1. The State of the Chapters Chapter Executive Directors Conference March 11, 2010

2. Overview  What do AAP Chapters look like today?  What’s on Chapters’ Minds?  What’s the Value Proposition of Chapters to AAP?

3. What do AAP Chapters Look Like Today?

4. Tax Status of U.S. Chapters 34 Chapters 24 Chapters 1 Chapter

5. Chapter Foundation 37 Chapters 22 Chapters

6. Strategic Plan on File 9 Chapters 46 Chapters

7. Elements of Chapter Success 1. Trained staff 2. Sufficient resources 3. Prepared leaders 4. Involved members

8. 1. Trained Staff

9. Chapter Staff  96% of US Chapters have EDs  50% have more than 1 staff  31% of Chapters EDs are masters prepared  18% of EDs also serve as lobbyists  3 EDs are attorneys  2 EDs have PhDs

10. Staff Resources  Chapter Manual  AAP Publication for Chapters  ED Conference  ED Teleconferences  Welcome Wagon for new EDs

11. 2. Sufficient Resources

12. Chapter Finances  Chapter budgets have grown; less dependence on members dues  Reserves  75% of Chapters manage grants

13. Chapter Sources of Revenue Total Revenue = $16,777,000 Sources of non-dues revenues include: ● Registration Fees/Event Income/Exhibit Income ● Grants/Contracts/Contributions ● Income from Publications (publication sales, product sales, ad revenue, etc.) ● Miscellaneous 73% Non-dues Revenue 27% Membership Dues

14. Reserves As a Percentage of Expenses 50 Chapters Reporting

15. 2009 AAP Chapter Grants  9 Chapter grant programs  $281,000 distributed  31 Chapter received grants  10 Chapters received 2 or 3 grants

16. 2009 AAP Chapter Grant Programs  Healthy People 2010 ($20,000)  CPTI Advocacy Training ($1,000)  CQN – Asthma Pilot ($10,000)  Medical Student ($1,000)  Resident ($1,000)  Young Physician ($1,000)  Adolescent Health Education ($8,000)  Immunization ($10,000)  Be Our Voice –Obesity ($15,000)

17. 2010 AAP Chapter Grant Programs  Healthy People 2010 – Tobacco NEW!!!  Conference Support (Mead Johnson)  Patient Advocacy Leadership Summit (GlaxoSmithKline)  Healthy Active Living (MetLife) TOTAL: $450,000

18. 3. Prepared Leaders

19. Top Factors Contributing to Achievement of Chapter Goals Q. Please indicate the top three factors that you believe help your chapter to achieve its goals.

20. Leadership Growth and Development Activities

21. Adequacy of New Officer Orientation

22. Resources for Preparing Chapter Leaders  District meetings  Annual Leadership Forum  New officer welcome calls  Chapter Manual  Chapter Connections  Information Packets  Chapter self-assessment instrument  Chapter outreach visits

23. 4. Member Involvement

24. Chapter Leadership Areas Requiring Additional Assistance Q. Please indicate the areas of chapter leadership/management in which you need additional help.

25. Member Involvement  Chapter Member Involvement Action Kit  Still hard to do  New resources on Chapter Web page  Member Value

26. What’s on Chapters’ Minds?

27. Time Spent on Chapter Activities Q. Please select the top three activities on which your chapter spends the most time.

28. Chapter Management 2008 Most Common Chapter Activities (By Percentage of Chapters)

29. Q. Please select the top three activities on which your chapter spends the most time. (Chapter Officer Totals for 1997, 2000, 2003, and 2006 Chapter Needs Assessment installments.) Time Spent on Chapter Activities (Chapter Officers – Over Time)

30. Child Health Priorities 2008 Most Common Chapter Activities (By Percentage of Chapters)

31. Factors Contributing to Child Health Advocacy Effectiveness Q. Please select the top three factors you believe makes your chapter effective in its advocacy for children.

32. Factors Contributing to Pediatric Practice Advocacy Effectiveness Q. Please select the top three factors you believe makes your chapter effective in its advocacy for pediatricians.

33. Q. How would you rate your chapter’s effectiveness in membership recruitment? Membership Recruitment

34. Chapter Communication With Medical Subspecialists and Surgical Specialists Q. How would you rate your chapter’s communications with medical subspecialists and surgical specialists?

35. Chapter Efforts to Involve Medical Subspecialists and Surgical Specialists Q. Does your chapter engage in special efforts to involve pediatric medical subspecialists and surgical specialists in your chapter activities?

36. Medical Subspecialists and Surgical Specialists - Chapter Involvement Activities Q. If yes to the previous question, please indicate the chapter activities in which medical subspecialists and surgical specialists are involved.

37. Maintenance of Certification is a process that ensures physicians’ engagement with their profession by lifelong learning, applying what is learned in practice, improving the quality of health care, and ensuring that pediatricians have a useful bank of medical knowledge. The Accreditation Council for the Graduate Medical Education (ACGME) and the 24 American Board of Medical Specialties (ABMS) certifying Boards agree that a physician must demonstrate six core competencies. These core competencies are the foundation of MOC and are addressed during medical training and throughout a physician’s career. MOC consists of four separate parts: ) Professional Standing ) Knowledge Assessment ) Cognitive Expertise ) Performance in Practice What is Maintenance of Certification? Quality Improvement For Practices MOC Part 4

38. Interest in Using New Communication Technologies Q. Please indicate which of the following communication technologies your chapter is interested in using to communicate with members.

39. Willingness to Pay for Chapter Services Q. Would your chapter be willing/able to pay a fee for certain chapter services?

40. What is the Value Proposition of Chapters to AAP?

41. Realizing the True Value of Chapters

42. Value Proposition of Chapters Value of Chapters to = Benefits - Cost National

43. Benefits of Chapters to National  Membership  Public relations  Talent pool  Connection to young members  Carry out mission  Contribution to AAP prominence  Policy implementation  Deliver testimony  Laboratories of innovation

44. Monetizing the Benefits  Direct Revenue - revenue from members retained by Chapters  Indirect Revenue – cost savings

45. Indirect Revenue Cost Savings to AAP  Hiring a PR firm to promote AAP in Chapter newsletters, emails and at meetings  Executive recruiter to identify leaders  Membership recruiter to identify and mentor young members  Executive Director in each Chapter to carry out mission and promote AAP  Part time lobbyist to implement policy at the state level  Cost of innovations – priceless!

46. Value Proposition of Chapters Benefits$11,434,113* Cost -$ 3,353,026 = Value$ 8,081,087 Value of Chapters is significant !!! *Current expenditures on chapter staff, estimated cost for independent lobbyists for 25 chapters, and grant indirects.

47. Optimal value is obtained when Chapters and national work in partnership for members.