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The North Carolina Obstetrical and Gynecological Society

The North Carolina Obstetrical and Gynecological Society. The voice of Ob/Gyn physicians & their patients in North Carolina. The North Carolina Obstetrical and Gynecological Society. Who we are What we do Where you come in.

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The North Carolina Obstetrical and Gynecological Society

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  1. The North Carolina Obstetricaland Gynecological Society The voice of Ob/Gyn physicians & their patients in North Carolina

  2. The North Carolina Obstetricaland Gynecological Society • Who we are • What we do • Where you come in _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  3. The North Carolina Obstetricaland Gynecological Society Who we are….. The North Carolina Obstetrical and Gynecological Society (NCOGS) is a statewide, dues-supported membership organization dedicated to the advancement of women's health through advocacy, education and public relations. The NCOGS is committed to representing the best interests of Ob/Gyn physicians and their patients. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  4. The North Carolina Obstetricaland Gynecological Society Who we are – Organizationally Leadership:  Executive Committee Legislative Liaison ACOG / NC Section Liaison Management: Executive Administrative / Clerical Legislative / Legal _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  5. The North Carolina Obstetricaland Gynecological Society Who we are – Organizationally 2008-2009 NCOGS Executive Committee: PRESIDENTEdward R. Newton, MD / Greenville PRESIDENT-ELECTJohn Allbert, MD / Charlotte SECRETARY-TREASURERLindsay Stevenson, MD / Elizabeth City IMMEDIATE PAST PRESIDENTEllen C. Wells, MD / Chapel Hill PAST PRESIDENTWilliam E. Brown, MD / Greenville MEETING PROGRAM CHAIRHaywood L. Brown, MD / Durham MEETING ARRANGEMENTS CHAIR Paige Fisher, MD / Greenville MEMBER AT LARGEKeith Nelson, MD / Greenville LEGISLATIVE LIAISONHarold Pollard, MD / Winston-Salem ACOG SECTION CHAIRFrank N. H. Harrison, Jr., MD / Charlotte _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  6. The North Carolina Obstetricaland Gynecological Society Who we are – Operationally The NC Ob/Gyn Society is managed through an arrangement with the North Carolina Medical Society. Services provided include: • Financial Management • Meeting Management • Legislative Guidance / Lobbyist Coordination • Managed Care Resources • Regulatory Interaction • Membership Management • Organizational Interaction / Professional Relations • CommunicationsManagement _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  7. The North Carolina Obstetricaland Gynecological Society Who we are – Organizationally and Operationally What differentiates the NC Ob/Gyn Society from the NC Section of ACOG _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  8. The North Carolina Obstetricaland Gynecological Society ACOG works primarily in four areas: • Serving as a strong advocate for quality health care • for women. • Maintaining the highest standards of clinical • practice and continuing education for its members. • Promoting patient education and stimulating patient • understanding of and involvement in medical care. • Increasing awareness among its members and the • public of the changing issues facing women's health • care. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  9. The North Carolina Obstetricaland Gynecological Society What we do • Legislative & Political Advocacy at the State Level • Interaction with Women’s Health Agencies in N.C. • Collaboration to Broaden Influence • Attention to Managed Care & Reimbursement Issues • Continuing Medical Education _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  10. The North Carolina Obstetricaland Gynecological Society What we do • Advocacy: • Legislative • Regulatory _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  11. The North Carolina Obstetricaland Gynecological Society Advocacy: The Balance Political Advocacy + Legislative Advocacy _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  12. The North Carolina Obstetricaland Gynecological Society Advocacy: The Balance Political Advocacy + Legislative Advocacy _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  13. The North Carolina Obstetricaland Gynecological Society What we do →Political Advocacy • GOPAC • Relationships • Relationships • Relationships _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  14. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Direct Access Legislation - 1995 The bill required health benefit plans issued, renewed or amended on or after that date to allow each female plan participant or beneficiary age 13 or older to have direct access within the health benefit plan, without prior referral, to an obstetrician-gynecologist practicing within the health benefit plan for most healthcare services. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  15. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Post-partum Care Legislation- 1995 Requires that a health benefit plan providing maternity coverage must provide inpatient care for mother and baby for a minimum of 48 hours after vaginal delivery and a minimum of 96 hours after delivery by caesarian section. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  16. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Tort ReformLegislation- 1995 Created minimum qualifications for experts testifying in medical malpractice lawsuits and established a stringent pre-screening procedure for malpractice complaints. The bill also capped punitive damages at $250,000 or three times compensatory damages, whichever is greater. Punitive damages can be awarded only if the patient can prove that the defendant is liable for compensatory damages. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  17. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Tort Reform / Expert WitnessLegislation - 1995 Allowed up to ten written interrogatories to review the identity and/or qualifications of an “expert”. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  18. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Contraceptive Coverage Legislation - 1999 Mandates that insurance companies and others who provide coverage of prescription drugs and devices to also include coverage of prescription contraceptive drugs and devices, and for outpatient contraceptive services. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  19. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Bone Mass/OsteoporosisLegislation - 1999 Requires health plan and insurance coverage for bone mass measurement and evaluation of osteoporosis. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  20. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Prompt PayLegislation - 2000 Requires payment or full disclosure as to claim problems within 30 days. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  21. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Lay MidwiferyLegislation - 2001 Bill to certify “professional midwives” was defeated. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  22. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Patients Bill of Rights - 2001 The bill sets up independent external review of a HMO’s denials if a patient disagrees, allows patients to sue HMOs after review of the health plan and an external independent council, allows patients to receive necessary prescriptions even if the drug is not on the company’s approved list, and allows people with serious, chronic diseases to choose specialists as their primary care physician. ________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  23. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Medicaid Budget - 2001 Medicaid reimbursement at 95% of Medicare secured. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  24. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Medicaid Budget - 2003 Medicaid reimbursement at 95% of Medicare secured. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  25. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy State Budget - 2003 $300,000 appropriation the State Folic Acid Campaign. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  26. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy State Budget - 2003 $100,000 appropriation in 2003 for the continuation of activities performed by the Heart Disease and Stroke Prevention Task Force. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  27. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Medicaid Budget - 2005 Medicaid reimbursement at 95% of Medicare secured. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  28. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Billing for Pathology Services - 2005 Requires disclosure of any mark-up in lab charges. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  29. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Medical Liability Reform - 2007 Establishes arbitration as an option. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  30. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Medicaid Budget - 2007 Medicaid reimbursement at 95% of Medicare secured. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  31. The North Carolina Obstetricaland Gynecological Society What we do →Legislative Advocacy Medicaid Budget - 2008 Medicaid reimbursement at 95% of Medicare secured. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  32. The North Carolina Obstetricaland Gynecological Society What we do → Legislative Advocacy Medical Liability Reform _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  33. The North Carolina Obstetricaland Gynecological Society Legislative Outlook - 2009 • Factors: • New Administration • New Faces in the Legislature • Issues: • Licensure of Certified Professional • Midwives • State Budget – Medicaid • Reimbursement • Retail Medicine • Physician Profiling by Medical Board _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  34. The North Carolina Obstetricaland Gynecological Society What we do → Regulatory Advocacy • NC Medical Board • NC Dept of Health • & Human Services _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  35. The North Carolina Obstetricaland Gynecological Society What we do → Regulatory Advocacy NC Medical Board Physician Profiling Rules - 2008 _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  36. The North Carolina Obstetricaland Gynecological Society What we do → Regulatory Advocacy NC Dept of Health & Human Services Rules for Testing Pregnant Women for STDs - 2008 _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  37. The North Carolina Obstetricaland Gynecological Society What we do → Advocacy Advocacy is not a spectator sport. Get in the game. Become a Key Contact, support GOPAC, become locally active. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  38. The North Carolina Obstetricaland Gynecological Society What we do → Advocacy • Opportunities to get involved: • Legislative Key Contact • White Coat Wednesday (Feb. 18, 2009) • Doctor of the Day • PAC Support (GOPAC & MEDPAC) • Local Meetings w/ Legislators • At a minimum – Be a member _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  39. The North Carolina Obstetricaland Gynecological Society What we do – Practice Support Managed Care and Health Plan Relations through the resources of the North Carolina Medical Society _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  40. The North Carolina Obstetricaland Gynecological Society What we do Education: 2009NCOGS Annual Meeting ``````````````````````````````````` April 24-26 Grove Park Inn / Asheville Mark your calendar ! _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  41. The North Carolina Obstetricaland Gynecological Society What we do • Communications / • Public Relations • Newsletter • Legislative Alerts • Media Relations / Press Releases _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  42. The North Carolina Obstetricaland Gynecological Society What we do • Professional Relations • Collaboration with: • North Carolina Medical Society • ACOG • State Specialty Societies • Women’s Health Agencies _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  43. The North Carolina Obstetricaland Gynecological Society What we do Take initiative ! • Expert Witness Review Panel • Women’s Health Advisory Panel • Women’s Health Report Card • Midwifery Collaborative Project _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  44. The North Carolina Obstetricaland Gynecological Society Where you come in . . . _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  45. The North Carolina Obstetricaland Gynecological Society The NCOGS needs everyOb/Gyn physician in North Carolina as a member. _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  46. The North Carolina Obstetricaland Gynecological Society • Including: • Private Practice • Academia • Retired • Residents _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  47. The North Carolina Obstetricaland Gynecological Society As our membership grows, our voice grows! _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  48. The North Carolina Obstetricaland Gynecological Society As our voice grows our chances of success grow! _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  49. The North Carolina Obstetricaland Gynecological Society Not a member? Join today! Already a member? Be sure to renew! _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

  50. The North Carolina Obstetricaland Gynecological Society Questions? Contact the NC Ob/Gyn Society: ncobgyn@ncmedsoc.org _________________________________________________________________The voice of Ob/Gyn physicians & their patients in North Carolina

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