AAOS Bulletin - August, 2005

Boards approve new strategic plan, PCC initiative, war injury symposium, committee appointments

By Susan A. Nowicki, APR

The Boards of Directors of the American Academy of Orthopaedic Surgeons and the American Association of Orthopaedic Surgeons (AAOS) met June 3-4 in Rosemont, Ill. They approved a new strategic plan for AAOS, a special symposium on war injuries and a new patient-centered care initiative in concept. They also approved updated versions of the Academy’s injury prevention position statements, ratified a number of volunteer appointments and approved new project teams to examine trauma call and workforce issues.

In addition, they held strategic discussions on “Pay for Performance/Value-Based Purchasing” and “Ancillary Services,” approved a new Policy and Procedures on Managing Conflicts of Interest and heard progress reports on several key AAOS activities and projects.

“AAOS in 2010” approved

After more than 18 months of focused effort and information gathering, the Board approved a new strategic plan, “AAOS in 2010.” This plan charts the Academy’s course for the next three years, prioritizing organizational goals and determining how the association’s resources will be allocated.

Although AAOS is in good financial shape and is highly valued by its members, Board members agreed that changes in governance, structure and process management are essential to the long-term strength and vitality of the organization. They identified education and advocacy as the essence of “who we are and what we do.” They also agreed upon a new Vision and Mission Statement:

Vision: AAOS will be the authoritative source of knowledge and leadership in musculoskeletal health.

Mission: AAOS will serve the profession, champion the interests of patients and advance the highest quality musculoskeletal health.

The mission statement defines AAOS’s fundamental reason for being, and establishes the parameters for its major activities and the criteria for goals.

The new strategic plan also outlines several goals designed to advance the AAOS vision and mission and to serve as the basis for all evaluations of achievement and performance. They can be found, along with the vision and mission statement, on the AAOS Web site (Acrobat Reader required).

PCC initiative concept approved

The Board approved the concept for a new “Patient-Centered Care” (PCC) initiative. The project team appointed by AAOS President Stuart L. Weinstein, MD, drafted a business plan and presented it to the Board, which approved it in concept.

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 of the AAOS; 2) increase patient satisfaction with orthopaedic care; 3) increase AAOS member satisfaction with practice, improve outcomes, decrease liability risk and improve practice efficiency; and 4) place the AAOS in the leadership position among physician groups in the PCC movement.

This project will involve all aspects and levels of the Academy. The scope of the initiative will include: Educating members about PCC and why it is important to their practices; educating patients about what PCC means to them and why orthopaedic surgeons are playing a leadership role in this movement; providing members with tools to practice PCC and patients with tools to enable them to participate in PCC; and developing partnerships with outside organizations in demonstration projects that position AAOS to play a leadership in this important, national movement.

AAOS President Stuart L. Weinstein, MD, responds to a question during the Board of Directors meeting. CEO Karen L. Hackett, CAE, FACHE looks on

Technology assessment to move ahead

After considerable discussion on the prospect of implementing a program to provide the fellowship with an assessment of the evidence surrounding new technologies in orthopaedic surgery, the Board asked the Council on Research and Scientific Affairs to move forward with developing a detailed business plan for such a project.

War injuries symposium approved

Upon recommendation of the Council on Research and Scientific Affairs, the Board approved the business plan for a symposium on “Extremity War Injuries: Current, State-of-the-Art and Future Directions.” The conference is intended to educate Congress, the U.S. Department of Defense, orthopaedic surgeons, researchers, industry and select government agencies about the challenges associated with wartime injuries and to develop an agenda for future research.

AAOS and the Orthopaedic Trauma Association (OTA) will cosponsor the symposium. Andrew N. Pollack, MD—immediate past chief financial officer of OTA and chair-elect of the Council of Musculoskeletal Specialty Societies—and Jason Calhoun, MD—chair of the AAOS Infections Committee—will serve as co-chairs of the symposium.

The event is scheduled for January 25-27, 2006, in Washington, D.C. Tentative topics to be addressed include: current techniques and/or limitations of wound management, antibiotics and infection, stabilization of long bones, segmental bone defects and amputee care. Proceedings of the symposium will be published.

Town Hall, PBS project participation approved

The Board agreed to hold a Town Hall meeting at the 2006 Annual Meeting and approved a Communications Council proposal to participate in a television project called “Remaking of American Medicine...Health Care for the 21st Century.” The project involves a four-part primetime PBS television series that will be broadcast in April 2006.

Trauma call project team appointed

The following trauma call project team was appointed: James H. Beaty, MD, Chair; Andrew N. Pollak, MD; Dwight W. Burney III, MD; Kristy L. Weber, MD; Bruce D. Browner, MD; Pediatric Orthopaedic Society of North America representatives James R. Kasser, MD, and Susan A. Scherl, MD; OTA representatives James V. Nepola, MD, and Paul Tornetta III, MD; and Board of Councilors (BOC) representative Stephen S. Hurst, MD.

Workforce issues project team appointed

The Board appointed an AAOS workforce issues project team to determine whether or not the Academy should conduct a workforce study. The project team, which will” provide a report to the Board of Directors in December, includes: Frances A. Farley, MD, Chair; Gordon M. Aamoth, MD; Matthew S. Shapiro, MD; Joseph C. McCarthy, MD; Joshua J. Jacobs, MD; and James N. Weinstein, DO, MS.

Injury prevention statements updated

At the recommendation of the Council on Communications, the Board approved revised and updated versions of the Academy’s injury prevention position statements. They include statements on: Injuries from In-Line Skating; Injuries from Skateboarding; Anabolic Steroids to Enhance Athletic Performance; Prevention of Hip Fractures; All-Terrain Vehicles; Use of Breakaway Bases in Preventing Recreational Baseball and Softball Injuries; Firearms Violence; Motorcycle Drivers and Passengers and Bicyclists; Safety Belts and Other Restraints of Motor Vehicle Occupants; Helmet Use in Skiing; Sledding Safety; Power Snow Thrower/Blower Safety; Trampolines and Trampoline Safety; and The Risks of Shoulder and Elbow Injury from Participation in Youth Baseball. The statements can be found on the AAOS Web site.

Committee appointments

The Board approved the appointment of Vernon T. Tolo, MD, as chair of the 2006 AAOS Nominating Committee.

Other committee appointments approved were: Mark T. Scarborough, MD, reappointed as chair of the Musculoskeletal Tumors and Disease Evaluation Subcommittee; S. Terry Canale, MD, as the Communications Council representative to the Patient Safety Committee; and Patti A. Kolowich, MD, as chair of the BOC Communications Committee. Several subcommittee chairs of the Annual Meeting Central Program Committee were appointed, including William A. Jiranek, MD, Adult Reconstructive Hip; Robert T. Trousdale, MD, Adult Reconstructive Knee; John S.Gould, MD, Foot and Ankle; Richard Berger, MD (Minn.), Hand and Wrist; Lori A. Karol, MD, Pediatrics; Marc Safran, MD, Shoulder and Elbow; Ronald M. Selby, MD, Sports Medicine/Arthroscopy; Kenneth J. Koval, MD, Trauma; Howard S. An, MD, Spine; and Kristy L. Weber, MD, Tumor.

JAAOS enhancements

Alan M. Levine, MD, chair of the Council on Education, presented an overview of the enhancements planned for the Journal of the American Academy of Orthopaedic Surgeons (JAAOS). The journal will start publishing on a monthly basis beginning with the September 2005 issue. It will feature an updated cover and text design. The journal’s Web site has also undergone a redesign. And, with the Board’s approval, the subtitle of the publication will change to “The Official Clinical Journal of the American Academy of Orthopaedic Surgeons.”

Policy on managing CME conflicts of Interest

The Council on Education also presented, and the Board approved, a new Policy and Procedures on Managing CME Conflicts of Interest. This policy, which brings the AAOS into compliance with the revised American College for Continuing Medical Education’s “Standards for Commercial Support—Standards to Ensure the Independence of CME Activities,” covers any AAOS CME activity, including courses, the Annual Meeting, symposiums, instructional courses, examinations, multimedia programs, online activities and paper/poster presentations that have been approved for CME credit.

BOC advisory opinions

The BOC is responsible for advising the AAOS Board of Directors regarding “matters of importance to orthopaedic surgeons.” One method by which the BOC provides such advice is through the advisory opinion process. Three advisory opinions that grew out of BOC discussions held during the National Orthopaedic Leadership Conference were presented and approved by the Board. The opinions addressed the issues of tort reform, mandatory emergency room coverage, hospital implant restrictions and gain-sharing relationships. The opinions were referred to the appropriate Councils for follow up and action.

Resolutions and bylaws review

In April 2005, the Board impanelled a project team, chaired by Oheneba Boachie-Adjei, MD, to review the AAOS resolutions and bylaws amendment processes. This review was mandated by bylaws adopted in 2002. The Board approved the project team’s recommendation that the current system of balloting after the Annual Meeting on proposed resolutions and bylaws amendments be continued with minor refinements.

The proposed bylaws amendment also would extend the time the Board could authorize for balloting for two additional 30-day periods if the required 20 percent vote is not achieved.

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