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AAP UPDATE

South Carolina Chapter Annual MeetingJuly 27, 2018

Bob Gunther, MD MPH FAAP District 4 Vice Chairperson

rcgunther@aap.net

UPDATE

• Advocacy

• Membership

• Education/Profession of Pediatrics

A. Protected families against multiple bills to undermine Medicaid

B. Extended CHIP funding for 10 years (children’s health insurance program)

C. Extended MIECHV funding (maternal, infant, and early childhood home visiting program)

D. Passed Family-First bipartisan child welfare reform legislation

E. $3 billion increase for NIH

AND MORE!!

ADVOCACY FOR CHILDREN

WHICH OF THE FOLLOWING CHILD HEALTH VICTORIES DID AAP RECENTLY ACHIEVE?

aap.org/Blueprint

HOW MANY CONGRESSIONAL OFFICES DID FAAPS

MEET WITH AT LAST APRIL’S LEGISLATIVE

CONFERENCE?

A. 49

B. 73

C. 189

D. 270

FAAPS TAKE THE CAPITOL• All 50 States/DC and Puerto Rico represented

• Every Senate office visited!

• Main messages to Congress:

─ Provide $50 million to CDC for public health research into firearm safety and injury prevention;

─ Support minimum purchase age of 21 for semiautomatic assault weapons and high-capacity magazines

─ Ban semiautomatic assault weapons

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Race a Huge Factor in Gun DeathsUS Teenagers 15-19

AAP Launches The American Academy of Pediatrics Gun Safety and Injury Prevention Research Initiative

MEMBERSHIP

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A New Home for Pediatricians

• Three additional seats for at-large directors from committees, councils and sections

–One at-large member

–One subspecialist

–One surgical specialist

DIVERSIFYING OUR BOARD

BYLAWS REVISIONS

• Board will add 3 at-large seats, one each representing committees, councils, and sections

• Addition of up to 3 District Nominating Committee members representing committees, councils, and sections

• Reduction of terms for District Chairs and District Vice Chairs from 3 years to 2 years

• Required board meeting invitations for pediatric trainee and family representatives

• Voting eligibility for candidate members

• Addition of pediatric lab directors and pediatric pharmacists as eligible for national affiliate membership

• Bylaws revisions require approval by 2/3rds of voters.

• Election held Nov 2-Dec 2

DIGITAL TRANSFORMATION INITIATIVE

CONNECT, SIMPLIFY, PERSONALIZE

PHYSICIANS HEALTH AND WELLNESS

PHYSICIAN HEALTH AND WELLNESS• PLACES Study (PediatriceLif3 and Career Experience Study)

identified three strategies pediatricians believe could reduce burnout: – Reduce administrative burdens

– Improve workforce efficiencies

– Offer more flexible schedules

• AAP lending pediatric perspective to NAM study of how work/learning environments and general culture of medicine adversely affect clinician wellness

• FOPO (Federation of Pediatric Organizations) Physician Wellness Workgroup exploring how to adapt NAM model to pediatric clinicians

• Women’s Wellness through Equity and Leadership Grant

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CHILD HEALTHPROVISIONAL SECTION ON CHILD

DEATH REVIEW AND PREVENTION

• Now full section status

• Collect, store, analyze data for every child in U.S.

─ Health

─ Disease (acute and chronic)

─ Wellness

─ Behavior

─ Development and…

Patient and Family Portal tocollect data on whole child

Big Aspirational Project: Child Health Clinical Data Registry

EDUCATION-PROFESSION OF PEDIATRICS

• NCE and other live conferences throughout the country

• PediaLink on-line courses

• EQIPP Modules-eligible for Part 4 MOC

• ABP Part 2 MOC Credits through Pediatrics in Review Journal and PREP Self Assessment

WHICH OF THE FOLLOWING IS LARGER THAN

ATTENDANCE AT OUR NATIONAL CONFERENCE?

A. Population of Itasca, IL

B. Number of Starbucks® in the U.S.

C. First-week downloads of Camila Cabello’s hit single Havana

D. Number of rooms at the MGM Las Vegas

E. None of the above

15,000+ ATTEND AAP NATIONAL CONFERENCE

84 COUNTRIES REPRESENTED

1. AAP National Conference (15,000+)

2. Number of Starbucks® in the U.S. (13,930)

3. First-week downloads of Camila Cabello’s hit single Havana (12,500)

4. Population of Itasca, IL (8,728)

5. Number of rooms at the MGM Las Vegas (6,852)

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Join Us in

Orlando!Limitless Education

• Peds 21: Leveraging

New Technologies To

Transform Child Health

• Plenary Sessions

Addressing Advocacy,

Caring for Transgender

Youth, Minor Sex

Trafficking, Helping

Babies Survive

Special Events

• President’s Welcome Reception/AAP Kids’ Camp

• AAP Community Cares Project at Give Kids the World Village

• Orlando Experience! At Universal’s Islands ofAdventure™

For full 2018 National Conference details,

visit AAPexperience.org

1:20 pm Health IT-EMRs: How Far Have We Come?1:40 pm Virtualizing Care: Using Telemedicine to Extend the

Medical Home and Deliver Specialty Care into the

Community 2:00 pm Wearable Technology: What is Out There and What do

We do with the Data? 2:40 pm mHealth, Pediatric Applications, and a Glimpse into the

Future3:00 pm Renovating a Profession: Panel of Medical Student,

Resident/Fellow/Trainee, Early Career4:00 pm Moving Ahead and Leading the Way: Managing and

Inspiring Change in an Evolving System

WHICH RECENTLY RELEASED AAP POLICY

GARNERED THE MOST MEDIA INTEREST?

A. Adolescent and Young Adult Tattooing, Piercing, and Scarification

B. Guidelines for Adolescent Depression in Primary Care

C. Advocacy for Improving Nutrition in the First 1,000 Days to Support Childhood Development and Adult Health

D. Influenza Recommendations

SETTING STANDARDS AND BEST

PRACTICESAAP PUBLISHED 60+ CHILD HEALTH POLICIES AND IMPROVED TIMELINESS OF

PUBLICATION

SINCE 2001 INCIDENCE OF NAS HAS

A. Doubled

B. Slightly decreased

C. Increased nearly 300 percent

D. Increased nearly 400 percent

E. Increased nearly 600 percent

NA

S p

er

1000 H

osp

ital

Bir

ths

7.0

6.0

5.0

4.0

3.0

2.0

1.0

0.02000 2003 2006 2009 2010 2011 2012

YearPatrick SW, et. al. Neonatal Abstinence Syndrome and Associated Healthcare Expenditures – United States, 2000-2009. JAMA. 2012 May

9;307(18):1934-40.

Patrick SW, Davis MM, Lehman CU, Cooper WO. Increasing incidence and geographic distribution of neonatal abstinence syndrome: United

States 2009 to 2012. J Perinatol. Apr 30 2015.

INCIDENCE OF NAS IN THE US, 2000-2012

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AAP CHAPTERS SET ACTION PLANS TO COMBAT

OPIOID CRISIS AT STATE LEVEL

81%

focused

on

Prevent

ion

34%

focused

on

Intervent

ion

25%

focused

on

Treatme

nt

18%

focused

on

Recover

y

WHAT IS THE DEVICE PICTURED ON THE LEFT

A. USB Flash drive

B. Cigarette lighter

C. Juul

D. Magic marker

AAP’S MULTI-PRONGED APPROACH TO E-CIGARETTES

• Educate children, parents, public about harmful effects of e-cigarettes on developing brains

• Urge strong, immediate regulatory action to move ahead with review of dangers posed before they come to market

• Give pediatricians information/tools to discourage patients/families from adopting this habit

PROJECT ECHO

• Extension for Community Healthcare Outcomes – Pediatric rural settings

– Pediatric Development and Autism Management

– Pediatric Behavioral Health

– Epilepsy

– Pediatric Environmental Health conditions

– Zika

WHICH OF THE FOLLOWING IS NOT AN AAP FIVE-YEAR STRATEGIC PLAN GOAL?

A. Strengthen AAP’s impact on child health through policy, advocacy and education

B. Enrich member value and engagement

C. Broaden, diversify pathways for general pediatricians, pediatric surgical subspecialists and trainees to exercise leadership within AAP and public sphere

D. Enhance Academy’s communication with members and stakeholders

E. Reclaim AAP acronym from Advanced Auto Parts, the American Academy of Poets and the Automobile Association of Pakistan

F. Support strong two-way relationships, interactions and leadership development between AAP and chapters

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Five-Year Strategic Plan and Agenda for

Children

PROGRESS-TO-DATE HIGHLIGHTS

1. Proposed three new BOD seats for at-large, medical subspecialist and surgical subspecialist from committees, councils and sections

2. DTI leveraging user-focused/user-friendly digital products in response to members needs

3. 2018 District Meetings feature chapter management workshops on fundraising, volunteer and grants management and leveraging social media

4. Institutional membership arrangements in place in 11 academic institutions … resulting in new national and chapter members

5. New HQ and technology offers more access to CME/enables enhanced response to emerging health crises

2018 DIVERSITY AND INCLUSION INITIATIVES

• Designate District D&I champion for each district

• Provide members resources and professional development opportunities aimed at fostering D&I in:– Practices

– Academic settings

– Patients/families

– Communities

• Develop communication plan to share D&I initiatives with membership

• Actively encourage diverse nomination and selection committees

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Payment

Licensing

Cost Savings

Enhanced Services

Access To Care

Demand

Benefits and Roadblocks

Tech +

Workflows