Legacy of Excellence Digital Flipbook

Chapter 4: 2012 – 2016

I know AAO-HNS members, who are working diligently on behalf of their patients, feel this—whether you’re in a small, rural community practice or in an urban academic setting. Meaningful Use, Quality reporting within the Medicare program, ICD-10, and the Affordable Care Act (ACA) have created resource intensive, overlapping regulatory changes that are affecting, and will for years, the way physicians do business… more changes are likely as the AAO-HNS continues to work with other specialty societies and Hill leaders to permanently release the Sustainable Growth Rate (SGR) formula and develop longer lasting payment reform for a new Medicare payment system to incentivize the delivery of high-quality, efficient healthcare.” –Richard W. Waguespack, MD, 2013 - 2014 President, May 2014 Bulletin

Dr. Rosenfeld, who was serving as Senior Consultant for Quality and Guidelines at the time but had also held the position of Chair of the Guideline Development Task Force. Following suit for the AAO-HNSF clinical consensus statements (CCS), the AAO-HNSF published the AAO HNSF Clinical Consensus Statement Development Manual in Otolaryngology–Head and Neck Surgery in 2015. It provided the detailed methodology used by the AAO-HNSF to develop its CCSs. The goal in publication was to facilitate transparency in the AAO HNSF process and provide a tool for other organizations to replicate. In 2011, the AAO-HNSF began including consumers trained in evidence-based medicine on its guideline panels, which led to the broadening of efforts in 2013 to engage consumers by developing plain language summaries for each CPG. Using the expertise of the American Academy of Neurology and the Cochrane Colloquium, the first plain language summary targeted to consumers was released alongside the Clinical Practice Guideline: Bell’s Palsy in November 2013. In further creating a comprehensive approach to developing CPGs, the AAO-HNSF sought ways beyond publication to disseminate the important clinical information these materials contained. In September 2013, to further the CPGs resources and tools available to otolaryngologists and non-otolaryngologists alike, the AAO-HNSF formed a partnership with Guideline Central (GC) to produce evidence-based quick reference guides in both paper pocket card and mobile/ web application formats for healthcare professionals.

The Foundation-endorsed pocket cards and apps served as quick reference tools that featured highlights of the AAO-HNSF-developed CPGs. ADVOCACY AND HEALTH POLICY Coordinators Richard W. Waguespack, MD Coordinator for Socioeconomic Affairs, 2007-2012 James C. Denneny III, MD Coordinator for Socioeconomic Affairs, 2012-2014 Michael Setzen, MD Coordinator for Practice Affairs, 2009-2013 Jane T. Dillon, MD, MBA Coordinator for Practice Affairs, 2013-2014 Jane T. Dillon, MD, MBA, 3P Co-Chair and Coordinator for Socioeconomic Affairs, 2014-2017 Robert Lorenz, MD, MBA, 3P Co-Chair and Coordinator for Practice Affairs, 2014-2017 The term “value” dominated the discussions for the evolution of healthcare in this timeframe. It was an era of uncertainty in healthcare as the house of medicine experienced transitions from fee-for-service to bundled payments by networks; from incentivized for volume to incentivized for value; from fragmented, individualized care to aligned, continuity of care; from acute hospital focused to chronic outpatient disease management focused; and from non-standardized paper records to IT-based standardized records.

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