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Leadership Forum: Advocacy

Leadership Forum: Advocacy. Jan 2013 James W. Fasules, MD FACC ACC Senior VP Advocacy. The Bane of Leadership. Pleasing members in times of uncertainty. “You can fool all the people some of the time and some of the people all the time but you cannot fool all the people all the time”.

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Leadership Forum: Advocacy

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  1. Leadership Forum:Advocacy Jan 2013 James W. Fasules, MD FACC ACC Senior VP Advocacy

  2. The Bane of Leadership Pleasing members in times of uncertainty. “You can fool all the people some of the time and some of the people all the time but you cannot fool all the people all the time”

  3. Plenty of Issues

  4. Advocacy Team Four departments • Regulatory – interactions with federal and administration agencies: FDA, CMS, CPT, RUC • Legislative – interaction with Congress: lobbying, grassroots, PAC, Legislative Conf • State – chapter support, state regulation and legislation; public health issues, MAC/CAC • Payer – interaction with insurers; coverage, AUCs, putting quality measures into practice

  5. Whack-a-Mole Acute Issues MU NIH CER Imaging FDA E&M RUC FOCUS Maryland PCI GME Deficit IOASE SGR

  6. Advocacy Steering Committee Evaluates Issues for BOT (EC)

  7. “Fiscal Cliff” Risks to Cardiology Drivers of change • Sequestration • Debt ceiling • Budget, CR • Medicare and SGR “Offsets” • Imaging • IOASE • RBMs • GME • E&M facility fees • Medicaid bumps Payment reform • VBP, VBM, QRUR, PQRS

  8. “Fiscal Cliff” – SGR, Delayed by ATRA: Less Uncertainty in Payment (for a year) ACC language on deeming registries for PQRS ppt added

  9. ACC Reform Leadership • Improve quality and cost effectiveness of CV care • Guidelines and AUCs • Educate clinicians on their practice habits • ACC Tools: FOCUS, NCDR, LLLP • Measurement, transparency, self study, improvement Knowledge changes care • Emphasize clinical indications to drive testing Because we should; not because we can ABIMF Choosing Wisely Campaign • Rational reimbursement and new models • SmartCare; Brookings initiative; NCHC; Congress; AMA

  10. ACC Advocacy: Creating Change “We in America do not have government by the majority. We have government by the majority who participate” Thomas Jefferson, 1787

  11. FACC Participation: Vital “We in America do not have government by the majority. We have government by the majority who participate” Thomas Jefferson, 1787 • Can’t do it without you! • Stay informed • Chapter • Emails, calls, letters • Participate • PAC • Surveys • Congressional visits

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