AAOS Report - July, 2005

Board of Directors approve advisory opinions, ‘patient-centered care’ initiative and teams for workforce, trauma studies

The Boards of Directors of the American Academy of Orthopaedic Surgeons and the American Association of Orthopaedic Surgeons met June 3-4, in Rosemont, Ill. They held strategic discussions on “Pay for Performance/Value-Based Purchasing” and “Ancillary Services,” approved a number of volunteer appointments, gave the go-ahead for several projects and approved a new Policy on Managing Conflicts of Interest in Continuing Medical Education (CME) activities.

BOC advisory opinions

The Board of Councilors (BOC) is responsible for advising the AAOS Board of Directors on “matters of importance to orthopaedic surgeons.” One method the BOC uses to provide such advice is the advisory opinion process. Three advisory opinions presented by the BOC - on tort reform, mandatory emergency room coverage and hospital implant restrictions and gain-sharing relationships - were approved by the Board.

Project participation approved

The Board approved a new “Patient-Centered Care” (PCC) initiative proposed by AAOS President Stuart L. Weinstein, MD. The goals of the multi-year project are to: 1) improve the quality of health care provided to patients with musculoskeletal conditions treated by members; 2) increase patient satisfaction with orthopaedic care; 3) increase AAOS member satisfaction with their practices, improve outcomes, decrease liability risk and improve practice efficiency; and 4) place AAOS in a leadership position among physician groups in the PCC movement.

Committee appointments approved

The Board approved the appointment of Vernon T. Tolo, MD, as chair of the 2006 AAOS Nominating Committee. It also appointed an AAOS Workforce Study Project Team that has been charged with determining whether or not the Academy should conduct a workforce study. The project team will be chaired by Frances A. Farley, MD. In addition, the Board approved appointments to the Committee on Professionalism and the Judiciary Committee, created pursuant to the addition of the Professional Compliance Program.

The Board further appointed an AAOS Trauma Care/On-Call Coverage Project Team that has been charged with updating the current AAOS Position Statement on Emergency Department On-Call Coverage and/or creating new position statements on related topics if appropriate; recommending a position on the role of other surgical specialties - including a proposed new acute care surgical specialty – in providing emergency care; publishing for Academy members information about negotiating with hospitals about on-call coverage issues; developing strategies to reduce or eliminate medical liability for treating emergency patients; and determining whether AAOS should take a position on predatory practices of some hospitals seeking payment from uninsured or underinsured trauma patients. The project team will be chaired by Second Vice President James H. Beaty, MD.

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