NATIONAL ASSOCIATION OF HEALTH SERVICES EXECUTIVES

WELCOME

The Osteopathic Medical Profession and Role of the AOA

Adrienne White-Faines, MPA, Executive Director and CEO

DOs have Same Practice Rights as MD Training and Philosophy of Care Patient-Centered Care60% of DOs Practice Primary CareLicensed in every state, and 64

countries

Physician of Osteopathic Medicine (DO)

11 to 18 years

HOW WE TRAIN

104,000DOs and osteopathic medical students in the U.S.

DIVERSITYamong osteopathic medical students (2012-2013): • 67% Caucasian• 19% Asian• 4% Hispanic/Latino• 3% African-

American

WHO WE ARE

States with Highest DO Populations

WHO WE ARE

AGE of DOs

24% <35

28% 35-44

20% 45-54

17% 55-64

10% >65

U.S. Colleges of Osteopathic Medicine

HOW WE TRAIN

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.

WHO WE ARE

40%60%

HOW WE TRAIN

The DO Philosophy

The body is capable of self-regulation, self-healing & health

maintenance

The body is a unit; the person is a unit of body,

mind & spirit

Structure and function are reciprocally interrelated

Treatment based on understanding of basic principles of body unity, self-

regulation & interrelationship of

structure & function

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.

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

AMERICAN OSTEOPATHIC ASSOCIATION

“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

EFFECTIVE ORGANIZATIONS ARE RESILIENT

• 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

ASSOCIATION MODEL HAS IMPERATIVE FOR CHANGE

Cash Flow Shift in Practice Focus Workflow Affordable Care Act Physician Pipeline Practice Demographics

Pressure Points Impacting Physician Practices

CHALLENGES: MEDICAL PRACTICE ENVIRONMENT

VISIBILITY CHALLENGES

Inability to succinctly articulate Osteopathic Medicine and DOs (even within profession…)

Significantly variable public awareness (by geography and experience)

Humble nature of professionals

Competing Forces and Voices in healthcare

Passive approach… and we speak to Internal audience

Constant changes in delivery system and profession

Evolution of Communication techniques

Expense!

No reported GME placement

Military GME ACGME-accredited GME AOA-accredited GME

0.76% 5.60% 45.52% 48.12%

0

500

1000

1500

2000

2500

38

276

2,2432,371

DO Graduate GME Residency Placement, Spring 2014

Of the

4,928 DO gradsseeking GME in 2014:

45%

48%

entered ACGME programs

entered AOA programs

GRADUATE MEDICAL EDUCATION CHALLENGE

HOW DO YOU MOVE AN ORGANIZATION FORWARD?

Whether … building from the start …

or revitalizing existing …

or expanding capacity …

Strategy and leadership are key!

STRATEGIC PLANNING

Infrastructure

Single Accreditation

System

ACGME Board

Recognition Committee for OM Residency

Designation

RRCs with Osteopathic

Medicine GME

RRC for NMM/OMM

RRC Monitoring Committee

Joint Task Force

Overseeing Transition

Senior Leader to Oversee

Administration of Transition

AOA/AACOM Integrated into Governance and Operations of New ACGME

Single Accreditation System

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

“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

WELCOME TO THE AOA