Corporate Relations: The American College of Rheumatology Experience

1. Corporate Relations: The American College of Rheumatology Experience

2. ACR Mission Mission:   Advancing Rheumatology Vision: To enhance the value and impact of rheumatology in a changing health care environment.

3. Education • Scientific Journals • Rheumatology Training Programs • Continuing Medical Education • Board Recertification • Educational Tools & Products • Clinician Scholar Educators • Fellows Access to Advanced Educational Opportunities/National Forums

4. Treatment • Ideal Rheumatology Practice • Practice Benchmarking • Improved Reimbursement and Records • Health Information Technology • Standards of Care • Evidence Based Care • Advocacy Programs • Enhanced Relationships with CMS, FDA

5. Research • Career Development • Medical Student /Resident Recruitment • Enhanced Research Collaboration • Strengthening the Research Community • Young Investigator Workshops • Enhanced Relationships with Federal Funding Sources (NIH, AHRQ, etc.) • Rheumatology Clinical Registry • Over 200 users and 8,000 patients to-date • 2010 enhancements - patient portal, enhanced quality reports/benchmarking, JIA module development, and enhanced EHR reporting capabilities • ACR applied for AHRQ PROSPECT grant to begin developing a national network of RA registries for comparative effectiveness research

6. Synergy of Missions: ACR and Corporate Donors

7. Impactful Outcomes Improve Health of People Philanthropic Support

8. Culture Shift…… • Medical Professional Society Relationships with Industry: A Joint Statement, April 28, 2009 • Medical Professional Society Relationships with Industry: A Joint Statement • American College of Cardiology • American College of Emergency Physicians • American College of Radiology • American College of Rheumatology • American Gastroenterological Association • American Society of Plastic Surgeons

9. Culture Shift…… • Medical professional societies can and do have ethical, positive relationships with industry, as do others in federal and state government and the foundation community. • We would welcome more public support, however unlikely, for advancing quality, evidence-based care, and translation of science into clinical care guidelines. • In the absence of public funding, industry funding can be separated from product bias and be firewall-protected to — • (1) support continuing medical education as a means to improve quality of • care and outcomes; • (2) accelerate translation of science to the clinical care setting; • (3) support needed scientific and clinical research, as well as career • development of young scientists; • (4) improve communication to patients about the benefits and risks of • pharmaceutical/medical device products and equipment; • (5) improve patient and physician adherence and compliance; and • (6) address gaps in patient communication and education

10. ACR REF Industry Roundtable Program

11. American College of Rheumatology Research and Education Foundation (REF) The mission of the ACR Research & Education Foundationis to advance research and training to improve the health of people with rheumatic diseases. “Ensuring the Future of Rheumatology”

12. What is the IRT? Supporting the Rheumatology Career Improve Health of People MEDICAL / GRADUATE STUDENT REF Core Grants Portfolio RESIDENCY • Medical Student Preceptorships • Resident Research Awards • Rheumatology Scientist Development Awards • Rheumatology investigator Awards • Clinician Scholar Educators • Pediatric Visiting Professorships IRT Support POST-DOCTORAL / SPECIALTY TRAINING EARLY CAREER MIDDLE CAREER ESTABLISHED CAREER Rheumatology Career Stage

13. Core Programs and Within Our Reach *FY 2010 is budgeted amount

14. IRT Membership Then and Now

15. Measuring Success

16. IRT Impact

17. Return on Investment Table Of Contents Includes: • ACR Research and Education Foundation Acknowledgements • ACR/ARHP Acknowledgements

18. ACR Response to External Dialogue: JAMA Authors, IOM, ACCME , CMSS • Conflict of Interest: External Dialogue vs. ACR Response

19. External Organizations • AdvaMed: Code of Ethics on Interactions with Healthcare Professionals • AMA: Ethical Guidelines on Gifts to Physicians from Industry • ACCME: Standards for Commercial Support of Continuing Medical Education • ACGME: Principles to Guide the Relationship between Graduate Medical Education and Industry • PhRMA: Code on Interactions with Healthcare Professionals • OIG-DHHS: Compliance Program Guidance for Pharmaceutical Manufactures • CMSS: Council Medical Specialty Societies

20. Conflict of Interest Recommendations

21. ACR Response

22. ACR Response

23. Conflict of Interest Recommendations

24. ACR Response

25. Conflict of Interest Recommendations

26. ACR Response

27. Conflict of Interest Recommendations

28. ACR Response

29. Conflict of Interest Recommendations

30. ACR Response

31. Conflict of Interest Recommendations

32. ACR Response

33. ACR Response

34. Conflict of Interest Recommendations

35. ACR Response

36. Conflict of Interest Recommendations

37. ACR Response

38. Conflict of Interest Recommendations

39. ACR Response

40. Conflict of Interest Recommendations

41. ACR Response

42. ACR Lesson Learned • Address the needs of subsets of attendees • Domestic & International • Academic / Clinical Practitioners / Industry / Trainees/ Educators • Value For their Investment (time & financial) • Cannot assume we know what attendee want/need • Provide Options • Attendees are receptive to change e.g., encore theater, options to plenaries • Education delivered in innovative forums e.g., debates, skill training • Information condensed - practical • Expert speakers • Aids to plan and navigate meeting • Networking opportunities - Informal & structured • Generational Differences - Do exist and we need to cater • Current ACR Attendees: • Silent Generation (ages 63 – 81) • Baby boomers (ages 44 – 62) • Generation X (ages 27 – 43) • Millennials (ages 26 – under) – medical students

43. ACR Exhibit Hall - ROI • New in 2010 • Philanthropic Display • Replay Café • Wine and Cheese Reception • Exhibitor Passport Program • Continue to Improve 2009 Activities • Exhibits managed in-house • Exhibitor Advisory Council • Networking Lounges • Concierge Café • 2 Internet Lounges • Innovation Theater • Map Your Show

44. THANK - YOU

45. Industry Roundtable Recognition Opportunities

46. ACR Response to External Dialogue: JAMA Authors, IOM, ACCME , CMSS • Perspective on ACCME Policy on Abstracts/Posters and Industry

47. ACCME Commentary • NEW (03/2009) 8) Can employees of commercial interests serve as planners or speakers in our accredited CME activities? • If the content of CME that the employee of the commercial interest controls relates to the business lines and products of its employer – NO • If the content of CME that the employee of the commercial interest controls DOES NOT relate to the business lines and products of its employer – YES

48. ACR Response • Unify ACR’s corporate relations, disclosure and conflict of industry policies in one cohesive document or series of documents defining guiding principles practices and procedures for the College. Documentation should also include ACR’s rationale to its approach to the presenter policy. • Not make any changes to its 2010 abstract policies including the anti ‘ghostwriter’ policy. Rather through the above, defend it. • Collect data on abstract submitters/presenters in 2010 for decision making in 2011. • Join CMSS which would allow ACR to voice concern on issues such as this and others relevant to medical specialty societies. • Make the development of an online disclosure and COI resolution system a priority. • Continue to review policies and environmental scan of CME industry practices annually - this should be built into the guiding document under recommendation #1.

49. ACR Membership Trends 3720 3194 2611