The Physicians Foundation Report to OSMAP Walker Ray, MD President The Physicians Foundation November 13, 2015

Today’s Agenda About The Physicians Foundation State of Medicine Today – Physicians Foundation Research – Managing the Transition to ICD-10 Commitment to Physician Leadership – Physician Leadership Academy – Physician Leadership Grants Voice of Physicians – Physicians Foundation Forbes Channel – In the News 2

About The Physicians Foundation

Overview National non-profit organization formed in 2003 and dedicated to: – Empowering physicians to lead in the delivery of high quality, cost-efficient health care – Strengthening the physician-patient relationship – Informing national healthcare policy by giving a voice to physicians nationwide – Supporting practicing physicians as they work to sustain their medical practices and navigate health reform 4

Overview The Foundation pursues its mission through grant making, research, national surveys and policy studies – Awarded more than $37 million in grants – Conducted three nationwide surveys of physicians – Supported 189 participants in the Physician Leadership Academy since

The Physicians Foundation Signatory Medical Societies Alaska State Medical AssociationMedical Society of Northern Virginia California Medical AssociationMedical Society of the State of New York Connecticut State Medical SocietyNebraska Medical Association Denton County Medical Society (Texas)New Hampshire Medical Society El Paso County Medical Society (Colorado)North Carolina Medical Society Florida Medical AssociationSouth Carolina Medical Association Hawaii Medical SocietyTennessee Medical Association Louisiana State Medical SocietyTexas Medical Association Medical Association of GeorgiaVermont Medical Society Medical Society of New JerseyWashington State Medical Association 6

The State of Medicine Today

The Physicians Foundation 2014 Biennial Physician Survey found: – A majority of physicians (56%) describe their feelings as somewhat or very negative relative to the current state of the medical profession – More than two-thirds (69%) of all physicians expressed concerns about clinical autonomy and ability to make best decisions for patients – Twenty two percent of a physician’s time is spent on non- clinical paper work 8

Factors Impacting Physician Morale High levels of government mandates / regulations Malpractice liability pressures Declining reimbursement Sense of powerlessness to influence change Uncertainty caused by health reform Diminishing time spent with patients Erosion of clinical autonomy Lack of personal time due to ever present practice demands 9

Managing Transition to ICD-10 October 1, 2015 marked the transition to ICD-10 The Foundation’s Biennial Survey found: – 50 percent of physicians said ICD-10 would create a severe administrative problem – 75 percent agreed that it will unnecessarily complicate the coding process icd10charts.com is a collection of free ICD-10 resources to help with the implementation process, supported by funding from the Physicians Foundation icd10charts.com 10

Commitment to Physician Leadership

The Physicians Foundation focuses on furthering physician leadership and physician-led innovation throughout the country Since 2005, the Foundation has awarded more than $7 million in grants focused on physicians leadership 12

The Physicians Foundation Physician Leadership Academy 13 The Physician Leadership Academy provides medical society leaders with the knowledge and skills essential to bridge advocacy and management and become skillful and effective leaders Since 2010, there have been 189 participants in the leadership academy

Brandeis Physician Leadership Conference In August 2015, the Foundation partnered with Brandeis University to facilitate a conference on building a physician leadership curriculum to empower physicians Conference brought together academics, practicing physicians and representatives from state and county medical societies 14

Brandeis Physician Leadership Conference Conducted survey of 425 physicians across 12 states to uncover what physicians feel are the primary opportunities and challenges associated with physician leadership 15 Opportunities Managing change Team-based care Job satisfaction Challenges Administrative Monetary Health system changes

Highlighting Successful Grant Programs New grantee perspective page on the Foundation’s website highlights success of Physicians Foundation grants, including: – Medical Society of Virginia Foundation – Foundation of the Pennsylvania Medical Society – Lessons from recent physician leadership conference grants/grantee-perspective grants/grantee-perspective 16

Highlighting Successful Grant Programs 17

The Physicians Foundation Upcoming Physician Leadership Grants RFP will be released mid-January 2016 Deadline is mid-February 2016 Awards up to $75,000 per year for 2 years Eligible organizations include: – Organizations without a physician leadership grant – Organizations with a physician leadership grant who would like to fund a new initiative not previously funded by the Foundation 18

The Voice of Physicians

The Physician Foundation Forbes Channel 20

The Physician Foundation Forbes Channel Recent Stories: – When It Comes To Health Insurance Mergers, Bigger Is Not Going To Be Better – Why Aren't Physicians Part Of The Health Reform Conversation? – What's Next For America's Practicing Physicians After King V. Burwell? – ICD-10: The Clock Is Ticking 21

Recent Media Coverage 22

The Physicians Foundation wants to hear from you! What vital physician issues would you like to see the Foundation research? How can we better collaborate to drive meaningful change for our physicians? 23 us at Follow us on Twitter at

Questions or Comments? 24