New Medical Executives Institute

1. New Medical Executives Institute Putting Together The Puzzle The Medical Society Susan Turney, MD, MS, FACP, FACMPE, EVP/ CEO, Wisconsin Medical Society Karen Collishaw, Deputy Executive Director, American Academy of Dermatology Jay W. Millson, MBA, Executive Vice President, Duval County Medical Society

2. Wisconsin Medical Society Overview of Organization NMEI 2010

3. Who Is the Wisconsin Medical Society? • Three entities under one roof -Allow for research, application and policy • CEO history -First MD, first woman • Current staff • Work with county, other state and national Medical Associations • Over 12,000 members • Formed nearly 170 years ago NMEI 2010

4. What is our Mission? Mission Statement Improve the health of the people of WI by supporting and strengthening physicians’ ability to practice high-quality patient care in a changing environment. NMEI 2010

5. Society Organizational Chart NMEI 2010

6. Physician Perspective • How and what drives physicians to participate in medical societies • Decorum and considerations when interacting with physician members • How to ID and groom future volunteer leaders NMEI 2010

7. Can You Think Like a Doctor? • The personal journey • How doctors learn and think • The “tools you can use” as the leader of your organization NMEI 2010

8. How Doctors Learn and Think • Think about what a doc does all day • The world revolves around the doctor • Linear thinking • Independence • Creativity • Monsters of the payment system NMEI 2010

9. Don’t Confuse Ego With Self-Confidence • Know what not to change • Build trust NMEI 2010

10. Have an Opinion Even if You Are Wrong • Take a risk NMEI 2010

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13. American Academy of Dermatology Overview of Organization NMEI 2010 13

14. American Academy of Dermatology Founded in 1938 501 (c) (3)/(c)(6) 17,000 members (25% international) 145 staff $35 million annual budget NMEI 2010 14

15. American Academy of Dermatology Strategic Framework NMEI 2010 15

16. American Academy of Dermatology Governance Board of Directors – 16 directors and 8 officers (most elected); resident, young and international board observers 5 Councils (Education, Member Services, Communications, Science and Research, Government Affairs, Health Policy and Practice) Strategy, Priorities, Development and Ethics Committees NMEI 2010 16

17. American Academy of Dermatology Governance (cont.) • Strategy—Exec Cmte plus Council Chairs • Development and Ethics Committees • New--Leadership Institute—in practice, organized medicine, policy and advocacy, academic medicine and community • Secretary-Treasurers – Administrative partners—Priorities Cmte NMEI 2010 17

18. American Academy of Dermatology Internal Departments Education Communications Creative and Publishing Marketing Meetings Government Affairs Science and Quality Practice Policy and Management Member Services Executive Office, IT, Web, Finance, Facilities and HR NMEI 2010 18

19. American Academy of Dermatology House of Dermatology Numerous subspecialties and geographically-based societies—with varied interests , opinions and perspectives on issues—more focused, nimble Advisory Board—geographic representation--–touchpoint or complaint box? Intersociety Liaison Committee –”sister” societies—takes more than regular meetings—collaborative culture Can’t please all of the people all of the time; Darned if you do, darned if you don’t; need to take credit to justify existence; COI issues NMEI 2010 19

20. American Academy of Dermatology Community Involvement Camp Discovery Shade structures Skin Cancer Screenings Public Awareness and Education Teledermatology, volunteerism and access NMEI 2010 20

21. American Academy of Dermatology Coalition Building/Liaison/Specialty Positioning American Medical Association Specialty, primary care and state medical societies Coalition of Skin Diseases--patient organizations Media/PR Federal, state, and local governments – Congress, legislatures, medical boards, public health departments, etc. Payers and other policy-making entities—e.g., NQF NMEI 2010 21

22. Duval County Medical Society (DCMS) Overview of Organization NMEI 2010 22

23. Duval County Medical Society (DCMS) • Founded in 1853, oldest medical society in FL • Formed the FL Med Assoc 21 years later • 1,981 members (MD/DO) • 1,262 active members • 402 residents • 317 affiliate, life, retired • Mission Statement: To promote the delivery of and access to high quality, ethical medical care for the community, and to serve as an advocate for physician members and their patients (2005)

24. Duval County Medical Society (DCMS) Structure/Governance • Board of Directors Voting – 18 directors, 8 officers • Board of Directors NonVoting Ex-Officio: Past Presidents, Academic Deans, Navy, surrounding counties • Manage DCMS Foundation (501c3) to support medical education and science • 10 Committees – 6 organizational (membership, bylaws, exec comm, awards, journal, judicial), 4 community based

25. Duval County Medical Society (DCMS) Community Involvement • Manage four surrounding counties for NEFL • Basic functions (membership, advocacy, meetings) • Positive – Quality and Unity, Legal Compliance • Negative - “Charity” Administration • 4 Committees focus on community – emergency response, HIT, Legislation, Sports Medicine • Involvement in dozens of other community boards, hospitals, and initiatives - mostly EVP

26. Health System A Plethora of Parts and Players

27. Duval County Medical Society (DCMS) Operational Structure – Many Hats • “Departments” include: membership, governance, finance/admin, legislation, socioeconomics, communications/pub, county management, plumber • Number of staff 4 FTEs • Resourceful – Ability to do a lot with a little • Leverage relationships and even barter

28. Duval County Medical Society (DCMS) • Federation Relations • Smaller organization = resource dependent • Advocacy – legislative relations • Socioeconomic issues (e.g., HIPAA, Red Flags) • Meetings – membership support • Florida/American Medical Associations • Collectively supporting “Organized Medicine” • Don’t reinvent the wheel