TheAmericanCollegeofPhysicians

FosteringExcellence

HeatherE.Gantzer,MD,FACPRegent,BoardofRegents,ACP

2018

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ACPMission

§ Toenhancethequalityandeffectivenessofhealthcarebyfosteringexcellenceandprofessionalisminthepracticeofmedicine

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ACP

§ Workingforyouandwithyou

§ ImprovingthelivesofInternistsandtheirpatients

ACPAtaGlance

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154,000MembersStrong

§ Establishedin1915§ Adiverseglobal

communityofinternistsunitedbyacommitmenttoexcellence

§ Includesinternists,internalmedicinesubspecialists,residentsandfellowsintraining,andmedicalstudents

§ Morethan152,000

Leveragingthecollectivevoiceofourcommunitytocreateabetterplaceforourselves,ourprofession,andourpatients throughmedicaleducation,practicetransformation,advocacy,andengagement.

HowACPDefinesInternalMedicineInternistsapplyscientificknowledgeandclinicalexpertisetothediagnosis,treatment,andcompassionatecareofadultsacrossthespectrumfromhealthtocomplexillness.

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ACPMembership:PartofEveryStageofYourProfessionalLife

• MedicalStudentMember

• Resident/FellowMember

• Member

• Fellow

• PhysicianAffiliateMember

• Non-PhysicianAffiliateMember(availableintheU.S.only)

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ACP:AGlobalCommunity

§ Internationalchapters:Bangladesh,Brazil,Caribbean,Canada(6),CentralAmerica,Chile,Colombia,India,Japan,Mexico,SaudiArabia,SoutheastAsia,andVenezuela

§ Over15,000ACPmembersresideoutsidetheUnitedStates

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InternalMedicine&ACPMemberTrends

Workingforyouandwithyou:ChangingtheLandscapeofHealthcarefortheBetter

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ACP’sPhysicianWell-beingandProfessionalSatisfactionInitiative

https://www.acponline.org/physician-well-being

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ImprovingPhysicianSatisfactionandPatientOutcomesbyReducingUnnecessaryBurdens

Unnecessaryburdensleadtolimitedtimewithpatients,toomuchpaperworkandwork/lifeimbalance.

ACPaddresstheseissuesby:

§ Seekingimprovementtosystemsanddocumentationrequirements

§ Identifyingandprioritizingburdensomeadministrativetasks§ Assessingtasksforimpactonoutcomes§ Developingpolicyrecommendationstoenactchange§ Engaginginongoingoutreachandstakeholderengagement

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PatientsBeforePaperworkInitiative

www.acponline.org/patientsbeforepaperwork

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EncouragingHighValueCare

§ Initiativesaimtoimprovehealth,avoidharms,andeliminatewastefulpractices

§ UpdatedHVCCurriculumforEducatorsandResidents,jointlydevelopedwiththeAllianceforAcademicInternalMedicine

• Trainphysicianstobegoodstewardsoflimitedhealthcareresources

• Newcases,smallgroupactivities,andexpandeddiscussionsofmedicaldecision-makingandhighvaluequalityimprovement

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SupportingPatientandFamilyPartnershipsinHealthcare

§ ACP’sCenterforPatientPartnershipinHealthcareprovidesprogramsandresourcesthatsupportpatientandfamilypartnershipstoimprovecareandoutcomes• PublishedACPPrinciplesforPatientandFamilyPartnerships

§ Selectsadvocatestorepresentpatientsonnationalcommitteesandcouncils

www.ACPOnline.org/Patient_Ed

Workingforyouandwithyou:ExcellenceinEducationalResources

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AnnalsofInternalMedicine

§ “Onlinefirst”articles- Newcontenteveryweek

§ TheAnnals FreshLookblog§ Annals StorySlameventsandvideos§ Annals campaignonfirearmsafety:

go.annals.org/commit-now

Oneofthemostwidelycitedmedicaljournalsintheworld;current,evidence-basedscienceatyourfingertips.

www.annals.org

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MKSAP ® 18:Nowavailable

§ MKSAP18iscompletelynew-fromtheground-up;offers275CMEcredits

§ NEW:ResidencyTracker,amonitoringtoolforProgramDirectorstoassesstheprogressandproficiencyofresidentsastheyanswerMKSAP18Digitalquestions

§ NEW:refreshedwithadaptivelearningtechnology

§ NEW:platform,dashboardandsearchenginefunctionality

§ Availableinbothprint,digitalandcompleteformats

www.acponline.org/MKSAP18

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ACPPublications:OnlineandInPrint

ACPPublications Websites:§ ACPInternist.org§ ACPHospitalist.org

MonthlyPrintPublications:ACPInternist andACPHospitalist providenewsandin-depthanalysisofissuesforinpatientandoutpatientinternists

E-newsletters:ACPInternistWeekly,ACPHospitalistWeekly,ACPAdvocate,ACPDiabetesMonthly,ACPGastroenterologyMonthly

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DynaMedPlus™

Clinicalcontentthatiscurrent,concise,andeasytosearch:

§ Freeaccessformembers(throughDecember2018)§ Includesoverviewsandrecommendationsformorethan750

topics,2,500searchableimages,andnumerouscalculators§ MobileappsavailableforAndroidandiOS

www.ACPOnline.org/DynamedPlus

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OnlineLearningCenter

§ Over350activitiesincluding:• Video-basedlearning• Webinars• Interactivecases• Quizzes

§ CMEandMOCeligible

www.acponline.org/olc

Anewcentralizedgatewayforonlinelearningactivities

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InteractiveLearningModuleonOpioids

§ Firstinaseriesofinteractivelearningmodules

§ FreetoACPmembers

§ CMEandMOCeligible

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TheCurbsidersPodcast

§ ACPpartneringwithTheCurbsiders,apodcasthostedbyinternists

§ MonthlyseriesoffersCME;focusesoninternalmedicine-relatedtopics

§ TheCurbsidersisavailableoniTunesandotherpodcastplatforms

www.acponline.org/curbsiders

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GettingItRight:CasestoImproveDiagnosis

Casesdesignedtoencouragediagnosticdecision-making:§ UnderstandingtheDiagnostic

Process§ PartneringwithPatientsand

FamiliesintheDiagnosticDecision-MakingProcess

§ PhysicianandPatientFactorsinDiagnosticDecision-Making

§ RecognizingandRespondingtoDiagnosticErrors

www.acponline.org/olc

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ResourcesforLifelongLearningNeeds

BoardBasics3ü Dozensofclassicimages,core

content,andtipsonhowtotaketheABIMexam

ACPmembersenjoyfreeorsubstantiallydiscountedresourcestohelpmembersmeettheireducationalgoals:

Coursesü MOCExamPrepCoursesand

InternalMedicineBoardReviewCourses

ü Live reviewcoursesandrecordings

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ResourcesforEducators

§ TeachingMedicineSeries(TheoryandPracticeofTeachingMedicine,TeachingMethods,TeachingintheHospital,TeachingintheClinic,TeachingClinicalReasoning,MentoringinAcademicMedicine,andLeadershipinMedicalEducation)

§ AnnalsofInternalMedicineteachingtools

§ InternalMedicineIn-ServiceTrainingExaminationforresidents

§ ACPBoardPrepCurriculumforresidents

§ HighValueCareCurriculumfortraineesatalllevels

§ IMEssentialsformedicalstudents

Workingforyouandwithyou:Addressingissuesofimportance

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Evidence-BasedClinicalGuidance

ACPcontinuestobealeaderindevelopingevidence-basedresourcesthathelpourmembersandtheentireinternalmedicinecommunitydeliverthebestpossiblecareforpatients.

Recenttopicsaddressedinclude:§ HepatitisBscreeningvaccination

andcare§ Guidanceonglycemiccontrolfor

patientswithtype2diabetes

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EthicalGuidance

§ Optimizingclinicallearningaroundethicsandprofessionalism

§ Providingguidanceonimportantethicalissues• Physician-assistedsuicide• Obligationsregardingshort-termglobalhealth

experiences• HiddencurriculainMedicalSchool

§ Creatinghelpfulcasestudies• AddressingaColleague’sUnprofessionalBehavior

DuringSign-Out• SecretRecordingsofOfficeVisitsbyPatients

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AddressingPerformanceMeasures

§ ACP’sPerformanceMeasurementCommitteecollaboratedon“TimeOut— ChartingaPathforImprovingPerformanceMeasurement”

§ ACPadvocatedforanimprovedmeasuredevelopmentprocesstohelpphysiciansprovidethebestpossiblecarewithoutcreatingunintendedadverseconsequences

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ACPPublicPolicyDevelopmentProcess

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ACP’s“BigTent”AdvocacyAgenda

COLUMNAü Expandaccessandcoverageü Improvepublichealthü Supportresearchandscienceü Opposediscriminationü Reducehealthcaredisparitiesü Supportprimarycareworkforceü LowerRxdrugprices

The issues in column A affect the overall health and well-being of patients and the public.

COLUMNBü ImproveEHRsü Reformandimprovepaymentsü ImproveMedicare’sQualityPayment

Programü Improvequalitymeasuresü Reformmedicalliabilitysystemü Reducecrushingadministrativeburden

The issues in column B affect the health, well-being, professional and career satisfaction of our members

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ACPPublicPolicy&Advocacy

§ ACPadvocatesforchangesthatwillmake adifferenceinthedailylivesofinternistsandourpatients’health• Expandingaccesstoaffordable,

high-qualitycare• Prohibitingdiscriminationthat

resultsinhealthcaredisparities• Reducingprescriptiondrugcosts• Addressingtheopioidcrisis

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PublicPolicyPapers:AddressingTimelyIssues§ PatientSafetyintheOffice-BasedPractice

Setting§ PromotingTransparencyandAlignmentin

MedicareAdvantage§ ImprovingHealthCareEfficacyand

EfficiencyThroughIncreasedTransparency§ CompensationEquityandTransparencyin

theFieldofMedicine§ GenderEquityinCompensationand

CareerAdvancement§ SocialDeterminantsofHealth§ Women’sHealthPolicy

Workingforyouandwithyou:PracticeResources

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HelpingYouTransformYourPractice

§ ACPPracticeTransformationResources:Information,resources,toolstosuccessfullycareforpatientsinthevalue-basedpaymentenvironment

§ QualityPaymentAdvisor:Onlinetooltoassistindeterminingthebestpathtotake—MIPSorAPM.

§ ACPPracticeAdvisor:Onlinetooltohelpanalyzeandimprovepatient care,organizationandworkflow

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ResourcesfortheQualityPaymentProgram

§ InformationontheQPPrules&ACP’scomments§ BasicsontheQPP– whatisit,whatarethetracks,whatis

pickyourpace?Also,Glossaryand§ LatestUpdates/News§ Linkstofurtherinformation– 10ThingsYouShouldKnow,

FAQs,AdditionalTools§ MemberForumforMACRA/QPP:

https://www.acponline.org/forums/macra-and-the-quality-payment-program

§ Questions:macra@acponline.orgwww.acponline.org/QPP

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OtherValue-BasedPaymentInformation

§ ACP’sSupportandAlignmentNetworkGrant§ HighValueCareResources• HVCCareCoordinationToolkit

§ PracticeRedesignSupport§ QualityImprovementandRegistries§ EngagingPatientsandFamilies

https://www.acponline.org/practice-resources/business-resources/practice-transformation

Workingforyouandwithyou:Collaboratingwithothersforpositive

change

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UpdateonworktowardaCollaborativeMaintenancePathway

ACP’sgoalistocreateapathwayformaintainingcertificationthatreflectsacontinuousprocessoflearningandevaluationandwouldbeanalternativetoABIM’sprograms.

§ Ongoingdiscussions§ MemorandumofUnderstanding§ WorkingwithABIM/IMsocieties

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Updateonworktoward aCollaborativeMaintenancePathway

ACPispartoftheAmericanBoardofMedicalSpecialties(ABMS)initiative:“ContinuingBoardCertification:VisionfortheFuture”

§ Recommendationsaboutthefutureofcontinuingboardcertification.

§ AfinalreporttoABMSinFebruary2019.

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CollaborationwithLegislators&Influencers

ACPadvocatesforpolicychangesthatwillmakeadifferenceinthedailylivesofinternistsandultimatelyourpatients’healththrough:§ Policypapers§ MeetingsonCapitolHill§ Communications&collaborations

withotherorganizations

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CollaborationwithPhysicianOrganizations

ACPcollaborateswithotherphysicianorganizationsrepresentingover560,000physiciansandmedicalstudents:§ AmericanAcademyofFamily

Physicians§ AmericanAcademyofPediatrics§ AmericanCollegeofObstetriciansand

Gynecologists§ AmericanOsteopathicAssociation§ AmericanPsychiatricAssociation

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ProvidingfeedbackandinputonRegulatoryIssuesACPrepresentsinternists’viewstoregulatoryagencies,includingCMSandtheOfficeoftheNationalCoordinatorforHealthInformationTechnology§ Suggestchangestoregulationsandpoliciesto

reduceexcessiveadministrativetasks/QualityPaymentProgram

§ HelpACPmembersandinternistsintheshiftinfocusfromvolumetovalue,andtothenewreportingrequirementsimpactingreimbursement

§ RecentactivityincludesparticipationonaCongressionalRedTapeRoundTableandameetingwithCMSAdministratorSeemaVerna

Workingforyouandwithyou:Involvement,Engagementand

OpportunitiestoConnect

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InternalMedicineMeeting2019:ACP’sAnnualScientificMeeting

InternalMedicineMeeting2019April11-13,2019Philadelphia,PARegisteronlineat

https://annualmeeting.acponline.org/

MarkingACP's100thannualmeetinganditsexcellenceinclinical

education.

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EngagementopportunitieswithACPChapters

86ChaptersandRegionsacrosstheU.S.andtheworld:• Helpinfluencestatelegislation• Networkwithpeers• Mentormedicalstudents,residentsandearlycareer• Committee• InfluenceACPPolicy• Volunteerism:Beonthelookoutforanupcomingemailwill

besentencouragingyoutovolunteer

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BecomeanACPFellow

ElectiontoFellowshiprecognizesexcellenceinthepracticeofinternalmedicineandisachievedthroughprofessionalaccomplishmentswithinone,oracrossmultiplepathways.

Forinformationandcriteria:

ACPFellowship:FellowshipintheCollegeisanhonor.BeinganFACP® isadistinctionearnedfromcolleagueswhorecognizeyouraccomplishmentsandachievementsinthepracticeofinternalmedicine

ACPOnline.org/FACP

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JoinAdvocatesforInternalMedicineNetwork(AIMn)

§ GrassrootsadvocacynetworkdesignedtohelpACPmembersengagewithfederallawmakersonpolicyissuesimportanttointernists

§ AIMnmembersreceivelegislativeupdatesandalertsaskeypolicyissuesunfold,includingsamplemessagestomembersofCongress

§ Enrollathttps://cqrcengage.com/acplac/

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SupporttheNextGenerationofIM

§ Promotetherewardsofinternalmedicineasacareer

§ RecommendGeneralIMtoresidents

§ InviteinterniststojoinACP

§ SponsoraMemberfor Fellowship(FACP)

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GetConnected

Forwaystoconnect,andpersonalizeyourengagementwithvisitwww.acponline.org§ MyACP

A personalizedwebexperience,makingiteasierformemberstoaccessanddiscoverpertinentACPcontentandresourceswhilevisitingACPOnline.org.

§ ACPMemberForumsACPMemberForumsallowACPmemberstoinstantlyparticipateindiscussionsonarangeofclinical,professional,andpractice-relatedtopics.

§ FollowACP,AnnalsandMKSAPonsocialmedia

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GetInvolved,MakeanImpact

§ JoinyourlocalInternalMedicinecommunitythroughACPChapters

§ DevelopskillsthroughtheACPEngagementProgram

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Thankyou...

…foryourcontinuedsupportofACPandyourcommitmenttointernalmedicine.