AAOS Report - July , 2006

AAOS Boards approve workforce project team and advocacy efforts, repeal position statement

The Boards of Directors of the American Academy of Orthopaedic Surgeons and the American Association of Orthopaedic Surgeons (AAOS) met in Rosemont, Ill., June 9–10, 2006, and approved AAOS participation in several advocacy efforts; participated in strategic discussions on gainsharing and musculoskeletal medical education at the medical school level; and voted to repeal a position statement on reprocessed single-use devices.

At the recommendation of the Council on Advocacy, the Board approved AAOS participation in an American Medical Association (AMA) survey on Medicare practice expense, which will be conducted during 2007. The Centers for Medicare and Medicaid Services (CMS) is proposing a change to the methodology for practice expense (PE). The PE data currently used by CMS for orthopaedics are derived primarily from the former AMA Socioeconomic Monitoring System (an outdated data source). The AMA has been asked to coordinate this survey and looks to conduct a multi-specialty practice expense survey.

James H. Beaty, MD, AAOS first vice president, presented the report of the Trauma Call Project Team as CEO Karen L. Hackett, FACHE, CAE, looked on.

At the recommendation of the Council on Advocacy, the Board approved AAOS participation in an American Medical Association (AMA) survey on Medicare practice expense, which will be conducted during 2007. The Centers for Medicare and Medicaid Services (CMS) is proposing a change to the methodology for practice expense (PE). The PE data currently used by CMS for orthopaedics are derived primarily from the former AMA Socioeconomic Monitoring System (an outdated data source). The AMA has been asked to coordinate this survey and looks to conduct a multi-specialty practice expense survey.

The Council on Advocacy also recommended, and the Board approved, signing the “Principles for Reform of the U.S. Health Care System” developed by the American Academy of Family Physicians and other medical societies.

On behalf of the Orthopaedic Workforce Project Team, Frances A. Farley, MD, chair, recommended, and the Board approved, a proposal to create a permanent project team on the orthopaedic workforce under the Council on Research, Quality Assessment and Technology (CRQAT). Based on research and the results of a recent symposium, it was determined that AAOS needed to continuously monitor orthopaedic workforce issues and provide timely updates to the Council and the Board as necessary.

At the urging of the Board of Councilors, the AAOS Board agreed to perform a technical assessment of percutaneous therapeutic disc procedures in collaboration with other interested organizations, such as the American Association of Neurological Surgeons. In addition, the AAOS Board approved the development of comprehensive performance indicators to document technical quality of care, patient safety, resource management and professionalism.

At the request of the CRQAT, the Board approved funding for publication of Phases I–IV of Musculoskeletal Conditions in the United States, which will be used in AAOS advocacy efforts to help promote increased funding for musculoskeletal research.

At the recommendation of the Biomedical Engineering Committee and the CRQAT, the Board voted to repeal the AAOS “Position Statement on Reprocessed Single Use-Devices,” which had become out-of-date after passage of the Medical Device User Fee and Modernization Act of 2002.

Alan M. Levine, MD, chair of the Council on Education, announced that Thomas R. Johnson, MD, of Billings, Mont., had been selected as the new editor of the AAOS patient education Web site, Your Orthopaedic Connection.

Finally, the Board approved the appointment of James H. Herndon, MD, as chair of the 2007 AAOS Nominating Committee, which will develop a slate of new officers and members for the 2007–2008 Board of Directors and present it to the membership at the 2007 Annual Meeting.


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