2012 vafp annual report:08 annual...

VAFPVirginia’s Family Physicians

Virginia Academy

of

Family Physicians

2012

Annual Report

Table of Contents

VAFP Vision and Mission Statements 3

2012 Annual Business Meeting Agenda 4

Officers, Directors and Ex Officio Members 5

Nominees for 2012-2013 Officers, Directors and AAFP Representatives 6

Committees 7

President’s Message 8-11

Incoming President’s Message 12-15

Legislative Update 16-17

Health Plan Report 18

Membership 19

Necrology Report 19

Finances 20-21

Honors and Awards 22

Continuing Medical Education 23

Quality & Practice Enhancement Task Force Report 24

Residents and Students 25

Past Presidents of the VAFP 26-27

CME Calendar 28

3

VAFP Vision Statement

The vision of the VAFP is for Virginia to be the best place for

family physicians and their patients.

VAFP Mission Statement

The mission of the VAFP is to empower its members to be per-

sonal physicians who ensure accessible health care, dedicate

themselves to ensuring the dignity and wellbeing of the citi-

zens of Virginia, and are guided by the principle that the family

physician is the specialist of choice for lifelong care.

Virginia Academy Of Family

Physicians

Vision And Mission Statements

4

I. Call to Order

Kent E. Willyard, MD, FAAFP

VAFP President

II. Welcome and Introductions

III. President’s Report

IV. Consideration of $20.00 Dues Increase

V. Election of VAFP Officers, Directors and Delegates

VI. Greetings from the American Academy of Family Physicians

Michael Fleming, MD, FAAFP

AAFP Past President

VII. Installation of VAFP Officers and Directors

VIII. Installation of Mark H. Greenwald, MD, FAAFP as VAFP President

IX. 2012-2013 President’s Address

Mark H. Greenwald, MD, FAAFP

X. Adjournment

Virginia Academy of Family

Physicians

2012 Annual Business Meeting

Agenda

5

2011-2012 Officers, Directors

and Ex Officio Members

PRESIDENT

Kent E. Willyard, MD, Newport News

PRESIDENT ELECT

Mark H. Greenawald, MD, Roanoke

FIRST VICE PRESIDENT

Sean W. Reed, MD, Charlottesville

IMMEDIATE PAST PRESIDENT

Jesus L. Lizarzaburu, MD, Grafton

TREASURER

Roger A. Hofford, MD, Salem

SECRETARY

Mark H. Ryan, MD, Richmond

EXECUTIVE VICE PRESIDENT

Terrence J. Schulte, Richmond

2012 DIRECTORS

Robert I. Elliott, MD, Hurt

Samuel M. Jones, MD, Fairfax

Wayne J. Reynolds, DO, Gloucester Point

2013 DIRECTORS

John E. Brady, MD, Newport News

Elizabeth L. Polk, MD, Roanoke

Ann Townsend, MD, Lebanon

2014 DIRECTORS

Delmas J. Bolin, MD, PhD, Roanoke

James R. Robusto, MD, Urbanna

Lindsey D. Vaughn, MD, Suffolk

RESIDENT DIRECTORS

Masoumeh Kiamanesh, MD

Eastern Virginia Medical School

Hillary Shemes, DO

Virginia Commonwealth University

Amy Kaleka, MD

University of Virginia

STUDENT DIRECTORS

Victoria Chen

Eastern Virginia Medical School

Katie Martineau


Stephanie Gold

University of Virginia Medical School

Michelle Keating

VIA College of Osteopathic Medicine

AAFP DELEGATES

Cynthia C. Romero, MD, Virginia Beach

Dena R. Hall, MD, Suffolk

AAFP ALTERNATE DELEGATES

Kurtis S. Elward, MD, MPH,

Charlottesville

Sterling N. Ransone, Jr., MD, Deltaville

MSV DELEGATE

Kent E. Willyard, MD, Newport News

MSV ALTERNATE DELEGATE


EX OFFICIO MEMBERS

Norman Oliver, MD, Charlottesville

Anton J. Kuzel, MD, Richmond

Christine C. Matson, MD, Norfolk

Russell C. Hendershot, DO, Blacksburg

Michael Jeremiah, MD, Roanoke

6

Nominees for Officers, Directors

and AAFP Representatives

PRESIDENT ELECT


FIRST VICE PRESIDENT

Samuel M. Jones, MD, Fairfax

SECOND VICE PRESIDENT

Robert I. Elliott, MD, Hurt

2012-2015 DIRECTORS

S. Hughes Melton, MD, Lebanon

Grace Chiu, MD, Chester

Saria Saccocio, MD, Danville

TREASURER

Roger A. Hofford, MD, Salem

SECRETARY

Mark H. Ryan, MD, Richmond

AAFP DELEGATE

Kurtis S. Elward, MD, MPH, Charlottesville

AAFP ALTERNATE DELEGATE

Jesus L. Lizarzaburu, MD, Grafton

MSV DELEGATE


MSV ALTERNATE DELEGATE


RESIDENT DIRECTORS

Anthony Avnaim, DO

LewisGale Hospital-Montgomery Family

Medicine Residency

Kamal Buttar, MD

St. Francis Family Medicine Residency

Anna Villalobos, MD

Lynchburg Family Medicine Residency

STUDENT DIRECTORS

Maya Green


Justin Mutter

University of Virginia Medical School

Elizabeth England

Virginia Tech/Carilion School of

Medicine

Resident & Student Directors

The following Resident and Student Directors were elected by their

respective residency program or medical school:

7

Committee Chairs

BYLAWS

Wayne J. Reynolds, DO

COMMUNICATIONS

Mark H. Ryan, MD

EXECUTIVE

Kent E. Willyard, MD

FINANCE

Roger A. Hofford, MD

LEGISLATIVE

Jesus L. Lizarzaburu, MD

MEDICARE CARRIER ADVISORY

Roger A. Hofford, MD

RESIDENCY PROGRAM

Delmas J. Bolin, MD, PhD

RURAL HEALTH

Larry G. Mitchell, MD

HIGH QUALITY CME/MOC

Mitchell B. Miller, MD

Kurtis S. Elward, MD, MPH

QUALITY AND PRACTICE REDESIGN

Kurtis S. Elward, MD, MPH

Anton J. Kuzel, MD

8

It's been an exciting year for family medicine in

Virginia! As healthcare reform continues to be a

national and state priority, family physicians are lead-

ing the way both in Washington, D.C. and in Richmond.

Legislative/Advocacy

We started the year with an ambitious legislative

agenda. Thanks to the combined efforts of our new leg-

islative consultant, Mr. Hunter Jamerson, and our

Legislative Committee, chaired by VAFP Past-President

Dr. Jesus Lizarzaburu, we have successfully “awakened

the sleeping giant” of family medicine in the

Commonwealth. We began by asserting the VAFP's identity at the General Assembly.

Delegate Brenda Pogge introduced a bill commending the VAFP on its services to the

General Assembly and Virginia’s citizens, and for the vital role played by family physi-

cians in our health care system. The definition of surgery bill, championed alongside

the Medical Society of Virginia, defined surgery in the Virginia code, and limits surgery

to licensed physicians, dentists and podiatrists. Del. John O’Bannon’s nurse practi-

tioner scope of practice bill, which we also supported alongside the Medical Society

of Virginia, serves as model legislation for national team care initiatives, with its pro-

vision for collaborative physician-nurse practitioner relationships within a physician

directed patient care team. Thanks in part to our lobbying efforts, the Governor’s final

budget for 2013-2014 protected Medicaid reimbursement and funding for safety net

providers, and increased the Department of Health’s Higher Education Student

Financial Assistance funding. The VAFP has actively defended, and will continue to

advocate for the expansion of this funding. We continue to work with the the Virginia

Society of Plastic Surgeons, the Medical Society of Virginia, and the Virginia Board of

Medicine regarding the safety of outpatient plastic surgery procedures. I'd like to

thank Drs. Mitch Miller and Jesus Lizarzaburu for their ongoing efforts on this issue.

In February, the VAFP held its first annual Advocacy Day at the General Assembly in

Richmond. I'd like to thank Dr. Sean Reed for his efforts in making this event a great

success. We continue to strengthen our grassroots advocacy via the Key Contacts pro-

gram which will help us provide legislators with an informed contact on family med-

icine issues and to assist in identifying and building relationships with key legislators

President’s Message


Newport News

9

to advance the VAFP's legislative initiatives. We also continue to grow the FamDocPAC,

which enjoyed record contributions this year. Your PAC dollars enable us to get in front

of the legislators who decide the issues that are important to family physicians.

Payment Reform

Now that the Supreme Court has upheld the federal Affordable Care Act, discus-

sion of Virginia’s Health Benefits Exchange and implementation of the ACA will likely

dominate health policy discussion in the coming years. As the Commonwealth faces

both a capacity crisis and a budget shortfall, family physicians stand ready to provide

solutions through quality, comprehensive, and accessible health care. Drs. Kurt Elward

and Tony Kuzel have been appointed to serve as the VAFP’s representatives on the

Virginia Chamber of Commerce’s newly formed Executive Healthcare Committee. This

places family physicians at the forefront of Virginia’s healthcare reform efforts. We will

continue to work closely with Dr. William Hazel, the Secretary of Health and Human

Resources, and other stakeholders to bolster our primary care infrastructure, enact

meaningful payment reform, and to ensure that every Virginia citizen has a personal

family physician.

CME

The VAFP strives to offer high-quality, affordable CME. We have done this very

successfully over the years, and we continue to offer some of the highest-value CME

in the country, as evidenced by the record attendance at our biannual meetings as well

as the number of out-of-state physicians who continue to return year after year. Our

chapter dues are among the lowest in the nation. I'd like to thank Dr. Mitch Miller, the

chair of our CME Committee, for his tireless efforts to maintain outside funding for

our activities, and to continue offering high-quality, unbiased, evidence-based CME.

I'd also like to recognize Drs. Kurt Elward and Mark Greenawald for their continued

work on the highly successful group SAMs. These are an excellent way to keep up

with Maintenance of Certification (MOC) requirements, and serve as another example

of the value that the VAFP delivers to its membership.

10

Communication

The VAFP continues to strive to improve communication among members, future

members, and patients through the use of conventional and electronic media. This

past year, thanks to the ongoing efforts of Dr. Mark Ryan, the chair of our

Communications Committee, we established a VAFP presence on Facebook and

Twitter (@VAFP_FamilyDocs). We hope that this has made it easier for members to

keep up with Academy activities and legislative issues, and for students, patients, and

other interested parties to learn more about family medicine. Social media is here to

stay, and we've only scratched the surface. We hope to expand our use of these and

other tools in the coming years to increase the interaction between the VAFP and its

membership, as well as to aid in recruitment and advocacy.

Other Activities

The Academy remains financially sound. I'd like to thank Dr. Roger Hofford, our

Treasurer, for his work on the budget and for making sure that your dues dollars are

put to good use.

We had one of the most successful “Choose Virginia” recruitment fairs ever this

past October with record attendance and very positive feedback from students and

residents alike. Thanks again to Dr. Roger Hofford for his efforts as program chair.

We will continue to explore new ways to encourage Virginia’s best and brightest med-

ical students to become family physicians and to keep our family medicine residents

practicing within the Commonwealth.

Last summer, we re-activated the VAFP Foundation and appointed Dr. Roger

Hofford as Foundation President. Expect to hear more about the VAFP Foundation’s

plans and objectives in the coming year.

I'd like to thank Dr. Tony Kuzel for his continued work on Practice Enhancement

and Redesign. Transforming a medical practice into a Patient Centered Medical Home

can appear daunting, but frequently there are “baby steps” that can be taken along

the way to make it easier.

President’s Message (CONTINUED)


Newport News

11

Finally, I'd like to thank our Chapter Executive, Mr. Terry Schulte, and the hard-

working and dedicated VAFP staff for all that they've done to make this year a suc-

cess. I'd also like to thank our Board of Directors for taking time away from their prac-

tices, and for inspiring new leadership to follow. It's been an honor to serve as your

President this past year.

12

Dear Colleagues:

What an exciting time to be a Family Physician!

For some of you, those words simply affirm what

you say to yourselves every day as you go about

providing exceptional care and caring for patients

and families in your communities. For some, those

words are an expression of possibility, of something

that at times feels true, but often not, and yet in your

heart that there’s something about it that could be true

more of the time … perhaps even most of the time.

But for some, those words feel distant, perhaps even

delusional, as your days seem to be filled with a never

ending grind of demands and bureaucracy and poor reimbursement, to the point that

you might wonder why it was you went into Family Medicine in the first place. Or,

perhaps you have this whole range of emotions at different times during your daily

work.

I do believe these are exciting times to be a Family Physician and at the same time

acknowledge that the word “crisis” is often used to aptly describe the present state of

our so called “health care system.” Perhaps being in the midst of a “crisis” is not nec-

essarily a bad thing. In fact, on the wall of my office is the Chinese symbol for the

word “crisis,” which is comprised of two symbols; the symbol for “danger” as well as

the symbol for “opportunity.”

Danger: Indeed, with the rapid changes taking place in health care, the con-

tentious political debate, the dwindling reimbursements, oppressive regulation and

paperwork, scope of practice issues, the push for the use of more computer technol-

ogy, and declining health of our population, there is much about the present state of

health care that does not seem to provide much hope for “better days.” These issues

are real, and will not go away by our pretending that they don’t exist or our hope that

“someone else will take care of them.” In the midst of all this, there is an under-

standable temptation to become discouraged.

Incoming President’s Message

Mark H. Greenawald, MD, FAAFP

Roanoke

13

Opportunity: And yet, “crisis” also contains opportunity. Indeed, I believe

the opportunity to improve how we care for our patients has never been greater.

Experiments with practice innovation and redesign have allowed us to consider pos-

sibilities beyond the “illness care” model by which many of us have structured our

practices and our approaches to care. The use of patient registries and electronic

medical records has enabled many practices to track patients and care outcomes in

ways unimagined previously. Conversations surrounding healthcare reform at both

the state and national level now include questions such as how to improve access to

care, how to support primary care and specifically family medicine services, how to

eliminate wasteful and unnecessary care, and how to fairly compensate for care

provided.

What an exciting time to be a member of the VAFP!

One of the incredible opportunities we all have as Family Physicians is to

unite in our efforts to make our voice heard, for the sake of our patients and on

behalf of our realization that the foundation for any sane and sustainable healthcare

system must include Family Physicians at its core. Your Virginia Academy of Family

Physicians is the mechanism through which this can happen, and your active

involvement as we move forward together has never been more important. While

your VAFP is in no way experiencing a “crisis,” we need to remain mindful of the

volatility of our present political climate and the many forces at play.

Danger: As we look toward the coming year, there will be much “danger”

as healthcare reform continues to be debated and election year rhetoric heats up.

We will need to continue to be vigilant about legislation at both the state and nation-

al level that could adversely effect the care of our patients or the stability of our

practices. We will need to be aware of changes in healthcare structure that have

the potential to cause divisions in our specialty, particularly between those who are

employed by a healthcare system and those who have chosen to remain independ-

ent of such employment. We will also need to be aware of our individual suscepti-

bility to burnout and cynicism as we often experience a sense of the loss of control

amidst the swirl of change.

Opportunity: Even with all of the present changes and challenges in healthcare,

I cannot recall a time in my own career when the “voice” of Family Medicine has ever

been stronger. Examples abound. Representatives from the VAFP are being asked to

“sit at the table” for important discussions about healthcare reform. Our presence in

our Capitol, led by our Legislative Consultant, Hunter Jamerson, Esq., is highly

informed and deeply engaged. Our CME programs and Group SAMs continue to

deliver cutting edge professional education for our members. Our membership con-

tinues to set records for physicians, residents, and students. We have exceptional rela-

tionships between the VAFP and the five medical schools in the Commonwealth, and

our “Choose Virginia” outreach program for students and residents is exploding in

growth. In addition to our newsletter and Constant Contact e-mail messages, we have

established a VAFP presence on Facebook and Twitter and are continuing to look for

ways to more effectively communicate with our membership. We are working to

establish a legislative “Key Contact” program so that we can help connect more effec-

tively with you with your legislators. Additionally, our VAFP Foundation has been reor-

ganized and the FamDocPAC continues to gain strength, with more members are

appreciating the importance of these efforts and making contributions.

Looking Ahead

It has been an honor for me to serve in leadership of our Academy for the past

4 years, and it will be a distinct honor to serve as your Academy President for the

upcoming year. The work and dedication of our Board of Directors, our Executive

Team, our Administrative Leadership Team, our representatives to the AAFP and our

Legislative Consultant has been outstanding. Equally as encouraging has been the

involvement of you, our members, at the level of your community and with your leg-

islative representatives, as well as at the state, regional, and national level. My vision

is that all Family Physicians in Virginia would view our VAFP as their professional

organization of choice.

I specifically want to thank outgoing President Kent Willyard, MD for his exem-

plary leadership over the past year, and to those who are leaving the Board Wayne

Reynolds, DO and Dena Hall, MD for their outstanding contributions. I also want to

recognize Bob Elliott, MD and Sam Jones, MD who are completing their exemplary

term on the Board and are assuming Officer positions. A special thank you to our res-

ident and student members of the Board for their service this past year.

Incoming President’s Message

(CONTINUED)

Mark H. Greenawald, MD, FAAFP

Roanoke

14

We continue to be part of a proud heritage started in 1948 as the Virginia

Academy of General Practice. In becoming the 66th President of our organization, I

am humbled as I reflect upon the visionary and dedicated work of those who have

gone before me, and I pledge to build upon their work and help to propel the VAFP

toward ever greater heights.

It is indeed an exciting time to be a Family Physician!

15

The VAFP set three goals for its Legislative Committee in 2011-2012: 1) defend

Family Medicine’s scope of practice from external threats; 2) explore legislative oppor-

tunities for incentivizing the practice of Family Medicine; and 3) raise VAFP’s profile

as a player in Virginia government affairs. We are pleased to report that VAFP has

met its legislative goals for the year.

VAFP’s defense of Family Medicine’s scope of practice has been stalwart. The

2012 General Assembly session saw the passage of Delegate John O’Bannon’s House

Bill 346, pertaining to nurse practitioner scope of practice and physician-led patient

care teams. VAFP’s input and support of this legislation was crucial and resulted in

what is quickly becoming model legislation for physician groups nationwide. Drs.

Cynthia Romero, Sterling Ransone, and Jesus Lizarzaburu, Chair of the VAFP

Legislative Committee, were particularly instrumental in negotiating on behalf of

Family Medicine’s interests. Additionally, on the scope of practice front, VAFP, through

its able representatives, Dr. Mitch Miller and Dr. Jesus Lizarzaburu, has aggressively

defended Family Medicine’s position on office-based surgical procedures during ad

hoc committee discussions at the Medical Society of Virginia. Further, VAFP has been

a leading voice among health care providers in the General Assembly’s debate on sev-

eral legislative items which invade the physician-patient relationship.

VAFP has quickly seen success in its initiative to promote and incentivize the prac-

tice of Family Medicine. The Governor’s introduced biennial budget appropriated an

additional $180,000, ordinarily swept back into the General Fund, towards physician-

eligible scholarship and loan reimbursement programs. VAFP successfully protected

these funds throughout the budget process. Additionally, VAFP has been invited to

coordinate its efforts with the Virginia Department of Health’s Office of Minority and

Health Equity, the office which oversees these programs, in an ongoing effort to pro-

mote and fund physician scholarship and loan reimbursement initiatives. In addition

to incentivizing the practice of Family Medicine, VAFP has also defended access to

Family Medicine: In coordination with other stakeholders, VAFP successfully advocat-

ed for restoring full funding to free clinics, community health centers, and teaching

hospitals across Virginia which faced dramatic cuts in the introduced budget.

Legislative Update 2012

Hunter Jamerson, ESQ.

Legislative Consultant

16

17

Perhaps the most significant achievement to date, however, is success in raising

VAFP’s profile in the area of government affairs. Dr. Kent Willyard’s challenge to

“wake the sleeping giant” has been met. VAFP is now a go-to resource for legislators

and key administration officials on primary care matters. This was most recently high-

lighted by an impromptu visit by Health and Human Resources Secretary Dr. Bill Hazel

to a recent VAFP Board meeting. Dr. Kurt Elward and Dr. Tony Kuzel will be repre-

senting VAFP on the Virginia Chamber of Commerce’s Executive Health Care

Committee, a key forum for engagement with insurers and major employers.

Additionally, VAFP has been consulted by numerous state agencies; VAFP presently

has representation on several active regulatory work-groups, including representation

by Dr. Lynne Deane on the Virginia Department of Health’s school provided epineph-

rine work group. VAFP has presented to political party leadership and to the

Legislative Health Caucus in the General Assembly. Also, during the 2012 General

Assembly session, VAFP successfully orchestrated its first Advocacy Day as organized

by Dr. Sean Reed. Significantly, the 2012 Virginia General Assembly recognized

VAFP’s contributions to primary care in Virginia through House Joint Resolution 175.

As VAFP’s Legislative Consultant, I am proud to report such significant progress

over the past year. VAFP’s Legislative Committee Chair, Dr. Jesus Lizarzaburu, and

Legislative Committee members, Kent Willyard, Mark Greenawald, Sean Reed, and

Roger Hofford, have been outstanding advocates for Family Medicine and the inter-

ests of the VAFP membership. I am grateful to the Legislative Committee, Terry

Schulte, Mary Lindsay White, and the VAFP staff for their continuing and dedicated

efforts to supporting advocacy for Family Medicine. I look forward to significant

progress in 2012-2013!

18

Following the United States Supreme Court’s decision upholding the majority of

the federal Affordable Care Act (ACA), health plans now are facing the uncer-

tainty of whether and how much to proceed with ACA implementation, especial-

ly in a state like Virginia that is taking a “wait-and-see” approach itself.

The willingness of states to take action to implement ACA requirements, most

notably health insurance exchanges, has varied widely. With 26 states joining the con-

stitutional challenge to the law, it is not surprising that many, including Virginia, are

taking a “wait-and-see” approach to the ACA requirements. Despite the Supreme

Court’s validation of the ACA, Virginia seems to be willing to wait on the outcome of

the 2012 elections and any subsequent congressional effort to repeal and/or replace

the ACA. Given the now short timeframe before many major requirements go into

effect in 2014, many states will focus on implementation activities in earnest.

Many of ACA’s health care reforms and related provisions impose obligations on

health insurance issuers, group health plans, employers and other sponsors of group

health plans, and others. Compliance efforts are well underway, as many ACA provi-

sions already have taken effect. Even with respect to provisions that are not yet effec-

tive, planning efforts already have begun, e.g., employers have been considering the

effect that Exchanges and subsidies will have on their plan design decisions, although,

in some cases, compliance efforts may have been slowed pending the Supreme Court

decision. With the ACA largely upheld, compliance efforts will need to continue, and

in some cases will require fairly swift action to ensure compliance by the effective date.

Health Plan Report

K. Marshall Cook, ESQ.

VAFP General Counsel

19

Membership

The Virginia Academy of Family Physicians membership continues to increase

annually. The VAFP is proud to report that each category of membership increased

following last year’s Annual Meeting. As of June 1, 2012 total VAFP membership

stood at 3,036 which is the largest total membership in the VAFP’s history. Active

membership totaled 1,854, resident membership at 175, and student membership at

795. Four additional categories including Life membership totaled 212. Student

membership increased to 795 which is an increase of 178 students and for the first

time in the VAFP’s history, resident membership was 100% and the VAFP was rec-

ognized for this accomplishment during the May, 2012 AAFP Annual Leadership

Conference.

Necrology Report

Thomas C. Iden, MD

Berryville, Virginia

Samuel E. Miller, MD

Abingdon, Virginia

20

The Virginia Academy of Family Physicians continues its tradition of operating

under sound financial management. This effort is led by VAFP Treasurer Roger

A. Hofford, MD.

For AAFP Chapters with an active membership of 1,000 members and more, the

VAFP’s dues are the second lowest in the country. Additionally, the VAFP has had only

two dues increases in the last 24 years.

The percentages of dues revenue versus non-dues revenue are “water mark”

numbers that reflect the financial acumen of associations. Statistics from the

American Society of Association Executives indicate that on average most individual

membership associations have dues revenue in the 60-70% of total revenue and

non-dues revenue in the 30-40% range. For fiscal year 2011, the Academy’s dues

revenue was 49% of the total revenue and non dues revenue was 51% of total

revenue. Net income for fiscal year 2011 was $128,258. This is significant given the

financial impact of the reduction of outside grant income, challenging exhibit sales and

decrease in interest income from VAFP investment vehicles.

Noted on the following page is an excerpt from the fiscal year 2011 audit

reporting Support and Revenue, Expenses, and Unrestricted Net Assets.

Finances

21

Finances—Statement Of Activities

FOR THE YEAR ENDING DECEMBER 31, 2011

SUPPORT AND REVENUE

Membership dues $ 459,507

Annual Meeting $ 209,985

CME seminars $ 188,627

Interest income $ 19,111

Choose Virginia $ 39,725

Other $ 3,039

Total support and revenue $ 919,994

EXPENSES

Program services $ 369,224

Supporting services $ 422,512

Total expenses $ 791,736

Increase in unrestricted net assets $ 128,258

Unrestricted Net Assets, beginning of year $ 865,080

Unrestricted Net Assets, end of year $ 993,338

22

Honors and Awards

The Honors and Awards Task Force coordinates promotion of the importance and

availability of the various VAFP Awards to Academy members. The Award appli-

cations were promoted in several issues of the VAFP Newsletter, via all member

email and were also promoted on-site during the VAFP Winter Family Medicine

Weekend held at Wintergreen Resort in January, 2012.

Included in each registrant’s conference booklet is information on how to nomi-

nate your peers for the 2013 VAFP Awards, The task force respectfully requests

members to nominate a fellow family physician for one of these outstanding awards.

The 2012 Awards will be presented during the VAFP Awards Ceremony sched-

uled Saturday morning, August 4.

Virginia Academy of Family Physicians

2012 Award Recipients

Virginia Family Physician of the Year

John P. Bryant, MDTidewater Physicians

Multispecialty Group

Yorktown Family Medicine

Yorktown

Legislator of the Year Award

Delegate John M.

O’Bannon, III, MDRichmond

James P. Charlton, MD Teacher of the Year Award

Tarin Schmidt-Dalton, MDAssistant Professor, Department of Family Medicine

Virginia Tech Carilion School of Medicine and Research Institute

Roanoke

23

Continuing Medical Education

The Virginia Academy of Family Physicians continues its tradition of offering first

class, affordable continuing medical education conferences for Academy mem-

bers and their families.

Each year, the Academy sponsors two major CME activities. The Wintergreen

Winter Family Medicine Weekend is held over three days in the winter months of

January or February annually. This year the conference drew over 240 family physi-

cians, residents, medical students, and other health care professionals. The exhibit

portion of the conference was comprised of 37 exhibiting organizations - the maxi-

mum number available - and was sold out months in advance of the meeting.

The Academy’s Annual Meeting & Exposition is held each summer. This year’s

conference takes place August 2-5, 2012 at The Homestead Resort in Hot Springs.

Academy members will have the opportunity to enjoy all of amenities of The

Homestead at a very affordable cost. Approximately 60 exhibiting organizations will

be available to discuss with members the newest in product and service develop-

ments. CME costs for Academy members’ average just over $10.00 per credit hour.

The VAFP also sponsored numerous ABFM Self Assessment Module (SAM)

Programs during 2011 and the first half of 2012. Two SAM sessions are being held

in conjunction with this year’s Annual Meeting and there are three more scheduled for

the remainder of 2012. These sessions drew maximum attendance and continue to

be evaluated very highly.

The Academy expresses its deep appreciation to the Chair of the Continuing

Medical Education Committee Mitchell B. Miller, MD, and his committee for their out-

standing work in creating superb CME for VAFP Members and to Kurtis S. Elward,

MD, MPH, Mark H. Greenawald, MD, Anne R. Donnelly, MD and Tarin Schmidt-

Dalton, MD for their exceptional work as SAMs presenters.

Quality and Practice

Enhancement Task Force Report

Anton J. Kuzel, MD, MHPE

& Kurtis S. Elward, MD, MPH

The Quality and Practice Enhancement Committee continues to focus on programs and

activities that will help members' practices prepare for a reformed health care system

- one that achieves the Institute for Healthcare Improvement’s triple aim of better

care, better quality, and lower costs. We are planning activities for the upcoming year that

will showcase new and innovative approaches to improve quality while improving the bot-

tom line and preparing you for the bright future of family medicine. Dr. Kuzel continues

to lead these efforts to create great opportunities for you, our VAFP members.

Primary care, and particularly family medicine, has received renewed interest and

recognition for their central role in health care reform and improved care. Recently, Paul

Grundy, MD from IBM, a major champion of the Patient Centered Medical Home, spoke to

the Virginia Chamber of Commerce about the key role primary care plays. More impor-

tantly, this theme was strongly echoed by the business leadership.

The Chamber of Commerce has created a working group to look at how Virginia

businesses could create healthcare plans for the employees that focus on value rather than

volume, and that increase productivity by reducing worker absenteeism and presenteeism.

Dr. Elward will be the VAFP representative to this group, with Dr. Kuzel as backup.

Together, they will work to emphasize the ways both clinical and academic family physi-

cians can offer many of the key answers that will create real value in health care.

It should be emphasized that we see this group as primarily focusing on how employ-

ers can get better value for their health insurance premium. It does not address readiness

for the Accountable Care Act and its development/ implementation. We persist in our belief

that there must be a focus on preparation for the enormous influx of newly insured patients

- that translates to increasing capacity of existing practices and/or changing payment mod-

els so that we don't have to drag people into the office in order to be paid for caring for

them. We also believe that if payers want to have the most efficient and effective impact

in controlling costs, there must be ways to identify where the costs are concentrated (e.g.,

high utilizers of health care) and put in place programs to reduce those costs. Primary care

physicians and their practice teams need to be aware that they will be a key player in those

kinds of programs. We plan to make that a major focus of the programming in

Wintergreen this upcoming Winter. We invite and encourage your input and participation

- it is valuable and significant.

24

25

Residents and Students

The Virginia Academy of Family Physicians Board of Directors has three resident mem-

bers and three medical student members who serve on the Board. The VAFP pro-

vides funding for these residents and students to attend all VAFP Board meetings.

The VAFP provides complimentary housing for students and residents to attend the

VAFP Winter Family Medicine Weekend held annually at Wintergreen Resort. At the 2012

VAFP Winter Family Medicine Weekend 12 Family Medicine Residents and over 50 medical

students were in attendance. Included in the CME program for the 2012 Winter Family

Medicine Weekend was a Resident Research Best Papers workshop that was facilitated by

8 Virginia Family Medicine Residency Programs.

Dues are paid by the VAFP for resident members in their first year of residency.

Medical student dues are complimentary.

The VAFP prioritizes increasing resident membership with a goal of 100% member-

ship in the VAFP. That goal was met this year with 100% of Virginia’s family medicine res-

idents being VAFP members. The VAFP plans to continue investigating cost effective

avenues to enhance the placement of graduating Virginia family medicine residents in posi-

tions throughout Virginia.

Choose Virginia

The Virginia Academy of Family Physicians is again partnering with the Virginia

Department of Health, the Area Health Education Centers, the Virginia Rural Health

Association and the Virginia Health Workforce Development Authority to sponsor a region-

al recruitment fair on October 13, 2012 at the Richmond Marriott in Richmond, Virginia.

The 2011 Choose Virginia Program was an overwhelming success. The focus of Choose

Virginia is on recruiting medical students to Virginia Family Medicine Residency Programs

with educational tracks offered for medical students and family medicine residents. It is

anticipated that medical students from Virginia, West Virginia, North Carolina, Washington,

DC and Maryland will attend. In addition, family medicine residents from the Virginia

Family Medicine programs will be invited to participate. Complimentary accommodations

will be provided to out of town attendees and a stipend will be given to help cover travel

and food expenses. The Virginia Family Medicine Residency Programs will be providing

the faculty to facilitate the educational sessions. Special thanks to VAFP Treasurer and Past

President Roger Hofford, MD for serving as Program Chair.

26

*William L. Powell, MD, Roanoke 1947-48

*James L. Hamner, MD, Mannboro 1948-49

*James D. Hagood, MD, Clover 1949-50

*Ira L. Hancock, MD, Virginia Beach 1950-51

*John O. Boyd, Jr., MD, Roanoke 1951-52

*Edward S. Haddock, MD, Richmond 1952-53

*Brewster A. Hopkins, MD, Stuart 1953-54

*Richard M. Reynolds, MD, Norfolk 1954-55

*Rufus Brittain, MD, Tazewell 1955-56

*Frank E. Tappan, MD, Berryville 1956-57

*Malcolm H. Harris, MD, West Point 1957-58

*W. Linwood Ball, MD, Richmond 1958-59

*Fletcher J. Wright, Jr., MD, Petersburg 1959-60

*Boyd H. Payne, MD, Staunton 1960-61

William J. Hagood, MD, Clover 1961-62

*Harry M. Frieden, MD, Norfolk 1962-63

*Frank D. Daniel, MD, Lynchburg 1963-64

Thomas L. Lucas, MD, Charleston, SC 1964-65

*Russell G. McAllister, MD, Richmond 1965-66

*Robert L. Cassidy, MD, Culpeper 1966-67

J. Powell Anderson, MD, Waynesboro 1967-68

*Howard I. Kruger, MD, Norfolk 1968-69

*A. Epes Harris, MD, Blackstone 1969-70

Clarence W. Taylor, Jr., MD, Shawsville 1970-71

*Thomas H. Jennings, MD, Bedford 1971-72

Alan Mackintosh, MD, Bristow 1972-73

T. Winston Gouldin, MD, Norfolk 1973-74

William B. Waddell, MD, Galax 1974-75

*Robert S. Smith, MD, Richmond 1975-76

*Levi W. Hulley, Jr., MD, Richmond 1976-77

George Robert Smith, MD, Shawsville 1977-78

Emerson D. Baugh, Jr., MD, Kenbridge 1978-79

VAFP Past Presidents

Gene E. Clapsaddle, MD, Moneta 1979-80

Harold M. Horden, MD, Norfolk 1980-81

*James P. Charlton, MD, Virginia Beach 1981-82

Benjamin E. Norfleet, MD, Newport News 1982-83

J. Francis Amos, MD, Rocky Mount 1983-84

G. Stanley Mitchell, Jr., MD, Newport News 1984-85

*F. Elliott Oglesby, Sr., MD, Richmond 1985-86

Alvin J. Ciccone, MD, Norfolk 1986-87

*Robert F. Baxter, MD, Grundy 1987-88

J. Albert Hagy, MD, Roanoke 1988-89

Harold W. Markham, MD, Virginia Beach 1989-90

Leroy S. McDaniel, MD, Richmond 1990-91

T. P. Davis, MD, Christiansburg 1991-92

Charles H. Crowder, Jr. MD, South Hill 1992-93

Stuart M. Solan, MD, Richmond 1993-94

J. Michael Ponder, MD, Franklin 1994-95

Roger A. Hofford, MD, Lynchburg 1995-96

Michelle Whitehurst-Cook, MD, Highland Springs 1996-97

Mitchell B. Miller, MD, Virginia Beach 1997-98

Larry G. Mitchell, MD, Richlands 1998-99

David A. Ellington, MD, Lexington 1999-00

J. Douglas Smith, MD, Harrisonburg 2000-01

Joseph Leming, MD, Colonial Heights 2001-02

Shane J. Kraus, MD, Glen Allen 2002-03

Cynthia C. Romero, MD, Virginia Beach 2003-04

Dena R. Hall, MD, Suffolk 2004-05

Kurtis S. Elward, MD, MPH, Charlottesville 2005-06

Wayne J. Reynolds, DO, Gloucester Point 2006-07

Sterling N. Ransone, Jr, MD, Deltaville 2007-08

E. Mark Watts, MD, Vinton 2008-09

Janice E. Ragland, MD, Herndon 2009-10

Jesus L. Lizarzaburu, Grafton 2010-11

* Deceased

27

VAFP Past Presidents

2012

September 15, 2012Hypertension Self Assessment Module (SAM)

Group Learning Session8:00 a.m. - 1:00 p.m.

Rockingham Memorial Hospital Training Center - Harrisonburg, VA

October 6, 2012Heart Failure Self Assessment Module (SAM)


Piedmont Community College - Charlottesville, VA

November 17, 2012Pain Management Self Assessment Module (SAM)


University of Richmond - Richmond, VA

2013

February 1-3, 2013VAFP 2013 Winter Family Medicine Weekend

Wintergreen Resort - Wintergreen, VA

July 18-21, 2013VAFP 2013 Annual Meeting & Exposition

The Cavalier Resort Hotel - Virginia Beach, VA

2014

January 31 - February 2, 2014VAFP 2014 Winter Family Medicine Weekend

Wintergreen Resort - Wintergreen, VA

VAFP CME Calendar

VAFPVirginia’s Family Physicians

2012 vafp annual report:08 annual...

Documents