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North Dakota Governor's Newsletter May 2016

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Neville M. Alberto, MD, FACP, ACP Governor

Neville M. Alberto, MD, FACP, ACP Governor

Dear Colleagues,

May 2-7th, I had the opportunity and privilege to participate in the Governance and the Annual Meeting of the American College of Physicians and would like to share with you some of the highlights, mission and vision of the College:

  • Over a dozen North Dakota ACP members and Fellows attended and participated in the Annual Meeting. The following Physicians were conferred Fellowship and participated in the convocation ceremony on May 5th 2016: Kaushik Bhunia, MD FACP; Dinesh Bande, MD FACP; Prakash Kafle MBBS, FACP
  • The past year (Centennial Year) saw many successes, including the repeal of the sustainable growth rate formula(SGR) that crippled our abilities to manage practices and care for our patients. We have now moved to a period of measurement and payment dependent on “value” or “quality” in care delivery. This is a work in progress, all in an attempt to provide the best possible patient centered care.
  • Maintenance of Certification (MOC) remains a hot button issue and a source of great angst for our members. ACP leadership continues to work and advocate for changes to the MOC that better reflect the practice of medicine. The College is guided by its accountability principles and recognizes the balance between the needs of its members and the trust of our patients, while continuing to press ABIM for further changes to theMOC process to include a sooner decision on the future of the high stake recertification exam and the options recommended in the report of the 2020 Task Force. All of this in an attempt to make this a lifelong learning process that helps practicing physicians provide the best possible patient care, while continuing to decrease the burden and expense of the MOC process.
  • Models of health care delivery continue to evolve. Meaningful use and Physician Quality Reporting System (PQRS) are transitioning to an alternative payment system (APM). The College continues to lead and guide policy while seeking “real world” counsel from its practicing physicians as new rules, regulations and standards are developed by CMS and health plans.
  • Disruptive technology is poised to rapidly change the way we provide care in the coming years. The traditional office visit will be just one of the many venues for the delivery of care. Video visits, Program ECHO, software for patients to track their health information and care coordination are some of the many options gaining traction and helping address health care disparities in rural America.
  • The Association of American Medical Colleges has recently predicted a national shortage of 62,000 to 95,000 physicians by 2025. Much of this is a result of the growing, insured and aging population living with chronic diseases. The College, working with the Graduate Medical Education Committee continues to lead in finding solutions to this critical problem.
  • The College's recently published policy paper recognizes and attempts to address Global climate change and its impending health consequences to include heat, waterborne and vector transmitted illnesses by making several recommendations on mitigation strategies.
  • As Members and Fellows of the College, we have the unique opportunity to serve as the voice for our Profession and our Patients, in addition to being responsible stewards of our Planet. Your input is much appreciated and encouraged.

I would like to take this opportunity to thank April Hess, MD who participated in Leadership day and was able to meet and share topics important to the College with the offices of our Senator's and Congressman on Capitol Hill.

Neville Alberto, MD FACP
Governor - ACP, North Dakota Chapter