2018 NCOA ANNUAL MEETING SATURDAY HANDOUTS General Scientific Session October 12-14, 2018 Kiawah Island Golf Resort, Kiawah Island, SC AAOS Update Joseph A Bosco III, MD Second VP AAOS Professor and Vice Chair NYU Langone Department of Orthopedic Surgery 2018 NCOA Annual Meeting Kiawah Island, SC October 13, 2018 UNC Resident 1986-1991 2 2018 Key Strategic Initiatives Governance & Strategy: Building new, more effective models for governance and strategy Member Value: Enhancing the value of your Academy relationship Digital Education: Include more education as part of membership and improve online product offerings, engagement, & user experience Registries: Expand registry products and influence to fully realize systems approach to continuous quality improvement Partnership: Managing orthopaedic tribalism through partnerships 1 Strategic Plan Shaping the Future Given the pace of change and new Academy leadership, the Board of Directors approved a new Project Team to shape the next Strategic Plan. 1. Understand our members needs 2. Focus on our core competencies 3. Strategic Partnerships to create new member value and loyalty Project Team Chair: Kristy L. Weber, MD Governance Task Force Objective: Review the existing governance structure of the Board to ensure that it can effectively Governance execute against an organizational strategy. Goals: . Comprehensive assessment of AAOS How the Board sets governance structures direction and . Formulate a set of principles, tailored to develops strategy the AAOS, that specifies how AAOS Board will be structured and governed . Identify and recommend changes to current AAOS governance Task Force Chair: David A. Halsey, MD Target: December 2018 Membership . Added new membership category for Physician Assistants . Evaluating membership categories and offerings for other key allied health providers in musculoskeletal care . Reviewing pathway for DO members to become full Fellows of the AAOS 2 Value of Membership ‐ Quantified Benefits Non-Member Member Member Dues and AM Fee AAOS Annual Meeting $1,200 $100 Journal of the AAOS $466 $0 $1,095 Clinical Orthopaedics & Related Research $651 $0 AAOS Now $86 $0 Non-Member Costs (2.5x Member Cost) Headline News N/A $0 Online Learning $2,842 100+ modules available : estimated7 $10 per module N/A $0 Webinars (12 of 40 webinars are fee based) Total Value: $420 | Average Member Utilization: 4x per year $140 $0 Member Value Orthopaedic Video Theater $299 $0 Member Dues +$995 =$1,747 Total Cost $2,842 $1,095 References / Notes: 1. Registry Participation: $439 per physician anticipated participation costs for future out‐patient registries Value of Membership ‐ Priceless Benefit Strongest evidence of achievement for professional competence and commitment to ”Fellow” Designation – FAAOS excellence Advocacy Supporting and protecting members on legislative and regulatory issues CME Tracking / Transcript Service Track your CME in one place and have information automatically transferred to ABOS Professional Compliance Program A means to address the issue of inappropriate or fraudulent expert witness testimony Orthoinfo.org 8 Supporting physicians to better educate and support their patients Career Center Explore and identify orthopaedic career opportunities Leadership opportunities Impact the profession by volunteering on committees and education programs CME for MOC Providing CME learning opportunities that count towards MOC CPGs, AUCs, performance measures, and patient safety resources that set the standard Quality tools of care and define quality for our profession Education Strategy Mission To be the premier resource of orthopaedic learning. Vision The Academy is the trusted, preferred resource for every orthopaedist throughout their career and is the partner of choice for subspecialty societies to develop and deliver orthopaedic education. Priorities Customer Learning Strategic Experience & Expertise Partnerships Engagement 3 The Education Hub Strategy . Members are our priority – without them we are irrelevant. Why the . Education is a key member benefit, but with so many options, why choose us? “Hub” . The Hub Strategy enables us to deliver the best offerings so that members are Strategy? satisfied and renew, and it provides a sustainable revenue stream to fund the ecosystem. Our Education MUST Provide Doing This Gives Us… Information in a Way That… The Education Hub: 10 What it IS and What it is NOT A business strategy to Enhances what we are good at deliver valuable info to enhance our core asset . Engagement which increases ability Is financially sustainable (members) and to connect to commercialize and enhance perceived member value Is accessible them to what they need, when they need it Connects us to partners (when . More, valuable content which leads needed) We are NOT everything to to higher renewal rates and Prioritizes offerings everyone, we do NOT need expansion opportunities to own all of the content, and it is NOT a hosting strategy Orthopaedic Video Theater . New dynamic interface makes it easier to search, download, bookmark, and rate videos . 700+videos from top experts worldwide . 200+ videos now offering CME . COMING SOON! Expanding to include user‐ submitted videos, specialty society channels, and industry channels New Portal ⚬ More Content ⚬ Enhanced User Experience Member Benefit New Interactive Online Learning Experiences at learn.aaos.org . Self-assessment examinations . Free content, including 100+ surgical techniques microlearning modules . AAOS Practice Prep Plans . Orthopaedic Video Theater surgical videos . Resident education resources 4 Resident Education Orthopaedic Video Theater: FREE to AAOS resident members NEW Oncology Review Course: Interactive resource with 38 lessons, 5 modules developed by oncology luminaries Improved ResStudy Platform . Features a build-a-quiz tool and 3,000+ self-assessment questions . Only resource for residents to review all the current AAOS exams and practice with real OITE questions Supporting Your MOC Process and Achievements . Check on your CME credits and add new CME activity to your member transcript at aaos.org/transcript . AAOS automatically sends your CME credits directly to ABOS to make MOC reporting easier . SAE and Practice Prep Plans developed to help you meet your MOC requirements . Supports the rollout of the ABOS Web-Based Longitudinal Assessment (ABOS WLA) to replace the high-stakes exam: Ongoing process of reviewing material and answering questions over time Supporting Your MOC Process and Achievements What’s new in MOC? . Web-based Longitudinal Assessment Program . Practice-profiled recertification examinations eliminated all general orthopaedic questions . Recertification exam options now available in General, Spine, Adult Recon, Pediatrics, Trauma, Foot & Ankle, Shoulder & Elbow, Surgery of the Hand, Sports Medicine, Oral (entirely practice-based) . New Practice-profiled examinations in 2018: Pediatrics, Trauma, Foot & Ankle 5 Quality Resources CLINICAL PRACTICE GUIDELINES AND AUCS OrthoGuidelines app developed for timely access . 18 clinical practice guidelines . 14 appropriate use criteria NEW: . Management of Osteoarthritis of the Hip Guideline and AUC . Dysplasia of the Hip AUC Awarded $1.5 million by the Department of Defense to develop six new guidelines and six new AUCs Focus on bridging gap between science and clinical practice to define and improve quality Academy Board 17 End to end systems approach to continuous quality improvement that translates science into practice Approves significant, multi‐year investment in registries Leverage registries to collect data, report, and benchmark to define quality MSK care that is patient center, evidence based and cost effective June 2017 Invest in becoming a leader and partner to ensure quality in the delivery of MSK care Relevance to the future of the profession and patients Registries . Component of a larger quality vision . Provide data to inform AAOS guidelines and test performance measures . Provide feedback to providers to continuously improve their practice and healthcare outcomes 18 . Allow AAOS to define what quality means in a value-based system . Reduce the reporting burdens on physicians . Help inform gaps in knowledge or areas for further education “If you can’t measure it, you can’t improve it” ~ Drucker 6 Registries as a Strategic Priority to Provide Value to Members and Patients . Value of improved data collection and reporting . National benchmarking through RegistryInsights™ allows providers to administer and analyze patient‐ reported outcomes . Reduce complications and revision rates . Increased transparency . Alerts for poorly performing implants . Support of quality initiatives . Monitor actions that improve patient care “Level II data introduces many variables . Allow for re-use of data towards programs like that health care providers may consider MIPS, MOC, CME when planning for surgery. Surgeons will be able to utilize this new data to better inform their decisions, and our ability to . In 2018, collection of Level II comorbidity and risk adjust will allow for their findings to complications clinical reporting translates into not be misconstrued.” risk-adjusted data reporting —Daniel J. Berry, MD Registry Program Progress . The American Joint Replacement Registry (AJRR) was re-integrated into AAOS . The Registry Oversight Committee (ROC) was created . Additional staff hired and physician leadership groups created . Shoulder & Elbow Registry identified as next priority. (Target: EOY 2018) . Strategy