Committee on Membership Draft Minutes

Saturday, August 1, 2020 Callaway Gardens Pine Mountain, GA 9:00 AM – 10:30 AM

Committee members present: Chair Ellie Daniels, MD; Vice Chair Folashade Omole, MD; and Beulette Hooks, MD

Committee Members Absent: Margaret Williamson, MD

Guests: Carl McCurdy, MD – Executive Committee liaison

Staff Present: Angela Flanigan

I. Welcome and call to order Dr. Ellie Daniels called the meeting to order at 9:10am.

II. Review and approval of May 19, 2020 Draft Minutes The committee reviewed and approved the meeting minutes from the May 19th meeting.

III. Annual review of Inactive and Life Eligible Members The Committee reviewed the annual report received from the AAFP which consists of members who have requested additional time for their Inactive member status, and those who are eligible for Life membership. Staff noted that there was outreach to the Life-eligible members to find out if they wanted to continue as Active members or convert to Life membership for the 2021 dues cycle. The Committee discussed the eligibility requirements and agreed that the AAFP process continues to be efficient.

The Committee also discussed the Inactive status requests and staff noted to the committee that the GAFP’s policy is to only allow one-year of inactive status unless the member asked for special consideration.

IV. GAFP Membership Report vs Other States The Committee reviewed and compared membership reports from the May meeting with current membership reports from AAFP after the July drop date. The reports showed a difference in the membership mix and the membership renewal totals since COVID-19. The Committee noted that this year has been difficult in terms of renewals because of the pandemic and asked staff to continue to monitor the reports from AAFP to note if our membership totals increase later in the year and moving into 2021.

V. Social Media Presence The Committee discussed ways to get students and residents more involved in the Academy, including increasing our social media presence. Staff noted that the Academy has an active Twitter account and the Facebook was run by the students and residents, but there had not been much activity as of late. The Committee asked if the Academy had an active Instagram account since this seems to be a more prominent program for younger members. Staff agreed to discuss the option with staff.

The group also discussed possibly forming a Social Media Subcommittee in 2021, in an effort to engage younger members.

VI. Medical Association of Georgia Awards Update Staff explained to the group that the GAFP put forth two applications MAG awards this year. The GAFP supported and nominated Dr. Loy “Chip” Cowart for the MAG Humanitarian Award, and Dr. Beverley Ann Townsend for the MAG Community Service Award. It was noted that the winners would be announced in

53 August and MAG would determine how the recipients would be acknowledged since their House of Delegates meeting would now be virtual.

VII. New Business Seeing no new business, the meeting adjourned at 9:50am.

54 DRAFT GAFP PAC BOARD MINUTES SATURDAY, AUGUST 1, 2020 - 12:40 – 2:10 pm Callaway Gardens and Virtually

PAC Board Members present Donald Fordham, MD, Chair and Drs. Monica Newton (Vice Chair), Beulette Hooks (Board Designee), Dan Singleton (Member-at-Large), Jeff Stone (President), Carl McCurdy (Speaker), Tom Fausett, (President Elect, ex-officio), Chip Cowart (ex-officio).

Staff: Fay Fulton and Legislative Consultant Chuck McMullen

I. Welcome and Introductions PAC Board Chair, Donald Fordham, MD, welcomed all to the meeting and introductions were made.

II. Review of PAC May 21 Minutes After review and discussion of the May 21, 2020 minutes, it was moved to approve the minutes as presented. The motion was approved. In the interim from the May meeting, the PAC Board approved a $1,000 PAC donation to State Senator Jeff Mullis.

III. Georgia Politics and Upcoming Elections Legislative consultant, Chuck McMullen, gave the Board an update on the upcoming August 11th run-off that includes a run-off in the Republican primary for State Senate District 4 between Billy Hickman and GAFP member, Dr. Scott Bohlke. It was noted that many moderate Republicans that are in the Metro Atlanta area are expected to be vulnerable with this upcoming election in Georgia. It was noted that Georgia is a key state for both the Presidential election, two Senate seats up for election, and all members of the Georgia General Assembly.

IV. PAC Financials As of mid-July, there is $26,000 in the bank and $3,000 committed in PAC donations. To date, 30 GAFP members have donated $10,485 in 2020 to support the PAC. After review, it was agreed to accept the PAC financials as presented.

V. Independent Expenditure Request from Medical Association of Georgia The Medical Association of Georgia asked county medical and specialty society associations to consider donating to their independent expenditure account, Physicians for Better Health. Currently, this IE account supports physicians running for state office by assisting in mailers, phone banking and other ways to support candidates. After discussion, it was decided to not donate to this activity during this election cycle.

VI. Potential PAC Donations The current list of pending PAC donations was reviewed. After discussion, the PAC moved to amend their prior donations to withdraw their donations to Representatives Karen Bennett and Ginny Ehrhart. It was also moved to increase Representative Cooper’s donation from $500 to $750 and to reduce Representative Alan Powell’s donation to $250. The other donations will be given out this fall.

Additional donations that were approved by vote of the PAC Board include the following: State Representative Chuck Efstration - $1,000 State Representative Houston Gaines - $500

55 State Representative Gerald Greene - $500 State Representative Don Parson - $500 State Representative Chuck Martin - $500 State Representative Bonnie Rich - $1,000 State Representative Deborah Silcox - $1,000 State Representative Ron Stephens - $1,000

VII. Open Seat – Questionnaire – State Senate District 48 The PAC Board reviewed the two candidate questionnaires for the open seat, Senate District 48. Dr. Michelle Au (anesthesiologist) and Matt Reeves (businessman) both completed their questionnaire and provided information for their positions on certain health policy issues. After review and discussion, it was moved and approved to support Dr. Michelle Au with a $500 donation from the PAC Board.

VIII. Upcoming Event Staff will work with Mr. McMullen and AAFP staff to hold a PAC Donor Only webinar to provide updated information prior to the election.

IX. Adjournment With no further business, it was moved and approved to adjourn the meeting.

56 Practice Management Committee Meeting

August 1, 2020 | 12:35 pm

Callaway Gardens Resorts, Pine Mountain, GA

DRAFT MINUTES

Attendees:

The following committee members participated in the August 1, 2020 Practice Management Committee meeting:

Virtual Attendees: Michael Satchell, MD – Chair, Collyn Steele, MD,- Vice Chair, Chivon Stubbs, MD, Nikiruka Udejiofor, MD, Shameka Hunt McElhaney, MD, Jordi Gaton, Samuel Le Church, MD – Executive Committee Liaison, and Felicia Kenan - Staff

In-Person Attendees: Claire Visitacion, MD

Guests: Catherine James-Peters, MD, Avril Campbell, MD, Cedrice Davis, MD (virtually)

Absent: Jairaj Goberdhan, MD, Harley Hendrix, MD,

I. Call to Order Practice Management Committee Vice Chair, Collyn Steele, MD called the meeting to order at 12:45 pm. Attendees shared stories of the strangest thing they’ve done within their practices in response to the COVID-19 pandemic.

II. Administration of Practice Management Committee – Approval of Minutes A motion was put forth and approved to accept the May 26, 2020 minutes as presented.

III. Business of Family Medicine Education A. GAFP Newsletter Articles (published or pending) The committee reviewed the submission of committee suggested newsletter articles printed in member communications.

GAFP Newsletter Articles • The 2020 Medicare Documentation, Coding, and Payment Update (published May 2020) • Improving the Waiting Room Experience (published July 2020) • Social Media for Doctors: Taking Professional and Patient Engagement to the Next Level (published July 2020) • Physician Well-Being: Prioritizing Your Own Health Through a Personal Health Improvement Plan (pending August 2020)

B. FPM Newsletter Articles Dr. Collyn Steele highlighted interesting takeaways from the most recently published

57 Family Practice Management (FPM) articles and will submit recommendations to staff of which articles should be reprinted in GAFP member communications.

Several articles in FPM collection centered around telemedicine. Attendees shared their varied experiences in using telemedicine with their patients. More success stories of using telemedicine should be shared with colleagues and peers to reduce the fears of incorporating telemedicine into family medicine practices.

Discussions may be needed with insurance companies to determine how they can better assist physicians with their performance metrics when it comes to documenting cases of home colon tests by patients.

C. Fall Annual Meeting Update – Business Solutions Track The 2020 Fall conference will now become a hybrid meeting. One Hundred Eighty active and life member physicians will be allowed on-site at the Hotel at Avalon while up to an additional 500 attendees may participate virtually. The conference will only host one general session during the two-day conference. Two lectures will be offered in lieu of the business solutions track lecture. The coding workshop will be facilitated virtually by Steven Adams, CPC, PCS, CPC-H, FCS and a financial planning lecture will be presented onsite by Robert N. Nix, CFP, CHFC, AIF.

D. Thrive 2020-Atlanta Metro Cohort Staff reported the Atlanta Metro Thrive workshop was held virtually on July 16th. There were five practices in participation, with one being an employed physician practice.

IV. Administrative Simplification/Burden Prior Insurance Issues A. Medicaid Accelerated Payment Update The U.S. Department of Health and Human Services extended the deadline for qualifying Medicaid and CHIP providers to apply for the Provider Relief Fund to August 3, 2020. The new deadline to submit applications for payroll protection funding is August 8, 2020.

B. GAFP COVID-19 Practice Support The committee was asked to identify any educational offerings, member support or legislative initiatives the GAFP leadership should consider offering as member benefits. Members were encouraged to submit recommendation to staff.

C. AAFP COVID-19 Practice Support The AAFP’s COVID-19 site contains resources on topics ranging from practice management to clinical guidance to financial relief. Resources may be found on the AAFP website at https://www.aafp.org/covid19.

58 V. Other Topics/New Business A. Alcohol Abuse & Depression Screening Update The Centers for Medicare & Medicaid Services, CMS provided guidance on proper billing for alcohol abuse and drug screening. According to CMS there is no additional members having this issue of insurance companies in Georgia bundling code G0444 (Annual depression screening; 15 minutes) with G0442 (Annual alcohol misuse screening, 15 minutes) or other services (e.g. office visits) and thus denying separate payment for code G0444 in those circumstances. CMS agreed that G0444 is a separate service and should be paid accordingly.

The 2021 E&M codes will provide physicians some relief regarding documentation and meeting the needs of level 4 visits. It will allow physicians to do E&M coding through telemedicine. There will also be a rate increase included in the new update as the RVUs are increasing for office visit codes. CMS is also proposing a primary care add-on that will add an additional ten percent for primary care and cognitive specialists.

AAFP is also working to identify which telemedicine rules established in response to the pandemic will be made permanent.

Committee members were encouraged to submit ideas to Family Practice Management (FPM) blogs where they could receive monetary compensation for submissions.

B. MIG Update The Independent Solo/Small Group Practice Member Interest Group needs strong leadership and participation. Dr. Catherine James-Peters will work with AAFP staff, Tracey Allen-Ehrhart, and Fay Fulton, GAFP EVP to develop a marketing plan encouraging member participation. Committee members were encouraged to join and actively participate in the member interest group. Current topics of the discussion within the group are pay cuts for employed physicians, PPP, retirement benefits, and racism/sexism.

Nominations to serve as a MIG officer will be accepted through September 11. Committee members were provided nomination information and encouraged to serve.

C. Family Physicians and Employer Coalitions Partner to Address Sustainability and Effectiveness of Primary Care to Improve Health and Wellbeing of All Americans The American Academy of Family Physicians (AAFP) and National Alliance of Healthcare Purchaser Coalitions (National Alliance), two national organizations representing family physicians and employers, are collaborating to change how care is paid for and delivered to ensure comprehensive, continuous and coordinated advanced primary care for the more than 150 million Americans with employer-sponsored insurance. Through this partnership, a roadmap will be developed that will set the standard for how purchasers and physicians can work together to deliver meaningful and measurable

59 improvements in how care is paid for and delivered.

VI. Adjourn A motion was put forth and approved to adjourn the meeting at 1:55 pm.

60 Public Health Committee DRAFT Minutes SATURDAY, AUGUST 1st, 10:45 – 12:15 PM CALLAWAY GARDENS ROOM: BAYBERRY 1-2 And Via Zoom PINE MOUNTAIN, GA

Committee Members Present: Alida Gertz, MD; Lisa Griggs, MD; Keroles Isac (student); Leticia Cardoso do Nascimento (student); Kirat Sandhu (student); Avril Campbell-Sims, MD; Dan Singleton, MD (Chair); Altelisha Taylor, MD (resident); Angeline Ti, MD (Vice-chair) Committee members Absent: Jose Villalon- Gomez, MD; Avantika Varma, MD GAFP Guests: Sherma Peters, MD DPH Guest: Sharifa Peart, MPH, MCH Program Director, GA Department of Public Health GAFP Executive Liaison: Susana Alfonso, MD and Jeff Stone, MD GAFP Staff: Tenesha Wallace Hood, MA

 Call to order and introductions Committee Chair, Dr. Dan Singleton, welcomed everyone to the meeting and called the meeting to order. Introductions were made all around.

 Review of the May/June 2020 Draft Minutes Committee members reviewed and approved the May/June draft committee minutes.

 2020-2021 Maternal Child Health Updates, Sharifa Peart, MPH Ms. Sharifa gave an overview of the Maternal Child Health (MCH) goals for GAFP’s 2020 – 2021 public health contract. The following information was shared: FY21 MCH Contract Updates: GOAL: To provide ongoing communication with GAFP members on MCH priorities and initiatives.

- Fall Conference Exhibitor - GAFP Website Updates GOAL: To inform and engage GAFP members on the Department’s Early Childhood Programs and Initiatives.

- Complete annual assessment to identify GAFP membership knowledge and use of the Department’s early identification and referral system - Training facilitation at (2) two GAFP Committee Conclaves - One (1) Family Medicine Residency Lecture - Three (3) Chapter Newsletter Articles

61 GOAL: To inform and engage GAFP members on the Department’s Programs and Initiatives impacting children and youth with special health care needs and their families (CYSHCN).

- Lecture presentations at the Fall and Summer conferences - Three (3) Family Medicine Residency Lectures - Two (2) Educational Webinars - Annual Assessment to identify knowledge on CYSHCN relevant topic - Three (3) annual member updates on CYSHCN relevant topics GOAL: To inform and engage GAFP members on the Department’s efforts to improve access to dental care for the MCH population.

- Two (2) Family Medicine Residency Lectures - One (1) Chapter Newsletter Article GOAL: To inform and engage GAFP members on the Department’s Programs and Initiatives to prevent maternal mortality.

- Lecture presentations at the Fall and Summer conferences - Three (3) Family Medicine Residency Lectures - One (1) Chapter Newsletter Article In conclusion, Sharifa stated that due to travel restrictions and statewide budget cuts GA DPH will not exhibit at the 2021 GAFP summer meeting moving forward. The GA DPH expect once funding is restored; they hope to be able to add the outreach event back to the GAFP contract. Also, the Sexual Transmitted Infections (STIs) lecture will no longer be offered at the GAFP annual meeting. The DPH agreed to work with us to secure outside funding to support this critical lecture topic. Staff and the committee thanked DPH for their ongoing partnership.

 2020 Public Health Award Nomination Staff provided the committee with updated information on the status of the public health nominee and asked the committee to submit a colleague for this award. Staff plans to follow- up with the GAFP leadership for suggestions and notify the committee through email on the results.

 What GAFP Can Do Regarding Institutional Racism The committee discussed what the Georgia Academy of Family Physicians can do to addressed institutionalized racism and the following recommendations were proposed: Recommendation: The Public Health Committee recommends to the Education and Research Committee for a health equity lecture and/or track to be included in each CME offering of GAFP. The public health committee would like to partner with the education committee on this effort. The Public Health Committee believes having a distinct health equity track at GAFP meetings will offer our membership education, training, and support on this topic. The GAFP was 1 out of 5 state chapters to partner with an receive the AAFP Health Equity grant in

62 2019-2020 and maintains and active partnership and contract with the Georgia Department of Health – Maternal and Child Health department which can provide additional assistance. Recommendation: The Public Health Committee recommends to the Congress of Delegates (COD) that GAFP board members review the implicit bias training using the AAFP EveryONE Project Implicit Bias Training Guide (https://www.aafp.org/dam/AAFP/documents/patient_care/restricted/implicit-bias- training-participant-guide.pdf) prior to assuming their leadership positions. The Public Health Committee discussed the need for GAFP board members to participate in the implicit bias training using the AAFP EveryONE Project implicit bias resource. Health equity is a priority of AAFP to reduce health disparities and inequities, and AAFP has extensive educational resources that can support implicit bias training for GAFP leaders. Staff will prepare both memos and share them with the GAFP leadership team for additional information and guidance. Staff will keep the committee updated throughout the process.

 GaPQC Advisory Council Update Dr. Zita Magloire is the GAFP liaison to the Georgia Perinatal Quality Collaborative (GaPQC) work group. Dr. Magloire is currently out on maternity leave and will provide a written update upon her return. The GAFP staff will provide an update from the remainder meetings. Also, staff shared that the GAFP sent a card to Dr. Magloire on behalf of the GAFP staff and members.

 GaPQC Health Equity Learning Series The committee reviewed the upcoming Health Equity an Implicit Bias Learning series by Georgia Perinatal Quality Collaborative (GaPQC). Staff encourage committee and member participation and shared that registration details may be found in the forthcoming August Briefly Stated newsletter. August 11, 2020 from 2-3pm

- Addressing COVID-19 Racial Disparities and Solutions for Healthcare Workers October 6, 2020 from 2-3pm

- Black Mothers Voices Driving Respectful Maternity Care

 Public Health State Contract Updates Staff discussed updates related to the DPH contract. The following information was shared:

a) May and June Programmatic Report b) 2020-2021 DPH Contract: Pending c) Newsletters: Adolescent Health Matters by Janine Driver and Quondalynn Rainey; Oral-Medical Systemic Connection: Benefits of a Coordinated Provider Team Approach by Adam Barefoot DMD, MPH d) Newborn Screening Update: Early Hearing Detection and Intervention - COVID-19 Update

63 e) Transition Update: Updated Six Core Elements of Health Care Transition™ and Revamped Got Transition Website f) 2020 Annual Meeting Lectures - Health Care Transition - Public Health Award - TBD - Women’s Health g) 2019-2020 Residency Grand Round Lecture Survey Results - 9 grand round lectures complete - Topics Included: Maternal Mortality in Georgia, Oral Health, Development Screening and Newborn Screening h) 2020 Public Health Webinars online at www.gafp.org/education/webinars/ - Patient Privacy Considerations in Family Practice – July 11, 12:00 pm - Sexually Transmitted Infections in Southern Adolescents – July 9th at 12:00 pm

 Thank you for Committee Service This was the final committee meeting of the year, committee members were thanked for their service and asked to consider serving again in 2020.

 Adjournment There being no further business, it was moved and approved to adjourn the meeting.

64 Student and Resident Recruitment Committee DRAFT Meeting Minutes

Saturday, August 1st At 2:25 – 3:55 Pm Callaway Gardens Room: Loblolly C-D Pine Mountain, GA Via Zoom

Committee Members Present: Julie Dahl-Smith, DO (chair); Kevin Johnson, MD (vice- chair); Elise Abken (student); Jody Bahnmiller-Brasil, MD; Natalie Britt, MD; Rahim Fazal (student); Olunafunmilola "Lola" Harike, MD (resident); Emily Herndon, MD; Rebecca Kim, MD (resident); Dominique Munroe (student); Ashley Peterson, DO (resident); Lindsey Wells (student)

Committee Members Absent: Bernadette Baker, MD (resident); Pamela Obi, MD; Jonathan Wade, MD

GAFP Guest: Grace Saxon (student) and Sydney Koenig (student) and Harry Strothers, MD

Executive Committee Liaison: Tom Fausett, MD – President Elect

GAFP Staff: Tenesha Wallace

I. Called to Order Julie Dahl-Smith, DO, Chair, called the meeting to order. Welcome and introductions were made.

II. Review of the May/June 2020 Minutes The May/June minutes were reviewed and approved as presented.

III. Update: 2020 AAFP National Conference Review The committee evaluated the recent virtual AAFP National Conference for residents and students. The students, residents, and program directors felt that the platform was not easy- to-use and was difficult to navigate. Staff will share that feedback with the AAFP Exhibit Block Manager. Overall, the Georgia block looked unified compared to other states.

The GAFP provided continuous support to residency programs by offering an online webinar training as well as a question and answer session for programs to ask questions about the new AAFP Virtual National Conference format. A total of 70 active medical students and residents from around the state of Georgia participated in the virtual conference along with the following Georgia state residency programs:

• WellStar Atlanta Medical Center FMRP • Columbus Family Medicine Residency Program • Floyd Family Medicine Residency Program • Northside Gwinnett Family Medicine Residency Program • Houston Healthcare Family Medicine Residency Program

65 • WellStar Kennestone Family Medicine • Northeast Georgia Family Medicine Residency Program

In addition to the Georgia block exhibiting at the AAFP National Conference, the GAFP awarded four scholarships to two medical students and two resident members to participate virtually in the National Congress of Family Medicine Residents (NCFMR) and the National Congress of Student Members (NCSM) held in conjunction with the AAFP National Conference. The awardees included:

Student Attendees: Grace Saxon and Lindsey Wells represented the GAFP as Student Delegate and Alternate Resident Delegate

Resident Attendees:

Kamal Mohiuddin, MD and Macy McNair, MD represented the GAFP as Resident Delegate and Alternate Resident Delegate.

GAFP resident delegate, Kamal Mohiuddin, MD, shared an overview of his experience at the AAFP National Conference.

I very much enjoyed serving as a GAFP resident delegate. It was interesting hearing the different opinions and ideas candidates presented in their speeches and in question and answer sessions. It motivates me to get more involved in the direction of my residency but also gets me thinking about applying for some of these national positions next year. Thank you for the opportunity.

GAFP resident delegate alternate, Macy McNair, MD attended the resident leadership forums and shared an overview of her experience at the AAFP National Conference.

“It was an honor to experience the first virtual AAFP National Conference while representing and serving the Georgia Academy of Family Physicians as a resident delegate. I was able to participate in some of the leadership discussions centered around education, health of the public and science, and practice enhancement with residents and leaders from across the nation. To lend my voice to offer examples, possible solutions, or to simply cosign on common practices was an amazing experience. Although the time difference confused me more instances than I would like to admit, I was able to enjoy some of the lectures too. The lectures I was interested in but did not attend offered slides to download for my leisure which I think was a great idea. Thank you for the opportunity to serve as a GAFP resident delegate!”

IV. Metrics for Resident Contract Review Staff shared that as of July 2020, a total of 10 residents utilized the resident contract review benefit. Staff will promote the contract review benefit in the August 15th Briefly Stated and send an e-mail reminder in mid-September to residents and residency program directors.

V. Fall Residency Directors Meeting The committee discussed the upcoming residency directors meeting held in conjunction with the Annual Fall CME Meeting. Staff shared that the meeting would take place virtually, and a date will be announced in the coming weeks. The committee proposed the following topics be placed on the agenda:

66 • How can we advocate for family medicine physicians who are doing obstetrics in the state to improve infant mortality? • Are programs struggling to retain and recruit faculty? • How do we do we improve our resident’s chances of staying in the state of Georgia? • Discuss paying residents who do stay in the state a bonus of 5,000 -10,000. • Discuss a possible mentorship program between medical students and residents. • Review and discuss the loan repayment programs options available for medical students who stay in state. • Consider sending the GAFP student member benefits to FMIG advisors to go over with the FMIG program officers and members.

A GAFP staff member will outreach to the program directors and extend an invitation for them to attend the meeting.

VI. Discuss: 2021 Medical Student Meeting GAFP staff shared the draft agenda that included suggestions from the June Student and Resident Recruitment Committee meeting. No new recommendations were made.

Staff shared that the 2021 location has not been confirmed. Staff will email the committee once a location is confirmed. The committee reviewed the student meeting attendee match list, and the medical student meeting attendee list for 2017-2020. The committee recommends that staff survey the medical students we lose to and out of state residency program.

VII. Review: President’s Letters to Foothills and SOWEGA The committee reviewed the Foothills and SOWEGA AHEC letters from the GAFP President. Staff will share the Foothills AHEC summary report following their August Pathways to Medical School (PTMS) program. The SOWEGA AHEC PTMS program will report out on their finding in 2021.

VIII. Review: 2020 TA Sappington Award Winners The committee reviewed the 2020 recipients of the T. A. Sappington Award. This prestigious award is given to student members who have demonstrated their commitment to family medicine by choosing to attend a Georgia Family Medicine Residency Program.

This year we recognize:

Mr. Connor O’Sullivan, a student from the Medical College of Georgia at Augusta University, was nominated by Dr. David Kriegel. He has been accepted and enrolled in Wellstar Kennestone Family Medicine Residency Program in Marietta. Connor has been an uplifting voice for Family Medicine. He has worked with the student-run free clinics in the community, served as a race volunteer for the MedWars Medical Wilderness Race, and volunteered at the Equality Clinic and Women’s Clinic in Augusta. Additionally, Connor worked as a behavioral data analyst for the Marcus Autism Center’s Feeding Disorders Clinic where he spent time with autistic patients with behavioral issues related to food.

67 Ms. Catherine Waldron, a student from Mercer University School of Medicine – Savannah, was nominated by Dr. Robert Pallay. She has been accepted into the Memorial Health Medical Center Residency Program in Savannah. Catherine is committed to improving herself, those around her and her community. She has volunteered during COVID-19 pandemic and facilitated health screenings at Forsyth Farmer's Market. Catherine also served as a GAFP Student Alternate Board Member and Treasurer of the Family Medicine Interest Group (FMIG) at Mercer University SOM – Savannah campus.

Ms. Alexis Brown, a student from Philadelphia College of Osteopathic Medicine-Georgia, was nominated by Dr. Michael Sampson. She has been accepted into the Memorial Health Medical Center Residency Program in Savannah. Ms. Brown is passionate about promoting healthcare to underserved and under-represented groups. In addition to working with special needs population, she has worked with the Triaged Navajo women in an outpatient clinic. Ms. Brown has also served as the President of PCOM Georgia Chapter ACOFP.

Mr. David Daniels, a student from Morehouse School of Medicine, was nominated by Dr. Dolapo Babalola. He has been accepted into Morehouse School of Medicine Residency Program in Atlanta. Mr. Daniels is a hard-working student with a commitment to serving his community. He has served as a student leader for the 2019 National Youth Leadership Forum on Medicine at Morehouse School of Medicine. In addition to serving as co-director of the HEAL Student-run Free Clinic. Mr. Daniels was the 2019 1st Place Medical Student Winner of the GAFP Research Poster Competition and a member of the Family Medicine Interest Group (FMIG) at Morehouse SOM.

IX. Upcoming 2020-2021 DPH Lectures for Residency Programs Staff shared the upcoming Public Health Grand round lecture topics with the committee. The lectures are first come, first serve opportunities, and are limited.

• Maternal & Mortality – 3 lectures • Newborn Screening – 3 lectures • Children and Youth with Special Health Care Needs – 2 lectures • Oral Health – 2 lectures

X. For your information Staff share the following resources for committee members to review:

Georgia AFP Chapter Student and Resident Activities - The Georgia Academy of Family Physicians provided the AAFP a summary of benefits offered to Georgia students and residents.

68 2020 Primary Care Summit Update - The AHEC Primary Care Workgroup and Georgia Statewide AHEC Network made updates to the 2020 AHEC Primary Care Summit. The Primary Care Workgroup committee decided to conduct a research and web-based meeting as opposed to an in-person summit.

GAFP Virtual Journal Club – Residents - The committee reviewed the GAFP’s Virtual Journal Club opportunity for residents and faculty researchers. Staff shared that presenters and participants may receive up to 1.0 AMA PRA Category 1 Credits™ and 1.0 AAFP Prescribed Credits* for their participation. The virtual journal club will take place at 7:00 pm on Monday evening from September – December 2020.

AAFP Leadership Recruitment for Students/Residents - The committee reviewed the list of GAFP medical student and resident members that are being nominated for and AAFP Commission and National Leadership Position.

Outreach to Georgia Hospital Association (GHA) Family Physician – OB - The committee reviewed the letter to GHA, and OB resources and staff shared that we would report back to the committee and residency program directors once we get and update.

Upcoming GAFP/GHFA Presentations – Fay Fulton, EVP - Savannah Residency Program – July 24th - Northeast Ga Residency Program – August 12th

XI. Thank You for Committee Service This was the final committee meeting of the year, so committee members were thanked for their service and asked to consider serving again in 2020.

XII. Adjourn The meeting was adjourned by Julie Dahl-Smith, DO.

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 www.gafp.org

Jeff Stone, MD, MHA, MBA, FAAFP

President October 6, 2020

Gary LeRoy, MD, FAAFP President American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KC 66211-2672

Dear Dr. LeRoy: Re: Alida Maria Gertz, MD, MPH GAFP Nominee for Continuing Professional Development

The Georgia Academy nominates Alida Maria Gertz, MD, MPH for the Commission on Health of the Public and Science. Dr. Gertz currently serves on the Georgia Academy’s Public Health Committee.

Dr. Gertz currently serves as faculty for a Georgia-based family medicine residency program and she is currently helping to shape the research and public health curriculum with an emphasis on the social determinants of health.

She has an impressive portfolio of worldwide public health initiatives in Botswana and has worked as a Fogarty/NIH Fellow with the Harvard TH Chan School of Public Health. She is also pursuing her doctorate in Public Health and would be an immediate contributor to the Academy’s public health initiatives

Thank you for your review of our candidate and her outstanding credentials.

Sincerely,

Jeff Stone, MD, MHA, MBA, FAAFP President

cc: Alida Maria Gertz, MD, MPH

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 www.gafp.org

Jeff Stone, MD, MHA, MBA, FAAFP

President October 6, 2020

Gary LeRoy, MD, FAAFP President American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KC 66211-2672

Dear Dr. LeRoy: Re: Angeline Ti, MD, MPH GAFP Nominee for Continuing Professional Development

The Georgia Academy nominates Angeline Ti, MD, MPH for the Commission on Continuing Professional Development, or a Commission that the Academy believes will benefit from her expertise.

Dr. Ti is an assistant professor in the Department of Gynecology and Obstetrics at the Emory University School of Medicine. She has a secondary appointment in the Department of Family and Preventive Medicine and is a Guest Researcher in the Division of Reproductive Health at the Centers for Disease Control and Prevention. She currently is the medical director of the Family Planning clinic at Grady Memorial Hospital.

Dr. Ti serves on our Congress of Delegates, Board of Directors and is the Vice Chair for our Public Health Committee. She has been active at the AAFP by attending NCCL, FMX and the reproductive health Member Interest Group.

She has a passion for advancing education for our family medicine specialty and works well with her colleagues. The Georgia Academy believes strongly that Dr. Ti would, if selected, immediately become an asset to the AAFP. Thank you for your review of our candidate.

Sincerely,

Jeff Stone, MD, MHA, MBA, FAAFP President

cc: Angeline Ti, MD, MPH

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 www.gafp.org

Jeff Stone, MD, MHA, MBA, FAAFP

President October 6, 2020

Gary LeRoy, MD, FAAFP President American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KC 66211-2672

Dear Dr. LeRoy: Re: Loy D. “Chip” Cowart, MD, FAAFP The Georgia Academy is nominating one of our strongest leaders in both advocacy as well as quality in practice. Our nomination is for either the Commission on Federal and State Policy or the Commission on Quality and Practice. Dr. Cowart is also willing to serve on either that the AAFP leadership believes is best for the Academy.

Dr. Cowart has served as our PAC Board Chair, GAFP Board Chair, President and President- Elect and Speaker of our Congress of Delegates. He currently serves as our Legislative Committee Vice Chair and a Trustee on our Foundation.

He has decades of experience in advocacy at both the local, state, and national level. He has an innate ability to convey complicated medical practices related from telemedicine, Medicaid versus Medicare, Pay for Performance, Scope of Practice, and to the intricacies of our health system to elected officials and key policy leaders.

He has been asked to consult with CMS and present in Baltimore on risk adjusted payment and helped “inside the beltway” policy wonks understand payment in rural and underserved areas around Georgia.

We believe strongly that Dr. Cowart would immediately be an asset to the AAFP by serving on one of your key commissions. There is no one better and his ability to serve at this time of healthcare turmoil will provide you with thoughtful and collegial leadership.

Sincerely,

Jeff Stone, MD, MHA, MBA, FAAFP President

cc: Loy D. “Chip” Cowart, MD, FAAFP

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 www.gafp.org

Jeff Stone, MD, MHA, MBA, FAAFP

President Thursday, September 10, 2020

Gary LeRoy, MD, FAAFP President American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KC 66211-2672

Dear Dr. LeRoy: Re: Evelyn Lewis&Clark MD, FAAFP AMA Delegate Nominee

The Georgia Academy is delighted to re-nominate Dr. Evelyn Lewis&Clark for one of the positions on the AMA delegation of the American Academy of Family Physicians. She is a long-time member of the American Medical Association and has completed two successful terms as an AAFP AMA delegate.

Dr. Lewis&Clark is well known for her ongoing service at both the national and state level. She is a past president of the AAFP Foundation and past president of the Georgia Academy’s Foundation (Georgia Healthy Family Alliance). She currently serves as one of the Alliance’s Board of Trustees.

She has received multiple honors and awards during her distinguished career including a recipient of the Chicago Medical School (CMS) Distinguished Alumnus Award. The Georgia Academy is proud to re-nominate her for this important position within the leadership of the AAFP. If selected, she has indicated her willingness and availability to participate on all required meetings.

Thank you for your review of our nominee – Dr. Evelyn Lewis&Clark – she is a fantastic representative of family medicine.

Sincerely,

Jeff Stone, MD, MHA, MBA, FAAFP President

cc: Evelyn Lewis&Clark, MD, FAAFP

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 ~ www.gafp.org

Jeff Stone, MD, MBA, MHA, FAAFP President 2019-2020 Wednesday, September 2, 2020

Gary LeRoy, MD, FAAFP President American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KC 66211-2672

Dear Dr. LeRoy:

Re: Dominique Munroe – GAFP Medical Student Leader Nominee (1) Student Liaison to the Student National Medical Association (2) Student Representative to the American Family Physician (3) Student Representative to the AAFP Center for Global Health Initiatives

On behalf of the Georgia Academy of Family Physicians Board of Directors, I am recommending Dominique Munroe to serve as the AAFP medical student liaison to the Student National Medical Association. If the AAFP leadership believes SNMA is not a “fit” with Mr. Munroe’s talents, then please consider him to serve as the representative to the American Family Physician Journal or to the Center for Global Health Initiatives.

Mr. Munroe has served within the GAFP leadership on the Student and Resident Recruitment Committee and the Legislative Session Working Group. He has been an asset to both groups expressing clear thoughts and ideas to move our initiatives forward.

It has been very impressive how involved he has been as an international medical student / foreign medical graduate and his background has given him a wide range of experience in primary care in both the United States and the Caribbean.

We believe strongly that he would be an excellent student leader to serve as a representative of the American Academy. Thank you for your review and consideration.

Sincerely,

Jeff Stone, MD, MBA, MHA, FAAFP President cc: Dominique Munroe Georgia Academy of Family Physicians Board of Directors

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 ~ www.gafp.org

Jeff Stone, MD, MBA, MHA, FAAFP President 2019-2020

Friday, August 21, 2020

Gary LeRoy, MD, FAAFP President American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KC 66211-2672

Dear Dr. LeRoy:

Re: Zazi Nylander, MD - Resident Georgia Academy of Family Physicians Nominee for Commission on Federal and State Policy

On behalf of the Board of the Georgia Academy of Family Physicians, we proudly nominate Dr. Zazi Nylander for the resident position on the AAFP Commission on Federal and State Policy.

As a resident, she is already contributing as a Georgia Academy leader, serving on our Board of Directors, Congress of Delegates, Legislative and Education and Research Committees. She has been active in contributing to shaping GAFP’s legislative priorities and has come to the State Capitol and advocated to state legislators for our initiatives.

Her program is also supporting her efforts to participate at the national level. We believe strongly that she will be an immediate contributor to the Commission. We appreciate your consideration of her strong credentials.

Sincerely,

Jeff Stone, MD, MBA, MHA, FAAFP President

cc: Zazi Nylander, MD Georgia Academy of Family Physicians Board of Directors

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 ~ www.gafp.org

Jeff Stone, MD, MBA, MHA, FAAFP President 2019-2020

Tuesday, September 1, 2020

Gary LeRoy, MD, FAAFP President American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KC 66211-2672

Dear Dr. LeRoy:

Re: Altelisha Taylor, MD MPH, Emory Family Medicine PGY2 Georgia Academy of Family Physicians Resident Nominee

On behalf of the Georgia Academy’s Board of Directors, we enthusiastically recommend Dr. Taylor as our resident nominee for the AAFP Commission on Continuing Professional Development or any other Commission that the AAFP leadership believes she would be a worthy addition with her wide range of experience.

Dr. Taylor has already shown her effectiveness in serving at the national level and we encourage the AAFP to continue to utilize her for an additional term. Some of her impressive credentials include the following:

 Current member of the Georgia Academy’s Public Health Committee and the Legislative Session Working Group

 Prior Experience with the Center on Budget and Policy Priorities in Washington, DC

 Master’s Degree in Public Health from George Washington University

Dr. Taylor’s experience is impressive and diverse. She is one of our shining stars and we encourage the AAFP to select her for ongoing service. As a GAFP leader, she is a consistent contributor and offers up thoughtful and knowledgeable suggestions.

Sincerely,

Jeff Stone, MD, MBA, MHA, FAAFP - President

cc: Altelisha Taylor, MD MPH Georgia Academy of Family Physicians Board of Directors

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 ~ www.gafp.org

Jeff Stone, MD, MBA, MHA, FAAFP President 2019-2020

Wednesday, September 2, 2020

Gary LeRoy, MD, FAAFP President American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KC 66211-2672

Dear Dr. LeRoy:

Re: Leah Topper - AU/UGA Medical Partnership | M3 - Medical College of Georgia AAFP Commission on Health of the Public and Science. (Or Student Representative to AFP / FMIG Network Regional Coordinator)

On behalf of the Georgia Academy of Family Physicians Board of Directors, I am recommending Leah Topper to serve on the AAFP Commission on Health of the Public and Science. We would also recommend her serving as the student representative to the AFP Journal or as the FMIG Network Regional Coordinator.

Ms. Topper has served as the Co-President of her school’s FMIG and is looking to serve in a broader role this upcoming year. Acknowledging that this year will likely include the need for communications and gatherings virtually, Ms. Topper already has many ideas about how to connect medical students and keep members informed.

Ms. Topper’s career plan is to serve as a family physician in an underserved community and therefore she would benefit to be among the top leaders of family medicine through the AAFP leadership opportunities.

We are excited about Ms. Topper’s future goals and believe that she would be an excellent candidate for AAFP’s multiple opportunities for medical student growth and advancement. Thank you for your review and consideration.

Sincerely,

Jeff Stone, MD, MBA, MHA, FAAFP - President

cc: Leah Topper Georgia Academy of Family Physicians Board of Directors

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 ~ www.gafp.org

Jeff Stone, MD, MBA, MHA, FAAFP President 2019-2020

Thursday, September 3, 2020

Gary LeRoy, MD, FAAFP President American Academy of Family Physicians 11400 Tomahawk Creek Parkway Leawood, KC 66211-2672

Dear Dr. LeRoy:

Re: Macy A. McNair, MD – Resident – Morehouse School of Medicine Nominee for Commission on Health of the Public and Science

On behalf of the Board of the Georgia Academy of Family Physicians, we proudly nominate Dr. Macy McNair for the resident position on the AAFP Commission on Health of the Public and Science.

Dr. McNair has been involved with the Georgia Academy from early on her career in medicine. She has served on our Board of Directors both as a medical student and now as a resident. She has represented the Georgia Academy at the AAFP National Conference as our voting delegates as both a medical student and a resident.

She has extensive public health experience having served as a co-director of Morehouse School of Medicine’s HEAL clinic and continues to volunteer. HEAL provides free healthcare to the underserved.

Her program is also supporting her efforts to participate at the national level. Dr. McNair is one of our brightest stars and we look forward to her continuing her leadership within the Georgia Academy for many years. We think the AAFP would highly benefit from her participation at the national commission level.

Sincerely,

Jeff Stone, MD, MBA, MHA, FAAFP President

cc: Macy McNair, MD Georgia Academy of Family Physicians Board of Directors

August 11, 2020 – Embargoed until October 20

Beverley Ann Townsend, M.D. 8100 Chapel Lake Drive Midland, GA 31820

Dear Dr. Townsend:

It is my pleasure to inform you that you are the Medical Association of Georgia’s Physician’s Award for Community Service winner for 2020. This award recognizes physicians for “going above and beyond the call of duty for community service.” You were nominated for this award by Jeff Stone, M.D.

Because MAG’s 2020 House of Delegates will be virtual, you will have the opportunity to accept this award at a MAG Board of Directors meeting in 2021.

Congratulations on this great honor.

Sincerely,

Andrew Reisman, M.D. President cc: Jeff Stone, M.D.

August 11, 2020 – Embargoed until October 20

Loy "Chip" Cowart, M.D. 911 Monarch Circle Statesboro, GA 30458

Dear Dr. Cowart:

It is my pleasure to inform you that you are the Medical Association of Georgia's Jack A. Raines, M.D., Humanitarian Award winner for 2020. This award is given to a physician who "makes an outstanding humanitarian contribution to his or her fellow man, community, country or world community beyond the normal practice of medicine." You were nominated for this award by Jeff Stone, M.D.

Because MAG’s 2020 House of Delegates will be virtual, you will have the opportunity to accept this award at a MAG Board of Directors meeting in 2021.

Congratulations on this great honor.

Sincerely,

Andrew Reisman, M.D. President cc: Jeff Stone, M.D.

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 www.gafp.org

Jeff Stone, MD, MBA, MHA, FAAFP

President

Monday, October 12, 2020

Kathleen Toomey, MD, MPH, FAAFP Commissioner Georgia Department of Public Health 2 Peachtree Street, NW - 15th Floor Atlanta, GA 30303

Dear Commissioner Toomey, MD:

As President of the Georgia Academy of Family Physicians, I have the prerogative of presenting a President’s Award to those people that have been a champion of family medicine and/or who has shown vision in keeping Georgians healthy.

Georgia’s family physicians could not have been prouder of your ongoing commitment to keep Georgia safe during the COVID-19 pandemic. We want to celebrate your strength, professionalism, guidance, and unwavering commitment to provide information and support for our patients.

I would be honored if you would allow me to bestow this award to you, virtually, at our upcoming Georgia Academy Board meeting to be held on Sunday, November 8th and we would have you connect virtually at 3:30 pm.

Our Executive Vice President, Fay Fulton, will be following up with your staff for confirmation and we will be mailing you your award separately.

Again, thank you for your service. It is an honor to call you a family medicine colleague.

Sincerely,

Jeff Stone, MD, MBA, MHA, FAAFP cc: Georgia Academy of Family Physicians Board of Directors

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 www.gafp.org

Jeff Stone, MD, MBA, MHA, FAAFP President 2019-2020

Wednesday, October 21, 2020

Kristen Kettelhut, MD 5295 Riverchase Drive Phenix City, AL 36867

Dr. Kettelhut,

Congratulations! You are receiving this letter because you are being awarded the 2020 Georgia Department of Public Health Award for family physicians. The Georgia Academy of Family Physicians (GAFP) in partnership with the Department of Public Health (DPH) bestows this award annually.

The award is given to a chapter member who has supported Georgia’s mothers and children above and beyond the routine scope of family medicine. Thank you for being a pillar in your community and a leader in our professional community. Your work with Team Triumph is just one example of your work support children with special needs children.

The Georgia Academy would like to present this award to you virtually during the 2020 Board of Directors Meeting, Sunday, November 8, 2020 at 4:00 pm.

Please contact Fay Fulton to confirm your attendance. Again, thank you for providing exemplary services to the maternal and child health population in Georgia.

Sincerely,

Jeff Stone, MD, MHA, MBA, FAAFP President cc: GAFP Board of Directors

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 www.gafp.org

Jeff Stone, MD, MHA, MBAFAAFP President Wednesday, August 5, 2020

The Honorable Jeff Mullis Georgia State Senate 453 State Capitol Atlanta, GA 30334

Dear Chairman Mullis:

The Georgia Academy of Family Physicians is pleased to inform you that you have been selected as our 2020 Family Medicine Legislative Champion of the Year.

This is a gesture of our appreciation for your efforts to assist family physicians and our patients in Georgia. Your commitment to supporting the passage of legislation that has increased the age of sale for tobacco and vaping products to 21 and making it harder for children to have access to vaping products, especially around schools, is commendable. A generation of Georgia’s children will be healthier because of you. State Representative Bonnie Rich will also be receiving the award as our State House Legislative Champion as well.

It would be our honor to personally bestow this award to you either at one of our upcoming leadership meetings or perhaps at an event in your district. Please note below your preference and our Executive Vice President, Fay Fulton will be in touch and follow up based on your preferences. GAFP staff will coordinate with the Senate Press Office to coordinate a press release.

Thank you for your dedicated public service and all that you do to help family physicians keep Georgia healthy.

Sincerely,

Jeff Stone, MD, MHA, MBA, FAAFP President

Options for Bestowing of Award (We would like you to take 5-10 minutes to give brief remarks):

_____ Event of your choosing in your district (Fay Fulton will be in touch)

_____ Friday, November 13 – GAFP Board Meeting – Hybrid Meeting – Virtual / In-Person – Avalon Marriott in Alpharetta – 9:00 am

Please fax this letter back with your response to Georgia Academy headquarters at 404-321-7450 or email Fay at [email protected].

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 www.gafp.org

Jeff Stone, MD, MHA, MBAFAAFP

President Wednesday, August 5, 2020

The Honorable Bonnie Rich Georgia General Assembly 402 Coverdell Legislative Office Building Atlanta, GA 30334

Dear Representative Rich:

The Georgia Academy of Family Physicians is pleased to inform you that you have been selected as our 2020 Family Medicine Legislative Champion of the Year.

This is a gesture of our appreciation for your efforts to assist family physicians and our patients in Georgia. . Your commitment to supporting the passage of legislation that has increased the age of sale for tobacco and vaping products to 21 and regulating the sales of vaping products is commendable. A generation of Georgia’s children will be healthier because of you. Senator Mullis will also be receiving the award as our State Senate Legislative Champion as well.

Thank you for your dedicated public service and all that you do to help family physicians keep Georgia healthy.

Sincerely,

Jeff Stone, MD, MHA, MBA, FAAFP - President

Options for Bestowing of Award (At all these events, we would like you to take 5-10 minutes to give brief remarks):

_____ Event of your choosing in your district (Fay Fulton will be in touch)

_____ Friday, November 13 – GAFP Board Meeting – Hybrid Meeting – Virtual / In-Person – Avalon Marriott in Alpharetta – 9:30 am

Please fax this letter back with your response to Georgia Academy headquarters at 404-321-7450 or email Fay at [email protected].

84 1 RESOLUTION NO. *** (Georgia A) 2 3 Family Physicians Demand Less Barriers to Care – Prior Authorization 4 5 Introduced by the Georgia Chapter 6 7 Referred to the Reference Committee on *** 8 9 10 WHEREAS, The American Academy of Family Physicians (AAFP) believes prior 11 authorizations should be standardized and universally electronic throughout the industry to 12 promote conformity and reduce administrative burdens, and 13 14 WHEREAS, prior authorizations create significant barriers for family physicians to deliver 15 timely and evidenced-based care to patients by delaying the start or continuation of 16 necessary treatment, and 17 18 WHEREAS, the very manual, time-consuming processes used in prior authorization 19 programs burden family physicians, divert valuable resources away from direct patient care, 20 and can inadvertently lead to negative patient outcomes, and 21 22 WHEREAS, the AAFP believes family physicians using appropriate clinical knowledge, 23 training, and experience should be able to prescribe and/or order without being subjected to 24 prior authorizations, and 25 26 WHEREAS, the AAFP further believes that a physician's attestation of clinical diagnosis or 27 order should be sufficient documentation of medical necessity for durable medical equipment, 28 and 29 30 WHEREAS, in rare circumstances when prior authorizations are clinically relevant, the AAFP 31 believes they should be evidenced-based, transparent, and efficient to ensure timely access 32 and ideal patient outcomes, and 33 34 WHEREAS, family physicians that contract with health plans to participate in a financial risk- 35 sharing agreement should be exempt from prior authorizations, and 36 37 WHEREAS, the AAFP believes that generic medications should not require prior 38 authorization, and 39 40 WHEREAS, the AAFP further believes step therapy protocols used in prior authorization 41 programs delay access to treatments and hinder adherence, and 42 43 WHEREAS, the AAFP maintains that step therapy should not be mandatory for patients 44 already on a course of treatment, and 45 46 WHEREAS, ongoing care should continue while prior authorization approvals or step therapy 47 overrides are obtained, and, 48 49 WHEREAS, patients should not be required to repeat or retry step therapy protocols failed 50 under previous benefit plans, now, therefore be it 51 52 RESOLVED, That the American Academy of Family Physicians support policies and 53 mandates regarding prior authorization denials, the insurance company and/or pharmacy

85 1 benefit plan are required to give three (3) formulary substitutes of different medication 2 classes, and be it further 3 4 RESOLVED, That the American Academy of Family Physicians support policies and 5 mandates toward specialized procedures, diagnostic tests or hospitalizations ordered by the 6 physician shall not have prior authorizations that require a peer to peer phone encounter for 7 approval after the patient’s medical records have been received and reviewed by the 8 insurance entity. 9 10 Received (08/03/20) 11 12 Fiscal Impact: None 13 14 Background 15 The first resolved clause asks the AAFP to support policies and mandates regarding prior 16 authorization denials, the insurance company and/or pharmacy benefit plan are required to 17 give three (3) formulary substitutes of different medication classes. One of the AAFP’s 18 strategic priorities is to reduce administrative burden, including prior authorizations. As part 19 of the Academy’s strategic objectives, the AAFP engages in strategic public and private 20 payer advocacy to reduce the burden of prior authorizations on family physicians. In 21 addition to this advocacy, the AAFP meets annually with the largest private payers with 22 whom it has relationships. During these meetings, the AAFP also advocates to reduce and 23 eliminate all prior authorizations. In past meetings, while the AAFP hasn’t advocated for a 24 specific number of formulary alternatives, the AAFP has advocated that payers provide 25 formulary substitutes when prior authorizations are requested. 26 27 The second resolved clause asks the AAFP to support policies and mandates that eliminate 28 peer-to-peer phone encounters after the patient’s medical records have been reviewed by 29 the insurance entity for specialized procedures, diagnostic tests, or hospitalizations. The 30 AAFP’s prior authorization policy states in part, “The AAFP believes family physicians using 31 appropriate clinical knowledge, training, and experience should be able to prescribe and/or 32 order without being subjected to prior authorizations.” The AAFP’s policy also states that 33 family physicians participating in risk-based contracts should be exempt from PAs. The 34 AAFP uses this policy in its advocacy agenda when meeting with public and private payers.

35 36 Current Policy 37 38 Prior Authorizations 39 40 Patient-Centered Formularies 41 42 Drug Switching Notices 43 44 Prior Congress Action 45 46 Resolution No. 301 from the 2019 COD (Referred to the Board of Directors): 47 RESOLVED, That the American Academy of Family Physicians request regional and national 48 pharmacy chains to do the following: 49 • Allow local pharmacists to make permanent changes to their corporate database and 50 not be overwritten by the main servers that continually change back to erroneous 51 information the next day;

86 1 • De-program their computer systems from requesting a ninety-day supply when a new 2 chronic medication is prescribed since frequently the dose needs to be adjusted at the 3 next visit; 4 • Make easily available the corporate phone number or allow local pharmacist to stop 5 their computer systems from sending automatic refill messages to patients and 6 physicians for expired medications; 7 • Make easily available the corporate phone number or allow local pharmacist to make 8 the changes to stop receiving refill requests for doctors who are not in their practice; 9 and 10 • Assist in offering alternative covered medication options with various insurance plans 11 which are covered when a prior authorization is requested. 12 Please see Page 317 in the 2019 Transactions for details. 13 Please see Resolution No. 301 on the AAFP website for follow-up details. 14 15 Resolution No. 508 from the 2019 COD (Adopted): 16 RESOLVED, That the American Academy of Family Physicians petition the Centers for 17 Medicare and Medicaid Services, as well as all national health insurance companies and 18 pharmacy benefits managers to include all generic medication in a class within a health plan’s 19 formulary, and be it further 20 RESOLVED, That the American Academy of Family Physicians petition the Centers for 21 Medicare and Medicaid Services, as well as all national health insurance companies and 22 pharmacy benefits managers, to implement a system that informs the prescribing provider of 23 all formulary alternatives to a medication when denying the same medication immediately 24 upon denial, while also providing a mechanism to rapidly appeal the denial. 25 Please see Page 361 in the 2019 Transactions for details. 26 Please see Resolution No. 508 on the AAFP website for follow-up details. 27 28 Prior Board Action 29 None

Northlake Commons 3760 Lavista Road ~ Suite 100 ~ Tucker, GA 30084-5641 Phone: 404.321.7445 Fax: 404.321.7450 Toll Free: 800.392.3841 www.gafp.org

Jeff Stone, MD, MBA, MHA, FAAFP President 2019-2020

Wednesday, September 16, 2020

The Honorable Alex M. Azar Secretary, U.S. Department of Health and The Honorable Seema Verma Human Services Administrator, Centers for Medicare & 200 Independence Avenue, SW Medicaid Services Washington, DC 20201 7500 Security Blvd. Baltimore, MD 21244 The Honorable Steven Mnuchin Secretary, U.S. Department of the The Honorable David J. Kautter Treasury Assistant Secretary for Tax Policy 1500 Pennsylvania Avenue, NW 1500 Pennsylvania Avenue NW Washington, DC 20200 Washington, DC 20220

Dear Secretary Azar, Secretary Mnuchin, Administrator Verma, and Assistant Secretary Kautter: Re: Public Comment – Proposed 1332 Georgia Waiver Submitted via [email protected]

On behalf of the 3,200 members of the Georgia Academy of Family Physicians and the patients that we care for that are over 1,500,000 Georgians, we appreciate the opportunity to comment on the 1332 Georgia Medicaid innovation and waiver plan.

The Georgia Academy of Family Physicians is the only medical society devoted solely to primary care. Nearly one in four of all office visits are made to general and family physicians. Today, family physicians provide the majority of care for America’s underserved and rural populations. We believe that we are uniquely qualified to comment on this proposal.

While we appreciate that this proposal will not interrupt coverage with patients with pre-existing conditions, we are concerned about allowing non-ACA compliant plans into Georgia. Furthermore, removing Georgia from the healthcare.gov platform would penalize Georgians looking for a one- stop marketplace to compare and select insurance plans, forcing them to rely on scattershot network of web-brokers and other actors that may take into account Georgians’ financial or health needs. Under this arrangement, Georgia would be the only state nationwide to remove itself from this marketplace.

The current proposal to allow Georgians to buy extended, short-term health insurance (non-ACA compliant) is a step back to the days when companies sold low-value insurance policies that subjected our patients to catastrophic medical bills and medical bankruptcy. The current proposal would allow exempt these non-compliant plans from Affordable Care Act consumer protections such as covering essential benefits, which include prescriptions, laboratory

88 tests, hospitalization, and maternity care. It would allow plans to establish caps once again on annual benefits. Limiting benefits can expose patients to extraordinarily high out-of-pocket costs, particularly for people who have chronic or life-threatening conditions that require costly treatment, close monitoring and ongoing medication.

Equally troublesome, these plans further destabilize the individual market by drawing young, healthy people away from meaningful, comprehensive coverage that meets ACA standards. Allowing the healthy to gamble with low-quality insurance will also raise ACA-compliant plans’ premiums, putting better coverage beyond the reach of millions of the sickest Americans.

The Georgia Academy has stood with the American Academy of Family Physicians in steadfastly calling for policies that ensure all Americans have access to affordable, meaningful health insurance. Georgia policies should support patient-centered insurance reforms that prohibit insurers from selling plans that fail to provide meaningful coverage.

Any plan allowed to be sold to Georgians in our state should have these minimum essential health benefits:

Benefits At a minimum, these would include items and services in the following benefit categories: ➢ Ambulatory patient services ➢ Emergency services ➢ Hospitalization ➢ Maternity and newborn care ➢ Mental health and substance use disorder services, including behavioral health treatment ➢ Prescription drugs ➢ Rehabilitative and habilitative services and devices ➢ Laboratory services ➢ Preventive and wellness services and chronic disease management ➢ Pediatric services, including oral and vision care

In addition to requiring coverage for essential health benefits, all proposals or options will ensure that primary care is provided through the patient’s primary care medical home. To foster a longitudinal relationship with a primary care physician, all proposals or options will provide the following services independent of financial barriers (i.e., deductibles and co-pays) if the services are provided by the patient’s designated primary care physician: a. Evaluation & management c. Population-based management services d. Well-childcare b. Evidence-based preventive e. Immunizations services f. Basic mental health care

Thank you for your review of our comments. We look forward to working with you to support our patients who have little to no current options for affordable health coverage.

Sincerely,

Jeff Stone, MD, MBA, MHA, FAAFP President

89 Coalition Letter – GAFP Signed On – Healthy Mothers Healthy Babies Frank Berry November 5, 2020 Commissioner - Georgia Department of Community Health 2 Peachtree Street, N.W. Atlanta, Georgia 30303

Re: Pregnancy Medicaid Extension Section 1115 Waiver Dear Commissioner Berry:

Thank you for the opportunity to comment on Georgia’s proposal to extend Pregnancy Medicaid coverage to six months postpartum. The signed groups are writing to express support for this waiver.

Women are at risk for pregnancy-related mortality and morbidity throughout the first year after delivery. About 65% of Georgia’s pregnancy-related deaths that occurred between 6 weeks to one year postpartum were deemed preventable, according to the Georgia Maternal Mortality Review Committee. Access to medical care during the postpartum period can be a critical tool in addressing the State’s maternal mortality rates.

Medicaid has long played an important role in financing healthcare for low-income pregnant women, covering a vulnerable population and promoting healthy birth outcomes. Pregnancy Medicaid covers a range of necessary and important medical services for eligible pregnant women. However, the current cut-off of 60 days postpartum results in many mothers losing health coverage during a critical period for several causes of death (i.e. hemorrhage, cardiovascular conditions).

Medicaid covers more than half of all births in Georgia and by extending the period for postpartum coverage, the State has an opportunity to improve women’s health and birth outcomes. Specifically, we believe extending postpartum coverage would: • Reduce maternal mortality • Improve maternal health • Address the potential effect COVID-19 may have on maternal health • Promote early detection and treatment of postpartum depression and related mental health conditions • Reduce the rate of low birthweight and preterm births (wrap-around services to prevent poor birth outcomes in future pregnancies) • Reduce healthcare costs to the State • Support reimbursements for care given in rural Georgia hospitals impacted by COVID-19

For these reasons, we are supportive of the Section 1115 waiver to extend the period of Pregnancy Medicaid from 60 days to six months postpartum. This extension of care is one step closer to achieving the Maternal Mortality Review Committee’s recommendation of extending care to 12 months postpartum, which we will be continuing to advocate for.

Sincerely,

90 91 92 93 94 95 96 97 98 99 100 101 GAFP Strategic Plan 2017-2020 – Final Report (As of October 2020) 1 Advocacy Action Plan Activities By Whom By When a Advocate for Dinner to honor physicians Executive February 8, Family Medicine serving in the Georgia General Committee 2017 with state policy Assembly leaders (including elected officials), Day at the Capitol – Advocacy Legislative February 23, business and with FPs, IMs, Peds, DOs, and Committee/PCPC 2017 Georgia's citizens OB/Gyns Coalition

Supported physicians (3) running GAFPPAC March 2017 for state senate who completed GAFP PAC candidate interview.

Supported successful candidate Dr. Kay Kirkpatrick for State GAFPPAC May 2017 Senate

Advocacy dinners with local GAFP members and elected state GAFP PAC Sept 19 – officials planned for Athens and Board Athens Augusta Sept 28 - Augusta Leadership meeting with BCBSGA medical director Exec Committee July 21, 2017 Practice Management (5) Coalition letters related to opposition to federal replace and Legislative Com June – August repeal of ACA. Executive Com 2017

Dinner with newly elected State Senator Kay Kirkpatrick, MD Exec Com November PAC Board 2017 Joint letter with Peds to Governor related to SCHIP Funding reauthorization Leg Committee December 2017 Day at the Capitol – Advocacy with FPs, IMs, Peds, DOs, and OB/Gyns Legislative Com February 15, 2018 Endorse Gubernatorial candidates who support Medicaid waivers/expansion PAC Board May 2018

Outreach to Insurance Commissioner Candidates. PAC Board July-August Plan health policy forum for 2018

102 Gubernatorial candidates for family physicians and invited PAC Board July – other primary care and OB Gyn September physician groups 2018

Day at the Capitol – Governor to attend Legislative February 28, Support SB 106 – Allow for Committee 2019 Medicaid Waivers (1115 and 1332) Legislative Jan – April Committee 2019 Support HB 287 – Tax Credit for Board Physician Preceptors Legislative Jan – April Committee 2019 GAFP leaders to AAFP Family Board Medicine Legislative Advocacy Summit – Washington, DC D. Fordham, MD May 2019 S. Church, MD Board approved Advocacy L. Reeves, MD Dinners with State Legislators for Fall 2019 – Marietta, Dalton, PAC Board Oct 8 – Dalton Savannah Legislative Com Oct 16 – Board Marietta Oct 24 – Savannah Day at the Capitol Legislative Committee March 5, 2020 Physician Coalition Letter requesting Medicaid Accelerating President / Leg April 2020 Payments Committee leaders

Outreach to Georgia Hospital Pres / Speaker April 2020 Association advocating for FP OB

Series of Conference Calls with President, July- Governor Kemp – COVID-19 President Elect September 2020 b Increase FM Establish Ongoing Executive Ongoing visibility with communication and meetings Committee Georgia Payors with payors Practice Management Staff Board presentation by CareSource Medical Director Board June 2017

Monthly calls with Medicaid and Staff Monthly – Medicaid Insurers with Peds Since Chapter September 2006

103 Meeting with BCBSGA Medical Exec Com Director and senior staff Practice July 2017 Management Staff Meeting with WellCare new president – Sonya Nelson Staff July 2017

Board presentation by Georgia WellCare President Board August 2017

Medicaid and All CMO CEO December meeting Staff 2017 and quarterly Outreach to CMO’s related to March - May PCMH University Exec Com 2018

Medicaid CMO Administrative President January 2018 Simplification Task Force Le’ Church, MD – monthly Staff meetings

Leadership discussion with BCBC Board – All March 2018 Georgia CEO and Chamber of committees Commerce

Meeting with Medicaid Quality Executive July 2018 Chief (Dr. James Holloway) to Committee discuss GAFP/Medical Home educational opportunities

Worked with AAFP leadership to Executive March 2018 - provide in-office lab testing issue Practice ongoing – BCBSGA – Anthem Management Letter to BCBSGA AAFP December BCBSGA feedback that policy will 2018 change – expected no later than January 2019 2Q 2019

GAFP and AAFP receive news GAFP Board September that DOT removing AAFP Board 2018 endocrinologist requirement for commercial trucker exam!

Presented request to Medicaid PCPC Coalition June – August for After-Hour Care Codes to be Legislative 2018 opened Committee

- DCH agrees!!! Codes to open PCPC Coalition October 2018 is pending Legislative – and ongoing Committee Develop an educational webinar for changing clinic hours to PCPC Coalition Pending 2019 include after hour codes Practice – waiting for Management codes to open

104 CareSource Chief Medical Officer meeting to discuss medical home Staff February 2019

Insurance Commissioner meeting with key insurance stakeholders Jeff Stone, MD April 2019 Meeting with BCBSGA on point of Staff care lab testing

D. Fordham, MD April 2019 Appointed two GAFP leaders (M. J. Stone, MD Nichols and C. Visatacion) to Staff PeachState physician committees – Quality Oversight and Dr. Fordham June 2019 Utilization Management Board Practice Meeting with new BCBS-GA Management Anthem Plan President

Meeting with Molina (insurance President October 2, company interested in applying President-Elect 2019 for Medicaid when RFP opens in 2022) Staff - EVP October 15, 2019

c Increase key Assist AAFP GR and GAFP Legislative Ongoing contact lobbyists with working with our Committee communications elected officials Staff with federal and state leaders Working with AAFP GR staff to Staff Ongoing updated Federal Key Contacts

Congressman Karen Handel Key Staff – Mitzi November Contact – Confirmed Rubin, MD 2017

Congressman John Lewis Key Staff – Wayne March 2018 Contact – confirmed Hoffman, MD

Attend Casey Cagle and Stacey Staff, PAC Board, May 2018 Abrams primary fundraiser for D. Singleton, MD Governor

GAFP delegation to AAFP’s President May 2018 Washington legislative summit Cowart, R. Wherry, L. Reeves Working with AAFP GR team for July 2018 federal key contact development Legislative Com (under their new system) Staff

105 GAFP delegation for AAFP President May 2019 Federal Legislative Summit Fordham, Leg Co-Chair Bruce LeClair and Dr. Leonard Reeves

Media Advocacy for General Legislative Com November Assembly Freshman Class – in Board 2019 conjunction with Annual Meeting President December President Stone attended 2019 strategic luncheon with Lt. Governor Geoff Duncan Drs. LeClair/Cowart May 2020 AAFP Family Medicine Action Registered Canceled Summit Board Chair / Day at Capitol – Leaders Meeting President March 2020 with Lt Gov / Governor Pres / Pres Elect Leg Committee April – June Coalition Ongoing Request for Leaders 2020 Medicaid Payments for Primary Care Codes

d Other Activities Brainstorming activities Vice President March – June requested for this goal sent to all All Committees 2017 committees for comment and response

PAC Donor Election Update PAC Board August 2018

PAC Invoices PAC Board September 2018 PAC Donor-Only Election Review PAC Board November 2018 October 2020

PAC Invoices PAC Board July 2019 February 2020

2 Governance Action Plan Activities By Whom By When a Facilitate Outreach to all active and life Executive February 2017 leadership members to attend AAFP Committee education and leadership development meeting training for new (ACLF/NCSC) – 19 GAFP and emerging members attended GAFP leaders Leadership workshop offered to Education June 2017 all 2017 leaders at Summer CME

106 meeting – 14 attended.

Leadership training for GAFP Board Board. Excellence in Physician Staff August 2017 Associations of the Future

Research Poster Competition for Practicing Physicians, Residents, Education Com October 2017 Medical Students & Pre-Med November Students 2018

Outreach to all active and life members to attend AAFP Executive Com April 2018 leadership development meeting (ACLF/NCSC) – 17 GAFP members attended

Leadership Workshop at Summer CME meeting in conjunction with Education Com June 2018 GA Primary Care Association

Leadership Workshop for GHFA/GAFP members on GHFA/Exec August 2018 philanthropy Committee

Four leaders from GAFP attending AAFP State Legislative Church, Howard, Conference Singleton, October 2018 Newton Leadership lecture to help members become more involved D. Fordham November in Academy/ Education & 2018 Research Committee Hosting Member Interest Groups at annual meeting – asking Education & November committee members to facilitate Research 2018

2019 New Board Member – Orientations – including Committee Chair / Vice Chairs Angela Flanigan January – T. Wallace Hood February 2019 Delegation of 14 GAFP members Leadership to attend AAFP leadership meeting (ACLF/NCCL) Exec Committee February 2019 – April 2019 Recruited 23 GAFP leaders to attend AAFP Leadership Conference – Annual Chapter Leadership Forum/National Executive April 2019 Constituency Conference Committee

2019 Summer CME Leadership

107 Track – fundamentals of good leadership, building teams, retention of medical staff Education & June 2019 Research Board Members – Conflict Resolution – Educational Board August 2019 /Strategic Session

Orientation for new board Board Chair January – members/students/residents. President February 2020 Chairs and Vice Chairs. VP Chief Operating Officer

AAFP Leadership Meeting – Executive February 2020 ACLF/NCCL – Delegation Selected Committee Canceled for April 2020 meeting

2020 Leadership CME Track Education & June 2020 planned for Summer CME Research Canceled Meeting Committee

b Formulate ways to Outreach to all members President November identify future encouraging participation in a Staff 2017 – GAFP leaders committee or working group. February 2017 (118 volunteers as of May 2017)

Outreach to ACLF/NCSC attendees who are not currently President April 2017 GAFP leaders asking for them to Staff volunteer

New to Practice Reception Membership September Outreach to all members 2017 encouraging participation in a President Nov 2018 – committee or working group. Staff March 2018 (107 volunteers as of May 2018)

Pilot Program to offer one comped CME discount for recent GAFP resident graduates – 2015- Executive Com 2018-2020 2017 – 13 utilized code at 2020-2022 Summer Meeting (2018), 9 utilized code at 2019 Summer Meeting

Lecture at annual meeting led by President-Elect November President-Elect on how to Education 2018 become a leader within GAFP Committee

108

Outreach to all members encouraging participation in a President November committee or working group. 2018 – February 2019 Board Leadership Discussion Board Patrice Harris, March 2019 MD – AMA Pres Elect

Warren Newton, June 2019 MD – ABFM EVP

Conflict August 2019 Resolution – Speaker Susan Raines, PhD

Russell Kohl, MD November – AAFP Vice 2019 Speaker

Chuck McMullen March 2020 – Advocacy

Clive Fields, MD August 2020 Village MD

Steve Furr, MD – November AAFP Board 2020 c Other Activities Alliance Capital Campaign – GHFA April 2017 – educating members on ongoing philanthropy and future investment planning – leaders identified to assist with campaign

Brainstorming activities requested for this goal sent to all Vice President March – June committees for comment and All Committees 2017 response

Meeting with Residency Directors to discuss joint issues including Exec Committee, March 2018 educating and keeping faculty Board Chair and and resident leaders Vice President

Additional Residency Directors and FM Department Chairs Meeting Executive November Committee 2018 and 2019 Medical Student Workshop President

109 Student & March 2019 Resident February 2020 Committee

Executive Committee Now Executive 2019 Serving as Resource Liaisons for Committee 2020 Each Standing Committee Board Chair

Student and Resident Board Executive 2019 Members Seating Interspersed Committee 2020 with more seasoned leaders during in-person meetings

Journal Zoom Club Education September – Committee December 2020 Launching Virtual Medical Student & Student Zoom meetings to Resident Nov 2020 – support FM residency programs Committee February 2021

3 Membership Action Plan Activities By Whom By When a Maintain Board Strategic Discussion on GAFP Board June 2017 professional and Physician Wellness personal career satisfaction and combat burnout. Physician Burnout/Wellness track Education October 28, at annual meeting 2017 . Member Interest Groups – Education October 2017 Rural/FQHC/Solo/Independent, Emergency Medicine/Urgent Care/OB

Financial Planning for Physicians Education Oct 2017

Leading a Practice Change Effort Education Oct 2017

Physician Wellness Discussions – Education Oct 2017 Prevention. Wellness and Mental/Emotional Health

Summer Meeting Lecture – Physician Heal Thyself Education June 2018

Tips for Wellness – Shared by GAFP leaders – Summer Meeting Staff May-June (transition slides) and newsletter 2018

Financial Wellness CME Lecture Education & Research November 2018

110 Burnout/Wellness CME Lecture Education & Research November 2018 Preventing Burnout CME Lecture Education & Research June 2018

Leadership Topic: Preventing Education & Burnout Research June 2019

Physician Health First CME Lecture Education & November Research 2019

Financial Planning and Staff Education & November Retention for Family Medicine Research 2020 Practices b Increase Effective Rework communications under one Staff February Communication to successful 2017 Our Members marketing/communication (Transition company (CVent) through June 2017) Request that the Membership Membership Committee track communication Committee and Fall each year metrics for our members (including Staff social media) and report back to Board November Meeting App for large CME – annual Staff 2018 – 2019 meeting August 2018 GHFA Website – Updated for GHFA Mobile Friendly Usage 2020 GAFP Website – Update (including Staff Mobile Friendly Usage)

GAFP Website for CVID Information Board Chair, March 2020 - plus ongoing emails to key Pres, Pres- ongoing members Elect c ncrease activities for nHo ld annual event for N2P Membership Annually to practice physicians Physicians and GAFP leadership, Committee before track attendance and whether N2P annual members remain members and meeting become leaders

Planning for 2017 event in NW Atlanta (District 5) where most of Membership September N2P live/work after District 11 Committee 2017 (2016)

Member Interest Group Discussions Education Oct 2017 and ongoing annual

111 meetings 2018, 2019 Pilot: Comped Registration for GAFP members who have Executive 2018-2019 graduated from residency 2015- Committee Metrics 2017 (First cohort of 203 – 12 Updated Feb utilized from summer meeting and 2019 14 for annual meeting – all have Ongoing paid 2019 dues) 2020

d Other Activities Brainstorming activities requested Vice President for this goal sent to all committees All Committees for comment and response

Member Interest Group Meetings at Annual Meeting – Education October 2017 Rural/FQHC Board November Obstetrics 2018 Independent/Solo Practice November Emergency Medicine/Urgent Care 2019 Direct Primary Care/Employed Physicians

Apply for an Employed Physician Group on AAFP’s Member Interest Congress of July 2019 – Group Platform Delegates apply October 2019– launched!

Task Force on Group 401K – New President 2020 Membership Benefit Executive Finance Committees 4 Medical Students and Residents Action Plan Activities By Whom By When a Increase the Medical Student Meeting with Student & March 2017 number of family Residency Fair, Social Resident physicians in Networking with GAFP Committee Georgia by engaging leaders and hands-on current Georgia workshop students, residents President President Eddie Richardson, and practicing MD meeting with medical February 2017 physicians through students throughout his year – October 2017 various GAFP as president activities. Public health lectures on Public Health maternal mortality to Staff residency programs – Albany, March – May Emory and Gwinnett 2017

112 Atlanta Based residents Membership invited to New to Practice Executive November 8, Reception Committee 2017

Public health lectures on Public Health maternal mortality to March - May residency programs – 2018 Morehouse, Gwinnett, WellStar – Atlanta Medical

Leadership outreach asking all Executive August 2018 – FMIG leaders to plan a Committee and annually meeting to include GAFP Board Board and staff

Mercer FMIG – Macon E. Richardson, MD September – Board Chair 2018

Morehouse FMIG – Atlanta T. Jacobs, MD – October 2018 Education Chair T. Wallace-Hood MCG FMIG – Augusta J. Gore, MD January 2019 C. Steele, MD T. Wallace-Hood

Rome District Meeting – Education and April 30, 2019 Integrating Behavioral Health Research CME Dinner Committee

Public Health Lecture to Public Health May 29, 2019 Residents on Newborn Committee June 6, 2019 Hearing Screening – Emory, Staff Morehouse

Public Health Lecture to Public Health April 16 – Residents on Developmental Committee Atlanta Screenings – WellStar Atlanta Staff Medical Medical, WellStar – May 15 – Kennestone Kennestone

Public Health Lecture – Oral Public Health March 15, Health to Residents Committee 2019 – Mercer Staff March 26, 2019 – MCG Public Health Lecture – Public Health Maternal Mortality Lecture to Committee March 27 – FM Residents Staff Gwinnett Savannah – May 24 Phoebe – May 21 GAFP coordinating 11 GA T. Wallace

113 residency booths at AAFP Student & July 2019 National Conference for Resident Students and Residents Committee

Rome, Gwinnett, Marietta and October 2019 Savannah based residents PAC Board invited to Advocacy Dinners

Legal Practice Start Up Exec Committee November Support for Residents Board 2019

Public Health Lecture – for Public Health January – Residents on Committee February 2020 Oral Health, Newborn T. Wallace Screening, Developmental Screening – WellStar Kennestone, Morehouse, Savannah, Emory

b Hold Medical Track metrics on those that Student & March 2017 Student and attend and match in FM and in Resident (24 attendees) Residency Georgia Committee Recruitment Fair March 2018 – annually 38 attendees

March 2019 – 35 attendees

February 2020 – 35 attendees Invite all GAFP members who Student & are PGY-3 to attend Residency Resident February 2020 Fair Committee

Virtual Student Meetings for Student & November 20– Residency Programs Resident February 2021 Committee c Increase interaction Provide resources to our Student & with FMIG’s – both FMIG’s Resident officers and their Committee GAFP member GAFP to formally send Staff advisors outreach to FMIG’s each September August and ask for a GAFP Exec Committee 2018 – and leader to participate in one of Board annually their FMIG meetings Staff

GAFP leaders to attend Emory Executive August 21, FMIG “speed dating” event Committee 2018 Student & Mercer Macon- FMIG / GAFP Resident October 1-5, Event during Primary Care 2018

114 Week Board Chair Eddie Richardson, MCG Augusta – FMIG MD September 12, “What is Family Medicine” – 2018 Lunch Joseph Hobbs, MD

Emory FMIG – Fall Student Board August 2019 Kickoff Drs. Ti, Jacobs September T. Wallace 2020 Dr. Alfonso d Increase mentoring Explore successful mentoring Student & June 2018 medical students programs by other state Resident chapters for potential Committee implementation Staff

GAFP Board – AAFP medical March 2018 student expert – staff – Board discussion

Formal outreach to FMIG’s August – scheduled in August asking for Staff October 2018 time on FMIG club meeting Executive Aug. 21 – schedule for GAFP leader to Committee Emory make a presentation on FM as All leaders (will Oct 3 – career and AAFP/GAFP be invited to Mercer/Macon opportunities participate)

FMIG Meetings with GAFP Board - Staff Emory – Members or Staff September 2019 Morehouse – September 2019 e Other Activities GAFP coordinate AAFP Staff February – July National Conference Exhibit 2017 Booths for GA FMRP February 2018 – July 2018 Brainstorming activities February 2019 requested for this goal sent to Vice President – July 2019 all committees for comment All Committees and response Invite AAFP Manager of Education – Jay Fetter for Executive Com March – June brainstorm on medical Student & Res 2017 student topic and mentoring best practices

Plan to meet with all of Georgia’s medical school Executive March 2018 deans to seeks ways to Committee increase medical students with a strong interest in staying in Georgia and

115 pursuing family medicine.

Post all of Georgia’s medical student and resident loan information on GAFP’s Staff Planning – website and link to the Summer Georgia Board for Physician 2018/Meeting Workforce. – Fall/Winter 2018-2019 Have staff plan for annual Student & outreach and meetings with Resident Completed Georgia’s family medicine Committee May 2018 interest group clubs (FMIG’s) Staff around the state on a rotating Planning – basis. (Staff already does Summer 2018 routinely outreach to FMIG Outreach – Fall officers, coordinators and 2018 and advisors to offer guidance and ongoing support.)

Support Pathway to Medical Student & June 2017 School for rural pre-med Resident June 2018 students in both Southwest Committee June 2019 (Albany) and Northeast (Gainesville) AHECs.

5 Education Action Plan Activities By Whom By When a Provide high value Regional CME Dinner Education & January – May CME to as many Meetings on MACRA – Research 2017 members as Savannah, Columbus, Macon, possible Gainesville, Rome

Provide monthly “quick- Education & Monthly – seminars” at lunch for GAFP Research 2017 and members & staff & recorded semimonthly on website for historical 2018 viewing Education & February – Lunch time Webinars related Research June 2017 to public health Public Health

Work with AAFP to ascertain Education & March 2018 where our members are Research receiving their CME

Joint meeting with Georgia Primary Care Association Education June 2018 Executive KSA’s on Heart Failure, CAD, Committee Depression Education June 2018 KSA’s on Hospital Medicine,

116 Maternity, Mental Health, Well Child Care Education November 2018 Regional CME meeting on mental health in primary care setting Education February – Thrive CME – 3-month rapid April 2019 cycle improvement – plus Part IV ABFM – Gainesville / Macon – Pilot locations (2 Education & July 2019 – classes) Research January 2020

Thrive CME – 2020 – Atlanta, Education & February 2020 Savannah/Statesboro/Albany) Research – October 2020

Switch Thrive to Virtual Education & April 2020 Platform Research b Assist members in Regional CME Dinner Education & January – May value-based Meetings on MACRA Research 2017 payment success (e.g. MACRA, Continual AAFP MACRA tools Board Secretary Ongoing population pushed to members via GAFP Practice management, direct website and publications Management Staff primary care, etc.) Care Coordination – The Key to MACRA - MIPS Success Webinar / Website Education August 2017

Summer CME workshop on selecting QI project for value- based success MACRA CME update Education June 2017

One-on-One Assistance for MIPs/MACRA Practice Transformation Education October 2017 Network – Workshop Education October 2017 CME workshop – Improving activities for MIPs and MOC Education June 2018

Moving to Value Based Care CME Lecture Education November 2018 Telemedicine Online CME Education March 2020 Lecture

Reopening Your Practice – Education March 2020 Advice from a Healthcare

117 Attorney

Summer Meeting 2020 Education June 2020 lectures: How to Maximize Incentives The Future of Family Medicine c Develop more Physician Wellness/Burnout Education October 2017 diverse educational Track November offerings 2018

Exploring a regional / small Executive Initial proposal group education on increasing Education & – Jan 2019 revenue and adding care Research Survey – Feb coordination services to 2019 family physician practices – Thrive

Public Health Webinars – Models of Transition Care Public Health March 22, Committee 2019 Staff April 18, 2019 Public Health Webinar – June 8, 2019 Expedited Partner Therapy Public Health Committee May 22, 2019 Staff

Convert Summer CME and Education KSAs to Virtual Platform Committee May-June 2020

Public Health Webinar - Patient Privacy Public Health Considerations in Family Committee June 2020 Medicine

Journal Club Education September – Committee December 2020 d Other Activities Brainstorming activities Vice President March – June requested for this goal sent to All Committees 2017 all committees for comment and response

COVID-19 Resources for GAFP Executive March 2020 – Members – updated website, Committee October 2020 newsletter, and ongoing Education & (and ongoing) emails and presentations Research including the following: Committee

Telemedicine and COVID-19: What You Need Know Moving Forward – March 18

Managing Personal Finances

118 in Turbulent Times – April 7 GA DPH Contact Tracing Webinar – May 26

There is a New Virus in Town– June 6 (Summer CME)

Addressing COVID-19 Racial Disparities and Solutions for Healthcare Workers – 8/11

Reopening Georgia – Advice from a Health Care Attorney – 9/17

Managing the ABD Patient Population During a Pandemic – November 13

119 Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

I. HIV Epidemic in Primary Resolve #1 Recommendation: Resolve #1 Action: Care Speaker to send a memorandum to the Speaker to compose a memo Education and Research Committee, noting (with previously reported Resolve that, the existing that this resolution was not approved, and background) to Education Standard Operating Procedures asking for their review where they can: Committee for review and on PrEP education to GAFP • Take information under advisement feedback to the Congress of residents be taken and vetted by – but no further action Delegates the education committee so that it • Advance the resolution if within the Memo submitted to Education can be considered and possibly needs of our members Committee – May 2020 provided as an educational Speaker to add previously reported offering during an upcoming background to the memo Resolve #2 Action: CME meeting and that it may be Speaker to outreach to shared among physicians or that Speaker will request a response memo from resolution writer for GAFP create a toolkit for the Education and Research Committee so clarification and informed her physicians about PrEP. there is feedback to the Congress of that there would be outreach to Delegates. the Education and Legislative Be it further resolved, that Committees on the subject GAFP lobby with the state Resolve #2 Recommendation: March 2020- complete legislators to expand coverage of Speaker to outreach to resolution writer PrEP. seeking clarification on which group to lobby Staff also outreached to the for expanded PrEP coverage. resolution writer and received additional information on PrEP coverage. Speaker to send a memo to the Legislative Committee for their response and action plan. Staff outreached to the state lobbyist for Gilead Sciences (the maker of PrEP) to give additional information about insurance coverage for interim testing and coverage for the uninsured in Georgia (which should be forthcoming).

A memo was sent to the Legislative Committee and asks them to remain vigilant and look for state advocacy efforts to continue to expand PrEP coverage and access. May 2020

The Board of Directors approved and agreed to submit a resolution to the AAFP

120 Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

Congress of Delegates to support PrEP expansion and coverage. The GAFP submitted the resolution to the AAFP COD for the upcoming COD meeting. However, due to the pandemic, GAFP leadership requested that AAFP review and discuss the resolution at the 2021 AAFP Congress of Delegates. July 2020

The Legislative Committee discussed this issue and agreed to remain vigilant on ways to advocate for expanded PrEP coverage, education, and access. Thank you for sending this issue to our Committee and we will review any legislation that could bring this type of coverage to more Georgians. September 2020 II. Hospital Operative and Non- Resolve #1 Recommendation: Resolve #1 Action: Operative Obstetric Privileges Speaker to direct staff to file this policy as Action Completed – April 2020 for Family Physicians part of our Policy Manual Resolve #2 Recommendation: Resolve that, the GAFP will Resolve #2 Recommendation: Staff to composed a letter to support the American Academy • Speaker to work with staff to send a letter to Earl Rogers, President and CEO of Family Physician’s policies the Georgia Hospital Association asking of the Georgia Hospital and procedures as it relates to them to assist with sending communication Association requesting a Family Physician’s obstetrics to their member hospitals on the FP/OB meeting with senior staff and credentialing and will continue to education model and training and board members in an effort to support individual member’s encouraging hospitals to work with the connect GAFP members with credentialing efforts, and GAFP to connect GAFP members wanting hospitals who are interested in to have full scope practice including hiring family physicians to Be it further resolved that the obstetrics. Ask GHA to respond in writing deliver babies. GAFP will develop a member to outreach. Action Completed – May 2020 group to report back to the 2020 COD including but not limited to: • Speaker/Executive Committee to receive Speaker to communicate GHA response and react as needed and to write up response to 2020 COD for their - Educating stakeholders at a response for the 2020 COD for their information Georgia Hospital Association on review and information. August 2020

121 Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

the FP/OB model and training and;

- Encourage their members to recruit Family Medicine residents to provide comprehensive maternity care and offer to post jobs on the GAFP website.

III. Remove barriers to Resolve #1 Recommendation: Resolve #1 Action: physician credentialing in rural File as current policy – add to policy manual. Action completed – January and physician-shortage areas 2020

Resolve that the GAFP support Resolve #2 Recommendation: Resolve #2 Action: action that requires insurers and Speaker to ask volunteers from the Congress Speaker to solicit volunteers health care networks to not delay of Delegates to draft a formal statement and draft formal statement physician credentialing regarding physician credentialing as outlined November 2020 applications once all requirements in Resolve #2 – and bring to the Board and/or are met, and Congress of Delegates 2020 to approve policy. Be it further resolved that the GAFP draft a formal statement regarding the issue of physician credentialing and its effect on patient access to care as well as how it creates a significant financial hardship for both private practices and rural hospitals that depend on this reimbursement to continue to provide health care services in their community.

IV. Support fair reimbursement Resolve #1 Recommendation: Resolve #1 Action: for maternity care services in Speaker to direct staff to file this policy as Action completed – January rural areas part of our Policy Manual 2020

Resolved that the GAFP will Resolve #2 Recommendation: Resolve #2 Action: continue to support equality of Speaker to draft a memo to be sent to the Memo to Legislative reimbursement for like services Legislative Committee noting that senior staff Committee to ask that they regardless of specialty and is unaware of any insurer that pays a remain vigilant and advocate at differential to any physician performing all levels of the state Be it further resolved, that the obstetrics. government to help family GAFP support legislation that physicians who are practicing requires insurers and health care under their full scope –

122 Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

networks to reimburse obstetrical Resolve #3 Recommendation: especially those that chose to physicians regardless of specialty Staff to add a link on GAFP website for deliver babies. for their maternity related members to submit insurance reimbursement Action Completed - May 2020 services, and complaints to the Georgia Department of Insurance. Resolve #3 Action: Be it further resolved that the Staff added a link on the GAFP GAFP develop a link on their website under the Advocacy tab website where physicians and to Georgia Department of practices can submit information Insurance complaint department regarding issues with Action Completed – May 2020 reimbursement of obstetrical services.

V. GAFP to consider support of Resolve #1-3 Recommendations: Resolve #1-3 Action the Communication and Speaker to write a memo the Legislative Legislative Committee Optimal Resolution (CANDOR Committee asking that they identify and seek addressed the issue by hosting a legislation) such as the ones in ways to a provide legislation/policy champion teleconference on Omnibus Iowa and Colorado for the review and possible adoption of Tort Reform Bill – Senate Bill CANDOR and seek ways to provide 390 with Derek Norton, Resolved that, the GAFP education to members to understand pre- Medical Association of advocates the adoption of pre- litigation processes and how to mitigate a Georgia’s Director of litigation processes, and malpractice lawsuit. Government Relations on February 24, 2020 Be it resolved that the leadership Speaker to draft a memo to the Education Action Completed – February of the GAFP will identify a Committee asking them to consider education 2020 legislative/policy champion for on pre-litigation processes to our membership the review and possible adoption Original resolution writers of CANDOR, and Staff to seek a malpractice lawyer to draft an participated on the article on pre-litigation processes and how to teleconference on February 24, Be it further resolved that the mitigate a malpractice lawsuit. 2020 GAFP will provide educational Action Completed – February opportunity of members to 2020 understand pre-litigation processes and how to mitigate a Speaker to compose a memo to malpractice lawsuit. Education Committee for review and feedback to the Congress of Delegates Action Completed May 2020

Staff secured a malpractice attorney to write an article on Georgia law that outlines pre- litigation processes and how to mitigate a malpractice lawsuit.

123 Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

Article will be written and in a June edition of Simply Stated Action Completed - May 2020

After discussion and review, the Legislative Committee agreed that it is important to be vigilant and will continue to support parity in payment for family physicians, including maternity care. The Committee also agreed to continue to support family physicians practicing their full scope. September 2020

124 August 2020

To: 2020 GAFP Leadership (Includes Board of Directors, and all GAFP Members serving on Committees, PAC, and Alliance Board)

From: Fay Fulton – Executive Vice President

Re: August Board Update This email report is to give you a snapshot of activities happening at the Georgia Academy that might not make the newsletter or be reported in the monthly Executive Committee minutes. If you have any questions, please do not hesitate to contact me at [email protected] or my cell phone 404.713.9458.

 Leadership Call for AAFP Commissions – GAFP Deadline is September 2 GAFP leaders are being asked to consider applying for an AAFP Commission. AAFP commissions that have an “open” position for a GAFP include: Continuing Professional Development, Federal and State Policy, Health of the Public and Science, and Quality and Practice. To learn more about the responsibilities of each of the leadership positions, click here: https://www.aafp.org/about/governance/commissions.html

If interested, please fill out the following information and send back to [email protected] no later than September 2nd. It is important for you to rank your commission “wish-list” so that the Executive Committee can consider a range of nominees.

Name: Current GAFP leadership position: Rank Commissions you wish to serve: If selected, can you attend all 2020 meetings as outlined by AAFP? Why do you wish to serve? What experience do you have unique to top 1-2 ranked commission?

The GAFP Executive Committee will review all applicants at their September meeting and make final selections so that the nominee has time to complete all the application materials no later than the AAFP October deadline. Please do not complete any AAFP application, until after the Executive Committee has made their selections.

 AAFP Member Purchase Opportunity for Hard-to-Find PPE - Collaboration with Project N95 Runs Aug. 24-Sept. 2

Start planning now for the purchase opportunity, which will be open from Aug. 24 through Sept. 2. All AAFP members (including students and residents) will be able to purchase items such as N95 masks, gowns, and face shields. Orders must be shipped within the United States.

This collaboration with the not-for-profit organization Project N95 is part of the Academy's ongoing work to empower family physicians to continue their work as the foundation of America's health care system during the COVID-19 pandemic. This is being offered as a benefit for AAFP members and the Academy will not profit. Helping family physicians secure PPE has been a crucial part of the AAFP's government and private- sector advocacy from the beginning of the pandemic.

The upcoming opportunity eliminates two key obstacles members have reported: Much of the stock of PPE that family physicians have been able to find on their own is of poor quality or available only in quantities that are much too large for solo and small practices. Project N95 has certified the quality of the products being offered, and there is no minimum purchase requirement.

Look for an email from the AAFP on Aug. 24 with a link to this members-only opportunity. To ensure you'll be able to access it, confirm that the Academy has your correct email address on file no later than noon CT on Aug. 13 and then look for instructions to reset your password in an email from [email protected] on Aug. 17, the day that the new AAFP website launches.

125 October 26, 2020

To: 2020 GAFP Leadership (Includes Board of Directors, and all GAFP Members serving on Committees, PAC, and Alliance Board)

From: Fay Fulton – Executive Vice President

Re: October 26 Board Update This email report is to give you a snapshot of activities happening at the Georgia Academy that might not make the newsletter or be reported in the monthly Executive Committee minutes. If you have any questions, please do not hesitate to contact me at [email protected] or my cell phone 404.713.9458.

 Forever Family Medicine – Always #GeorgiaStrong Join your colleagues in supporting our Foundation, the Georgia Healthy Family Alliance, by purchasing a sweatshirt or t-shirt to proudly acknowledge our love of family medicine! Orders made by November 7th will arrive between November 18th – November 30th. This is a great time for you to purchase for your colleagues, medical students, office staff, fellow clinical staff for end of year giving!

And a portion of the proceeds will go to support our Foundation! Don’t delay click here and place your order!

 GAFP Members – Join the Discussion- This Thursday at 6:00 pm The first meeting of the Congress of Delegates will take place via operator-assisted conference call and webinar on Thursday, October 29, at 6 pm. All members are invited and encouraged to attend. Please register by clicking here - Congress of Delegates: 1st Session.

Members are invited to speak to resolutions of interest or concern to you. To review the 2020 COD Resolutions, please visit the GAFP website and click the About Us tab, then select Congress of Delegates. You can download important information related to the Congress of Delegates including the 2020 COD Handbook, 2020 Resolutions – Includes Suggested Bylaws Changes and Resolutions starting on page 114 and COD Schedule – including AAFP Board Update from Dr. Steve Furr and GAFP Officer Installation.

The COD 2nd session is virtual and is scheduled for Sunday, November 15 at 2:30pm. The 2nd session is where final discussion and voting occurs. COD delegates and alternate delegates, officers, and past presidents have the ability to address the Congress and will join the session via Zoom webinar. Zoom registration information sent to COD Delegates and Alternate Delegates

Members (who are not delegates, officers, or past presidents) are asked to join the 2nd session via the GAFP’s YouTube channel on Sunday, November 15th at 2:30pm to observe the proceedings. You can access the proceedings on November 15th by clicking this link - COD 2nd Session via YouTube.

126 August 2020 Board of Directors Evaluation

Q1 Please rate the quality of issues discussed today on a scale of 1-5 with 1 being trivial and 5 essential:

Answered: 24 Skipped: 0

100%

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0% Somewhat Essential

Essential Mainly Essential Somewhat Essential Somewhat Trivial Trivial

ESSENTIAL MAINLY SOMEWHAT SOMEWHAT TRIVIAL TOTAL WEIGHTED ESSENTIAL ESSENTIAL TRIVIAL AVERAGE Somewhat 58.33% 29.17% 12.50% 0.00% 0.00% Essential 14 7 3 0 0 24 4.46

Q2 Please rate the quality of background materials you were sent with 1 being poor and 5 being excellent:

Answered: 24 Skipped: 0

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0% Average

Excellent Good Average Fair Poor

EXCELLENT GOOD AVERAGE FAIR POOR TOTAL WEIGHTED AVERAGE Average 70.83% 20.83% 8.33% 0.00% 0.00% 17 5 2 0 0 24 4.63

127 1 / 4 August 2020 Board of Directors Evaluation

Q3 On a scale of 1-5 with 1 being operational and 5 being strategic, please rate the discussion at today’s meeting:

Answered: 24 Skipped: 0

100%

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60%

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0% Somewhat Strategic

Strategic Mainly Strategic Somewhat Strategic Somewhat Operational Operational

STRATEGIC MAINLY SOMEWHAT SOMEWHAT OPERATIONAL TOTAL WEIGHTED STRATEGIC STRATEGIC OPERATIONAL AVERAGE Somewhat 33.33% 41.67% 12.50% 8.33% 4.17% Strategic 8 10 3 2 1 24 3.92

Q4 What might we have done differently to improve our meeting today?

Answered: 9 Skipped: 15

# RESPONSES DATE 1 Praparation/familiarization with Zoom prior to the meeting 8/15/2020 10:23 AM

2 Nothing. There were issues with sound but we pulled off the first Zoom BOD meeting. GAFP 8/14/2020 12:08 PM rocks!

3 Need to limit outside speakers for zoom type meetings, really hard to buy in for that long of a 8/14/2020 12:01 PM session , also ability to mute boom mics is important, was very difficult to hear at times.

4 Smooth and to the point. 8/14/2020 11:54 AM

5 Very pleased with the technology with the usual gaffs but worked well. 8/12/2020 5:32 PM

6 We did well under adverse circumstances 8/8/2020 10:17 PM

7 All things considered it was as effective as it could have been 8/8/2020 10:12 AM

8 Better instructions ahead of time on how to use the virtual platform, ie., how to mute 8/5/2020 8:50 PM microphones.

9 Mute all mics except the one being used at the time. 8/5/2020 11:37 AM

128 2 / 4 August 2020 Board of Directors Evaluation

Q5 In light of today’s meeting, what are the most important topics we should address at our next meeting?

Answered: 4 Skipped: 20

# RESPONSES DATE 1 Covid and politics 8/8/2020 10:17 PM

2 Short term strategic planning for the post Covid practice. 8/5/2020 8:50 PM

3 Financial viability of primary care in the COVID / post- COVID environment Input / conscience 8/5/2020 2:43 PM building on health equity / structural racism’s impact on access and outcomes

4 How to better recruit new FM residents to the state of Georgia 8/5/2020 11:37 AM

Q6 What was the most valuable contribution we made to the organization’s welfare today?

Answered: 7 Skipped: 17

# RESPONSES DATE 1 Safety of members by given virtual option. 8/14/2020 11:54 AM

2 Proving we can do this virtually and flawlessly 8/12/2020 5:32 PM

3 Commitment to CME 8/8/2020 10:17 PM

4 Insights on moving with virtual visits. 8/5/2020 8:50 PM

5 I really enjoyed the update on the initiatives of The Georgia Healthy Family Alliance. 8/5/2020 7:41 PM

6 Discussion with VillageMD 8/5/2020 2:43 PM

7 I believe that arranging for COVID updates was vital at this point in time. 8/5/2020 11:37 AM

Q7 If the Board needs to meet virtually in the future, do you prefer...

Answered: 24 Skipped: 0

129 3 / 4 August 2020 Board of Directors Evaluation

100%

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0% GoToWebinar - View GoToMeeting or Zoom I can't answer, I the screen and - View the screen and haven't tried them teleconference meeting participants

ANSWER CHOICES RESPONSES

GoToWebinar - View the screen and teleconference 8.33% 2

GoToMeeting or Zoom - View the screen and meeting participants 91.67% 22

I can't answer, I haven't tried them 0.00% 0

TOTAL 24

130 4 / 4