NATIONAL ASSOCIATION OF HEALTH SERVICES EXECUTIVES

1. WELCOME NATIONAL ASSOCIATION OF HEALTH SERVICES EXECUTIVES

2. The Osteopathic Medical Profession and Role of the AOA Adrienne White-Faines, MPA, Executive Director and CEO

3. Physician of Osteopathic Medicine (DO) DOs have Same Practice Rights as MD Training and Philosophy of Care Patient-Centered Care 60% of DOs Practice Primary Care Licensed in every state, and 64 countries

4. HOW WE TRAIN 11 to 18 years

5. WHO WE ARE • 104,000 • DOs and osteopathic medical students in the U.S. • DIVERSITY • among osteopathic medical students (2012-2013): • 67% Caucasian • 19% Asian • 4% Hispanic/Latino • 3% African-American

6. WHO WE ARE • States with Highest DO Populations • AGE of DOs • 24%  <35 • 28%  35-44 • 20%  45-54 • 17%  55-64 • 10%  >65

7. U.S. Colleges of Osteopathic Medicine HOW WE TRAIN

8. WHO WE ARE • GROWING number of DOs practice in non-primary care: • 24% 40% • in 1984 in 2013 • CERTIFICATION • saw a 17% growth in number of DOs certified by AOA boards, 2008-2013. 40% 60%

9. HOW WE TRAIN

10. AMERICAN OSTEOPATHIC ASSOCIATION • US Growth in • Osteopathic Physicians • The number of DOs has grown more than 200% over the past 25 years. • DOs are one of the fastest growing segments of health care professionals in the United States. • Today, 20% of all medical students in the US are in Osteopathic Medicine colleges.

11. AMERICAN OSTEOPATHIC ASSOCIATION • Association focus: • Advocate on behalf of the profession; • Promote public health; • Encourage scientific research; • Provide primary board certification; • Serve as the accrediting agency for osteopathic medical schools; • Accreditation of OGME; • Accreditation of osteopathic CME; • and federal authority to accredit hospitals and other health care facilities

12. EFFECTIVE ORGANIZATIONS ARE RESILIENT “It’s not the strongest of the species who survives, or the most intelligent that survives. It is the one that is most adaptable to change.” Charles Darwin

13. ASSOCIATION MODEL HAS IMPERATIVE FOR CHANGE • Decreased relevancy of traditions; • New Generation of Professionals; • Loss of Market Share (membership); • Technological Revolution; • Increased competition for time (work, family, other organizations…); • Shrinking revenue sources

14. CHALLENGES: MEDICAL PRACTICE ENVIRONMENT Cash Flow Shift in Practice Focus Workflow Affordable Care Act Physician Pipeline Practice Demographics Pressure Points Impacting Physician Practices

15. VISIBILITY CHALLENGES

16. GRADUATE MEDICAL EDUCATION CHALLENGE Of the 4,928 DO grads seeking GME in 2014: 45% 48% entered ACGME programs entered AOA programs

17. HOW DO YOU MOVE AN ORGANIZATION FORWARD?

18. STRATEGIC PLANNING

19. Single Accreditation System Infrastructure AOA/AACOM Integrated into Governance and Operations of New ACGME

20. We are at a crossroads. The status quo is not an option.

21. WELCOME TO THE AOA “There is no passion to be found playing small – in settling for a life that is less than the one you are capable of living.” ~ Nelson Mandela