President’s Message - October 201210.09.2012
Dear Fellow ASES Members:
To those of you who will be joining us this week in Sea Island for our Annual Closed Meeting, I look forward to seeing you. To those who may not be able to make this meeting, I would like to give you a summary of what we have accomplished this year and what we see as the challenges ahead. This will be my last Presidential message as I am turning over the helm to Jeff Abrams.
First of all, I would like to sincerely thank my collaborators for our Closed Meeting, Drs. Laurence Higgins and Jon Ticker. Jon has taken a major lead in making this a truly exceptional program; and, in addition, he has made all the arrangements for our Annual Closed Meeting golf tournament. Be advised, there will be trophies to be won.
Larry Higgins has been at the helm of a new venture, our Value-Based Committee. We will vote during the business meeting on making this ad hoc committee a formal standing committee so designated in our bylaws. This committee may be the central focus of our organization on a number of levels. This is described in the following text.
My goal this year was to create a value-based agenda for our organization. As we face the turbulent times ahead, in which healthcare is undergoing significant change, I believe the only way for us to proceed is by defining the value we offer our patients.
My first step in this value proposition has been to reexamine who we are and where we want to go. The result of this examination has been the creation of our new Mission Statement and Vision Statement. We will vote on these during our business meeting as a modification to our bylaws. Here are our proposed new Mission and Vision statements:
“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.”
“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 Motto is “Quality Care through Quality Education.”
Our strategy will be to review our Mission and Vision statements every 5 years and to consult with the Planning and Development Committee (Past Presidents) every year.
Perhaps no other initiative has been more essential to my commitment as President of ASES than to position us in a relevant role in the healthcare delivery debate going forward. The Value-Based Shoulder/Elbow Care committee was created based on my understanding of the importance of the value-based proposition for care delivery. It was created in order to be a proactive arm of this organization when it comes to patient care for shoulder and elbow problems. The fundamental charge to this committee is to utilize the elements essential to the value proposition in order to advance shoulder and elbow care. The elements of such care must be safe, evidence-based, effective and efficient.
There is no question that our organization is the key group which is qualified to put forth standards of care and influence value and quality shoulder and elbow care.
We will vote at our business meeting to incorporate this committee as a standing committee so our bylaws will state that “The committee shall be responsible for identifying methods to support quality initiatives and appropriate patient care.”
This committee has undertaken multiple proactive initiatives. These have included:
1. Establishment of an Advocacy arm (A.I.M.: Advocacy for Improvement in Mobility.) This not-for-profit foundation is a vehicle for ASES, AOSSM, and ANNA to collaborate in initiatives in order to ensure patient access to care.
2. Direct collaboration with AAOS in AUC (Appropriate Use Criteria) process.
3. Direct collaboration with insurers to pilot new methods of care delivery and ensure that ASES remains the principle arbiter of shoulder and elbow care. These have included Creation of Centers of Excellence in Shoulder and Elbow Care, Creation of shoulder care guidelines for insurers, pilot new value-based delivery models (bundled-payments, etc.)
4. Partnership with the Harvard Business School. This has allowed us to leverage this organization with insurers and potentially with hospitals.
Development of our future leadership: The Harvard Business School has also agreed to consider our members for enrollment in the Value-Based Healthcare delivery seminar which is held each year in Cambridge.
Our Web Committee has moved forward with several important initiatives:
Growing our brand identity by collaboration with both www.vumedi.com and www.g9md.net. This will permit us to link member videos from VuMedi back to our own website under the banner “ASES Presents”. We will also have a visual member’s map which lists all of our members around the world on a global map.
Our growth as an organization is imperative for us to play the central role in shoulder and elbow care. Thus the Membership Committee has seriously considered the criteria of membership and according to the recommendations of the P & D committee we will continue to grow by making membership criteria more favorable thus encouraging young orthopaedists to join us. To quote Michael Wirth the Membership Committee Chair, “We need to be a lighthouse, not a clubhouse.”
Education has always been our central focus. This will continue. We will continue to examine ways in which industry may partner with us to support our programs. This includes revitalization of the Biennial Meeting and perhaps making this a larger open meeting. In addition, we need to consider the creation of a foundation to ensure funding for postgraduate education so our fellowship programs can continue to survive and flourish. Finally, we need to move forward with database initiatives in order to prove the value of the care we deliver.
Finally, we must continue to investigate ways in which we can collaborate with our colleagues on other continents as well as our own. SECEC (European Society of Surgery of the Shoulder and Elbow), and other international shoulder and elbow programs have much to offer in education and forward thinking. We must act on a global scale to improve shoulder and elbow care and future collaboration can only contribute to this goal.
Back on our continent, it is essential that we have an ongoing collaboration with our colleagues in AANA and AOSSM if we are to represent the interests of all shoulder and elbow surgeons as we deal with AAOS initiatives such as A.U.C. (Appropriate Use Criteria).
In conclusion, it has been my honor to have served as the 28thPresident of ASES. I believe the road ahead will be challenging if we are to maintain our central role as the principle arbiters of shoulder and elbow care. But if we work together we will be successful in our goal.
My kind regards to all my fellow ASES Members.
Jon J.P. Warner, M.D.