The Physicians Foundation

Report to OSMAPAlan L. Plummer, MDVice-PresidentChairman, Grants CommitteeNovember 7, 2014

2

The Physicians Foundation Overview• National non-profit organization formed in 2003 and

dedicated to:– Improving the delivery of healthcare to all patients– Advancing the work of practicing physicians– Sustaining the viability of medical practice

• Pursues mission through grant making, research, national surveys and policy studies– Given more than $33 million in grants– Conducted three nationwide surveys of physicians– Graduated over 150 physician leaders from our Academy

3

The Physicians Foundation Signatory Medical SocietiesAlaska State Medical Association Medical Society of Northern

VirginiaCalifornia Medical Association Medical Society of the State of

New YorkConnecticut State Medical Society Nebraska Medical

AssociationDenton County Medical Society (Texas) New Hampshire Medical SocietyEl Paso County Medical Society (Colorado) North Carolina Medical SocietyFlorida Medical Association South Carolina Medical

AssociationHawaii Medical Society Tennessee Medical

AssociationLouisiana State Medical Society Texas Medical AssociationMedical Association of Georgia Vermont Medical SocietyMedical Society of New Jersey Washington State Medical

Association

4

The Physicians Foundation2014 Survey of America’s Physicians • One of the largest and most

comprehensive physician surveys conducted in the U.S.

• 20,000+ physician responses in multiple specialties and in all 50 states

• Provides insights into:• Physician workforce dynamics• Practice patterns• Professional morale• Career plans and overall perspectives

5

The Physicians Foundation2014 Survey of America’s Physicians • Physician Practice

– 35 percent are independent practice owners• 62 percent in 2008• 49 percent in 2012

– 17 percent are in solo practice• 25 percent in 2012

– 53 percent are hospital or medical group employees• 38 percent in 2008• 44 percent in 2012

6

The Physicians Foundation2014 Survey of America’s Physicians • Physician Practice

– 33 percent of physicians participate in insurance products through state / federal marketplace exchanges• 28 percent have no plans to participate

– 26 percent participate in Accountable Care Organizations (ACOs)• 13 percent believe ACOs will enhance quality and decrease costs

– 46 percent would give would give the Affordable Care Act a ‘D’ or ‘F’ grade, while 25 percent give it an ‘A’ or ‘B’

– 69 percent believe clinical autonomy is sometimes or often limited and their decisions compromised

7

The Physicians Foundation2014 Survey of America’s Physicians • Patient Access and Physician Shortages

– 8 in 10 physicians (81 percent) describe themselves as either over-extended or at full capacity

– Only 19 percent indicate they have time to see more patients – 44 percent of physicians plan to take steps to reduce patient access to

their services, including • Cutting back on patients seen• Retiring or working part-time• Closing their practice to new patients or seeking non-clinical jobs• 13 percent will switch to concierge practice

– On average, physicians surveyed said 49 percent of their patients are enrolled in Medicare or Medicaid• Yet, 24 percent of physicians surveyed either do not see Medicare patients or limit

the number Medicare patients they see

8

The Physicians Foundation2014 Survey of America’s Physicians • Physician Morale

– A majority of physicians (56 percent) describe their feelings as somewhat or very negative relative to the current state of the medical profession• 44 percent characterize themselves as somewhat or

very positive about the current state of the medical profession, compared to 32 percent in 2012

– Younger, female and employed physicians and primary care physicians are somewhat more positive

– Older, male physicians, medical specialists and medical practice owners are somewhat less positive

– 71 percent would still choose to be a physician if they had to do it over

9

The Physicians Foundation2014 Survey of America’s Physicians • Additional Findings

– 85 percent of physicians indicate that they have implemented EMR systems• Only 24 percent say that EMR systems have

improved efficiency • Only 32 percent say that it has improved quality

of care

– 50 percent of physicians indicate implementation of ICD-10 will cause severe administrative problems in their practices

– Physicians spend 20 percent of time on non-clinical paperwork

– MDs work an average of 53 hours / week and see approximately 20 patients / day

10

The Physicians Foundation2014 Survey of America’s Physicians • Coverage – Secured exclusive

with Melinda Beck of The Wall Street Journal

– Generated nearly 70 media placements in national, regional and trade outlets

11

The Physicians FoundationPhysician Leadership Grants• Upcoming Physician Leadership Grants – Renewal Physician Leadership Grants

• Physician Leadership grantees with a completed grant will be eligible to submit for renewal for the same project

• RFP released October 31, 2014 and May 20, 2015• Deadlines are November 19, 2014 and June 10, 2015 • Awards will be up to $75,000 per year for 2 years

– New Physician Leadership Grants • Organizations without a Physician Leadership grant or with a new project not

previously funded will be eligible to apply for a grant• RFP will be released January 24, 2015• Deadline is February 17, 2015• Awards will be up to $75,000 per year for 2 years

12

The Physicians FoundationOSMAP Collaboration• We want to hear from you!– What are pressing topics you

would like to see The Foundation research?

– How can we better collaborate to drive meaningful change for our physicians?

• Email us at info@physiciansfoundation.org • Follow us on Twitter at @PhysiciansFound

13

Questions or Comments?