President's Monthly Update - July 201207.19.2012
Dear Fellow ASES Members:
It has been several months since my last message and much has happened which requires your consideration. This and perhaps one more update will follow prior to our Closed Meeting in Sea Island, Georgia. I ask you all to carefully consider this message as it contains some initiatives that entail change for our organization. Some of these initiatives will require a vote in order to modify our bylaws and some are relevant to our strategy as an organization going forward and do not require such a vote.
Our Strategy as an Organization:
The ASES faces an unprecedented social transformation of health care with a real threat to our position as the experts and arbiters of shoulder and elbow care. In order to be proactive in addressing the challenges ahead, I asked the Planning and Development Committee (P & D) to consider our mission and strategy for the future and advise the Executive Committee of their recommendations. Under the leadership of Russ Warren, several subcommittees were formed, which have now offered clear strategic recommendations for our future as an organization.
Our Mission: The P & D committee has offered a revised Mission Statement for ASES, and the Executive Committee supports this in order to contemporize our organizational strategy. We offer the following Mission and Vision statements for your review. At our Closed Meeting we will vote to accept or reject our new mission statement. The Vision Statement and our strategy (which I will outline below) will not require a vote as these must be re-visited and potentially changed on a regular basis.
Our current Mission Statement in our Bylaws:
“Through educational programs and by encouraging research, the organization seeks to foster and advance the science and practice of shoulder and elbow care.”
Our proposed new Mission Statement:
“The Mission of the American Shoulder and Elbow Surgeons is to support the ethical practice of evidence-based, high quality, cost-effective, shoulder and elbow care.”
Why change our Mission Statement?: Every organization has a mission, a purpose, and a reason for it’s existence. As the problems facing our organization and the circumstances of business change, so should our mission statement. The new reality of the Health Care environment represents an unprecedented challenge to our autonomy as the principal arbiter of shoulder and elbow care. Our mission statement must represent who we are and what we hope to achieve, and do so in the context of our values. At the same time it must reflect our history accurately.
(from Janel M. Radtke in Strategic Communications for Nonprofit Organizations: Seven Steps to Creating a Successful Plan. Reprinted by permission of the publisher, John Wiley & Sons, Inc.)
Vision Statement: The ASES does not currently have a Vision Statement. This is an important omission, since the Mission Statement gives us our identity and our purpose, but the Vision Statement articulates our inspiration and our framework for our strategic plan. It communicates not only our values but our purpose. The Executive Committee proposes the following Vision Statement for the ASES:
The Vision of the American Shoulder and Elbow Surgeons is to have a global impact on quality shoulder and elbow care, through leadership, medical education, scientific research, and patient advocacy.
Our Strategy: Our strategy going forward is based on consideration of recommendations offered to the Executive Committee by the P & D Committee:
1. The Executive Committee will consult the Planning and Development Committee on an annual basis in regards to our strategic plan.
2. The Executive Committee will review both our Mission and Vision every 5 years.
3. Our educational initiatives will be based on the motto “Quality Care through Quality Education.” This will appear in all program brochures and all advertisements for our educational programs.
4. The Biennial Meeting will be redesigned to grow attendance and invite more participants as an Open Meeting. (This will be either in the Spring or adjacent to the Closed ASES Meeting in the Fall. This is the subject of ongoing discussion.)
5. The Membership of the ASES will grow through normal growth based on established membership criteria. Criteria for membership will be favorable to allow qualified applicants to gain entrance by consistent evaluation of current criteria for membership. (Recently I asked Dr. Robert Cofield to head an ad hoc committee on membership criteria as outlined in our bylaws and they have clarified criteria for membership.(Growth is essential to our organization if we are to fulfill both our Mission and our Vision. We must consider whether we will be an inclusive or exclusive organization. The former offers credible leverage for us to have influence in the future health care initiatives on the horizon. The latter maintains our position as bystanders. To quote Michael Wirth, our current Chair of the Membership Committee, we need to be a “light house not a club house.”)
6. Development of future ASES leadership will be a major commitment of the Executive Committee. Opportunities to enhance leadership skills will continually be explored. (An example is the planned relationship with Harvard Business School as a member of ASES can be identified and supported to attend the annual Value-Based Care Symposium taught by Michael Porter and Team each January. An announcement to membership will be forthcoming as we intend to invite and support capable candidates to apply for this program and to offer support for their expenses to attend this program.)
7. Post-graduate (Fellowship) education is a priority for ASES and our organization will continue to explore the utilization of an Educational Foundation as a method to support such fellowship programs.
8. Industry will be invited to become more involved in our open meetings and soon-to-be modified Biennial Meeting. (The P & D subcommittee on industry recommended an ongoing thoughtful process in order to develop a strategic plan for potential supportive roles of industry in the following areas:
a. Exchange fellowship programs
b. Fellowship funding
c. Research projects
d. Database programs particularly with arthroplasty, etc.)
9. The Internet will become a major vehicle for achieving our Mission and Vision. This will include further enhancements to our Website in order to improve on our Brand recognition. It will also include collaboration with educational sites such as www.vumedi.com and www.g9md.net. (Recent initiatives include the development of a member map which will graphically list all of our members on a searchable (goggle-like) world map. We have also created an ASES Channel on www.vumedi.com and will link videos from our membership back to our own website under the banner “ASES Presents”. The first video installment will be a Tribute to Charles S. Neer, M.D., with presentations from last year’s closed meeting. Finally, www.g9md.net will provide us with many enhancements which will improve our ability to communicate in a secure and timely fashion. This will include secure internet groups which may form the basis for all of our committee activities.)
10. A Value-Based Shoulder Committee will be formally established within ASES in order that our organization may continue to play a vital role in issues affecting patient access to care and guidelines for shoulder and elbow care. (We will vote on this initiative as a bylaws amendment as this is required for an ad hoc committee to become a standing committee. So far the work of this committee has been central to all of my initiatives this year. It has included the creation of a not-for-profit organization to insure patient access to shoulder and elbow care. This organization is called A.I.M. (Advocacy for Improvement in Mobility) and is based in ASES. This is a demonstration project for advocacy in the fields of Sports Medicine and Shoulder and Elbow Subspecialties (Collaboration of ASES, AANA, and AOSSM). The goals of AIM are to improve the quality, outcomes and cost-effectiveness of musculoskeletal care through the achievement of the following objectives:
1. Ensure patient access to appropriate and high quality musculoskeletal care
2. Educate patients, policy makers, regulators and providers on appropriate care pathways
3. Help to define “value” in musculoskeletal care in terms for treatment outcomes and cost effectiveness
4. Promote musculoskeletal care as a critical component of patients’ overall health
5. Analyze, validate, and disseminate quality evidence that aids in health policy and advocacy.
6. Develop, validate, and disseminate quality metrics that are measurable, sustainable, achievable, specific, and relevant
7. Identify, review and support health policy and advocacy pertaining to musculoskeletal care at both State and Federal levels
The Core Values of AIM are:
1. There is a Patient “right to health and mobility”
2. Value and accountability in musculoskeletal care
3. Clinical outcomes based excellence
In addition the Value-Based Committee, under the leadership of Drs. Laurence Higgins and Bernie Morrey, has already taken major initiative to enhance to positive influence of ASES. Some examples include the following:
1. We have engaged in collaboration with the Industrial Accident Board (I.A.B.) of Massachusetts and will re-design their guidelines for shoulder care in that state.
2. We have begun discussions with several other major national and regional (to MA) insurance companies to influence their guidelines for shoulder care and create value for patients and third party payors through our Value-Based Committee initiatives.)
In conclusion, I would like to thank the following individuals for all their hard work in crafting these initiatives which I now present to you:
The P & D Committee, Chair- Russ Warren, M.D.
1. The P & D Subcommittee on our Mission: Gerald Williams (Chair), Bernard Morrey, Robert Cofield, Charles Rockwood.
2. The P & D Subcommittee on Education: Evan Flatow (Chair), Robert Cofield, Gary Gartsman, Joseph Iannotti, Robert Neviaser, Tom Norris.
3. The P & D Subcommittee on Membership: David Dines (Chair), Louis Bigliani, Robert Cofield, Edward Craig, Francis Cuomo, Gary Gartsman, Robert Neviaser, Joseph Zuckerman.
4. The P & D Subcommittee on Industry Relations: Richard Hawkins (Chair), John Ticker, David Dines, Russell Warren, Frederick Matsen
While so many of you contributed in committee work which has allowed us to make the above proposals, I would also like single out the following individuals for their extensive work and leadership on their committees:
Matt Provencher (Chair): The Web Committee. Matt has done most of his work by email and satellite phone as he is deployed on the Navel Ship, Mercy as the Surgical Director. They are currently in the South Pacific.
Laurence D. Higgins and Bernard Morrey (Co-Chairs): The Ad Hoc Committee on Value-Based Care.
Robert Cofield (Chair), Michael Wirth, Lawrence Higgins, Jonathan Ticker:
The Ad Hoc Committee on Membership Criteria in our Bylaws.
I would like to close by asking for all of you to read the above proposals more than once and to carefully consider your vote on the proposed bylaws changes I have outlined above. Please also consider our strategic directions and we welcome your input and recommendations.
As I near the end of my year of presidency I feel as if I have been guiding a huge ship leaving the harbor. When he takes the helm at our Closed Meeting this Fall, our next president, Jeff Abrams, will require all your support if he is to maintain a steady course for our organization. It has been a great privilege to be at the helm this past year.
Jon J.P. Warner, MD