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Wisconsin Medical Society Board of Directors

VIEWS: 10 PAGES: 19

									Wisconsin Medical Society Board of Directors
2010 Strategic Plan Update-1st through 3rd Quarter Review
October 31, 2010

       The Board Work Group has reviewed the format and content of the written report to the Board on the 2010 Strategic Plan. The purpose
       of the written report is to provide a succinct and timely update on staff progress with Plan objectives, while highlighting key
       accomplishments, more complex efforts or those needing further Board direction in a presentation at the Board meeting. 3rd quarter
       objectives, being reported for the first time or updated, are shaded; updates on objectives from previous quarters are identified in bolded
       content in the “status” or “next steps” column.

       The following feedback process is recommended: 1) Time will be designated on the agenda for limited questions regarding specific areas
       of the written report. 2) Further questions and/or discussion will be conducted off-line on a date/time after the Board meeting, if
       necessary. 3) In advance of the Board meeting, members can direct questions on the written report to nancy.nankivil@wismed.org. If
       multiple members identify a particular item, it may be added/addressed in a presentation at the Board meeting.


              Goal                           Objective/Status of Objective                      Next Steps/Key Dates                Fiscal Impact
Strategic Initiative 1-Health       Policy Platform 2010-Transparency, Physician
Insurance Coverage & Access:        Workforce, Medical Liability and the Publics’
Increase number of Wisconsin        Health (Goal 1; Objective 1)                                 Continue discussions         Activities have been
citizens who have adequate health        Successful 2009-10 legislative session,                 with policy leaders during   budgeted appropriately
insurance and ready access to               including passage of statewide workplace              election period.             for 2010, primarily staff
medical services                            smoking ban, mental health parity bills.             Prepare possible             time
                                         Defeated bills/budget provisions that would             requests for 2011-13 state
                                            have increased physicians’ medical liability          biennial budget.             *Verbal Update at
                                            exposure (joint/several threshold, “Family                                         November 2010 Board
                                            Justice” bill, etc.                                                                Meeting
                                         Prevented other legislation from passing that
                                            would have negatively impacted public health,
                                            such as “medical” marijuana, increased raw
                                            milk sales and psychologists prescribing.
Strategic Initiative 1-Health       State and Federal Policy Activity-physician
Insurance Coverage & Access:        dialogue with policy makers (Goal 1; Objective 2)            Maximize opportunities for   Activities have been
Increase number of Wisconsin             National Advocacy Conference in                         physician-policymaker        budgeted appropriately
citizens who have adequate health           Washington, D.C.                                      interaction via County       for 2010, primarily staff
insurance and ready access to            Physician/Society leader meetings in                    meetings, etc.               time
medical services                            Washington, D.C. as part of Healthcare               Primary: September 14,
                                            Quality Coalition (HQC)                               2010. General Election:      *Verbal Update at
                                              Other meetings as they arise (e.g., Rep. Ron          November 2, 2010               November 2010 Board
                                               Kind, June 1 in Madison)                             Continued                      Meeting
                                              Staff actively involved in discussions re:            communication with DHS
                                               methodology and implementation of Act                 re: implementation details
                                               146 (Transparency Law); including                     for timely communication
                                               convening provider system                             to physician community
                                               representatives for a unified response and           Targeted implementation
                                               providing data analysis on WHIO data                  date January 1, 2011 with
                                               source                                                enforcement on hold until
                                                                                                     2012
Strategic Initiative 1-Health          Key Contact Program Engagement (Goal 1;
Insurance Coverage & Access:           Objective 3)
Increase number of Wisconsin               Staff is refreshing list of current Key Contacts        Continue efforts with          Activities have been
citizens who have adequate health          Goal is having a minimum of 10 active Key                Membership Field Staff to      budgeted appropriately
insurance and ready access to                 Contacts in each State Senate district                 populate Key Contact list.     for 2010, primarily staff
medical services                                                                                    Government Relations           time
                                                                                                     staff will be
                                                                                                     promoting/recruiting for
                                                                                                     participation in Key
                                                                                                     Contact program in
                                                                                                     November and December
Strategic Initiative 1-Health          Shared Medical Decision-making Policy (Physician
Insurance Coverage & Access:           Order for Life Sustaining Treatment-POLST) (Goal
Increase number of Wisconsin           1; Objective 4)
citizens who have adequate health           Staff will use attention gained from POLST             2011-2012 Legislature          Activities have been
insurance and ready access to                 effort in previous legislative session to pursue       sworn in on January 3,         budgeted appropriately
medical services                              greater spread of patient empowerment in               2011 with renewed activity     for 2010, primarily staff
                                              end-of-life decision-making                            by staff on issues including   time
                                                                                                     patient empowerment
Strategic Initiative 1-Health          Capitol Hill Lobbying Presence through
Insurance Coverage & Access:           Geographic Equity in Medicare (GEM) Coalition
Advocate for sufficient Government     (Goal 2; Objective 1)                                        Utilize campaign period to     Activities have been
financial support of its health care       Multiple D.C. visits through Healthcare Quality          maximize contacts with         budgeted appropriately
programs                                       Coalition (HCQ), which includes many GEM              Wisconsin Delegation on        for 2010
                                               entities                                              federal-level health issues
                                                                                                    Partner with AMA during
                                                                                                     federal ‘lame duck”
                                                                                                     session to gain 13-month
                                                                                                     extension in the
                                                                                                     Sustainable Growth Rate


                                                                                2
                                                                                                   (SGR) formula physician
                                                                                                   payment for Medicare
                                                                                                   services
Strategic Initiative 1-Health          Representation in Medicaid Reform Initiative (Goal
Insurance Coverage & Access:           2; Objective 2)
Advocate for sufficient Government          Medicaid’s Clinical Advisory Committee on            Active engagement in DHS     Activities have been
financial support of its health care           Health and Emerging Technology (CACHET)             Rate Reform project and      budgeted appropriately
programs                                       continues to meet with Society physician            discussions                  for 2010, primarily staff
                                               representation; frequency of meetings and          Maintain strong              time
                                               level of influence are questionable                 communication and
                                            Society participated in review of Managed             coordination with DHS
                                               Care concept/program for Milwaukee County           staff in preparation for
                                               area                                                potential change in agency
                                            DHS holding continuous series of “Rate                administration
                                               Reform” meetings under FowardHealth                Government Relations
                                               Rate Reform project brand; Meetings                 and Quality and
                                               review Department’s proposal for                    Efficiency staff
                                               reducing Medicaid expenditures in                   attending/participating in
                                               current and 2011-2013 fiscal biennium               scheduled meetings
                                                                                                  Maintain communication
                                                                                                   and input with outgoing
                                                                                                   Department
                                                                                                   administration as state
                                                                                                   transitions to new
                                                                                                   Governor’s
                                                                                                   administration
Strategic Initiative 1-Health          Wisconsin Payment Reform Initiative (WPRI) (Goal
Insurance Coverage & Access:           2; Objective 3)
Advocate for sufficient Government          Dr. Turney serves on leadership group of             Continued participation in   Activities have been
financial support of its health care           Wisconsin Payment Reform Initiative                 leadership group and work    budgeted appropriately
programs                                    Several members of Society Senior                     groups                       for 2010, primarily staff
                                               Leadership attended/participated in WPRI           Based on funding, pilots     time
                                               event in April and are serving on work groups       in each area will kick-off
                                               charged with developing a Wisconsin                 in early 2011
                                               payment reform model by end of year                Society staff will
                                            WPRI held its Fall Forum on October 1,                continue to engage in
                                               2011 at Epic with over 100 healthcare               workgroup and pilot
                                               representatives in attendance                       activities
                                            Keynote presentation by Harold Miller;
                                               Executive Director of Center for


                                                                               3
                                                Healthcare Quality and Payment Reform
                                               Status reports from three workgroups:
                                                Acute Care, Chronic Care and
                                                Preventative Care including workgroup
                                                composition, area of focus/measure
                                                identification and proposed payment
                                                option
Strategic Initiative 1-Health          State’s Workers Compensation Program (Goal 2;
Insurance Coverage & Access:           Objective 4)                                              Efforts on 2011-12             Activities have been
Advocate for sufficient Government          No physician fee schedule included in 2009-          session WC legislation         budgeted appropriately
financial support of its health care           10 legislation.                                    expected to commence in        for 2010, primarily staff
programs                                                                                          December                       time
Strategic Initiative 1-Health          Cap on Economic Damages in Medical Liability
Insurance Coverage & Access:           Cases (Goal 3; Objective 1)
Protect Wisconsin’s relatively              Ongoing vigilance for threats/challenges on         Coordination of                Activities have been
favorable medical liability climate            Cap and to favorable language in Chapter 655       activities/timing with IPFCF   budgeted appropriately
                                            Membership in Wisconsin Civil Justice                lawsuit                        for 2010; tied to lawsuit
                                               Council Inc. provides Society with strong         Spring election: April 5,      effort
                                               voice In multi-entity effort to maintain           2011; Wisconsin Supreme
                                               stable medical liability climate                   Court seat (Prosser)
Strategic Initiative 1-Health          Injured Patient and Families Compensation Fund
Insurance Coverage & Access:           Lawsuit (Goal 3; Objective 2)
Protect Wisconsin’s relatively               Lawsuit deliberation still in process              Public Relations campaign      Proposed cost for lawsuit
favorable medical liability climate          Workgroup developed to discuss potential            devised/ready to activate      budgeted for 2010
                                                lawsuit outcome scenarios                         based on both win and
                                             Successful media campaign implemented               lose scenario                  *Verbal Update at
                                                following favorable decision from                Obtain and review              November 2010 Board
                                                Wisconsin Supreme Court in July; several          State’s calculation of         Meeting
                                                medical outlets throughout WI and in              interest and lost
                                                other states reported outcome of case             earnings
                                             Society contacted counsel for Fund and             Status conference on
                                                Department of Administrations after               November 15, 2010 at 10
                                                Supreme Court decision to obtain amount           am in Dane County
                                                of interest and lost earnings owed to             Circuit Court
                                                Fund                                             Obtain repayment from
                                                                                                  State of money owed to
                                                                                                  Fund
                                                                                                 Pursue recovery of
                                                                                                  Society’s legal fees



                                                                              4
Strategic Initiative 1-Health          Society/Pro Assurance Negotiations (Goal 3;
Insurance Coverage & Access:           Objective 3)
Protect Wisconsin’s relatively              Contract held by Holdings                                    Contract terms currently   Revenue and Expenses
favorable medical liability climate         Member Benefit Plan refined for 2011                          being negotiated           budgeted through
                                               premium incentives; Submission of                          New contract terms         Holdings
                                               measures through Society PQRI Wizard                        include integration of
                                               was added                                                   Society Quality and
                                            Society successfully completed                                Efficiency products and
                                               negotiations on favorable long term                         services for premium
                                               agreement with ProAssurance on October                      incentives and
                                               28                                                          sponsorship funding of
                                                                                                           Society Center
Strategic Initiative 1-Health          Participation in WI Health Information Technology
Insurance Coverage & Access:           Extension Center (WHITEC) (Goal 4; Objective 1)
Reduce administrative                        Society serves as consortium member with                  Continue awareness           Regional Extension
inefficiencies and increase clinical             Metastar, Rural Wisconsin Health                         building and recruitment    Center initiative not
efficiencies in health care delivery             Cooperative, Wisconsin Hospital Association              activities to targeted      budgeted for in 2010;
                                                 and Wisconsin Primary Health Care                        providers                   Society chose NOT to
                                                 Association(federally qualified health centers)        Lead WHITEC steering         take on sub recipient
                                             $9.1M in federal stimulus funding to provide                committee                   contract due to risk
                                                 resources to Priority Primary Care Providers           Participate in WHITEC
                                                 in Wisconsin to select, implement and                    operations meetings
                                                 achieve “meaningful use” of electronic health          WHITEC focus is dual
                                                 record systems                                           fold: ongoing
                                             Society staff creating awareness and driving                recruitment of eligible
                                                 recruitment activities of targeted 1625                  providers and
                                                 PPCPs: kick-off began in April                           developing plan for long
                                             Society staff continues to engage in                        term sustainability
                                                awareness building and provider/practice
                                                recruitment for WHITEC services                    *Note: Society partnered with
                                             WHITEC currently employs approximately               Wisconsin Hospital Association,
                                                10-12 Health Information Technology                Wisconsin Health Information
                                                Specialists deployed geographically                Organization and Wisconsin
                                                through out Wisconsin for recruitment and          Collaborative for Healthcare
                                                implementation activities; uptake is               Quality to apply and receive
                                                gaining momentum while WHITEC                      designation/funding as State
                                                continues to work with Federal definitions         Designated Entity for Health
                                                and targets for stimulus funding                   Information Exchange
Strategic Initiative 1-Health          Participation in Improving Performance in Practice
Insurance Coverage & Access:           (IPIP) Initiative (Goal 4; Objective 2)


                                                                                  5
Reduce administrative                         Society contracted with Wisconsin                       IPIP national program          Grant funding of app
inefficiencies and increase clinical           Collaborative for Healthcare Quality to                  funding uncertain for future   $100,000 through August
efficiencies in health care delivery           conduct the efforts of IPIP grant                       Continue direct work with      2010
                                              Staff responsible for recruitment of practices           American Cancer Society
                                               to engage in quality improvement project,                with possibility of funding
                                               providing quality improvement coaching on                beyond August 2010
                                               site and holding multi-practice Learning                Remaining funding (app
                                               Collaborative                                            30K) will be carried over
                                              Staff has focused on funding from American               to 2011 for coaching
                                               Cancer Society to develop multi-pronged                  activity with recruited
                                               program for Breast Cancer Screening                      practice sites
                                               including submission to PQRI and                        Future funding meeting
                                               obtainment of Performance Improvement                    set with American
                                               CME                                                      Cancer Society for
                                              Staff completed development of                           November 30, 2010;
                                               Performance Improvement CME module                       discuss funding for
                                               to support program and physician                         ongoing Quality
                                               learners                                                 Improvement Coaching
                                              Learning Collaboration for program                       in breast cancer
                                               conducted as part of fall Symposium to                   screening improvement
                                               kick off practice recruitment efforts                    and/or funding for
                                              First cohort in improvement program to                   development of similar
                                               begin in fourth quarter with target of 8-10              program in colorectal
                                               practice sites participating; remaining                  screening improvement
                                               funding from grant will support
                                               complimentary Quality Improvement                *Note: Not directly related to
                                               coach to support practice sites through          IPIP, but linked to PI-CME,
                                               an approx 12-14 week improvement                 Society will be subcontractor in
                                               project on their breast cancer screening         three state grant project
                                               rates                                            (Nebraska, Ohio and WI-NOW
                                                                                                Coalition) to develop education
                                                                                                and improvement efforts in
                                                                                                diagnosis and treatment of bi-
                                                                                                polar disorder
Strategic Initiative 1-Health          Wisconsin Health Information Organization
Insurance Coverage & Access:           (WHIO) Thought Leader Group effort (Goal 4;
Reduce administrative                  Objective 3)                                                    “Next steps”, including        Activities primarily
inefficiencies and increase clinical        Initial Thought Leader groups have                         improvement activities         conducted through newly
efficiencies in health care delivery           concluded their preliminary study of WHIO                based on the analysis,         launched Center with
                                               data mart                                                currently being determined     funding from sponsors


                                                                                6
                                               Findings and Learnings to be reported out at        Thought Leader Groups
                                                2010 Physician Symposium                             will be undertaking next
                                            2010 Physician Symposium cancelled due                  level of work through Dr.
                                                to lack of physician registration                    Bartholow’s leadership
                                            Society staff engaged in building WHIO                 Center will be soliciting
                                                awareness through monthly orientations,              ongoing funding through
                                                efforts of Thought Leader Groups, face to            sponsors and grants
                                                face meetings with health care systems,
                                                specialty societies, business community
                                            Society providing fee-based, customized
                                                Data Analysis services to WHIO
                                                subscribers
                                            Center for Medical Practice Research and
                                                Education launched in spring with $150K
                                                sponsorship funding initially from
                                                ProAssurance
Strategic Initiative 1-Health          Credentialing Information Service Pilot (Goal 4;
Insurance Coverage & Access:           Objective 4)
Reduce administrative                      Developer completes warranty work                       Credentialing Information      Revenue and Expenses
inefficiencies and increase clinical           November, 2010                                        Service (product name          budgeted through
efficiencies in health care delivery       Product “sustain and maintain” plan is being             “Streamline”) to begin “soft   Holdings
                                               detailed, as is marketing and distribution plan       launch” fourth quarter 2010
Strategic Initiative 1-Health          Wisconsin Council on Medical Education and
Insurance Coverage & Access:           Workforce (WCMEW) (Goal 5; Objective 1)
Advocate for proper supply and              Society staff and physician representatives            Results from Society 2010      WCMEW membership
distribution of physicians in                   regularly attending WCMEW scheduled                  Physician Workforce            budgeted for 2010
specialties and locations based on              meetings                                             Recruitment and Retention
patient need                                Foundation conducting study of Medical                  Survey to be presented at
                                                Students re: Future Workforce;                       fall meeting
                                                Foundation promoting Wisconsin health
                                                care opportunities to medical students
                                                and communities through “Keeping
                                                Physicians in Wisconsin” campaign
Strategic Initiative 1-Health          2009 Physician Recruitment and Retention Survey
Insurance Coverage & Access:           (Goal 5; Objective 2)
Advocate for proper supply and             Survey was conducted with approximate 12%               Determine if low response      Activities have been
distribution of physicians in                  response rate                                         rate justifies publishing      budgeted appropriately
specialties and locations based on         Findings have been analyzed, presented to                findings (informational vs.    for 2010
patient need                                   Society Operations team, but not externally           statistical meaning)



                                                                                7
                                             published to date
Strategic Initiative 1-Health        Fiscal Agent for Wisconsin Data Committee Grant
Insurance Coverage & Access:         (Goal 5; Objective 3)
Advocate for proper supply and            Society serving as fiscal agent for workforce               Completed first fiscal year   Activities being
distribution of physicians in                development grant obtained through Healthier               of grant (09/30/10)           conducted in-kind
specialties and locations based on           Wisconsin Partnership Program ($300k                                                     (minimal work)
patient need                                 through July 2012)
                                          Collaborators include Wisconsin Center for
                                             Nursing, Wisconsin Department of Workforce
                                             Development and Wisconsin Department of
                                             Health Services
Strategic Initiative 1-Health        Community-based Coalition program (Goal 5;
Insurance Coverage & Access:         Objective 4)
Advocate for proper supply and             Foundation established CHAMPS                              Continued promotion           Activities have been
distribution of physicians in                 (Community Health Action via Medical                                                    budgeted appropriately
specialties and locations based on            Partnerships) to engage physician, public                                               for 2010 through
patient need                                  health and business partners to improve                                                 Foundation
                                              community health throughout Wisconsin
                                           Executive Director has conducted
                                              outreach to several county medical
                                              societies to promote program
Strategic Initiative 2-              Participation in WI Health Information Technology
Quality/Clinical Outcomes:           Extension Center (Goal 1; Objective 1)
Encourage physicians to                    Society serves as consortium member with                 Continue awareness              Regional Extension
understand and participate in                 Metastar, Rural Wisconsin Health                         building and recruitment       Center initiative not
national and state quality efforts            Cooperative, Wisconsin Hospital Association              activities to targeted         budgeted for in 2010;
                                              and Wisconsin Primary Health Care                        providers                      response to stimulus
                                              Association(federally qualified health centers)        Lead WHITEC steering            money prompted by state
                                           $9.1M in federal stimulus funding to provide               committee                      eHealth efforts
                                              resources to Priority Primary Care Providers           Participate in WHITEC
                                              in Wisconsin to select, implement and                    operations meetings
                                              achieve “meaningful use” of electronic health          WHITEC focus is dual
                                              record systems                                           fold: ongoing
                                           Society staff creating awareness and driving               recruitment of eligible
                                              recruitment activities of targeted 1625                  providers and
                                              PPCPs: kick-off began in April                           developing plan for long
                                           Society staff continues to engage in                       term sustainability
                                             awareness building and provider/practice
                                             recruitment for WHITEC services                    *Note: Society partnered with
                                                                                                Wisconsin Hospital Association,


                                                                               8
                                          WHITEC currently employs approximately           Wisconsin Health Information
                                            10-12 Health Information Technology             Organization and Wisconsin
                                            Specialists deployed geographically             Collaborative for Healthcare
                                            through out Wisconsin for recruitment and       Quality to apply and receive
                                            implementation activities; uptake is            designation/funding as State
                                            gaining momentum while WHITEC                   Designated Entity for Health
                                            continues to work with Federal definitions      Information Exchange
                                            and targets for stimulus funding
Strategic Initiative 2-              Improving Performance in Practice Initiative (Goal
Quality/Clinical Outcomes:           1; Objective 2)
Encourage physicians to                   Society contracted with Wisconsin                       IPIP national program          Grant funding of app
understand and participate in                Collaborative for Healthcare Quality to                funding uncertain for future   $100,000 through August
national and state quality efforts           conduct the efforts of IPIP grant                     Continue direct work with      2010
                                          Staff responsible for recruitment of practices           American Cancer Society
                                             to engage in quality improvement project,              with possibility of funding
                                             providing quality improvement coaching on              beyond August 2010
                                             site and holding multi-practice Learning              Remaining funding (app
                                             Collaborative                                          30K) will be carried over
                                          Staff has focused on funding from American               to 2011 for coaching
                                             Cancer Society to develop multi-pronged                activity with recruited
                                             program for Breast Cancer Screening                    practice sites
                                             including submission to PQRI and                      Future funding meeting
                                             obtainment of Performance Improvement                  set with American
                                             CME                                                    Cancer Society for
                                          Staff completed development of                           November 30, 2010;
                                             Performance Improvement CME module                     discuss funding for
                                             to support program and physician                       ongoing Quality
                                             learners                                               Improvement Coaching
                                          Learning Collaboration for program                       in breast cancer
                                             conducted as part of fall Symposium to                 screening improvement
                                             kick off practice recruitment efforts                  and/or funding for
                                          First cohort in improvement program to                   development of similar
                                             begin in fourth quarter with target of 8-10            program in colorectal
                                             practice sites participating; remaining                screening improvement
                                             funding from grant will support
                                             complimentary Quality Improvement              *Note: Not directly related to
                                             coach to support practice sites through        IPIP, but linked to PI-CME,
                                             an approx 12-14 week improvement               Society will be subcontractor in
                                             project on their breast cancer screening       three state grant project
                                             rates                                          (Nebraska, Ohio and WI-NOW


                                                                            9
                                                                                            Coalition) to develop education
                                                                                            and improvement efforts in
                                                                                            diagnosis and treatment of bi-
                                                                                            polar disorder
Strategic Initiative 2-              Increased Physician Participation in PQRI
Quality/Clinical Outcomes:           (Physician Quality Reporting Initiative) (Goal 1;
Encourage physicians to              Objective 3)
understand and participate in             Society has subject matter experts in CMS               Continue education and      Revenue Share model
national and state quality efforts          payment incentives, including PQRI; subject             promotion of PQRI Wizard    between Society and
                                            matter experts tracking ongoing development             for registry based          vendor partner based on
                                            of “meaningful use” legislation                         submission of CMS           transactions
                                          PQRI updates and technical details for                   measure groups to achieve
                                            reporting included in Society educational               payment incentives
                                            portfolio                                              Society will coordinate
                                          Society partnered with CMS approved PQRI                 efforts with vendor for
                                            vendor allowing Society physicians to conduct           improvements to PQRI
                                            registry based submission of selected                   Wizard as PQRI and
                                            measure groups                                          Meaningful Use evolve
                                          Society negotiated discounted pricing for               Society will explore
                                            practices with 100 or more eligible reporting           ability to add individual
                                            professionals                                           measure reporting in
                                          Society recruited over 250 physicians for                2011
                                            registry based submissions of measure
                                            groups to date
                                          Products generated app $10k in revenue
Strategic Initiative 2-              Society Annual Physician/Midwest Coding and
Quality/Clinical Outcomes:           Practice Management Symposium (Goal 1;
Encourage physicians to              Objective 4)
understand and participate in              Signature event is scheduled for September             Targeting attendance of     Expenses and revenue
                                                                    nd
national and state quality efforts           19-21 and includes 2 Annual Physician                  app 400-450 attendee at     included in 2010
                                                                 th
                                             Symposium and 11 Annual Midwest Coding                 Coding and Practice         education budget
                                             and Practice Management Symposium                      Management Symposium;
                                           Theme of event is “Be Connected”                        50-100 physicians and
                                           Event drew over 300 attendees and 32                    other health care
                                             exhibitors from the Midwest region;                    stakeholders at Physician
                                             Physician Symposium was cancelled due                  Symposium and 30-35
                                             to lack of engagement/registration by                  exhibitors
                                             physicians                                            2011 date is set for
                                           Event generated app $42k in revenue                     September 18-20 at
                                                                                                    Kalahari Resort in WI


                                                                            10
                                            Symposium sessions were approved for                 Dells with target of 300
                                             CME and CEU credit                                   attendees and 30
                                                                                                  exhibitors

                                                                                          *Note: As accredited and
                                                                                          recognized provider of CME/CEU,
                                                                                          Society received subcontract in
                                                                                          October 2010 with Agency for
                                                                                          Healthcare Research and
                                                                                          Quality/Medical Group
                                                                                          Management Association for app
                                                                                          30k to accredit a series of
                                                                                          national webinars for clinicians
                                                                                          and non clinicians related to
                                                                                          Health Information Technology
Strategic Initiative 2-              Health Innovations section of Wisconsin Medical
Quality/Clinical Outcomes:           Journal (Goal 1; Objective 5)
Encourage physicians to                  First Health Innovations manuscript published          Continue awareness         Activities have been
understand and participate in                in Vol 109 #4                                        building of new            budgeted appropriately
national and state quality efforts       Developed instructions for submission for               section/submission         for 2010
                                             authors                                              opportunity through
                                                                                                  outreach campaign
                                                                                                 Recruit Editorial Board
                                                                                                  member to facilitate
                                                                                                  increase in Health
                                                                                                  Innovations manuscripts
                                                                                                 Recruit Reviewers
Strategic Initiative 2-              Patient-Centered Medical Home Alignment with WI
Quality/Clinical Outcomes:           Academy of Family Physicians (Goal 2; Objective
Champion patient-centered care in    1)                                                          Continue cooperative       Patient-centered Care
Wisconsin                                  Staff participates regularly in                       efforts                    activities budgeted for
                                             meetings/events sponsored by WAFP,                                              2010; primarily staff time
                                             including Patient Centered Medical Home
                                             Steering Committee
                                           WAFP and Society mutually promoting each
                                             organization’s educational programs
                                           Society staff linked PCHM Steering
                                             Committee to workgroup activities of
                                             Wisconsin Payment Reform Initiative
                                             allowing for greater coordination of like


                                                                          11
                                                efforts
Strategic Initiative 2-                 Patient-Centered Care CME Program (Goal 2;
Quality/Clincial Outcomes:              Objective 3)
Champion patient-centered care in             Staff submitted and received approval from        Offer educational            Patient-centered Care
Wisconsin                                       Society CME Council to offer a series of          opportunities on PCC         activities budgeted for
                                                educational modules under the rubric of           through Society quarterly    2010; primarily staff time
                                                Patient-Centered Care throughout 2010             education portfolio
                                              Professionalism in Medicine: The Patient          Staff is submitting
                                                Experience was offered for CME at 2010            Patient-Centered Care
                                                Annual Meeting                                    Program to
                                                                                                  ProAssurance for review
                                                                                                  for premium incentive
                                                                                                  credit in Member Only
                                                                                                  Benefit Plan for Medical
                                                                                                  Liability Insurance
Strategic Initiative 2-                 Pharmacy Society of Wisconsin Quality Pharmacy
Quality/Clincial Outcomes:              Collaborative Pilot (Goal 3; Objective 2)
Support patient safety efforts in all        Staff participates regularly in Wisconsin          Work with Pharmacy           Grant funding of app
health care settings                           Quality Pharmacy Collaborative Steering            Society and UW School of     $2,500 for practice
                                               Committee meetings                                 Pharmacy to identify         recruitment
                                             Society and Pharmacy Society partnered with         practices and recruit
                                               UW School of Pharmacy to receive grant             physicians for project
                                               funded project focused on physician-
                                               pharmacist relationships and strategies to
                                               promote team collaboration in medication
                                               therapy management for improved quality of
                                               care and patient safety
Strategic Initiative 2-                 Health Care and the Law Education Program (Goal
Quality/Clincial Outcomes:              3; Objective 3)
Support patient safety efforts in all        Over 100 physicians and health care staff          Preliminary planning has     Expenses and revenue
health care settings                           attended program focused on legal issues           begun for 2011 program       included in 2010
                                               within clinic setting, including privacy and                                    education budget
                                               security challenges
                                             Program generated app $13K in revenue
Strategic Initiative 2-                 Wisconsin Health Information Organization
Quality/Clincial Outcomes:              (WHIO) Thought Leader Group effort (Goal 4;
Improve Wisconsin population            Objective 1)                                             “Next steps”, including      Activities primarily
health in areas that physicians can           Initial Thought Leader groups have                 improvement activities       conducted through newly
directly impact                                 concluded their preliminary study of WHIO         based on the analysis,       launched Center with
                                                data mart                                         currently being determined   funding from sponsors


                                                                              12
                                             Findings and Learnings to be reported out at      Thought Leader Groups
                                              2010 Physician Symposium                           will be undertaking next
                                           2010 Physician Symposium cancelled due               level of work through Dr.
                                              to lack of physician registration                  Bartholow’s leadership
                                           Society staff engaged in building WHIO              Center will be soliciting
                                              awareness through monthly orientations,            ongoing funding through
                                              efforts of Thought Leader Groups, face to          sponsors and grants
                                              face meetings with health care systems,
                                              specialty societies, business community
                                           Society providing fee-based, customized
                                              Data Analysis services to WHIO
                                              subscribers
                                           Center for Medical Practice Research and
                                              Education launched in spring with $150K
                                              sponsorship funding initially from
                                              ProAssurance
Strategic Initiative 2-               Community-based Coalition program (Goal 4;
Quality/Clincial Outcomes:            Objective 2)
Improve Wisconsin population               Foundation established CHAMPS                       Continued promotion         Activities have been
health in areas that physicians can           (Community Health Action via Medical                                           budgeted appropriately
directly impact                               Partnerships) to engage physician, public                                      for 2010 through
                                              health and business partners to improve                                        Foundation
                                              community health throughout Wisconsin
                                           Executive Director has conducted
                                              outreach to several county medical
                                              societies to promote program
Strategic Initiative 2-               UW Population Health Board and Wisconsin
Quality/Clincial Outcomes:            Research and Education Network Board ( Goal 4;
Improve Wisconsin population          Objective 3)
health in areas that physicians can       Foundation representation/participation of           Foundation staff will       Primarily staff time
directly impact                              Board of Directors and State Health Plan            continue participation on
                                             Implementation Team                                 these Boards
                                          Foundation working with Master of Public
                                             Health program to build awareness for
                                             Summer Fellowship Program, CHAMP
                                             Teams, Wisconsin Health Living Network and
                                             grants program
Strategic Initiative 3-Society        Membership Retention/Growth Strategy (Goal 1;
Vibrancy: Ensure Society’s            Objective 1)



                                                                            13
vibrancy, attractiveness and value           Field staff conducting member and non           Management Objectives for 2010         Processes and activities
to members and potential                      member contacts; building awareness for         Membership Drive:                      related to membership
members, its financial soundness,             Society value-added services in Insurance,          Maintain/grow membership          have been budgeted
and its regard by the public, policy          the Foundation and Quality and Efficiency             to no less than 12,500 by        appropriately for 2010
makers and media as the primary              Senior Leadership, supported by field staff,          3/31/10 (attrition rate of app
source for credible health care               conducting meetings with leadership of larger         5% or less)                      *Verbal Presentation at
policy and perspective                        systems                                             Focus “benefits to                November 2010 Board
                                             2010 Membership Drive resulted in greater             membership” on revenue           Meeting
                                              coordination between Field Directors and              generating services (e.g.
                                              Insurance Agents                                      educational programs, PI-
                                             2011 will continue coordinated                        CME, DRconnection)
                                              membership drive effort with Field                  Integrate key activities of
                                              Directors reporting directly to President of          membership drive process
                                              Insurance Services and representing                   to support development and
                                              revenue generating Quality and Efficiency             implementation of key
                                              products and services                                 Society initiatives
                                             Quality improvement efforts identified and      Management Objectives for 2011
                                              applied to 2011 Membership Dues process,        Membership Drive:
                                              including enhanced automation and                   Maintain membership to
                                              streamlined communication notices                     no less than 12,000 by
                                                                                                    6/31/10 (attrition rate of
                                                                                                    app 5% or less)
                                                                                                  Bullets 2 & 3 are same
Strategic Initiative 3-Society         Non-dues Revenues (Goal 1; Objective 2)
Vibrancy: Ensure Society’s                 2010 Budget for non-dues revenue is $1.8M                Continued focus on             *Verbal Presentation at
vibrancy, attractiveness and value         Preliminary projections indicate revenue goal             activities resulting in        November 2010 Board
to members and potential                     is achievable                                            revenue from Quality and       Meeting
members, its financial soundness,                                                                     Efficiency
and its regard by the public, policy                                                                 Forecast indicates that
makers and media as the primary                                                                       non-dues goal will be met
source for credible health care                                                                       overall with some areas
policy and perspective                                                                                falling short of budget
                                                                                                      and other areas
                                                                                                      exceeding budget
Strategic Initiative 3-Society         Society/Pro Assurance Negotiations (Goal 1;
Vibrancy: Ensure Society’s             Objective 3)
vibrancy, attractiveness and value         Contract held by Holdings                                Contract terms currently       Revenue and Expenses
to members and potential                    Member Benefit Plan refined for 2011                     being negotiated               budgeted through
members, its financial soundness,              premium incentives; Submission of                     New contract terms             Holdings
and its regard by the public, policy


                                                                             14
makers and media as the primary                measures through Society PQRI Wizard              include integration of
source for credible health care                was added                                         Society Quality and
policy and perspective                       Society successfully completed                     Efficiency products and
                                              negotiations on long term agreement with           services for premium
                                              ProAssurance on October 28                         incentives and
                                                                                                 sponsorship funding of
                                                                                                 Society Center
Strategic Initiative 3-Society         Public Relations Campaign (Goal 1; Objective 4)
Vibrancy: Ensure Society’s                  Ongoing contact as needed with Wisconsin           Preparation for necessary    Public Relations activities
vibrancy, attractiveness and value             media outlets                                     public relations based on    have been budgeted for
to members and potential                    Public Service Announcements produced               outcome of lawsuit           2010; awareness
members, its financial soundness,              from physician participation at Annual           Preparation for 2011         targeted to increase
and its regard by the public, policy           Meeting                                           Membership Drive             membership value/dues
makers and media as the primary             Branding efforts for 11 Annual Midwest
                                                                      th
                                                                                                Establish Public
source for credible health care                Coding and Practice Management                    Relations network/key
policy and perspective                                       nd
                                               Symposium/2 Annual Physician                      contacts among large
                                               Symposium                                         health care systems
                                            Radio campaign to be conducted                     Continue to visit
                                            Conducted Public Relations campaign:                Editorial Boards in key
                                               Medicare Meltdown                                 media outlets throughout
                                            Successfully executed several public                State
                                               relations strategies following Supreme           Update/redesign
                                               Court decision on IPFCF Lawsuit                   Society’s website
Strategic Initiative 3-Society         2010 Annual Meeting (Goal 1; Objective 5)
Vibrancy: Ensure Society’s                 Over 150 delegates attended meeting               Council chairs aware of        Annual Meeting activities
vibrancy, attractiveness and value         Over 120 delegates attended CME program             assignments out of            budgeted for 2010
to members and potential                   House of Delegate deliberations were efficient      reference committee
members, its financial soundness,             and effective                                     decisions
and its regard by the public, policy       Preparations beginning for 2011 Annual            Government relations staff
makers and media as the primary               Meeting (April 8-9)                               will manage council efforts
source for credible health care                                                                 (with exception of CME
policy and perspective                                                                          Council); will work with
                                                                                                councils to “move the ball
                                                                                                forward on issues” aligned
                                                                                                with Society Strategic Plan
                                                                                              Resolutions projected
                                                                                                due to Society
                                                                                                Governance in early
                                                                                                February 2011



                                                                             15
Strategic Initiative 3-Society    Society/Pro Assurance Negotiations (Goal 2;
Vibrancy: Evaluate and expand     Objective 1)
strategic alliance with key            Contract held by Holdings                         Contract terms currently      Revenue and Expenses
stakeholders                           Member Benefit Plan refined for 2011               being negotiated              budgeted through
                                          premium incentives; Submission of               New contract terms            Holdings
                                          measures through Society PQRI Wizard             include integration of
                                          was added                                        Society Quality and
                                       Society successfully completed                     Efficiency products and
                                          negotiations on long term agreement with         services for premium
                                          ProAssurance on October 28                       incentives and
                                                                                           sponsorship funding of
                                                                                           Society Center
Strategic Initiative 3-Society    Strategic Business Partners (Goal 2; Objective 2-
Vibrancy: Evaluate and expand     6)
strategic alliance with key             Society leadership continues to mature           Continue to develop and       Activities have been
stakeholders                              several strategic alliances through active       evaluate strategic            budgeted appropriately
                                          involvement and influence on                     business partners via         for 2010, primarily staff
                                          Boards/committees, including WHIO, WCHQ,         criteria created by Society   time
                                          WPRI and WIRED                                   leadership/management
                                        Society staff continues to move tactical          staff                         New initiatives, like REC
                                          objectives forward with key alliances,                                         were not planned and
                                          including WHITEC, SBIRT and IPIP                                               have involved
                                        Holdings is conducting contract                                                 tremendous staff time
                                          renegotiations with ProAssurance
                                        Dr. Turney will serve as Chair of State                                         Other initiatives, like
                                          Designated Entity for Health Information                                       WHIO and IPIP have
                                          Exchange; Linda Syth is involved in                                            involved staff time, yet
                                          national work group for Health                                                 are based on potential
                                          Information Exchange                                                           benefit of grant funding
                                        Linda Syth served on strategic planning
                                          committee for WCHQ; Dr. Turney and Dr.
                                          Bartholow served on strategic planning
                                          committee for WHIO; several leadership
                                          staff are engaged in work group activities
                                          of WPRI
                                        Contract with ProAssurance successfully
                                          completed on October 28, 2010
Strategic Initiative 4-           Patient-Centered Medical Home Alignment with WI
Professionalism & Ethics:         Academy of Family Physicians (Goal 1; Objective
Encourage physician-led primary   1)                                                                                     Patient-centered Care


                                                                       16
medical care                                  Staff participates regularly in                 Continue cooperative efforts   activities budgeted for
                                               meetings/events sponsored by WAFP,                                              2010; primarily staff time
                                               including Patient Centered Medical Home
                                               Steering Committee
                                             WAFP and Society mutually promoting each
                                               organization’s educational programs
                                             Society staff linked PCHM Steering
                                               Committee to workgroup activities of
                                               Wisconsin Payment Reform Initiative
                                               allowing for greater coordination of like
                                               efforts
Strategic Initiative 4-                Patient-Centered Care CME Program (Goal 1;
Professionalism & Ethics:              Objective 3)
Encourage physician-led primary              Staff submitted and received approval from       Offer educational              Patient-centered Care
medical care                                   Society CME Council to offer a series of         opportunities on PCC           activities budgeted for
                                               educational modules under the rubric of          through Society quarterly      2010; primarily staff time
                                               Patient-Centered Care throughout 2010            education portfolio
                                             Professionalism in Medicine: The Patient         Staff is submitting Patient-
                                               Experience was offered for CME at 2010           Centered Care Program to
                                               Annual Meeting                                   ProAssurance for review
                                                                                                for premium incentive
                                                                                                credit in Member Only
                                                                                                Benefit Plan for Medical
                                                                                                Liability Insurance
Strategic Initiative 4-                Wisconsin Council on Medical Education and
Professionalism & Ethics:              Workforce (Goal 2; Objective 1)
Work to assess and align scope of           Society staff and physician representatives        Results from Society 2010     WCMEW membership
practice between physicians and                regularly attending WCMEW scheduled               Physician Workforce           budgeted for 2010
non physicians and among                       meetings                                          Recruitment and Retention
physician specialties by accounting         Foundation conducting study of Medical              Survey to be presented at
for quality, cost-efficiency, safety           Students re: Future Workforce; Foundation         fall meeting
and access                                     promoting Wisconsin health care
                                               opportunities to medical students and
                                               communities through “Keeping Physicians in
                                               Wisconsin” campaign
Strategic Initiative 4-                Wisconsin Health Information Organization
Professionalism & Ethics:              (WHIO) Thought Leader Group effort (Goal 2;
Work to assess and align scope of      Objective 2)                                            “Next steps”, including        Activities primarily
practice between physicians and             Initial Thought Leader groups have                 improvement activities based   conducted through newly
non physicians and among                       concluded their preliminary study of WHIO        on the analysis, currently     launched Center with


                                                                            17
physician specialties by accounting             data mart                                                  being determined             funding from sponsors
for quality, cost-efficiency, safety           Findings and Learnings to be reported out at              Thought Leader Groups
and access                                      2010 Physician Symposium                                   will be undertaking next
                                             2010 Physician Symposium cancelled due                       level of work through Dr.
                                                to lack of physician registration                          Bartholow’s leadership
                                             Society staff engaged in building WHIO                      Center will be soliciting
                                                awareness through monthly orientations,                    ongoing funding through
                                                efforts of Thought Leader Groups, face to                  sponsors and grants
                                                face meetings with health care systems,
                                                specialty societies, business community
                                             Society providing fee-based, customized
                                                Data Analysis services to WHIO
                                                subscribers
                                             Center for Medical Practice Research and
                                                Education launched in spring with $150K
                                                sponsorship funding initially from
                                                ProAssurance
Strategic Initiative 4-                Community-based Coalition program (Goal 2;
Professionalism & Ethics:              Objective 3)
Work to assess and align scope of            Foundation established CHAMPS                               Continued promotion          Activities have been
practice between physicians and                 (Community Health Action via Medical                                                    budgeted appropriately
non physicians and among                        Partnerships) to engage physician, public                                               for 2010 through
physician specialties by accounting             health and business partners to improve                                                 Foundation
for quality, cost-efficiency, safety            community health throughout Wisconsin
and access                                   Executive Director has conducted
                                                outreach to several county medical
                                                societies to promote program
Strategic Initiative 4-                Professional/Strategic development between
Professionalism & Ethics:              Society/Holdings and Foundation Boards (Goal 3;
Engage and develop continuous          Objective 1)                                                                                     Activities have been
physician leadership in targeted            Boards engaged in coordinated effort for                      2011 Budget approval from   budgeted appropriately
demographic groups, including                  review and approval of 2011 Budget                           all Boards                  for 2010
experienced and emerging                    Staff efforts to communicate, coordinate and
physician leaders                              leverage skill sets, resources and strategic
                                               alliances to effectively and efficient deliver on
                                               Society’s strategic plan
Strategic Initiative 4-                Strategic Direction of Society Councils following
Professionalism & Ethics:              2010 House of Delegate Resolutions (Goal 3;
Engage and develop continuous          Objective 2)



                                                                                 18
physician leadership in targeted          Seek to optimize impact of House of Delegate          Councils advised to work at   Activities have been
demographic groups, including              deliberations on anticipated issues of policy in       meeting following Annual      budgeted appropriately
experienced and emerging                   2010 through Councils and County Medical               Meeting                       for 2010, primarily staff
physician leaders                          Societies                                             Fostering proactive           time
                                        Conducted 5-year policy reviews;                         policy development via
                                           Adoption of AMA policy where no Society                Councils; Beginning
                                           policy applies                                         preparation for 2011
                                        Developing Society policy on access to                   House of Delegates/
                                           and allocation of Medicaid resources                   Annual meeting
                                        Staff improving recruitment for Council                  resolution process
                                           participation, including outreach to
                                           medical schools for increased student
                                           involvement
Strategic Initiative 4-             County Medical Society 990 Filings (Goal 4;
Professionalism & Ethics:           Objective 1)                                                 County filings due May 15,    Activities have been
Reactivate and collaborate with         Society issued educational resources on 990              2010                          budgeted appropriately
County Medical Societies to                filings to County Medical Societies                   IRS granting “grace period”   for 2010; compliance is
enhance the Society’s efforts for       County filings due May 15, 2010                          for remainder of 2010         critical
the profession                          Society participated on joint County                    IRS “grace period” is
                                           Medical Society call and worked with many              over, but Society will
                                           County Medical Societies individually on               continue to monitor
                                           process                                                compliance issues and
                                                                                                  answer inquiries from
                                                                                                  County Medical Societies
Strategic Initiative 4-             Community-based Coalition program (Goal 4;
Professionalism & Ethics:           Objective 2)
Reactivate and collaborate with          Foundation established CHAMPS                          Continued promotion           Activities have been
County Medical Societies to                 (Community Health Action via Medical                                                budgeted appropriately
enhance the Society’s efforts for           Partnerships) to engage physician, public                                           for 2010 through
the profession                              health and business partners to improve                                             Foundation
                                            community health throughout Wisconsin
                                         Executive Director has conducted
                                            outreach to several county medical
                                            societies to promote program




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